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Out-of-Network and/or Private Pay Rates

The fees below apply in cases where clients have out-of-network insurance and/or choose to pay privately, and/or when services are ineligible for insurance billing

Clinical Service Fees

Code
Description
Fee
90791

Initial Diagnostic Evaluation

(Intake Session)

$190

90837

Psychotherapy, > 53 minutes

*This fee services as standard hourly rate for all prorated services

$170

90832

Psychotherapy, 16-37 minutes

$85

90834

Psychotherapy, 38-52 minutes

$150

90847

Family or Couples Counseling

26 - 50 minutes

$180

90846

Family Counseling without Patient Present

26-50 minutes

$175

90853

Group Psychotherapy

TBD based on group service

Crisis / Emergency Psychotherapy

First 60 minutes (90839)

Each additional 30 minutes (90840)

$200

$95

N / A

Telephone calls > 10 minutes

*each minute past the 10 minute mark is billed

Prorated based on standard hourly rate

N / A

Online Digital Evaluation & Management

(Responding to electronic communications)

Prorated based on standard hourly rate

Late Cancellation / Late Reschedule

(Cancellations and/or reschedule requests made with less than 48 hours prior to session time)

$65

No Show

(Client fails to attend session with no advance notice given)

Full service fee

Adjunct Services

Description
Fee

Letter

$25

Completion of External Paperwork

(FMLA, Disability, other care collaboration)

Prorated based on standard hourly rate

Medical Records Generation & Release

$0.75 per page after one free copy

(Does not include any additional summary or evaulative documentation and/or letters not originally generated in the standard course of case documentation.)

Court Appearance & Preparation

$1800 per day, per provider

A $550 Retainer fee is required prior to the delivery of any court-related services. Partial days prorated according to standard daily court service rate.

Service rates above and related policies subject to change without notice.

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