| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$67.20 |
$96 |
2.4× |
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines |
$14.70–$76.30 |
$21–$109 |
varies |
| Airway Inhalation Treatment (94640) |
$351.40 |
$502 |
1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$21.70 |
$31 |
1.5× |
| Application on-body injector (96377) |
$73.50 |
$105 |
1.6× |
| Assessment of aphasia per hr (96105) |
$98.70 |
$141 |
1.0× |
| Audiometry Air & Bone (92553) |
$295.40 |
$422 |
2.4× |
| Basic vestibular evaluation (92540) |
$258.30 |
$369 |
1.2× |
| Behavral qualit analys voice (92524) |
$206.50 |
$295 |
1.9× |
| Brief Emotional/Behav Assmt (96127) |
$80.50 |
$115 |
2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$688.10 |
$983 |
1.9× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$336.70 |
$481 |
1.6× |
| Caloric Vstblr Test W/Rec (92537) |
$303.80 |
$434 |
2.4× |
| Canalith repositioning proc (95992) |
$141.40 |
$202 |
3.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,272.60 |
$1,818 |
6.1× |
| Cardiopulmonary resuscitation (92950) |
$584.50 |
$835 |
2.8× |
Cardioversion (92960)
range across 2 matching MRF lines |
$1,323–$1,906.10 |
$1,890–$2,723 |
varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$6,582.10 |
$9,403 |
2.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$9,184.70 |
$13,121 |
2.9× |
| Cbt 1st hour (94644) |
$280.70 |
$401 |
2.2× |
| Chemo Anti-Neopl Sq/Im (96401) |
$126 |
$180 |
1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$126 |
$180 |
1.8× |
| Chemo IV infusion addl hr (96415) |
$126 |
$180 |
1.8× |
| Chemo IV push addl drug (96411) |
$256.20 |
$366 |
3.7× |
| Chemother Prolong Infuse W/Pump (96416) |
$693.70 |
$991 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$256.20 |
$366 |
3.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$315 |
$450 |
1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$434 |
$620 |
1.4× |
| Chest Wall Manipulation (94668) |
$196 |
$280 |
1.5× |
| Cmptr ophth dx img ant segmt (92132) |
$126.70 |
$181 |
2.2× |
| Color/duplex Doppler, complete (93975) |
$495.60 |
$708 |
2.1× |
| Comprehensive Hearing Test (92557) |
$140.70 |
$201 |
1.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$60.90 |
$87 |
1.1× |
| Computerized Ophthalmic Imaging Retina (92134) |
$60.90 |
$87 |
1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$220.50 |
$315 |
1.7× |
| Corneal Topography (92025) |
$60.90 |
$87 |
1.1× |
| Coronary Artery Angio S&I (93454) |
$6,582.10 |
$9,403 |
2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$533.40 |
$762 |
2.5× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$623 |
$890 |
3.0× |
| Critical care first hour (99291) |
$1,624 |
$2,320 |
2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$340.20 |
$486 |
1.8× |
| Dialysis One Evaluation (90945) |
$87.50 |
$125 |
0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$233.80 |
$334 |
2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$607.60 |
$868 |
2.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$378 |
$540 |
3.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$495.60 |
$708 |
2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$378 |
$540 |
3.7× |
| Duplex up extrem art bilat (93930) |
$788.90 |
$1,127 |
3.4× |
| Duplex up extrem art unilat/ltd (93931) |
$378 |
$540 |
3.7× |
| Echo Heart Xthoracic,Limited (93308) |
$764.40 |
$1,092 |
3.3× |
| Echo transesophageal (93312) |
$1,411.90 |
$2,017 |
2.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,099.70 |
$1,571 |
2.1× |
| EEG awake and asleep (95819) |
$648.20 |
$926 |
3.1× |
| EEG awake drowsy (95816) |
$535.50 |
$765 |
2.6× |
| EEG extended monitoring 61-119 minutes (95813) |
$648.20 |
$926 |
3.1× |
| Electrical Stimulation Ea 15 Min (97032) |
