Self Pay Pricing

The following is a list of our typically utilized CPT Codes, Descriptions and Self Pay/Cash Pay rates for Valley ENT, PC. This list does not include elective cosmetic procedures. Medical services are defined by the CPT and E&M codes as defined by the AMA. Please be aware that a thorough evaluation of a problem may require more than one code. Certain procedural codes may be eligible for a discount in the setting of multiple procedures performed in the same setting.

CPT Code FEE CPT Code Medium Description
99202 $136.00 OFFICE/OP VISIT, NEW PT, 3 KEY COMPONENTS: EXPAND PROB FOCUS HX; EXPAND PROB FOCUS EXAM; STRTFWD DEC
99203 $192.00 OFFICE/OP VISIT, NEW PT, 3 KEY COMPONENTS: DETAILED HX; DETAILED EXAM; MED DECISION LOW COMPLEXITY
99204 $294.00 OFFICE/OP VISIT, NEW PT, 3 KEY COMPONENTS:COMPREHENSIVE HX;COMPREHENSIVE EXAM;MED DECISN MOD COMPLEX
99205 $372.00 OFFICE/OP VISIT, NEW PT, 3 KEY COMPONENTS:COMPREHENSIVE HX;COMPREHENSIV EXAM;MED DECISN HIGH COMPLEX
99212 $81.00 OFFICE/OP VISIT, EST PT, 2 KEY COMPONENTS: PROB FOCUS HX; PROB FOCUS EXAM; STRTFWD MED DECISION
99213 $134.00 OFFICE/OP VISIT, EST PT, 2 KEY COMPONENTS: EXPAND PROB HX; EXPAND PROB EXAM;MED DECISION LOW COMPLEX
99214 $194.00 OFFICE/OP VISIT, EST PT, 2 KEY COMPONENTS: DETAILED HX; DETAILED EXAM; MED DECISION MOD COMPLEXITY
99215 $261.00 OFFICE/OP VISIT, EST PT, 2 KEY COMPONENTS:COMPREHENSIVE HX;COMPREHENSIV EXAM;MED DECISN HIGH COMPLEX
99223 $365.00 INITIAL HOSP CARE 3 KEY COMPONENTS: COMPREHENSIVE HX; COMPREHENSIVE EXAM; MED DECISION HIGH COMPLEX
99232 $131.00 SUBSEQUENT HOSP CARE 2+ KEY COMPONENTS:EXPAND PROB FOCUS INT HX;EXPAND PROB EXAM;MED DEC MOD COMPLEX
10005 $232.00 FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
10021 $177.00 FINE NEEDLE ASPIRATION; W/O IMAGING GUIDANCE
11042 $225.00 DEBRIDEMENT; SKIN, & SUBQ TISSUE
11643 $571.00 EXCISION, MALIGNANT LESION, INCL MARGINS, FACE/EARS/EYELIDS/NOSE/LIPS/MUCO; EXCISED DIAM 2.1-3.0 CM
11951 $194.00 SUBQ INJECTION, FILLING MATL; 1.1 TO 5.0 CC
13132 $757.00 REPAIR, COMPLEX, FOREHEAD/CHEEKS/CHIN/MOUTH/NECK/AXILLAE/GENITALIA/HANDS/FEET; 2.6-7.5 CM
15769 $874.00 GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC
21235 $1,305.00 GRAFT; EAR CARTILAGE, AUTOGENOUS, NOSE/EAR (INCLUDES OBTAINING GRAFT)
30117 $1,658.00 EXCISION/DESTRUCTION, INTRANASAL LESION; INT APPROACH
30140 $509.00 SUBMUCOUS RESECTION TURBINATE, PARTIAL/COMPLETE, ANY METHOD
30410 $2,506.00 RHINOPLASTY, PRIMARY; COMPLETE, EXT PARTS W/BONY PYRAMID, LAT & ALAR CARTILAGES &/OR ELEV NASAL TIP
