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An Expert Says
"Neurofeedback is on the cutting edge of the mind-body revolution. I believe it is one of the treatments that will keep us moving toward an era of new approaches of naturally managing our health. Deborah Stokes is an extremely gifted therapist who is on the forefront of her profession."
Candace B. Pert, Ph.D., former chief of Brain Biochemistry at the National Institute of Mental Health and author of Molecules of Emotion and Your Body is Your Subconscious Mind.
Fees
Initial Consultation
The first step in determining the potential for using neurofeedback training in your treatment is to schedule an initial consultation with Dr. Stokes. During this 50 minute session, we will determine whether you are a viable candidate for neurofeedback therapy, if you should consider treatments other than neurofeedback, or whether a combination of treatments should be considered. During this time you will have the opportunity to experience a demo neurofeedback session. You will also have the opportunity to ask Dr. Stokes any additional questions you may have. The fee for the initial consultation is $135.
Evaluation, Testing and Brainmap
If Neurofeedback is considered appropriate for you the next step would be for you to be scheduled for an evaluation, testing and brainmap. It is desirable to complete testing without any stimulants so if you are able to discontinue caffeine for 5 days prior to testing, this is optimal. If you or your child are on stimulants (such as Ritalin, Concerta, dexadrine, or Adderal), testing can be done in the morning before the morning dose is taken. Also, please wash and dry your hair within 12 hours of the evaluation so that the electrodes will adhere properly during the brainmap. The evaluation, testing and brainmap takes 2.5 - 3 hrs. and must be done in the morning. The fee for this session is $500.
Neurofeedback Sessions
After the evaluation, the Neurofeedback sessions can then be scheduled. They are scheduled in blocks of 20 and should be done at least twice weekly. Sessions are approximately 45 minutes long and cost $135 per session. If you pay for 20 sessions in advance they are $128.25 a session. The average number of sessions is 50 with some conditions responding before 40; others are more difficult and require 60 to 100. Some individuals will begin to notice changes after just a few sessions, but in some of the more complicated cases, major benefit will not be noted until after 60 or more sessions. Please expect to undergo at least 40 sessions. It is likely that improvements will be noticed before 20 sessions yet it is unlikely to be sustained without continued sessions. There appears to be a cumulative benefit of the number of sessions undergone.
Psychotherapy/Counseling
Individual sessions at 50 minutes are $135. Individual sessions at 1 hour and 20 minutes are $200.
Neuropsychological/Psychoeducational Testing
Testing is charged at $150 per hour which includes administration, materials, written report, and 1-2 hour feedback session. A complete neuropsychological assessment is usually conducted over three to four days depending on the child's pace and age. The fee for this service is capped at $2600.00 Testing for accommodations (SAT, for example) usually takes two days (2-4 hours per day) and is $2200. All other individualized testing is charged based on the hourly fee.
Nutritional Counseling
The initial session of Medical Nutrition Therapy is scheduled at 1 hour and 20 minutes and is $150. Future sessions are scheduled for 50 minutes and are $135.
Health Insurance Coverage
If you have a health benefits policy, you can explore the possibility of coverage. The insurance company may reference this as a CPT code 90901 (biofeedback by any modality). If your insurance company will authorize training, we ask that you pay for services and apply for reimbursement. A statement will be provided for your convenience in submitting claims.
Questions to Ask Your Health Insurance Company
- Does my policy cover biofeedback (Code 90901) for my diagnosis of _________ and/or ________?
- If yes, is it covered under Medical or Psychological Services?
- What rate is reimbursed since Dr. Stokes is out of network (e.g. 80% of usual and customary for in network vs. 50% of usual and customary for out of network providers)
- If it is covered under Medical Services, do I need a prescription or letter from my MD to say that it is medically necessary?
- How many sessions of biofeedback will you cover? Per week? Per year?
- Is there a limit of total amount paid out? (i.e., caps out at $1500 each year)
- Since Dr. Stokes is an out of network provider, do I need to see my primary care physician to make a referral to her?