Charges are based on length, complexity, and type of service provided. The attached fee schedule is a guide to most common potential charges, but note that exact fees cannot be determined until after service is provided. For more complete list please ask your provider.
**Please note that insurance does not always pay for all services. Please check with your insurance, your provider or our billing department if you have additional questions.
|New Patient Evaluation: (99204/99205/90791/90792)||320/390/285/290|
Medication Management (MM) only (99212/99213/99214/99215)
If you receive therapy/counseling over 15 minutes, in addition to MM, the fee for this service is added to the MM fee. Below are the three types of services fees that can be added on to the MM service fee above. To calculate your total add the fee in this line (MM Fee) + the therapy/counseling fee below. Example: 99214 ($110)+90833 ($105)= Total $215.
|Therapy/counseling 16-37 min (MM Fee + 90833)||$105|
|Therapy/counseling 38-52 min (MM Fee + 90836)||$175|
|Therapy/counseling 60+ min (MM Fee + 90838)||$230|
|Crisis face to face (60 minutes) 90839||$280|
|Crisis add-on for additional time spent 90840||$135|
|Family Therapy (with or without pt present) 90846/7||$215/225|
|Individual without MM 90832 (30 min)||$150|
|Individual Therapy without MM (50 min) 90834||$150|
|Individual Therapy without MM (60+ min) 90837||$220|
|Group Therapy- per unit specified by course description||$100|
|Late cancellation for an appointment||$75|
|No show for an appointment||$125|