| Admn Sarscov2 Vacc 1 Dose (90480) |
$42.50 |
$85 |
1.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$147.50 |
$295 |
0.7× |
Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$47.50–$85 |
$95–$170 |
varies |
| Airway resistance by oscillometry (94728) |
$240 |
$480 |
1.9× |
| Analyze neurostim complex (95972) |
$885 |
$1,770 |
9.3× |
| Analyze neurostim no prog (95970) |
$350 |
$700 |
2.6× |
| Analyze Neurostim Simple (95971) |
$500 |
$1,000 |
5.3× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$17.50 |
$35 |
0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$77.50 |
$155 |
5.4× |
| Application on-body injector (96377) |
$110 |
$220 |
2.4× |
| Assessment of aphasia per hr (96105) |
$292.50 |
$585 |
3.0× |
| Behavral qualit analys voice (92524) |
$227.50 |
$455 |
2.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$180 |
$360 |
2.2× |
| Biofeedback training any modality (90901) |
$92.50 |
$185 |
2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$467.50 |
$935 |
1.3× |
| Canalith repositioning proc (95992) |
$105 |
$210 |
2.6× |
| Car seat/bed test 60 min (94780) |
$130 |
$260 |
3.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$995 |
$1,990 |
4.6× |
| Cardiopulmonary exercise testing (94621) |
$1,190 |
$2,380 |
3.2× |
| Cardiopulmonary resuscitation (92950) |
$1,225 |
$2,450 |
5.7× |
| Cardioversion (92960) |
$1,330 |
$2,660 |
2.0× |
| Cbt 1st hour (94644) |
$180 |
$360 |
1.4× |
| Chemo Anti-Neopl Sq/Im (96401) |
$147.50 |
$295 |
2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$122.50 |
$245 |
1.7× |
| Chemo Ia Push (96420) |
$307.50 |
$615 |
0.9× |
| Chemo IV infusion addl hr (96415) |
$235 |
$470 |
3.3× |
| Chemo IV push addl drug (96411) |
$207.50 |
$415 |
2.9× |
| Chemotherapy Into Cns (96450) |
$645 |
$1,290 |
2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$235 |
$470 |
3.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$470 |
$940 |
1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$272.50 |
$545 |
0.8× |
| Chest Wall Manipulation (94668) |
$60 |
$120 |
0.5× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$730 |
$1,460 |
2.0× |
| Color/duplex Doppler, complete (93975) |
$575 |
$1,150 |
2.4× |
| Color/duplex Doppler, limited (93976) |
$385 |
$770 |
3.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$420 |
$840 |
3.2× |
| Continuous Pulse Ox (94762) |
$222.50 |
$445 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$170 |
$340 |
0.8× |
| Cpt initial (94667) |
$120 |
$240 |
0.9× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$510 |
$1,020 |
2.4× |
| Critical care first hour (99291) |
$1,415 |
$2,830 |
1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$227.50 |
$455 |
1.1× |
Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$650–$845 |
$1,300–$1,690 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$590 |
$1,180 |
2.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$395 |
$790 |
3.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$965 |
$1,930 |
4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$645 |
$1,290 |
6.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,015 |
$2,030 |
4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$675 |
$1,350 |
6.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,090 |
$2,180 |
4.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$730 |
$1,460 |
7.0× |
| Duplex Scan Hemodialysis Access (93990) |
$600 |
$1,200 |
5.7× |
| Duplex up extrem art bilat (93930) |
$710 |
$1,420 |
3.0× |
| Duplex up extrem art unilat/ltd (93931) |
$475 |
$950 |
4.6× |
| ECG/monitoring and analysis (93271) |
$395 |
$790 |
4.2× |
Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,340–$1,500 |
$2,680–$3,000 |
varies |
Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$1,235–$1,290 |
$2,470–$2,580 |
varies |
| Echo transesophag montr cardiac pump functj (93318) |
$1,755 |
$3,510 |
3.2× |
Echo transesophageal (93312) range across 2 matching MRF lines |
$2,090–$2,195 |
$4,180–$4,390 |
varies |
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$2,725–$2,830 |
$5,450–$5,660 |
varies |
| Eeg 41-60 Minutes (95812) |
$920 |
$1,840 |
4.3× |
| EEG awake and asleep (95819) |
$740 |
$1,480 |
3.4× |
| EEG awake drowsy (95816) |
$680 |
$1,360 |
3.2× |
| EEG cerebral death evaluation (95824) |
$865 |
$1,730 |
2.3× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$3,640 |
$7,280 |
16.9× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,205 |
$2,410 |
5.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$1,825 |
$3,650 |
8.5× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$1,825 |
$3,650 |
8.5× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$3,640 |
$7,280 |
9.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$3,640 |
$7,280 |
9.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,825 |
$3,650 |
8.5× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$3,640 |
