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Fees & Insurance

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Investment in Therapy

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Rooted Works accepts Aetna or Carelon Behavioral Health. Private-pay sessions are also welcome at $265 for a 55-minute session. If you're using insurance, your cost will depend on your specific plan and coverage.

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My fee is $265 per 55-minute session.

 

I am an out-of-network provider and do not bill insurance directly. If you have out-of-network benefits, I can provide a monthly superbill (an itemized receipt) that you may submit to your insurance company for possible reimbursement.

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Understanding Out-of-Network Benefits:

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Many PPO insurance plans include out-of-network mental health benefits. Reimbursement rates and eligibility vary based on your specific insurance plan. Because coverage differs among carriers and policies, I recommend contacting your insurance company directly to understand your benefits.

You may wish to ask the following questions:

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  • Do I have out-of-network mental health benefits?

  • What is my deductible, and how much of it has been met?

  • What percentage of the allowed amount is reimbursed after my deductible is met?

  • What is the allowed amount for CPT codes 90791, 90834, 90837, 90846, and 90847?

  • Is there a limit to the number of therapy sessions covered each year?

  • What is my out-of-pocket maximum, and how much has been applied toward it?

  • What is the process for submitting superbills?​

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Having this information can help you better understand your potential financial responsibility for services.

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Common CPT Codes

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The following billing codes are commonly used for psychotherapy services and may be helpful when speaking with your insurance company:

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  • 90791 – Initial Diagnostic Evaluation

  • 90834 – Individual Psychotherapy, 45 minutes

  • 90837 – Individual Psychotherapy, 60 minutes

  • 90846 – Family Psychotherapy (without the identified patient present)

  • 90847 – Family Psychotherapy (with the identified patient present)

 

Questions?

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If you have questions about fees, superbills, or navigating out-of-network benefits, I am happy to discuss the process and help you understand the available options.

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