| Ablate Heart Dysrhythm Focus (93650) |
$12,460.75 |
$24,921.50 |
1.6× |
| Actigraphy Testing Recording Analysis I&R (95803) |
$162.73 |
$325.45 |
2.8× |
| Advncd Care Plan 30 Min (99497) |
$92.63 |
$185.25 |
0.9× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$126.43 |
$252.85 |
0.6× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$573.65 |
$1,147.30 |
2.7× |
| Airway Inhalation Treatment (94640) |
$80.48 |
$160.95 |
0.4× |
| Airway resistance by oscillometry (94728) |
$68.40 |
$136.80 |
0.5× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$54.93 |
$109.85 |
1.5× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$379.58 |
$759.15 |
2.9× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$324.38 |
$648.75 |
2.5× |
| Analyze neurostim complex (95972) |
$386.75 |
$773.50 |
4.2× |
| Analyze neurostim no prog (95970) |
$246.98 |
$493.95 |
1.9× |
| Analyze Neurostim Simple (95971) |
$560.70 |
$1,121.40 |
6.1× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$64.18 |
$128.35 |
1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$94.55 |
$189.10 |
6.6× |
| Application Modality 1/> Areas Infrared (97026) |
$64.18 |
$128.35 |
9.6× |
| Application on-body injector (96377) |
$38.03 |
$76.05 |
0.8× |
| Assessment of aphasia per hr (96105) |
$277.40 |
$554.80 |
2.9× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$165.30 |
$330.60 |
1.7× |
| Audiometry Air & Bone (92553) |
$132.38 |
$264.75 |
1.1× |
| Auditory Function, 60 Min (92620) |
$167.55 |
$335.10 |
1.3× |
| Basic vestibular evaluation (92540) |
$286.18 |
$572.35 |
1.4× |
| Behavral qualit analys voice (92524) |
$376.23 |
$752.45 |
3.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$147.95 |
$295.90 |
1.8× |
| Bfb training ea addl 15 min (90913) |
$147.95 |
$295.90 |
4.5× |
| Biofeedback training any modality (90901) |
$130.95 |
$261.90 |
3.2× |
| Blink reflex test (95933) |
$225.60 |
$451.20 |
3.9× |
| Breath hydrogen/methane test (91065) |
$255.30 |
$510.60 |
1.2× |
| Brief Emotional/Behav Assmt (96127) |
$17.38 |
$34.75 |
0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$549.83 |
$1,099.65 |
1.5× |
Bundle of his recording (93600)
likely a partial charge, not the full procedure |
$1,325.05 |
$2,650.10 |
0.2× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$82.40 |
$164.80 |
0.4× |
| Caloric Vstblr Test W/Rec (92537) |
$164.83 |
$329.65 |
1.3× |
Canalith repositioning proc (95992)
range across 2 matching MRF lines |
$84.63–$86.20 |
$169.25–$172.40 |
varies |
| Car seat/bed test 60 min (94780) |
$81.90 |
$163.80 |
2.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,424.53 |
$2,849.05 |
6.8× |
| Cardiopulmonary exercise testing (94621) |
$1,387.85 |
$2,775.70 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$694.05 |
$1,388.10 |
3.3× |
| Cardioversion (92960) |
$1,287.50 |
$2,575 |
2.0× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$10.65 |
$21.30 |
0.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$81.65 |
$163.30 |
3.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$17,305.98 |
$34,611.95 |
5.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$14,653.28 |
$29,306.55 |
4.7× |
| Cbt 1st hour (94644) |
$143.60 |
$287.20 |
1.1× |
| Chemo Admin Peritoneal Cavity (96446) |
$732.35 |
$1,464.70 |
2.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$267.43 |
$534.85 |
3.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$270.20 |
$540.40 |
3.9× |
| Chemo Ia Push (96420) |
$589.90 |
$1,179.80 |
1.8× |
| Chemo Intralesional Over 7 (96406) |
$589.90 |
$1,179.80 |
2.9× |
| Chemo intralesional up to 7 (96405) |
$270.20 |
$540.40 |
3.9× |
| Chemo IV infusion addl hr (96415) |
$230.35 |
$460.70 |
3.3× |
| Chemo IV push addl drug (96411) |
$381.18 |
$762.35 |
5.4× |
| Chemother Prolong Infuse W/Pump (96416) |
$1,359.83 |
$2,719.65 |