$80.50 |
$115 |
5.5× |
| Electrocardiogram Tracing (93005) |
$281.40 |
$402 |
4.9× |
| Emergency Dept Visit Level 2 (99282) |
$324.10 |
$463 |
2.2× |
| Emergency Dept Visit Level 3 (99283) |
$564.20 |
$806 |
2.1× |
| Emergency Dept Visit Level 4 (99284) |
$873.60 |
$1,248 |
2.2× |
| Er level 1 (99281) |
$183.40 |
$262 |
2.2× |
| Er level v (99285) |
$1,267 |
$1,810 |
2.2× |
| Evaluate pt use of inhaler (94664) |
$162.40 |
$232 |
0.8× |
| Evaluate Speech Production (92522) |
$182 |
$260 |
1.6× |
| Evaluate Swallowing Function (92610) |
$376.60 |
$538 |
4.4× |
| Evaluation of speech fluency (92521) |
$133 |
$190 |
1.0× |
| Evoked Auditory Test,Limited (92587) |
$239.40 |
$342 |
1.1× |
| Exercise test for bronchospasm (94617) |
$193.20 |
$276 |
1.5× |
| External Ecg Scanning Analysis Report (93226) |
$421.40 |
$602 |
7.4× |
| Extracranial Bilat Study (93880) |
$504 |
$720 |
2.2× |
| Fundus photography (92250) |
$99.40 |
$142 |
0.8× |
| Gonioscopy (92020) |
$99.40 |
$142 |
0.8× |
| Group Therapeutic Procedures (97150) |
$76.30 |
$109 |
4.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$521.50 |
$745 |
0.8× |
| Holter monitor recording (93225) |
$398.30 |
$569 |
3.1× |
| Icd device progr eval dual (93283) |
$77.70 |
$111 |
2.2× |
| Icd Device Progr Eval Mult (93284) |
$80.50 |
$115 |
2.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$138.60 |
$198 |
2.0× |
| Immunization administration (90471) |
$117.60 |
$168 |
1.7× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$1,026.90 |
$1,467 |
2.8× |
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines |
$120.40–$148.40 |
$172–$212 |
varies |
| IV infusion hydration each additional hour (96361) |
$144.20 |
$206 |
3.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$256.20 |
$366 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$126 |
$180 |
1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$155.40 |
$222 |
3.4× |
| IV push initial (96374) |
$200.20 |
$286 |
1.0× |
| L Hrt Art/Grft Angio (93459) |
$9,184.70 |
$13,121 |
2.9× |
| Lung Function Test (Mbc/Mvv) (94200) |
$251.30 |
$359 |
4.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$256.90 |
$367 |
1.2× |
| Mechanical chest wall oscillation per session (94669) |
$326.20 |
$466 |
1.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$98 |
$140 |
3.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$96.60 |
$138 |
2.6× |
| Methacholine challenge (94070) |
$1,795.50 |
$2,565 |
5.0× |
| Motion Fluoroscopy/Swallow (92611) |
$453.60 |
$648 |
5.0× |
| Multiple Sleep Latency Test (95805) |
$3,386.60 |
$4,838 |
4.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$775.60 |
$1,108 |
2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$186.20 |
$266 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$441.70 |
$631 |
1.1× |
| Neuromuscular Reeducation (97112) |
$133 |
$190 |
4.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$99.40 |
$142 |
0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$262.50 |
$375 |
2.0× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$112 |
$160 |
0.9× |
| Oral Function Therapy (92526) |
$346.50 |
$495 |
4.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$79.10 |
$113 |
1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$135.80 |
$194 |
2.9× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$43.40 |
$62 |
2.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$43.40 |
$62 |
2.1× |
| Ot eval high complexity (97167) |
$265.30 |
$379 |
2.6× |
| Ot Eval Low Complex (97165) |
$245.70 |
$351 |
2.4× |
| Ot Eval Moderate Complexity (97166) |
$255.50 |
$365 |
2.5× |
| Ot manual therapy 15 min (97140) |
$117.60 |
$168 |
4.2× |
| Ot Re-Eval Est Plan Care (97168) |
$147.70 |
$211 |
2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$199.50 |
