Every therapy service is billed using a specific procedure code. Each insurance company has a set fee for each service code that they determine as an reasonable amount based on what other insurance companies, such as medicare, agree is a reasonable fee. Some of these customary amounts are also based on geographical location as well.
The tricky part is that each insuracne company allows different fees for each service. Keeping up with them is hard. So to cover then all we have to set our fees for each service higher than what the each insurance companie will cover. For instance, bcbs will pay $25.00 dollars for electrical stimualtion. Aetna pays the highest amount $34.00 dollars. So we charge 1 dollar more than Aetna’s Reimbursements rate for that service $35.00
So when you recieve 3-5 services during a treatment session the bill adds up… the good news is that we are contracted withthe insurance company to accept what they pay us… All you owe for is copays and deductable amounts.