Visits & medical services prices at Bellevue Medical Center
Bellevue, NE · every code in this section with a posted price and a Medicare benchmark.
584 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) | $170.63 | $262.50 | 0.5× |
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$1,141.14–$12,818 | $1,755.60–$19,720 | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$60.78–$89.05 | $93.50–$137 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$25.03–$33.48 | $38.50–$51.50 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) | $237.51 | $365.40 | 3.9× |
| Actinotherapy Ultraviolet Light (96900) range across 2 matching MRF lines |
$34.13–$41.49 | $52.50–$63.83 | varies |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$35.75–$55.25 | $55–$85 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$35.75–$48.75 | $55–$75 | varies |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) | $52 | $80 | 0.3× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) | $52 | $80 | 0.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $52 | $80 | 1.2× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$78–$122.27 | $120–$188.10 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$139.62–$260 | $214.80–$400 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$135.36–$409.50 | $208.25–$630 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$184.28–$409.50 | $283.50–$630 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$26–$312 | $40–$480 | varies |
| Airway resistance by oscillometry (94728) | $64.16 | $98.70 | 0.5× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$45.76–$52 | $70.40–$80 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 2 matching MRF lines |
$18.46–$24.70 | $28.40–$38 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$54.60–$162.50 | $84–$250 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 2 matching MRF lines |
$30.75–$162.50 | $47.30–$250 | varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $209.95 | $323 | 1.6× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$204.75–$213.20 | $315–$328 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$94.19–$129.56 | $144.90–$199.32 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$77.35–$105.82 | $119–$162.80 | varies |
| Analyze Pacemaker System (93724) range across 2 matching MRF lines |
$412.10–$660.01 | $634–$1,015.40 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 4 matching MRF lines |
$221.65–$620.10 | $341–$954 | varies |
| Ans parasymp & symp w/tilt (95924) range across 2 matching MRF lines |
$316.68–$484.90 | $487.20–$746 | varies |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) | $209.56 | $322.40 | 1.5× |
| Ant sgm imaging w/microscopy endothelial analy (92286) range across 2 matching MRF lines |
$175.50–$231.40 | $270–$356 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$27.30–$130 | $42–$200 | varies |
| Application on-body injector (96377) range across 2 matching MRF lines |
$30.55–$61.75 | $47–$95 | varies |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$608.79–$1,745.90 | $936.60–$2,686 | varies |
| Art pressure waveform analys (93050) | $27.30 | $42 | 0.9× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$154.05–$234.20 | $237–$360.30 | varies |
| Assessment of tinnitus (92625) | $126.30 | $194.30 | 0.9× |
| Assmt & care planning pt w/cognitive impairment (99483) | $292.50 | $450 | 2.8× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$51.22–$195 | $78.80–$300 | varies |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$165.17–$211.25 | $254.10–$325 | varies |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $52 | $80 | 0.5× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $52 | $80 | 0.5× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$124.80–$202.74 | $192–$311.90 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$123.99–$191.10 | $190.75–$294 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$50.70–$191.10 | $78–$294 | varies |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$65.65–$95.55 | $101–$147 | varies |
| Bioimpedance Cv Analysis (93701) | $188.50 | $290 | 1.4× |
| Bis Xtracell Fluid Analysis (93702) | $177.45 | $273 | 1.3× |
| Blink reflex test (95933) range across 2 matching MRF lines |
$156.33–$284.05 | $240.50–$437 | varies |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$184.93–$456.30 | $284.50–$702 | varies |
| Breathing response to hypoxia (94450) | $96.53 | $148.50 | 0.7× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$8.19–$52 | $12.60–$80 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$128.18–$373.75 | $197.20–$575 | varies |
| Bundle of his recording (93600) range across 2 matching MRF lines |
$382.92–$3,123.25 | $589.10–$4,805 | varies |
| C motor evoked uppr limbs (95928) | $384.93 | $592.20 | 0.4× |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$367.25–$749.39 | $565–$1,152.90 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$31.85–$211.25 | $49–$325 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$63.05–$211.25 | $97–$325 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$81.25–$130 | $125–$200 | varies |
| Car seat/bed test 60 min (94780) range across 2 matching MRF lines |
$82.49–$159.25 | $126.90–$245 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$65–$969.15 | $100–$1,491 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$317.53–$812.50 | $488.50–$1,250 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$611–$739.70 | $940–$1,138 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$513.50–$1,552.20 | $790–$2,388 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$498.23–$1,552.20 | $766.50–$2,388 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $6.89 | $10.60 | 0.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$1,941.23–$9,779.25 | $2,986.50–$15,045 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$1,702.16–$11,529.05 | $2,618.70–$17,737 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$63.51–$317.20 | $97.70–$488 | varies |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $99.61 | $153.25 | 0.7× |
| Cervical & Ocular Vemp Testing W/I&R (92519) range across 2 matching MRF lines |
$100.75–$409.50 | $155–$630 | varies |
| Cervical Vemp Testing W/I&R (92517) range across 2 matching MRF lines |
$68.25–$214.50 | $105–$330 | varies |
| Chemo Admin Peritoneal Cavity (96446) range across 2 matching MRF lines |
