Standard Rates

Please note these are the rates that will be applied to any CPT or Rev Code that is not specifically contracted for. If you would like to review your contracted rates, please contact MINES Provider Relations at 800-873-7138 or by email.

Rate ClassCPT/Rev CodeDescriptionStandard Rate
ABA97151Behavior identification assessment by physician or other qualified healthcare professional$90
ABA97152Behavior identification supporting assessment by technician$45
ABA97153Adaptive behavioral Treatment by technician$17
ABA97154Group adaptive behavior treatment by protocol by technician ages 2-4 and ages 5-8$10
ABA97155Adaptive behavioral treatment with protocol modification by physician or other qualified healthcare professional$40
ABA97156Family adaptive behavior treatment guidance by physician or other qualified healthcare professional$25
ABA97157Multiple-family group adaptive behavioral treatment guidance by physician or other qualified healthcare professional$50
ABA97158Group adaptive behavioral treatment with protocol modification by physician or other qualified healthcare professional ages 2-4 and ages 5-8$10
ABA0362TBehavior identification supporting assessment by technicians$55
ABA0373TAdaptive behavioral treatment with protocol modification by physician or other qualified healthcare professional who is on site$83
ABAT1026Mental health assessment, ABA clinical management, ABA direct and indirect case supervision$120
Facility124Inpatient- MH$900
Facility126Detoxification$900
Facility128Rehab$800
Facility905Intenstive Outpatient- MH$200
Facility906Intenstive Outpatient- CD$200
Facility912Partial Hospitalization – MH$500
Facility913Partial Hospitalization – CD$500
Facility1001Residential Treatment- MH$700
Facility1002Residential Treatment- CD$700
FacilityH0005Outpatient Group$37
FacilityH0015Intenstive Outpatient$200
FacilityH0019Residential Treatment$700
FacilityH2036Partial Hospitalization$500
Licensed Mental Health Worker90785Interactive complexity add on$17
Licensed Mental Health Worker90791Psychiatric diagnostic non medical$80
Licensed Mental Health Worker9083230 min psychotherapy$40
Licensed Mental Health Worker9083445 min psychotherapy$60
Licensed Mental Health Worker9083760 min psychotherapy$80
Licensed Mental Health Worker9083960 min psychotherapy crisis$80
Licensed Mental Health Worker9084030 min add on$40
Licensed Mental Health Worker90846Family Therapy wo patient$95
Licensed Mental Health Worker90847Family Therapy$95
Licensed Mental Health Worker90853Group Therapy per unit$37
Licensed Mental Health WorkerH0004Behavioral health counseling and therapy, per 15 minutes$15
Licensed Mental Health WorkerH0031Mental health assessment, by non-physician$10
Other90867TMS Assessment$400
Other90868TMS Follow up$300
Other90869TMS Subsequent$350
Other93136Psychological or neuropsychological test Administration, first 30 min$90
Other96116Neurobehavioral Testing$125
Other96121Neurobehavioral Status Examination$100
Other96130Psychological testing evaluation, first hour$125
Other96131Psychological testing evaluation, additional hour$75
Other96132Neuropsychological testing evaluation, first hour$125
Other96133Neuropsychological testing evaluation, additional hour$90
Other96137Psychological or neuropsychological test Administration, additional 30 min$90
Other96138Psychological or neuropsychological test Administration, first 30 min$65
Other96139Psychological or neuropsychological test Administration, additional 30 min$65
Rate ClassCPT/Rev CodeDescriptionStandard Rate
Licensed Mental Health Worker96156Health behavior assessment or re-assessment$25
Licensed Mental Health Worker96158Health behavior intervention, individual, initial 30 minutes$35
Licensed Mental Health Worker96159Health behavior intervention, individual, additional 15 minutes$10
Licensed Mental Health Worker96164Health behavior intervention, group, initial 30 minutes$35
Licensed Mental Health Worker96165Health behavior intervention, group, additional 15 minutes$10
Licensed Mental Health Worker96170Health behavior intervention, family (without the patient present), initial 30 minutes$35
Licensed Mental Health Worker96171Health behavior intervention, family (without the patient present), additional 15 minutes$10
Other96146Psychological and Neuropsychological Testing with Automated Administration and Scoring$125
OtherH0020Methadone administration and/or service (provision of the drug by a licensed program); per diem$30
Pres. Priv90785Interactive complexity add on$17
Pres. Priv90792Psychiatric diagnostic medical$200
Pres. Priv9083330 min add on$55
Pres. Priv9083645 min add on$70
Pres. Priv9083860 min add on$85
Pres. Priv99201office visit communication$36
Pres. Priv99202Office Visit 20 min$80
Pres. Priv99203Office Visit 30 min$100
Pres. Priv99204Office Visit 45 min$150
Pres. Priv99205Office Visit 60 min$200
Pres. Priv99211Office Visit 5 min$40
Pres. Priv99212Office Visit 10 min$55
Pres. Priv99213Office Visit 15 min$75
Pres. Priv99214Office Visit 25 min$95
Pres. Priv99215Office Visit 40 min$133
Pres. Priv99217Discharge$100
Pres. Priv99218Initial Observation$96
Pres. Priv99219Initial Observation$120
Pres. Priv99220Initial Observation$120
Pres. Priv99221hospital, initial$100
Pres. Priv99222hospital, initial$130
Pres. Priv99223hospital, initial$176
Pres. Priv99231hospital, subsequent$50
Pres. Priv99232hospital, subsequent$100
Pres. Priv99233hospital, subsequent$100
Pres. Priv99234hospital, intake/discharge$100
Pres. Priv99235hospital, Observation, evaluation$192
Pres. Priv99236hospital, Observation, evaluation$238
Pres. Priv99238hospital discharge$100
Pres. Priv99239hospital discharge$176
Pres. Priv99241office consult$40
Pres. Priv99242office consult$40
Pres. Priv99243office consult$64
Pres. Priv99244office consult$96
Pres. Priv99245office consult$128
Pres. Priv99251office consult$60
Pres. Priv99253in patient initial consult$130
Pres. Priv99254in patient initial consult$176
Pres. Priv99255in patient initial consult$176

Information & Contact

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Notice Of Privacy Practices

Privacy Practices in compliance with the Health Insurance Portability and Accountability Act [HIPAA] must be made available to each client.

IMPORTANT INFORMATION ABOUT CLAIMS:

Please submit all insurance related billing to Mines at:
MINES and Associates Claims
P.O. Box 270669
Littleton, CO 80127

Other contact methods:

Toll free: 800-873-7138 x4051
Claims line: 303-832-1068 x4051
Fax: 303-832-9701

To check benefits, eligibility or exclusions, please check the client’s insurance card.