Insurance In-Network Coverage
Blue Cross/Blue Shield
Medicaid, Amerigroup, Cenpatico, Magellan, Wellcare
Minumum Insurance Reimbursement Fee: $70.00
Minimum Group Therapy Insurance Reimbursement Fee: $30.00
Insurance Fee Information
Electronic billing for insurance is provided as a courtesy for in-network insurance patients. All new patients requesting using their insurance are required to provide all information needed for billing at the time of initial session:
(1) Verification of meeting insurance outpatient psychological services yearly deductible.
(2) Required co-payments (co-pay).
(3) Any/all pre-authorization required for services, prior to (and post) the initial session.
In the event that this information is not provided in-advance or at the time of service, then patients pay Dr. Frontman's standard fees. Once payment is made by insurance, (verifed through Explanation-of-Benefits [EOB's]), any overpayments are refunded. Your insurance company will be able to provide you their fee structure upon request.
Any additional billing for services are charged $5.00 per billing.
Missed Appointments/Cancellation Policy
Please provide 48-hour notice for cancellations or rescheduling. If there is not 48-hour notification for cancellation, including for the initial session, then there is always a charge of $65.00 or full session fee, ($50.00 for group) which is never billed to third parties.
All services that are supplementary to psychotherapy--testing, letters, report writing, emergency/after-hours & phone consultations--are not billed to insurance.
- Listing of all testing and services fees can be found under POLICIES/PAPERWORK (at bottom of page).
- A sliding scale (reduced) fee is considered upon need and availability.
- Additional billings for the same session are subject to $5.00 fee.
Initial Evaluation Apointments (80 Minutes) CPT 90791 $150.00
Individual Psychotherapy (45 minutes) CPT 90834 $120.00
Marriage & Family/Couples (50 minutes) CPT 90847 $125.00
Group Psychotherapy (90 minutes) CPT 90853 $50.00
Substance Abuse Evaluation $400.00 Minimum Fee
ADHD Evaluation $450.00 Minimum Fee
Reports, letters, documents, evals.: $125.00 prorated/hr ($50.00 min) CPT 90889
Emergency consultations > 10 min $125.00/hr, prorated CPT 90839
Emergency Consultations>10 PM $120/hr., prorated 90839
Psychological Testing $125.00/hr CPT 96101
Psychological Testing (Computer) $125.00/hr CPT 96103
Urine Drug Screening $45-$105 CPT 80101
Missed Appt. $65 or Full Fee CPT 99199