Montana

Montana

wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at CPT Code Description Non-Facility Rate Facility Rate
1 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 90791 Psych diagnostic evaluation (not time dependent) 228.60 197.14
2 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 90832 Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) 98.79 86.82
3 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 90833 Add-on Psychotherapy 30 min (16-37); Psychotherapy, 30 minutes with patient and/or family when performed with an evaluation and management service 90.81 81.06
4 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 90834 Psychotherapy 45 (38-52) min; Psychotherapy, 45 minutes with patient and/or family member 130.70 115.19
5 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 90836 Add-on Psychotherapy 45 min (38-52); Psychotherapy, 45 minutes with patient and/or family when performed with an evaluation and management service 115.14 102.73
6 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 90837 Psychotherapy, 60 minutes with patient and/or family member (53+) min 192.26 169.21
7 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 90838 Add-on Psychotherapy 60 min (53+); Psychotherapy, 60 minutes with patient and/or family when performed with an evaluation and management service 152.33 136.37
8 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 90846 Family psychotherapy without patient, 50 minutes 124.89 124.45
9 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 90853 Group psychotherapy (other than of a multiple-family group) 35.01 30.58
10 alex 06/17/2024 12:51 PM alex 06/17/2024 12:51 PM 96372 Injection for buprenorphine or naltrexone; Therapeutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular 18.61 18.61
CPT Code Description Non-Facility Rate Facility Rate

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