Visits & medical services prices at Aspirus St. Luke's Hospital

Duluth, MN · every code in this section with a posted price and a Medicare benchmark.

414 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
1St psyc collab care mgmt (99492) $235.28 $432.50 2.2×
Ablation av node (93650)
unusually low: confirm this is the full procedure
$3,738.37 $6,872 0.5×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $103.36 $190 0.8×
Acoustic reflex testing (92568) $52.22 $96 1.4×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $76.70 $141 2.6×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $88.13 $162 2.9×
Advance care planning first 30 mins (99497) $117.50 $216 1.1×
Aep hearing status deter broadband stimuli i&r (92651) $172.44 $317 0.8×
Aep neurodiagnostic interpretation and report (92653) $221.95 $408 1.0×
Aep Thrshld Est Mlt Freq I&R (92652) $271.32 $498.75 1.2×
Airway inhalation treatment (94640) $64.19 $118 0.3×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $26.11 $48 0.7×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $10.34 $19 0.3×
Ambulatory Bp Analysis (93788) $222.50 $409 1.6×
Ambulatory Bp Recording (93786) $53.31 $98 0.4×
Analyze neurostim no prog (95970) $246.43 $453 1.8×
Analyze neurostim simple (95971) $502.66 $924 5.1×
Appl modality 1+lllt po pain (97037) $56.58 $104 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $55.49 $102 3.9×
Application Modality 1/> Areas Infrared (97026) $74.53 $137 11.2×
Application on-body injector (96377) $92.48 $170 1.9×
Auditory Function, 60 Min (92620) $240.45 $442 1.8×
Basic vestibular evaluation (92540) $269.28 $495 1.2×
Bedside Swallowing Eval (92610) $353.60 $650 4.2×
Behavioral and qualitative analysis of voice and resonance (92524) $253.50 $466 2.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $91.39 $168 1.1×
Bfb training ea addl 15 min (90913) $91.66 $168.50 2.8×
Biofeedback training any modality (90901) $100.64 $185 2.4×
Bis extracellular fluid alys lymphedema assmnt (93702) $122.40 $225 0.9×
Brief Emotional/Behavioral Assessment (96127) $9.25 $17 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $224.67 $413 0.6×
C motor evoked upr&lwr limbs (95939) $1,878.43 $3,453 2.1×
Caloric vestibular test w/rec bi bithermal (92537) $125.12 $230 0.9×
Caloric vestibular test w/rec bi monothermal (92538) $62.56 $115 0.3×
Canalith Repositioning Procedure (95992) $198.02 $364 4.9×
Car seat/bed test 60 min (94780) $118.59 $218 3.1×
Cardiac Stress Tst,Tracing Only (93017) $663.14 $1,219 3.0×
Cardiopulmonary exercise testing (94621) $801.31 $1,473 2.1×
Cardiopulmonary resuscitation (92950) $870.67 $1,600.50 3.9×
Cardioversion (92960) $774.93 $1,424.50 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $66.37 $122 2.5×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$8,215.49 $15,102 0.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,317.76 $15,290 2.5×
Cbt 1st hour (94644) $410.18 $754 3.0×
Cervical & ocular vemp testing w/i&r (92519) $277.17 $509.50 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $98.46 $181 1.3×
Chemo IV push addl drug (96411) $196.38 $361 2.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $511.36 $940 1.5×
Chemother, IV infusion, 1 hr (96413) $498.85 $917 1.5×
Chemother, IV infusion, ea add hr (96415) $95.74 $176 1.3×
Chemother,ia infusn tech,<1 hr (96422) $632.67 $1,163 1.9×
Chemother,Ia Push Technique (96420) $372.64 $685 1.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $273.09 $502 3.7×
Chemotherapy Administration Intralesional </7 (96405) $165.10 $303.50 2.2×
Chemotherapy into cns (96450) $517.89 $952 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $223.58 $411 3.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $378.08 $695 1.1×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $617.44 $1,135 1.8×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $356.32 $655 1.0×
Color/duplex Doppler, complete (93975) $251.87 $463 1.0×
Color/duplex Doppler, limited (93976) $236.10 $434 2.2×
Comprehensive Hearing Test (92557) $154.50 $284 1.2×
Conditioning Play Audiometry (92582) $146.88 $270 1.1×
Cont Gluc Monitoring Patient Provided Equipment (95249) $141.98 $261 2.3×
Continuous Glucose Monitoring (95250) $423.24 $778 3.1×
Corneal Topography (92025) $54.94 $101 0.9×
