Price
|
CPT
|
|
$0-45
|
|
Office Visit Fee If no insurance. Add below
services. No one will be denied access to services due
to inability to pay. There is a discounted/sliding
fee schedule available |
G0101+Q0091
|
Basic pap smear.
|
|
|
99173
|
Vision Screening (if separate from a wellness exam)
|
Smoking
Counseling 99406 (3-10 min), 99407 (>10 min) |
||
Q3014 |
Televisit (originating). If
pt at home use place of service 12 (not office = 11) |
|
$15 (5 tests)
or $3 each |
99000 + 36415 |
Labs drawn and sent out - thousands of tests available. For CBC, CMP, Lipids, A1C, and TSH (includes chemistry, cholesterol, and diabetes). If you need more or different tests, we add each actual test cost. |
$20
|
|
Fit Kit colon cancer screening,
stool test (no blood draw fee)
|
$60
|
83014
|
H. Pylori urea breath test, including
administration and the 83013 lab test
|
|
99195
|
Therepeutic Phlebotomy
|
|
|
Labs done in clinic |
|
82962
|
blood sugar (home glucometer) single test
|
|
82270
|
hemoccult guiac v76.51 (not MCR) (in house lab)
|
$10
(+$30) |
87804 (+QW) |
Influenza
test A and B. Bill 2 units with QW. (self pay separate $30 if send
out) |
$10
|
83037
|
Hemoglobin A1C (home type machine)
|
|
81002
|
Urine dip (in house lab). $13 to send to lab
for culture.
|
$5
|
81025
|
Urine HCG pregnancy test (in house lab) - you can
buy the same pregnancy test yourself for <$5 at the
grocery store ($1 at Dollar Tree).
|
|
87880
|
Rapid Strep test. $5
more to send to lab for culture.
|
$10 |
87426 |
Covid rapid antigen. (Covid
antibody 87426 is not covered.) |
|
87210
|
Microscopic Potassium Hydroxide (KOH OR Wet Prep)
|
|
|
Medications given in clinic |
$20
|
86580 + V74.1
|
Tb (Tuberculosis) skin test (PPD). Includes
placement and reading 2-3 days later.
|
|
|
PPD reading visit V74.1 (if neg) 795.51 (if +).
|
|
96372
|
IM injection code (for shots, eg bill along with
Depo, Rocephin, Penicillin)
|
$50
|
J1050-FPx150
|
Depo-Provera (per 1 mg; x 150 for standard dose)
(with 96372-FP)
|
$250 ea 12MU
|
J0561
|
Penicillin per 100,000 Units (x12 for 1.2 Million
Units). It is expensive enough that uninsured
patients with Syphilis may consider Doxycycline pills
instead.
|
|
J7613
|
Albuterol Solution
|
$10
|
94640, J7613
|
Albuterol nebulizer treatment (i.e. the neb and the
albuterol)
|
|
94664
|
Teach how to use an inhaler or nebulizer.
|
$50 |
96360+J7030 |
IV +
Normal Saline 1 Liter |
$10 |
J1885 |
Toradol,
per 15 mg (2 units for 30mg) |
$10 |
J1200 |
Benadryl
25 mg |
$10 |
J0696x2 |
Rocephin
500mg
(1 unit each 250mg) |
|
|
Procedures done in clinic |
|
69210
|
Earwax removal (cerumen disimpact) H61.23 (use 50
if 2 ears)
|
$25
|
93000
|
EKG with interpretation
|
11719 |
Trim
nails (any number) |
|
$50
|
11730
|
Nail removal, partial (without matrix)
|
|
11750
|
Nail removal with matrix, partial or complete
|
|
11740
|
Trephination of a subungual hematoma (evacuation of
a blood blister under nail)
|
|
58301
|
Remove IUD (intra uterine device birth control)
|
$1,500 |
11981-FP |
Nexplanon
insertion
z30.017 with J7307 for device. This is so expensive that
no one pays cash. Just take pills until you have
insurance. |
$100
|
11982-FP
|
Implantable Contraceptive Rod Removal (z30.46), eg
Remove Implanon from arm
|
11983-FP |
Remove
rod and put a new Nexplanon in. |
|
|
30901
|
Nosebleed cautery
|
$50
|
12001
|
Suture superficial wound <1 inch
|
|
12002
|
Suture superficial wound 1-3 inches
|
|
17110
|
Common or Plantar Wart (078.10)- destroy benign or
premalignant eg freeze. #1-#14 (only once); OR 17111
(only once) for >14
|
|
11200
|
Skin tag (701.9) removal #1-15. Then also 11201
once again for ea addl 10.
|
|
17000
|
Actinic Keratosis (702.0) freeze 1. 17003 is for
#2-13 (1 unit each), 17004 once (alone) if >13.
|
$115
|
11100
|
Biopsy (eg punch) - first biopsy only. This
includes visit, biopsy, and lab pathology.
