Superior Health Products
United Health Care
Thank you for choosing Prachar Counseling and Life Coaching. Please review this Fee Agreement and Financial Policy (the "Agreement and Policy"), which describes our schedule of fees for services not covered by insurance, and additional fees. Please be sure you understand the policies regarding cancellations and missed appointments, methods of payment, insurance reimbursement, and past due accounts. If you have any questions about anything, please ask your provider prior to signing this Agreement and Policy.
Our service rates and corresponding health insurance billing codes (numbers starting with '90' refer to mental health services) this is not a comprehensive list and reflects the most common services provided by our staff. Additional codes may be used by your provider as deemed appropriate.
90791 Initial Consultation - Individual (50-60 min.) $125.00
90837 Individual Therapy (60 min.) $105.00
90834 Brief Individual Therapy (45 min.) $75.00
90832 Brief Individual Therapy (30 min) $65.00
CHARGES NOT COVERED BY INSURANCE
Medical Records Requests $15 per request
Case Management* $105.00 (pro-rated per 15 min.) *Case management includes indirect services I provide outside our session times such as writing letters, consultations made at your request (for which a written authorization for disclosure of confidential information is required), coordinating adjunct and Court Advocacy services, and completing forms or reports. On occasion you may request that we testify or be present in court proceedings on your behalf of subpoena from the court. The time billed will begin from our arrival at the courthouse to completion of testimony.
On site Pre-Operative anxiety treatment $100.00 per hour