$283.92–$1,027.65 | $436.80–$1,581 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$112.65–$410.15 | $173.30–$631 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$68.97–$410.15 | $106.10–$631 | varies |
| Chemo Ia Push (96420) range across 2 matching MRF lines |
$193.18–$537.55 | $297.20–$827 | varies |
| Chemo Intralesional Over 7 (96406) range across 2 matching MRF lines |
$181.77–$284.70 | $279.65–$438 | varies |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$104–$131.76 | $160–$202.70 | varies |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$58.70–$406.25 | $90.30–$625 | varies |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$101.73–$403 | $156.50–$620 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 3 matching MRF lines |
$214.50–$742.95 | $330–$1,143 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $279.83 | $430.50 | 0.8× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $159.71 | $245.70 | 3.3× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$422.50–$520 | $650–$800 | varies |
| Chemotherapy Intracavitary (96440) | $1,132.30 | $1,742 | 3.3× |
| Chemotherapy Unspecified (96549) range across 3 matching MRF lines |
$89.05–$1,022.45 | $137–$1,573 | varies |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $366.54 | $563.90 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$107.25–$477.75 | $165–$735 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$266.18–$715 | $409.50–$1,100 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$180.90–$425.75 | $278.30–$655 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$341.25–$580.45 | $525–$893 | varies |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$41.67–$351 | $64.10–$540 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $68.25 | $105 | 0.6× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $75.08 | $115.50 | 0.2× |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$58.05–$97.50 | $89.30–$150 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 2 matching MRF lines |
$45.50–$106.93 | $70–$164.50 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$502.45–$771.10 | $773–$1,186.30 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$169–$442 | $260–$680 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$53.24–$57.85 | $81.90–$89 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $149.50 | $230 | 0.8× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $204.75 | $315 | 0.2× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $171.99 | $264.60 | 0.4× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$80.54–$211.25 | $123.90–$325 | varies |
| Computerized dynamic posturography (92548) range across 2 matching MRF lines |
$214.31–$214.50 | $329.70–$330 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$71.70–$81.25 | $110.30–$125 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$71.70–$81.25 | $110.30–$125 | varies |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$73.06–$73.45 | $112.40–$113 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$204.10–$240.96 | $314–$370.70 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $87.75 | $135 | 1.4× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $160.42 | $246.80 | 1.2× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$55.32–$273 | $85.10–$420 | varies |
| Cornea hysteresis determin impulse stimj uni/bi (92145) range across 2 matching MRF lines |
$24.57–$26 | $37.80–$40 | varies |
| Corneal Topography (92025) range across 2 matching MRF lines |
$64.48–$81.25 | $99.20–$125 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$1,645.87–$10,203.70 | $2,532.10–$15,698 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$1,403.94–$8,927.10 | $2,159.90–$13,734 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines |
$109.92–$1,349.40 | $169.10–$2,076 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$41.67–$156 | $64.10–$240 | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) range across 2 matching MRF lines |
$55.90–$484.25 | $86–$745 | varies |
| Critical care first hour (99291) | $341.25 | $525 | 0.4× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $393.84 | $605.90 | 1.0× |
| Dark Adaptation Eye Exam (92284) | $145.41 | $223.70 | 0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$97.50–$266.50 | $150–$410 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $227.50 | $350 | 1.1× |
| Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$200.85–$243.75 | $309–$375 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $209.95 | $323 | 1.6× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$137.87–$1,662.70 | $212.10–$2,558 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 3 matching MRF lines |
$164.52–$409.60 | $253.10–$630.15 | varies |
| Duodenal motility study (91022) | $226.53 | $348.50 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$507.52–$520 | $780.80–$800 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$195.65–$354.38 | $301–$545.20 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$339.43–$395.20 | $522.20–$608 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$527.80–$722.80 | $812–$1,112 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$435.70–$696.80 | $670.30–$1,072 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$532.35–$912.60 | $819–$1,404 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$322.14–$650 | $495.60–$1,000 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$367.25–$401.38 | $565–$617.50 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$173.55–$202.64 | $267–$311.75 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$330.20–$459.23 | $508–$706.50 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$533.78–$635.70 | $821.20–$978 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$354.45–$491.40 | $545.30–$756 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$159.06–$195 | $244.70–$300 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 2 matching MRF lines |
$270.27–$270.40 | $415.80–$416 | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) range across 2 matching MRF lines |
$58.05–$206.70 | $89.30–$318 | varies |
| Ear and throat examination (92502) | $181.55 | $279.30 | 0.3× |
| Ear Protector Evaluation (92596) | $61.43 | $94.50 | 1.6× |
| ECG/monitoring and analysis (93271) | $357.50 | $550 | 3.6× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$411.71–$692.90 | $633.40–$1,066 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$165.10–$813.80 | $254–$1,252 | varies |
