Being a cash-based office means that I can treat you on what you feel is the most important issue.  I don’t have to fit your symptoms into a prepacked insurance “diagnosis.”  I can listen to you and your complaints, treat what you want treated, within my scope of practice.  You are treated as a person who is experiencing symptoms, and I will do my best to get to the root cause of dysfunction. How do I keep my prices so affordable? Buy not accepting insurance and not wasting time “trying” to get reimbursed for my services. At this point in time dry needling physical therapy is not covered by any insurance in the state of PA.