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Virginia 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
$53.70 / $64.57 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $61.66 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $95.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $70.79 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $56.23 / $74.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $114.82 / $120.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $67.61 / $109.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $77.62 / $117.49
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $81.28 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $79.43 / $128.82