Privacy Notice

 

This notice is being posted in accordance with AS 18.23.400.  Disclosure and reporting of health care services, prices, and fee information.  

Effective January 1, 2019 and until further notice, the Back & Neck Center charges the following undiscounted fees for the listed health care services:  

 

You will be provided an estimate of the anticipated charges for your non-emergency care upon request.  Please do not hesitate to ask for information. 

 

The undiscounted prices listed below may be higher or lower than the amount an individual actually pays for the health care services described.  

 

Back & Neck Center is contracted to provide health care services as an in-network preferred provider with Premera Blue Cross Blue Shield of Alaska and Aetna.  

 

Evaluation/Management

Procedure Code

Description

Undiscounted Fee

99201

New patient exam 10 minutes

$165.00

99202

New patient exam 20 minutes

$205.00

99203

New patient exam 30 minutes

$265.00

99204

New patient exam 45 minutes

$305.00

99212

Established patient exam 10 minutes

$130.00

99213

Established patient exam 15 minutes

$170.00

99214

Established patient exam 25 minutes

$245.00

 

 

Medicine

Procedure Code

Description

Undiscounted Fee

98940

Chiropractic Adjustment 1- 2 regions

$70.00

98941

Chiropractic Adjustment 3-4 regions

$85.00

98942

Chiropractic Adjustment

5 regions

$88.00

98943

Extremity Adjustment – i.e. shoulder, wrist, ankle, 

$50.00

97124

Massage Therapy per unit

$60.00

97140

Manual Therapy per unit

$60.00

97032

Electrical muscle stimulation per unit

$55.00

97035

Ultrasound therapy per unit

$55.00

97110

Therapeutic exercises per unit

$55.00

97012

Mechanical Traction per unit

$55.00

 

Radiology

Procedure Code

Description

Undiscounted Fee

72040

X-ray – neck – 2/3 views

$250.00

72050

X-ray – neck – 4/5 views

$320.00

72052

X-ray – neck – 7 views

$380.00

72070

X-ray – thoracic spine - 2 views

 $250.00

72100

X-ray – lumbosacral – 2/3 views

$250.00

72120

X-ray – lumbar – Flexion/Extension

$160.00

73030

X-ray – shoulder – 2 views

$110.00

73501

X-ray – hip – 1 view

$75.00

73510

X-ray – hip – 2 views

$150.00

73600

X-ray – ankle – 2 views

$150.00

 

 

Surgery - NONE

Procedure Code

Description

Undiscounted Fee

NONE

None

$0.00

 

Anesthesia - NONE

Procedure Code

Description

Undiscounted Fee

NONE

None

$0.00

 

Pathology + Laboratory - NONE

Procedure Code

Description

Undiscounted Fee

NONE

None

$0.00

 

You may also find a copy of this fee schedule on our website at www.wasillabackandneck.com

The State of Alaska Department of Health and Social Services website address is http://dhss.alaska.gov/Pages/default.aspx

The State of Alaska Department of Health and Social Services physical address is 3601 C St. #902, Anchorage, Alaska 99503