Coronary art/grft angio s&i (93455) $3,945.09 $7,252 1.2×
Coronary artery angio s&i (93454) $3,951.07 $7,263 1.2×
Cpap/bipap (94660) $473.82 $871 2.1×
Cpt initial (94667) $94.11 $173 0.7×
Cptrized oph dx img anterior segment uni/bi (92132) $52.77 $97 0.9×
Cptrized oph dx img pst segment uni/bi optic nrv (92133) $60.11 $110.50 1.0×
Cptrized oph dx img pst segment uni/bi retina (92134) $41.62 $76.50 0.7×
Critical care (99291) $3,348.32 $6,155 3.9×
Dbrdmt prmlg les w/pdt (96574) $570.11 $1,048 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $138.18 $254 0.7×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $166.74 $306.50 0.7×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $192.85 $354.50 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $486.34 $894 2.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $272.54 $501 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $551.62 $1,014 2.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $473.55 $870.50 4.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,022.45 $1,879.50 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $341.08 $627 3.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $221.95 $408 0.9×
Dup-scan xtr veins unilateral/limited study (93971) $371.55 $683 3.4×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $524.96 $965 2.1×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $1,085.28 $1,995 10.0×
Duplex scan extracranial art compl bi study (93880) $534.20 $982 2.2×
Duplex Scan Hemodialysis Access (93990) $591.33 $1,087 5.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $188.22 $346 1.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $383.52 $705 2.9×
Ear and throat examination (92502) $418.34 $769 0.7×
Echo Heart Xthoracic,Limited (93308) $338.91 $623 1.4×
Echo transesophag montr cardiac pump functj (93318) $1,777.25 $3,267 3.1×
Echo transesophageal (93312) $1,496.54 $2,751 2.6×
Echo Transthoracic - Congenital Tte Complete (93303) $1,586.85 $2,917 2.8×
Echo Transthoracic - Congenital Tte Limited (93304) $1,152.74 $2,119 2.0×
EEG awake and asleep (95819) $382.98 $704 1.7×
EEG awake drowsy (95816) $518.98 $954 2.3×
EEG cerebral death evaluation (95824) $914.46 $1,681 2.4×
EEG coma or sleep only (95822) $914.46 $1,681 4.1×
EEG cont rec w/video by tech min 8 channels (95700) $571.20 $1,050 2.6×
EEG greater than 1 hour (95813) $1,244.13 $2,287 5.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,097.79 $2,018 4.9×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $1,711.42 $3,146 4.4×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,711.42 $3,146 4.4×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $1,711.42 $3,146 4.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,097.79 $2,018 4.9×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $1,097.79 $2,018 4.9×
EKG rhythm strip (93041) $135.46 $249 2.2×
Elec alys implt cplx cn npgt prgrmg (95977) $100.10 $184 1.0×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $120.77 $222 3.1×
Elec Alys Nstim Pls Gen Gastric Sbsq W/Reprgrmg (95982) $99.01 $182 2.6×
Electrocardiogram Tracing (93005) $109.34 $201 1.8×
Electrocochleography (92584) $214.34 $394 1.6×
Electroconvulsive Therapy (90870) $612 $1,125 0.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $905.76 $1,665 4.1×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,588.93 $12,112 0.8×
EMG four extremities (95864) $510.82 $939 3.8×
EMG one extremity (95860) $548.35 $1,008 4.0×
EMG three extremities (95863) $341.63 $628 2.6×
EMG two extremities (95861) $548.35 $1,008 4.0×
Endomyocardial biopsy (93505) $3,712.80 $6,825 1.1×
Ep & ablate supravent arrhyt (93653) $14,146.72 $26,005 0.5×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$12,553.89 $23,077 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,152.22 $9,471 0.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$3,213.95 $5,908 0.4×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $2,024.22 $3,721 1.6×
Er level 1 (99281) $136.27 $250.50 1.6×
Er level ii (99282) $243.16 $447 1.5×
Er level iii (99283) $378.36 $695.50 1.3×
Er level IV (99284) $624.52 $1,148 1.4×
Er level v (99285) $2,995.81 $5,507 4.9×
Esoph balloon distension tst (91040) $1,447.31 $2,660.50 3.7×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,163.62 $2,139 3.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $221.95 $408 1.7×
