PRIVATE HEALTH INSURANCE FEES
(for Patients without Medicare)

See below for participating memberships.
| CONSULTATION | ITEM NUMBER | TOTAL COST | OUT OF POCKET |
| NORMAL BUSINESS HOURS | |||
| Level B | 23 | $70.00 | $24.95 |
| Level C | 36 | $115.00 | $27.90 |
| Level D | 44 | $160.00 | $31.65 |
| OUTSIDE OF BUSINESS HOURS | |||
| Level B | 5020 | $85.00 | $26.35 |
| Level C | 5040 | $127.00 | $26.45 |
| Level D | 5060 | $170.00 | $29.05 |
| PHONE CONSULTATIONS | |||
| Telehealth | 91891 | $70.00 | $24.95 |

