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Fee Schedule Effective 4/2/2025
Services and fees — page 1 of 3| Service | Billing Code | Fee |
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| Diagnostic Assessment (16-90 Minutes) | 90791 – Multiple sessions may be required for completion | $275 |
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| 30 Minute Therapy Session (16-37 Minutes) | 90832 | $120 |
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| 45 Minute Therapy Session (38-52 Minutes) | 90834 | $170 |
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| 60 Minute Therapy Session (53-60 Minutes) | 90837 | $225 |
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| 26-60 Minute Family Therapy | 90847 | $225 |
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| 26-60 Minute Family Therapy (Client Not Present) | 90846 | $225 |
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| Crisis Therapy Session (First 60 Minutes) | 90839 | $250 |
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| Additional Crisis Therapy (Each Additional 30 Minutes) | 90840 | $140 |
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| Group Therapy | 90853 | $150 |
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| Psychoeducation (15 Minutes or Less) | H2027 | $40 |
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| Care Coordination (Each 10 Minutes) | 90899 | $25 |
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| Complexity Add-On (EMDR, ART, Play, art, etc. therapy interventions) | 90785 | $40 |
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Fee Schedule Effective 4/2/2025, CONTINUED
Services and fees — page 2 of 3| Service | Billing Code | Fee |
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| Neurobehavioral Status Exam (First Hour) | 96116 | $300 |
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| Neuropsychological Testing, by Psychologist (First Hour) | 96132 | $300 |
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| Neuropsychological Testing, by Psychologist (Each Additional Hour) | 96133 | $300 |
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| Neuropsychological Test Administration & Scoring, by Psychologist (First 30 Minutes) | 96136 | $350 |
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| Neuropsychological Test Administration & Scoring, by Psychologist (Each Additional 30 Minutes) | 96137 | $175 |
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| Diagnostic Assessment by Psychologist (16-90 Min) | 90791 | $325 |
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| 30 Minute Therapy Session w/ Psychologist (16-37 Min) | 90832 | $150 |
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| 45 Minute Therapy Session w/ Psychologist (38-52 Min) | 90834 | $200 |
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| 60 Minute Therapy Session w/ Psychologist (53-60 Min) | 90837 | $300 |
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| 26-60 Minute Family Therapy w/ Psychologist | 90847 | $300 |
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| 26-60 Minute Family Therapy w/ Psychologist Client Not Present | 90846 | $300 |
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| Late Cancel | Late Cancel | $75 |
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| Missed Appointment (No call/No Show) | No Show | $120 |
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| Late Cancel/ No-Show Neuropsychology Appointment | Neuropsych Late Cancel/No-Show | $300 |
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Fee Schedule Effective 4/2/2025, CONTINUED
Services and fees — page 3 of 3| Service | Billing Code | Fee |
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| Treatment Progress Summary Letter/Records Request | Records | $40 |
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| Returned Payment | NSF | $30 |
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| Court Document Preparation Legal Prep/Legal Requests (Per Hour) | Legal | $75 |
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| Court Appearance (Per Hour Including Travel) | Court | $250 |
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