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Cost Estimator
Santaquin Clinic
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Cash Pricing
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Clinic Visit
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Select a service.
You may need to get a specific service code from your provider.
Code
Description
99202
OFFICE/OP NEW VISIT LEVEL 2 99202
99203
OFFICE/OP NEW VISIT LEVEL 3 99203
99204
OFFICE/OP NEW VISIT LEVEL 4 99204
99205
OFFICE/OP NEW VISIT LEVEL 5 99205
99211
OFFICE/OP ESTABLISHED VISIT LEVEL 2 99211
99212
OFFICE/OP ESTABLISHED VISIT LEVEL 2 99212
99213
OFFICE/OP ESTABLISHED VISIT LEVEL 3 99213
99214
OFFICE/OP ESTABLISHED VISIT LEVEL 4 99214
99215
OFFICE/OP ESTABLISHED VISIT LEVEL 5 99215
99381
PREVENTIVE MEDICINE < 1 YEAR NEW - 99381
99382
PREVENTIVE MEDICINE 1-4 YEARS NEW - 99382
99383
PREVENTIVE MEDICINE 5-11 YEARS NEW - 99383
99384
PREVENTIVE MEDICINE 12-17 YEARS NEW - 99384
99385
PREVENTIVE MEDICINE 18-39 YEARS NEW - 99385
99386
PREVENTIVE MEDICINE 40-64 YEARS NEW - 99386
99387
PREVENTIVE MEDICINE 65+ YEARS NEW - 99387
99391
PREVENTIVE MEDICINE < 1 YEAR ESTABLISHED - 99391
99392
PREVENTIVE MEDICINE 1-4 YEARS ESTABLISHED - 99392
99393
PREVENTIVE MEDICINE 5-11 YEARS ESTABLISHED - 99393
99394
PREVENTIVE MEDICINE 12-17 YEARS ESTABLISHED - 99394
99395
PREVENTIVE MEDICINE 18-39 YEARS ESTABLISHED - 99395
99396
PREVENTIVE MEDICINE 40-64 YEARS ESTABLISHED - 99396
99397
PREVENTIVE MEDICINE 65+ YEARS ESTABLISHED - 99397
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