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Billing
In Accordance with PHS Act section 2799B-3 45 C.F.R. & 149.430, (No Surprise Billing Act). Northern Apache County Special Health Care District is making their fee schedule available to the public:
Self-Pay Rates and Common Procedures:
Procedure Description | Patient Payment Rate | Code |
|---|---|---|
Occupational Physical Exams | $125.00 | MISCPESP |
PROBLEM FOCUSED ACUTE VISIT (20-29 MINS) | $105.00 | 99213 |
PROBLEM FOCUSED ACUTE VISIT (10-19 MINS) | $80.00 | 99212 |
DRUG SCREEN-14 panel (In-House/Instant Results) *Must be Accompanied by either legal documentation or a chain of custody form. | $80.00 | 80305DS |
PHYSICAL EXAM FOR DOT/CDL CERTIFICATION | $125.00 | 710001 |
SPORT PHYSICAL (School Age Students) | $80.00 | MISCSPPE |
ANNUAL COLLEGE EXAM | $100.00 | MISCCOLPE |
The PDF below lists Northern Apache County Special Health Care District's entire Fee Schedule:
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