4.2× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$875.60 |
$1,751.20 |
2.7× |
| Chemotherapy Into Cns (96450) |
$803.38 |
$1,606.75 |
2.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$389.98 |
$779.95 |
5.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$819.65 |
$1,639.30 |
2.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$589.90 |
$1,179.80 |
1.8× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$589.90 |
$1,179.80 |
1.8× |
| Chest Wall Manipulation (94668) |
$86.88 |
$173.75 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$458.73 |
$917.45 |
2.0× |
| Color/duplex Doppler, limited (93976) |
$409.23 |
$818.45 |
4.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$120.20 |
$240.40 |
3.7× |
| Comprehensive Hearing Test (92557) |
$220.23 |
$440.45 |
1.8× |
| Conditioning Play Audiometry (92582) |
$143.08 |
$286.15 |
1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$472.35 |
$944.70 |
3.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$316.40 |
$632.80 |
5.5× |
| Continuous Pulse Ox (94762) |
$613.33 |
$1,226.65 |
4.9× |
| Coronary Art/Grft Angio S&I (93455) |
$14,176.43 |
$28,352.85 |
4.5× |
| Coronary Artery Angio S&I (93454) |
$12,141 |
$24,282 |
3.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$443.55 |
$887.10 |
2.1× |
| Cpt initial (94667) |
$105.25 |
$210.50 |
0.8× |
| Critical care first hour (99291) |
$2,808.93 |
$5,617.85 |
3.5× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines |
$292.53–$298.03 |
$585.05–$596.05 |
varies |
| Developmental tst admin phys/qhp 1st hour (96112) |
$364.48 |
$728.95 |
2.9× |
| Dialysis One Evaluation (90945) |
$564.68 |
$1,129.35 |
1.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$178.53 |
$357.05 |
0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$695.55 |
$1,391.10 |
3.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$507.18 |
$1,014.35 |
5.0× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$606.55 |
$1,213.10 |
6.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$732.03 |
$1,464.05 |
3.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$495.15 |
$990.30 |
4.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,155.88 |
$2,311.75 |
5.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$872.75 |
$1,745.50 |
8.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,050.83 |
$2,101.65 |
4.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$525.43 |
$1,050.85 |
5.2× |
| Duplex Scan Hemodialysis Access (93990) |
$325.60 |
$651.20 |
3.2× |
| Duplex up extrem art bilat (93930) |
$505.58 |
$1,011.15 |
2.2× |
| Duplex up extrem art unilat/ltd (93931) |
$498.13 |
$996.25 |
4.9× |
| ECG/monitoring and analysis (93271) |
$742.10 |
$1,484.20 |
8.0× |
| Echo Congenital Complete (93303) |
$881.70 |
$1,763.40 |
1.7× |
| Echo Heart Xthoracic,Limited (93308) |
$609.43 |
$1,218.85 |
2.6× |
| Echo r-t 2d w/probe placement only (93313) |
$1,088.33 |
$2,176.65 |
2.0× |
| Echo transesophag congen probe plcmt only (93316) |
$688.43 |
$1,376.85 |
1.3× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,571.70 |
$3,143.40 |
3.0× |
| Echo transesophageal (93312) |
$1,591.63 |
$3,183.25 |
3.0× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$2,101.65 |
$4,203.30 |
4.0× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) |
$85.68 |
$171.35 |
2.4× |
| Eeg 41-60 Minutes (95812) |
$721.73 |
$1,443.45 |
3.4× |
| EEG awake and asleep (95819) |
$888.38 |
$1,776.75 |
4.2× |
| EEG awake drowsy (95816) |
$828.58 |
$1,657.15 |
3.9× |
| EEG cerebral death evaluation (95824) |
$1,571.65 |
$3,143.30 |
4.3× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$743.70 |
$1,487.40 |
3.5× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,072.93 |
$2,145.85 |
5.1× |
| Eeg Sleep Only (95822) |
$1,257.45 |
$2,514.90 |
6.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$3,623.15 |
