| Advncd Care Plan 30 Min (99497) |
$55.60 |
$139 |
0.6× |
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines |
$179.60–$180.40 |
$449–$451 |
varies |
| Analyze neurostim no prog (95970) |
$120 |
$300 |
1.0× |
| Ans parasymp & symp w/tilt (95924) |
$305.60 |
$764 |
1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$48 |
$120 |
3.3× |
| Application on-body injector (96377) |
$178 |
$445 |
4.4× |
| Behavral qualit analys voice (92524) |
$101.20 |
$253 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$198.80 |
$497 |
0.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$456 |
$1,140 |
2.4× |
| Cardiopulmonary resuscitation (92950) |
$342.40 |
$856 |
1.8× |
| Cardioversion (92960) |
$594.80 |
$1,487 |
1.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$31.20 |
$78 |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$5,174.40 |
$12,936 |
1.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,272.80 |
$8,182 |
1.2× |
| Cbt 1st hour (94644) |
$118.40 |
$296 |
1.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$141.60 |
$354 |
2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$256.80 |
$642 |
4.1× |
| Chemo Ia Push (96420) |
$359.60 |
$899 |
1.3× |
| Chemo IV infusion addl hr (96415) |
$106 |
$265 |
1.7× |
| Chemo IV push addl drug (96411) |
$245.60 |
$614 |
4.0× |
| Chemother Prolong Infuse W/Pump (96416) |
$723.20 |
$1,808 |
2.5× |
| Chemotherapy Into Cns (96450) |
$1,474 |
$3,685 |
5.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$131.20 |
$328 |
2.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$282.40 |
$706 |
1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$355.60 |
$889 |
1.2× |
| Chest Wall Manipulation (94668) |
$40.80 |
$102 |
0.4× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$36 |
$90 |
0.4× |
| Color/duplex Doppler, limited (93976) |
$207.20 |
$518 |
2.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$82.80 |
$207 |
2.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$210.40 |
$526 |
1.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$106.80 |
$267 |
2.1× |
| Continuous Pulse Ox (94762) |
$207.20 |
$518 |
1.9× |
| Coronary Art/Grft Angio S&I (93455) |
$2,660 |
$6,650 |
1.0× |
| Coronary Artery Angio S&I (93454) |
$2,660 |
$6,650 |
1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$239.20 |
$598 |
1.3× |
| Cpt initial (94667) |
$40.80 |
$102 |
0.4× |
| Critical care first hour (99291) |
$1,682.40 |
$4,206 |
2.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$174 |
$435 |
1.0× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$318.40 |
$796 |
2.9× |
| Dialysis One Evaluation (90945) |
$733.60 |
$1,834 |
2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$126 |
$315 |
1.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$140.80 |
$352 |
1.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$280 |
$700 |
1.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$141.20 |
$353 |
1.6× |
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines |
$393.20–$408.80 |
$983–$1,022 |
varies |
| Dup-scan xtr veins unilateral/limited study (93971) |
$205.60 |
$514 |
2.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$268.40 |
$671 |
1.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$183.60 |
$459 |
2.0× |
| Duplex Scan Hemodialysis Access (93990) |
$206 |
$515 |
2.3× |
| Duplex up extrem art bilat (93930) |
$280 |
$700 |
1.4× |
| Duplex up extrem art unilat/ltd (93931) |
$141.20 |
$353 |
1.6× |
| Echo Heart Xthoracic,Limited (93308) |
$261.60 |
$654 |
1.3× |
| Echo transesophageal (93312) |
$696.80 |
$1,742 |
1.5× |
| Eeg 41-60 Minutes (95812) |
$216.40 |
$541 |
1.2× |
| EEG awake and asleep (95819) |
$364 |
$910 |
2.0× |
| EEG awake drowsy (95816) |
$231.60 |
$579 |
1.2× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$108 |
$270 |
0.6× |
| Eeg Sleep Only (95822) |
$184 |
$460 |
1.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$132.80 |
$332 |
1.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$42.40 |
$106 |
1.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$77.60 |
$194 |
5.3× |
| Electrocardiogram Tracing (93005) |
