| Airway inhalation treatment (94640) |
$119 |
$170 |
0.5× |
| Ambulatory Bp Analysis (93788) |
$210 |
$300 |
1.5× |
| Ambulatory Bp Recording (93786) |
$210 |
$300 |
1.5× |
| Analyze neurostim complex (95972) |
$910 |
$1,300 |
9.1× |
| Analyze neurostim no prog (95970) |
$441 |
$630 |
3.1× |
| Analyze neurostim simple (95971) |
$1,120 |
$1,600 |
11.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$49 |
$70 |
3.4× |
| Application on-body injector (96377) |
$105 |
$150 |
2.1× |
| Assessment of aphasia per hr (96105) |
$364 |
$520 |
3.7× |
| Bedside Swallowing Eval (92610) |
$245 |
$350 |
2.9× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$280 |
$400 |
2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$630 |
$900 |
1.6× |
| Canalith Repositioning Procedure (95992) |
$112 |
$160 |
2.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$840 |
$1,200 |
3.7× |
| Cardiopulmonary resuscitation (92950) |
$700 |
$1,000 |
3.1× |
| Cardioversion (92960) |
$1,330 |
$1,900 |
1.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$20,580 |
$29,400 |
6.0× |
| Cbt 1st hour (94644) |
$350 |
$500 |
2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$196 |
$280 |
2.6× |
| Chemo IV push addl drug (96411) |
$364 |
$520 |
4.8× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$770 |
$1,100 |
2.2× |
| Chemother, IV infusion, 1 hr (96413) |
$910 |
$1,300 |
2.6× |
| Chemother, IV infusion, ea add hr (96415) |
$343 |
$490 |
4.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$301 |
$430 |
4.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$245 |
$350 |
3.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$497 |
$710 |
1.4× |
| Color/duplex Doppler, complete (93975) |
$1,190 |
$1,700 |
4.7× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$112 |
$160 |
0.6× |
| Coronary art/grft angio s&i (93455) |
$17,220 |
$24,600 |
5.0× |
| Coronary artery angio s&i (93454) |
$15,540 |
$22,200 |
4.5× |
| Cpap/bipap (94660) |
$581 |
$830 |
2.5× |
| Cpt initial (94667) |
$119 |
$170 |
0.8× |
| Critical care (99291) |
$2,940 |
$4,200 |
3.4× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$553 |
$790 |
1.4× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) |
$553 |
$790 |
0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$357 |
$510 |
1.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$1,820 |
$2,600 |
7.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$553 |
$790 |
5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$910 |
$1,300 |
3.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$770 |
$1,100 |
7.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$2,100 |
$3,000 |
8.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$770 |
$1,100 |
7.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,050 |
$1,500 |
4.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$840 |
$1,200 |
7.6× |
| Duplex scan extracranial art compl bi study (93880) |
$980 |
$1,400 |
3.9× |
| Duplex Scan Hemodialysis Access (93990) |
$637 |
$910 |
5.8× |
| Echo Heart Xthoracic,Limited (93308) |
$910 |
$1,300 |
3.6× |
| Echo r-t 2d w/probe placement only (93313) |
$1,782.20 |
$2,546 |
3.1× |
| Echo transesophag congen probe plcmt only (93316) |
$1,208.90 |
$1,727 |
2.1× |
| Echo transesophag montr cardiac pump functj (93318) |
$2,300.90 |
$3,287 |
4.0× |
| Echo transesophageal (93312) |
$1,750 |
$2,500 |
3.0× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,820 |
$2,600 |
3.2× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,260 |
$1,800 |
2.2× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$910 |
$1,300 |
1.6× |
| EEG awake and asleep (95819) |
$539 |
$770 |
2.4× |
| EEG awake drowsy (95816) |
$343 |
$490 |
1.5× |
| EEG cerebral death evaluation (95824) |
$588 |
$840 |
1.5× |
| EEG coma or sleep only (95822) |
$581 |
$830 |
2.5× |
| EEG greater than 1 hour (95813) |
$770 |
$1,100 |
3.4× |
| EKG rhythm strip (93041) |
$112 |
$160 |
1.8× |
| Electrocardiogram Tracing (93005) |
$246.75 |
$352.50 |
4.0× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$581 |
$830 |
2.5× |
| EMG four extremities (95864) |
$700 |
$1,000 |
5.2× |
| EMG one extremity (95860) |
$371 |
$530 |
2.6× |
| EMG three extremities (95863) |
$581 |
$830 |
4.3× |
| EMG two extremities (95861) |
$483 |
$690 |
3.4× |
| Er level 1 (99281) |
$217 |
$310 |
2.4× |
| Er level ii (99282) |
$455 |
$650 |
2.8× |
| Er level iii (99283) |
$1,015 |
$1,450 |
3.5× |
| Er level IV (99284) |
$1,610 |
$2,300 |
3.7× |
| Er level v (99285) |
$2,212 |
$3,160 |
3.5× |
