| Airway Inhalation Treatment (94640) |
— |
$372.75 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$74.35 |
— |
| Application on-body injector (96377) |
— |
$177.85 |
— |
| Behavral qualit analys voice (92524) |
— |
$272.70 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$681.45 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$804.45 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$759.80 |
— |
| Cardioversion (92960) |
— |
$1,322.10 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$14,959.05 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$9,200 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$221.20 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$221.20 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$127.20 |
— |
| Chemo IV push addl drug (96411) |
— |
$278.10 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$635.90 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$219.15 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$530 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$637.95 |
— |
| Chest Wall Manipulation (94668) |
— |
$139.35 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$7,619 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$8,232.85 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$1,438.55 |
— |
| Cpt initial (94667) |
— |
$131.70 |
— |
| Critical care first hour (99291) |
— |
$1,849.90 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$250.45 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,193.95 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$598.10 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,051.75 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$580 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$614.80 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$724.45 |
— |
| EEG awake and asleep (95819) |
— |
$665 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$305.50 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$473.85 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$795.75 |
— |
| Er level 1 (99281) |
— |
$193.20 |
— |
| Er level v (99285) |
— |
$1,168.85 |
— |
| Evaluate Speech Production (92522) |
— |
$272.70 |
— |
| Evaluate Swallowing Function (92610) |
— |
$230.45 |
— |
| Evaluation of speech fluency (92521) |
— |
$272.70 |
— |
| Extracranial Bilat Study (93880) |
— |
$863.50 |
— |
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines |
— |
$1,280–$1,362.12 |
— |
| Icd Device Interrogate (93289) |
— |
$173.25 |
— |
Immunization administration (90471)
range across 3 matching MRF lines |
— |
$58.80–$125 |
— |
| Iontophoresis 15 min (97033) |
— |
$87 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$252.75 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$120 |
— |
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines |
— |
$421.80–$522.90 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$136 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$118.40 |
— |
| IV push initial (96374) |
— |
$244.25 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$10,413.85 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$434.85 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$846.43 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$824.58 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$337.90 |
— |
| Neuromuscular Reeducation (97112) |
— |
$131.90 |
— |
| Newborn resuscitation (99465) |
— |
$737.50 |
— |
| Oral Function Therapy (92526) |
— |
$181.50 |
— |
| Ot manual therapy 15 min (97140) |
— |
$110.65 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$230.10 |
— |
| Phlebotomy therapeutic (99195) |
— |
$210.10 |
— |
| Plethysmography (94726) |
— |
$392.55 |
— |
| Pm device eval in person (93288) |
— |
$133.93 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$3,989 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$1,585.58 |
— |
| Prq Revasc Byp Graft 1 Vsl (92937) |
— |
$1,517.85 |
— |
| Pt Eval High Complex (97163) |
— |
$309.70 |
— |
| Pt eval low complex 20 min (97161) |
— |
$309.70 |
— |
| Pt Eval Mod Complex (97162) |
— |
$309.70 |
— |
| Pt gait training 15 min (97116) |
— |
$125.70 |
— |
| Pt mechanical traction (97012) |
— |
$97.55 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$337.90 |
— |
| Self Care Mngment Training (97535) |
— |
$135.05 |
— |
| Speech sound lang comprehen (92523) |
— |
$272.70 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$177.85 |
— |
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines |
— |
$437.40–$437.50 |
— |
| Therapeutic Activities (97530) |
— |
$134.05 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,864.85 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$179.55 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$147.90 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$2,098.20 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$617.55 |
— |