Pricing

The following rates:

• Cash Pay Rate: $120.00 per 50 min manual therapy session. Official rate 160.00 per session.
• Insurance denied will be charged 130.00 per session billed, and are billed on credit card submitted on profile. Consent to bill is on the polices intake forms.
• Cash Pay Rate for All Lymphedema Reduction Session Patients 160.00.
• Manual Therapy & Lymphatic Drainage Package $648 per 6 x 50min sessions/ 10% discount/ private pay only.
• Non- provider-Insurance and All HSA Health Saving Account Cards: $160.00 x 50min session 
• Insurance appeals and medical records requests for information will be 28.00 service fee, 1.24 per page, therafter 0.94. ( If a chart note addendum or medical revision, 160.00 per hour.)

Missed appointment or cancellations with less than 24 hour notice will be charged the full session rate.   

The following payment types are accepted:

• Cash
• Check
• Credit Cards (All)
• Health Savings Accounts (HSA)
• Labor & Industry Claims
• Insurance Reimbursement
• Motor Vehicle Accident Claims
• Out of Work Benefits Provider- Premera 
• First Choice Health Network ( pre-authorization required with referral) 
• Regence Preferred Provider ONLY Bellevue location ( pre-authorization required with referral)
• Kaiser Permanente PPO ( pre-authorization required) ONLY cards indicating " Access PPO and Federal PPO are accepted. No HMO plans, Elect PPO or Options are out of Network. 
• BCBS Blue Cross Blue Sheild, if able to bill Regence Not Premera
• Aetna PPO accepted
• Triwest ( as of August 11, 2020) with VA pre-approval. Initial visit 50 mins. / 30 mins. thereafter/12 visit yearly. 
• PREMERA- is not covered and is 160.00 for reimbursement statement; personal pay 120.00

Patient reimbursement claim forms links: 

Premera

https://www.premera.com/documents/008755.pdf

Lifewise

https://www.lifewisewa.com/documents/002636.pdf

United Healthcare

https://www.myuhc.com/content/myuhc/Member/ClaimForms/Static%20Files/CMS1500ClaimForm010402.pdf