| Echo r-t 2d w/probe placement only (93313) | $81.90 | $126 | 0.1× |
| Echo transesophag congen probe plcmt only (93316) | $139.23 | $214.20 | 0.2× |
| Echo transesophag montr cardiac pump functj (93318) range across 2 matching MRF lines |
$438.17–$1,164.15 | $674.10–$1,791 | varies |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$633.36–$1,881.75 | $974.40–$2,895 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$426.60–$1,055.60 | $656.30–$1,624 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$500.31–$1,110.20 | $769.70–$1,708 | varies |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) range across 2 matching MRF lines |
$48.75–$166.40 | $75–$256 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$672.75–$758.55 | $1,035–$1,167 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$672.75–$792.35 | $1,035–$1,219 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$672.75–$693.16 | $1,035–$1,066.40 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$93.54–$1,201.85 | $143.90–$1,849 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $633.75 | $975 | 2.8× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$672.75–$865.02 | $1,035–$1,330.80 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$672.75–$719.62 | $1,035–$1,107.10 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $331.50 | $510 | 1.5× |
| EEG w/o vid 2-12hr cont mntr (95707) | $331.50 | $510 | 1.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $633.75 | $975 | 1.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $633.75 | $975 | 1.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $331.50 | $510 | 1.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $633.75 | $975 | 1.6× |
| EKG signal averaged (93278) range across 2 matching MRF lines |
$90.81–$460.85 | $139.70–$709 | varies |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) range across 2 matching MRF lines |
$48.75–$78 | $75–$120 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$83.20–$152.75 | $128–$235 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$48.75–$62.40 | $75–$96 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$31.85–$130 | $49–$200 | varies |
| Electro-Oculography (92270) range across 2 matching MRF lines |
$130–$189.09 | $200–$290.90 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$26–$182 | $40–$280 | varies |
| Electrocochleography (92584) range across 2 matching MRF lines |
$187.72–$187.85 | $288.80–$289 | varies |
| Electroconvulsive Therapy (90870) range across 3 matching MRF lines |
$241.15–$778.70 | $371–$1,198 | varies |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $283.86 | $436.70 | 1.3× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $322.79 | $496.60 | 2.3× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) range across 2 matching MRF lines |
$656.57–$3,303.95 | $1,010.10–$5,083 | varies |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$869.51–$2,884.70 | $1,337.70–$4,438 | varies |
| Emergency Dept Visit Level 2 (99282) | $78 | $120 | 0.5× |
| Emergency Dept Visit Level 3 (99283) | $117 | $180 | 0.4× |
| Emergency Dept Visit Level 4 (99284) | $211.25 | $325 | 0.5× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$305.89–$317.20 | $470.60–$488 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$313.95–$332.22 | $483–$511.10 | varies |
| Endomyocardial Biopsy (93505) range across 2 matching MRF lines |
$1,562.47–$4,620.85 | $2,403.80–$7,109 | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$1,679.67–$30,829.50 | $2,584.10–$47,430 | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$2,242.05–$30,829.50 | $3,449.30–$47,430 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$1,428.51–$7,949.50 | $2,197.70–$12,230 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 3 matching MRF lines |
$1,117.29–$9,758.45 | $1,718.90–$15,013 | varies |
| Ep Esophageal Recording Atria+Pacing (93616) range across 2 matching MRF lines |
$409.50–$1,778.40 | $630–$2,736 | varies |
| Er level 1 (99281) | $45.50 | $70 | 0.5× |
| Er level v (99285) | $325 | $500 | 0.5× |
| Ergonovine provocation test (93024) range across 2 matching MRF lines |
$238.23–$601.25 | $366.50–$925 | varies |
| Esoph Atrial Electrogram (93615) range across 2 matching MRF lines |
$228.67–$1,778.40 | $351.80–$2,736 | varies |
| Esophageal Capsule Endoscopy (91111) | $1,254.44 | $1,929.90 | 1.3× |
| Esophagus acid perfusion test esophagitis (91030) | $249.80 | $384.30 | 0.6× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $586.50 | $902.30 | 1.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 2 matching MRF lines |
$824.27–$1,355.25 | $1,268.10–$2,085 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$120.25–$195 | $185–$300 | varies |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$26.65–$445.90 | $41–$686 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$129.35–$197.28 | $199–$303.50 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$196.56–$208 | $302.40–$320 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$161.85–$242.32 | $249–$372.80 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$120.12–$357.50 | $184.80–$550 | varies |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $117 | $180 | 0.6× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $208 | $320 | 0.5× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $117 | $180 | 0.6× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$157.95–$320.45 | $243–$493 | varies |
| Exhaled Air Analysis O2 (94680) | $124.22 | $191.10 | 0.9× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$19.50–$65 | $30–$100 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $97.50 | $150 | 0.7× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$19.50–$195 | $30–$300 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $227.50 | $350 | 1.6× |
| External Ecg Scanning Analysis Report (93226) | $325 | $500 | 5.3× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$527.15–$1,286.35 | $811–$1,979 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$373.30–$586.95 | $574.30–$903 | varies |
| Eye exam w anesth; complete (92018) range across 2 matching MRF lines |
$256.62–$1,950 | $394.80–$3,000 | varies |
| Eye exam w anesth; limited (92019) range across 2 matching MRF lines |
$128.31–$1,131 | $197.40–$1,740 | varies |