$106.80 |
$267 |
2.1× |
| Emergency Dept Visit Level 2 (99282) |
$265.60 |
$664 |
2.0× |
| Emergency Dept Visit Level 3 (99283) |
$450.80 |
$1,127 |
1.9× |
| Emergency Dept Visit Level 4 (99284) |
$998.40 |
$2,496 |
2.8× |
| Emg 4 Extremities (95864) |
$108 |
$270 |
1.0× |
| Er level 1 (99281) |
$168 |
$420 |
2.3× |
| Er level v (99285) |
$1,286 |
$3,215 |
2.5× |
| Esophageal Capsule Endoscopy (91111) |
$876.80 |
$2,192 |
1.1× |
| Evaluate pt use of inhaler (94664) |
$180.40 |
$451 |
1.0× |
| Evaluate Speech Production (92522) |
$97.20 |
$243 |
0.9× |
| Evaluate Swallowing Function (92610) |
$98 |
$245 |
1.2× |
| Evaluation of speech fluency (92521) |
$119.20 |
$298 |
0.9× |
| External Ecg Scanning Analysis Report (93226) |
$254.40 |
$636 |
5.0× |
| Extracranial Bilat Study (93880) |
$261.60 |
$654 |
1.3× |
| Extracranial Uni/Ltd Study (93882) |
$220 |
$550 |
2.4× |
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 2 matching MRF lines |
$374.40–$704.80 |
$936–$1,762 |
varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$341.20 |
$853 |
1.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$704.80 |
$1,762 |
1.0× |
| Gi tract capsule endoscopy (91110) |
$876.80 |
$2,192 |
1.1× |
| Gi tract imaging intraluminal colon i&r (91113) |
$992.40 |
$2,481 |
1.2× |
| Group Therapeutic Procedures (97150) |
$70.80 |
$177 |
3.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$5,531.20 |
$13,828 |
2.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$704 |
$1,760 |
1.2× |
| Holter monitor recording (93225) |
$214 |
$535 |
1.9× |
| Hubbard tank 15 min (97036) |
$159.20 |
$398 |
4.6× |
| Immunization administration (90471) |
$54.40 |
$136 |
0.9× |
| Insert/Place Heart Catheter (93503) |
$1,276.80 |
$3,192 |
0.9× |
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure |
$484.40 |
$1,211 |
0.1× |
| Irrig Drug Delivery Device (96523) |
$78.40 |
$196 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$34 |
$85 |
0.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$236 |
$590 |
1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$246.80 |
$617 |
4.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$48 |
$120 |
1.2× |
| IV push initial (96374) |
$228.80 |
$572 |
1.2× |
| L Hrt Art/Grft Angio (93459) |
$3,451.20 |
$8,628 |
1.2× |
| Laryngeal Function Studies (92520) |
$312.80 |
$782 |
2.7× |
| Mechanical chest wall oscillation per session (94669) |
$90 |
$225 |
0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$26.80 |
$67 |
0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$46 |
$115 |
1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$17.60 |
$44 |
1.0× |
| Motility study esophagus (91010) |
$704.80 |
$1,762 |
2.2× |
| Motion Fluoroscopy/Swallow (92611) |
$196.80 |
$492 |
2.2× |
| Multiple Sleep Latency Test (95805) |
$855.20 |
$2,138 |
1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$350.40 |
$876 |
1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$142.80 |
$357 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$83.60 |
$209 |
0.5× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$108 |
$270 |
0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$251.60 |
$629 |
0.8× |
| Nerve conduction studies 13 or more studies (95913) |
$251.60 |
$629 |
0.8× |
| Nerve conduction studies 5-6 studies (95909) |
$219.60 |
$549 |
1.2× |
| Nerve conduction studies 7-8 studies (95910) |
$251.60 |
$629 |
0.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$251.60 |
$629 |
0.8× |
| Neuromuscular Reeducation (97112) |
$52.40 |
$131 |
1.6× |
| Oral Function Therapy (92526) |
$97.60 |
$244 |
1.2× |
| Oral Speech Device Eval (92597) |
$128.40 |
$321 |
1.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$44 |
$110 |
0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$53.20 |
$133 |
1.2× |
| Ot eval high complexity (97167) |
$94 |
$235 |
0.9× |
| Ot Eval Low Complex (97165) |
$94 |
$235 |
0.9× |
| Ot Eval Moderate Complexity (97166) |
$94 |
$235 |
0.9× |
| Ot manual therapy 15 min (97140) |
$51.60 |
$129 |
1.9× |
| Ot paraffin bath (97018) |
$44.80 |
$112 |
7.5× |
| Ot Re-Eval Est Plan Care (97168) |
