Missouri Medicaid FFS is parsed from MO HealthNet Behavioral Health fee schedule (provider files updated 2026-07-29) (Missouri Department of Social Services / MO HealthNet). File effective 2022-07-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2022-07-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.
| CPT | Medicaid FFS | Facility | Effective | Compare Medicare |
|---|---|---|---|---|
| CPT 90791 | $177.45 | n/a | 2024-01-01 | 90791 / Missouri |
| CPT 90792 | $198.50 | n/a | 2024-01-01 | 90792 / Missouri |
| CPT 90832 | $77.20 | n/a | 2022-07-01 | 90832 / Missouri |
| CPT 90834 | $101.90 | n/a | 2022-07-01 | 90834 / Missouri |
| CPT 90837 | $149.68 | n/a | 2022-07-01 | 90837 / Missouri |
| CPT 90839 | $143.08 | n/a | 2022-07-01 | 90839 / Missouri |
| CPT 90846 | $97.65 | n/a | 2022-07-01 | 90846 / Missouri |
| CPT 90847 | $101.11 | n/a | 2022-07-01 | 90847 / Missouri |
| CPT 90853 | $27.11 | n/a | 2022-07-01 | 90853 / Missouri |
Official ABA cells on this file
CPT 97153 is a 15-minute unit. Medicare PFS for ABA is not in this extract, so /specialties/aba stays noindex. Commercial stays Coming soon.
| CPT | Medicaid FFS | Modifier | Effective |
|---|---|---|---|
| CPT 97153 | $20.13 | HO | 2024-07-01 |
How Missouri Medicaid compares with Medicare and UnitedHealthcare
In Missouri, Medicaid fee-for-service pays $149.68 for CPT 90837, from the MO HealthNet Behavioral Health file effective 2022-07-01. Medicare pays $161.46 to $165.08 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 92.7% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $130.24, and the middle 80% of published UHC rates run from $86.97 to $195.67 (UHC price transparency file dated 2026-09-01).
| CPT | Medicaid FFS | Medicare | UHC median | Medicaid as % of Medicare |
|---|---|---|---|---|
| CPT 90837 | $149.68 | $161.46 to $165.08 | $130.24 | 92.7% |
| CPT 90834 | $101.90 | $110.05 to $112.57 | $95.00 | 92.6% |
| CPT 90791 | $177.45 | $167.20 to $171.22 | $148.88 | 106.1% |
| CPT 90832 | $77.20 | $82.97 to $84.85 | $69.22 | 93% |
Related official rates
- CPT 90837 Medicare and Medicaid FFS in Missouri
- Compare a 90837 offer in Missouri
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in Missouri
- CPT 90834 Medicare and Medicaid FFS in Missouri
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official Missouri Medicaid FFS amounts?
Missouri Medicaid FFS is parsed for CPT 90791 $177.45; CPT 90792 $198.50; CPT 90832 $77.20; CPT 90834 $101.90; CPT 90837 $149.68; CPT 90839 $143.08; CPT 90846 $97.65; CPT 90847 $101.11; CPT 90853 $27.11.
What is the Missouri Medicaid FFS amount for CPT 90837?
$149.68 from MO HealthNet Behavioral Health, effective 2022-07-01, last verified 2026-09-10.
What official file is the Missouri Medicaid FFS extract from?
Missouri Department of Social Services / MO HealthNet: MO HealthNet Behavioral Health fee schedule (provider files updated 2026-07-29). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are Missouri Medicaid MCO or commercial rates in these tables?
This hub lists official Medicaid fee-for-service cells. Commercial price transparency percentiles and Medicaid MCO rates stay Coming soon.
How does Missouri Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
Missouri Medicaid fee-for-service pays $149.68 for CPT 90837, which is 92.7% of the lowest Missouri Medicare non-facility amount ($161.46, CMS RVU26D). The UnitedHealthcare median is $130.24 (80.7% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.