$7,246.30 |
17.3× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$3,623.15 |
$7,246.30 |
10.0× |
| EKG signal averaged (93278) |
$555.80 |
$1,111.60 |
9.7× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$398.50 |
$797 |
4.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$373.23 |
$746.45 |
4.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$373.23 |
$746.45 |
10.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$74.78 |
$149.55 |
5.1× |
| Electrocardiogram Tracing (93005) |
$290.78 |
$581.55 |
5.1× |
| Electroconvulsive Therapy (90870) |
$1,732.30 |
$3,464.60 |
2.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
$6,626.23 |
$13,252.45 |
0.9× |
| Electrophysiology Evaluation (93642) |
$2,630.40 |
$5,260.80 |
2.2× |
| Emergency Dept Visit Level 2 (99282) |
$328.58 |
$657.15 |
2.2× |
| Emergency Dept Visit Level 3 (99283) |
$1,519.05 |
$3,038.10 |
5.7× |
| Emergency Dept Visit Level 4 (99284) |
$1,590.63 |
$3,181.25 |
3.9× |
| Emg 3 Extremities (95863) |
$535 |
$1,070 |
4.3× |
| Endomyocardial Biopsy (93505) |
$10,808.20 |
$21,616.40 |
3.5× |
| Ep & ablate supravent arrhyt (93653) |
$45,708.73 |
$91,417.45 |
1.8× |
| Ep & ablate ventric tachy (93654) |
$38,061.98 |
$76,123.95 |
1.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$14,602.60 |
$29,205.20 |
1.9× |
| Er level 1 (99281) |
$178.33 |
$356.65 |
2.2× |
| Er level v (99285) |
$1,682.03 |
$3,364.05 |
2.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$986.40 |
$1,972.80 |
2.7× |
| Evaluate pt use of inhaler (94664) |
$62.75 |
$125.50 |
0.3× |
| Evaluate Speech Production (92522) |
$376.23 |
$752.45 |
3.4× |
| Evaluate Swallowing Function (92610) |
$237.65 |
$475.30 |
2.8× |
| Evaluation of speech fluency (92521) |
$376.23 |
$752.45 |
2.8× |
| Evoked Auditory Test,Limited (92587) |
$113.80 |
$227.60 |
0.5× |
| Exercise test for bronchospasm (94617) |
$297.73 |
$595.45 |
2.3× |
| External ECG rec>48hr<7d recording (93242) |
$71.83 |
$143.65 |
2.0× |
| External ECG rec>7d<15d recording (93246) |
$118.13 |
$236.25 |
3.3× |
| External Ecg Scanning Analysis Report (93226) |
$688.95 |
$1,377.90 |
12.0× |
| Extracranial Bilat Study (93880) |
$1,145.63 |
$2,291.25 |
4.9× |
| Extracranial Uni/Ltd Study (93882) |
$564.60 |
$1,129.20 |
5.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$418.90 |
$837.80 |
0.8× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$631.25 |
$1,262.50 |
3.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,110.80 |
$2,221.60 |
3.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$597.03 |
$1,194.05 |
2.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,413.78 |
$2,827.55 |
1.7× |
| Gi wireless capsule measure (91112) |
$1,579.30 |
$3,158.60 |
1.8× |
Group Therapeutic Procedures (97150)
range across 4 matching MRF lines |
$135.45–$138 |
$270.90–$276 |
varies |
| Health Behavior Assessment/Re-Assessment (96156) |
$159.45 |
$318.90 |
1.6× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$181.85 |
$363.70 |
5.0× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$104.65 |
$209.30 |
2.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$160.23 |
$320.45 |
0.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$19,844.85 |
$39,689.70 |
6.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$720.05 |
$1,440.10 |
1.1× |
| Holter monitor recording (93225) |
$781.90 |
$1,563.80 |
6.0× |
| Icm Device Eval (93290) |
$106.80 |
$213.60 |
2.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$12.55 |
$25.10 |
0.2× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$70.68 |
$141.35 |
1.9× |
| Immunization administration (90471) |
$59.08 |
$118.15 |
0.8× |
| Ingestion challenge test initial 120 minutes (95076) |
$342.08 |
$684.15 |
0.9× |
| Insert/Place Heart Catheter (93503) |
$1,855.90 |
$3,711.80 |
