| Airway Inhalation Treatment (94640) |
— |
$182.90 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$77.10 |
— |
| Breath hydrogen/methane test (91065) |
— |
$503.10 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$409.80 |
— |
| Canalith repositioning proc (95992) |
— |
$409.50 |
— |
| Cbt 1st hour (94644) |
— |
$347.30 |
— |
| Chest Wall Manipulation (94668) |
— |
$138.30 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,482.90 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$274.80 |
— |
| Cpt initial (94667) |
— |
$274.80 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$538.85 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,026.80 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$801.10 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,676.20 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$904.10 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,620.65 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$877.50 |
— |
| Duplex up extrem art bilat (93930) |
— |
$904.10 |
— |
Echo transesophageal (93312)
range across 2 matching MRF lines |
— |
$2,740.10–$3,430.05 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$77.10 |
— |
| Electrocardiogram Tracing (93005) |
— |
$275.50 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$578.80 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$780.25 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$1,376.40 |
— |
| Er level 1 (99281) |
— |
$434.10 |
— |
| Er level v (99285) |
— |
$2,136.95 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$137.40 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,412.30 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$1,026.80 |
— |
| Group Therapeutic Procedures (97150) |
— |
$77.10 |
— |
| Iontophoresis 15 min (97033) |
— |
$77.10 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$142.40 |
— |
IV infusion hydration initial 31 min-1 hour (96360)
range across 6 matching MRF lines |
— |
$140–$428.30 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$195.60 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$142.40 |
— |
| IV push initial (96374) |
— |
$321.80 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$208.35 |
— |
| Methacholine challenge (94070) |
— |
$657.50 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$3,970.60 |
— |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
— |
$684.10 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$699.20 |
— |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines |
— |
$306.20–$545.20 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$538.85 |
— |
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines |
— |
$326.54–$653.18 |
— |
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines |
— |
$9.60–$19.24 |
— |
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines |
— |
$1,043–$2,086 |
— |
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines |
— |
$444.50–$889 |
— |
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines |
— |
$548–$1,096 |
— |
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines |
— |
$637.50–$1,275 |
— |
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines |
— |
$795–$1,590 |
— |
| Neuromuscular Reeducation (97112) |
— |
$99.95 |
— |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
— |
$874 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$66.35 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$99.65 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$77.10 |
— |
| Ot eval high complexity (97167) |
— |
$277 |
— |
| Ot Eval Low Complex (97165) |
— |
$277 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$277 |
— |
| Ot manual therapy 15 min (97140) |
— |
$77.10 |
— |
| Ot paraffin bath (97018) |
— |
$66.20 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$99.65 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$216.75 |
— |
| Ot rom hand (95852) |
— |
$81.90 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$475.85 |
— |
| Phlebotomy therapeutic (99195) |
— |
$333.35 |
— |
| Physical Performance Test (97750) |
— |
$141.50 |
— |
| Pm device eval in person (93288) |
— |
$358.85 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$6,010.40 |
— |
| Pt Eval High Complex (97163) |
— |
$277 |
— |
| Pt eval low complex 20 min (97161) |
— |
$277 |
— |
| Pt Eval Mod Complex (97162) |
— |
$277 |
— |
| Pt gait training 15 min (97116) |
— |
$89.15 |
— |
| Pt mechanical traction (97012) |
— |
$66.20 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$216.75 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$306.20 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$81.90 |
— |
| Self Care Mngment Training (97535) |
— |
$99.95 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$1,019.85 |
— |
| Sleep study unattended (95806) |
— |
$1,033.75 |
— |
| Spirometry (94010) |
— |
$311.90 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$802.25 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$77.10 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$210.70 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$802.25 |
— |
| Therapeutic Activities (97530) |
— |
$99.95 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$2,134.65 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$272.05 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$850.25 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$772.85 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,227.30 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,227.30 |
— |
| Vital capacity, total (94150) |
— |
$208.35 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$66.20 |
— |
| Whirlpool Therapy (97022) |
— |
$66.20 |
— |