| Eye Exam With Photos (92230) | $132.41 | $203.70 | 0.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$270.01–$949 | $415.40–$1,460 | varies |
| Facial nerve function studies (92516) | $122.85 | $189 | 0.5× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $52 | $80 | 1.3× |
| Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) | $989.63 | $1,522.50 | 16.2× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $261.43 | $402.20 | 1.7× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$292.11–$403 | $449.40–$620 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $352.89 | $542.90 | 1.5× |
| Fluorescein angiography (92235) range across 2 matching MRF lines |
$390–$450.45 | $600–$693 | varies |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) range across 3 matching MRF lines |
$343.33–$486.20 | $528.20–$748 | varies |
| Full Field Electroretinography W/I&R (92273) range across 2 matching MRF lines |
$59.80–$328.25 | $92–$505 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$491.40–$2,148.90 | $756–$3,306 | varies |
| Fundus photography (92250) range across 2 matching MRF lines |
$149.44–$175.50 | $229.90–$270 | varies |
| Gastric motility studies (91020) | $412.95 | $635.30 | 1.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$396.05–$739.05 | $609.30–$1,137 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$263.45–$485.55 | $405.30–$747 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$722.15–$1,028.82 | $1,111–$1,582.80 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$1,248.65–$1,892.93 | $1,921–$2,912.20 | varies |
| Gi tract imaging intraluminal colon i&r (91113) | $185.25 | $285 | 0.2× |
| Gi wireless capsule measure (91112) range across 2 matching MRF lines |
$550.55–$2,487.75 | $847–$3,827.30 | varies |
| Gonioscopy (92020) range across 3 matching MRF lines |
$47.13–$191.75 | $72.50–$295 | varies |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $52 | $80 | 1.3× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$37.05–$45.36 | $57–$69.79 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $52 | $80 | 1.3× |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$104–$155.68 | $160–$239.50 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 2 matching MRF lines |
$71.50–$114.40 | $110–$176 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$15.76–$35.75 | $24.25–$55 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$106.76–$208 | $164.25–$320 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$2,263.24–$9,586.20 | $3,481.90–$14,748 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $132.41 | $203.70 | 0.2× |
| High altitude simulation test (94452) | $94.32 | $145.10 | 0.7× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $131.04 | $201.60 | 0.9× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$74.43–$325 | $114.50–$500 | varies |
| Hubbard tank 15 min (97036) | $52.59 | $80.90 | 1.5× |
| Hypnotherapy (90880) | $149.50 | $230 | 1.4× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $40.95 | $63 | 1.1× |
| Icd Device Interrogate (93289) range across 4 matching MRF lines |
$29.25–$124.22 | $45–$191.10 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$97.50–$171.99 | $150–$264.60 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$97.50–$190.45 | $150–$293 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$29.25–$60.06 | $45–$92.40 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$88.73–$97.50 | $136.50–$150 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$29.25–$77.81 | $45–$119.70 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $19.50 | $30 | 0.3× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $91 | $140 | 1.5× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $32.76 | $50.40 | 0.8× |
| Immunization administration (90471) | $52 | $80 | 0.7× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) range across 2 matching MRF lines |
$325–$465.47 | $500–$716.10 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$253.24–$741 | $389.60–$1,140 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $130.39 | $200.60 | 0.3× |
| Inital newborn e/m (99460) | $131.95 | $203 | 1.0× |
| Insert/Place Heart Catheter (93503) range across 3 matching MRF lines |
$253.89–$3,505.45 | $390.60–$5,393 | varies |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) range across 2 matching MRF lines |
$61.10–$213.85 | $94–$329 | varies |
| Interrog eval crtd sins bat modulj sys ip wo (93145) range across 2 matching MRF lines |
$43.55–$213.85 | $67–$329 | varies |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$29.25–$96.27 | $45–$148.10 | varies |
| Interrogation eval in person wr defibrillator (93292) | $33.74 | $51.90 | 0.9× |
| Interrogation vad in person (93750) range across 2 matching MRF lines |
$99–$195 | $152.30–$300 | varies |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$347.43 | $534.50 | 0.0× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$253.24 | $389.60 | 0.0× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$742.63–$1,160.90 | $1,142.50–$1,786 | varies |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $10.27 | $15.80 | 0.3× |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$12.29–$42.25 | $18.90–$65 | varies |
| Intraventricular pacing (93612) range across 2 matching MRF lines |
$9,245.60 | $558.60–$14,224 | 1.1× |
| Io anal gast n-stim subsq (95981) | $48.52 | $74.65 | 0.8× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$35.10–$104 | $54–$160 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$45.76–$398.45 | $70.40–$613 | varies |
| Ischemic limb exercise test (95875) | $207.16 | $318.70 | 1.6× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$26–$195 | $40–$300 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$104–$419.25 | $160–$645 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$62.14–$195 | $95.60–$300 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$39.59–$195 | $60.90–$300 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$97.50–$325 | $150–$500 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$1,847.17–$13,221.65 | $2,841.80–$20,341 | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) range across 2 matching MRF lines |
$408.85–$4,654.65 | $629–$7,161 | varies |
| Laryngeal Function Studies (92520) | $170.63 | $262.50 | 1.2× |
| Liver Elastography W/O Imag W/I&R (91200) range across 4 matching MRF lines |
$57.33–$1,121.25 | $88.20–$1,725 | varies |
