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All Services Medical Services and Procedures

CPT 97110

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

$117.00 Standard Charge

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CPT 96360

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

$344.00 Standard Charge

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CPT 96372

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

$64.00 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

$111.00 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 90715

Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use

$91.02 Standard Charge

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CPT 97163

Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.

$181.00 Standard Charge

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CPT 96374

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

$57.00 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

$1,338.00 Standard Charge

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CPT 99283

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making

$438.00 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)

$161.00 Standard Charge

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CPT 90471

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

$30.00 Standard Charge

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CPT 96361

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

$152.00 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

$224.00 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)

$230.00 Standard Charge

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CPT 97035

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

$99.00 Standard Charge

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CPT 99285

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making

$1,042.00 Standard Charge

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CPT 99070

Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)

$374.00 Standard Charge

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CPT 96365

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

$382.00 Standard Charge

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CPT 94760

Noninvasive ear or pulse oximetry for oxygen saturation; single determination

$10.00 Standard Charge

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CPT 99284

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making

$711.00 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)

$64.00 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

$114.00 Standard Charge

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CPT 93798

Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)

$220.00 Standard Charge

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CPT 99282

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making

$249.00 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)

$44.00 Standard Charge

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CPT 95810

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

$3,126.00 Standard Charge

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CPT 93005

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

$161.00 Standard Charge

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CPT 96413

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

$579.00 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.

$181.00 Standard Charge

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