**Self-Pay Charges (subject to change)
|
New Patient |
$100 for office visit |
Established Patient |
$50 for office visit |
|
Cosmetic Consult |
$75 |
Light Treatment |
$65 |
|
COSMETIC |
|
SURGICAL |
|
|
Botox |
(See Below) |
Biopsy |
$80 |
|
Dysport |
$250 plus $5/unit # of units _________ |
Blood Work |
$35 – Accutane Test $105 – Add’tl Specialty Tests |
|
Juvederm Ultra |
$550 per syringe # of syringes_________ |
Pathology Charge |
$130 |
|
Juvederm Ultra Plus |
$600 per syringe # of syringes________ |
Excision/Cyst/Tumor (head, scalp, arms) |
< 2cm - $445 >2cm - $604 |
|
Radiesse |
$625 per syringe # of syringes________ |
Excision/Cyst/Tumor (trunk, arms, legs) |
< 2cm - $315 >2cm - $420 |
|
Perlane |
$500 per syringe # of syringes________ |
Shave Excision (face, scalp, neck) |
< 2cm - $157.50 >2cm - $367 |
|
Restylane |
$475 per syringe # of syringes________ |
Shave Excision (trunk) |
< 2cm - $131 > 2cm -$315 |
|
Latisse |
$115 3 for $280 (no tax charged) |
Liquid Nitrogen |
1+ warts - $84 |
|
Vitalize Peel |
$150 3 for $375 |
Skin Tags |
1 – 14 - $79 15 + - $158 |
|
Rejuvenize Peel |
$250 3 for $650 |
|
|
|
Sclerotherapy |
15 min - $185 30 min - $330 |
|
|
Botox Schedule
|
# of Units |
Cost |
# of Units |
Cost ($) |
# of Units |
Cost ($) |
|
5 |
$75 |
45 |
$630 |
85 |
$1,105 |
|
10 |
$150 |
50 |
$700 |
90 |
$1,170 |
|
15 |
$225 |
55 |
$770 |
95 |
$1,235 |
|
20 |
$300 |
60 |
$840 |
100 |
$1,300 |
|
25 |
$375 |
65 |
$910 |
|
|
|
30 |
$450 |
70 |
$980 |
|
|
|
35 |
$525 |
75 |
$1,050 |
|
|
|
40 |
$600 |
80 |
$1,120 |
|
|
|
1-40 |
$15 per unit |
41-80 |
$14 per unit |
>81-$13 per unit |
|

