| Airway Inhalation Treatment (94640) |
$202.15 |
$311 |
0.9× |
| Analyze Neurostim Simple (95971) |
$43.55 |
$67 |
0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$104.65 |
$161 |
7.3× |
| Application on-body injector (96377) |
$315.90 |
$486 |
6.9× |
| Assessment of aphasia per hr (96105) |
$365.30 |
$562 |
3.8× |
| Behavral qualit analys voice (92524) |
$196.30 |
$302 |
1.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$666.25 |
$1,025 |
1.8× |
| Canalith repositioning proc (95992) |
$188.50 |
$290 |
4.6× |
| Car seat/bed test 60 min (94780) |
$78.65 |
$121 |
2.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,053 |
$1,620 |
5.0× |
| Cardiopulmonary resuscitation (92950) |
$1,105.65 |
$1,701 |
5.2× |
| Cardioversion (92960) |
$2,199.60 |
$3,384 |
3.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$70.20 |
$108 |
2.7× |
| Cbt 1st hour (94644) |
$300.95 |
$463 |
2.3× |
| Chemo Admin Peritoneal Cavity (96446) |
$1,088.10 |
$1,674 |
3.4× |
| Chemo Anti-Neopl Sq/Im (96401) |
$670.15 |
$1,031 |
9.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$278.20 |
$428 |
3.9× |
| Chemo IV infusion addl hr (96415) |
$278.20 |
$428 |
3.9× |
| Chemo IV push addl drug (96411) |
$278.20 |
$428 |
3.9× |
| Chemother Prolong Infuse W/Pump (96416) |
$1,895.40 |
$2,916 |
5.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$278.20 |
$428 |
3.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$1,895.40 |
$2,916 |
5.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$1,088.10 |
$1,674 |
3.4× |
| Chest Wall Manipulation (94668) |
$202.15 |
$311 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$1,338.35 |
$2,059 |
5.7× |
| Color/duplex Doppler, limited (93976) |
$1,050.40 |
$1,616 |
10.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$339.30 |
$522 |
2.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$164.45 |
$253 |
2.8× |
| Continuous Pulse Ox (94762) |
$811.20 |
$1,248 |
6.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$2,695.55 |
$4,147 |
12.5× |
| Cpt initial (94667) |
$575.25 |
$885 |
4.4× |
Critical care first hour (99291)
range across 3 matching MRF lines |
$5,801.25–$11,506.95 |
$8,925–$17,703 |
varies |
| Debridement Open Wound 20 Sq Cm< (97597) |
$476.45 |
$733 |
2.4× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$993.20 |
$1,528 |
7.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$451.10 |
$694 |
1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,575.60 |
$2,424 |
6.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,804.40 |
$2,776 |
7.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,420.25 |
$2,185 |
13.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,804.40 |
$2,776 |
7.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,422.85 |
$2,189 |
13.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,695.20 |
$2,608 |
7.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$1,422.85 |
$2,189 |
13.9× |
| Duplex Scan Hemodialysis Access (93990) |
$555.75 |
$855 |
5.4× |
| Duplex up extrem art bilat (93930) |
$1,804.40 |
$2,776 |
7.7× |
| Duplex up extrem art unilat/ltd (93931) |
$1,420.25 |
$2,185 |
13.8× |
| Echo Congenital Complete (93303) |
$2,873 |
$4,420 |
5.4× |
| Echo Heart Xthoracic,Limited (93308) |
$1,560.65 |
$2,401 |
6.7× |
| Echo transesophageal (93312) |
$3,259.10 |
$5,014 |
6.1× |
| EEG awake and asleep (95819) |
$1,439.10 |
$2,214 |
6.8× |
| EEG awake drowsy (95816) |
$1,439.10 |
$2,214 |
6.8× |
| EEG cerebral death evaluation (95824) |
$1,358.50 |
$2,090 |
3.7× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$222.30 |
$342 |
2.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$78.65 |
$121 |
2.1× |
