Do I need to log in to use my insurer’s cost estimator?

Usually yes. Insurers calculate estimates from your actual benefits (deductible, copay, coinsurance, accumulators), so most tools require member sign-in. Public alternatives are listed where an insurer doesn’t publish a consumer estimator.

What CPT/HCPCS codes should I use when checking benefits for ADHD testing & psychiatry?

ADHD / neuropsych testing codes: 96130, 96131, 96136–96139. Intake: 90791. Med management: 99213–99215. With psychotherapy add-on when applicable: 90833 or 90836.

Does Mending Mental Health quote my out-of-pocket cost?

No. We don’t quote patient responsibility. Use the official estimator links or call your plan with the script provided; they’ll give the most accurate answer for your benefits.

Minnesota Insurance Cost Estimator Links | Mending Mental Health — Mending Mental Health | A Minneapolis based Mental Health Clinic offering telehealth services to the entire state of Minnesota, providing Therapy Driven Medication Management, Psychiatry, Holistic Care, ADHD Testing, Genetic Testing, and more.

Insurance Cost Estimator (Minnesota)

Use your plan’s official tool to estimate costs for ADHD testing, psychiatry, and related services before you book. Most tools require member login.

Updated: October 2, 2025 • Statewide telehealth across Minnesota

Call or Text Start Intake Email Us

Check your benefits yourself

Say: “Hi, I’m verifying benefits and prior authorization for outpatient mental health and ADHD testing via telehealth at an independent clinic. Can you please confirm coverage and what my patient responsibility would be in regards to deductible, copay and/or coinsurance.”

Testing (medical): 96130, 96131, 96136–96139
Psych intake: 90791
Medication management: 99213–99215
Psychotherapy add-on (when used): 90833 or 90836

If asked: TIN [XXXXXX] • Billing NPI [XXXXXXXXXX] • Rendering NPI [XXXXXXXXXX] • Place of Service: 02 (telehealth) or 10 (patient home).

Direct plan links

Blue Cross and Blue Shield of Minnesota Blue Cross / Blue Plus

Open Care Cost Estimator

Blue Plus (MA/MinnesotaCare): cost sharing is usually low; allowed amounts follow MHCP fee schedules.

HealthPartners

Open HealthPartners Cost Estimator

Requires member sign-in for out-of-pocket estimates.

Medica

Open Medica: Find Care & Estimate Costs

Member login recommended for accurate pricing.

UCare

Get a Cost Estimate (UCare) Member Cost Estimate Request Form

Estimate via portal or request form.

UnitedHealthcare (myUHC)

Find care & costs (myUHC)

Personalized estimates available in myUHC.

UMR (UHC TPA)

UMR Member Portal (Health cost estimator)

After login, use the “Health cost estimator” tool.

Aetna

Aetna: Estimate Costs & Compare Prices

Requires member sign-in.

Cigna

myCigna: Find Care & Costs

America’s PPO / HealthEZ

HealthEZ EZchoice (Cost Comparison)

Compare costs via EZchoice after login.

MultiPlan / PHCS (network)

No public estimator

Use your plan/TPA’s estimator (e.g., UMR, HealthEZ) or call your plan.

PrimeWest Health (MA / MinnesotaCare)

PrimeWest: Secure Member Site MHCP Fee Schedule (Allowed Amounts)

No consumer estimator; use MHCP fee schedules for allowed amounts.

South Country Health Alliance (MA / MinnesotaCare)

Real-Time Rx Benefit Comparison MHCP Fee Schedule (Allowed Amounts)

Medical allowed amounts follow MHCP/DHS schedules.

Minnesota Medicaid (MHCP fee-for-service)

MHCP Fee Schedule (Allowed Amounts)

Public fee schedules show allowed amounts; member cost share limited by MA rules.

Medicare & Medicare Advantage

Medicare Procedure Price Lookup

For Medicare Advantage, use your plan’s estimator above.

Notes about estimates & prior authorizations

Estimates aren’t guarantees. Final costs depend on claim adjudication and services provided.
We handle prior authorizations for both testing and pharmacy electronically the same day when required.
Scheduled outpatient care only; no emergency/crisis care; no same-day controlled prescriptions.
Preferred contact: text/email. We respond same day or within 24 business hours.