| Aep hearing status deter broadband stimuli i&r (92651) |
$325.60 |
$407 |
1.5× |
| Aep Neurodiagnostic I&R (92653) |
$438.40 |
$548 |
2.0× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$440.80 |
$551 |
2.0× |
| Airway inhalation treatment (94640) |
$110.40 |
$138 |
0.5× |
| Assessment of aphasia (96105) |
$147.20 |
$184 |
1.5× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$1,939.20 |
$2,424 |
17.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$476 |
$595 |
1.2× |
| Capsule endoscopy (91110) |
$2,516 |
$3,145 |
2.7× |
| Car seat/bed test 60 min (94780) |
$130.40 |
$163 |
3.4× |
| Cardiopulmonary resuscitation (92950) |
$936.80 |
$1,171 |
4.2× |
| Cbt 1st hour (94644) |
$102.40 |
$128 |
0.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$217.60 |
$272 |
2.9× |
| Chemo IV push addl drug (96411) |
$278.40 |
$348 |
3.7× |
| Chemo Iv Push Sngl Drug (96409) |
$733.60 |
$917 |
2.1× |
| Chemother, IV infusion, 1 hr (96413) |
$775.20 |
$969 |
2.3× |
| Chemother, IV infusion, ea add hr (96415) |
$161.60 |
$202 |
2.2× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$250.40 |
$313 |
3.3× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$733.60 |
$917 |
2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$412 |
$515 |
5.5× |
| Color/duplex Doppler, complete (93975) |
$1,120.80 |
$1,401 |
4.5× |
| Color/duplex Doppler, limited (93976) |
$503.20 |
$629 |
4.6× |
| Cortical mapping 1st hr (95961) |
$1,426.40 |
$1,783 |
1.6× |
| Cpap initiation and management (94660) |
$946.40 |
$1,183 |
4.2× |
| Cpt initial (94667) |
$58.40 |
$73 |
0.4× |
| Demo &/or eval,pt use,aerosol device (94664) |
$112.40 |
$140.50 |
0.5× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$364.80 |
$456 |
2.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$777.60 |
$972 |
3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$475.20 |
$594 |
4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$503.20 |
$629 |
4.6× |
| Duplex scan extracranial art compl bi study (93880) |
$1,120.80 |
$1,401 |
4.5× |
| Echo Heart Xthoracic,Limited (93308) |
$980.80 |
$1,226 |
4.0× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$2,208 |
$2,760 |
3.9× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$2,208 |
$2,760 |
3.9× |
| Ecog implanted brain npgt w/rec i&r <30 days (95836) |
$316.80 |
$396 |
8.2× |
| EEG awake asleep (95819) |
$1,436 |
$1,795 |
6.4× |
| EEG awake drowsy (95816) |
$1,712.80 |
$2,141 |
7.6× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$1,172 |
$1,465 |
5.2× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$1,927.20 |
$2,409 |
8.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$1,436 |
$1,795 |
6.4× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$2,452 |
$3,065 |
6.3× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$2,452 |
$3,065 |
6.3× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$2,452 |
$3,065 |
6.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,436 |
$1,795 |
6.4× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$1,436 |
$1,795 |
6.4× |
| EKG (93005) |
$144.80 |
$181 |
2.4× |
| Electrocochleography (92584) |
$435.20 |
$544 |
3.3× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$1,522.40 |
$1,903 |
6.8× |
| EMG cranial nerve bilat (95868) |
$931.20 |
$1,164 |
4.2× |
| EMG cranial nerve unilat (95867) |
$465.60 |
$582 |
2.1× |
| EMG four extremities (95864) |
$669.60 |
$837 |
5.0× |
| EMG one extremity (95860) |
$549.60 |
$687 |
4.0× |
| EMG thoracic paraspinal (95869) |
$412.80 |
$516 |
1.8× |
| EMG three extremities (95863) |
$628 |
$785 |
4.7× |
| EMG two extremities (95861) |
$630.40 |
$788 |
4.6× |
| Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) |
$1,487.20 |
$1,859 |
3.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$312 |
$390 |
2.3× |
| Evaluation of speech sound production (92522) |
$1,968.40 |
$2,460.50 |
17.6× |
| Evaluation of swallowing function (92610) |
$1,508.80 |
$1,886 |
17.8× |
| Evaluation with prescription of speech-generating alternative (92607) |
$487.20 |
$609 |
4.0× |
| Evoked auditory test,limited (92587) |
$84 |
$105 |
0.4× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$3,512.80 |
$4,391 |
17.6× |
| Flow volume loop (94375) |
$279.20 |
$349 |
1.2× |
| Holter Monitor Recording (93225) |
$456 |
$570 |
3.3× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$50.40 |
$63 |
1.2× |
| Immunization Admin (90471) |
$62.40 |
$78 |
0.8× |
| Ingestion challenge test initial 120 minutes (95076) |
$289.60 |
$362 |
0.7× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$210.40 |
$263 |
3.4× |
| IV infusion hydration each additional hour (96361) |
$108.80 |
$136 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$490.40 |
$613 |
2.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$161.60 |
