2016 CASH PRICE LIST

2016 CASH PRICE LIST We Accept Care Credit Standard Fee Schedule 1-Jul-16 **Prices Subject to Change, Call 702-222-3544 For Verification** Exam CPT ...
Author: Brian Powers
5 downloads 2 Views 320KB Size
2016 CASH PRICE LIST We Accept Care Credit Standard Fee Schedule 1-Jul-16 **Prices Subject to Change, Call 702-222-3544 For Verification** Exam

CPT

EKG TREADMILL

PAYMENT IN FULL AT TIME OF SERVICE 93000 93015

35.00 80.00

PLAIN FILMS/X-RAYS (X-RAYS ARE WALK-IN 8AM TO 4PM) ABDOMEN AP VIEW ABDOMEN COMPLETE ANKLE UNILATERAL COMPLETE ANKLE UNILATERAL LIMITED BONE AGE STUDIES CALCANEUS (HEEL) CHEST 2-VIEW CHEST PA CLAVICAL C-SPINE SINGLE VIEW C-SPINE 3 VIEWS OR LESS C-SPINE 4-5 VIEWS C-SPINE 6+ VIEWS DEXA SCAN (BODY COMP/FAT) DEXA SCAN ELBOW UNILATERAL COMPLETE FACICAL BONES MIN 3 VIEWS FEMUR 1 VIEW FEMUR 2 VIEW FINGERS FOOT UNILATERAL FOREARM UNILATERAL AP/LAT HAND UNILATERAL HIP 1 VIEW W/PELVIS HIP 2-3 VIEWS W/PELVIS HIP 4 VIEWS W/PELVIS HIP BILAT W/PELVIS 2 VIEWS HIP BILAT W/PELVIS 3-4 VIEWS HIP BILAT W/PELVIS 5 VIEWS HUMERUS UNILATERAL 2 VIEWS KNEE UNILATERAL COMPLETE KNEE UNILATERAL LIMITED L-SPINE 2-VIEWS L-SPINE 4-VIEWS L-SPINE 5+ VIEWS MANDIBLE 4 VIEWS MANDIBLE 1-3 VIEWS MASTOIDS 3 VIEWS

74000 74020 73610 73600 77072 73650 71020 71010 73000 72020 72040 72050 72052 76499 77080 73080 70150 73551 73552 73140 73630 73090 73130 73501 73502 73503 73521 73522 73523 73060 73564 73560 72100 72110 72114 70110 70100 70130 Page 1

WWW.WVIMAGING.COM

27.00 44.00 36.00 34.00 25.00 31.00 33.00 26.00 32.00 25.00 39.00 53.00 67.00 75.00 52.00 36.00 46.00 34.00 39.00 36.00 34.00 30.00 36.00 36.00 48.00 59.00 46.00 56.00 64.00 32.00 47.00 34.00 39.00 53.00 70.00 43.00 38.00 62.00

NASAL 3 VIEWS ORBITS 4 VIEWS PELVIS RIBS UNILATERAL 2-VIEW RIBS UNILATERAL 3-VIEW SACRUM & COCCYX SCOLIOSIS STANDING 2-3 VIEWS SCOLIOSIS STANDING 4-5 VIEWS SHOULDER UNILATERAL 1-VIEW SHOULDER UNI COMPLETE SIALOGRAM SINUSES LESS THAN 3-VIEWS SINUSES PARANASAL SKELETAL SURVEY SKULL LESS THAN 4-VIEWS SOFT TISSUE NECK STERNUM 2 VIEW THORACIC & SWIM VIEW THORACOLUMBAR SPINE TIBIA/FIBULA TMJ BILATERAL TOES T-SPINE 2-VIEW WRIST UNILATERAL COMPLETE

70160 70200 72170 71100 71101 72220 72082 72083 73020 73030 70390 70210 70220 77074 70250 70360 71120 72072 72080 73590 70330 73660 72070 73110

37.00 47.00 34.00 43.00 47.00 32.00 70.00 75.00 26.00 34.00 109.00 33.00 43.00 76.00 41.00 32.00 35.00 41.00 39.00 30.00 53.00 33.00 36.00 41.00

MAMMOGRAPHY EACH ADD’L VIEW/SPOT/MAG (COULD BE MORE THAN ONE) GALACTOGRAM/DUCTAGRAM DIAGNOSTIC MAMMO UNILATERAL DIAGNOSTIC MAMMO BILATERAL DIAGNOSTIC MAMMO BILAT W/IMPLANTS 3D DIAGNOSTIC MAMMO UNILATERAL 3D DIAGNOSTIC MAMMO BILATERAL 3D DIAGNOSTIC MAMMO BILAT W/IMPLANT SCREENING MAMMO SCREENING MAMMO W/IMPLANTS 3D SCREENING MAMMO 3D SCREENING MAMMO W/IMPLANTS

77055

94.00

19030, 77053, 77055, Q9965 G0206 G0204 G0204 G0206, 77061 G0204, 77062 G0204, 77062 G0202 G0202 G0202, 77063 G0202,77063

329.00 136.00 173.00 200.00 186.00 223.00 250.00 150.00 175.00 200.00 225.00

BIOPSY / FINE NEEDLE ASPIRATION All biopsies and aspirations will have aditional charges from the lab BREAST ASPIRATION 76942, 10022 STEREOTACTIC BREAST BIOPSY 19081 BREAST BIOPSY ULTRASOUND GUIDED 19083 CT KIDNEY BIOPSY 50200, 77012 CT LIVER BIOPSY 47000, 77012 CT LUNG BIOPSY 32405, 77012 CT NECK BIOPSY 21550, 77012 CT MUSCLE/ SOFT TISSUE BIOPSY 20206, 77012 PARACENTESIS 49083 THYROID ASPIRATION /FNA 76942, 10022 THORACENTESIS 32555 MRI BREAST BIOPSY 19085

Page 2

WWW.WVIMAGING.COM

242.00 735.00+ lab fees 711.00+ lab fees 782.00+ lab fees 518.00+ lab fees 608.00+ lab fees 412.00+ lab fees 385.00+ lab fees 313.00 242.00 313.00 1106.00+lab fees

ULTRASOUND ABDOMEN AMDOMINAL DOPPLER QUADRANT/LIMITED BILATERAL LOWER EXT. ARTERIAL BILATERIAL UPPER EXT. ARTERIAL DOPPLER BLADDER POST VOID COMPLETE -UNI BREAST LIMITED- UNI BREAST CAROTID DOPPLER CRANIUM CHEST DOPPLER UNILAT ECHO EXTREMITY GROIN / AXILA SIS OB MULTIPLE OB SINGLE FETUS >/= 14 WEEKS OB SINGLE FETUS