Insurance Coverage
Call the member-services number on your insurance card first. Use our questions and CPT codes below. If you need help understanding the answers, our team is here to assist.
Insurance and self-pay
Start by calling your insurance company, or review our finalized self-pay fees. Our team can help if you need clarification.
Self-pay fees are due at the time of service unless a payment plan is agreed in advance. Additional services are discussed before treatment.
Coverage verification is not a guarantee of payment. Eligibility, medical necessity, plan requirements, and patient responsibility are reviewed individually. Medicaid does not currently cover TMS through Crane River TMS.
Step 1 · Start with your insurer
Use these questions and CPT codes when you call your insurance company. Write down the answers, then contact our team if you need help with next steps.
Call the member-services number on the back of your insurance card. Tell the representative you are considering outpatient TMS at Crane River TMS in Grand Island, Nebraska, and ask about these CPT codes:
| CPT code | Service to ask about |
|---|---|
| 90867 | Initial TMS treatment, including mapping and individual stimulation settings. Usually 1 session at the start of treatment. |
| 90868 | Subsequent TMS treatment sessions. Insurance commonly authorizes 30–36 sessions, depending on your plan and approval. |
| 90869 | Reassessment of stimulation settings with subsequent TMS treatment. Performed during the treatment course if re-mapping is needed. |
Write down the representative’s name, call date, and reference number. Benefits information is not a guarantee of payment; your plan’s requirements and the services actually provided determine coverage.
A single-case agreement is an arrangement between an insurer and an out-of-network provider for a specific patient’s care. It may allow treatment to be covered under agreed terms when the plan permits it.
Our team can help review whether this option may be available and coordinate with your insurer when appropriate. Approval is not automatic, and coverage, reimbursement, and your share of the cost depend on the insurer’s decision and the written agreement.
Ask your insurer whether it considers single-case agreements for TMS and what documentation or authorization is required. Any agreement should be confirmed before treatment begins.
Ask our team about coverageStep 2 · Support when you need it
After calling your insurer, contact our team if you need help reviewing your benefits. We’ll work with your insurance and coordinate required documentation or authorization when appropriate.
Coverage verification is not a guarantee of payment. Deductibles, copays, coinsurance, exclusions, and medical-necessity requirements may apply.
Self-pay information
Self-pay fees are due at the time of service. Any additional services not listed in the schedule will be discussed before treatment.
Prefer to spread out your payments? Ask our team about available payment plans for self-pay treatment. We will discuss installment options and payment terms with you before treatment begins. Any payment arrangement must be agreed with the clinic in advance.
Current Crane River TMS self-pay fee schedule.
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Helpful answers
90867 — Initial mapping and treatment: Usually 1 session at the start of treatment.
90868 — Ongoing treatment sessions: Insurance commonly authorizes 30–36 sessions, depending on your plan and approval. Ask your insurer to confirm the number covered under your specific plan.
90869 — Re-mapping with treatment: Performed during the treatment course if reassessment of stimulation settings is needed. Your provider determines whether re-mapping is appropriate.