NEW PATIENT VISIT $329
ESTABLISHED PATIENT VISIT $190
INJECTION (Steroid) $200
XRAYS (per body part) $50
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.