| Electrical Stimulation Ea 15 Min (97032) |
$140.40 |
$216 |
9.6× |
| Electrocardiogram Tracing (93005) |
$406.25 |
$625 |
7.0× |
| Emergency Dept Visit Level 2 (99282) |
$726.05 |
$1,117 |
4.8× |
| Emergency Dept Visit Level 3 (99283) |
$1,192.75 |
$1,835 |
4.5× |
| Emergency Dept Visit Level 4 (99284) |
$2,029.95 |
$3,123 |
5.0× |
| Er level 1 (99281) |
$396.50 |
$610 |
4.8× |
| Er level v (99285) |
$2,404.35 |
$3,699 |
4.1× |
| Evaluate pt use of inhaler (94664) |
$292.50 |
$450 |
1.4× |
| Evaluate Speech Production (92522) |
$188.50 |
$290 |
1.7× |
| Evaluate Swallowing Function (92610) |
$256.75 |
$395 |
3.0× |
| Evaluation of speech fluency (92521) |
$230.75 |
$355 |
1.7× |
| External ECG rec>48hr<7d recording (93242) |
$612.30 |
$942 |
16.7× |
| External ECG rec>7d<15d recording (93246) |
$988.65 |
$1,521 |
27.0× |
| External Ecg Scanning Analysis Report (93226) |
$798.20 |
$1,228 |
13.8× |
| Extracranial Bilat Study (93880) |
$2,049.45 |
$3,153 |
8.8× |
| Extracranial Uni/Ltd Study (93882) |
$1,792.70 |
$2,758 |
17.5× |
| Group Therapeutic Procedures (97150) |
$114.40 |
$176 |
6.3× |
| Holter monitor recording (93225) |
$612.30 |
$942 |
4.7× |
| Immunization administration (90471) |
$138.45 |
$213 |
2.0× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$1,227.85 |
$1,889 |
3.4× |
| Inital newborn e/m (99460) |
$1,283.75 |
$1,975 |
9.8× |
| Iontophoresis 15 min (97033) |
$186.55 |
$287 |
9.8× |
| Irrig Drug Delivery Device (96523) |
$562.25 |
$865 |
9.7× |
| IV infusion hydration each additional hour (96361) |
$214.50 |
$330 |
4.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$767.65 |
$1,181 |
3.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$315.90 |
$486 |
4.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$214.50 |
$330 |
4.7× |
| IV push initial (96374) |
$767 |
$1,180 |
3.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,456 |
$2,240 |
6.9× |
| Mechanical chest wall oscillation per session (94669) |
$174.85 |
$269 |
0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$74.10 |
$114 |
2.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$74.10 |
$114 |
2.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$104 |
$160 |
6.1× |
| Methacholine challenge (94070) |
$2,649.40 |
$4,076 |
7.2× |
| Motion Fluoroscopy/Swallow (92611) |
$679.25 |
$1,045 |
7.4× |
| Multiple Sleep Latency Test (95805) |
$5,174 |
$7,960 |
6.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$828.10 |
$1,274 |
2.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$839.80 |
$1,292 |
2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$390.65 |
$601 |
2.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$583.70 |
$898 |
1.5× |
| Neuromuscular Reeducation (97112) |
$168.35 |
$259 |
5.1× |
| Newborn resuscitation (99465) |
$1,308.45 |
$2,013 |
2.0× |
| Oral Function Therapy (92526) |
$140.40 |
$216 |
1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$115.70 |
$178 |
2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$140.40 |
$216 |
3.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$71.50 |
$110 |
3.4× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$108.55 |
$167 |
5.1× |
| Ot eval high complexity (97167) |
$403 |
$620 |
4.0× |
| Ot Eval Low Complex (97165) |
$330.20 |
$508 |
3.3× |
| Ot Eval Moderate Complexity (97166) |
$366.60 |
$564 |
3.6× |
| Ot manual therapy 15 min (97140) |
$144.30 |
$222 |
5.2× |
| Ot paraffin bath (97018) |
$115.70 |
$178 |
19.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$115.70 |
$178 |
2.9× |
| Ot Re-Eval Est Plan Care (97168) |
$193.70 |
$298 |
2.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$332.15 |
$511 |
2.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$310.70 |