Eval speech sound production (92522) $215.42 $396 1.9×
Eval to use/fit voice prosth (92597) $182.78 $336 2.6×
Evaluate Pt Use Of Inhaler (94664) $146.88 $270 0.6×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $252.42 $464 2.1×
Evaluation of speech fluency (92521) $291.58 $536 2.2×
Exercise tst brncspsm (94617) $498.85 $917 3.6×
External ECG rec>48hr<7d recording (93242) $697.95 $1,283 18.0×
External ECG rec>7d<15d recording (93246) $697.95 $1,283 18.0×
External Ecg Scanning Analysis Report (93226) $486.34 $894 8.0×
Eye exam, new patient,comprehesv (92004) $220.32 $405 1.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $241.54 $444 1.2×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $143.07 $263 0.6×
Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) $291.58 $536 1.3×
Fundus photography w/interpretation & report (92250) $140.90 $259 1.0×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $540.74 $994 1.4×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $433.56 $797 1.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,318.38 $2,423.50 1.5×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $2,622.90 $4,821.50 2.8×
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report Non-Facility (91113) $2,468.67 $4,538 2.6×
Gi tract capsule endoscopy (91110) $2,668.86 $4,906 2.8×
Gi wireless capsule measure (91112) $4,484.74 $8,244 4.8×
Gonioscopy (92020) $41.89 $77 0.3×
Group Therapeutic Procedures (97150) $79.97 $147 4.4×
Health Behavior Assessment/Re-Assessment (96156) $141.44 $260 1.3×
Health behavior ivntj indiv f2f 1st 30 min (96158) $97.38 $179 0.5×
Hemodialysis (90935) $932.96 $1,715 1.3×
High altitude simulation test (94452) $340 $625 2.5×
High altitude simulation test (94453) $400.93 $737 2.9×
Holter Monitor (93225) $347.07 $638 2.5×
Ilr Device Eval Progr (93285) $257.86 $474 6.7×
Imm admn sarscov2 vaccine single dose (90480) $40.26 $74 1.0×
Immunization Admin (90471) $40.26 $74 0.5×
Ingestion challenge test initial 120 minutes (95076) $187.68 $345 0.5×
Inhalation bronchial challenge testing (95070) $352.51 $648 0.9×
Injection intra arterial (96373) $182.24 $335 0.8×
Ins swan ganz bedside (93503) $2,937.06 $5,399 1.8×
Interrog dev eval icpms phys/qhp in person (93290) $164.83 $303 4.3×
Interrog dev eval scrms phys/qhp in person (93291) $159.39 $293 5.3×
Interrog device eval heart (93289) $244.26 $449 6.3×
Interrogate subq defib (93261) $172.45 $317 4.5×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure
$429.22 $789 0.1×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$3,551.78 $6,529 0.4×
Intralesional Chemo Admin,8+ Lesn (96406) $267.92 $492.50 1.2×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $120.77 $222 0.5×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$3,921.70 $7,209 0.5×
Iontophoresis 15 min (97033) $85.41 $157 4.5×
Irrig drug delivery device (96523) $127.30 $234 2.1×
IV infusion hydration each additional hour (96361) $77.25 $142 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $238.82 $439 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $119.14 $219 1.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $262.75 $483 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $79.42 $146 1.6×
IV push ea addl new drug (96375) $116.42 $214 2.4×
IV push initial (96374) $138.18 $254 0.6×
L hrt art/grft angio (93459) $9,545.02 $17,546 2.8×
Low frequency non-thermal us (97610) $144.16 $265 0.7×
Manual therapy 15 min (97140) $81.06 $149 2.9×
Massage 15 min (97124) $54.40 $100 1.8×
Maximum voluntary ventilation (94200) $180.61 $332 3.0×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,387.20 $2,550 0.9×
Mechanical chest wall oscillation (94669) $175.71 $323 0.8×
Mechanical traction (97012) $50.05 $92 3.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $70.72 $130 2.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $81.60 $150 2.2×
Methacholine challenge (94070) $305.18 $561 0.8×
Motility study esophagus (91010) $836.94 $1,538.50 2.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $238.82 $439 2.6×
Multiple Sleep Latency Test (95805) $1,523.74 $2,801 1.7×
Nasopharyngoscopy (92511) $279.62 $514 1.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $223.58 $411 1.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $189.86 $349 0.8×
