CPT | Description | Price |
---|---|---|
20600 | Small joint injection without ultrasound guidance | $200 |
20604 | Small joint injection with ultrasound guidance | $250 |
20605 | Intermediate Joint Injection without ultrasound guidance | $359 |
20606 | Intermediate Joint Injection with ultrasound guidance | $400 |
20610 | Major joint injection without unltrasound guidance | $426 |
20611 | Major joint injection with ultrasound guidance | $550 |
27096 | Sacroiliac Joint Injection | $1,750 |
62321 | Cervical interlaminar epidural | $2,442 |
62323 | Lumbar Interlaminar epidural, subarachnoid, or caudal injection | $1,452 |
62350 | Implantation or revision of intrathecal catheter | $10,650 |
62362 | Implantation or replacement of programmable pump | $6,166 |
62367 | Electronic analysis of programmable pump | $235 |
62368 | Electronic analysis of programmable pump with adjustment | $347 |
62369 | Electronic analysis of programmable pump with refill | $756 |
64400 | Trigeminal Nerve Block | $1,065 |
64405 | Greater Occipital Nerve Block | $1,570 |
64425 | Ilioinguinal Nerve Block | $1,570 |
64451 | Sacroiliac Nerve Block | $900 |
64454 | Genicular Nerve Block | $900 |
64479 | Transforaminal Epidural, Cervical, first level | $2,354 |
64480 | Transforaminal Epidural, Cervical, additional level | $1,345 |
64483 | Transforaminal Epidural, Lumbar, first level | $2,354 |
64484 | Transforaminal Epidural, lumbar, additional level | $1,233 |
64490 | Injection, diagnostic or therapeutic, cervical facet joint, first level | $1,793 |
64491 | Injection, diagnostic or therapeutic, cervical facet joint, second level | $1,402 |
64492 | Injection, diagnostic or therapeutic, cervical facet joint, 3+ levels | $1,402 |
64493 | Injection, diagnostic or therapeutic, lumbar facet joint, first level | $1,793 |
64494 | Injection, diagnostic or therapeutic, lumbar facet joint, second level | $1,233 |
64495 | Injection, diagnostic or therapeutic, lumbar facet joint, 3+ levels | $1,233 |
64510 | Stellate Ganglion Block | $2,803 |
64520 | Lumbar Sympathetic Nerve Block | $2,800 |
64615 | Injection for Botox for chronic migraine | $1,548 |
64624 | Genicular Nerve Ablation | $1,900 |
64625 | Sacroiliac Joint Radiofrequency Ablation | $1,950 |
64633 | Cervical Radiofrequency Ablation, 1st level | $3,195 |
64634 | Cervical Radiofrequency Ablation, additional level | $1,457 |
64635 | Lumbar radiofrequency ablation, first level | $3,139 |
64636 | Lumbar radiofrequency ablation, additional level | $1,402 |
80307 | Drug test, presumptive, by instrument chemistry analyzer | $200 |
90834 | Psychotherapy, 45 minutes | $215 |
90837 | Psychotherapy, 60 minutes | $275 |
90853 | Group Psychotherapy | $100 |
96365 | IV Infusion 1st hour | $415 |
96366 | IV Infusion 2nd hour | $151 |
96372 | Intramuscular injection | $84 |
99152 | Moderate Sedation, initial 15 minutes | $210 |
99153 | Moderate sedation, additional 15 minutes | $75 |
99203 | Office Visit, New patient level 3 | $336 |
99212 | Office or Oupatient visit, established patient, level 2 | $168 |
99213 | Office or Oupatient visit, established patient, level 3 | $208 |
99214 | Office or Outpatient visit, established patient level 4 | $303 |
99406 | Smoking & Tobacco Use Cessation Counseling | $65 |
99442 | Telephone Evaluation, 11-20 minutes | $70 |
J0585 | Botox 200 units | $3,600 |
J1100 | Dexamethasone 10 mg | $70 |
J1885 | Injection, Ketorolac Tromethamine, per 15 mg (Toradol) | $55 |
J2250 | Injection, midazolam hydrochloride (Versed) | $12 |
J3010 | Injection, Fentanyl Citrate, 0.1 mg | $30 |
J3301 | Triamcinolone Acetonide, 10 mg | $40 |
J7050 | Normal Saline Solution, 750 cc | $28 |
Q9966 | Low Osmolar Contrast Material, 200-299 mg/ml | $27 |
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