go back

South Dakota 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
$58.17 / $58.17 / $58.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.09 / $58.52 / $78.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $76.93 / $116.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.11 / $62.97 / $107.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.58 / $372.52 / $404.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.88 / $128.25 / $145.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $122.15 / $138.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $76.20 / $113.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.93 / $129.07 / $152.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $81.00 / $89.20