NEW PATIENT VISIT  $329

ESTABLISHED PATIENT VISIT $190

INJECTION (Steroid) $200

XRAYS (per body part) $50

For Out of Network patients who wish to use their insurance for the Anesthesia fee and Facility Fees, we use claims data from FairHealthConsumer.org to quote the Surgeon Fee.

REIMBURSEMENT LINKS:

TO BE REIMBURSED FROM MEDICARE, complete CMS FORM 1490S: PATIENT’S REQUEST FOR MEDICAL PAYMENT (English/Spanish)

FROM BCBS: CLAIM FORM.

FROM UNITED HEALTHCARE: DIRECT MEDICAL REIMBURSEMENT FORM.

FROM CIGNA: DIRECT MEMBER REIMBURSEMENT FORM.

FROM AETNA: MEDICAL BENEFITS CLAIM REQUEST FORM.