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Vermont 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
$67.61 / $67.61 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $47.86 / $83.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $87.10 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $141.25