Pri pou moun ki peye san asirans pou Sèvis Medikal
Objektif nou se fè eksperyans ou a pi fasil ke posib, pou ou ka konsantre sou sa ki pi enpòtan — sante ak byennèt pitit ou a. Si w gen nenpòt kesyon sou pri yo anba a, tanpri pale ak moun ki nan resepsyon an.
Vizit Kontwòl Timoun pou Nouvo Pasyan
Vizit Kontwòl Timoun pou Nouvo Pasyan | Frè | Frè Peman Alè | |
|---|---|---|---|
99381 | Nouvo Pasyan Vizit Byennèt Mwens pase 1 Ane | $263.00 | $175.33 |
99382 | Nouvo Pasyan Vizit Byennèt 1-4 Ane | $275.00 | $183.33 |
99383 | Nouvo Pasyan Vizit Byennèt 5-11 Ane | $288.00 | $192.00 |
99384 | VIZIT KONTWÒL NOUVO PASYAN 12-17 AN | $322.00 | $214.67 |
99385 | VIZIT KONTWÒL NOUVO PASYAN 18 AN E PLIS | $313.00 | $208.67 |
Vizit Swen Timoun pou Pasyan ki Deja Vini
Vizit Swen Timoun pou Pasyan ki Deja Vini | Frè | Frè pou Peman Rapid | |
|---|---|---|---|
99391 | Vizit byennèt pou pasyan ki deja anrejistre, < 1 an | $238.00 | $158.67 |
99392 | Vizit byennèt pou pasyan ki deja anrejistre, 1-4 an | $252.00 | $168.00 |
99393 | Vizit kontwòl pou pasyan abitye 5-11 an | $251.00 | $167.33 |
99394 | Vizit kontwòl pou pasyan abitye 12-17 an | $277.00 | $184.67 |
99395 | Vizit kontwòl pou pasyan abitye 18 an oswa plis | $282.00 | $188.00 |
Vizit Maladi pou Nouvo Pasyan
Vizit Maladi pou Nouvo Pasyan | Frè | Frè Peman Rapid | |
|---|---|---|---|
99202 | Vizit Maladi pou Nouvo Pasyan - Konpleksite Ba | $175.00 | $116.67 |
99203 | Vizit Maladi pou Nouvo Pasyan - Konpleksite Mwayen | $276.00 | $184.00 |
99204 | NOUVO PASYAN VIZIT LÈ MALAD - VIZIT MALADI KI GEN KONPLEKSITE MWAYEN AK GWO | $417.00 | $278.00 |
99205 | NOUVO PASYAN VIZIT LÈ MALAD - VIZIT MALADI KI GEN GWO KONPLEKSITE | $558.00 | $372.00 |
Vizit pou Pasyan ki gen dosye lè yo malad
Vizit pou Pasyan ki gen dosye lè yo malad | Frè | Frè pou Peman Rapid | |
|---|---|---|---|
99212 | VIZIT POU ANSYEN PASYAN MALAD - KONPLEKSITE BA | $139.00 | $92.67 |
99213 | VIZIT POU ANSYEN PASYAN MALAD - KONPLEKSITE MWAYÈN | $222.00 | $148.00 |
99214 | VIZIT POU MALADI POU PASYAN KI DEJA GEN DOSYE - KONPLEKSITE MWAYEN-WO | $316.00 | $210.67 |
99215 | VIZIT POU MALADI POU PASYAN KI DEJA GEN DOSYE - GWO KONPLEKSITE | $449.00 | $299.33 |
Fòmilè ak Demann Dosye Medikal
Fòmilè ak Demann Dosye Medikal | Frè | Frè Peman Rapid | |
|---|---|---|---|
FÒMILÈ | DEMANN FÒMILÈ | $10 | |
MEDREC1 | DEMANN DOSYE MEDIKAL - PREMYE 25 PAJ YO | $1.00 PA PAJ | |
MEDREC2 | DEMANN DOSYE MEDIKAL - APRE PREMYE 25 PAJ YO | $0.25 POU CHAK PAJ | |
MEDRECCM | DEMANN DOSYE MEDIKAL - LÈT REKÒMANDE | $15.00 | |
MEDRECSSD | DEMANN DOSYE MEDIKAL - SEKIRITE SOSYAL AK ANDIKAP | $14.00 | |
Laboratwa
Laboratwa | Frè | Frè pou Peman Rapid | |
|---|---|---|---|
81002 | BATONÈT TÈS PIPIT | $8.00 | $5.33 |
81025 | TÈS GWOSÈS NAN PIPIT | $20.00 | $13.33 |
