| Acoustic Reflex Testing (92568) |
— |
$132 |
— |
| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$22 |
— |
| Advncd Care Plan 30 Min (99497) |
— |
$179 |
— |
Airway Inhalation Treatment (94640)
range across 11 matching MRF lines |
— |
$26–$1,460 |
— |
| Analyze neurostim complex (95972) |
— |
$122 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$101 |
— |
| Audiometry Air & Bone (92553) |
— |
$353 |
— |
| Behavral qualit analys voice (92524) |
— |
$505 |
— |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 4 matching MRF lines |
— |
$83–$994 |
— |
| Canalith repositioning proc (95992) |
— |
$144 |
— |
| Car seat/bed test 60 min (94780) |
— |
$138 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,804 |
— |
| Cardiopulmonary exercise testing (94621) |
— |
$2,041 |
— |
Cardiopulmonary resuscitation (92950)
range across 6 matching MRF lines |
— |
$694–$1,662 |
— |
Cardioversion (92960)
range across 4 matching MRF lines |
— |
$331–$2,463 |
— |
| Cbt 1st hour (94644) |
— |
$349 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$308 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$308 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$555 |
— |
| Chemo IV push addl drug (96411) |
— |
$508 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$737 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$921 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$711 |
— |
| Chest Wall Manipulation (94668) |
— |
$162 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,704 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$1,036 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$111 |
— |
| Comprehensive Hearing Test (92557) |
— |
$353 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$558 |
— |
| Continuous Pulse Ox (94762) |
— |
$739 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$1,198 |
— |
| Cpt initial (94667) |
— |
$265 |
— |
Critical care first hour (99291)
range across 7 matching MRF lines |
— |
$588–$3,227 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines |
— |
$217–$657 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,618 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$1,209 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,989 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$1,443 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$2,086 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,443 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$977 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,579 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$1,423 |
— |
| ECG/monitoring and analysis (93271) |
— |
$1,087 |
— |
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines |
— |
$59–$1,520 |
— |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
— |
$191 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$1,361 |
— |
| EEG awake and asleep (95819) |
— |
$2,133 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$2,057 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$156 |
— |
Electrocardiogram Tracing (93005)
range across 6 matching MRF lines |
— |
$42–$483 |
— |
Emergency Dept Visit Level 2 (99282)
range across 5 matching MRF lines |
— |
$125–$557 |
— |
Emergency Dept Visit Level 3 (99283)
range across 5 matching MRF lines |
— |
$160–$919 |
— |
Emergency Dept Visit Level 4 (99284)
range across 5 matching MRF lines |
— |
$265–$1,344 |
— |
| Emg 4 Extremities (95864) |
— |
$499 |
— |
Er level 1 (99281)
range across 5 matching MRF lines |
— |
$95–$315 |
— |
Er level v (99285)
range across 5 matching MRF lines |
— |
$385–$2,158 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$238 |
— |
| Evaluate Speech Production (92522) |
— |
$505 |
— |
| Evaluate Swallowing Function (92610) |
— |
$523 |
— |
| Evaluation of speech fluency (92521) |
— |
$481 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$737 |
— |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
— |
$1,226 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$740 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$1,226 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$1,338 |
— |
| Extracranial Bilat Study (93880) |
— |
$2,190 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$1,221 |
— |
| Holter monitor recording (93225) |
— |
$736 |
— |
Immunization administration (90471)
range across 5 matching MRF lines |
— |
$22–$137 |
— |
| Inital newborn e/m (99460) |
— |
$201 |
— |
| Iontophoresis 15 min (97033) |
— |
$218 |
— |
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines |
— |
$53–$218 |
— |
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines |
— |
$26–$154 |
— |
IV infusion hydration initial 31 min-1 hour (96360)
range across 5 matching MRF lines |
— |
$69–$578 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$453 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$255 |
— |
IV push initial (96374)
range across 5 matching MRF lines |
— |
$78–$331 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$1,763 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$372 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$62 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$86 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$764 |
— |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
— |
$406 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$3,758 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$345 |
— |
| Muscle Test One Limb (95860) |
— |
$242 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$443 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$473 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$604 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$617 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$3,837 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$4,961 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$1,306 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$1,952 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$2,800 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$3,021 |
— |
| Neuromuscular Reeducation (97112) |
— |
$164 |
— |
| Newborn resuscitation (99465) |
— |
$320 |
— |
| Oral Function Therapy (92526) |
— |
$395 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$117 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$191 |
— |
| Ot eval high complexity (97167) |
— |
$334 |
— |
| Ot Eval Low Complex (97165) |
— |
$265 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$331 |
— |
| Ot manual therapy 15 min (97140) |
— |
$166 |
— |
| Ot paraffin bath (97018) |
— |
$92 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$146 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$144 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$422 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$5 |
— |
Peripheral arterial disease rehab per session (93668)
range across 4 matching MRF lines |
— |
$6–$342 |
— |
| Phlebotomy therapeutic (99195) |
— |
$356 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$464 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$454 |
— |
| Physical Performance Test (97750) |
— |
$116 |
— |
| Plethysmography (94726) |
— |
$1,043 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$7,005 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$31 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$21 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$26 |
— |
| Psycl/Nrpsyc Tst Auto Result (96146) |
— |
$135 |
— |
| Pt Eval High Complex (97163) |
— |
$441 |
— |
| Pt eval low complex 20 min (97161) |
— |
$331 |
— |
| Pt Eval Mod Complex (97162) |
— |
$331 |
— |
| Pt gait training 15 min (97116) |
— |
$139 |
— |
| Pt mechanical traction (97012) |
— |
$108 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$225 |
— |
| Pulmonary service/procedure (94799) |
— |
$252 |
— |
| Pulmonary Stress Testing (94618) |
— |
$626 |
— |
Pure Tone Audiometry Air (92552)
range across 4 matching MRF lines |
— |
$80–$132 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$476 |
— |
Respiratory flow volume loop (94375)
range across 4 matching MRF lines |
— |
$71–$291 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$336 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$301 |
— |
| Self Care Mngment Training (97535) |
— |
$144 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$122 |
— |
| Sleep study unattended (95806) |
— |
$669 |
— |
| Speech Audiometry Complete (92556) |
— |
$132 |
— |
| Speech audiometry threshold (92555) |
— |
$132 |
— |
| Speech sound lang comprehen (92523) |
— |
$547 |
— |
| Spirometry (94010) |
— |
$550 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$439 |
— |
| Stress Tte Only (93350) |
— |
$2,451 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,833 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$247 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$125 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines |
— |
$45–$223 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$631 |
— |
| Therapeutic Activities (97530) |
— |
$163 |
— |
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 4 matching MRF lines |
— |
$59–$138 |
— |
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 4 matching MRF lines |
— |
$32–$95 |
— |
Tte w/doppler, complete (93306)
range across 4 matching MRF lines |
— |
$161–$3,185 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$2,828 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$426 |
— |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines |
— |
$277–$794 |
— |
Tympanometry (92567)
range across 4 matching MRF lines |
— |
$36–$122 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$899 |
— |
| Vasopneumatic device (97016) |
— |
$118 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,976 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,040 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$170 |
— |
| Whirlpool Therapy (97022) |
— |
$137 |
— |