Effective January 1, 2020 and until further notice, Holt Chiropractic Clinic 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 within 10 business days of your request. Please do not hesitate to ask for information.
The undiscounted prices listed below may be higher than the amount an individual actually pays for the health care services described.
Holt Chiropractic is a contracted, in-network preferred provider for Premera Blue Cross Blue Shield. We proudly serve veterans in accordance with the VA's prior authorization. We are non-participating provider with Medicare and are unable to accept new Medicare patients at this time.
Evaluation/Management Services
Problem Focused Exam
99212 Established Patient $135
Expanded Problem Focused Exam
99203 New Patient $265
99213 Established Patient $185
Medicine
98940 Chiropractic Adjustment/Spinal Manipulation (1-2 regions) $75
98941 Chiropractic Adjustment/Spinal Manipulation (3-4 regions) $95
98943 Extremity Adjustment (i.e. shoulder, wrist, ankle) $65
97124 Massage Therapy (3 units) $135
97032 Electrical Muscle Stimulation $55/unit
97035 Ultrasound Therapy $50/unit
97110 Therapeutic Exercises $80/unit
97012 Mechanical Traction $90/unit
Radiology (X-Rays)
72040 Cervical (neck) 2-3 views $250
72070 Thoracic (mid-upper back) $200
72100 Lumbosacral (low back) $250
76140 X-ray Consultation $50
Surgery (none)
Anesthesia (none)
Pathology & Laboratory (none)
The State of Alaska Dept. of Health & Social Services website address is http://dhss.alaska.gov/Pages/default.aspx
CPT® Copyright 2020. American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. The CPT codes are provided “as is” without warranty of any kind. The AMA specifically disclaims all liability for use or accuracy of any CPT codes.”