30465 $1,801.00 REPAIR, NASAL VESTIBULAR STENOSIS (SPREADER GRAFTING, LATERAL NASAL WALL RECONSTRUCTION)
30520 $1,162.00 SEPTOPLASTY/SUBMUCOUS RESECTION W/WO CARTILAGE SCORING/CONTOURING/GRAFT
30802 $494.00 CAUTERIZATION/ABLATION, MUCOSA, TURBINATES, UNILAT/BILAT (SEP PROC); INTRAMURAL
30901 $257.00 CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE (LIMITED CAUTERY &/OR PACKING) ANY METHOD
30903 $408.00 CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX (EXTENSIVE CAUTERY &/OR PACKING) ANY METHOD
30906 $631.00 CONTROL NASAL HEMORRHAGE, POSTERIOR, W/POST NASAL PACKS &/OR CAUTERY; SUBSEQUENT
30930 $213.00 FX NASAL TURBINATE(S), THERAPEUTIC
31231 $344.00 NASAL ENDOSCOPY, DX, UNILAT/BILAT (SEP PROC)
31237 $455.00 NASAL/SINUS ENDO, SURG; W/BX, POLYPECTOMY/DEBRIDEMENT (SEP PROC)
31238 $448.00 NASAL/SINUS ENDO, SURG; W/CONTROL, NASAL HEMORRHAGE
31240 $287.00 NASAL/SINUS ENDOSCOPY, SURGICAL; W/CONCHA BULLOSA RESECTION
31253 $913.00 TOTAL(ANTERIOR AND POSTERIOR), INCLUDING FRONTAL SINUS EXPLORATION, WITH REMOVAL OF TISSUE FROM FRONTAL SINUS, WHEN PERFORMED
31254 $755.00 NASAL/SINUS ENDOSCOPY, SURGICAL; W/ETHMOIDECTOMY, PARTIAL (ANTERIOR)
31255 $590.00 NASAL/SINUS ENDOSCOPY, SURGICAL; W/ETHMOIDECTOMY, TOTAL (ANTERIOR & POSTERIOR)
31256 $328.00 NASAL/SINUS ENDOSCOPY, SURGICAL, W/MAXILLARY ANTROSTOMY;
31257 $813.00 TOTAL (ANTERIOR AND POSTERIOR), INCLUDING SPHENOIDOTOMY
31259 $860.00 NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL
31267 $483.00 NASAL/SINUS ENDOSCOPY, SURGICAL, W/MAXILLARY ANTROSTOMY; W/MAXILLARY TISSUE REMOVAL
31276 $689.00 NASAL/SINUS ENDOSCOPY, SURGICAL W/FRONTAL SINUS EXPLORATION, W/WO TISSUE REMOVAL, FRONTAL SINUS
31287 $367.00 NASAL/SINUS ENDOSCOPY, SURGICAL, W/SPHENOIDOTOMY;
31288 $426.00 NASAL/SINUS ENDOSCOPY, SURGICAL, W/SPHENOIDOTOMY; W/TISSUE REMOVAL, SPHENOID SINUS
31295 $3,347.00 NSL/SINUS NDSC SURG W/DILAT MAXILLARY SINUS
31296 $3,393.00 NSL/SINUS NDSC SURG W/DILAT FRONTAL SINUS
31297 $3,320.00 NSL/SINUS NDSC SURG W/DILAT SPHENOID SINUS
31298 $6,382.00 NASAL/SINUS NDSC W/FRONTAL & SPHEN SINS DILATION
31536 $380.00 LARYNGOSCOPY, DIRECT, OPERATIVE, W/BX; W/OPERATING MICROSCOPE
31541 $477.00 LARYNGOSCOPY, DIRECT, OPERATIVE, W/EXCISION, TUMOR/STRIPPING VOCAL CORDS/EPIGLOTTIS; W/MICROSCOPE
31575 $220.00 LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DX
31579 $344.00 LARYNGOSCOPY, FLEXIBLE/RIGID FIBEROPTIC, W/STROBOSCOPY
40808 $286.00 BX, VESTIBULE, MOUTH
40810 $378.00 EXCISION, LESION, MUCOSA & SUBMUCOSA, VESTIBULE, MOUTH; W/O REPAIR
41010 $375.00 INCISION, LINGUAL FRENUM, FRENOTOMY
