Fees for new patient and follow-up appointments.
| Visit Type / Service | Code | Fee |
|---|---|---|
| New Patient no OMT | 99203 | $200.00 |
| New Patient with OMT | 99204 | $275.00 |
| Follow up no OMT | 99213 | $160.00 |
| Follow up with OMT | 99214 | $225.00 |
Individual procedure fees are listed below.
| Procedure / Service | Code | Fee |
|---|---|---|
| Diagnostic Ultrasound | 76942 | $50.00 |
| Trigger Point Injections | 20553 | $75.00 |
| Dry Needling | 20560 | $60.00 |
| Joint Injection - Small | 20600 | $70.00 |
| Joint Injection - Medium | 20605 | $80.00 |
| Joint Injection - Large | 20610 | $90.00 |
| Hydrodissection | 64999 | $80.00 |
| SPG Block | 64450 | $85.00 |
| Prolotherapy - Simple | 21499 | $250.00 |
| Prolotherapy - Complex | 22899 | $300.00 |
| PIT - 1-2 regions | 17999 | $300.00 |
| PIT - >/= 3 regions | 27299 | $350.00 |
| Battlefield Acupuncture | 20999 | $75.00 |
| US Add-On (Procedure) | 76942 | $50.00 |
Fees are subject to change without notice.
All fees are due at the time of service.