| Actinotherapy Ultraviolet Light (96900) |
$71 |
$101 |
1.8× |
| Advncd Care Plan 30 Min (99497) |
$82 |
$117 |
0.8× |
Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$29–$251 |
$42–$359 |
varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$62 |
$88 |
4.3× |
| Assessment of aphasia per hr (96105) |
$204 |
$292 |
2.1× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$272 |
$388 |
2.6× |
| Behavral qualit analys voice (92524) |
$241 |
$344 |
2.2× |
| Biofeedback training any modality (90901) |
$78 |
$112 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$534 |
$763 |
1.4× |
| Canalith repositioning proc (95992) |
$91 |
$130 |
2.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$831 |
$1,187 |
3.7× |
| Cardiopulmonary resuscitation (92950) |
$693 |
$990 |
3.1× |
| Cardioversion (92960) |
$1,238 |
$1,769 |
1.8× |
| Chemo Anti-Neopl Sq/Im (96401) |
$235 |
$336 |
3.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$153 |
$218 |
2.0× |
| Chemo IV infusion addl hr (96415) |
$109 |
$155 |
1.5× |
| Chemo IV push addl drug (96411) |
$225 |
$321 |
3.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$200 |
$286 |
2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$419 |
$599 |
1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$373 |
$533 |
1.1× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$72 |
$103 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$1,000 |
$1,429 |
4.0× |
| Color/duplex Doppler, limited (93976) |
$516 |
$737 |
4.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$216 |
$309 |
1.2× |
| Cpt initial (94667) |
$150 |
$214 |
1.1× |
| Critical care first hour (99291) |
$1,334 |
$1,905 |
1.6× |
Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$146–$224 |
$208–$320 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$895 |
$1,278 |
3.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$715 |
$1,022 |
6.6× |
Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$976–$1,000 |
$1,394–$1,429 |
varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$755 |
$1,079 |
7.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,145 |
$1,635 |
4.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$860 |
$1,228 |
7.9× |
| Duplex up extrem art unilat/ltd (93931) |
$699 |
$999 |
6.4× |
| Echo Heart Xthoracic,Limited (93308) |
$776 |
$1,109 |
3.1× |
| Electrical Stimulation Ea 15 Min (97032) |
$62 |
$89 |
4.2× |
Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$221–$255 |
$316–$364 |
varies |
| Emergency Dept Visit Level 2 (99282) |
$256 |
$366 |
1.6× |
| Emergency Dept Visit Level 3 (99283) |
$401 |
$573 |
1.4× |
| Emergency Dept Visit Level 4 (99284) |
$600 |
$857 |
1.4× |
| Er level 1 (99281) |
$162 |
$232 |
1.9× |
| Er level v (99285) |
$1,007 |
$1,439 |
1.6× |
| Evaluate pt use of inhaler (94664) |
$137 |
$195 |
0.6× |
| Evaluate Speech Production (92522) |
$234 |
$334 |
2.1× |
| Evaluate Swallowing Function (92610) |
$271 |
$387 |
3.2× |
| Evaluation of speech fluency (92521) |
$214 |
$305 |
1.6× |
| Evoked Auditory Test,Limited (92587) |
$136 |
$194 |
0.6× |
| External Ecg Scanning Analysis Report (93226) |
$601 |
$859 |
9.8× |
| Extracranial Bilat Study (93880) |
$1,175 |
$1,678 |
4.7× |
| Extracranial Uni/Ltd Study (93882) |
$307 |
$439 |
2.8× |
| Holter monitor recording (93225) |
$375 |
$535 |
2.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$13 |
$18 |
0.2× |
Immunization administration (90471) range across 3 matching MRF lines |
$57–$60 |
$82–$86 |
varies |
| Iontophoresis 15 min (97033) |
$92 |
$132 |
4.8× |
| IV infusion hydration each additional hour (96361) |
$137 |
$195 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$296 |
$423 |
1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$159 |
$227 |
2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$167 |
$239 |
3.4× |
IV push initial (96374) range across 3 matching MRF lines |
$165–$195 |
$236–$279 |
varies |
| Mechanical chest wall oscillation per session (94669) |
$150 |
