PROFESSIONAL SERVICES & FEES

Professional Services and Fees | EliteCare Plan

Cash Fee

CPT

INITIAL PSYCHIATRIC ASSESSMENT & EVALUATION

$298

90791-2

Initial Clinical Screening Consultation

$99

90792a

Comprehensive Psychiatric Evaluation

(Sliding scale & payment plan available for qualifying patients)

$199

90792b

PSYCHOTHERAPY



45-minute session

$139

90834


60-minute session


$185


90837


MEDICATION MANAGEMENT




Telehealth Medication Check (15 min)


$79


99213


Add brief therapy (<30 min)


Add $64


90833


Medication Prior Authorization


$39


PRAUTH


Unscheduled Medication Refill (incl postage & handling)


$29


MEDRFL


CORRESPONDENCE (letters, legal, FMLA, etc.)


$52+


90889


TELEHEALTH SERVICES (medication-related)




e-Virtual Consultation


$59


EMCNSLT


Intermediate (<30 min)


$99


99214


Complex (<45 min)


$139


99215


MISSED APPOINTMENT FEE


$50


NCNS

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