| 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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