$202 |
2.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$490.40 |
$613 |
2.2× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$108.80 |
$136 |
2.2× |
| IV push initial (96374) |
$490.40 |
$613 |
2.2× |
| Magnetoencephalography spon brain activity (95965) |
$4,782.40 |
$5,978 |
5.4× |
| Magnetoencephalograpy evoked fields 1 modality (95966) |
$4,782.40 |
$5,978 |
5.4× |
| Mechanical chest wall oscillation (94669) |
$134.40 |
$168 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$124.80 |
$156 |
3.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$142.40 |
$178 |
3.9× |
| Mnt Group Ea 30 Min (97804) |
$65.60 |
$82 |
3.9× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$2,349.60 |
$2,937 |
25.7× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$527.20 |
$659 |
1.1× |
| Multiple sleep latency test (95805) |
$1,549.60 |
$1,937 |
1.7× |
| Needle electromyography hemidiaphragm (95866) |
$714.40 |
$893 |
5.3× |
| Needle electromyography larynx (95865) |
$179.20 |
$224 |
1.3× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$320 |
$400 |
2.3× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$272.80 |
$341 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$187.20 |
$234 |
0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$285.60 |
$357 |
0.7× |
| Nerve conduction studies 13/> studies (95913) |
$1,800.80 |
$2,251 |
4.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$529.60 |
$662 |
2.4× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,209.60 |
$1,512 |
3.1× |
| Nerve conduction studies; 1-2 studies (95907) |
$464 |
$580 |
2.1× |
| Nerve conduction studies; 11-12 studies (95912) |
$1,512 |
$1,890 |
3.9× |
| Nerve conduction studies; 5-6 studies (95909) |
$756 |
$945 |
3.4× |
| Nerve conduction studies; 7-8 studies (95910) |
$936 |
$1,170 |
2.4× |
| Neuromuscular junction test (95937) |
$454.40 |
$568 |
3.4× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$285.60 |
$357 |
2.1× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) |
$501.60 |
$627 |
1.3× |
| Ot eval high complex 60 min (97167) |
$3,384.40 |
$4,230.50 |
33.7× |
| Ot eval low complex 30 min (97165) |
$3,384.40 |
$4,230.50 |
33.7× |
| Ot eval mod complex 45 min (97166) |
$3,384.40 |
$4,230.50 |
33.7× |
| Ot re-eval est plan care (97168) |
$2,337.60 |
$2,922 |
34.1× |
| Plethysmography (94726) |
$288.80 |
$361 |
0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,399.20 |
$2,999 |
2.7× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,967.20 |
$4,959 |
4.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,188 |
$3,985 |
3.6× |
| Pt eval high complex 45 min (97163) |
$2,168.40 |
$2,710.50 |
22.2× |
| Pt eval low complex 20 min (97161) |
$2,168.40 |
$2,710.50 |
22.2× |
| Pt Gait Training Therapy (97116) |
$115.60 |
$144.50 |
4.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$2,168.40 |
$2,710.50 |
22.2× |
| Pt re-evaluation (97164) |
$2,168.40 |
$2,710.50 |
32.1× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$58.40 |
$73 |
0.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$382.40 |
$478 |
8.0× |
| Sleep study unattended (95806) |
$306.40 |
$383 |
1.4× |
| Speech group therapy (92508) |
$430.40 |
$538 |
17.9× |
| Speech sound lang comprehen (92523) |
$4,031.20 |
$5,039 |
17.8× |
| Spirometry (94010) |
$625.60 |
$782 |
2.8× |
| Temp transcutaneous pacing (92953) |
$1,914.40 |
$2,393 |
2.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$70.40 |
$88 |
0.9× |
| Therapeutic Activities (97530) |
$144.40 |
$180.50 |
4.1× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,208 |
$2,760 |
3.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$1,314 |
$1,642.50 |
17.3× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$1,496.80 |
$1,871 |
17.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$108.80 |
$136 |
2.2× |
| Tympanometry (92567) |
$64.80 |
$81 |
1.7× |
| Ultraviolet Light Therapy (96900) |
$67.20 |
$84 |
1.7× |
| Unlisted pulmonary service/procedure (94799) |
$105.60 |
$132 |
0.8× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,127.60 |
$1,409.50 |
4.6× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$1,436 |
$1,795 |
6.4× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$1,953.60 |
$2,442 |
5.0× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$1,436 |
$1,795 |
3.7× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$4,144.80 |
$5,181 |
4.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,452 |
$3,065 |
6.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,452 |
$3,065 |
6.3× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$946.40 |
$1,183 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$946.40 |
$1,183 |
1.5× |
| Vital capacity total (94150) |
$179.20 |
$224 |
1.3× |