Fee Schedule

Dr. Behling has decided to remain OUT-OF-NETWORK for all insurance carriers so that she can continue to offer quality services for a fee that fairly reimburses time and efforts - without compromising the quality of services or environment for patients.

If you are looking for a personal and professional experience that surpasses what your insurance carrier normally offers through its network, you will NOT be disappointed. Moreover, the small inconvenience of submitting your own receipts for reimbursement also helps to keep Dr. Behling’s administrative costs to a minimum - which she is happy to pass on the cost-savings and other benefits to her patients.

Of course, paying out-of-pocket fees can be daunting, especially when you don’t know what you will get for your investment. We want you to know that Dr. Behling strives to make her services cost-effective by being extremely targeted in her approaches, and has a reputation for providing significant relief in your symptoms in as few appointments as possible.

If you are a Veteran, First-Responder, Security or Active Military Personnel, please note that NORTH SHORE OSTEOPATHIC offers a 20% discount on all Physiatric and Osteopathic Manipulative Medicine services.

Appointments Anticipating Insurance-Reimbursement

These appointment types are for those who expect to use their insurance and receive reimbursement after payment on the day of service (payment plans are available). Please note that Dr. Behling does not directly submit insurance claims for her patients. Once paid in full, a special reimbursement receipt (i.e., “Superbill”) with the codes and fees identified for that date of service will be forwarded so that it can be submitted to the insurance carrier. It is encouraged that you contact your insurance carrier to confirm eligibility for reimbursement.

Insurance reimburses for evaluation and management - AS WELL AS ADDITIONAL CHARGES FOR PROCEDURES - based on average Medicare, Blue Cross Blue Shield, United, Aetna, Cigna, etc. fees. Medicare tends to reimburse approximately $10-$20 per fee less than insurance carriers.

Acupuncture services MAY BE COVERED by your insurance if it is part of the Physician’s plan of care AND is supervised by Dr. Behling (not necessarily performed by her). Please contact your carrier for more information.

Acupuncture and massage may also be covered if you have an insurance “rider” for complementary medicine specialists.

Lastly, NORTH SHORE OSTEOPATHIC is pleased to offer a complementary (FREE) 20-minute Naturopathic consultation with NATURE’S PATH.

Team-Based Visits

Welcome to our unique team-based diagnostic and therapeutic approach to integrative care! This is what sets NORTH SHORE OSTEOPATHIC apart from other pain-management groups or practitioners. So to offer more efficient evaluation and management options, this collaborative approach requires no less than three Team Members to support you during consultation and followup appointments - as well as time dedicated EVERY WEEK to discussion and collaboration about shared patients.

Part of Team-Based visits are eligible for insurance reimbursement, this is because Acupuncture, Naturopathic and /or Structural Integrated Massage are not always covered by insurance carriers.

Consultation includes physician evaluation & management, acupuncture and soft tissue evaluations, initiation of Peer Mentorship (if desired), and at least one procedure. Visits will need to be coordinated between multiple specialists. Thus Consultation visits may only be scheduled by personnel within NORTH SHORE OSTEOPATHIC.

Followup Team-Based visits may be self-scheduled, BUT urgent cases are prioritized by Specialists and it may not be possible to have specific treatments at the time scheduled.

You may also opt into this option - or opt out - and continue your symptom management with single-provider visits.

Payment Options

  • Health Savings (HSA) cards

  • Check with payment to “North Shore Osteopathic, LLC”

  • Cash or money orders

  • Debit or Credit cards (American Express, Visa, Mastercard, Discover, JCB or UnionPay International logo)

Payment for services on the same day anticipated. Credit card information will not be kept online. Payments only in person or mailed. Please request alternative payment options by contacting the office by phone or email.

Compare Our Fees With Others

  • Ex. Pain Provider Rates for New Consultation

    • 45-59 min $225-$270 - without procedures

  • Ex. Pain Provider Rates for Established Patient / Follow-up Visits

    • 20-30 min $85-$122

    • 30-45 min $136-$177

    • 45-60 min $194-$215

Workers Compensation

Unfortunately we are not currently accepting new Worker’s Compensation referrals at this time.

CONSULTATION FEES (without procedures)
90-Minute Consultation (99205 + 99417) $295
Multiple diagnoses or chronic conditions requiring extensive data review, reading/ordering diagnostic testing and coordination of care
75-Minute Consultation (99205) $250
Two or more (2+) minor problems or symptoms -OR- progressively worsening stable chronic issue -OR- a recent uncomplicated injury without prior workup
60-Minute Consultation (99204) $200
One (1) minor problem or other symptom that is stable but chronic

FOLLOWUP FEES (without procedures)
60-Minute Followup (99215) $185
Multiple problems requiring management
45-Minute Followup (99214) $140
New problem requiring additional workup
30-Minute Followup (99213) $105
One (1) minor problem with minimal workup - OR need for / evaluation of post-imaging, medication adjustments, or injections

PROCEDURE FEES: If there is no new condition or symptom that needs to be evaluated and managed and ONLY a procedure/several procedures are anticipated, no additional evaluation (E&M) fee is necessary. This includes any followup visit for typical waxing and waning, or acute-on-chronic exacerbations that do not require a significant change to the plan of care, additional imaging, and/or medication/supplement adjustments.

