Hometown Health Plan, Prominence Health Plan, CDS S&S HealthCare Strategies, Aetna, Cigna, United Healthcare, Health Plan of Nevada and Sierra Health and Life, Benefit Plan Administrators for the Local Unions, Ambetter Silver Summit, HealthScope, and Humana.
Every insurance plan is different. To help you determine what your plan will cover at our office, we have put together a list of common appointment, lab and diagnostic codes used for billing purposes. We recommend calling your insurance and asking about the coverage of these commonly used codes:
- Appointment billing codes: 99358, 99354, 99205, 99215, 99214, 99213, and 99404.
- Diagnostic (ICD 10) codes: R53.83, E55.9, Z00.00, E03.9, Z13.1, R14.0, Z13.6, E06.3, and F41.9.
- Functional lab CPT codes: 80053, 85025, 84443, 84481, 84439, 84482, 86800, 86376, 80061, 83090, 86141, 84402, 84403, 82670, 82679, 82627, 84144, 83540, 83550, 83516, 82784, 83735, 82784, 82397, 82533, 86038, 85651, 86431, 84550, 83970, 81256, 83022, 83001, 82150, 82728. 82306, 82607, 82746, 83525, and 83036.
Most insurances not listed above are considered out-of-network, including: Medicare, Medicaid, etc. For out-of-network patients, we offer a 15% cash discount for appointments. Additionally, we can provide you with a detailed bill for most services that contain ICD-10 diagnostic codes and CPT codes for reimbursement. We accept all HSA and FSA cards as a form of payment.
Labs and Specialty Kits:
Labs can cost up to $1,700 per scheduled draw. Depending on your insurance coverage, these costs may partially or completely go towards your deductible.
FSA & HSA Cards:
To pay for your consultations and laboratory fees, you may use your Health or Flexible Savings Account (HSA, FSA).