1.2× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
$761.83 |
$1,523.65 |
8.2× |
| Interrog&prgrmg ipnss during polysomnography (93152) |
$2,105.53 |
$4,211.05 |
7.1× |
| Interrogation eval in person wr defibrillator (93292) |
$217.68 |
$435.35 |
6.0× |
| Interrogation vad in person (93750) |
$221.03 |
$442.05 |
2.4× |
| Interrogation without programming ipnss (93153) |
$380.93 |
$761.85 |
4.1× |
| Intracranial Complete Study (93886) |
$795.30 |
$1,590.60 |
3.4× |
| Io anal gast n-stim subsq (95981) |
$245.43 |
$490.85 |
4.3× |
| Io ga n-stim subsq w/reprog (95982) |
$187.43 |
$374.85 |
5.2× |
| Iontophoresis 15 min (97033) |
$134.95 |
$269.90 |
7.1× |
| Irrig Drug Delivery Device (96523) |
$42.58 |
$85.15 |
0.7× |
| IV infusion hydration each additional hour (96361) |
$27.15 |
$54.30 |
0.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$140.15 |
$280.30 |
0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$41.45 |
$82.90 |
0.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$27.15 |
$54.30 |
0.6× |
| IV push initial (96374) |
$140.15 |
$280.30 |
0.7× |
| L Hrt Art/Grft Angio (93459) |
$16,184.48 |
$32,368.95 |
5.1× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$13,661.83 |
$27,323.65 |
4.3× |
| Laryngeal Function Studies (92520) |
$196.80 |
$393.60 |
1.5× |
| Liver Elastography W/O Imag W/I&R (91200) |
$547.73 |
$1,095.45 |
4.4× |
| Lung Function Test (Mbc/Mvv) (94200) |
$209.40 |
$418.80 |
3.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$936.03 |
$1,872.05 |
4.5× |
| Mechanical chest wall oscillation per session (94669) |
$105.78 |
$211.55 |
0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$35.55 |
$71.10 |
1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$44.40 |
$88.80 |
1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$44.40 |
$88.80 |
2.6× |
| Methacholine challenge (94070) |
$1,538.95 |
$3,077.90 |
4.2× |
| Motility study esophagus (91010) |
$1,465.25 |
$2,930.50 |
4.0× |
| Motion Fluoroscopy/Swallow (92611) |
$292.80 |
$585.60 |
3.2× |
| Multiple Family Group Psychotherapy (90849) |
$53.53 |
$107.05 |
0.3× |
| Multiple Sleep Latency Test (95805) |
$2,182.18 |
$4,364.35 |
2.6× |
| Muscle Test 2 Limbs (95861) |
$640.95 |
$1,281.90 |
5.0× |
| Muscle Test Nonparaspinal (95870) |
$414.48 |
$828.95 |
3.2× |
| Muscle Test One Limb (95860) |
$425.88 |
$851.75 |
3.3× |
| Nasopharyngoscopy (92511) |
$184.48 |
$368.95 |
1.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$799.93 |
$1,599.85 |
3.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$394.20 |
$788.40 |
1.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$309.83 |
$619.65 |
1.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$484.18 |
$968.35 |
2.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$408.13 |
$816.25 |
1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$476.15 |
$952.30 |
1.2× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines |
$151.23–$154.05 |
$302.45–$308.10 |
varies |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines |
$200.68–$204.48 |
$401.35–$408.95 |
varies |
| Nerve Conduction Studies 1-2 Studies (95907) |
$341.10 |
$682.20 |
1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$2,619.05 |
$5,238.10 |
7.2× |
| Nerve conduction studies 13 or more studies (95913) |
$3,074.50 |
$6,149 |
8.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$797.18 |
$1,594.35 |
3.8× |
| Nerve conduction studies 5-6 studies (95909) |
$1,252.65 |
$2,505.30 |
6.0× |
| Nerve conduction studies 7-8 studies (95910) |
$1,708.10 |
$3,416.20 |
4.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$2,163.60 |
$4,327.20 |
6.0× |
| Neurobehavioral Status Exam (96116) |
$353.03 |
$706.05 |
1.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$131.28 |
$262.55 |
1.0× |
| Neuromuscular Reeducation (97112) |
$89.73 |
$179.45 |
