If you are covered by health insurance you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided at this health care facility. If you are not covered by health insurance, you are strongly encouraged to contact Aspen Family Medicine at Green Valley Ranch at (303) 563-2784 to discuss payment options prior to receiving a health care service from this health care facility since posted health care prices may not reflect the actual amount of your financial responsibility. The health care price for any given health care service is an estimate and the actual charges for the health care service are dependent on the circumstances at the time the service is rendered.
| Procedure Code | Description | Self-Pay Price |
|---|---|---|
| J1050 | Medroxyprogesterone Acetate | $0.65 |
| 99213 | Established Patient Office Visits Level 3 | $89.05 |
| 99214 | Established Patient Office Visit Level 4 | $131.95 |
| 90471 | Immunization Administration | $44.85 |
| 99396 | Preventative Visit Established Age 40-64 | $135.20 |
| 90686 | Flu Vaccine | $38.35 |
| 90460 | IM Administration | $44.85 |
| 81003 | Urinalysis | $6.50 |
| 99395 | Preventative Visit Established Age 18-39 | $124.15 |
| 90715 | TDAP Vaccine | $80.60 |
| 99203 | New Patient Office Visit Level 3 | $132.60 |
| 87804 | Labs - Flu | $33.15 |
| 90461 | IM Administration Additional | $22.75 |
| 93000 | EKG | $38.35 |
| G0439 | Office - Annual Physical Visits | $208.65 |