Needle electromyography larynx (95865) $342.72 $630 2.5×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $131.10 $241 1.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $167.55 $308 0.7×
Neg press wound tx >50 cm (97608) $280.16 $515 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $250.78 $461 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $125.94 $231.50 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $172.99 $318 0.4×
Nerve Conduction Studies 11-12 Studies (95912) $1,740.80 $3,200 4.5×
Nerve conduction studies 13/> studies (95913) $1,861.57 $3,422 4.8×
Nerve Conduction Studies 3-4 Studies (95908) $406.91 $748 1.8×
Nerve Conduction Studies 5-6 Studies (95909) $556.78 $1,023.50 2.5×
Nerve Conduction Studies 7-8 Studies (95910) $612.27 $1,125.50 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $673.74 $1,238.50 1.7×
Nerve conduction studies; 1-2 studies (95907) $245.89 $452 1.1×
Neurobehavioral Status Exam (96116) $228.48 $420 1.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $222.50 $409 1.7×
Newborn resuscitation (99465) $446.08 $820 0.7×
Nitric oxide expired gas determination (95012) $156.13 $287 4.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $144.70 $266 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $219.78 $404 1.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $93.02 $171 2.7×
Nrpsyc tst eval phys/qhp 1st (96132) $320.42 $589 0.8×
Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) $81.33 $149.50 0.6×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $183.88 $338 1.3×
Ophth medical xm&eval intermediate estab pt (92012) $130.56 $240 0.9×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $124.58 $229 0.9×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $24.75 $45.50 0.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $39.17 $72 0.6×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $136 $250 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $90.85 $167 2.0×
Oscillating Tracking Test (92545) $136 $250 0.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $45.70 $84 2.0×
Osteopathic manipulative tx 3-4 body regions (98926) $66.37 $122 3.0×
Osteopathic manipulative tx 5-6 body regions (98927) $86.50 $159 3.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $57.12 $105 1.8×
Ot Contrast Bath Ea 15 Min (97034) $39.71 $73 2.8×
Ot eval high complex 60 min (97167) $238.82 $439 2.4×
Ot eval low complex 30 min (97165) $180.61 $332 1.8×
Ot eval mod complex 45 min (97166) $209.44 $385 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $96.29 $177 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $77.25 $142 1.9×
Ot re-evaluation (97168) $124.03 $228 1.8×
Ot therapeutic activity 15 min (97530) $70.72 $130 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $177.89 $327 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $147.97 $272 1.1×
Paraffin bath pt (97018) $67.46 $124 11.2×
Patch/Application Test Specify Number Tests (95044) $20.67 $38 0.0×
Pdt dstr prmlg les skn illum/activj per day (96567) $127.30 $234 0.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $128.38 $236 0.6×
Percutaneous tests w/allergenic extracts (95004) $11.97 $22 0.0×
Peripheral arterial disease rehab per session (93668) $95.20 $175 1.6×
Peritoneal Dialysis (90945) $638.66 $1,174 1.5×
Perq Transcath Cls Mitral (93590) $24,518.08 $45,070 1.3×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $19,490.43 $35,828 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,453.47 $11,863 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,712.61 $25,207 1.1×
Phlebotomy therapeutic (99195) $216.51 $398 1.6×
Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B Facility (96910) $254.59 $468 4.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $171.36 $315 2.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $162.66 $299 2.7×
Plethysmography (94726) $315.79 $580.50 0.8×
Pm device eval in person (93288) $187.68 $345 4.9×
Pm device progr eval dual (93280) $334.28 $614.50 8.7×
Pm device progr eval multi (93281) $383.52 $705 9.9×
Pm device progr eval sngl (93279) $284.24 $522.50 7.4×
Pm/Icd Remote Tech Serv (93296) $167.01 $307 4.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,461.74 $6,363.50 3.9×
