Ardas Clinic

Prices without insurance




























Price
CPT

$45

Office Visit Fee If no insurance. This is for all new (first time) visits, and all established (not first time) "99214" visits. Less complicated established visits (99213) are $20.  Established patients who were previously insured get 1 month of free visits (free office visit, nothing below free), starting at the first uninsured visit, and after that must pay for the office visit.

If you think you will soon have insurance: We can try to backbill visits when insurance gets reinstated; if we are paid we can then refund you (so credit card is easier for us).

G0101+Q0091
Pap smear and gyn (woman) exam, including lab cost for basic pap (88164). This is in addition to our regular visit charge (so total cost is $71). You may need more labwork than just a basic pap, depending on your personal history.

99173
Vision Screening (if separate from a wellness exam)


Preventive counseling: 99401 (15min), 2 (30), 3 (45), 99404 (60).


Smoking Counseling 99406 (3-10 min), 99407 (>10 min)



$35 (5 tests)
or $10 each
99000 + 36415

Labs drawn and sent out - thousands of tests available.

For CBC, CMP, Lipids, A1C, and TSH (includes chemistry, cholesterol, and diabetes). Price is $35 for all 5, or $10 each separately. 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
$0
82962
blood sugar (home glucometer) single test

82270
hemoccult guiac v76.51 (not MCR) (in house lab)
$20 (+$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)
$2 (+$13)
81002
Urine dip (in house lab). $13 more 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).
$10 (+$5)
87880
Rapid Strep test. $5 more to send to lab for culture.

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 (for readings, remember we are not open on weekends, so we can not place the test on Thursdays.)  Does not include the visit fee above.


PPD reading visit: included in the $20 above. 99211 + 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)
$60 for full
J0561
Penicillin per 100,000 Units (x12 for 1.2 Million Units = $60)

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
J0696
Rocephin 250mg
$10
J0696x4
Rocephin 1g



Procedures done in clinic. Remember: add our office visit charge to any of these.
$0
69210
Earwax removal (cerumen disimpact) H61.23 (use 50 if 2 ears)
$25
93000
EKG with interpretation

11719
Trim nails (any number)
$60
11730
Nail removal, partial (without matrix)

11750
Nail removal with matrix, partial or complete
$0
11740
Trephination of a subungual hematoma (evacuation of a blood blister under nail)

58301
Remove IUD (intra uterine device birth control)
$1,000
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.
$55
11982-FP
Implantable Contraceptive Rod Removal (z30.46), eg Remove Implanon from arm
$1055
11983-FP
Remove rod and put a new Nexplanon in.

30901
Nosebleed cautery
$55
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
$55
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
$35
20550
Trigger Finger Injection (includes lidocaine)
$35
20552
Trigger Point Injection 1-2 muscles (includes lidocaine)

20553
Trigger Point Injection 3+ muscles (includes lidocaine)
$35
20600
Inject or aspirate a small joint or bursa (fingers, toes), add steroid also.
$35
20605
Inject or aspirate a medium joint or bursa (wrist, elbow, ankle), add steroid also.
$35
20610
Inject or aspirate a large joint or bursa (shoulder, hip, knee), add steroid also.

J1030
Steroid (DepoMedrol) 40mg injection (eg 1ml of 40mg/ml). (+/- 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
Vaccine administration. 



Adult Shots

1. If you have Medicaid or other insurance, you get these free.
2. Medicare only covers flu, pneumonia (ppsv23), and hepB (and zoster but not by an outpatient doctor).
3. Uninsured (and cicp) have to pay these prices, but you may qualify to get MMR and Varicella discounted to $25, based on your income (the ones with ***).

This is handy for Green Card shots: Most adults need Varicella x2, MMR x2, Td x3 (one being TdaP), and flu if September-March. That is, you need MMR+Var+Tdap, then at least 1 month later MMR+Var+Td, then at least 6 months later Td (+ maybe flu); but you may not need to wait the 6 months for the last shot to apply for your card.

$20
90658
Flu (fluzone; G0008 Q2038 for MCR), required for Green Card Oct-Mar
$65
90707
MMR*** Green card requires 2 doses (2nd is 1 month later) - this is the cost of 1 dose.
$105
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
$75
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. Adults do not require for Green Card.
$140
90734
Meningococcal (MCV4)
$210
90651
HPV
$100
90732
Pneumonia PPSV23 Pneumovax*** (G0009 for MCR)
$200
90670
Pneumonia PCV13 Prevnar

90736
Zostavax - we do not carry this. Go get it from King Soopers, where it is about $220 or they bill your insurance. Not required for Green Card.



Kids Shots
Free for Medicaid (using VFC), and for CHP and uninsured. Private insurance (using private supply) kids are usually free, but we may take a deposit of the amounts here.

90700
Dtap (Sanofi)

90696
Dtap/IPV (Kinrix GSK)

90723
Dtap/IPV/HepB (Pediarix GSK)
$20
90657
Flu (6mo-3yo)
$20
90658
Flu (over age 3)

90648
Hib (4 dose) (ActHib)

90649
HPV quadrivalent (Merck Gardasil)

90633
Kids HepA (Vaqta; Merck)

90744
Kids HepB (Recombivax; Merck)

90734
Meningitis (Menactra)

90707
MMR (Merck)

90713
Polio (IPV IPOL)

90670
Pneumococcal Conjugate (Prevnar 13, Wyeth)

90680
Rotavirus (Rotateq 3 doses required- first at age 6-12 wk; last before 32wk) (Merck)

90714
Td (Sanofi)

90715
Tdap (Boostrix; GSK)

90716
Varicella (Varivax; Merck)

90698
Dtap/IPV/Hib (Pentacel) (we don't carry, we use above combos)

90748
HIB/HepB (Comvax; we don't carry, we use above combos)

90650
HPV bivalent (GSK Cervarix) (we don't carry this, we use Gardasil)



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: V40.0 if +, 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 and you can buy from pharmacy.

Typhoid - we can give you a prescription for the four pill series. The four pills will cost you $56 at Walmart, $61 at Walgreen, and $62 at King Soopers (we last checked May 2011). The pills will protect you 5 years. Or, you can get the shot for about $60 from the Jefferson County Travel Clinic, 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


10180 E Colfax Ave, Suite 150, Aurora CO 80010
welcome@ardasclinic.com, Phone 303-900-8639, Fax 720-204-5534