Common use of Category of Service Procedure Code Modifier Group Procedure Description Unit Cost Clause in Contracts

Category of Service Procedure Code Modifier Group Procedure Description Unit Cost. MH and SA OP Services 99214 UG-Doctoral Level (Child Psychiatrist) Evaluation and Management for an Established Patient, 30-39 minutes $143.98 MH and SA OP Services 99214 U6-Doctoral Level (MD / DO) Evaluation and Management for an Established Patient, 30-39 minutes $118.51 MH and SA OP Services 99214 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Evaluation and Management for an Established Patient, 30-39 minutes $100.73 MH and SA OP Services 99215 UG-Doctoral Level (Child Psychiatrist) Evaluation and Management for an Established Patient, 40-54 minutes $166.57 MH and SA OP Services 99215 U6-Doctoral Level (MD / DO) Evaluation and Management for an Established Patient, 40-54 minutes $166.57 MH and SA OP Services 99215 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Evaluation and Management for an Established Patient, 40-54 minutes $141.58 MH and SA OP Services 99231 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 15 minutes $ 78.07 MH and SA OP Services 99231 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 15 minutes $ 59.27 MH and SA OP Services 99231 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 15 minutes $ 56.89 MH and SA OP Services 99231 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 15 minutes $ 47.47 MH and SA OP Services 99232 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 25 minutes $ 117.11 MH and SA OP Services 99232 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 25 minutes $ 88.19 MH and SA OP Services 99232 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 25 minutes $ 84.66 MH and SA OP Services 99232 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 25 minutes $ 70.63 MH and SA OP Services 99233 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 35 minutes $ 156.16 MH and SA OP Services 99233 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 35 minutes $ 117.59 MH and SA OP Services 99233 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 35 minutes $ 112.88 MH and SA OP Services 99233 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 35 minutes $ 94.18 MH and SA OP Services 99251 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 20 minutes $ 104.74 MH and SA OP Services 99251 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 20 minutes $ 79.50 MH and SA OP Services 99251 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 20 minutes $ 76.32 MH and SA OP Services 99251 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Initial Inpatient Consultation, 40 minutes $ 63.67 MH and SA OP Services 99252 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 40 minutes $ 157.11 MH and SA OP Services 99252 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 40 minutes $ 118.32 MH and SA OP Services 99252 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 40 minutes $ 113.58

Appears in 4 contracts

Samples: www.mass.gov, www.mass.gov, www.mass.gov

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Category of Service Procedure Code Modifier Group Procedure Description Unit Cost. MH and SA OP Services 99214 UG-Doctoral Level (Child Psychiatrist) Evaluation and Management for an Established Patient, 30-39 minutes $143.98 MH and SA OP Services 99214 U6-Doctoral Level (MD / DO) Evaluation and Management for an Established Patient, 30-39 minutes $118.51 MH and SA OP Services 99214 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Evaluation and Management for an Established Patient, 30-39 minutes $100.73 MH and SA OP Services 99215 UG-Doctoral Level (Child Psychiatrist) Evaluation and Management for an Established Patient, 40-54 minutes $166.57 MH and SA OP Services 99215 U6-Doctoral Level (MD / DO) Evaluation and Management for an Established Patient, 40-54 minutes $166.57 MH and SA OP Services 99215 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Evaluation and Management for an Established Patient, 40-54 minutes $141.58 MH and SA OP Services 99231 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 15 minutes $ 78.07 MH and SA OP Services 99231 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 15 minutes $ 59.27 MH and SA OP Services 99231 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 15 minutes $ 56.89 MH and SA OP Services 99231 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 15 minutes $ 47.47 MH and SA OP Services 99232 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 25 minutes $ 117.11 MH and SA OP Services 99232 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 25 minutes $ 88.19 MH and SA OP Services 99232 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 25 minutes $ 84.66 MH and SA OP Services 99232 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 25 minutes $ 70.63 MH and SA OP Services 99233 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 35 minutes $ 156.16 MH and SA OP Services 99233 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 35 minutes $ 117.59 MH and SA OP Services 99233 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 35 minutes $ 112.88 MH and SA OP Services 99233 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 35 minutes $ 94.18 MH and SA OP Services 99251 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 20 minutes $ 104.74 MH and SA OP Services 99251 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 20 minutes $ 79.50 MH and SA OP Services 99251 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 20 minutes $ 76.32 MH and SA OP Services 99251 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Initial Inpatient Consultation, 40 minutes $ 63.67 MH and SA OP Services 99252 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 40 minutes $ 157.11 MH and SA OP Services 99252 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 40 minutes $ 118.32 MH and SA OP Services 99252 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 40 minutes $ 113.58113.58 MH and SA OP Services 99252 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Initial Inpatient Consultation, 40 minutes $ 94.77 UG-MH and SA OP Services 99253 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 55 minutes $ 209.47 MH and SA OP Services 99253 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 55 minutes $ 157.74 MH and SA OP Services 99253 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 55 minutes $ 151.44 MH and SA OP Services 99253 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Initial Inpatient Consultation, 55 minutes $ 126.35 MH and SA OP Services 99254 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 80 minutes $ 280.95 MH and SA OP Services 99254 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 80 minutes $ 210.98 MH and SA OP Services 99254 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Initial Inpatient Consultation, 80 minutes $ 169.00 MH and SA OP Services 99255 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation - Comprehensive, 110 minutes $ 370.12 MH and SA OP Services 99255 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation - Comprehensive, 110 minutes $ 277.57 MH and SA OP Services 99255 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Initial Inpatient Consultation - Comprehensive, 110 minutes $ 222.33 MH and SA OP Services 99281 U6-Doctoral Level (MD/DO) Emergency Department visit for the evaluation and management of a patient, which requires 3 key components: A problem-focused history; A problem- focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. $ 20.14

