Individual Therapy & CPT Codes
| Service | Duration | Fee | CPT Code |
|---|---|---|---|
| Initial Diagnostic Assessment | 53–60 minutes | $165 | 90791 |
| Individual Therapy | 53–60 minutes | $150 | 90837 |
| Individual Therapy | 38–52 minutes | $145 | 90834 |
| Individual Therapy | 16–37 minutes | $135 | 90832 |
Insurance
Serene Grove Therapy accepts insurance through Headway, including:
• Aetna
• Anthem
• Blue Cross Blue Shield
• CareFirst
• Cigna & Evernorth
• Kaiser Permanente Mid-Atlantic
• And others
Additional plans, including UnitedHealthcare, Oscar, Oxford, and Medicare Advantage plans, are currently in credentialing and not yet accepted. Clients with plans not yet accepted may choose private pay while credentialing is in progress.
Private Pay Fees & CPT Codes
Clients may choose private pay if insurance is not accepted, coverage is limited, or you prefer not to use insurance.
Payment: Payment is due at the time of service unless otherwise arranged.
Medicare Notice
Medicare and Medicare Advantage plans have specific coverage rules and eligibility requirements. Services cannot be billed to Medicare or Medicare Advantage plans until credentialing is complete. Clients with Medicare coverage may choose private pay while credentialing is in progress.
Good Faith Estimate (No Surprises Act)
If you are self-paying or not using insurance, you have the right to receive a Good Faith Estimate of the expected cost of services. This estimate outlines anticipated charges and is available upon request prior to your appointment.
Additional Notes
• CPT codes are provided for transparency and billing clarity.
• Session length and billing codes are determined by clinical judgment and time spent in session.
• Insurance reimbursement is not guaranteed and is subject to individual plan benefits.
• Receipts can be provided for potential out-of-network reimbursement if your plan allows.
For insurance verification, private pay options, or to request a Good Faith Estimate, please contact us here