$7,280 |
9.8× |
| Electrical Stimulation Ea 15 Min (97032) |
$67.50 |
$135 |
4.6× |
| Electrocardiogram Tracing (93005) |
$215 |
$430 |
3.6× |
Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$270–$482.50 |
$540–$965 |
varies |
Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$402.50–$940 |
$805–$1,880 |
varies |
Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$595–$610 |
$1,190–$1,220 |
varies |
Er level 1 (99281) range across 6 matching MRF lines |
$62.50–$420 |
$125–$840 |
varies |
Er level v (99285) range across 2 matching MRF lines |
$675–$920 |
$1,350–$1,840 |
varies |
| Esophageal Capsule Endoscopy (91111) |
$2,240 |
$4,480 |
2.5× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
$1,435 |
$2,870 |
3.9× |
| Evaluate pt use of inhaler (94664) |
$70 |
$140 |
0.3× |
| Evaluate Speech Production (92522) |
$227.50 |
$455 |
2.0× |
| Evaluate Swallowing Function (92610) |
$337.50 |
$675 |
4.0× |
| Evaluation of speech fluency (92521) |
$227.50 |
$455 |
1.7× |
| Evoked Auditory Test,Limited (92587) |
$115 |
$230 |
0.5× |
| Exercise test for bronchospasm (94617) |
$187.50 |
$375 |
1.4× |
| External Ecg Scanning Analysis Report (93226) |
$535 |
$1,070 |
9.1× |
| Extracranial Bilat Study (93880) |
$1,030 |
$2,060 |
4.3× |
| Extracranial Uni/Ltd Study (93882) |
$685 |
$1,370 |
6.6× |
| Eye exam w anesth; limited (92019) |
$3,275 |
$6,550 |
1.4× |
F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$875–$950 |
$1,750–$1,900 |
varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,500 |
$3,000 |
4.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,500 |
$3,000 |
1.7× |
| Gi tract capsule endoscopy (91110) |
$3,030 |
$6,060 |
3.3× |
| Group Therapeutic Procedures (97150) |
$80 |
$160 |
4.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$1,020 |
$2,040 |
1.5× |
| High altitude simulation test (94452) |
$227.50 |
$455 |
1.7× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$260 |
$520 |
2.0× |
| Holter monitor recording (93225) |
$440 |
$880 |
3.3× |
| Immunization administration (90471) |
$32.50 |
$65 |
0.5× |
| Insert/Place Heart Catheter (93503) |
$2,375 |
$4,750 |
1.5× |
| Interrogate Subq Defib (93261) |
$255 |
$510 |
6.8× |
| Intracranial Complete Study (93886) |
$1,030 |
$2,060 |
4.3× |
| Iontophoresis 15 min (97033) |
$120 |
$240 |
6.3× |
| Irrig Drug Delivery Device (96523) |
$112.50 |
$225 |
1.9× |
| IV infusion hydration each additional hour (96361) |
$140 |
$280 |
3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$282.50 |
$565 |
1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$140 |
$280 |
1.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$140 |
$280 |
3.0× |
| IV push initial (96374) |
$90 |
$180 |
0.4× |
| Lung Function Test (Mbc/Mvv) (94200) |
$115 |
$230 |
2.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$745 |
$1,490 |
3.5× |
| Mechanical chest wall oscillation per session (94669) |
$92.50 |
$185 |
0.4× |
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$45–$50 |
$90–$100 |
varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$57.50 |
$115 |
1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$20 |
$40 |
1.2× |
| Methacholine challenge (94070) |
$600 |
$1,200 |
1.6× |
| Motility study esophagus (91010) |
$1,895 |
$3,790 |
5.1× |
| Motion Fluoroscopy/Swallow (92611) |
$337.50 |
$675 |
3.7× |
| Multiple Sleep Latency Test (95805) |
$2,545 |
$5,090 |
3.0× |
| Muscle Test 2 Limbs (95861) |
$372.50 |
$745 |
2.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$585 |
$1,170 |
1.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$885 |
$1,770 |
2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$220 |
$440 |
1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$330 |
$660 |
0.8× |
| Neuromuscular Reeducation (97112) |
$87.50 |
$175 |
2.7× |
| Newborn resuscitation (99465) |
$515 |
$1,030 |
0.8× |
| Nitric oxide expired gas determination (95012) |
$97.50 |
$195 |
2.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$82.50 |
$165 |
3.3× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$105 |
$210 |
3.0× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$50 |
$100 |
3.7× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$85 |
$170 |
1.4× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$132.50 |
$265 |
2.2× |
| Oral Function Therapy (92526) |
$270 |
$540 |
3.2× |
| Oral Speech Device Eval (92597) |
$345 |
$690 |
4.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$70 |
$140 |
1.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$92.50 |
$185 |
2.0× |
| Ot eval high complexity (97167) |
$310 |
$620 |
3.1× |
| Ot Eval Low Complex (97165) |
$177.50 |
$355 |
1.8× |
| Ot Eval Moderate Complexity (97166) |
$240 |
$480 |
2.4× |
| Ot manual therapy 15 min (97140) |
$87.50 |
$175 |
3.2× |
| Ot paraffin bath (97018) |
$35 |
$70 |
5.8× |
