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All Services Medical Services and Procedures

CPT 96376

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

$417.00 Standard Charge

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CPT 94010

Spirometry - breathing test

$520.00 Standard Charge

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CPT 92552

Type of hearing test

$211.00 Standard Charge

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CPT 90732

pneumococcal vaccine

$84.00 Standard Charge

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CPT 90715

Diphtheria, tetanus acellular, and pertussis vaccine for adults

$105.19 Standard Charge

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CPT 93970

Duplex scan extremity veins; bilateral

$2,854.00 Standard Charge

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CPT 97166

Occupational Therapy Evaluation - Moderate Complexity

$871.00 Standard Charge

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CPT 93005

Electrocardiogram, tracing only, without interpretation and report

$881.00 Standard Charge

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CPT 96415

Chemotherapy infusion-each additional hour

$645.00 Standard Charge

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CPT 96417

Chemotherapy infusion-additional IV pushes of the same medication

$483.00 Standard Charge

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CPT 93975

Ultrasound Heart

$2,241.00 Standard Charge

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CPT 96365

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

$1,098.00 Standard Charge

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CPT 97164

Physical Therapy, re-evaluation

$496.00 Standard Charge

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CPT 96374

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

$638.00 Standard Charge

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CPT 93971

One sided or limited bilateral study

$1,796.00 Standard Charge

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CPT 94060

Test to determine if wheezing is present

$1,086.00 Standard Charge

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CPT 93306

Echocardiography, transthoracic, with Doppler

$4,869.00 Standard Charge

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CPT 93303

Test to screen the heart for abnormalities

$3,129.00 Standard Charge

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CPT 93017

Cardiovascular stress test, without interpretation and report

$3,288.00 Standard Charge

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CPT 96366

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

$214.00 Standard Charge

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CPT 93452

Diagnostic heart catheterization

$11,351.00 Standard Charge

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CPT 94640

Nebulizer Treatment

$526.00 Standard Charge

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CPT 96375

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

$638.00 Standard Charge

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CPT 93320

Doppler ultrasound of heart blood flow, valves, and chambers

$1,622.00 Standard Charge

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CPT 90471

Immunization administration by a medical assistant or nurse

$93.00 Standard Charge

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CPT 90686

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

$45.55 Standard Charge

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