42104 $390.00 EXCISION, LESION, PALATE, UVULA; W/O CLOSURE
42145 $1,251.00 PALATOPHARYNGOPLASTY
42700 $344.00 INCISION & DRAINAGE ABSCESS PERITONSILLAR
42800 $283.00 BX; OROPHARYNX
42820 $523.00 TONSILLECTOMY & ADENOIDECTOMY; < AGE 12
42821 $545.00 TONSILLECTOMY & ADENOIDECTOMY; > AGE 12
42826 $455.00 TONSILLECTOMY, PRIMARY/SECONDARY; AGE 12+
42830 $376.00 ADENOIDECTOMY, PRIMARY; < AGE 12
42831 $407.00 ADENOIDECTOMY, PRIMARY; AGE 12+
61782 $318.00 STRTCTC CPTR ASSTD PX XDRL CRNL
64612 $241.00 CHEMODENERVATION, MUSCLE(S); INNERVATED, FACIAL NERVE
69200 $146.00 REMOVAL FB, EXT AUDITORY CANAL; W/O GENERAL ANESTHESIA
69210 $134.00 REMOVAL IMPACTED CERUMEN (SEP PROC), ONE/BOTH EARS
69220 $142.00 DEBRIDEMENT, MASTOIDECTOMY CAVITY, SIMPLE
69222 $378.00 DEBRIDEMENT, MASTOIDECTOMY CAVITY, COMPLEX
69420 $334.00 MYRINGOTOMY W/ASPIRATION &/OR EUSTACHIAN TUBE INFLATION
69421 $266.00 MYRINGOTOMY W/ASPIRATION &/OR EUSTACHIAN TUBE INFLATION REQUIRING GENERAL ANESTHESIA
69424 $228.00 VENTILATING TUBE REMOVAL REQUIRING GENERAL ANESTHESIA
69433 $354.00 TYMPANOSTOMY (REQUIRING INSERTION, VENTILATING TUBE), LOCAL/TOPICAL ANESTHESIA
69436 $283.00 TYMPANOSTOMY (REQUIRING INSERTION, VENTILATING TUBE), GENERAL ANESTHESIA
69610 $678.00 TYMPANIC MEMBRANE REPAIR, W/WO SITE PREPARATION/PERFORATION W/WO PATCH
69620 $1,261.00 MYRINGOPLASTY (SURGERY CONFINED TO DRUMHEAD & DONOR AREA)
69631 $1,582.00 TYMPANOPLASTY W/O MASTOIDECTOMY INITIAL/REVISION; W/O OSSICLE RECONSTRUCTION
69632 $1,929.00 TYMPANOPLASTY W/O MASTOIDECTOMY INITIAL/REVISION; W/OSSICLE RECONSTRUCTION
69633 $1,868.00 TYMPANOPLASTY W/O MASTOIDECTOMY INITIAL/REVISION; W/OSSICLE RECONSTRUCTION & PROSTHESIS
69645 $2,607.00 TYMPANOPLASTY W/MASTOIDECTOMY; W/O OSSICLE RECONSTRUCTION, RADICAL
69661 $2,165.00 STABEDECTOMY/STAPEDOTOMY, W/WO FOREIGN MATL; W/FOOTPLATE DRILL OUT
69706 $4,582.00 SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI
69801 $381.00 LABYRINTHOTOMY W/WO CROYSURGERY/DESTRUCTION/DRUG PERFUSION; TRANSCANAL
69930 $2,197.00 COCHLEAR DEVICE IMPLANTATION, W/WO MASTOIDECTOMY
70486 $247.00 CT SCAN, MAXILLOFACIAL AREA; W/O CONTRAST MATL
76377 $129.00 3D RNDR I&R CT MRI US/OTH REQ POSTPCX
76942 $103.00 US GUIDANCE, NEEDLE PLACEMENT, RADIOLOGICAL S&I
92504 $52.00 BINOCULAR MICROSCOPY (SEP DX PROC)
92511 $200.00 NASOPHARYNGOSCOPY W/ENDOSCOPE (SEP PROC)
92537 $76.00 CALORIC VESTIBULAR TEST W/REC BI BITHERMAL
92538 $41.00 CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL
92540 $194.00 VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRKG
