| Airway inhalation treatment (94640) |
$225 |
$250 |
1.0× |
| Appl on-body injector for timed subq injection (96377) |
$43.63 |
$48.47 |
0.9× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$117 |
$130 |
1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$403.20 |
$448 |
1.1× |
| Canalith Repositioning (95992) |
$120.60 |
$134 |
3.0× |
| Capsule endoscopy (91110) |
$2,475 |
$2,750 |
2.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$771.98 |
$857.75 |
3.5× |
| Cardiopulmonary exercise testing (94621) |
$1,165.50 |
$1,295 |
3.1× |
| Cardiopulmonary resuscitation (92950) |
$612 |
$680 |
2.8× |
| Cardioversion (92960) |
$1,170 |
$1,300 |
1.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$13,001.40 |
$14,446 |
3.9× |
| Cbt 1st hour (94644) |
$306 |
$340 |
2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$122.40 |
$136 |
1.7× |
| Chemo IV push addl drug (96411) |
$246.15 |
$273.50 |
3.3× |
| Chemo Iv Push Sngl Drug (96409) |
$382.50 |
$425 |
1.1× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$810 |
$900 |
2.4× |
| Chemother, IV infusion, 1 hr (96413) |
$472.50 |
$525 |
1.4× |
| Chemother, IV infusion, ea add hr (96415) |
$194.40 |
$216 |
2.6× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$234 |
$260 |
3.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$315 |
$350 |
4.3× |
| Color/duplex Doppler, complete (93975) |
$734.40 |
$816 |
3.0× |
| Color/duplex Doppler, limited (93976) |
$202.50 |
$225 |
1.9× |
| Cpap initiation and management (94660) |
$559.80 |
$622 |
2.5× |
| Cpt initial (94667) |
$110.70 |
$123 |
0.8× |
| Critical care (99291) |
$1,941.30 |
$2,157 |
2.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$180 |
$200 |
0.9× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$446.40 |
$496 |
3.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$540 |
$600 |
2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$270 |
$300 |
2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,032.75 |
$1,147.50 |
4.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$735.75 |
$817.50 |
6.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$912.15 |
$1,013.50 |
3.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$706.95 |
$785.50 |
6.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$744.30 |
$827 |
7.0× |
| Duplex hemodialysis access (93990) |
$635.40 |
$706 |
5.9× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$734.40 |
$816 |
3.0× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$352.80 |
$392 |
3.3× |
| Duplex scan extracranial art compl bi study (93880) |
$829.80 |
$922 |
3.4× |
| Echo Heart Xthoracic,Limited (93308) |
$650.25 |
$722.50 |
2.7× |
| Echo transesophageal (93312) |
$1,275.75 |
$1,417.50 |
2.3× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,568.70 |
$1,743 |
2.8× |
| EEG awake asleep (95819) |
$855 |
$950 |
3.9× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$1,309.50 |
$1,455 |
5.9× |
| EKG (93005) |
$221.40 |
$246 |
3.7× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$1,258.65 |
$1,398.50 |
5.7× |
| Er level 1 (99281) |
$139.50 |
$155 |
1.6× |
| Er level ii (99282) |
$279 |
$310 |
1.8× |
| Er level iii (99283) |
$445.50 |
$495 |
1.6× |
| Er level IV (99284) |
$823.50 |
$915 |
1.9× |
| Er level v (99285) |
$1,076.40 |
$1,196 |
1.8× |
| Evaluation of speech fluency (92521) |
$237.60 |
$264 |
1.8× |
| Evaluation of speech sound production (92522) |
$239.40 |
$266 |
2.1× |
| Evaluation of swallowing function (92610) |
$262.80 |
$292 |
3.1× |
| Evaluation with prescription of speech-generating alternative (92607) |
$336.60 |
$374 |
2.8× |
| External Ecg Scanning Analysis Report (93226) |
$589.95 |
$655.50 |
9.8× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$2,628.90 |
$2,921 |
11.9× |
| Group Therapeutic Procedures (97150) |
$50.40 |
$56 |
2.8× |
| Hemodialysis (90935) |
$2,084.40 |
$2,316 |
3.0× |
| Immunization Admin (90471) |
$47.02 |
$52.25 |
0.6× |
| Ins swan ganz bedside (93503) |
$765 |
$850 |
0.5× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$56.18 |
$62.42 |
0.9× |
| IV infusion hydration each additional hour (96361) |
$103.50 |
$115 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$268.20 |
$298 |
1.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$126 |
$140 |
1.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$301.50 |
$335 |
1.4× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$103.50 |
$115 |
2.2× |
| IV push initial (96374) |
$190.80 |
$212 |
0.9× |
| Manual therapy 15 min (97140) |
$110.70 |
$123 |
4.0× |
| Massage 15 min (97124) |
$76.50 |
$85 |
2.6× |
| Mechanical chest wall oscillation (94669) |
$193.50 |
$215 |
0.9× |
| Mechanical traction (97012) |
$54 |
$60 |
3.8× |
| Methacholine challenge (94070) |
$301.50 |
$335 |