$478 |
2.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$614.90 |
$946 |
2.9× |
| Phlebotomy therapeutic (99195) |
$384.15 |
$591 |
2.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$125.45 |
$193 |
2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$125.45 |
$193 |
2.2× |
| Physical Performance Test (97750) |
$105.95 |
$163 |
3.1× |
| Plethysmography (94726) |
$853.45 |
$1,313 |
2.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$7,634.90 |
$11,746 |
9.1× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,195.40 |
$4,916 |
3.8× |
| Pt Eval High Complex (97163) |
$403 |
$620 |
4.1× |
| Pt eval low complex 20 min (97161) |
$330.20 |
$508 |
3.4× |
| Pt Eval Mod Complex (97162) |
$366.60 |
$564 |
3.7× |
| Pt gait training 15 min (97116) |
$137.80 |
$212 |
4.7× |
| Pt mechanical traction (97012) |
$140.40 |
$216 |
9.8× |
| Pt Re-Eval Est Plan Care (97164) |
$193.70 |
$298 |
2.9× |
| Pulmonary service/procedure (94799) |
$379.60 |
$584 |
3.0× |
| Pulmonary Stress Testing (94618) |
$450.45 |
$693 |
3.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$664.95 |
$1,023 |
2.1× |
| Refill/Maint Portable Pump (96521) |
$1,088.10 |
$1,674 |
5.2× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$61.75 |
$95 |
1.7× |
| Rem ther mntr dev sply resp (98976) |
$61.75 |
$95 |
1.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$461.50 |
$710 |
12.6× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$194.35 |
$299 |
1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$46.80 |
$72 |
1.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$46.80 |
$72 |
0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$347.10 |
$534 |
1.8× |
| Self Care Mngment Training (97535) |
$141.05 |
$217 |
4.4× |
| Sleep study attended (95807) |
$1,769.95 |
$2,723 |
4.8× |
| Sleep study unattended (95806) |
$679.90 |
$1,046 |
3.2× |
| Slp caregiver training 1st 30 min (97550) |
$141.05 |
$217 |
2.7× |
| Speech sound lang comprehen (92523) |
$389.35 |
$599 |
1.7× |
| Spirometry (94010) |
$379.60 |
$584 |
1.8× |
| Stress Tte Only (93350) |
$2,241.85 |
$3,449 |
4.2× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$214.50 |
$330 |
4.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$767.65 |
$1,181 |
3.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$207.35 |
$319 |
9.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$135.20 |
$208 |
3.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$140.40 |
$216 |
4.7× |
| Ther/Proph/Diag Inj Ia (96373) |
$675.35 |
$1,039 |
3.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$312.65 |
$481 |
4.4× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$1,246.70 |
$1,918 |
6.0× |
| Therapeutic Activities (97530) |
$157.30 |
$242 |
4.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$133.90 |
$206 |
3.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$104 |
$160 |
2.8× |
| Tte w/doppler, complete (93306) |
$3,792.75 |
$5,835 |
7.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$259.35 |
$399 |
3.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$256.10 |
$394 |
5.6× |
| Tympanometry (92567) |
$163.15 |
$251 |
4.5× |
| Upr/L Xtremity Art 2 Levels (93922) |
$723.45 |
$1,113 |
5.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,042.60 |
$1,604 |
4.9× |
| Vasopneumatic device (97016) |
$170.95 |
$263 |
14.2× |
| Vent Mgmt Inpat Init Day (94002) |
$2,841.80 |
$4,372 |
4.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$2,481.05 |
$3,817 |
4.1× |
| Vital capacity, total (94150) |
$189.80 |
$292 |
1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$185.90 |
$286 |
6.0× |
| Whirlpool Therapy (97022) |
$148.85 |
$229 |
9.5× |