PACT Atlanta LLC offers
a variety of services to its clients. Listed below is
a brief outline of some of our services and their average
respected fees. Please understand that our providers
that work with insurance companies will honor the pre-determined
contracted managed care rates (please refer to the financial
policies found in our “Welcome” letter).
Additionally, for our self-pay clients, providers may
offer a limited sliding scale of fees to assist those
individuals in financial need. Please remember that
only individual providers are able to negotiate reduced
rates. Please refer to the following fee schedule for
an idea of costs that may be incurred for applicable
services.
| 90871 |
Electroconvulsive Therapy-2
s |
$300.00 |
| 90870 |
Electroconvulsive Therapy-1 s |
$225.00 |
| 90801 |
New Patient Evaluation |
$225.00 |
| 90847 |
Family Med & Psychotherapy |
$150.00 |
| 90807 |
Psychotherapy 45-50 min |
$150.00 |
| 90805 |
Med & Psychotherapy
20-30 min |
$100.00 |
| 90862 |
Pharmacologic Management |
$75.00 |
| 96100 |
Psychological Testing |
$100/hr. |
| 99371 |
Limited Telephone Consultation |
$35 |
| 99372 |
Intermediate Tel. Consultation |
$50 |
| 99374 |
Lengthy Tel.Consultation |
$75- |
| 11111 |
Missed Appointment |
$50-$100 |
| 99196 |
Medical Reports and Copying |
$10-$50 |
| 99080 |
Insurance Report/Prior Auth |
$10 |
| 22222 |
Shot Fee |
$10 |
| 22222 |
Insufficient Funds Charge |
$29 |
| 22222 |
Patient Assistance Forms |
$10-$40 |
| 22222 |
Disability Forms |
$35 |
|