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All Services Medical Services and Procedures

CPT 90715

Diphtheria, tetanus acellular, and pertussis vaccine for adults

$88.00 Standard Charge

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CPT 97163

PT Evaluation - High Complexity

$486.00 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

$181.00 Standard Charge

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CPT 97161

PT Evaluation - Low Complexity

$486.00 Standard Charge

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CPT 97164

Physical Therapy, re-evaluation

$339.00 Standard Charge

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CPT 93005

Electrocardiogram, tracing only, without interpretation and report

$236.00 Standard Charge

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CPT 97162

PT Evaluation - Moderate Complexity

$486.00 Standard Charge

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CPT 97116

Gait Training - 15 Minutes

$142.00 Standard Charge

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CPT 97110

Physical therapy, therapeutic exercise

$140.00 Standard Charge

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CPT 96365

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

$838.00 Standard Charge

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CPT 97140

Manipulation of 1 or more regions of the body

$131.00 Standard Charge

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CPT 97032

Electric Stimulation for Therapy

$68.00 Standard Charge

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CPT 96375

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

$184.00 Standard Charge

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CPT 96366

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

$184.00 Standard Charge

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CPT 96374

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

$838.00 Standard Charge

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CPT 97112

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

$163.00 Standard Charge

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