| Ot Re-Eval Est Plan Care (97168) |
$125 |
$250 |
1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$240 |
$480 |
1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$237.50 |
$475 |
1.8× |
| Patient-initiated spirometric recording (94015) |
$135 |
$270 |
0.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$140 |
$280 |
0.6× |
| Peripheral arterial disease rehab per session (93668) |
$132.50 |
$265 |
2.2× |
| Phlebotomy therapeutic (99195) |
$125 |
$250 |
0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$190 |
$380 |
3.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$175 |
$350 |
3.0× |
| Physical Performance Test (97750) |
$87.50 |
$175 |
2.6× |
| Plethysmography (94726) |
$367.50 |
$735 |
1.0× |
| Pm/Icd Remote Tech Serv (93296) |
$140 |
$280 |
3.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,385 |
$6,770 |
3.9× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$285 |
$570 |
7.6× |
| Pt Eval High Complex (97163) |
$310 |
$620 |
3.2× |
| Pt eval low complex 20 min (97161) |
$177.50 |
$355 |
1.8× |
| Pt Eval Mod Complex (97162) |
$240 |
$480 |
2.5× |
| Pt gait training 15 min (97116) |
$87.50 |
$175 |
3.0× |
| Pt mechanical traction (97012) |
$92.50 |
$185 |
6.4× |
| Pt Re-Eval Est Plan Care (97164) |
$125 |
$250 |
1.9× |
| Pulm function test by gas (94727) |
$240 |
$480 |
1.1× |
| Pulmonary Stress Testing (94618) |
$217.50 |
$435 |
1.6× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) |
$62.50 |
$125 |
2.7× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) |
$100 |
$200 |
2.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) |
$30 |
$60 |
2.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$550 |
$1,100 |
1.7× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$115 |
$230 |
3.1× |
| Rem ther mntr dev sply resp (98976) |
$115 |
$230 |
3.1× |
| Remote 30 Day Ecg Rev/Report (93270) |
$210 |
$420 |
5.6× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$70 |
$140 |
0.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$155 |
$310 |
2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$157.50 |
$315 |
0.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$350 |
$700 |
2.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$175 |
$350 |
3.7× |
| Self Care Mngment Training (97535) |
$87.50 |
$175 |
2.7× |
| Sensory Integration Ea 15 Min (97533) |
$87.50 |
$175 |
1.4× |
| Sleep study unattended (95806) |
$337.50 |
$675 |
1.6× |
| Speech sound lang comprehen (92523) |
$340 |
$680 |
1.5× |
| Spirometry (94010) |
$265 |
$530 |
1.2× |
| Standardized Cognitive Performance Testing (96125) |
$230 |
$460 |
2.2× |
| Surfactant Admin Thru Tube (94610) |
$205 |
$410 |
0.9× |
| Temp transcutaneous pacing (92953) |
$815 |
$1,630 |
1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$82.50 |
$165 |
3.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$82.50 |
$165 |
3.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$10.50 |
$21 |
0.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$217.50 |
$435 |
2.1× |
| Ther/Proph/Diag Inj Ia (96373) |
$87.50 |
$175 |
0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$55 |
$110 |
0.8× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$337.50 |
$675 |
1.6× |
| Therapeutic Activities (97530) |
$87.50 |
$175 |
2.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$1,300 |
$2,600 |
3.5× |
Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$2,525–$2,630 |
$5,050–$5,260 |
varies |
Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$1,765–$1,820 |
$3,530–$3,640 |
varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$255 |
$510 |
3.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$90 |
$180 |
1.9× |
| Unlisted cardiovascular service/procedure (93799) |
$610 |
$1,220 |
4.7× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$940 |
$1,880 |
7.3× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$427.50 |
$855 |
14.8× |
| Upr/L Xtremity Art 2 Levels (93922) |
$362.50 |
$725 |
2.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$540 |
$1,080 |
2.5× |
| Vasopneumatic device (97016) |
$77.50 |
$155 |
6.4× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,825 |
$3,650 |
4.9× |
| Veeg 2-12 hr intmt mntr (95712) |
$1,825 |
$3,650 |
4.9× |
| Veeg 2-12 hr unmonitored (95711) |
$1,825 |
$3,650 |
8.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$3,640 |
$7,280 |
9.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$3,640 |
$7,280 |
9.8× |
| Veeg ea 12-26hr cont mntr (95716) |
$3,640 |
$7,280 |
4.2× |
| Vent Mgmt Inpat Init Day (94002) |
$1,135 |
$2,270 |
1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$850 |
$1,700 |
1.4× |
| Vital capacity, total (94150) |
$55 |
$110 |
0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$87.50 |
$175 |
2.8× |
| Whirlpool Therapy (97022) |
$102.50 |
$205 |
6.5× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$112.50 |
$225 |
1.9× |