| Airway Inhalation Treatment (94640) |
$39.15 |
$87 |
0.2× |
| Analyze neurostim complex (95972) |
$111.15 |
$247 |
1.2× |
| Analyze neurostim no prog (95970) |
$163.35 |
$363 |
1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$72.90 |
$162 |
5.1× |
| Application Modality 1/> Areas Infrared (97026) |
$40.05 |
$89 |
6.0× |
| Application on-body injector (96377) |
$74.25 |
$165 |
1.7× |
| Behavral qualit analys voice (92524) |
$173.25 |
$385 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$147.15 |
$327 |
0.4× |
| Canalith repositioning proc (95992) |
$67.95 |
$151 |
1.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$553.95 |
$1,231 |
2.7× |
| Cardiopulmonary resuscitation (92950) |
$219.60 |
$488 |
1.1× |
| Cardioversion (92960) |
$667.35 |
$1,483 |
1.1× |
| Chemo Admin Peritoneal Cavity (96446) |
$603 |
$1,340 |
1.9× |
| Chemo Anti-Neopl Sq/Im (96401) |
$117.90 |
$262 |
1.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$117.90 |
$262 |
1.7× |
| Chemo IV infusion addl hr (96415) |
$117.90 |
$262 |
1.7× |
| Chemo IV push addl drug (96411) |
$117.90 |
$262 |
1.7× |
| Chemother Prolong Infuse W/Pump (96416) |
$211.05 |
$469 |
0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$83.25 |
$185 |
1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$239.40 |
$532 |
0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$357.75 |
$795 |
1.1× |
| Chest Wall Manipulation (94668) |
$102.15 |
$227 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$618.30 |
$1,374 |
2.7× |
| Color/duplex Doppler, limited (93976) |
$265.05 |
$589 |
2.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$183.60 |
$408 |
1.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$128.25 |
$285 |
2.3× |
| Continuous Pulse Ox (94762) |
$72 |
$160 |
0.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$104.40 |
$232 |
0.5× |
| Cpt initial (94667) |
$297 |
$660 |
2.4× |
| Critical care first hour (99291) |
$807.30 |
$1,794 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$203.85 |
$453 |
1.1× |
| Dialysis One Evaluation (90945) |
$423 |
$940 |
1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$238.05 |
$529 |
1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$394.20 |
$876 |
4.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$426.15 |
$947 |
1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$302.40 |
$672 |
3.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$426.15 |
$947 |
1.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$302.40 |
$672 |
3.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$272.70 |
$606 |
1.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$130.95 |
$291 |
1.3× |
| Duplex Scan Hemodialysis Access (93990) |
$142.20 |
$316 |
1.4× |
| Duplex up extrem art bilat (93930) |
$426.15 |
$947 |
1.9× |
| Duplex up extrem art unilat/ltd (93931) |
$302.40 |
$672 |
3.1× |
| ECG/monitoring and analysis (93271) |
$339.30 |
$754 |
3.8× |
| Echo Heart Xthoracic,Limited (93308) |
$265.50 |
$590 |
1.2× |
| Echo transesophageal (93312) |
$638.55 |
$1,419 |
1.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,143 |
$2,540 |
2.2× |
| Eeg 41-60 Minutes (95812) |
$400.05 |
$889 |
2.0× |
| EEG awake and asleep (95819) |
$400.05 |
$889 |
2.0× |
| EEG awake drowsy (95816) |
$511.65 |
$1,137 |
2.5× |
| EEG extended monitoring 61-119 minutes (95813) |
$424.35 |
$943 |
2.1× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$169.20 |
$376 |
1.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$72.90 |
$162 |
5.0× |
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines |
$94.05–$123.30 |
$209–$274 |
varies |
| Emergency Dept Visit Level 2 (99282) |
$151.20 |
$336 |
1.0× |
| Emergency Dept Visit Level 3 (99283) |
$257.85 |
$573 |
1.0× |
| Emergency Dept Visit Level 4 (99284) |
$505.35 |
$1,123 |
1.3× |
| Er level 1 (99281) |
$102.60 |
$228 |
1.3× |
| Er level v (99285) |
$676.80 |
$1,504 |
1.2× |
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines |
$111.60–$131.85 |
$248–$293 |
varies |
| Evaluate Speech Production (92522) |
$173.25 |
$385 |
1.5× |
| Evaluate Swallowing Function (92610) |
$173.25 |
$385 |
2.0× |
| Evaluation of speech fluency (92521) |
$173.25 |
$385 |
1.3× |
| External ECG rec>48hr<7d recording (93242) |
$25.65 |
$57 |
0.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$87.75 |
$195 |
0.7× |
| External Ecg Scanning Analysis Report (93226) |
$243 |
$540 |
4.4× |
| Extracranial Bilat Study (93880) |
$425.25 |
$945 |
1.9× |
| Extracranial Uni/Ltd Study (93882) |
$412.65 |
$917 |
4.2× |