2.7× |
Newborn resuscitation (99465)
range across 2 matching MRF lines |
$695.70–$708.85 |
$1,391.40–$1,417.70 |
varies |
| Nitric oxide expired gas determination (95012) |
$97.18 |
$194.35 |
2.7× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$215.90 |
$431.80 |
0.6× |
| Oral Function Therapy (92526) |
$172.63 |
$345.25 |
2.1× |
| Oral Speech Device Eval (92597) |
$376.23 |
$752.45 |
5.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$73.18 |
$146.35 |
1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$75.78 |
$151.55 |
1.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$39.18 |
$78.35 |
1.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$42.63 |
$85.25 |
2.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$60 |
$120 |
2.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$77.98 |
$155.95 |
5.6× |
| Ot eval high complexity (97167) |
$359.10 |
$718.20 |
3.6× |
| Ot Eval Low Complex (97165) |
$180.38 |
$360.75 |
1.8× |
| Ot Eval Moderate Complexity (97166) |
$270.58 |
$541.15 |
2.7× |
| Ot manual therapy 15 min (97140) |
$122.25 |
$244.50 |
4.4× |
| Ot paraffin bath (97018) |
$83.28 |
$166.55 |
13.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$40.38 |
$80.75 |
1.0× |
| Ot Re-Eval Est Plan Care (97168) |
$115.80 |
$231.60 |
1.7× |
| Ot rom hand (95852) |
$77.13 |
$154.25 |
3.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$209.90 |
$419.80 |
1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$117.98 |
$235.95 |
0.9× |
| Oxygen Uptake Rest Indirect (94690) |
$173.50 |
$347 |
3.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$200.13 |
$400.25 |
0.9× |
| Peripheral arterial disease rehab per session (93668) |
$163.98 |
$327.95 |
2.9× |
| Perq transcath closure pda (93582) |
$13,576.35 |
$27,152.70 |
0.8× |
| Perq Transcath Cls Aortic (93591) |
$43,427.90 |
$86,855.80 |
2.4× |
| Perq Transcath Cls Mitral (93590) |
$43,427.90 |
$86,855.80 |
2.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$9,131.70 |
$18,263.40 |
1.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$27,588.63 |
$55,177.25 |
2.5× |
| Phlebotomy therapeutic (99195) |
$225.05 |
$450.10 |
1.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$125.58 |
$251.15 |
2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$125.58 |
$251.15 |
2.2× |
| Physical Performance Test (97750) |
$42.28 |
$84.55 |
1.3× |
| Plethysmography (94726) |
$318.60 |
$637.20 |
0.9× |
| Pm device progr eval dual (93280) |
$153 |
$306 |
4.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,751.48 |
$7,502.95 |
4.5× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,836.50 |
$7,673 |
4.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$4,521.03 |
$9,042.05 |
5.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$8.75 |
$17.50 |
0.2× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$8.75 |
$17.50 |
0.2× |
| Prq Card Angio/Athrect 1 Art (92924) |
$16,235.20 |
$32,470.40 |
1.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$11,353.70 |
$22,707.40 |
1.0× |
| Prq Card Stent/Ath/Angio (92933) |
$27,588.63 |
$55,177.25 |
1.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$27,588.63 |
$55,177.25 |
2.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$9,595.25 |
$19,190.50 |
0.5× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$15,345.45 |
$30,690.90 |
1.4× |
| Psych diag eval w/med srvcs (90792) |
$69.58 |
$139.15 |
0.4× |
| Psychiatric diagnostic evaluation (90791) |
$69.58 |
$139.15 |
0.4× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$164.43 |
$328.85 |
0.8× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$95.23 |
$190.45 |
3.4× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$95.23 |
$190.45 |
0.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$115 |
$230 |
0.9× |
| Psytx Crisis Initial 60 Min (90839) |
$109.70 |
$219.40 |
