99385 New Patient Age 18-39 |
$200 |
99386 New Patient Age 40-64 |
$230 |
99395 Established Preventative Medicine Age 18-39 |
$180 |
99396 Established Preventative Medicine Age -40.64 |
$210 |
99203 New Patient Low/Mod visit |
$160 |
99204 New Patient Mod/High visit |
$230 |
99213 Established patient OV Low/Moderate |
$125 |
99214 Established patient OV Mod/High |
$160 |
76830 Pelvic Ultrasound |
$225 + $160 OV + $385 |
58340 Sonohysterogram |
$300 Plus $385 (OV and US) |
57454 Colposcopy |
$350 + $125 OV |
IUDs |
Cost of IUD + OV ($125) + Insertion Fee ($150) |
Kyleena |
$900 |
Mirena |
$900 |
Skyla |
$750 |
Paragard |
$750 |
Nexplanon |
$900 + OV ($125) + Insertion ($200) |
Pregnancy Test (urine) |
$15 |
Urine Test |
$10 |