0.8× |
| Motility study esophagus (91010) |
$1,655.10 |
$1,839 |
4.3× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$370.80 |
$412 |
4.1× |
| Multiple sleep latency test (95805) |
$1,589.40 |
$1,766 |
1.8× |
| Neg press wnd tx </=50 sq cm (97607) |
$346.50 |
$385 |
0.8× |
| Neg press wound tx >50 cm (97608) |
$346.50 |
$385 |
0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$234 |
$260 |
1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$346.50 |
$385 |
0.8× |
| Newborn resuscitation (99465) |
$1,137.60 |
$1,264 |
1.7× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$501.30 |
$557 |
2.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$244.80 |
$272 |
1.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$100.35 |
$111.50 |
2.2× |
| Ot eval high complex 60 min (97167) |
$237.60 |
$264 |
2.4× |
| Ot eval low complex 30 min (97165) |
$162 |
$180 |
1.6× |
| Ot eval mod complex 45 min (97166) |
$193.50 |
$215 |
1.9× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$112.50 |
$125 |
2.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$112.50 |
$125 |
2.8× |
| Ot re-eval est plan care (97168) |
$144 |
$160 |
2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$194.40 |
$216 |
1.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$121.50 |
$135 |
0.9× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$127.92 |
$142.13 |
2.1× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$127.92 |
$142.13 |
2.1× |
| Plethysmography (94726) |
$540 |
$600 |
1.4× |
| Pm device eval in person (93288) |
$85.50 |
$95 |
2.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,294.80 |
$4,772 |
4.9× |
| Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) |
$118.80 |
$132 |
3.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$15,795 |
$17,550 |
1.3× |
| Prq revasc byp graft 1 vsl (92937) |
$26,603.55 |
$29,559.50 |
2.3× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$15,289.65 |
$16,988.50 |
2.6× |
| Pt Aquatic Therapy/Exercises (97113) |
$157.50 |
$175 |
4.2× |
| Pt Electric Current Therapy (97033) |
$94.50 |
$105 |
5.0× |
| Pt Electrical Stimulation (97032) |
$83.70 |
$93 |
5.7× |
| Pt eval high complex 45 min (97163) |
$225 |
$250 |
2.3× |
| Pt eval low complex 20 min (97161) |
$166.50 |
$185 |
1.7× |
| Pt Gait Training Therapy (97116) |
$75.60 |
$84 |
2.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$157.50 |
$175 |
4.8× |
| Pt Physical Performance Test (97750) |
$85.50 |
$95 |
2.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$189 |
$210 |
1.9× |
| Pt re-evaluation (97164) |
$135 |
$150 |
2.0× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$85.50 |
$95 |
2.6× |
| Pt Ultrasound Therapy (97035) |
$73.80 |
$82 |
5.1× |
| Pulmonary stress testing (94618) |
$388.80 |
$432 |
2.9× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$14,025.15 |
$15,583.50 |
4.2× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$14,944.50 |
$16,605 |
4.5× |
| Refill/maint, portable pump (96521) |
$348.30 |
$387 |
1.6× |
| Right heart cath (93451) |
$7,703.10 |
$8,559 |
2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$190.80 |
$212 |
0.9× |
| Sleep study unattended (95806) |
$665.10 |
$739 |
3.0× |
| Speech group therapy (92508) |
$131.40 |
$146 |
5.5× |
| Speech sound lang comprehen (92523) |
$330.30 |
$367 |
1.5× |
| Spirometry (94010) |
$396 |
$440 |
1.8× |
| Standardized Cognitive Performance Testing (96125) |
$211.50 |
$235 |
2.1× |
| Stress echo (93350) |
$1,440 |
$1,600 |
2.6× |
| Surfactant Admin Thru Tube (94610) |
$428.40 |
$476 |
1.9× |
| Temp transcutaneous pacing (92953) |
$1,170 |
$1,300 |
1.7× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$79.20 |
$88 |
3.5× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$144 |
$160 |
6.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$210.60 |
$234 |
2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$126 |
$140 |
1.7× |
| Therapeutic Activities (97530) |
$105.75 |
$117.50 |
3.0× |
| Therapeutic phlebotomy (99195) |
$129.60 |
$144 |
1.0× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,568.70 |
$1,743 |
2.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$164.70 |
$183 |
2.2× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$216.90 |
$241 |
2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$117 |
$130 |
2.4× |
| Unlisted pulmonary service/procedure (94799) |
$238.05 |
$264.50 |
1.8× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$970.20 |
$1,078 |
4.0× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$270 |
$300 |
2.5× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,696.50 |
$1,885 |
2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,134 |
$1,260 |
1.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$67.50 |
$75 |
2.2× |