Appears in 2 contracts

Samples: www.mass.gov, www.mass.gov

Category of Service Procedure Code Modifier Group Procedure Description Unit Cost. MH and SA OP Services 99214 UG-Doctoral Level (Child Psychiatrist) Evaluation and Management for an Established Patient, 30-39 minutes $$ 143.98 MH and SA OP Services 99214 U6-Doctoral Level (MD / DO) Evaluation and Management for an Established Patient, 30-39 minutes $$ 118.51 MH and SA OP Services 99214 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Evaluation and Management for an Established Patient, 30-39 minutes $$ 100.73 MH and SA OP Services 99215 UG-Doctoral Level (Child Psychiatrist) Evaluation and Management for an Established Patient, 40-54 minutes $$ 166.57 MH and SA OP Services 99215 U6-Doctoral Level (MD / DO) Evaluation and Management for an Established Patient, 40-54 minutes $$ 166.57 MH and SA OP Services 99215 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Evaluation and Management for an Established Patient, 40-54 minutes $$ 141.58 MH and SA OP Services 99231 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 15 minutes $ 78.07 MH and SA OP Services 99231 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 15 minutes $ 59.27 MH and SA OP Services 99231 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 15 minutes $ 56.89 MH and SA OP Services 99231 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 15 minutes $ 47.47 MH and SA OP Services 99232 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 25 minutes $ 117.11 MH and SA OP Services 99232 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 25 minutes $ 88.19 MH and SA OP Services 99232 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 25 minutes $ 84.66 MH and SA OP Services 99232 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 25 minutes $ 70.63 MH and SA OP Services 99233 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 35 minutes $ 156.16 MH and SA OP Services 99233 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 35 minutes $ 117.59 MH and SA OP Services 99233 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 35 minutes $ 112.88 MH and SA OP Services 99233 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 35 minutes $ 94.18 MH and SA OP Services 99251 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 20 minutes $ 104.74 MH and SA OP Services 99251 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 20 minutes $ 79.50 MH and SA OP Services 99251 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 20 minutes $ 76.32 MH and SA OP Services 99251 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Initial Inpatient Consultation, 40 minutes $ 63.67 MH and SA OP Services 99252 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 40 minutes $ 157.11 MH and SA OP Services 99252 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 40 minutes $ 118.32 MH and SA OP Services 99252 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 40 minutes $ 113.58

