| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$227.13 |
$227.13 |
1.5× |
| Actigraphy Testing Recording Analysis I&R (95803) |
$192 |
$192 |
2.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$109.35 |
$109.35 |
2.2× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$481.65 |
$481.65 |
1.9× |
Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$333.66–$1,876 |
$333.66–$1,876 |
varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
$360 |
$360 |
2.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$130.62 |
$130.62 |
9.1× |
| Assessment of aphasia per hr (96105) |
$525 |
$525 |
5.4× |
| Audiometry Air & Bone (92553) |
$293 |
$293 |
1.9× |
| Basic vestibular evaluation (92540) |
$310 |
$310 |
1.2× |
| Blink reflex test (95933) |
$872 |
$872 |
12.3× |
| Brief Emotional/Behav Assmt (96127) |
$64 |
$64 |
1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$756 |
$756 |
1.7× |
| Canalith repositioning proc (95992) |
$176.97 |
$176.97 |
4.3× |
| Car seat/bed test 60 min (94780) |
$415.04 |
$415.04 |
9.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,146.15 |
$1,146.15 |
4.4× |
Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$755–$858 |
$755–$858 |
varies |
Cardioversion (92960) range across 3 matching MRF lines |
$461–$2,103.30 |
$461–$2,103.30 |
varies |
| Cbt 1st hour (94644) |
$339 |
$339 |
2.1× |
| Chemo Anti-Neopl Sq/Im (96401) |
$450.59 |
$450.59 |
5.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$280.20 |
$280.20 |
3.2× |
| Chemo IV infusion addl hr (96415) |
$294 |
$294 |
3.4× |
| Chemo IV push addl drug (96411) |
$459 |
$459 |
5.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$421.20 |
$421.20 |
4.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$1,395.90 |
$1,395.90 |
3.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$801.90 |
$801.90 |
2.0× |
| Chest Wall Manipulation (94668) |
$210 |
$210 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$1,345.72 |
$1,345.72 |
4.7× |
| Color/duplex Doppler, limited (93976) |
$1,011.79 |
$1,011.79 |
8.1× |
| Comprehensive Hearing Test (92557) |
$623 |
$623 |
4.0× |
| Conditioning Play Audiometry (92582) |
$227.97 |
$227.97 |
1.5× |
| Continuous Pulse Ox (94762) |
$556 |
$556 |
3.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$698 |
$698 |
2.7× |
| Cpt initial (94667) |
$158.60 |
$158.60 |
1.0× |
Critical care first hour (99291) range across 3 matching MRF lines |
$1,195–$3,218 |
$1,195–$3,218 |
varies |
Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$260–$830 |
$260–$830 |
varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$296 |
$296 |
1.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$409.77 |
$409.77 |
0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,105.02 |
$1,105.02 |
3.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$942.79 |
$942.79 |
7.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,026 |
$1,026 |
3.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$932 |
$932 |
7.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,231.20 |
$1,231.20 |
4.3× |
Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$472–$932 |
$472–$932 |
varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$503 |
$503 |
1.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$364 |
$364 |
2.9× |
| Duplex Scan Hemodialysis Access (93990) |
$489 |
$489 |
3.9× |
| Duplex up extrem art bilat (93930) |
$1,026 |
$1,026 |
3.6× |
| Duplex up extrem art unilat/ltd (93931) |
$932 |
$932 |
7.4× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$399.60 |
$399.60 |
2.6× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$399.60 |
$399.60 |
2.6× |
| Echo Congenital Complete (93303) |
$1,766 |
$1,766 |
2.7× |
Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$311–$834 |
$311–$834 |
varies |
| Echo r-t 2d w/probe placement only (93313) |
$1,806 |
$1,806 |
2.8× |
| Echo transesophageal (93312) |
$1,977 |
$1,977 |
3.0× |
| EEG awake and asleep (95819) |
$1,189.29 |
$1,189.29 |
4.6× |
| EEG awake drowsy (95816) |
$1,115.55 |
$1,115.55 |
4.3× |
| Eeg Sleep Only (95822) |
$932 |
$932 |
3.6× |
| Electrical Stimulation Ea 15 Min (97032) |
$87.17 |