82270 | San Kache | $10.00 | $6.67 |
82465 | Kolestewòl (Serom) | $12.00 | $8.00 |
82948 | Glikoz | $12.00 | $8.00 |
83655 | DEPISTAJ PLON | $28.00 | $18.67 |
83718 | KOLESTEWÒL (HDL) | $22.00 | $16.00 |
83721 | KOLESTÈWÒL (LDL) | $24.00 | $13.33 |
85013 | EMATOKRIT | $16.00 | $10.67 |
85018 | EMOGLOBIN | $6.00 | $4.00 |
86308 | TÈS MONO SPOT | $12.00 | $8.00 |
87804 | TÈS GRIP A AK GRIP B | $38.00 | $25.33 |
87807 | RSV | $30.00 | $20.00 |
87880 | TÈS STREP | $38.00 | $77.33 |
87635 | COVID | $116.00 | $68.00 |
Vaksen (Asirans Komèsyal, Andeyò Rezo a)
Vaksen (Asirans Komèsyal, Andeyò Rezo a) | Frè | Frè pou Peman Rapid | |
|---|---|---|---|
90380 | NIRSEVIMAB (RSV), < 11 liv | $720.00 | $480.00 |
90381 | NIRSEVIMAB (RSV), > 11 liv | $720.00 | $480.00 |
90619 | MCV4 | $273.00 | $182.00 |
90620 | MENINGOCOCCAL B, BEXSERO | $280.00 | $186.67 |
90621 | Menengokòk B, Trumenba | $245.00 | $163.33 |
90632 | Epatit A (ADILT) | $111.00 | $74.00 |
90633 | Epatit A | $47.00 | $38.00 |
90648 | HIB | $57.00 | $38.00 |
90651 | HPV | $500.00 | $333.33 |
90660 | FLUMIST (Vaksen grip nazal vivan) | $45.00 | $30.00 |
90661 | FLUCELVAX (Vaksen grip ki baze sou selil) | $75.00 | $50.00 |
90670 | PREVNAR 20 | $298.00 | $198.67 |
90673 | FLUBLOK (VAKSEN GRIP REKONBINAN) | $148.00 | $98.67 |
90677 | PREVNAR 20 (PCV20) | $470.00 | $313.33 |
90680 | ROTAVIRUS | $140.00 | $93.33 |
90696 | QUADRACEL (DTAP, IPV) | $80.00 | $53.33 |
90698 | PENTACEL (DTAP, HIP, IPV) | $148.00 | $98.67 |
90700 | DTAP | $39.00 | $26.00 |
90707 | MMR II | $140.00 | $93.33 |
90710 | PROQUAD (MMRV) | $420.00 | $280.00 |
90713 | IPV (POLIO) | $56.00 | $37.33 |
90715 | TDAP ADACEL | $70.00 | $46.67 |
90716 | VARIVAX (VARISÈL) | $280.00 | $186.67 |
90732 | PNEUMOVAX 23 (PPSV23) | $301.00 | $200.67 |
90734 | MENQUADFI | $197.00 | $131.33 |
90744 | EPATIT B | $50.00 | $33.33 |
91318 | PFIZER COVID 6 MWA - 4 ANE | $204.00 | $136.00 |
91319 | PFIZER COVID 5 AN - 11 AN | $214.00 | $142.67 |
91320 | PFIZER COVID 12+ AN | $253.00 | $168.67 |
Piki Dyagnostik/Terapetik
Piki Dyagnostik/Terapetik | Frè | Frè Peman Rapid | |
|---|---|---|---|
96372 | ENJEKSYON TERAPETIK | $36.00 | $24.00 |
J0696 | ROCEPHIN - 25MG/UNIT | $2.00 | $1.33 |
J1100 | DECADRON - 1 MG - 4 MG | $1.00 | $0.67 |
J2405 | ZOFRAN - PIKI | $1.00 | $0.67 |
S0119 | ZOFRAN - PA BOUCH | $30.00 | $20.00 |
J2550 | PHENERGAN - JISKA 50 MG | $9.00 | $6.00 |
J7613 | ALBUTEROL, POU INALASYON - 1 MG | $1.00 | $0.67 |
J7620 | ALBUTEROL ak IPRATROPIUM | $1.00 | $0.67 |
J7644 | IPRATROPIUM BROMIDE, POU RALE | $1.00 | $0.67 |
Administrasyon Vaksen (Asirans Komèsyal, Andeyò Rezo)
Administrasyon Vaksen (Asirans Komèsyal, Andeyò Rezo) | Frè | Frè Peman Rapid | |
|---|---|---|---|
90460 | ADMINISTRASYON VAKSINASYON < 19 AN | $55.00 | $36.67 |