OSTEOPATHIC MANIPULATIVE MEDICINE (OMT/OMM) fees are based on number of treated ‘sites’ (out of 10 sites): Head, Cervical, thoracic, lumbar, rib, pelvic, sacral, abdominal/other, upper & lower extremity.

OSTEOPATHIC CRANIAL THERAPY usually involves two sites, but may be combined (if desired) with PEMF or RED LED (for an additional fee) for optimization of time and treatment efficacy.

  • 1-2 sites (98925) $55

  • 3-4 sites (98926) $70

  • 5-6 sites (98927) $85

  • 7-8 sites (98928) $100

  • 9-10 sites (98929) $115

MINIMALLY-INVASIVE PROCEDURES may be performed at any visit as long as it is appropriate, the patient consents and there are NO contraindications.

  • Trigger points 1 or 2 muscles (CPT 20552) $60

  • Trigger points 3+ muscles (CPT 20553) $70

  • Injection to single tendon sheath, or ligament, aponeurosis (CPT 20550) $65

  • One Diagnostic or Therapeutic Subcutaneous or Intramuscular Injections of Substance (CPT 96372) $20

  • Therapeutic and diagnostic carpal tunnel injection (CPT 20526) $100

  • Therapeutic and diagnostic single tendon origin/insertion injection (CPT 20551) $65

  • Aspiration and/or Injection of Ganglion Cysts (CPT 20612 any site) $75

  • Prolotherapy Injection to single site using Dextrose 12.5%-20% dilution solution in sterile water (not covered by insurance, CPT M0076) $75

  • Intraarticular injection of anesthetics such as Lidocaine 1% - OR - Bupivicaine 0.25% with or without steroids are included in the below injection:

  • Small joint (fingers or toes): CPT 20600 $55

  • Intermediate joint (TMJ, AC joint, elbow, wrist, ankle): CPT 20605 $65

  • Major joint (hip, shoulder, knee): CPT 20610 $75

NON-INVASIVE PROCEDURES may be performed at any visit as long as equipment and/or medications are available, the procedure is appropriate, the patient consents, and there are NO contraindications. Fees are as follows:

  • Whole Body Vibration Therapy for ADHD, PTSD, depression, anxiety, lymphedema, peripheral neuropathy, obesity, osteopenia, balance and strength using platform ONE DOLLAR ($1)/ day

  • Red LED / Photobiomodulation to increase mitochondria for Painful Inflammatory Joint Pain Syndromes, Post-Workout Optimization, Insomnia, Improved skin damaged from sun, and hair loss ONE DOLLAR ($1) / day

  • Infrared and PEMF Mat for insomnia, restlessness, fibromyalgia, diffuse pain
    $15 /15 min

  • Focused Musculoskeletal / Integrated Manual Mobilization of atrophied muscle, adhesions, fibrosis and/or joint (97140) $35 /15 min

  • Osteopathic Lymphedema Therapy $35 /15 min

  • Therapeutic stretch to increase range of motion and reduce tone (97110)
    $35 /15 min

  • Ultrasound Cavitation Therapy for entrapment / adipose tissue optimization
    $35 /15 min

  • High-intensity pEMF / ICES® DigiCeutical® C5 Model System For acute OR chronic joint and/or soft tissue injury $35 /15 min

POSSIBLE ADDITIONAL INSURANCE FEES:

  • Additional 15 Minutes of Evaluation and Management over and above 75 minute Consultation or 60-minute Followup (99417) $45

  • Completion of each Special Report, Letter, Form (ex., POLST, walking handicap placard, etc.) (99080) Please email us in advance with specifics of this request $25

  • Team Conference with Providers, patient/family, 30 minutes (99366) plus regular E&M Fee for visit $75

  • Family Therapeutic Meeting without Patient, 50 minutes (90846) $125

  • Medical Massage, Amherst Wellness (97124) $30 / 15 min

  • NADA (ear) acupuncture for withdrawal/addiction symptoms (97810) $60

  • Manual acupuncture Initial 23 min, Amherst Wellness (97810) $60

  • Manual acupuncture Subsequent time, Amherst Wellness (97811) $50

  • Electroacupuncture Initial 23 min, Amherst Wellness (97813) $65

  • Electroacupunture Subsequent time, Amherst Wellness (97814) $50