Integrated Wellness Services and Fee Schedule
The undiscounted price may be different from the amount an individual actually pays for the health care services described in the list.
Integrated Wellness is in-network with the following insurance companies:
• Blue Cross Blue Shield • Aetna
We accept and are able to bill other private insurance companies, but please check with your plan to learn about coverage. We can also provide you with a superbill to provide your insurance plan for reimbursement. Please note, we are not able to take Medicare or Medicaid.
Evaluation and Management Services:
99205 (Intake Assessment) Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter. $600
99204 (Intake Assessment) Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter. $500
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making (high level of decision making is defined here). When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter. $ 400
99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making (moderate level of decision making is defined here). When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter $ 300
99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter. $250
90833 In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the same session. The treatment session with the patient typically lasts anywhere between 16 to 37 minutes. $140
96156 The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. $450
96158 The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health problems in a one–to–one setting with the patient. This code represents the first 30 minutes of a face–to–face session with the patient. $300
96159 The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health problems in a one–to–one setting with the patient. This code represents each additional 15 minutes of a face–to–face session with the patient. $125
90792 In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical services. $395
97802 The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the patient. $65
97803 The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code represents each 15 minutes of the reassessment on a subsequent visit with the patient. $55
We are happy to provide you with an estimate of the anticipated charges for your visit upon request.
In accordance with Alaska's Health Care Price Transparency Law (SB 105)
CPT® Copyright 2020. American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. The CPT codes are provided "as is" without warranty of any kind. The AMA specifically disclaims all liability for use or accuracy of any CPT codes. For more information on the Health Care Price Transparency Act please visit the DHSS website at http://dhss.alaska.gov/