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All Services Other

CPT 92133

Optic nerve imaging

$172.00 Standard Charge

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CPT 90471

Immunization administration by a medical assistant or nurse

$183.00 Standard Charge

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CPT 96365

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

$556.00 Standard Charge

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CPT 92002

Intermediate exam

$395.00 Standard Charge

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CPT 90832

Psychotherapy, 30 minutes with patient

$397.00 Standard Charge

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CPT 96415

Chemotherapy infusion-each additional hour

$183.00 Standard Charge

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CPT 96417

Chemotherapy infusion-additional IV pushes of the same medication

$183.00 Standard Charge

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CPT 90681

Rotavirus vaccination

$796.00 Standard Charge

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CPT 90847

Family psychotherapy, including patient, 50 min

$397.00 Standard Charge

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CPT 95811

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

$2,752.00 Standard Charge

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CPT 93017

Cardiovascular stress test, without interpretation and report

$766.00 Standard Charge

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CPT 93923

Physiological studies of arteries, complete, 3+ levels

$419.00 Standard Charge

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CPT 90792

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

$397.00 Standard Charge

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CPT 92012

Eye exam on an established patient

$503.00 Standard Charge

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CPT 90791

Psychiatric diagnostic evaluation

$397.00 Standard Charge

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CPT 94640

Aerosol Treatment

$557.00 Standard Charge

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CPT 93005

Electrocardiogram, tracing only, without interpretation and report

$166.00 Standard Charge

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CPT 90460

Immunization administration in children <18

$35.00 Standard Charge

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CPT 94010

Spirometry - breathing test

$419.00 Standard Charge

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CPT 93015

Cardiovascular stress test, with interpretation and report

$766.00 Standard Charge

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CPT 99051

Medical service during off-hours

$205.00 Standard Charge

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CPT 90715

Diphtheria, tetanus acellular, and pertussis vaccine for adults

$74.00 Standard Charge

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CPT 90707

Measles, mumps, and rubella vaccine

$102.00 Standard Charge

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CPT 96110

Childhood test to screen for developmental disabilities

$318.00 Standard Charge

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CPT 90746

Hepatitis B vaccine

$94.00 Standard Charge

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CPT 93306

Echocardiography, transthoracic, with Doppler

$1,458.00 Standard Charge

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CPT 93452

Diagnostic heart catheterization

$8,631.00 Standard Charge

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CPT 96376

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

$74.00 Standard Charge

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CPT 95810

Sleep study

$2,752.00 Standard Charge

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CPT 93000

Electrocardiogram, routine, with interpretation and report

$145.00 Standard Charge

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CPT 99173

Eye test

$36.00 Standard Charge

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CPT 94618

Pulmonary stress test

$330.00 Standard Charge

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CPT 90846

Family psychotherapy, not including patient, 50 min

$397.00 Standard Charge

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CPT 90853

Group psychotherapy

$237.00 Standard Charge

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CPT 90732

pneumococcal vaccine

$208.00 Standard Charge

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CPT 92014

Eye exam and treatment for established patient

$358.00 Standard Charge

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CPT 90710

Measles, mumps, rubella, and varicella vaccine

$110.54 Standard Charge

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CPT 94726

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

$766.00 Standard Charge

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CPT 90834

Psychotherapy, 45 minutes with patient

$397.00 Standard Charge

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CPT 90836

Psychotherapy, 45 minutes with patient when performed with an evaluation and management service

$250.00 Standard Charge

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CPT 92083

An eye examination that can detect dysfunction in central and peripheral vision

$348.00 Standard Charge

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CPT 90837

Psychotherapy, 60 min

$397.00 Standard Charge

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CPT 90833

Psychotherapy, 30 minutes with patient when performed with an evaluation and management service

$180.00 Standard Charge

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CPT 90686

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

$76.00 Standard Charge

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CPT 96374

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

$556.00 Standard Charge

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CPT 96366

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

$115.00 Standard Charge

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CPT 97110

Physical therapy, therapeutic exercise

$89.00 Standard Charge

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CPT 97597

Debridement of open wound

$529.00 Standard Charge

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CPT 90633

Hepatitis A vaccination for adolescents and children

$67.00 Standard Charge

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CPT 96375

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

$98.00 Standard Charge

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CPT 94729

Blood osmolality (concentration) measurement

$173.00 Standard Charge

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CPT 93971

One sided or limited bilateral study

$339.00 Standard Charge

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CPT 93880

Duplex scan extracranial arteries; bilateral

$705.00 Standard Charge

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CPT 93970

Duplex scan extremity veins; bilateral

$705.00 Standard Charge

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CPT 90716

Varicella vaccine

$25.00 Standard Charge

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CPT 93226

Holter Testing - 48-Hour EKG

$330.00 Standard Charge

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CPT 95117

Multiple allergy shots

$115.00 Standard Charge

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