| Low frequency non-thermal us (97610) range across 2 matching MRF lines |
$181.51–$329.55 | $279.25–$507 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $50.77 | $78.10 | 0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$423.74–$666.90 | $651.90–$1,026 | varies |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) range across 2 matching MRF lines |
$1,430–$5,010.85 | $2,200–$7,709 | varies |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) range across 2 matching MRF lines |
$2,837.25–$10,353.85 | $4,365–$15,929 | varies |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $2,359.50 | $3,630 | 1.6× |
| Mechanical chest wall oscillation per session (94669) range across 3 matching MRF lines |
$73.06–$455 | $112.40–$700 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$40.30–$49.86 | $62–$76.70 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$52–$56.68 | $80–$87.20 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$21.45–$25.29 | $33–$38.90 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$221.13–$787.15 | $340.20–$1,211 | varies |
| Microvolt T-Wave Assess (93025) | $308.82 | $475.10 | 2.3× |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) | $32.18 | $49.50 | 1.6× |
| Motility study esophagus (91010) range across 3 matching MRF lines |
$292.50–$1,247.35 | $450–$1,919 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$157.69–$286 | $242.60–$440 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $139.10 | $214 | 0.3× |
| Multifocal Electroretinography W/I&R (92274) range across 2 matching MRF lines |
$52.65–$292.50 | $81–$450 | varies |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) | $52 | $80 | 1.3× |
| Multiple Family Group Psychotherapy (90849) | $64.16 | $98.70 | 0.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$1,112.48–$1,352 | $1,711.50–$2,080 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$252.07–$421.20 | $387.80–$648 | varies |
| Muscle Test Hemidiaphragm (95866) | $124.93 | $192.20 | 0.9× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$129.22–$152.10 | $198.80–$234 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$175.63–$284.05 | $270.20–$437 | varies |
| Nasal function studies (92512) | $110.57 | $170.10 | 0.5× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$234–$247 | $360–$380 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$228.87–$352.95 | $352.10–$543 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$173.29–$206.70 | $266.60–$318 | varies |
| Needle electromyography larynx (95865) | $161.07 | $247.80 | 1.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$133.25–$135.85 | $205–$209 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
$325.59–$813.80 | $500.90–$1,252 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$130–$594.10 | $200–$914 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$237.48–$594.10 | $365.35–$914 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$204.75–$299 | $315–$460 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$156–$455 | $240–$700 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$202.02–$399.10 | $310.80–$614 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$559–$1,395.55 | $860–$2,147 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$650–$1,594.45 | $1,000–$2,453 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$184.60–$598 | $284–$920 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$298.94–$797.55 | $459.90–$1,227 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$393.84–$997.10 | $605.90–$1,534 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$477.10–$1,196 | $734–$1,840 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$136.50–$357.50 | $210–$550 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$129.03–$325 | $198.50–$500 | varies |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$70.20–$130 | $108–$200 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$292.50–$363.35 | $450–$559 | varies |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$24.70–$30.03 | $38–$46.20 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$45.50–$48.75 | $70–$75 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$68.25–$71.50 | $105–$110 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$22.75–$26 | $35–$40 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$172.25–$377 | $265–$580 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$163.15–$485.55 | $251–$747 | varies |
| Ocular Vemp Testing W/I&R (92518) range across 3 matching MRF lines |
$68.25–$216.45 | $105–$333 | varies |
| Oculoelectromyography (92265) | $158.34 | $243.60 | 2.6× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$243.75–$248.04 | $375–$381.60 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$78–$249.80 | $120–$384.30 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 3 matching MRF lines |
$78–$204.10 | $120–$314 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 3 matching MRF lines |
$65–$139.23 | $100–$214.20 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$65–$131.76 | $100–$202.70 | varies |
| Ophthalmodynamometry (92260) | $44.40 | $68.30 | 1.1× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $25.03 | $38.50 | 0.4× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $39.33 | $60.50 | 0.6× |
| Optokinetic Nystagmus Test (92544) range across 2 matching MRF lines |
$89.44–$211.25 | $137.60–$325 | varies |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$143.33–$195 | $220.50–$300 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$94.90–$162.50 | $146–$250 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $80.60 | $124 | 1.6× |
| Orthoptic training under supervision of phys/qhp (92066) | $37.70 | $58 | 0.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$62.14–$104 | $95.60–$160 | varies |
| Oscillating Tracking Test (92545) range across 2 matching MRF lines |