$214 |
0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$501 |
$716 |
1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$625 |
$893 |
1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$184 |
$263 |
0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$627 |
$895 |
1.5× |
| Neuromuscular Reeducation (97112) |
$87 |
$124 |
2.7× |
| Oral Function Therapy (92526) |
$224 |
$320 |
2.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$83 |
$119 |
1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$76 |
$109 |
1.6× |
| Ot eval high complexity (97167) |
$200 |
$286 |
2.0× |
| Ot Eval Low Complex (97165) |
$148 |
$212 |
1.5× |
| Ot Eval Moderate Complexity (97166) |
$174 |
$248 |
1.7× |
Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$90–$92 |
$129–$132 |
varies |
| Ot paraffin bath (97018) |
$59 |
$84 |
9.8× |
| Ot Re-Eval Est Plan Care (97168) |
$121 |
$173 |
1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$214 |
$306 |
1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$109 |
$156 |
0.8× |
| Phlebotomy therapeutic (99195) |
$159 |
$227 |
1.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$109 |
$156 |
1.8× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$58 |
$83 |
0.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$18 |
$25 |
0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$26 |
$37 |
0.5× |
| Psych diag eval w/med srvcs (90792) |
$289 |
$413 |
1.6× |
| Psychiatric diagnostic evaluation (90791) |
$156 |
$223 |
0.8× |
| Psytx Crisis Initial 60 Min (90839) |
$230 |
$328 |
1.2× |
| Pt Eval High Complex (97163) |
$208 |
$297 |
2.1× |
| Pt eval low complex 20 min (97161) |
$137 |
$195 |
1.4× |
| Pt Eval Mod Complex (97162) |
$167 |
$238 |
1.7× |
| Pt gait training 15 min (97116) |
$80 |
$114 |
2.8× |
| Pt mechanical traction (97012) |
$62 |
$88 |
4.3× |
| Pt Re-Eval Est Plan Care (97164) |
$113 |
$162 |
1.7× |
| Pulmonary service/procedure (94799) |
$188 |
$269 |
1.4× |
| Pulmonary Stress Testing (94618) |
$350 |
$500 |
2.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$152 |
$217 |
0.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$281 |
$402 |
2.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$90 |
$129 |
1.9× |
| Self Care Mngment Training (97535) |
$97 |
$138 |
3.0× |
| Sensory Integration Ea 15 Min (97533) |
$169 |
$241 |
2.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$286 |
$408 |
1.3× |
| Speech sound lang comprehen (92523) |
$293 |
$418 |
1.3× |
Spirometry (94010) range across 3 matching MRF lines |
$56–$271 |
$80–$387 |
varies |
| Standardized Cognitive Performance Testing (96125) |
$257 |
$367 |
2.5× |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$81–$96 |
$115–$137 |
varies |
| Ther Ivntj Ea Addl 15 Min (97130) |
$140 |
$200 |
6.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$212 |
$303 |
5.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$56 |
$80 |
1.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$239 |
$341 |
2.3× |
Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$34–$115 |
$49–$165 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$305 |
$435 |
1.4× |
| Therapeutic Activities (97530) |
$110 |
$157 |
3.1× |
Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$22–$28 |
$31–$40 |
varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$15 |
$22 |
0.4× |
| Trans Care Mgmt 7 Day Disch (99496) |
$373 |
$533 |
2.7× |
| Tte w/doppler, complete (93306) |
$1,803 |
$2,576 |
3.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$241 |
$344 |
3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$179 |
$256 |
3.7× |
Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
$438–$468 |
$625–$668 |
varies |
| Vasopneumatic device (97016) |
$66 |
$94 |
5.5× |
| Vent Mgmt Inpat Init Day (94002) |
$1,128 |
$1,611 |
1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$689 |
$984 |
1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$174 |
$248 |
5.6× |
| Whirlpool Therapy (97022) |
$88 |
$126 |
5.6× |