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All Services Medical Services and Procedures

CPT 90474

Immunization administered orally or nasally

$27.54 Standard Charge

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CPT 95886

Test to assess for nerve damage

$454.09 Standard Charge

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CPT 93798

Use of EKG to monitor cardiac rehabilitation

$244.93 Standard Charge

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CPT 97162

PT Evaluation - Moderate Complexity

$286.11 Standard Charge

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CPT 97112

A technique used by physical therapists to restore normal body movement patterns

$106.12 Standard Charge

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CPT 90707

Measles, mumps, and rubella vaccine

$109.24 Standard Charge

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CPT 93975

Ultrasound Heart

$1,742.46 Standard Charge

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CPT 94640

Nebulizer Treatment

$138.64 Standard Charge

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CPT 90746

Hepatitis B vaccine

$84.27 Standard Charge

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CPT 96375

Intravenous infusion, for treatment, prophylaxis, or diagnosis-new drug add on

$167.72 Standard Charge

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CPT 97110

Physical therapy, therapeutic exercise

$114.44 Standard Charge

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CPT 97535

Self Care - Home Management Training - 15 Minutes

$101.96 Standard Charge

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CPT 93005

Electrocardiogram, tracing only, without interpretation and report

$217.40 Standard Charge

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CPT 96365

Intravenous infusion, for therapy, prophylaxis, or diagnosis- initial infusion

$534.78 Standard Charge

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CPT 90732

pneumococcal vaccine

$148.78 Standard Charge

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CPT 93970

Duplex scan extremity veins; bilateral

$1,408.69 Standard Charge

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CPT 94010

Spirometry - breathing test

$239.25 Standard Charge

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CPT 90837

Psychotherapy, 60 min

$131.09 Standard Charge

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CPT 94060

Test to determine if wheezing is present

$566.31 Standard Charge

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CPT 96415

Chemotherapy infusion-each additional hour

$262.13 Standard Charge

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CPT 94729

CO Diffusion Capacity

$316.14 Standard Charge

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CPT 90846

Family psychotherapy, not including patient, 50 min

$91.45 Standard Charge

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CPT 97014

One time use unattended

$92.60 Standard Charge

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CPT 93303

Test to screen the heart for abnormalities

$1,638.94 Standard Charge

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CPT 90834

Psychotherapy, 45 minutes with patient

$156.11 Standard Charge

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CPT 90791

Psychiatric diagnostic evaluation

$198.72 Standard Charge

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CPT 93320

Doppler ultrasound of heart blood flow, valves, and chambers

$176.00 Standard Charge

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CPT 93306

Echocardiography, transthoracic, with Doppler

$2,008.38 Standard Charge

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CPT 97602

Non-selective debridement

$358.94 Standard Charge

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CPT 92526

Swallow Treatment

$222.68 Standard Charge

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CPT 96376

Intravenous infusion, for treatment, prophylaxis, or diagnosis-same drug add on

$154.83 Standard Charge

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CPT 93350

Stress test with echocardiogram

$1,515.37 Standard Charge

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CPT 90633

Hepatitis A vaccination for adolescents and children

$52.02 Standard Charge

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CPT 93922

Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries

$535.76 Standard Charge

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CPT 97032

Electric Stimulation for Therapy

$97.14 Standard Charge

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CPT 93926

Duplex scan lower extremity arteries; unilateral or limited

$922.21 Standard Charge

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CPT 92610

Swallow Evaluation

$333.35 Standard Charge

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CPT 97116

Gait Training - 15 Minutes

$93.64 Standard Charge

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CPT 92523

Evaluation of Speech Sound Production and Language Comprehenson

$599.67 Standard Charge

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CPT 95811

Sleep monitoring of patient (6 years or older) in sleep lab using CPAP

$3,936.22 Standard Charge

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CPT 90832

Psychotherapy, 30 minutes with patient

$86.96 Standard Charge

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CPT 97140

Manipulation of 1 or more regions of the body

$114.44 Standard Charge

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CPT 97161

PT Evaluation - Low Complexity

$257.50 Standard Charge

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CPT 97113

Use of water for therapy/exercises

$93.64 Standard Charge

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CPT 97597

Debridement of open wound

$382.87 Standard Charge

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CPT 97166

Occupational Therapy Evaluation - Moderate Complexity

$253.86 Standard Charge

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CPT 93660

Tilt table test to evaluate heart (for unexplained fainting)

$1,122.86 Standard Charge

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CPT 97530

Incorporates the use of multiple parameters, such as balance, strength, and range of motion, for a functional activity

$98.84 Standard Charge

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CPT 90716

Varicella vaccine

$220.56 Standard Charge

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CPT 90460

Immunization administration in children <18

$30.60 Standard Charge

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CPT 95810

Sleep study

$3,560.39 Standard Charge

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CPT 97163

PT Evaluation - High Complexity

$314.72 Standard Charge

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CPT 97035

Use of sound waves to treat medical problems, especially musculoskeletal problems like inflammation from injuries

$84.27 Standard Charge

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CPT 92507

Speech Therapy

$216.40 Standard Charge

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CPT 90853

Group psychotherapy

$98.84 Standard Charge

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CPT 96374

Intravenous infusion, for therapy, prophylaxis, or diagnosis- IV push

$282.63 Standard Charge

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CPT 94726

Measures how much air is in the lungs after taking a deep breath

$704.90 Standard Charge

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CPT 90686

Flu shot-high dose for 2019-2020 flu season given by injection for people >65

$26.01 Standard Charge

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CPT 93971

One sided or limited bilateral study

$867.63 Standard Charge

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CPT 90632

Hepatitis A vaccination for adults

$91.56 Standard Charge

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CPT 93880

Duplex scan extracranial arteries; bilateral

$1,382.09 Standard Charge

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CPT 96110

Childhood test to screen for developmental disabilities

$379.19 Standard Charge

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CPT 90710

Measles, mumps, rubella, and varicella vaccine

$213.28 Standard Charge

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CPT 97165

Occupational Therapy Evaluation - Low Complexity

$228.47 Standard Charge

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CPT 90715

Diphtheria, tetanus acellular, and pertussis vaccine for adults

$124.62 Standard Charge

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CPT 99173

Eye test

$39.73 Standard Charge

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CPT 96366

Intravenous infusion, for therapy, prophylaxis, or diagnosis- additional infusions

$194.54 Standard Charge

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CPT 96417

Chemotherapy infusion-additional IV pushes of the same medication

$440.24 Standard Charge

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CPT 97167

Occupational Therapy Evaluation - High Complexity

$279.25 Standard Charge

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CPT 93923

Physiological studies of arteries, complete, 3+ levels

$835.42 Standard Charge

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CPT 97033

Psychiatric treatment in which seizures are electrically induced in patients to provide relief from mental disorders

$106.12 Standard Charge

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CPT 93017

Cardiovascular stress test, without interpretation and report

$901.94 Standard Charge

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CPT 97012

Form of decompression therapy of the spine

$119.65 Standard Charge

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CPT 93452

Diagnostic heart catheterization

$8,481.03 Standard Charge

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CPT 90471

Immunization administration by a medical assistant or nurse

$33.66 Standard Charge

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