| Esophagus acid perfusion test esophagitis (91030) |
$710.50 |
$1,015 |
1.8× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,221.50 |
$1,745 |
3.1× |
| Eval speech sound production (92522) |
$294 |
$420 |
2.6× |
| Evaluate Pt Use Of Inhaler (94664) |
$196 |
$280 |
0.8× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$224 |
$320 |
1.8× |
| Evaluation of speech fluency (92521) |
$280 |
$400 |
2.1× |
| External ECG rec>48hr<7d recording (93242) |
$196 |
$280 |
5.0× |
| External ECG rec>7d<15d recording (93246) |
$140 |
$200 |
3.6× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$231 |
$330 |
1.2× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$840 |
$1,200 |
0.9× |
| Fundus photography w/interpretation & report (92250) |
$168 |
$240 |
1.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,402.10 |
$2,003 |
1.5× |
| Gastrointestinal Tract Imaging Esophagus W/I&R (91111) |
$1,953.70 |
$2,791 |
2.0× |
| Gi tract capsule endoscopy (91110) |
$1,893.50 |
$2,705 |
2.0× |
| Group Therapeutic Procedures (97150) |
$28.70 |
$41 |
1.6× |
| Holter Monitor (93225) |
$581 |
$830 |
4.1× |
| Imm admn sarscov2 vaccine single dose (90480) |
$57.40 |
$82 |
1.3× |
| Immunization Admin (90471) |
$84 |
$120 |
1.1× |
| Ins swan ganz bedside (93503) |
$2,660 |
$3,800 |
1.6× |
| Iontophoresis 15 min (97033) |
$53.90 |
$77 |
2.8× |
| IV infusion hydration each additional hour (96361) |
$98 |
$140 |
2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$455 |
$650 |
2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$301 |
$430 |
4.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$469 |
$670 |
2.1× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$168 |
$240 |
3.4× |
| IV push ea addl new drug (96375) |
$161 |
$230 |
3.3× |
| IV push initial (96374) |
$147 |
$210 |
0.7× |
| L hrt art/grft angio (93459) |
$22,260 |
$31,800 |
6.5× |
| Manual therapy 15 min (97140) |
$119 |
$170 |
4.3× |
| Massage 15 min (97124) |
$84 |
$120 |
2.8× |
| Mechanical chest wall oscillation (94669) |
$231 |
$330 |
1.0× |
| Mechanical traction (97012) |
$67.90 |
$97 |
4.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$65.80 |
$94 |
2.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$70 |
$100 |
1.9× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$455 |
$650 |
5.0× |
| Multiple Sleep Latency Test (95805) |
$2,940 |
$4,200 |
3.2× |
| Nasopharyngoscopy (92511) |
$329 |
$470 |
1.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$392 |
$560 |
1.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$392 |
$560 |
1.7× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$189 |
$270 |
1.3× |
| Neg press wound tx >50 cm (97608) |
$518 |
$740 |
1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$700 |
$1,000 |
1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$266 |
$380 |
1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$287 |
$410 |
0.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$287 |
$410 |
2.1× |
| Newborn resuscitation (99465) |
$567 |
$810 |
0.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$266 |
$380 |
1.9× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$308 |
$440 |
2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$133 |
$190 |
2.9× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$70 |
$100 |
2.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$56 |
$80 |
4.0× |
| Ot eval high complex 60 min (97167) |
$297.50 |
$425 |
3.0× |
| Ot eval low complex 30 min (97165) |
$238 |
$340 |
2.4× |
| Ot eval mod complex 45 min (97166) |
$266 |
$380 |
2.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$77 |
$110 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$112 |
$160 |
2.8× |
| Ot re-evaluation (97168) |
$154 |
$220 |
2.2× |
| Ot therapeutic activity 15 min (97530) |
$119 |
$170 |
3.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$315 |
$450 |
2.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$294 |
$420 |
2.2× |
| Paraffin bath pt (97018) |
$49.70 |
$71 |
8.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$13,650 |
$19,500 |
2.3× |
| Phlebotomy therapeutic (99195) |
$196 |
$280 |
1.4× |
| Plethysmography (94726) |
$301 |
$430 |
0.8× |
| Pm device eval in person (93288) |
$140 |
$200 |
3.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,990 |
$5,700 |
4.4× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,710 |
$5,300 |
4.1× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,850 |
$5,500 |
4.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$20.30 |
$29 |
0.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$25.20 |