$285 |
1.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$408.10 |
$583 |
1.9× |
| Phlebotomy therapeutic (99195) |
$212.80 |
$304 |
1.7× |
| Physical Performance Test (97750) |
$133 |
$190 |
3.9× |
| Plethysmography (94726) |
$350 |
$500 |
1.0× |
| Pm device progr eval dual (93280) |
$72.80 |
$104 |
2.0× |
| Pm device progr eval multi (93281) |
$72.80 |
$104 |
2.0× |
| Pm Device Progr Eval Sngl (93279) |
$72.80 |
$104 |
2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,330.90 |
$6,187 |
5.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$80.50 |
$115 |
2.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$110.60 |
$158 |
2.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$34.30 |
$49 |
0.8× |
| Pt Eval High Complex (97163) |
$204.40 |
$292 |
2.1× |
| Pt eval low complex 20 min (97161) |
$185.50 |
$265 |
1.9× |
| Pt Eval Mod Complex (97162) |
$194.60 |
$278 |
2.0× |
| Pt gait training 15 min (97116) |
$109.20 |
$156 |
3.8× |
| Pt mechanical traction (97012) |
$80.50 |
$115 |
5.6× |
| Pt Re-Eval Est Plan Care (97164) |
$140.70 |
$201 |
2.1× |
| Pulm function test by gas (94727) |
$373.10 |
$533 |
1.8× |
| Pulmonary service/procedure (94799) |
$310.10 |
$443 |
2.5× |
| Pulmonary Stress Testing (94618) |
$114.10 |
$163 |
0.9× |
| Pure Tone Audiometry Air (92552) |
$99.40 |
$142 |
0.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$9,184.70 |
$13,121 |
2.9× |
| Right Heart Cath (93451) |
$9,184.70 |
$13,121 |
2.9× |
| Self Care Mngment Training (97535) |
$133 |
$190 |
4.1× |
| Sensory Integration Ea 15 Min (97533) |
$85.40 |
$122 |
1.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$787.50 |
$1,125 |
3.8× |
| Speech Audiometry Complete (92556) |
$50.40 |
$72 |
0.9× |
| Speech audiometry threshold (92555) |
$50.40 |
$72 |
0.9× |
| Speech sound lang comprehen (92523) |
$410.20 |
$586 |
1.8× |
| Spirometry (94010) |
$289.10 |
$413 |
1.4× |
| Spontaneous Nystagmus Test (92541) |
$280.70 |
$401 |
2.2× |
| Standardized Cognitive Performance Testing (96125) |
$118.30 |
$169 |
1.1× |
| Stress Tte Only (93350) |
$755.30 |
$1,079 |
1.4× |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines |
$39.90–$79.10 |
$57–$113 |
varies |
| Ther Ivntj Ea Addl 15 Min (97130) |
$39.90 |
$57 |
1.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$141.40 |
$202 |
3.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$94.50 |
$135 |
0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$93.10 |
$133 |
1.3× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$483 |
$690 |
2.3× |
| Therapeutic Activities (97530) |
$129.50 |
$185 |
3.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$58.80 |
$84 |
1.6× |
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines |
$49.70–$63 |
$71–$90 |
varies |
| Trans Care Mgmt 14 Day Disch (99495) |
$112 |
$160 |
0.9× |
| Trans Care Mgmt 7 Day Disch (99496) |
$112 |
$160 |
0.9× |
Tte w/doppler, complete (93306)
range across 2 matching MRF lines |
$865.90–$1,120 |
$1,237–$1,600 |
varies |
| Tte W/O Doppler Complete (93307) |
$865.90 |
$1,237 |
3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$270.20 |
$386 |
3.5× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$128.10 |
$183 |
5.3× |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines |
$126–$144.90 |
$180–$207 |
varies |
| Tympanometry (92567) |
$48.30 |
$69 |
1.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$247.80 |
$354 |
1.9× |
| Vent Mgmt Inpat Init Day (94002) |
$251.30 |
$359 |
0.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$686 |
$980 |
1.1× |
| Visual Field Exam Extended (92083) |
$99.40 |
$142 |
0.8× |
| Vital capacity, total (94150) |
$305.90 |
$437 |
2.5× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$99.40 |
$142 |
2.8× |