| Airway inhalation treatment (94640) |
$100.20 |
$167 |
0.5× |
| Analyze Neurostim Complex (95972) |
$283.80 |
$473 |
3.0× |
| Analyze neurostim no prog (95970) |
$2,016.60 |
$3,361 |
15.1× |
| Capsule endoscopy (91110) |
$650.40 |
$1,084 |
0.7× |
| Cardiopulmonary resuscitation (92950) |
$658.20 |
$1,097 |
3.0× |
| Cardioversion (92960) |
$646.80 |
$1,078 |
1.0× |
| Cbt 1st hour (94644) |
$57.45 |
$95.75 |
0.4× |
| Color/duplex Doppler, complete (93975) |
$443.40 |
$739 |
1.8× |
| Color/duplex Doppler, limited (93976) |
$443.40 |
$739 |
4.2× |
| Cpap initiation and management (94660) |
$160.80 |
$268 |
0.7× |
| Cpt initial (94667) |
$391.80 |
$653 |
2.9× |
| Critical care (99291) |
$1,493.40 |
$2,489 |
1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$283.80 |
$473 |
1.4× |
| Demo &/or eval,pt use,aerosol device (94664) |
$61.20 |
$102 |
0.3× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$432 |
$720 |
1.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$677.40 |
$1,129 |
2.8× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$487.80 |
$813 |
4.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$719.40 |
$1,199 |
3.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$465.90 |
$776.50 |
4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$708.60 |
$1,181 |
6.7× |
| Duplex scan extracranial art compl bi study (93880) |
$477 |
$795 |
2.0× |
| Ed special anterior segment photography with interpretation and report; with fluorescein angiography (92287) |
$639 |
$1,065 |
4.8× |
| EKG (93005) |
$120 |
$200 |
2.0× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$2,017.80 |
$3,363 |
21.1× |
| EMG four extremities (95864) |
$548.40 |
$914 |
4.2× |
| EMG thoracic paraspinal (95869) |
$520.20 |
$867 |
2.4× |
| EMG two extremities (95861) |
$135.90 |
$226.50 |
1.0× |
| Er level 1 (99281) |
$294 |
$490 |
3.5× |
| Er level ii (99282) |
$516 |
$860 |
3.3× |
| Er level iii (99283) |
$1,101 |
$1,835 |
4.0× |
| Er level IV (99284) |
$2,175 |
$3,625 |
5.2× |
| Er level v (99285) |
$4,601.40 |
$7,669 |
7.7× |
| Esophageal Capsule Endoscopy (91111) |
$1,791.60 |
$2,986 |
2.0× |
| Esophgl balo distension dx std w/provocation (91040) |
$1,464.60 |
$2,441 |
3.9× |
| Fluorescein angiography (92235) |
$657.60 |
$1,096 |
3.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,513.50 |
$2,522.50 |
1.8× |
| Immunization Admin (90471) |
$82.20 |
$137 |
1.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$593.70 |
$989.50 |
10.0× |
| IV infusion hydration each additional hour (96361) |
$102.90 |
$171.50 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$214.50 |
$357.50 |
1.0× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$211.20 |
$352 |
2.9× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$215.40 |
$359 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$102.60 |
$171 |
2.2× |
| IV push initial (96374) |
$215.40 |
$359 |
1.0× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$588 |
$980 |
1.8× |
| Manual therapy 15 min (97140) |
$66 |
$110 |
2.4× |
| Massage 15 min (97124) |
$54.90 |
$91.50 |
1.8× |
| Motility study esophagus (91010) |
$1,371.60 |
$2,286 |
3.7× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$265.20 |
$442 |
0.6× |
| Neg press wnd tx </=50 sq cm (97607) |
$204 |
$340 |
0.5× |
| Neg press wound tx >50 cm (97608) |
$149.40 |
$249 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$159.60 |
$266 |
0.8× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$554.40 |
$924 |
2.6× |
| Nerve conduction studies; 1-2 studies (95907) |
$129 |
$215 |
0.6× |
| Nerve conduction studies; 5-6 studies (95909) |
$731.40 |
$1,219 |
3.4× |
| Neuromuscular junction test (95937) |
$783.60 |
$1,306 |
6.1× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$373.20 |
$622 |
2.8× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$392.40 |
$654 |
1.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$363 |
$605 |
2.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$54.90 |
$91.50 |
3.9× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$74.40 |
$124 |
1.5× |
| Ot Range Motion Measure,Each Extrem (95851) |
$55.80 |
$93 |
2.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$109.20 |
$182 |
0.5× |
| Pt Electric Current Therapy (97033) |
$64.80 |
$108 |
3.4× |
| Pt Electrical Stimulation (97032) |
$63.60 |
$106 |
4.3× |
| Pt eval high complex 45 min (97163) |
$100.20 |
$167 |
1.0× |
| Pt eval low complex 20 min (97161) |
$100.20 |
$167 |
1.0× |
| Pt Gait Training Therapy (97116) |
$66 |
$110 |
2.3× |
| Pt Physical Performance Test (97750) |
$45 |
$75 |
1.3× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$100.20 |
$167 |
1.0× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$55.80 |
$93 |
1.7× |
| Pt Ultrasound Therapy (97035) |
$54.90 |
$91.50 |
3.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$61.20 |
$102 |
0.5× |
| Sensory Integration Ea 15 Min (97533) |
$75 |
$125 |
1.2× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$548.40 |
$914 |
2.5× |
| Somatosensory testing (95938) |
$732 |
$1,220 |
0.8× |
| Spirometry (94010) |
$345 |
$575 |
1.6× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$91.20 |
$152 |
1.9× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$190.80 |
$318 |
0.9× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$77.40 |
$129 |
3.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$215.40 |
$359 |
3.0× |
| Therapeutic Activities (97530) |
$66 |
$110 |
1.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$719.40 |
$1,199 |
1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$51.30 |
$85.50 |
1.1× |
| Unlisted pulmonary service/procedure (94799) |
$144 |
$240 |
1.1× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$567.60 |
$946 |
2.4× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$437.70 |
$729.50 |
0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$466.20 |
$777 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$64.80 |
$108 |
2.1× |