90461 | ADMINISTRASYON VAKSINASYON > 19 AN | $21.00 | $14.00 |
90471 | ADMINISTRASYON 19 AN E PLIS / ENFIMYÈ | $51.00 | $34.00 |
90472 | ADMINISTRASYON Adisyonèl/ENFIMYÈ | $37.00 | $24.67 |
90473 | Administrasyon ORAL/NAZAL | $41.00 | $27.33 |
90480 | Administrasyon Vaksen COVID - TOUT | $108.00 | $72.00 |
Administrasyon Vaksen (VFC - Asirans Medicaid, San Asirans)
Administrasyon Vaksen (VFC - Asirans Medicaid, San Asirans) | Frè | Frè Peman Rapid | |
|---|---|---|---|
90380 | NIRSEVIMAB (RSV), < 11 LBS | $24.01 | |
90381 | NIRSEVIMAB (RSV), PLIS PASE 11 LIV | $24.01 | |
90620 | MENENGOKÒK B, BEXSERO | $24.01 | |
90621 | MENENGOKÒK B, TRUMENBA | $24.01 | |
90633 | EPATIT A | $24.01 | |
90648 | HIB | $24.01 | |
90651 | HPV 9 | $24.01 | |
90660 | FLUMIST (Vaksen grip nazal vivan) | $24.01 | |
90661 | FLUCELVAX (Vaksen grip ki baze sou selil) | $24.01 | |
90670 | PREVNAR 13 | $24.01 | |
90673 | FLUBLOK (VAKSEN GRIP REKONBINAN) | $24.01 | |
90677 | PREVNAR 20 (PCV20) | $24.01 | |
90680 | ROTAVIRUS | $24.01 | |
90696 | DTAP - IPV | $24.01 | |
90698 | PENTACEL (DTAP, HIP, IPV) | $24.01 | |
90700 | DTAP | $24.01 | |
90707 | MMR II | $24.01 | |
90710 | MMRV | $24.01 | |
90713 | IPV (POLYÒ) | $24.01 | |
90715 | TDAP ADACEL | $24.01 | |
90716 | VARIVAX (Varisèl) | $24.01 | |
90732 | PNEUMOVAX 23 (PPSV23) | $24.01 | |
90734 | MENACTRA | $24.01 | |
90744 | Epatit B | $24.01 | |
91318 | PFIZER COVID 6 mwa - 4 ane | $24.01 | |
91319 | PFIZER COVID 5 ane - 11 ane | $24.01 | |
91320 | PFIZER COVID 12+ AN | $24.01 | |
Vaksen (Paran/Gadyen)
Vaksen (Paran/Gadyen) | Frè | Frè pou peman rapid | |
|---|---|---|---|
90660 | FLUMIST (Vaksen grip nazal vivan) | $45.00 | $30.00 |
90661 | FLUCELVAX (Vaksen Grip ki Baze sou Selil) | $75.00 | $50.00 |
90715 | TDAP ADACEL | $70.00 | |
Vizit Sante Mantal — Terapi
Vizit Sante Mantal — Terapi | Frè | Frè Peman Alè | |
|---|---|---|---|
90832 | SIKOTERAPI - 30 MINIT | $195.00 | $130.00 |
90837 | SIKOTERAPI - 45 MINIT | $379.00 | $252.67 |
90847 | TERAPI FANMI - 50 MINIT | $249.00 | $166.00 |
90791 | EVALYASYON, DYAGNOSTIK SIKOLOJIK | $393.00 | $262.00 |
Espase/Mask
Espase/Mask | Frè | Frè Peman Rapid | |
|---|---|---|---|
A4627 | ESPASE SÈLMAN | $30.00 | $30.00 |
A4627SM | Espasè ak ti mask | $35.00 | $35.00 |
A4627MED | Espasè ak mask mwayen | $35.00 | $35.00 |
Pwosedi
Pwosedi | Frè | Frè Peman Rapid | |
|---|---|---|---|
10060 | ABSE, Ensiyon/Drenaj | $300.00 | $200.00 |
10120 | Ensiyon ak Retire Kò Etranje Soukutane | $366.00 | $244.00 |
11740 | Evakyasyon, Ematòm anba po | $133.00 | $88.67 |
12001 | Repare blesi sipèfisyèl | $271.00 | $180.67 |
15853 | Retire fil koud oswa agrafe | $32.00 | $21.33 |
15854 | RETIRE FIL KOUD AK/OSWA AGRAFE | $41.00 | $27.33 |
17110 | RETIRE VÈRI | $257.00 | $171.33 |
