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• Billing Policies
Billing and Cancellation Policies
Last Modified 1/3/2009
There is a copayment due before each appointment that depends on your health insurance coverage. Click here to see a list of insurances we participate with. To read more about how health insurance coverage works, click here for more information. Please refer to your health care policy on the exact copayment amounts for a new and a return appointment for a specialist. We do not participate with Care Credit, but do offer monthly payment plans for any large charges incurred. |
We Accept
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$50 no-show fine for missed appointments. To avoid a no-show charge, please inform our office of any appointment cancellations at least 24 hours in advance. Same-day cancellations also will be subject to the no-show charge. A missed appointment hurts 3 people. You, the physician, and another patient who could have been scheduled.
Please contact our office for any appointment cancellations 24 hours in advance to avoid the no-show fine!
$100 charge for rescheduling surgery more than 2 times.
Charge for Allergy Injections: $22 per 1 injection. We will submit to your insurance, as long as it is one we are participating with. If it is not, we ask that you pay promptly for the injections and we will supply you with an itemized statement for you to receive reimbursement. Please be aware that it is our policy that a patient’s account be kept current in order for new vaccine to be made and the allergy injections to continue. It is also our policy to charge your insurance company for the allergy vials when they are made and then an administration charge for the injections when they are given.
Charge for one 3-month supply of allergy drops: $200. This service is NOT covered by health insurance companies. Payment required before vial will be created. Please note that this dollar amount works out to less than $20 per week.
Botox for Migraine Headaches and TMJ: ($30-$45 per injection to maximum $1000). This service is NOT covered by most health insurance companies. Please call your insurance company to see if this procedure is covered by your plan (CPT is 64613 and 64612; ICD-9 is 346.1 for migraine and 524.60 for TMJ). Payment required before procedure scheduling. The beneficial affects of Botox injection lasts about 3 - 4 months. Financial assistance available for those who qualify. Call 1-800-44-BOTOX, option 6 for more information.
Botox for Cosmetic Uses: (Price as of 2/6/09: $20-$45 per injection). This service is NOT covered by any health insurance company and payment is required prior to any injections performed.
- $45 for a single 5.0 units injection
- $40 for a single 3.75 units injection
- $35 for a single 2.5 units injection
- $30 for a single 1.25 units injection
- $20-$25 for a weaker concentration of botox per injection
Generally speaking, given this price breakdown, the cost range to treat various wrinkles typically are as follows:
- $60 - $105 for Crow's Feet
- $150 - $400 for Forehead Wrinkles
- $70 for Wrinkles between the Eyebrows
- etc
To read more about why the cost variation, click here.
Snoring Procedures: Any type of procedure to address snoring is NOT covered by any health insurance company and payment is required prior to any procedure.
- Injection Snoreplasty: $200 (for 1st injection). Repeated injection sessions within 6 months of 1st injection would be $50 each. Patient will need to obtain sclerosing agent from pharmacy (prescription will be provided).
- Coblation Palatoplasty: We no longer offer this.
- Pillar Implant: We no longer offer this.
Charge for Making a CD-R/DVD-R Copy of a Voice Examination: $30
Voice Examination Including Stroboscopy for Self-Pay Patients: $500
Self-Pay (No Health Insurance) Billing Policy (Download, read, and sign prior to your visit if applicable)
