Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines |
$17.25–$56.25 |
$23–$75 |
varies |
| Airway Inhalation Treatment (94640) |
$215.25 |
$287 |
0.8× |
| Ans parasymp & symp w/tilt (95924) |
$606.75 |
$809 |
2.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$51 |
$68 |
3.6× |
| Behavral qualit analys voice (92524) |
$389.25 |
$519 |
3.6× |
| Bis Xtracell Fluid Analysis (93702) |
$1,824 |
$2,432 |
11.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$601.50 |
$802 |
1.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$699 |
$932 |
2.7× |
| Cardioversion (92960) |
$1,485 |
$1,980 |
1.9× |
| Chemo IV infusion addl hr (96415) |
$237.75 |
$317 |
2.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$812.25 |
$1,083 |
2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$585 |
$780 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$2,328 |
$3,104 |
8.1× |
| Color/duplex Doppler, limited (93976) |
$1,271.25 |
$1,695 |
10.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$373.50 |
$498 |
1.4× |
| Cpt initial (94667) |
$260.25 |
$347 |
1.6× |
| Critical care first hour (99291) |
$2,822.25 |
$3,763 |
2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$645 |
$860 |
2.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,553.25 |
$2,071 |
5.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,997.25 |
$2,663 |
7.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,550.25 |
$2,067 |
5.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,035 |
$1,380 |
8.3× |
| Duplex Scan Hemodialysis Access (93990) |
$1,294.50 |
$1,726 |
10.3× |
| Echo Congenital Complete (93303) |
$1,393.50 |
$1,858 |
2.1× |
| Echo Heart Xthoracic,Limited (93308) |
$738.75 |
$985 |
2.6× |
| Echo transesophageal (93312) |
$2,075.25 |
$2,767 |
3.2× |
| Eeg 41-60 Minutes (95812) |
$1,117.50 |
$1,490 |
4.3× |
| EEG awake and asleep (95819) |
$1,182 |
$1,576 |
4.6× |
| EEG awake drowsy (95816) |
$1,038.75 |
$1,385 |
4.0× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$1,141.50 |
$1,522 |
4.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,258.50 |
$1,678 |
4.9× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$1,629 |
$2,172 |
6.3× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$1,899.75 |
$2,533 |
4.2× |
| Electrocardiogram Tracing (93005) |
$168 |
$224 |
2.4× |
| Electroconvulsive Therapy (90870) |
$1,092 |
$1,456 |
1.1× |
| Emergency Dept Visit Level 3 (99283) |
$933 |
$1,244 |
2.9× |
| Emergency Dept Visit Level 4 (99284) |
$1,773 |
$2,364 |
3.5× |
| Er level v (99285) |
$2,526.75 |
$3,369 |
3.5× |
| Evaluate Speech Production (92522) |
$381.75 |
$509 |
3.4× |
| Evaluate Swallowing Function (92610) |
$312.75 |
$417 |
3.7× |
| External ECG rec>48hr<7d recording (93242) |
$378 |
$504 |
8.4× |
| External ECG rec>7d<15d recording (93246) |
$1,027.50 |
$1,370 |
23.0× |
| Extracranial Bilat Study (93880) |
$1,575 |
$2,100 |
5.5× |
| Extracranial Uni/Ltd Study (93882) |
$1,061.25 |
$1,415 |
8.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$1,363.50 |
$1,818 |
1.3× |
| Gi tract capsule endoscopy (91110) |
$2,556 |
$3,408 |
2.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$3,775.50 |
$5,034 |
4.6× |
| Holter monitor recording (93225) |
$687.75 |
$917 |
4.3× |
Immunization administration (90471)
range across 2 matching MRF lines |
$17.25–$24.75 |
$23–$33 |
varies |
| IV infusion hydration each additional hour (96361) |
$159.75 |
$213 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$435.75 |
$581 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$276 |
$368 |
3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$210.75 |
$281 |
3.8× |
| IV push initial (96374) |
$583.50 |
$778 |
2.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,499.25 |
$1,999 |
5.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$88.50 |
$118 |
2.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$88.50 |
$118 |
2.4× |
| Methacholine challenge (94070) |
$631.50 |
$842 |
1.4× |
| Motion Fluoroscopy/Swallow (92611) |
$348.75 |
$465 |
3.8× |
| Multiple Sleep Latency Test (95805) |
$1,921.50 |
$2,562 |
1.9× |
| Neuromuscular Reeducation (97112) |
$135.75 |
$181 |
4.1× |
| Nitric oxide expired gas determination (95012) |
$82.50 |
$110 |
1.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$213 |
$284 |
4.3× |
| Ot Contrast Bath Ea 15 Min (97034) |
$73.50 |
$98 |
5.2× |
| Ot eval high complexity (97167) |
$327.75 |
$437 |
3.3× |
| Ot Eval Low Complex (97165) |
$327.75 |
$437 |
3.3× |
| Ot Eval Moderate Complexity (97166) |
$327.75 |
$437 |
3.3× |
| Ot manual therapy 15 min (97140) |
$119.25 |
$159 |
4.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$417 |
$556 |
2.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$278.25 |
$371 |
1.8× |
| Phlebotomy therapeutic (99195) |
$435 |
$580 |
2.7× |
| Plethysmography (94726) |
$672 |
$896 |
1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,017.75 |
$5,357 |
3.9× |
| Psych diag eval w/med srvcs (90792) |
$543 |
$724 |
2.6× |
| Psychiatric diagnostic evaluation (90791) |
$472.50 |
$630 |
2.2× |
| Pt Eval High Complex (97163) |
$339 |
$452 |
3.5× |
| Pt eval low complex 20 min (97161) |
$339 |
$452 |
3.5× |
| Pt Eval Mod Complex (97162) |
$339 |
$452 |
3.5× |
| Pt gait training 15 min (97116) |
$112.50 |
$150 |
3.9× |
| Pt Re-Eval Est Plan Care (97164) |
$234 |
$312 |
3.5× |
| Pulm function test by gas (94727) |
$366 |
$488 |
1.4× |
Pulmonary service/procedure (94799)
range across 3 matching MRF lines |
$322.50–$411 |
$430–$548 |
varies |
| Pulmonary Stress Testing (94618) |
$141.75 |
$189 |
0.9× |
| Self Care Mngment Training (97535) |
$140.25 |
$187 |
4.3× |
| Somatosensory Testing (95938) |
$1,264.50 |
$1,686 |
1.2× |
| Spirometry (94010) |
$348 |
$464 |
1.3× |
| Standardized Cognitive Performance Testing (96125) |
$317.25 |
$423 |
3.1× |
| Stress Tte Only (93350) |
$1,287.75 |
$1,717 |
2.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$1,540.50 |
$2,054 |
6.0× |
| Testing Autonomic Nervous System Function (95923) |
$522 |
$696 |
3.3× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines |
$17.25–$170.25 |
$23–$227 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$540.75 |
$721 |
2.1× |
| Therapeutic Activities (97530) |
$137.25 |
$183 |
3.9× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$1,812 |
$2,416 |
14.5× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) |
$323.25 |
$431 |
2.1× |
| Tte w/doppler, complete (93306) |
$1,842.75 |
$2,457 |
2.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$519 |
$692 |
6.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$238.50 |
$318 |
4.2× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$1,623.75 |
$2,165 |
46.8× |
| Upr/L Xtremity Art 2 Levels (93922) |
$714 |
$952 |
4.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,168.50 |
$1,558 |
4.5× |
| Veeg 2-12 hr unmonitored (95711) |
$2,036.25 |
$2,715 |
7.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,378.25 |
$3,171 |
5.3× |