| Group Therapeutic Procedures (97150) |
$120.60 |
$268 |
6.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$457.20 |
$1,016 |
0.7× |
| Holter monitor recording (93225) |
$176.40 |
$392 |
1.4× |
| Immunization administration (90471) |
$18.45 |
$41 |
0.3× |
| Iontophoresis 15 min (97033) |
$99.90 |
$222 |
5.2× |
| Irrig Drug Delivery Device (96523) |
$106.20 |
$236 |
1.9× |
| IV infusion hydration each additional hour (96361) |
$45 |
$100 |
1.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$132.30 |
$294 |
0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$83.25 |
$185 |
1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$48.15 |
$107 |
1.1× |
| IV push initial (96374) |
$49.50 |
$110 |
0.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$61.65 |
$137 |
1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$72.90 |
$162 |
2.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$34.20 |
$76 |
2.0× |
| Motion Fluoroscopy/Swallow (92611) |
$229.95 |
$511 |
2.5× |
| Multiple Sleep Latency Test (95805) |
$1,267.65 |
$2,817 |
1.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$306.45 |
$681 |
0.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$306.45 |
$681 |
0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$112.05 |
$249 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$248.40 |
$552 |
0.6× |
| Neuromuscular Reeducation (97112) |
$78.30 |
$174 |
2.4× |
| Oral Function Therapy (92526) |
$109.35 |
$243 |
1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$97.65 |
$217 |
1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$76.50 |
$170 |
1.7× |
| Ot eval high complexity (97167) |
$408.60 |
$908 |
4.1× |
| Ot Eval Low Complex (97165) |
$203.85 |
$453 |
2.0× |
| Ot Eval Moderate Complexity (97166) |
$306.45 |
$681 |
3.0× |
| Ot manual therapy 15 min (97140) |
$83.70 |
$186 |
3.0× |
| Ot paraffin bath (97018) |
$72.90 |
$162 |
12.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$76.50 |
$170 |
1.9× |
| Ot Re-Eval Est Plan Care (97168) |
$268.20 |
$596 |
3.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$52.20 |
$116 |
0.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$70.20 |
$156 |
0.6× |
| Phlebotomy therapeutic (99195) |
$177.30 |
$394 |
1.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$98.10 |
$218 |
1.8× |
| Physical Performance Test (97750) |
$142.65 |
$317 |
4.2× |
| Plethysmography (94726) |
$362.70 |
$806 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,735.10 |
$6,078 |
3.4× |
| Pt Eval High Complex (97163) |
$419.40 |
$932 |
4.3× |
| Pt eval low complex 20 min (97161) |
$186.30 |
$414 |
1.9× |
| Pt Eval Mod Complex (97162) |
$279.90 |
$622 |
2.9× |
| Pt gait training 15 min (97116) |
$76.50 |
$170 |
2.6× |
| Pt mechanical traction (97012) |
$72.90 |
$162 |
5.1× |
| Pt Re-Eval Est Plan Care (97164) |
$284.40 |
$632 |
4.2× |
| Pulm function test by gas (94727) |
$132.75 |
$295 |
0.6× |
| Pulmonary Stress Testing (94618) |
$197.10 |
$438 |
1.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$207 |
$460 |
5.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$203.85 |
$453 |
1.1× |
| Self Care Mngment Training (97535) |
$89.10 |
$198 |
2.8× |
| Sensory Integration Ea 15 Min (97533) |
$85.50 |
$190 |
1.4× |
| Speech sound lang comprehen (92523) |
$173.25 |
$385 |
0.8× |
| Spirometry (94010) |
$137.25 |
$305 |
0.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$83.70 |
$186 |
2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$85.50 |
$190 |
2.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$49.95 |
$111 |
0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$31.95 |
$71 |
0.5× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$92.25 |
$205 |
0.5× |
| Therapeutic Activities (97530) |
$89.10 |
$198 |
2.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$243 |
$540 |
0.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$49.05 |
$109 |
1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$49.05 |
$109 |
1.4× |
| Tte w/doppler, complete (93306) |
$954 |
$2,120 |
1.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$141.75 |
$315 |
1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$49.50 |
$110 |
1.1× |
| Upr/L Xtremity Art 2 Levels (93922) |
$118.35 |
$263 |
0.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$193.05 |
$429 |
0.9× |
| Vasopneumatic device (97016) |
$97.65 |
$217 |
8.1× |
| Vent Mgmt Inpat Init Day (94002) |
$555.30 |
$1,234 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$167.40 |
$372 |
0.3× |
| Whirlpool Therapy (97022) |
$116.10 |
$258 |
7.4× |