99212 Nurse Visit Only $ 68.08
99213 MD or PA up to 15 minutes $ 110.40
99214 MD or PA for > than 15 minutes $ 161.92
99215 MD or PA for > than 30 minutes $ 220.80
Fee Schedules
8080 Academy Rd. NE, Suite A
Albuquerque, NM 87111
(505) 247-9700
frontoffice@nmpainsolutions.com
Our self pay and our Medicare fee schedule are listed below. Each fee schedule includes the fee of the major procedure. There may be additional fees of $10-$20.00 for any injected medications or analgesics.
The Self Pay Fee Schedule does not include New Mexico gross receipt tax, which will be assessed at time of service.
The Medicare fee schedule is based on the limiting charge. The limiting charge is the statutory amount any physician can bill a Medicare patient. We bill the limiting charge. The fees you see below are the ones we may actually collect from you for the listed codes.
- New Patient Visits
99243 Short New Patient $ 214.36
99244 Long New Patient $ 289.80 - Follow Up Visits
- Translaminar Epidural Injections (Steriod Neck & Back Injections)
62321 Cervical/Thoracic Epidural Injection $ 370.00
62323 Lumbar/Caudal Epidural Injection $ 360.00 - Transforaminal Cervical Epidural Injections (Steriod Neck Injections)
64479 One Level Neck Injection, unilateral $ 483.41
Bilateral $ 726.80
64480 (Each Additional Level) is $ 235.52 (unilateral)
Bilateral $ 354.20 - Transforaminal Lumbar Epidural Injections (Steroid Back Injections)
64483 One Level Back Injection, unilateral $ 425.04
Bilateral $ 639.40
64484 (Each Additional Level) is an additional $ 222.00
Bilateral $ 325.88 - Facet Injections Cervical/Thoracic (Neck & Chest Region)
64490 Cervical Facet 1st Level $ 391
Bilateral $ 588.80
64491 Cervical Facet 2nd Level $ 193.88
Bilateral $ 291.64
64492 Cervical Facet 3rd Level $ 197.80
Bilateral $293.48 - Facet Injections Lumbar (Back Region)
64493 Lumbar Facet 1st Level $ 355.12
Bilateral $ 533.60
64494 Lumbar Facet 2nd Level $ 179.40
Bilateral $ 267.72
64495 Lumbar Facet 3rd Level $ 179.40
Bilateral $ 268.64 - SI Joint Injections
27096 Unilateral SI Joint Injection $ 360.00
27096 Bilateral SI Joint Injections $ 540.00 - Trigger Point Injections
20552 Trigger Point Injections 1-2 $ 125.00
20553 Trigger Point Injections 3+ $ 150.00 - Large Joint Injections (Shoulder, Trochanteric Bursa)
20610 Major Joint Injection (without ultrasound) $175.00
20611 Major Joint Injection (with ultrasound)
$193.20
***Additional Joints at a 20% discount - Intermediate Joint Injections (Hip & Knee)
20604 Intermediate Joint Injection
(with ultrasound) $ 150.00
20605 Intermediate Joint Injection (without ultrasound) $100.00 - Cervical/Thoracic Radiofrequency Ablation
64633 Cervical RF $ 920.00
Bilateral $1380.00
64634 Each Additional Level $430.00
Bilateral $645.00 - Lumbar/Sacral Radiofrequency Ablation
64635 Lumbar RF $ 910.00
Bilateral $1365.00
64636 2nd level Lumbar RF, unilateral $ 430.00
Bilateral $ 645.00 - Intercostal Block
64420 Intercostal Block Unilateral $ 300.00
64421 Intercostal Block, Multiple $ 350.00 - Occipital Nerve Block
64405, Unilateral $ 184.00
64405, Bilateral $ 274.16 - Peripheral Nerve Block
64450 Peripheral Nerve Block $200.00
***Twenty (20) % discount for each additional nerve - Stellate Ganglion Block
64510 Stellate Ganglion Block $ 400.00
- Lumbar Sympathetic Block
64520 Lumbar Sympathetic Block $ 375.00
- Celiac Plexus Block
64530 Diagnostic Celiac Plexus Block $ 450.00
64680 Neurolytic Block $ 600.00 - Pump Refill
