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All Services Medical Services and Procedures

CPT 96375

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

$527.00 Standard Charge

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CPT 92507

Speech Therapy

$636.00 Standard Charge

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CPT 96366

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

$177.00 Standard Charge

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CPT 97162

PT Evaluation - Moderate Complexity

$1,033.00 Standard Charge

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CPT 96374

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

$527.00 Standard Charge

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CPT 90471

Immunization administration by a medical assistant or nurse

$77.00 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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CPT 93303

Test to screen the heart for abnormalities

$3,155.00 Standard Charge

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CPT 90834

Psychotherapy, 45 minutes with patient

$228.00 Standard Charge

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CPT 92552

Type of hearing test

$211.00 Standard Charge

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CPT 96417

Chemotherapy infusion-additional IV pushes of the same medication

$457.00 Standard Charge

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CPT 90839

Psychotherapy for crisis, first 60 minutes

$367.00 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 97164

Physical Therapy, re-evaluation

$522.00 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

$308.00 Standard Charge

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CPT 90832

Psychotherapy, 30 minutes with patient

$228.00 Standard Charge

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CPT 90853

Group psychotherapy

$402.00 Standard Charge

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CPT 90846

Family psychotherapy, not including patient, 50 min

$367.00 Standard Charge

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CPT 96365

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

$907.00 Standard Charge

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CPT 93975

Ultrasound Heart

$2,241.00 Standard Charge

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CPT 94640

Nebulizer Treatment

$527.00 Standard Charge

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CPT 93970

Duplex scan extremity veins; bilateral

$2,854.00 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 93306

Echocardiography, transthoracic, with Doppler

$4,909.00 Standard Charge

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CPT 93320

Doppler ultrasound of heart blood flow, valves, and chambers

$1,635.00 Standard Charge

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CPT 96415

Chemotherapy infusion-each additional hour

$611.00 Standard Charge

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CPT 90732

pneumococcal vaccine

$77.00 Standard Charge

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CPT 97166

Occupational Therapy Evaluation - Moderate Complexity

$917.00 Standard Charge

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CPT 90840

Psychotherapy for crisis

$184.00 Standard Charge

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CPT 93005

Electrocardiogram, tracing only, without interpretation and report

$881.00 Standard Charge

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CPT 90847

Family psychotherapy, including patient, 50 min

$312.00 Standard Charge

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CPT 90837

Psychotherapy, 60 min

$459.00 Standard Charge

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CPT 94010

Spirometry - breathing test

$520.00 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 97110

Physical therapy, therapeutic exercise

$315.00 Standard Charge

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CPT 93452

Diagnostic heart catheterization

$11,351.00 Standard Charge

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CPT 96376

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

$345.00 Standard Charge

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CPT 93971

One sided or limited bilateral study

$1,796.00 Standard Charge

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