17250 | KOTERIZASYON CHIMIK - LONBRIKAL | $210.00 | $140.00 |
24640 | TRETMANT FÈMEN, KOUD KI DEPLASE | $242.00 | $161.33 |
30300 | RETIRE KÒ ETRANJE NAN NEN | $495.00 | $330.00 |
41115 | FRENÈKTOMI | $597.00 | $398.00 |
51701 | KATETERIZASYON - SENP | $108.00 | $72.00 |
54450 | Manipilasyon prepis | $172.00 | $114.67 |
59061 | Vant zanno (san perçage) | $36.00 | |
69090 | Pèse zòrèy | $72.00 | |
69200 | NETWAYE KANAL ZÒRÈY DEYÒ | $193.00 | $128.67 |
69209 | RETIRE SIRÈT ZÒRÈY AK LAVAJ | $40.00 | $26.67 |
69210 | RETIRE SIRÈT ZÒRÈY | $113.00 | $75.33 |
86580 | TIBÈKILIN DERIVE PWOTEYIN PIRIFYE (PPD) | $26.00 | $17.33 |
92551 | Odyogram | $32.00 | $21.33 |
92567 | Timpanometri | $37.00 | $24.67 |
94010 | Tès Kapasite Respiratwa | $69.00 | $46.00 |
94060 | EVALYASYON SIFLEMAN NAN PWATRIN | $100.00 | $66.67 |
94150 | TÈS KAPASITE VITAL | $62.00 | $41.33 |
94640 | TERAPI NEBILIZATÈ | $21.00 | $14.00 |
94664 | ANSÈYMAN SOU NEBILIZATÈ/INHALATÈ | $47.00 | $31.33 |
94667 | MANIPILASYON MIRAY PWATRIN | $64.00 | $$42.67 |
94760 | OKSIMETRI BATMAN KÈ | $10.00 | $6.67 |
96110 | DEPISTAJ DEVLOPMAN | $29.00 | $19.33 |
96127 | DEPISTAJ SANTE MANTAL | $13.00 | $8.67 |
96160 | DEPISTAJ RISK | $18.00 | $12.00 |
96161 | DEPISTAJ RISK | $18.00 | $12.00 |
99174 | PEDIVISION | $30.00 | $20.00 |
99188 | FLIYÒ TOPIK | $28.00 | $18.67 |
Apre Lè Travay / Fen Semèn / Ijans / Vizit Anplis
Apre Lè Travay / Fen Semèn / Ijans / Vizit Anplis | Frè | Frè Peman Alè | |
|---|---|---|---|
99242 | Konsiltasyon biwo (desizyon senp/20 minit) | $175.00 | $116.67 |
99243 | Konsiltasyon biwo (desizyon senp/30 minit) | $262.00 | $174.67 |
99244 | Konsiltasyon biwo (desizyon modere/40 minit) | $375.00 | $250.00 |
99050 | WIKENN/JOU FERYE | $84.00 | $56.00 |
99051 | APRE LÈ TRAVAY | $51.00 | $34.00 |
99058 | VIZIT IJANS | $193.00 | $128.67 |
99355 | PWOLONJE 30 MINIT ANPLIS | $120.00 | $80.00 |
MHASMT | EVALYASYON SANTE MANTAL | $60.00 | $60.00 |
90833 | AJOUTE TERAPI 16-30 MINIT | $189.00 | $126.00 |
90836 | AJOUTE TERAPI 31-45 MINIT | $238.00 | $158.67 |
Apati 1ye fevriye 2024
MEDICAID AKSEPTE
Pifò Asirans Aksepte
Tout timoun merite bon jan swen
Asirans komèsyal
Bon jan swen pedyatrik ak anpil asirans ki kouvri l
Aetna
BlueCross/BlueShield
Cigna
UnitedHealthCare
UMR
Asirans Medicaid
Bon jan swen pedyatrik ak anpil asirans ki kouvri l
Community Care Plan
Humana Healthy Horizons
Simply Healthcare
Sunshine
Asirans CHIP
Swen pedyatrik bon jan kalite ak gwo kouvèti asirans
Aetna Better Health (CHIP/Florida Healthy Kids)
Community Care Plan
Simply Healthcare
Asirans Marketplace
Swen pedyatrik bon jan kalite ak gwo kouvèti asirans
AmeriHealth Caritas (ansyen Prestige) Next
Molina Healthcare
Oscar
United Healthcare
Lòt asirans
Swen pedyatrik bon jan kalite ak gwo kouvèti asirans
ChampVa
Tricare – Rejyon Lès Sèlman