Appears in 2 contracts

Samples: www.mass.gov, www.mass.gov

Category of Service Procedure Code Modifier Group Procedure Description Unit Cost. MH and SA OP Services 99214 90837 UG-Doctoral Level (Child Psychiatrist) Evaluation and Management for an Established PatientPsychotherapy, 30-39 60 minutes $143.98 $ 135.04 MH and SA OP Services 99214 90837 U6-Doctoral Level (MD / DO) Evaluation and Management for an Established PatientPsychotherapy, 30-39 60 minutes $118.51 $ 135.04 MH and SA OP Services 99214 90837 AH-Doctoral Level (PhD, PsyD, EdD) Psychotherapy, 60 minutes $ 127.53 MH and SA OP Services 90837 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Evaluation and Management for an Established PatientPsychotherapy, 30-39 60 minutes $100.73 $ 125.69 MH and SA OP Services 99215 UG90837 HO-Doctoral Master's Level (Child PsychiatristIndependently Licensed Clinicians, Licensed Alcohol and Drug Counselor 1, and Supervised Master's Level Clinicians) Evaluation and Management for an Established PatientPsychotherapy, 40-54 60 minutes $166.57 $ 125.69 MH and SA OP Services 99215 90837 U3-Intern (PhD, PsyD, EdD) / or MAT Psychotherapy, 60 minutes $ 68.87 MH and SA OP Services 90837 U4-Intern (Master's) Psychotherapy, 60 minutes $ 60.77 MH and SA OP Services 90838 U6-Doctoral Level (MD / DO) Add-On Code; Psychotherapy, 60 minutes, when Performed with an Evaluation and Management for an Established Patient, 40-54 minutes $166.57 Service $ 106.08 MH and SA OP Services 99215 90838 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Add-On Code; Psychotherapy, 60 minutes, when Performed with an Evaluation and Management for an Established Patient, 40-54 minutes $141.58 Service $ 91.42 MH and SA OP Services 99231 90846 UG-Doctoral Doctor Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 15 minutes Family Psychotherapy (without patient present) $ 78.07 141.42 MH and SA OP Services 99231 90846 U6-Doctoral Doctor Level (MD / MD/DO) Subsequent Hospital Care for Eval and Management, 15 minutes Family Psychotherapy (without patient present) $ 59.27 107.62 MH and SA OP Services 99231 90846 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 15 minutes Family Psychotherapy (without patient present) $ 56.89 100.47 MH and SA OP Services 99231 90846 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 15 minutes Family Psychotherapy (without patient present) $ 47.47 97.55 MH and SA OP Services 99232 90846 HO-Master's Level (Independently Licensed Clinicians, Licensed Alcohol and Drug Counselor 1, and Supervised Master's Level Clinicians) Family Psychotherapy (without patient present) $ 101.43 MH and SA OP Services 90846 U3-Intern (PhD, PsyD, EdD) / or MAT Family Psychotherapy (without patient present) $ 50.23 MH and SA OP Services 90846 U4-Intern (Master's) Family Psychotherapy (without patient present) $ 48.77 MH and SA OP Services 90847 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 25 minutes Family Psychotherapy (conjoint psychotherapy) (with patient present) $ 117.11 141.42 MH and SA OP Services 99232 90847 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 25 minutes Family Psychotherapy (conjoint psychotherapy) (with patient present) $ 88.19 107.62 MH and SA OP Services 99232 90847 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 25 minutes Family Psychotherapy (conjoint psychotherapy) (with patient present) $ 84.66 MH and SA OP Services 99232 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 25 minutes $ 70.63 MH and SA OP Services 99233 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 35 minutes $ 156.16 MH and SA OP Services 99233 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 35 minutes $ 117.59 MH and SA OP Services 99233 AH-Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and Management, 35 minutes $ 112.88 MH and SA OP Services 99233 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 35 minutes $ 94.18 MH and SA OP Services 99251 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 20 minutes $ 104.74 MH and SA OP Services 99251 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 20 minutes $ 79.50 MH and SA OP Services 99251 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 20 minutes $ 76.32 MH and SA OP Services 99251 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Initial Inpatient Consultation, 40 minutes $ 63.67 MH and SA OP Services 99252 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 40 minutes $ 157.11 MH and SA OP Services 99252 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 40 minutes $ 118.32 MH and SA OP Services 99252 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 40 minutes $ 113.58101.43