92546 $198.00 SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING
92549 $150.00 CDP-SOT 6 CONDITIONS W/I&R W/MCT & ADT
92550 $41.00 TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS
92552 $56.00 PURE TONE AUDIOMETRY (THRESHOLD); AIR ONLY
92553 $68.00 AIR AND BONE
92555 $42.00 SPEECH AUDIOMETRY THRESHOLD
92556 $67.00 SPEECH AUDIOMETRY THRESHOLD; W/SPEECH RECOGNITION
92557 $69.00 COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL & SPEECH RECOGNITION
92567 $29.00 TYMPANOMETRY (IMPEDANCE TESTING)
92568 $29.00 ACOUSTIC REFLEX TESTING
92579 $84.00 VISUAL REINFORCEMENT AUDIOMETRY (VRA)
92582 $130.00 CONDITIONING PLAY AUDIOMETRY
92584 $130.00 ELECTROCOCHLEOGRAPHY
92587 $41.00 EVOKED OTOACOUSTIC EMISSIONS; LIMITED
92588 $62.00 EVOKED OTOACOUSTIC EMISSIONS; COMPREHENSIVE/DX
92603 $281.00 DX ANALYSIS COCHLEAR IMPLANT, PATIENT > 7 YRS; W/PROGRAMMING
92604 $168.00 DX ANALYSIS COCHLEAR IMPLANT, PATIENT > 7 YRS; REPROGRAMMING
92626 $163.00 EVAL AUD RHAB STATUS 1ST HR
92653 $170.00 AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT
94010 $63.00 SPIROMETRY W/GRAPHIC RECORD/VITAL CAPACITY/FLOW RATE W/WO MAXIMAL VOLUNTARY VENTILATION
94664 $30.00 DEMONSTRATE &/OR EVAL, PT USE, AEROSOL GENERATOR/NEBULIZER/INHALER/IPPB DEVICE
95004 $8.00 ALLERGY TESTS, PERCUTANEOUS, ALLERGENIC EXTRACTS, SPECIFY NUMBER
95024 $15.00 ALLERGY TESTS, INTRADERMAL, ALLERGENIC EXTRACTS, SPECIFY NUMBER
95115 $17.00 PROFESSIONAL SVC, ALLERGEN IMMUNOTHERAPY NON-PROVISION EXTRACTS; SINGLE INJECTION
95117 $19.00 PROFESSIONAL SVC, ALLERGEN IMMUNOTHERAPY NON-PROVISION EXTRACTS; 2+ INJECTIONS
95165 $26.00 PROFES SVC, SUPERVIS, PREPARA, PROVISION, ANTIGENS, ALLERGEN IMMUNOTHERAPY; SINGLE/MULTIPLE ANTIGENS
95180 $247.00 RAPID DESENSITIZATION PROC, EACH HOUR
95806 $209.00 SLEEP STUDY, UNATTENDED
95868 $253.00 EMG, NEEDLE; CRANIAL NERVE SUPPLIED MUSCLES, BILAT
95977 $98.00 ELEC ALYS IMPLT CPLX CN NPGT PRGRMG
95992 $81.00 CANALITH REPOSITIONING PROCEDURE
96372 $26.00 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM
96401 $139.00 CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO
97112 $64.00 THERAPEUTIC PROC, 1+ AREAS, EACH 15 MIN; NEUROMUSCULAR REEDUCATION
97161 $155.00 PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS
97530 $71.00 THERAPEUTIC ACTVITIES, DIRECT PATIENT CONTACT, EACH 15 MIN

Average office visit is level 3 or 4 and may require a procedure like cerumen removal, audiogram, flexible laryngoscopy. Doesn't include surg center, anesthesia, or cosmetic procedures which are priced through the physician