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Utah 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
$71.38 / $71.38 / $84.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.19 / $61.20 / $83.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $51.00 / $92.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $32.34 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.26 / $66.64 / $91.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.04 / $66.97 / $101.46