0.6× |
| Pt Eval High Complex (97163) |
$404.15 |
$808.30 |
4.1× |
| Pt eval low complex 20 min (97161) |
$202.08 |
$404.15 |
2.1× |
| Pt Eval Mod Complex (97162) |
$303.15 |
$606.30 |
3.1× |
| Pt gait training 15 min (97116) |
$83.20 |
$166.40 |
2.9× |
| Pt group caregiver training (97552) |
$81.65 |
$163.30 |
3.7× |
| Pt mechanical traction (97012) |
$104.88 |
$209.75 |
7.3× |
| Pt Re-Eval Est Plan Care (97164) |
$124.23 |
$248.45 |
1.8× |
| Pt ultraviolet (97028) |
$95.10 |
$190.20 |
11.4× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$10.65 |
$21.30 |
0.3× |
| Pulm function test by gas (94727) |
$89.40 |
$178.80 |
0.4× |
| Pulmonary service/procedure (94799) |
$125.28 |
$250.55 |
1.0× |
| Pulmonary Stress Testing (94618) |
$372.15 |
$744.30 |
2.9× |
| Pure Tone Audiometry Air (92552) |
$61.08 |
$122.15 |
0.5× |
| R Hrt Art/Grft Angio (93457) |
$17,222.95 |
$34,445.90 |
5.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$12,448.50 |
$24,897 |
4.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$12,448.50 |
$24,897 |
4.0× |
| R hrt coronary artery angio (93456) |
$15,193.43 |
$30,386.85 |
4.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$13,796.93 |
$27,593.85 |
4.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$13,796.93 |
$27,593.85 |
4.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$15,422.95 |
$30,845.90 |
4.9× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$539.13 |
$1,078.25 |
1.7× |
| Refill/Maint Portable Pump (96521) |
$340.33 |
$680.65 |
1.6× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$48.90 |
$97.80 |
1.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$96.85 |
$193.70 |
2.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$171.30 |
$342.60 |
4.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$136.05 |
$272.10 |
1.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$74 |
$148 |
1.8× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$90.33 |
$180.65 |
1.7× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$331.75 |
$663.50 |
1.6× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) |
$559.33 |
$1,118.65 |
2.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$129.83 |
$259.65 |
2.3× |
| Right Heart Cath (93451) |
$10,686.23 |
$21,372.45 |
3.4× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines |
$97.10–$98.93 |
$194.20–$197.85 |
varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$47.65 |
$95.30 |
1.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$290.40 |
$580.80 |
2.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$134.60 |
$269.20 |
2.8× |
| Select picture audiometry (92583) |
$61.95 |
$123.90 |
1.1× |
| Self Care Mngment Training (97535) |
$81.65 |
$163.30 |
2.5× |
| Self-meas bp pt educaj/traing & dev calibration (99473) |
$48.60 |
$97.20 |
1.7× |
| Sensory Integration Ea 15 Min (97533) |
$89.73 |
$179.45 |
1.5× |
| Short-latency somatosens ep std upr limbs (95925) |
$1,080.58 |
$2,161.15 |
5.1× |
| Sleep study unattended (95806) |
$359 |
$718 |
1.7× |
| Slp caregiver training 1st 30 min (97550) |
$163.30 |
$326.60 |
3.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$370.73 |
$741.45 |
1.8× |
| Somatosensory Testing (95938) |
$1,962.80 |
$3,925.60 |
2.4× |
| Speech Audiometry Complete (92556) |
$87.98 |
$175.95 |
1.5× |
| Speech audiometry threshold (92555) |
$61.08 |
$122.15 |
1.1× |
| Speech sound lang comprehen (92523) |
$376.23 |
$752.45 |
1.7× |
| Spin/Brain Pump Refil & Main (95991) |
$180.08 |
$360.15 |
0.6× |
| Spirometry (94010) |
$235.25 |
$470.50 |
1.1× |
| Ssep lower limbs (95926) |
$1,189.43 |
$2,378.85 |
5.7× |
| Standardized Cognitive Performance Testing (96125) |
$358.30 |
$716.60 |
3.5× |
| Stress Tte Only (93350) |
$1,031.28 |
$2,062.55 |
1.9× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$27.15 |
$54.30 |