Appears in 2 contracts

Samples: www.mass.gov, www.mass.gov

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Category of Service Procedure Code Modifier Group Procedure Description Unit Cost. MH and SA OP Services 99214 UG90833 Nurse Practitioner/Board Certified RNCS and APRN- BC Psychotherapy, 30 minutes, when Performed with an Evaluation and Management Service $ 31.77 MH and SA OP Services (Behavioral Health Urgent Care) 90833 Nurse Practitioner/Board Certified RNCS and APRN- BC; GJ-Behavioral Health Urgent Care Psychotherapy, 30 minutes, when Performed with an Evaluation and Management Service $ 36.54 MH and SA OP Services 90834 Doctoral Level (Child Psychiatrist) Evaluation and Management for an Established PatientIndividual Psychotherapy, 30-39 approximately 45 minutes $143.98 $ 105.18 MH and SA OP Services 99214 U6(Behavioral Health Urgent Care) 90834 Doctoral Level (Child Psychiatrist); GJ-Behavioral Health Urgent Care Individual Psychotherapy, approximately 45 minutes $ 120.96 MH and SA OP Services 90834 Doctoral Level (MD / DO) Evaluation and Management for an Established PatientIndividual Psychotherapy, 30-39 approximately 45 minutes $118.51 $ 92.42 MH and SA OP Services 99214 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Evaluation and Management for an Established Patient, 30-39 minutes $100.73 MH and SA OP Services 99215 UG-Doctoral Level (Child PsychiatristBehavioral Health Urgent Care) Evaluation and Management for an Established Patient, 40-54 minutes $166.57 MH and SA OP Services 99215 U6-90834 Doctoral Level (MD / DO) Evaluation and Management for an Established Patient); GJ-Behavioral Health Urgent Care Individual Psychotherapy, 40-54 approximately 45 minutes $166.57 $ 106.28 MH and SA OP Services 99215 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Evaluation and Management for an Established Patient, 40-54 minutes $141.58 MH and SA OP Services 99231 UG-Doctoral Level (Child Psychiatrist) Subsequent Hospital Care for Eval and Management, 15 minutes $ 78.07 MH and SA OP Services 99231 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 15 minutes $ 59.27 MH and SA OP Services 99231 AH-90834 Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and ManagementIndividual Psychotherapy, 15 approximately 45 minutes $ 56.89 87.17 MH and SA OP Services 99231 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 15 minutes $ 47.47 MH and SA OP Services 99232 UG-Doctoral Level (Child PsychiatristBehavioral Health Urgent Care) Subsequent Hospital Care for Eval and Management, 25 minutes $ 117.11 MH and SA OP Services 99232 U6-Doctoral Level (MD / DO) Subsequent Hospital Care for Eval and Management, 25 minutes $ 88.19 MH and SA OP Services 99232 AH-90834 Doctoral Level (PhD, PsyD, EdD) Subsequent Hospital ); GJ-Behavioral Health Urgent Care for Eval and ManagementIndividual Psychotherapy, 25 approximately 45 minutes $ 84.66 100.25 MH and SA OP Services 99232 SA-90834 Nurse Practitioner/Board Certified RNCS and APRN-APRN- BC Subsequent Hospital Care for Eval and ManagementIndividual Psychotherapy, 25 approximately 45 minutes $ 70.63 85.91 MH and SA OP Services 99233 UG(Behavioral Health Urgent Care) 90834 Nurse Practitioner/Board Certified RNCS and APRN- BC; GJ-Doctoral Level (Child Psychiatrist) Subsequent Hospital Behavioral Health Urgent Care for Eval and ManagementIndividual Psychotherapy, 35 approximately 45 minutes $ 156.16 98.80 MH and SA OP Services 99233 U6-Doctoral 90834 Master's Level (MD / DO) Subsequent Hospital Care for Eval and ManagementIndividual Psychotherapy, 35 approximately 45 minutes $ 117.59 85.91 MH and SA OP Services 99233 AH(Behavioral Health Urgent Care) 90834 Master's Level; GJ- Behavioral Health Urgent Care Individual Psychotherapy, approximately 45 minutes $ 98.80 MH and SA OP Services 90834 Master’s Level (Licensed Alcohol and Drug Counselor 1 and Supervised Master’s Level Clinicians) Individual Psychotherapy, approximately 45 minutes $ 84.91 MH and SA OP Services (Behavioral Health Urgent Care) 90834 Master’s Level (Licensed Alcohol and Drug Counselor 1 and Supervised Master’s Level Clinicians); GJ-Doctoral Level Behavioral Health Urgent Care Individual Psychotherapy, approximately 45 minutes $ 97.65 MH and SA OP Services 90834 Intern (PhD, PsyD, EdD) Subsequent Hospital Care for Eval and ManagementIndividual Psychotherapy, 35 approximately 45 minutes $ 112.88 43.62 MH and SA OP Services 99233 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Subsequent Hospital Care for Eval and Management, 35 minutes $ 94.18 MH and SA OP Services 99251 UG-Doctoral Level (Child PsychiatristBehavioral Health Urgent Care) Initial Inpatient Consultation, 20 minutes $ 104.74 MH and SA OP Services 99251 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 20 minutes $ 79.50 MH and SA OP Services 99251 AH-Doctoral Level 90834 Intern (PhD, PsyD, EdD) Initial Inpatient Consultation); GJ-Behavioral Health Urgent Care Individual Psychotherapy, 20 approximately 45 minutes $ 76.32 50.16 MH and SA OP Services 99251 SA-Nurse Practitioner/Board Certified RNCS and APRN-BC Initial Inpatient Consultation90834 Intern (Master's) Individual Psychotherapy, 40 approximately 45 minutes $ 63.67 MH and SA OP Services 99252 UG-Doctoral Level (Child Psychiatrist) Initial Inpatient Consultation, 40 minutes $ 157.11 MH and SA OP Services 99252 U6-Doctoral Level (MD / DO) Initial Inpatient Consultation, 40 minutes $ 118.32 MH and SA OP Services 99252 AH-Doctoral Level (PhD, PsyD, EdD) Initial Inpatient Consultation, 40 minutes $ 113.5842.96

Appears in 1 contract

Samples: www.mass.gov

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