|
|
11401
|
Skin lesion Excision - Benign - trunk/arm/leg 0.6 -
1.0 cm lesion benign
|
|
11601
|
Skin lesion Excision - Malignant - trunk/arm/leg
0.6 - 1.0 cm
|
|
10120
|
removal of foreign body - simple (eg splinter)
|
|
16000
|
Initial dressing of 1st degree burn
|
$50
|
10060
|
I&D (Incision and Drainage) of abscess, simple
or single
|
|
10061
|
I&D Skin abscess, complex or multiple
|
|
10140
|
I&D of hematoma/seroma
|
$10
|
20550
|
Trigger Finger Injection (includes lidocaine)
|
$10
|
20552
|
Trigger Point Injection 1-2 muscles (includes
lidocaine)
|
|
20553
|
Trigger Point Injection 3+ muscles (includes
lidocaine)
|
$10
|
20600
|
Inject or aspirate a small joint or bursa (fingers,
toes), add steroid also.
|
$10
|
20605
|
Inject or aspirate a medium joint or bursa (wrist,
elbow, ankle), add steroid also.
|
$10
|
20610
|
Inject or aspirate a large joint or bursa (shoulder,
hip, knee), add steroid also.
|
|
J1010
|
Steroid (DepoMedrol) 1mg injection (1ml of 40mg/ml
is 40 Units). (+/- 96372).
|
|
J3301
|
Steroid (Triamcinolone) 10mg injection (eg 1ml of
10mg/ml). (+/- 96372).
|
|
|
Wound Care coding
|
$25 | Wrist
Splint (prefab), short arm: S8451 for splint and 29125
for application. 29105 for long arm. 29505 for long leg,
29515 for short leg. |
|
28190 |
Foreign
body removal (eg spinter) for foot |
|
|
|
Immunizations - Shots - Vaccines - Jabs
We record all shots immediately directly in the state immunization registry |
|
90471 - 90472
|
|
|
|
Adult Shots All free with Medicaid. Other insurances pay these prices, and we refund you later if your insurance pays us. |
$25
|
90658
|
Flu (fluzone; G0008 Q2038 for MCR), required
for Green Card Oct-Mar
|
$90
|
90707
|
MMR*** Green card requires 2 doses (2nd is 1
month later) - this is the cost of 1 dose.
|
$160
|
90716
|
Varicella (Varivax)*** Green card requires
the full 2 dose series (2nd is 1 month later). This is
the cost of one dose.
|
$35
|
90714
|
Td If adult has never had, then needs 3
doses (2nd after 1 month. 3rd 6 months after 2nd. But
one of the three should be TdaP instead). This is the
cost of one dose.
|
$50
|
90715
|
Tdap
|
$30 |
90713 |
Polio (If adult has never had, then needs 3 doses (2nd after 1 month. 3rd 6 months after 2nd) |
|
90632
|
Adult HepA 2 dose series (2nd is 6 months
later - can be done when you return from trip). This
is the cost of one dose. Adults do not require for
Green Card.
|
$75
|
90746
|
Adult HepB*** (G0010 for Medicare) 3 dose
series (2nd is 1 month later. 3rd is 2 months after
2nd AND 4 months after 1st). This is the cost of one
dose.
|
$140 |
90734 |
Meningococcal (MCV4) |
$275
|
90677
|
Pneumonia PCV20
|
|
90736
|
Shingles Zostavax - we do not carry this. If
you want, find it from King Soopers, where it is about
$220 or they bill your insurance. Not required for
Green Card.
|
|
|
|
|
|
Other well child visit services |
|
0-2: D0145
|
Dental eval/counsel + D1206 Fluoride varnish
|
|
3-4: D0999
|
Dental eval/counsel + D1206 Fluoride varnish
|
|
0-4: 96110
|
Child development screening (eg PEDS, ASQ). If +,
add eg ICD 313-315 or 783s. MCD covers 3/yr for 0-2yo,
2/yr for 3-4 yo.
|
|
11-20: 99420
|
Risk Assessment (eg PHQ9 for Depression: G8431
V40.0 if +, G8510 V79.8 if neg). MCD covers 11-20yo.
|
|
|
Travel Shots In addition to the shots above, you may wantYellow Fever, Rabies, Japanese Encephalitis - we don't do these. Try the Denver Health travel clinic or Tri County. |
|
|
Malaria - we can give you a prescription for pills.
Typhoid - we can give you a prescription for the four pill series. The four pills will cost you about $100 at other pharmacies, and they protect you 5 years. Or, you can get the shot for about $100 from County Travel Clinics, and that will protect you 2 years. |
|
|
Care Coordination and Transitions |
|
|
Complex Care Coordination (no visit): 31-75 min for
doctor (99487) or staff (99488); and ea addl 30 min
for either (99489).
|
|
|
Transitional care mgmt: contact pt or caregiver
w/in 2 days p/ d/c: and have a pt visit w/in 7 d w
high MDM (99496), or w/in 14d and mod MDM (99495)
|
|
|
Medicare Home Health Supervision, patient not present: |
|
G0180
|
Certify HHC on CMS 485 form |
|
G0179
|
REcertify HHC on CMS 485 every 60 days |
|
G0181
|
Care Plan Oversight of HHC work |