$87.17 |
5.9× |
| Electrocardiogram Tracing (93005) |
$240.30 |
$240.30 |
3.4× |
| Electrocochleography (92584) |
$572.04 |
$572.04 |
3.7× |
Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$198–$488 |
$198–$488 |
varies |
Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$331–$685 |
$331–$685 |
varies |
Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$530–$1,194 |
$530–$1,194 |
varies |
Er level 1 (99281) range across 3 matching MRF lines |
$172–$295 |
$172–$295 |
varies |
Er level v (99285) range across 2 matching MRF lines |
$661–$1,437 |
$661–$1,437 |
varies |
| Evaluate pt use of inhaler (94664) |
$359 |
$359 |
1.4× |
| Evaluate Speech Production (92522) |
$447.43 |
$447.43 |
4.0× |
| Evaluate Swallowing Function (92610) |
$436 |
$436 |
5.1× |
| Evaluation of speech fluency (92521) |
$575.40 |
$575.40 |
4.3× |
| Evoked Auditory Test,Limited (92587) |
$418.20 |
$418.20 |
1.6× |
| External Ecg Scanning Analysis Report (93226) |
$793 |
$793 |
11.2× |
| Extracranial Bilat Study (93880) |
$1,056 |
$1,056 |
3.7× |
| Extracranial Uni/Ltd Study (93882) |
$959 |
$959 |
7.7× |
| Gi tract capsule endoscopy (91110) |
$3,023 |
$3,023 |
2.8× |
| Group Therapeutic Procedures (97150) |
$100.86 |
$100.86 |
5.6× |
| Holter monitor recording (93225) |
$588.85 |
$588.85 |
3.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$113.05 |
$113.05 |
1.3× |
| Immunization administration (90471) |
$119 |
$119 |
1.4× |
| Iontophoresis 15 min (97033) |
$150 |
$150 |
7.9× |
| Irrig Drug Delivery Device (96523) |
$294.69 |
$294.69 |
4.2× |
| IV infusion hydration each additional hour (96361) |
$166.44 |
$166.44 |
3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$530.55 |
$530.55 |
2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$363.15 |
$363.15 |
4.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$192 |
$192 |
3.4× |
| IV push initial (96374) |
$341 |
$341 |
1.3× |
| Lung Function Test (Mbc/Mvv) (94200) |
$382 |
$382 |
5.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,136.70 |
$1,136.70 |
4.4× |
| Mechanical chest wall oscillation per session (94669) |
$244.39 |
$244.39 |
0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$116.93 |
$116.93 |
3.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$129.57 |
$129.57 |
3.5× |
| Methacholine challenge (94070) |
$1,062.09 |
$1,062.09 |
2.4× |
| Motion Fluoroscopy/Swallow (92611) |
$438 |
$438 |
4.8× |
| Multiple Sleep Latency Test (95805) |
$2,992.95 |
$2,992.95 |
2.9× |
Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$438–$519 |
$438–$519 |
varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$347.62 |
$347.62 |
1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$724 |
$724 |
1.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$724 |
$724 |
1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$409 |
$409 |
1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$610 |
$610 |
1.3× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$488 |
$488 |
1.9× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$2,334.15 |
$2,334.15 |
5.2× |
| Nerve conduction studies 13 or more studies (95913) |
$1,217.45 |
$1,217.45 |
2.7× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$881 |
$881 |
3.4× |
| Nerve conduction studies 5-6 studies (95909) |
$1,320.96 |
$1,320.96 |
5.1× |
| Nerve conduction studies 7-8 studies (95910) |
$1,556.55 |
$1,556.55 |
3.5× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$2,106 |
$2,106 |
4.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$488 |
$488 |
3.2× |
| Neuromuscular Reeducation (97112) |
$145 |
$145 |
4.4× |
| Newborn resuscitation (99465) |
$918.65 |
$918.65 |
1.2× |
| Oral Function Therapy (92526) |
$274 |
$274 |
3.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$130 |
$130 |
5.0× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$107.25 |
$107.25 |
4.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$192 |
$192 |
7.4× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$229 |
$229 |
8.8× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$171.60 |
$171.60 |
6.6× |
| Ot eval high complexity (97167) |
$375 |
$375 |
3.7× |