0.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$140.15 |
$280.30 |
0.7× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$140.15 |
$280.30 |
2.0× |
| Surfactant Admin Thru Tube (94610) |
$124.58 |
$249.15 |
0.6× |
| Temp transcutaneous pacing (92953) |
$372.28 |
$744.55 |
0.6× |
| Testing Autonomic Nervous System Function (95923) |
$386.10 |
$772.20 |
3.0× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) |
$761.83 |
$1,523.65 |
8.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$86.65 |
$173.30 |
3.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$86.65 |
$173.30 |
4.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$56.83 |
$113.65 |
1.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$102.38 |
$204.75 |
3.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$197.53 |
$395.05 |
1.9× |
| Ther/Proph/Diag Inj Ia (96373) |
$140.15 |
$280.30 |
0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$41.45 |
$82.90 |
0.6× |
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines |
$140.15–$3,567.08 |
$280.30–$7,134.15 |
varies |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$310.43 |
$620.85 |
1.5× |
| Therapeutic Activities (97530) |
$101.38 |
$202.75 |
2.9× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$3,063.13 |
$6,126.25 |
8.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$20.78 |
$41.55 |
0.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$20.78 |
$41.55 |
0.6× |
| Trans Care Mgmt 14 Day Disch (99495) |
$151.05 |
$302.10 |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$209.15 |
$418.30 |
1.6× |
| Transcath Closure of Asd (93580) |
$13,576.35 |
$27,152.70 |
0.8× |
| Tte w/doppler, complete (93306) |
$1,780.05 |
$3,560.10 |
3.4× |
| Tx atrial fib pulm vein isol (93656) |
$60,522.10 |
$121,044.20 |
2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$176.53 |
$353.05 |
2.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$151.78 |
$303.55 |
6.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$27.15 |
$54.30 |
0.6× |
| Tympanometry (92567) |
$100.98 |
$201.95 |
2.8× |
| Tympanometry and reflex threshold measurements (92550) |
$112.63 |
$225.25 |
0.5× |
Unlisted cardiovascular service/procedure (93799)
range across 6 matching MRF lines |
$29.63–$2,260.30 |
$59.25–$4,520.60 |
varies |
| Unlisted noninvasive vascular diagnostic study (93998) |
$564.60 |
$1,129.20 |
20.1× |
Unlisted otorhinolaryngological service (92700)
range across 2 matching MRF lines |
$149.50–$292.80 |
$299–$585.60 |
varies |
| Upr/L Xtremity Art 2 Levels (93922) |
$506.68 |
$1,013.35 |
3.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$748.83 |
$1,497.65 |
3.6× |
| Valvuloplasty aortic valve (92986) |
$8,135.13 |
$16,270.25 |
1.5× |
| Valvuloplasty mitral valve (92987) |
$8,135.13 |
$16,270.25 |
0.7× |
| Valvuloplasty pulmonary valve (92990) |
$11,945.20 |
$23,890.40 |
1.1× |
| Vasopneumatic device (97016) |
$75.98 |
$151.95 |
6.3× |
| Veeg 2-12 hr unmonitored (95711) |
$3,623.15 |
$7,246.30 |
17.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$3,623.15 |
$7,246.30 |
10.0× |
| Veeg ea 12-26hr cont mntr (95716) |
$3,623.15 |
$7,246.30 |
4.3× |
| Vent Mgmt Inpat Init Day (94002) |
$775.10 |
$1,550.20 |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$685.48 |
$1,370.95 |
1.1× |
| Visual Evoked Potential Test (95930) |
$1,028.03 |
$2,056.05 |
4.9× |
| Visual reinforcement audiometry (vra) (92579) |
$275.30 |
$550.60 |
1.3× |
| Vital capacity, total (94150) |
$70.80 |
$141.60 |
0.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$1,165.55 |
$2,331.10 |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$84.90 |
$169.80 |
2.7× |
Whirlpool Therapy (97022)
range across 3 matching MRF lines |
$62.50–$103.73 |
$125–$207.45 |
varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$272.08 |
$544.15 |
4.7× |