62370 Refill $320.00
***There is an additional cost for the medications - Botox (Migraine)
64615 Injection fee for Botox $ 325.00
J0585 Cost of Botox $1500.00 - Platelet Rich Plasma Injections (PRP)
P9020 One Site Injection $800.00
***Twenty (20) percent reduction on the injection for each additional site. - IV Infusions
Ketamine/Lidocaine $1000.00
- New Patient Visits
99203 Short New Patient $ 119.23
99204 Long New Patient $ 179.02 - Follow Up Visits
99212 Short visit $ 58.96
99213 MD or PA up to 15 minutes $ 96.69
99214 MD or PA for > than 15 minutes $ 137.48
99215 MD or PA for > than 30 minutes $ 192.59 - Translaminar Epidural Injections (Steriod Neck & Back Injections)
62321 Cervical/Thoracic Epidural Injection $ 281.57
62323 Lumbar/Caudal Epidural Injection $ 277.01
*There is an additional fee of approximately $10-$20 for the injectables. - Transforaminal Cervical Epidural Injections (Steriod Neck Injections)
64479 One Level Neck Injection, unilateral $ 280.39
Bilateral $ 420.59
64480 (Each Additional Level) is $ 142.37
Bilateral $ 213.56 - Transforaminal Lumbar Epidural Injections (Steroid Back Injections)
64483 One Level Back Injection, unilateral $ 259.65
Bilateral $ 389.48
64484 (Each Additional Level) $ 117.37
Bilateral $ 176.06 - Facet Injections Cervical/Thoracic (Neck & Chest Region)
64490 Cervical Facet 1st Level $ 204.55
Bilateral $ 306.83
64491 Cervical Facet 2nd Level $ 104.65
Bilateral $ 156.98
64492 Cervical Facet 3rd Level $ 105.00
Bilateral $ 157.50 - Facet Injections Lumbar (Back Region)
64493 Lumbar Facet 1st Level $ 186.90
Bilateral $ 280.35
64494 Cervical Facet 2nd Level $ 96.88
Bilateral $ 145.32
64495 Cervical Facet 3rd Level $ 96.88
Bilateral $ 145.32 - SI Joint Injections
27096 Unilateral SI Joint Injection $ 174.00
27096 Bilateral SI Joint Injections $ 261.00 - Trigger Point Injections
20552 Trigger Point Injections 1-2 $ 57.85
20553 Trigger Point Injections 3+ $ 66.07 - Large Joint Injections (Shoulder, Trochanteric Bursa with Ultrasound)
20610 Large Joint Injection
without ultrasound $ 68.69
20611 Large Joint Injection
with ultrasound $ 104.96 - Intermediate Joint Injections (Hip & Knee)
20605 Intermediate Joint Injection
without ultrasound $ 57.58
20604 Intermediate Joint Injection
with ultrasound $ 85.81 - Cervical/Thoracic Radiofrequency Ablation
64633 Cervical RF $ 447.35
Bilateral $ 671.03
64634 2nd level Cervical RF, unilateral $199.89
Bilateral $ 299.84 - Lumbar/Sacral Radiofrequency Ablation
64635 Lumbar RF $ 442.91
Bilateral $ 664.37
64634 2nd level Lumbar RF, unilateral $ 181.98 Bilateral $ 272.97 - Intercostal Block
64420 Intercostal Block Unilateral $ 105.83
64421 Intercostal Block, Multiple $ 36.32 - Occipital Nerve Block
64405, Unilateral $ 80.70
Bilateral $ 121.05
*Additional fee for the injectables of $10-$20 - Peripheral Nerve Block
64450 Peripheral Nerve Block $ 82.11
- Stellate Ganglion Block
64510 Stellate Ganglion Block $ 154.76
- Lumbar Sympathetic Block
64520 Lumbar Sympathetic Block $ 240.07
- Celiac Plexus Block
64530 Diagnostic Celiac Plexus Block $ 242.45
64680 Neurolytic Block $ 369.07 - Pump Refill
62370 Refill $103.65
***There is an additional cost for the medications - Botox (Migraine)
64615 Injection fee for Botox $ 167.80
J0585 Cost of Botox variable - Platelet Rich Plasma Injections (PRP)
P9020 One Site Injection $800.00
***Twenty (20) percent injection for each additional site. - IV Infusions
Ketamine/Lidocaine $1000.00