Fee Schedule

This notice is being posted in accordance with AS 18.23.400 - disclosure and reporting of health care services, prices, and fee information.

Effective January 1, 2019 and until further notice, the Arctic Chiropractic Juneau LLC’s 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 request, within 10 business days. 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.

Arctic Chiropractic Juneau LLC is contracted to provide health care services as an in-network preferred provider with Premera Blue Cross Blue Shield, TRICARE, Medicare, and Medicaid. We are also a Choice provider for VA.

1) Evaluation/Management [99201, 99202, 99203, 99212, 97161, 97162, 97163, 97164.]

Procedure Code - Description - Undiscounted Fee
99201 - New patient exam - 10 minutes - $195
99202 - New patient exam - 20 minutes - $250
99203 - New patient exam - 30 minutes - $300
99212 - Established patient exam problem focused - $125
97164 - Physical therapy re-evaluation - $225
97161 - New patient physical therapy evaluation low complexity - $225
97162 - New patient physical therapy evaluation moderate complexity - $235
97163 - New patient physical therapy evaluation high complexity - $255

2) Medicine [98940, 97941, 98942, 98943, 97124, 97140, 97032, 97035, 97110, 97012]

Procedure Code - Description - Undiscounted Fee
98940 - Chiropractic Adjustment 1- 2 regions - $75
98941 - Chiropractic Adjustment 3-4 regions - $95
98942 - Chiropractic Adjustment 5 regions - $115
98943 - Extremity Adjustment – i.e. shoulder, wrist, ankle - $65
97124 - Massage Therapy per unit - $60
97140 - Manual Therapy per unit - $75
97032 - Electrical muscle stimulation per unit - $55
97035 - Ultrasound therapy per unit - $55
97110 - Therapeutic exercises per unit - $95
97012 - Mechanical Traction per unit - $55

3) Radiology [72040, 72050, 72070, 72100, 72110, 73030, 73560, 73600]

Procedure Code - Description - Undiscounted Fee
72040 - X-ray – neck – 2/3 views - $285
72050 - X-ray – neck – 4/5 views - $375
72070 - X-ray – thoracic spine - 2 views - $270
72100 - X-ray – lumbosacral – 2/3 views - $275
72110 - X-ray - lumbosacral – 2/3 views and oblique - $350
73030 - X-ray – shoulder 2 views - $150
73560 - X-ray – knee 2 views - $150
73600 - X-ray – ankle 2 views - $125

4) Surgery - NONE

Procedure Code - Description - Undiscounted Fee
NONE - None - $0.00

5) Anesthesia - NONE

Procedure Code - Description - Undiscounted Fee
NONE - None - $0.00

6) Pathology & Laboratory - NONE

Procedure Code - Description - Undiscounted Fee
NONE - None - $0.00

The State of Alaska Department of Health and Social Services website address is http://dhss.alaska.gov/Pages/default.aspx

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Location

Phone: (907) 790-3371
Fax: (907) 790-2102

2243 Jordan Ave Juneau , AK 99801

Hours of Operation


Monday to Saturday
7:00 am - 6:00 pm

Sunday
Closed