Accepted Insurances
Commercial Plans ONLY:
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Aetna
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Blue Cross Blue Shield
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Cigna
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Harvard Pilgrim
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Health Plans, Inc.
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Mass General Brigham Health Plan
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Tufts
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United Healthcare
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*The above list does not guarantee coverage and you are responsible for payments insurance does not make on your behalf. Please confirm with your insurance that your provider is in network before scheduling an appointment.
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Self Pay Rates
CPT Code Description Fee
Appointments
Initial Appointments (coding determined by time or medical complexity)
99204 Initial Diagnostic Medication Evaluation (45 minutes) $200
99205 Initial Diagnostic Medication Evaluation (60 minutes) $250
90792 Initial Diagnostic Medication Evaluation or Re-Eval $250
Follow up appointments (Evaluation and Medical E/M coding determined by time or medical complexity)
99212 (E/M) Management Follow up appointment $100
99213 (E/M) Management Follow up appointment $120
99214 (E/M) Management Follow up appointment $150
99215 (E/M) Management Follow up appointment $200
Therapy codes added onto E/M Codes
90833 Psychotherapy add on code (add onto E/M codes) $100
90836 Psychotherapy add on code (add onto E/M codes) $120
Therapy Only Codes (without E/M code)
90834 Psychotherapy only (45 minutes) $130
Interactive Complexity
90785 Interactive Complexity (add onto psychotherapy code) $30
Cancellation Fees
Established Client (Your Provider Requires a 48-Hour Cancelation Fee)
Late cancellation (less than 48 hour notice) $60
No Show Fee $120
Arriving more than 10 minutes late to appointment $120
requiring reschedule
New Client (Your Provider Requires a 48-Hour Cancelation Fee)
Late cancellation (less than 48 hour notice) $75
No Show Fee $220
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Refill Request
Refills requested outside of scheduled appointments $20
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Written Letter Request
Per your request your provider may be able to write a letter on your behalf. The fee is $25 per every 15 minutes of writing. You will be made aware of the cost total prior to writing the letter and with your permission
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