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Louisiana 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
$71.84 / $81.80 / $87.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $62.98 / $96.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.34 / $58.16 / $101.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $55.88 / $95.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.82 / $68.52 / $133.50