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Indiana rates for HCPCS 90875

Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 30 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $54.95 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $60.26 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $95.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $54.95 / $67.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $87.10 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $60.26 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $104.71