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All Services Medical Services and Procedures

CPT 90839

Psychotherapy for crisis, first 60 minutes

$234.09 Standard Charge

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CPT 90837

Psychotherapy, 60 min

$133.71 Standard Charge

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CPT 90716

Varicella vaccine

$224.97 Standard Charge

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CPT 90632

Hepatitis A vaccination for adults

$93.39 Standard Charge

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CPT 90633

Hepatitis A vaccination for adolescents and children

$53.06 Standard Charge

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CPT 92526

Swallow Treatment

$247.16 Standard Charge

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CPT 96415

Chemotherapy infusion-each additional hour

$267.37 Standard Charge

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CPT 90734

meningococcal conjugate vaccine

$163.42 Standard Charge

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CPT 90792

A diagnostic tool employed by a psychiatrist to determine if medications are needed

$202.69 Standard Charge

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CPT 92552

Type of hearing test

$169.49 Standard Charge

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CPT 93971

One sided or limited bilateral study

$884.98 Standard Charge

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CPT 90715

Diphtheria, tetanus acellular, and pertussis vaccine for adults

$127.11 Standard Charge

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CPT 90471

Immunization administration by a medical assistant or nurse

$33.66 Standard Charge

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CPT 92523

Evaluation of Speech Sound Production and Language Comprehenson

$667.13 Standard Charge

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CPT 97163

PT Evaluation - High Complexity

$321.01 Standard Charge

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CPT 96375

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

$171.07 Standard Charge

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CPT 96365

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

$545.48 Standard Charge

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CPT 93041

Heart rhythm symptom-related tracing of 24-hour EKG monitoring up to 30 days

$53.06 Standard Charge

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CPT 90791

Psychiatric diagnostic evaluation

$202.69 Standard Charge

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CPT 90656

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

$42.84 Standard Charge

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CPT 97032

Electric Stimulation for Therapy

$99.08 Standard Charge

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CPT 93926

Duplex scan lower extremity arteries; unilateral or limited

$940.65 Standard Charge

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CPT 94060

Test to determine if wheezing is present

$577.64 Standard Charge

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CPT 97014

One time use unattended

$94.45 Standard Charge

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CPT 97140

Manipulation of 1 or more regions of the body

$116.73 Standard Charge

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CPT 90746

Hepatitis B vaccine

$85.96 Standard Charge

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CPT 90732

pneumococcal vaccine

$151.76 Standard Charge

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CPT 93975

Ultrasound Heart

$1,777.31 Standard Charge

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CPT 94640

Nebulizer Treatment

$141.41 Standard Charge

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CPT 90460

Immunization administration in children <18

$30.60 Standard Charge

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CPT 97110

Physical therapy, therapeutic exercise

$116.73 Standard Charge

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CPT 93922

Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries

$546.48 Standard Charge

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CPT 90853

Group psychotherapy

$100.82 Standard Charge

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CPT 97602

Non-selective debridement

$366.12 Standard Charge

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CPT 90686

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

$26.53 Standard Charge

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CPT 95860

Test to measure electrical activity of muscles or nerves in 1 limb

$609.12 Standard Charge

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CPT 92610

Swallow Evaluation

$340.02 Standard Charge

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CPT 97535

Self Care - Home Management Training - 15 Minutes

$104.00 Standard Charge

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CPT 90474

Immunization administered orally or nasally

$33.05 Standard Charge

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CPT 96417

Chemotherapy infusion-additional IV pushes of the same medication

$449.04 Standard Charge

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CPT 93798

Use of EKG to monitor cardiac rehabilitation

$249.83 Standard Charge

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CPT 97167

Occupational Therapy Evaluation - High Complexity

$284.84 Standard Charge

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CPT 94010

Spirometry - breathing test

$244.04 Standard Charge

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CPT 97165

Occupational Therapy Evaluation - Low Complexity

$233.04 Standard Charge

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CPT 97033

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

$108.24 Standard Charge

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CPT 93451

Diagnostic heart catheterization (right side)

$9,742.66 Standard Charge

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CPT 90707

Measles, mumps, and rubella vaccine

$111.42 Standard Charge

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CPT 94726

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

$719.00 Standard Charge

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CPT 97164

Physical Therapy, re-evaluation

$130.72 Standard Charge

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CPT 96374

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

$288.28 Standard Charge

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CPT 97012

Form of decompression therapy of the spine

$122.04 Standard Charge

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CPT 95861

Test to measure electrical activity of muscles or nerves in 2 limb

$718.69 Standard Charge

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CPT 92507

Speech Therapy

$223.98 Standard Charge

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CPT 90710

Measles, mumps, rubella, and varicella vaccine

$217.55 Standard Charge

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CPT 93306

Echocardiography, transthoracic, with Doppler

$2,048.55 Standard Charge

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CPT 97026

Light-based method to treat pain and inflammation

$59.80 Standard Charge

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CPT 97116

Gait Training - 15 Minutes

$95.51 Standard Charge

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CPT 94729

CO Diffusion Capacity

$322.46 Standard Charge

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CPT 95886

Test to assess for nerve damage

$463.17 Standard Charge

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CPT 97161

PT Evaluation - Low Complexity

$262.65 Standard Charge

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CPT 95811

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

$4,014.94 Standard Charge

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CPT 95810

Sleep study

$3,631.60 Standard Charge

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CPT 90840

Psychotherapy for crisis

$120.69 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

$100.82 Standard Charge

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CPT 97113

Use of water for therapy/exercises

$95.51 Standard Charge

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CPT 96110

Childhood test to screen for developmental disabilities

$386.77 Standard Charge

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CPT 97162

PT Evaluation - Moderate Complexity

$291.83 Standard Charge

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CPT 93005

Electrocardiogram, tracing only, without interpretation and report

$221.75 Standard Charge

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CPT 97166

Occupational Therapy Evaluation - Moderate Complexity

$258.94 Standard Charge

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CPT 93017

Cardiovascular stress test, without interpretation and report

$919.98 Standard Charge

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CPT 90846

Family psychotherapy, not including patient, 50 min

$93.28 Standard Charge

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CPT 93923

Physiological studies of arteries, complete, 3+ levels

$852.13 Standard Charge

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CPT 97597

Debridement of open wound

$390.53 Standard Charge

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CPT 93970

Duplex scan extremity veins; bilateral

$1,436.86 Standard Charge

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CPT 93303

Test to screen the heart for abnormalities

$1,671.72 Standard Charge

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CPT 97035

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

$85.96 Standard Charge

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CPT 97112

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

$108.24 Standard Charge

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CPT 93880

Duplex scan extracranial arteries; bilateral

$1,409.73 Standard Charge

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CPT 93452

Diagnostic heart catheterization

$8,650.65 Standard Charge

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CPT 94618

Pulmonary stress test

$379.26 Standard Charge

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CPT 90834

Psychotherapy, 45 minutes with patient

$159.23 Standard Charge

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CPT 97016

Machines designed to pump cold water into an inflatable wrap or brace, compressing the enveloped area of the body

$76.41 Standard Charge

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CPT 99173

Eye test

$40.52 Standard Charge

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CPT 96376

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

$157.93 Standard Charge

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CPT 93350

Stress test with echocardiogram

$1,545.68 Standard Charge

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CPT 93660

Tilt table test to evaluate heart (for unexplained fainting)

$1,145.32 Standard Charge

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CPT 96366

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

$198.43 Standard Charge

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CPT 90832

Psychotherapy, 30 minutes with patient

$88.70 Standard Charge

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CPT 93320

Doppler ultrasound of heart blood flow, valves, and chambers

$503.46 Standard Charge

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