Fees and Insurance
The information provided here is intended to help our patients with PPO insurance better understand how they may be reimbursed for services provided by Hirani Wellness and Dr. Hirani. We recommend you contact your insurance company to confirm your level of coverage with an out-of-network provider in advance of your visit to our office.
Office Visits:
Generally patients with PPO coverage can be reimbursed for all or part of their visit with Dr. Hirani, while patients under HMO plans or Kaiser will not be reimbursed. The amount of reimbursement you receive from your insurance company depends on your specific plan, your co-pay and your annual deductible. Also, many insurance plans impose caps on the amount that a subscriber may be reimbursed for an office visit. Medicare recipients will not be reimbursed because our office does not bill Medicare. You will pay for services rendered by Dr. Hirani at the time of your visit. You may pay by check, credit card or cash. Our office does not bill insurance, however we will provide you with a copy of the superbill which you should submit to your insurance company for reimbursement. The superbill is a detailed medical receipt that contains procedure codes, diagnosis codes, and the fees charged for your office visit. See below for pro forma CPT codes and fees from the superbill that you will receive from our office.Lab Work:
While our office does not bill insurance, almost all of the laboratories that we work with can and do bill insurance on the patient's behalf. If you have insurance, we take a copy of your insurance card at the time of your visit and forward your insurance information along with your lab specimen. Some specialty labs will require a co-pay at the time we submit your specimen in order for them to bill your insurance. Similarly, some specialty labs offer a "prompt pay" discount when you prepay for your lab work, instead of the lab billing your insurance company. In some cases, depending on your insurance carrier and the amount of the prompt pay discount, our office will recommend that you choose the prompt pay option to lock in a lower price. When your results are ready, the lab will send a superbill to you for submittal to your insurance company.
Please be advised this is not a complete list of our services, but only to give you a good faith estimate of your (insurance's) financial responsibility. Also, please note that if lab work is required, the patient will make financial arrangements (usually insurance) with our laboratory partners and not this office.
| Service | Fee | CPT Code(s) |
| Initial Consultation Adult | $600 | 99205, 99354 |
| Initial Consultation Child | $400 | 99205 |
| One hour Office Visit | $400 | 99215 |
| Half hour Office Visit | $200 | 99214 |
| Lab work | Varies | Varies |