| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$80 |
$200 |
5.6× |
| Behavral qualit analys voice (92524) |
$226 |
$565 |
2.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,453.20 |
$3,633 |
6.4× |
| Chemo Admin Peritoneal Cavity (96446) |
$301.60 |
$754 |
0.9× |
| Chemo Anti-Neopl Sq/Im (96401) |
$294 |
$735 |
3.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$279.60 |
$699 |
3.7× |
| Chemo IV infusion addl hr (96415) |
$54.40 |
$136 |
0.7× |
| Chemo IV push addl drug (96411) |
$288 |
$720 |
3.8× |
| Chemother Prolong Infuse W/Pump (96416) |
$381.20 |
$953 |
1.1× |
Chemotherapy Into Cns (96450)
range across 3 matching MRF lines |
$660.80–$935.20 |
$1,652–$2,338 |
varies |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$443.60 |
$1,109 |
1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$117.20 |
$293 |
1.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$244 |
$610 |
0.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$288 |
$720 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$456.40 |
$1,141 |
1.8× |
| Color/duplex Doppler, limited (93976) |
$765.60 |
$1,914 |
7.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$55.20 |
$138 |
1.7× |
| Critical care first hour (99291) |
$2,854 |
$7,135 |
3.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$333.20 |
$833 |
1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$328.80 |
$822 |
3.0× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$383.60 |
$959 |
3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$498 |
$1,245 |
2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$498 |
$1,245 |
4.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$604.80 |
$1,512 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$388.80 |
$972 |
3.6× |
| Duplex Scan Hemodialysis Access (93990) |
$904.80 |
$2,262 |
8.3× |
| Duplex up extrem art bilat (93930) |
$590 |
$1,475 |
2.4× |
| Duplex up extrem art unilat/ltd (93931) |
$690 |
$1,725 |
6.3× |
| Echo Heart Xthoracic,Limited (93308) |
$1,210.40 |
$3,026 |
4.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,434.80 |
$6,087 |
4.3× |
| Emergency Dept Visit Level 2 (99282) |
$407.60 |
$1,019 |
2.5× |
| Emergency Dept Visit Level 3 (99283) |
$752 |
$1,880 |
2.6× |
| Emergency Dept Visit Level 4 (99284) |
$1,386 |
$3,465 |
3.2× |
| Er level 1 (99281) |
$284.40 |
$711 |
3.2× |
| Er level v (99285) |
$1,778 |
$4,445 |
2.9× |
| Evaluate Speech Production (92522) |
$241.60 |
$604 |
2.2× |
| Evaluation of speech fluency (92521) |
$261.20 |
$653 |
2.0× |
| Extracranial Bilat Study (93880) |
$640 |
$1,600 |
2.6× |
| Extracranial Uni/Ltd Study (93882) |
$484 |
$1,210 |
4.4× |
| Group Therapeutic Procedures (97150) |
$62.40 |
$156 |
3.5× |
| Iontophoresis 15 min (97033) |
$76.40 |
$191 |
4.0× |
| Irrig Drug Delivery Device (96523) |
$132.40 |
$331 |
2.1× |
| IV infusion hydration each additional hour (96361) |
$68.40 |
$171 |
1.4× |
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines |
$459.20–$505.20 |
$1,148–$1,263 |
varies |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$329.20 |
$823 |
1.5× |
| Neuromuscular Reeducation (97112) |
$77.20 |
$193 |
2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$38.80 |
$97 |
0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$45.60 |
$114 |
1.0× |
| Ot eval high complexity (97167) |
$152 |
$380 |
1.5× |
| Ot Eval Low Complex (97165) |
$152 |
$380 |
1.5× |
| Ot Eval Moderate Complexity (97166) |
$152 |
$380 |
1.5× |
| Ot manual therapy 15 min (97140) |
$72 |
$180 |
2.6× |
| Ot paraffin bath (97018) |
$62 |
$155 |
10.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$76.40 |
$191 |
1.9× |
| Ot Re-Eval Est Plan Care (97168) |
$66.40 |
$166 |
1.0× |
| Penile Vascular Study,Ltd or F/U (93981) |
$209.60 |
$524 |
1.9× |
Physical Performance Test (97750)
range across 4 matching MRF lines |
$53.13–$79.60 |
$132.83–$199 |
varies |
| Pt Eval High Complex (97163) |
$196 |
$490 |
2.0× |
| Pt eval low complex 20 min (97161) |
$196 |
$490 |
2.0× |
| Pt Eval Mod Complex (97162) |
$196 |
$490 |
2.0× |
| Pt gait training 15 min (97116) |
$75.20 |
$188 |
2.6× |
| Pt mechanical traction (97012) |
$67.60 |
$169 |
4.7× |
| Pt Re-Eval Est Plan Care (97164) |
$89.20 |
$223 |
1.3× |
| Refill/Maint Portable Pump (96521) |
$279.60 |
$699 |
1.3× |
| Remote 30 Day Ecg Tech Supp (93229) |
$820.40 |
$2,051 |
2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$145.20 |
$363 |
0.7× |
| Self Care Mngment Training (97535) |
$39.60 |
$99 |
1.2× |
| Speech sound lang comprehen (92523) |
$240 |
$600 |
1.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$69.20 |
$173 |
1.9× |
| Therapeutic Activities (97530) |
$79.20 |
$198 |
2.3× |
| Tte w/doppler, complete (93306) |
$2,470.80 |
$6,177 |
4.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$100.80 |
$252 |
1.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$373.60 |
$934 |
2.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$315.60 |
$789 |
1.4× |
| Vasopneumatic device (97016) |
$65.60 |
$164 |
5.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$24 |
$60 |
0.8× |