$86–$211.25 | $132.30–$325 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $48.49 | $74.60 | 2.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $71.70 | $110.30 | 3.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $94.25 | $145 | 4.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $115.96 | $178.40 | 5.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $130 | $200 | 5.8× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$152.10–$152.75 | $234–$235 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$120.25–$152.10 | $185–$234 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$136.50–$152.10 | $210–$234 | varies |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$51.22–$130 | $78.80–$200 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$14.30–$19.50 | $22–$30 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$56.68–$67.60 | $87.20–$104 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$79.46–$103.35 | $122.25–$159 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $227.50 | $350 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $178.75 | $275 | 1.3× |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$103.87–$245.05 | $159.80–$377 | varies |
| Patch/Application Test Specify Number Tests (95044) range across 2 matching MRF lines |
$12.29–$16.25 | $18.90–$25 | varies |
| Pdt dstr prmlg les phys/qhp (96573) range across 2 matching MRF lines |
$227.50–$305.50 | $350–$470 | varies |
| Pdt dstr prmlg les skn illum/activj per day (96567) range across 2 matching MRF lines |
$227.50–$236.86 | $350–$364.40 | varies |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$130–$310.57 | $200–$477.80 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$149.76–$279.50 | $230.40–$430 | varies |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$10.92–$16.25 | $16.80–$25 | varies |
| Peripheral arterial disease rehab per session (93668) | $97.50 | $150 | 1.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines |
$30,439.50 | $1,211–$46,830 | 1.6× |
| Perq transcath closure pda (93582) range across 2 matching MRF lines |
$1,375.92–$18,248.75 | $2,116.80–$28,075 | varies |
| Perq Transcath Cls Aortic (93591) range across 2 matching MRF lines |
$1,483.07–$24,021.40 | $2,281.65–$36,956 | varies |
| Perq Transcath Cls Mitral (93590) range across 2 matching MRF lines |
$1,787.11–$24,021.40 | $2,749.40–$36,956 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 4 matching MRF lines |
$555.56–$7,605 | $854.70–$11,700 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$1,381.38–$13,868.40 | $2,125.20–$21,336 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$130.39–$202.80 | $200.60–$312 | varies |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) | $201.50 | $310 | 0.5× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) range across 2 matching MRF lines |
$45.50–$144.69 | $70–$222.60 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) range across 2 matching MRF lines |
$45.50–$112.65 | $70–$173.30 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$40.30–$227.50 | $62–$350 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$27.30–$227.50 | $42–$350 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$57.33–$75.40 | $88.20–$116 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$100.75–$390 | $155–$600 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$29.25–$79.89 | $45–$122.90 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$97.50–$139.95 | $150–$215.30 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$97.50–$144.04 | $150–$221.60 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$29.25–$115.38 | $45–$177.50 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$48.49–$97.50 | $74.60–$150 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,543.95–$2,052.05 | $2,375.30–$3,157 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$1,533.35–$2,186.73 | $2,359–$3,364.20 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$1,533.35–$2,333.50 | $2,359–$3,590 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,256.65 | $1,933.30 | 1.4× |
| Positional nystagmus test (92542) range across 2 matching MRF lines |
$71.50–$108.55 | $110–$167 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$26–$32.50 | $40–$50 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 2 matching MRF lines |
$27.30–$45.09 | $42–$69.37 | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $82.60 | $127.08 | 1.7× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $74.49 | $114.60 | 1.0× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $157.09 | $241.68 | 2.1× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $167.25 | $257.30 | 0.4× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) | $149.50 | $230 | 1.1× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) | $114.66 | $176.40 | 0.8× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$97.50–$105.82 | $150–$162.80 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$97.50–$139.23 | $150–$214.20 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $74.75 | $115 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 4 matching MRF lines |
$29.25–$52 | $45–$80 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 5 matching MRF lines |
$29.25–$71.50 | $45–$110 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $119.58 | $183.97 | 1.6× |
| Prq Card Angio/Athrect 1 Art (92924) range across 3 matching MRF lines |
$1,320.67–$13,299 | $2,031.80–$20,460 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$1,233.31–$14,227.85 | $1,897.40–$21,889 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$1,378.65–$13,868.40 | $2,121–$21,336 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$1,231.95–$13,868.40 | $1,895.30–$21,336 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 2 matching MRF lines |
$2,012.89–$24,021.40 | $3,096.75–$36,956 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) range across 3 matching MRF lines |
$984.10–$19,168.50 | $1,514–$29,490 | varies |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) range across 3 matching MRF lines |
$705.90–$15,848.30 | $1,086–$24,382 | varies |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$232.70–$292.50 | $358–$450 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$208.65–$276.25 | $321–$425 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$175.50–$243.75 | $270–$375 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) range across 2 matching MRF lines |
$3.25–$162.50 | $5–$250 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 2 matching MRF lines |
$57.20–$357.50 | $88–$550 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$39–$357.50 | $60–$550 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$186.55–$212.55 | $287–$327 | varies |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$156–$169 | $240–$260 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$123.92–$169 | $190.65–$260 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$140.17–$169 | $215.65–$260 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$61.10–$130 | $94–$200 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$28.67–$130 | $44.10–$200 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$83.85–$130 | $129–$200 | varies |
