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South Carolina 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
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $93.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $64.57 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $97.72