Polysom <6 yrs 4/> paramtrs (95782) $4,163.78 $7,654 4.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,995.14 $7,344 4.5×
Positional Nystagmus Test (92542) $136 $250 1.0×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $17.41 $32 0.4×
Prepj& antigen allergen immunotherapy 1 insect (95145) $40.26 $74 0.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $140.35 $258 3.6×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $501.02 $921 13.0×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $62.56 $115 0.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $78.34 $144 1.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $102.82 $189 2.1×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95147) $71.26 $131 1.0×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $106.08 $195 1.4×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $359.32 $660.50 9.3×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $430.84 $792 11.2×
Prq balloon valvuloplasty aortic valve (92986) $4,501.60 $8,275 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $6,555.20 $12,050 0.5×
Prq Revasc Byp Graft 1 Vsl (92937) $6,352.29 $11,677 0.5×
Prq tcat plmt ntrac st 2+les (92930)
likely a partial charge, not the full procedure
$3,915.71 $7,198 0.2×
Prq trl rvs ch occ ant&rtrgr (92945)
unusually low: confirm this is the full procedure
$4,899.26 $9,006 0.4×
Prq trluml coronary angio/atherect one art/brnch (92924) $10,215.23 $18,778 0.9×
Psych diag eval w/med srvcs (90792) $290.50 $534 1.6×
Psychiatric diagnostic evaluation (90791) $149.60 $275 0.8×
Psycl tst eval phys/qhp 1st (96130) $272.54 $501 1.2×
Psycl/nrpsyc tech 1st (96138) $55.49 $102 0.1×
Psycl/nrpsyc tst phy/qhp 1st (96136) $73.98 $136 0.5×
Psytx crisis initial 60 min (90839) $262.75 $483 1.4×
Pt Aquatic Therapy/Exercises (97113) $81.60 $150 2.2×
Pt diathermy (97024) $72.35 $133 9.8×
Pt Electrical Stimulation (97032) $61.47 $113 4.2×
Pt eval high complex 45 min (97163) $229.57 $422 2.3×
Pt eval low complex 20 min (97161) $180.61 $332 1.8×
Pt eval mod complex 30 min (97162) $188.22 $346 1.9×
Pt gait training 15 min (97116) $81.60 $150 2.8×
Pt group caregiver training (97552) $64.19 $118 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $81.60 $150 2.5×
Pt Physical Performance Test (97750) $116.42 $214 3.5×
Pt re-evaluation (97164) $124.58 $229 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $81.06 $149 2.5×
Pt ultraviolet (97028) $32.10 $59 3.8×
Pt Whirlpool Therapy (97022) $71.26 $131 4.5×
Pt-focused hlth risk assmt (96160) $16.86 $31 0.4×
Pulm function test by gas (94727) $187.95 $345.50 0.8×
Pulmonary stress test simple (94618) $106.08 $195 0.8×
Pure Tone Audiometry Air & Bone (92553) $82.14 $151 0.6×
Pure Tone Audiometry Air Only (92552) $46.24 $85 0.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $7,854.82 $14,439 2.3×
R hrt art/grft angio (93457) $5,584.70 $10,266 1.7×
R hrt coronary artery angio (93456) $3,447.33 $6,337 1.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $10,346.34 $19,019 3.1×
R&l hrt art/ventricle angio (93460) $10,487.78 $19,279 3.1×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $10,683.07 $19,638 3.2×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $9,565.70 $17,584 2.8×
Refill/Maint Portable Pump (96521) $536.93 $987 2.4×
Rem interrog icpms <30 d phys/qhp (93297) $19.58 $36 0.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $122.40 $225 3.2×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $56.58 $104 0.4×
Rem mntr physiol param dev (99454) $94.11 $173 2.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $252.96 $465 6.5×
Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads… (93264) $147.97 $272 3.8×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $35.36 $65 0.3×
Repet tms tx initial w/map/motr threshld/del&m (90867) $336.19 $618 1.5×
Repet tms tx subseq motr threshld w/deliv & mn (90869) $282.34 $519 1.3×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $334.02 $614 1.1×
Right heart cath (93451) $4,173.57 $7,672 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $149.60 $275 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $96.29 $177 0.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $127.84 $235 2.7×
Sbsq psyc collab care mgmt (99493) $221.96 $408 2.1×
Select Picture Audiometry (92583) $107.17 $197 1.8×
Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) $56.58 $104 0.9×
Sensory Integration Ea 15 Min (97533) $115.33 $212 1.9×
Short-latency somatosens ep std upr limbs (95925) $394.40 $725 1.8×
Sleep study attended (95807) $2,297.31 $4,223 5.9×
Sleep study unattended (95806) $513.54 $944 2.3×
Slp caregiver training 1st 30 min (97550) $132.74 $244 2.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $922.62 $1,696 4.1×
Smoking cessation > 10 min (99407) $51.68 $95 1.3×
Somatosensory testing (95938) $895.97 $1,647 1.0×
Speech Audiometry Complete (92556) $82.14 $151 1.3×
Speech audiometry threshold (92555) $29.38 $54 0.5×
Speech sound lang comprehen (92523) $466.21 $857 2.1×
Spirometry (94010) $137.36 $252.50 0.6×
Spontaneous nystagmus test (92541) $138.18 $254 1.0×
Ssep lower limbs (95926) $545.09 $1,002 2.4×
Standardized Cognitive Performance Testing (96125) $254.59 $468 2.5×
Stenger Test, Pure Tone (92565) $33.18 $61 0.5×
Stress echo (93350) $1,309.41 $2,407 2.3×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $274.72 $505 1.2×
Subcutaneous Infusion Each Additional Hour (96370) $127.30 $234 2.6×
Subq Infusion Additional Pump Infusion Site (96371) $183.87 $338 2.5×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $603.30 $1,109 5.6×
Temp transcutaneous pacing (92953) $2.72 $5 0.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $149.06 $274 6.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $149.06 $274 7.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $279.07 $513 2.7×
Therap repetitive tms tx subseq delivery & mng (90868) $194.75 $358 0.9×
Therapeutic prophylactic/dx injection subq/im (96372) $77.79 $143 1.0×
Tilt table evaluation (93660) $753.98 $1,386 2.0×
Tinnitus assessment (92625) $112.06 $206 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24.20 $44.50 0.6×
Tone Decay Test (92563) $66.91 $123 1.7×
Trans Care Mgmt 14 Day Disch (99495) $221.95 $408 1.6×
Trans Care Mgmt 7 Day Disch (99496) $300.29 $552 2.2×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $943.84 $1,735 3.8×
Transcranial Doppler Intracran Art Emboli Detect (93892) $513.54 $944 4.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $381.89 $702 3.5×
Transtelephonic rhythm strip pacemaker eval (93293) $109.89 $202 2.8×
Tte w/doppler, complete (93306) $1,092.08 $2,007.50 1.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $637.57 $1,172 2.6×
Tx atrial fib pulm vein isol (93656) $14,820.74 $27,244 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $212.16 $390 2.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $57.12 $105 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $213.25 $392 2.5×
Tympanometry (92567) $58.75 $108 1.5×
Tympanometry And Reflex Threshold Measurements (92550) $100.10 $184 0.4×
Ultraviolet Light Therapy (96900) $50.05 $92 1.3×
Unlisted psychiatric service or procedure (90899) $213.79 $393 5.5×
Upr/lxtr art stdy 3+ lvls (93923) $303.28 $557.50 1.4×
Vasc Duplex Scan Extracranial,Limited (93882) $876.66 $1,611.50 8.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $399.57 $734.50 1.8×
Vasopneumatic device (97016) $44.06 $81 3.7×
Veeg 2-12 hr unmonitored (95711) $1,097.79 $2,018 4.9×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,097.79 $2,018 2.8×
Veeg by tech 2-12 hr intermittent monitoring (95712) $1,097.79 $2,018 2.8×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $1,711.42 $3,146 1.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,711.42 $3,146 4.4×
Veeg Ea 12-26 Hr Unmntr (95714) $1,711.42 $3,146 4.4×
Vent mgmt inpat init day (94002) $922.62 $1,696 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $807.84 $1,485 1.3×
Visual Evoked Potential Test (95930) $226.30 $416 1.0×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $104.99 $193 0.8×
Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) $80.51 $148 1.3×
Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) $63.65 $117 1.0×
Visual reinforcement audiometry (vra) (92579) $100.64 $185 0.5×
Vital capacity, total (94150) $170.82 $314 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $91.39 $168 2.9×
Xtrnl mobile cv telemetry w/technical support (93229) $294.85 $542 0.8×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $56.30 $103.50 1.5×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $209.98 $386 2.1×