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FEE SCHEDULE

 

99202-Expanded New Patient- $150

99203-Detailed New Patient-$200

99204- Comprehensive New Patient- $250

99205-Complex New Patient- $300

 

99211- Brief Established (BP check)- $35

99212- Limited- $110

99213-Expanded-$180

99214- Detailed- $200

99215- Comprehensive- $250

 

Additional Services: added to OV

POC-Pregnancy-$25

POC-Urine dipstick-$25

Rapid Strep Test-$50

Rapid Influenza-$50

Rapid RSV- $50

Rapid Mono-$75

Hemoglobin- $50

Blood Sugar- $50

Nebulizer Treatment- (Albuterol)- $165

EKG-12 lead- $75

Spirometry-$100

LACERATION REPAIR:

12001 (2.5 cm or less simple)- $165

12002 (2.6cm to 7.5 cm) $175

12004-7.6cm to 12.5 cm- $205

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