The fee is $8.00 for each test dose received. Once testing has been completed, you will receive a one month supply of treatment containing 30 doses at a total cost of $75.00. You are required to pay for services rendered at the end of each visit.
Cash, personal checks, American Express, Discover, Master Card and Visa are all accepted. We will then give you two copies of the bill to take home. You should submit the white copy to your insurance carrier for reimbursement and keep the statement for your personal records.
CPT CODE AND FEE SCHEDULE |
PROVIDER #S913 | TIN #52-1520050 |
Richard E. Layton, M.D.
901 Dulaney Valley Road
Dulaney Center II, Suite 101
Towson, Maryland 21204
tel. 410-337-2707 fax. 410-337-2841
email: info@allergyconnection.com
www.allergyconnection.com |
The following is a list of Current Procedural Terminology (CPT) and the corresponding fees.
We recommend that you consult with your health insurance company regarding coverage before visiting our office. |
$400.00/per hour |
CPT CODE OFFICE VISITS NEW PT |
99205 NPVISIT 3/3 CH CE MDH | $600.00-800.00 |
 |
CPT CODE OFFICE VISITS ESTABLISHED PT |
99211 EPVISIT 2/3 MINIMAL | $100.00 |
99212 EPVISIT 2/3 LMTD | $200.00 |
99213 EPVISIT 2/3 MDRT | $300.00 |
99214 EPVISIT 2/3 MOD/HIGH | $400.00 |
99215 EPVISIT 2/3 HIGH | $600.00 |
 |
CPT CODE TELEPHONE CONSULTATIONS |
99371 CONSULT PHONE MINIMAL (up to 15 minutes) | $400.00 per hour prorated |
99372 CONSULT PHONE MODERATE (15-30 minutes) | $400.00 per hour prorated |
99373 CONSULT PHONE LENGTHY (30-45 minutes) | $400.00 per hour prorated |
 |
CPT CODE ALLERGY & CLINICAL IMMUNOLOGY |
95024 INTRADERMAL ALLERGY TEST | $8.00 |
95078 PROVOCATIVE TESTING | $8.00 |
95165 IMMUNOTHERAPY MULTI DOSE VIALS |
(2.50/DOSE) (30 day supply) | $75.00 |
 |
CPT CODE LAB TESTS IN OFFICE |
36415 VENIPUNCTURE SPECIMEN(S) | $10.00 |
87060 THROAT CULTURE | $15.00 |
81000 URINALYSIS | $10.00 |
 |
CPT CODE INJECTIONS |
J3420 INJ VITAMIN B-12 | $15.00 |
 |
MISCELLANEOUS |
EMLA CREAM (APPLICATION) | $5.00 |
 |
INDEPENDENT LAB TESTS |
Fractionated Urinary Porphyrins | $120.00 |
Metals - blood (11 tests, 1 calculation) | $125.00 |
Hair Analysis | $46.00 |
Organic Acid Microbiology | $145.00 |
Trace Minerals | $197.00 |
Comprehensive Stool Analysis | $275.00 |
Fecal metals | $99.00 |
IgG Immunolab Food Testing | $175.00 |
Metabolic Nutritional Analysis | $169.00 (except for 5 insurance companies) |
(make check payable to Richard E. Layton, P.A.) |