$62 |
$155 |
0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$187.60 |
$469 |
1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$130.80 |
$327 |
1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$134.40 |
$336 |
0.7× |
| Peripheral arterial disease rehab per session (93668) |
$136 |
$340 |
2.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$4,528.80 |
$11,322 |
0.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$9,153.60 |
$22,884 |
0.9× |
| Phlebotomy therapeutic (99195) |
$96.40 |
$241 |
0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$82.80 |
$207 |
1.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$82.80 |
$207 |
1.6× |
| Plethysmography (94726) |
$133.60 |
$334 |
0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,420.80 |
$6,052 |
3.3× |
| Positional nystagmus test (92542) |
$129.60 |
$324 |
1.1× |
| Prq Card Angio/Athrect 1 Art (92924) |
$9,153.60 |
$22,884 |
0.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$9,153.60 |
$22,884 |
0.9× |
| Pt Eval High Complex (97163) |
$96.40 |
$241 |
1.0× |
| Pt eval low complex 20 min (97161) |
$96.40 |
$241 |
1.0× |
| Pt Eval Mod Complex (97162) |
$96.40 |
$241 |
1.0× |
| Pt gait training 15 min (97116) |
$37.20 |
$93 |
1.3× |
| Pt group caregiver training (97552) |
$12.40 |
$31 |
0.6× |
| Pt mechanical traction (97012) |
$51.60 |
$129 |
3.6× |
| Pt Re-Eval Est Plan Care (97164) |
$65.20 |
$163 |
1.0× |
| Pulm function test by gas (94727) |
$100.80 |
$252 |
0.5× |
| Pulmonary service/procedure (94799) |
$153.60 |
$384 |
1.4× |
| R hrt coronary artery angio (93456) |
$4,393.20 |
$10,983 |
1.6× |
| Respiratory flow volume loop (94375) |
$192.80 |
$482 |
1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$106.80 |
$267 |
2.1× |
| Right Heart Cath (93451) |
$2,660 |
$6,650 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$84 |
$210 |
0.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$128.40 |
$321 |
1.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$62.40 |
$156 |
1.3× |
| Self Care Mngment Training (97535) |
$32.80 |
$82 |
1.0× |
| Sleep study attended (95807) |
$358.40 |
$896 |
1.1× |
| Sleep study unattended (95806) |
$640 |
$1,600 |
3.4× |
| Slp caregiver training 1st 30 min (97550) |
$62.40 |
$156 |
1.2× |
| Speech sound lang comprehen (92523) |
$201.20 |
$503 |
0.9× |
| Spin/Brain Pump Refil & Main (95991) |
$227.60 |
$569 |
0.9× |
| Spirometry (94010) |
$134 |
$335 |
0.7× |
| Stress Tte Only (93350) |
$562 |
$1,405 |
1.2× |
| Temp transcutaneous pacing (92953) |
$594.80 |
$1,487 |
1.0× |
| Testing Autonomic Nervous System Function (95923) |
$126.80 |
$317 |
1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$49.20 |
$123 |
2.2× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$52.40 |
$131 |
2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$154.40 |
$386 |
1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$59.20 |
$148 |
1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$236 |
$590 |
1.3× |
| Therapeutic Activities (97530) |
$47.60 |
$119 |
1.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$514.40 |
$1,286 |
1.6× |
| Trans Care Mgmt 14 Day Disch (99495) |
$137.60 |
$344 |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$137.60 |
$344 |
1.2× |
| Tte w/doppler, complete (93306) |
$759.20 |
$1,898 |
1.6× |
| Tte W/O Doppler Complete (93307) |
$533.60 |
$1,334 |
2.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$90.40 |
$226 |
1.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$70.80 |
$177 |
2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$51.60 |
$129 |
1.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$247.20 |
$618 |
2.2× |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines |
$158.40–$296.80 |
$396–$742 |
varies |
Vasopneumatic device (97016)
range across 2 matching MRF lines |
$27.20–$80 |
$68–$200 |
varies |
| Vent Mgmt Inpat Init Day (94002) |
$306 |
$765 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$292 |
$730 |
0.5× |
| Vital capacity, total (94150) |
$31.20 |
$78 |
0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$49.60 |
$124 |
1.6× |