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All Services Medical Services and Procedures

CPT 96413

Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug

$890.00 Standard Charge

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CPT 90846

Family psychotherapy, not including patient, 50 min

$240.00 Standard Charge

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CPT 96374

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug

$195.00 Standard Charge

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CPT 97112

Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities

$106.00 Standard Charge

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CPT 90791

Psychiatric diagnostic evaluation

$300.00 Standard Charge

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CPT 97167

Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or f...

$609.00 Standard Charge

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CPT 97750

Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes

$119.00 Standard Charge

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CPT 90472

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)

$38.00 Standard Charge

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CPT 94060

Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration

$421.00 Standard Charge

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CPT 93017

Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report

$1,294.00 Standard Charge

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CPT 93880

Duplex scan of extracranial arteries; complete bilateral study

$655.00 Standard Charge

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CPT 97162

Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.

$223.00 Standard Charge

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CPT 92507

Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual

$285.00 Standard Charge

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CPT 93306

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography

$1,798.00 Standard Charge

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CPT 97140

Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes

$105.00 Standard Charge

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CPT 96372

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular

$92.00 Standard Charge

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CPT 97165

Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.

$445.00 Standard Charge

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CPT 93975

Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study

$668.00 Standard Charge

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CPT 97116

Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)

$99.00 Standard Charge

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CPT 96376

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)

$132.00 Standard Charge

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CPT 96375

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)

$147.00 Standard Charge

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CPT 97166

Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the pa...

$526.00 Standard Charge

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CPT 95117

Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections

$71.00 Standard Charge

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CPT 93971

Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study

$462.00 Standard Charge

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CPT 96367

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)

$153.00 Standard Charge

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CPT 96365

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour

$410.00 Standard Charge

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CPT 97035

Application of a modality to 1 or more areas; ultrasound, each 15 minutes

$80.00 Standard Charge

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CPT 97033

Application of a modality to 1 or more areas; iontophoresis, each 15 minutes

$111.00 Standard Charge

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CPT 97110

Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

$106.00 Standard Charge

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CPT 93246

External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)

$251.00 Standard Charge

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CPT 90837

Psychotherapy, 60 min

$290.00 Standard Charge

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CPT 90834

Psychotherapy, 45 min

$196.00 Standard Charge

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CPT 90832

Psychotherapy, 30 min

$147.00 Standard Charge

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CPT 93225

External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)

$338.00 Standard Charge

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CPT 96361

Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)

$114.00 Standard Charge

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CPT 94640

Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device

$89.00 Standard Charge

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CPT 90662

Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use

$93.00 Standard Charge

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CPT 97530

Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes

$109.00 Standard Charge

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CPT 96360

Intravenous infusion, hydration; initial, 31 minutes to 1 hour

$355.00 Standard Charge

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CPT 93226

External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report

$405.00 Standard Charge

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CPT 96366

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

$126.00 Standard Charge

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CPT 97535

Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes

$105.00 Standard Charge

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CPT 93005

Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report

$186.00 Standard Charge

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CPT 90471

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)

$69.00 Standard Charge

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CPT 96368

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)

$120.00 Standard Charge

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CPT 93016

Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report

$74.00 Standard Charge

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CPT 97161

Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.

$197.00 Standard Charge

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