| Pt ultraviolet (97028) | $12.29 | $18.90 | 1.5× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$6.89–$81.25 | $10.60–$125 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$74.23–$552.50 | $114.20–$850 | varies |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$91–$464.75 | $140–$715 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$57.20–$364 | $88–$560 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$38.94–$162.50 | $59.90–$250 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $39 | $60 | 1.7× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $58.50 | $90 | 1.7× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $19.50 | $30 | 1.6× |
| Quan puplmtry phy/qhp uni/bi (95919) | $14.95 | $23 | 0.1× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$1,981.59–$8,732.10 | $3,048.60–$13,434 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) range across 2 matching MRF lines |
$453.05–$4,654.65 | $697–$7,161 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) range across 2 matching MRF lines |
$289.90–$4,654.65 | $446–$7,161 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$1,739.92–$9,366.50 | $2,676.80–$14,410 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) range across 2 matching MRF lines |
$659.75–$4,654.65 | $1,015–$7,161 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 2 matching MRF lines |
$497.90–$4,654.65 | $766–$7,161 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$1,765.60–$11,238.50 | $2,716.30–$17,290 | varies |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$266.18–$552.50 | $409.50–$850 | varies |
| Rectal sensation tone&compliance study (91124) | $772.33 | $1,188.20 | 3.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$107.19–$544.70 | $164.90–$838 | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$226.72–$553.80 | $348.80–$852 | varies |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$178.17–$325 | $274.10–$500 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$29.25–$51.87 | $45–$79.80 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$45.05–$130 | $69.30–$200 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) range across 2 matching MRF lines |
$81.25–$94.25 | $125–$145 | varies |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) range across 2 matching MRF lines |
$28.60–$195 | $44–$300 | varies |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $81.25 | $125 | 2.1× |
| Rem Mntr Wrls P-Art Prs Snr (93264) range across 2 matching MRF lines |
$48.75–$56.55 | $75–$87 | varies |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $79.30 | $122 | 2.0× |
| Rem ther mntr dev sply resp (98976) | $79.30 | $122 | 2.0× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$72.35–$195 | $111.30–$300 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $390 | $600 | 1.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $27.30 | $42 | 0.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $46.15 | $71 | 1.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $46.80 | $72 | 0.9× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) range across 2 matching MRF lines |
$185.25–$414.05 | $285–$637 | varies |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) range across 2 matching MRF lines |
$253.50–$414.05 | $390–$637 | varies |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$91–$390 | $140–$600 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$8.91–$178.75 | $13.70–$275 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$1,412.71–$5,523.70 | $2,173.40–$8,498 | varies |
| Right ventricular recording (93603) range across 2 matching MRF lines |
$286.65–$1,690 | $441–$2,600 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$48.75–$146.25 | $75–$225 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$22.75–$32.50 | $35–$50 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $185.25 | $285 | 1.5× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $273 | $420 | 2.0× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $619.71 | $953.40 | 1.6× |
| Same day nb discharge (99463) | $130 | $200 | 0.9× |
| Select picture audiometry (92583) range across 2 matching MRF lines |
$24.70–$58.05 | $38–$89.30 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$58.70–$104 | $90.30–$160 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $16.25 | $25 | 0.5× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 3 matching MRF lines |
$68.25–$108.10 | $105–$166.30 | varies |
| Sensory Integration Ea 15 Min (97533) | $51.22 | $78.80 | 0.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $294.19 | $452.60 | 1.3× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$343.33–$640.90 | $528.20–$986 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $186.88 | $287.50 | 1.4× |
| Sleep study attended (95807) | $937.04 | $1,441.60 | 2.4× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$228.15–$297.05 | $351–$457 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $82.62 | $127.10 | 1.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$214.50–$238.23 | $330–$366.50 | varies |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$543.27–$561.68 | $835.80–$864.12 | varies |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$43.03–$43.55 | $66.20–$67 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$27.30–$84.50 | $42–$130 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$280.15–$408.14 | $431–$627.90 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 4 matching MRF lines |
$146.06–$297.51 | $224.70–$457.70 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$73.13–$201.50 | $112.50–$310 | varies |
| Spontaneous Nystagmus Test (92541) range across 2 matching MRF lines |
$104.46–$162.50 | $160.70–$250 | varies |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$331.70–$672.10 | $510.30–$1,034 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$180.34–$182.65 | $277.45–$281 | varies |
| Stenger Test Speech (92577) range across 2 matching MRF lines |
$43.03–$276.90 | $66.20–$426 | varies |
