Pricing

The following rates apply:

  • Cash Pay Rate: $120.00 per 50 min session. Official rate 160.00 per session.
  • Cash Pre-pay and Save -40.00: $200.00 per 2 x 50min sessions. 
  • Lymphatic Drainage Package $576.00 per 6 x 50min sessions/ 20% discount.
  • 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)

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