APM SELF-PAY FEE SCHEDULE
For In-Office Visits / Procedures
VISIT
New Pt Visit $350
Follow Up Visit $200
PROCEDURES: 1-side 2-sides
Ankle Nerve Block $300 $450
Elbow Epicondyle Injection $300 $450
Cervical or Thoracic IL ESI $600
Cervical or Thoracic MB Block – 2 level $575 $865
Cervical or Thoracic MB Block – addl level $200 $300
Cervical or Thoracic MB RFA – 2 level $1360 $2040
Cervical or Thoracic MB RFA – addl level $500 $750
Cluneal Nerve Block $300 $450
Ganglion Impar Block $450 $675
Ganglion Impar Neurolysis $750 $1125
Hand: Digital Nerve Block $300
Hand: Trigger Finger Injection $300
Hand: Thumb Capsule Inection $300
Hand: Wrist Injection $300
Hip: Fem-Obtur Nerve Block $550 $825
Hip: Fem-Obtur Nerve RFA $1200 $1800
Hip IA Steroid Injection $450 $675
Hip Greater Trochanter Injection $350 $525
Occipital Nerve Block $350 $525
Occipital Nerve RFA $1200 $1800
Intercostal Nerve Block (cost/level) $100/level $150/level
Intercostal Nerve RFA (cost/level) $400/level $600/level
Ilioinguinal-Iliohypogastric Nerve Block $350 $525
Ilioinguinal-Iliohypogastric Nerve RFA $750 $1125
IT Pump Refill w/ fluoro guidance $250
Knee Hyaluronic Acid Injection $800 $1200
Knee Steroid IA injection $350 $525
Knee Genicular Nerve Block $500 $750
Knee Genicular Nerve RFA $1300 $1950
Knee Infrasaphenous Nerve Block $350 $525
Knee Infrasaphenous Nerve RFA $750 $1125
KYPHOPLASTY – 1 level $7000
KYPHOPLASTY – each additional level $3000
Lateral Femoral Cutaneous Nerve Block $350 $525
Lateral Femoral Cutaneous Nerve RFA $750 $1125
Lumbar or Caudal IL ESI $550
Lumbar TF ESI – 1 level $500 $750
Lumbar TF ESU - each additional level $250 $375
Lumbar MB Block – 2 level $550 $825
Lumbar MB Block – addl level $200 $300
Lumbar MB RFA – 2 level $1340 $2010
Lumbar MB RFA – addl level $500 $750
Piriformis Block $350 $525
Pudendal Nerve Block $400 $600
Pudendal Nerve RFA $900 $1350
PNS Trial $2500
SCS Trial $3000
Scar Injection $350
Shoulder AC Joint Injection $325 $490
Shoulder IA Steroid Injection $375 $565
Shoulder Suprascap Nerve Block $400 $600
Shoulder Suprascap Nerve RFA $900 $1350
SIJ Nerve Block $450 $675
SIJ Nerve RFA $1400 $2100
TMJ Injection $350 $525
Trigeminal Nerve Block $600
Trigger Point Injections $125
ADD-ON
Ultrasound Guidance $80
Flouroscopic Guidance $200
All Fees are subject to change without notice