| Stenger Test, Pure Tone (92565) | $23.92 | $36.80 | 0.4× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$405.15–$1,110.20 | $623.30–$1,708 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$28.67–$57.95 | $44.10–$89.15 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$270.27–$286.39 | $415.80–$440.60 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) range across 2 matching MRF lines |
$91.42–$135.85 | $140.65–$209 | varies |
| Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines |
$124.80–$136.50 | $192–$210 | varies |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $589.42 | $906.80 | 5.4× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$58.50–$344.50 | $90–$530 | varies |
| Tensilon Test (95857) | $79.89 | $122.90 | 0.4× |
| Testing Autonomic Nervous System Function (95923) range across 3 matching MRF lines |
$242.45–$484.90 | $373–$746 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$38.35–$104 | $59–$160 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$36.56–$104 | $56.25–$160 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 3 matching MRF lines |
$68.25–$104 | $105–$160 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$14.95–$25.35 | $23–$39 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $155.35 | $239 | 1.5× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $161.20 | $248 | 3.3× |
| Ther/Proph/Diag Inj Ia (96373) range across 3 matching MRF lines |
$30.75–$325 | $47.30–$500 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$39–$146.25 | $60–$225 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$123.57–$406.25 | $190.10–$625 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) range across 2 matching MRF lines |
$146.64–$414.05 | $225.60–$637 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$58.70–$130 | $90.30–$200 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$327.60–$2,886 | $504–$4,440 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$37.05–$37.70 | $57–$58 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$22.46–$29.25 | $34.56–$45 | varies |
| Tone Decay Test (92563) | $36.86 | $56.70 | 1.0× |
| Trans Care Mgmt 14 Day Disch (99495) | $259.85 | $399.77 | 1.9× |
| Trans Care Mgmt 7 Day Disch (99496) | $357.47 | $549.95 | 2.6× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$1,932.19–$26,676 | $2,972.60–$41,040 | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) range across 2 matching MRF lines |
$180.05–$673.92 | $277–$1,036.80 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$443.69–$475.80 | $682.60–$732 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$29.25–$109.14 | $45–$167.90 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) range across 2 matching MRF lines |
$155.48–$248.30 | $239.20–$382 | varies |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) range across 2 matching MRF lines |
$157.95–$199.88 | $243–$307.50 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$477.75–$1,606.15 | $735–$2,471 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$316.03–$928.20 | $486.20–$1,428 | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$2,242.70–$30,829.50 | $3,450.30–$47,430 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$111.15–$156 | $171–$240 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $32.50 | $50 | 1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$39–$97.50 | $60–$150 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$32.50–$46.80 | $50–$72 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$40.30–$211.25 | $62–$325 | varies |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $14.95 | $23 | 0.5× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$425.75–$12,469.60 | $655–$19,184 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 2 matching MRF lines |
$102.96–$227.50 | $158.40–$350 | varies |
| Unlisted ophthalmological service/procedure (92499) range across 2 matching MRF lines |
$14.95–$26.72 | $23–$41.10 | varies |
| Unlisted otorhinolaryngological service (92700) range across 5 matching MRF lines |
$14.95–$390 | $23–$600 | varies |
| Unlisted Special Dermatological Service/Px (96999) range across 14 matching MRF lines |
$48.75–$780 | $75–$1,200 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$218.27–$292.50 | $335.80–$450 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$335.34–$735.80 | $515.90–$1,132 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$2,633.09–$15,413.45 | $4,050.90–$23,713 | varies |
| Valvuloplasty mitral valve (92987) range across 2 matching MRF lines |
$2,727.27–$14,704.30 | $4,195.80–$22,622 | varies |
| Valvuloplasty pulmonary valve (92990) range across 2 matching MRF lines |
$2,097.36–$14,704.30 | $3,226.70–$22,622 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$26–$31.85 | $40–$49 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $633.75 | $975 | 1.6× |
| Veeg 2-12 hr intmt mntr (95712) | $331.50 | $510 | 0.9× |
| Veeg 2-12 hr unmonitored (95711) | $331.50 | $510 | 1.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $633.75 | $975 | 1.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $633.75 | $975 | 1.6× |
| Veeg ea 12-26hr cont mntr (95716) | $1,183 | $1,820 | 1.3× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$176.80–$1,072.50 | $272–$1,650 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$127.66–$1,560 | $196.40–$2,400 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$315.32–$325 | $485.10–$500 | varies |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$139.23–$175.50 | $214.20–$270 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 3 matching MRF lines |
$42.25–$136.96 | $65–$210.70 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$42.25–$97.63 | $65–$150.20 | varies |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$84.63–$195 | $130.20–$300 | varies |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$51.29–$195 | $78.90–$300 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) range across 2 matching MRF lines |
$939.84–$2,441.40 | $1,445.90–$3,756 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$49.14–$67.60 | $75.60–$104 | varies |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$31.85–$104 | $49–$160 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) range across 2 matching MRF lines |
$36.01–$195 | $55.40–$300 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 2 matching MRF lines |
$70.54–$76.44 | $108.53–$117.60 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.