Good Faith Estimate for Health Care Items and Services
(Via In Person, Video or Telephonic)
| Service Code | Description | Fee |
| 90791 | Individual Therapy Intake – 90 Minutes | $270 |
| 90834 | Individual Therapy – 45 Minutes | $150 |
| 90837 | Individual Therapy- 60 Minutes | $180 |
| 90837 | Individual Therapy- 75 Minutes | $225 |
| 90837 | Individual Therapy- 90 Minutes | $270 |
| 90791 | Family/Couples Therapy Intake -90 Minutes | $315 |
| 90847 | Family/Couples Therapy – 50 Minutes | $175 |
| 90847 | Family/Couples Therapy – 75 Minutes | $265 |
| 90847 | Family/Couples Therapy – 90 Minutes | $315 |
| 90847 | Family/Couples Therapy – 105 Minutes | $375 |