| Ot Eval Low Complex (97165) |
$375 |
$375 |
3.7× |
| Ot Eval Moderate Complexity (97166) |
$375 |
$375 |
3.7× |
| Ot manual therapy 15 min (97140) |
$149.06 |
$149.06 |
5.4× |
| Ot Re-Eval Est Plan Care (97168) |
$180.13 |
$180.13 |
2.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$332.40 |
$332.40 |
2.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$277 |
$277 |
1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$380.49 |
$380.49 |
1.4× |
| Phlebotomy therapeutic (99195) |
$362 |
$362 |
2.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$311 |
$311 |
4.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$311 |
$311 |
4.4× |
| Plethysmography (94726) |
$641.26 |
$641.26 |
1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,041 |
$3,041 |
3.0× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,738 |
$2,738 |
2.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,925 |
$2,925 |
2.8× |
| Psychiatric diagnostic evaluation (90791) |
$428 |
$428 |
2.0× |
| Psytx Crisis Initial 60 Min (90839) |
$703 |
$703 |
3.3× |
| Pt Eval High Complex (97163) |
$493.78 |
$493.78 |
5.0× |
| Pt eval low complex 20 min (97161) |
$425.05 |
$425.05 |
4.3× |
| Pt Eval Mod Complex (97162) |
$493.78 |
$493.78 |
5.0× |
| Pt gait training 15 min (97116) |
$128 |
$128 |
4.4× |
| Pt mechanical traction (97012) |
$96 |
$96 |
6.7× |
| Pt Re-Eval Est Plan Care (97164) |
$309 |
$309 |
4.6× |
| Pulm function test by gas (94727) |
$471.60 |
$471.60 |
1.8× |
| Pulmonary service/procedure (94799) |
$263.25 |
$263.25 |
1.7× |
| Pulmonary Stress Testing (94618) |
$419 |
$419 |
2.6× |
| Pure Tone Audiometry Air (92552) |
$232 |
$232 |
1.5× |
| Refill/Maint Portable Pump (96521) |
$596 |
$596 |
2.3× |
| Respiratory flow volume loop (94375) |
$732 |
$732 |
2.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$445 |
$445 |
1.9× |
| Select picture audiometry (92583) |
$130.39 |
$130.39 |
1.8× |
| Self Care Mngment Training (97535) |
$156 |
$156 |
4.8× |
| Sleep study attended (95807) |
$1,732 |
$1,732 |
3.9× |
| Speech Audiometry Complete (92556) |
$175 |
$175 |
2.5× |
| Speech audiometry threshold (92555) |
$152 |
$152 |
2.1× |
| Speech sound lang comprehen (92523) |
$795.58 |
$795.58 |
3.5× |
| Spirometry (94010) |
$415.57 |
$415.57 |
1.6× |
| Standardized Cognitive Performance Testing (96125) |
$254.60 |
$254.60 |
2.5× |
| Stress Tte Only (93350) |
$1,705.20 |
$1,705.20 |
2.6× |
Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$441–$1,181 |
$441–$1,181 |
varies |
| Testing Autonomic Nervous System Function (95923) |
$485 |
$485 |
3.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$125 |
$125 |
5.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$120 |
$120 |
5.7× |
| Ther/Proph/Diag Inj Ia (96373) |
$341 |
$341 |
1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$150 |
$150 |
1.7× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$591.60 |
$591.60 |
2.3× |
| Therapeutic Activities (97530) |
$149 |
$149 |
4.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$84.50 |
$84.50 |
1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$73 |
$73 |
1.6× |
| Tone Decay Test (92563) |
$95.90 |
$95.90 |
2.1× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) |
$340 |
$340 |
2.2× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) |
$575 |
$575 |
3.6× |
| Tte w/doppler, complete (93306) |
$2,010 |
$2,010 |
3.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$460.80 |
$460.80 |
6.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$152 |
$152 |
2.7× |
| Tympanometry (92567) |
$223.32 |
$223.32 |
5.0× |
| Tympanometry and reflex threshold measurements (92550) |
$219 |
$219 |
0.8× |
| Upr/L Xtremity Art 2 Levels (93922) |
$591 |
$591 |
3.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,008.10 |
$1,008.10 |
3.9× |
| Vent Mgmt Inpat Init Day (94002) |
$1,160 |
$1,160 |
1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$931.16 |
$931.16 |
1.3× |
| Visual reinforcement audiometry (vra) (92579) |
$270 |
$270 |
1.0× |
| Vital capacity, total (94150) |
$353 |
$353 |
2.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$65 |
$65 |
2.1× |