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CPT Code
Service
Self Pay
90833 

+16-37min Therapeutic Intervention 

$105.00 

90836 

+38-52min Therapeutic Intervention 

$130.00 

90838 

+53min Therapeutic Intervention 

$170.00 

90832 

30-min Psychotherapy (PHD level provider) 

$140.00 

90832 

30-min Psychotherapy 

$90.00 

90834 

45-min Psychotherapy (PHD level provider) 

$150.00 

90834 

45-min Psychotherapy 

$100.00 

90837 

60-min Psychotherapy (PHD level provider) 

$215.00 

90837 

60-min Psychotherapy 

$165.00 

No CPT code associated 

Coaching Consultation 

$175.00 

90792 

Diagnostic Evaluation w/Medical Services 

$190.00 

99215, 99415 

Full Course Spravato  

$3000.00 

90867, 90868, 90869 

Full Course TMS 

$10820.00 

99215 

High Complexity Follow-up 

$230.00 

99205 

High Complexity Intake 

$245.00 

99213 

Low Complexity Follow-up  

$115.00 

99214 

Moderate Complexity Follow-up 

$155.00 

99204 

Moderate Complexity Intake 

$200.00 

90849 

Multi-Family Group Therapy 

$40.00 

97150 

Occupational Therapy - Group 

$30.00 

97167 

Occupational Therapy – High Complexity Intake 

$130.00 

97165 

Occupational Therapy – Low Complexity Intake 

$130.00 

97166 

Occupational Therapy – Moderate Complexity Intake 

$130.00 

97530 

Occupational Therapy – Therapeutic Activities 

$190.00 

90791 

Psychiatric Diagnostic Interview 

$225.00 

96105  

Speech Therapy- Assessment of Aphasia (Including Interpretation & Report) 

$91.00 

92524 

Speech Therapy- Behavioral & Qualitative Analysis of Voice & Resonance Evaluation 

$105.00 

97127  

Speech Therapy- Development of Cognitive Skills 

$100.00 

92610 

Speech Therapy- Evaluation of Oral & Pharyngeal Swallowing Function 

$80.00 

92507  

Speech Therapy- Treatment of Speech, Language, Voice, Communication, Auditory Processing Disorder 

$72.00 

92526 

Speech Therapy- Treatment of Swallowing Dysfunction and/or Oral Function for Feeding 

$80.00 

99416 

Spravato Additional Hr. Observation 

$10.00 

99215, 99415 

Spravato Maintenance Sessions 

$250.00/each 

90867 

TMS Brain Mapping 

$410.00 

90868 

TMS Delivery & Management 

$290.00 

90869 

TMS Redetermination 

$260.00 

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