SWIBH Fee Schedule
+16-37min Therapeutic Intervention
90833
$105.00
+38-52min Therapeutic Intervention
90836
$130.00
+53min Therapeutic Intervention
90838
$170.00
30-min Psychotherapy (PHD level provider)
90832
$140.00
30-min Psychotherapy
90832
$90.00
45-min Psychotherapy (PHD level provider)
90834
$150.00
45-min Psychotherapy
90834
$100.00
60-min Psychotherapy (PHD level provider)
90837
$215.00
60-min Psychotherapy
90837
$165.00
Coaching Consultation
No CPT code associated
$175.00
Diagnostic Evaluation w/Medical Services
90792
$190.00
Educational Evaluation Gifted
No CPT code associated
$750.00
Educational Evaluation
No CPT code associated
$1800.00
Full Course TMS
90867, 90868, 90869
$10,820.00
High Complexity Follow-up
99215
$230.00
High Complexity Intake
99205
$245.00
Low Complexity Follow-up
99213
$115.00
Moderate Complexity Follow-up
99214
$155.00
Moderate Complexity Intake
99204
$200.00
Multi-Family Group Therapy
90849
$40.00
Neuropsychological Evaluation
96116, 96121, 96138, 96139, 96132, 96133
$2000.00
Occupational Therapy - Group
97150
$30.00
Occupational Therapy – High Complexity Intake
97167
$130.00
Occupational Therapy – Low Complexity Intake
97165
$130.00
Occupational Therapy – Moderate Complexity Intake
97166
$130.00
Occupational Therapy – Therapeutic Activities
97530
$190.00
Psychiatric Diagnostic Interview
90791
$225.00
TMS Brain Mapping
90867
$410.00
TMS Delivery & Management
90868
$290.00
TMS Redetermination
90869
$260.00