State of Alaska Required Posting of 25 Most Commonly Performed Services
Per state law (Senate Bill – passed by the 30th Alaska Legislature during its second session), starting 1/01/2019, we are required to post annually a list of our 25 most frequently billed service codes from the six sections of Category I of the current Procedural Terminology (“CPT codes”) book, as adopted by the American Medical Association. The six sections are:
Evaluation and Management Codes 99201 – 99499
Anesthesia Codes 00100 – 01999; 99100 – 99140
Surgery Codes 10021 – 69990
Radiology Codes 70010 – 79999
Pathology & Laboratory Codes 80047 – 89398
Medicine Codes 90281 – 99199; 99500-99607
The state department responsible for overseeing this law is the State of Alaska Department of Health and Social Services (DHSS), their website is:
http://dhss.alaska.gov/Pages/default.aspx
By law, we are required to tell you that the “undiscounted price” that we are required to report may, in the State’s words, “be higher or lower” than the amount an individual will actually pay for the health care services described on these lists.
To translate this required statement, it means that if we are an in-network provider with your insurance, the price could be significantly lower than the price listed here. If we are not in-network with your insurance, our price will be no higher than the price listed here. If you are unable to make other arrangements to pay off any difference, it may still be significantly discounted. Each individual’s circumstance will vary by their insurance and by the arrangements made with this office. We are In-Network for the following insurance companies:
Aetna
Premera/Blue Cross Blue Shield
EBMS
Meritain
Medicaid
Medicare
For all other insurances, we are NOT considered an in-network provider. But, we are willing to work with you to provide the best care for the best price possible.
As required by law, you may request to be provided with an estimate of the anticipated charges for your nonemergency care. Please do not hesitate to ask for this information.
This estimate will only include OUR estimated fees; we cannot provide estimates for the cost of other facilities or providers.
$231.00 Unadjusted cost – NOT INCLUDING IN-NETWORK/NEGOTIATED DISCOUNTS
99203 NEW PATIENT office visit, typically 30 minutes of face to face time with the patient and/or family. Three key components must include: A detailed history; A detailed exam; Medical decision making of low complexity. This time may also include time spent counseling the patient or time spent coordinating care with other physicians or other healthcare providers. Moderate severity problems.
$301.88 Unadjusted cost – NOT INCLUDING IN-NETWORK/NEGOTIATED DISCOUNTS
99204 NEW PATIENT office visit, typically 60 minutes of face to face time with the patient and/or family. Three key components must include: A comprehensive history; A comprehensive exam; Medical decision making of moderate complexity. This time may also include time spent counseling the patient or time spent coordinating care with other physicians or other healthcare providers. Moderate to high severity problems.
$430.00 Unadjusted cost – NOT INCLUDING IN-NETWORK/NEGOTIATED DISCOUNTS