$36 |
0.5× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$135.80 |
$194 |
3.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$16,800 |
$24,000 |
1.4× |
| Prq Card Stent/Ath/Angio (92933) |
$16,800 |
$24,000 |
0.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$16,800 |
$24,000 |
1.4× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$16,800 |
$24,000 |
1.4× |
| Psych diag eval w/med srvcs (90792) |
$322 |
$460 |
1.7× |
| Psychiatric diagnostic evaluation (90791) |
$343 |
$490 |
1.8× |
| Psycl/nrpsycl tst elec platform auto result (96146) |
$189 |
$270 |
6.2× |
| Psytx crisis initial 60 min (90839) |
$322 |
$460 |
1.7× |
| Pt Aquatic Therapy/Exercises (97113) |
$112 |
$160 |
3.0× |
| Pt eval high complex 45 min (97163) |
$290.50 |
$415 |
3.0× |
| Pt eval low complex 20 min (97161) |
$199.50 |
$285 |
2.0× |
| Pt eval mod complex 30 min (97162) |
$234.50 |
$335 |
2.4× |
| Pt gait training 15 min (97116) |
$108.50 |
$155 |
3.7× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$119 |
$170 |
3.6× |
| Pt Physical Performance Test (97750) |
$98 |
$140 |
2.9× |
| Pt re-evaluation (97164) |
$147 |
$210 |
2.2× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$105 |
$150 |
3.2× |
| Pt Whirlpool Therapy (97022) |
$189 |
$270 |
12.0× |
| Pulm Funct Test Oscillometry (94728) |
$224 |
$320 |
1.6× |
| Pulm function test by gas (94727) |
$371 |
$530 |
1.6× |
| Pulmonary Service/Procedure (94799) |
$133 |
$190 |
1.0× |
| Pulmonary stress test simple (94618) |
$455 |
$650 |
3.2× |
| Pure Tone Audiometry Air Only (92552) |
$91 |
$130 |
0.6× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$19,600 |
$28,000 |
5.7× |
| R hrt art/grft angio (93457) |
$21,840 |
$31,200 |
6.4× |
| R hrt coronary artery angio (93456) |
$19,600 |
$28,000 |
5.7× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$24,710 |
$35,300 |
7.2× |
| R&l hrt art/ventricle angio (93460) |
$22,890 |
$32,700 |
6.7× |
| Refill/Maint Portable Pump (96521) |
$462 |
$660 |
2.1× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$245 |
$350 |
6.2× |
| Right heart cath (93451) |
$13,020 |
$18,600 |
3.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$189 |
$270 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$112 |
$160 |
0.8× |
| Sensory Integration Ea 15 Min (97533) |
$67.90 |
$97 |
1.1× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$840 |
$1,200 |
3.7× |
| Short-latency somatosens ep std upr limbs (95925) |
$840 |
$1,200 |
3.7× |
| Sleep study unattended (95806) |
$840 |
$1,200 |
3.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$483 |
$690 |
2.1× |
| Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) |
$539 |
$770 |
8.7× |
| Smoking cessation > 10 min (99407) |
$25.20 |
$36 |
0.6× |
| Speech sound lang comprehen (92523) |
$252 |
$360 |
1.1× |
| Spirometry (94010) |
$231 |
$330 |
1.0× |
| Ssep lower limbs (95926) |
$840 |
$1,200 |
3.7× |
| Standardized Cognitive Performance Testing (96125) |
$259 |
$370 |
2.5× |
| Stress echo (93350) |
$1,365 |
$1,950 |
2.4× |
| Temp transcutaneous pacing (92953) |
$700 |
$1,000 |
1.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$52.50 |
$75 |
2.3× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$52.50 |
$75 |
2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$147 |
$210 |
1.4× |
| Ther/prop/diag inj/inf proc (96379) |
$126 |
$180 |
2.5× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$140 |
$200 |
1.8× |
| Tte w/doppler, complete (93306) |
$1,960 |
$2,800 |
3.4× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,050 |
$1,500 |
4.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$203 |
$290 |
2.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$105 |
$150 |
4.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$245 |
$350 |
2.9× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$693 |
$990 |
5.1× |
| Unlisted psychiatric service or procedure (90899) |
$119 |
$170 |
3.0× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$770 |
$1,100 |
3.4× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$476 |
$680 |
4.3× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$1,050 |
$1,500 |
4.6× |
| Vasopneumatic device (97016) |
$84 |
$120 |
7.0× |
| Vent mgmt inpat init day (94002) |
$1,890 |
$2,700 |
2.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,260 |
$1,800 |
1.9× |
| Vital capacity, total (94150) |
$147 |
$210 |
1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$119 |
$170 |
3.8× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$1,007.48 |
$1,439.25 |
2.6× |