| Advncd Care Plan 30 Min (99497) |
$126 |
$252 |
1.4× |
Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$41–$91.88 |
$82–$183.75 |
varies |
| Analyze neurostim complex (95972) |
$189.50 |
$379 |
2.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$25 |
$50 |
1.7× |
| Assessment of aphasia per hr (96105) |
$167 |
$334 |
1.7× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$110.50 |
$221 |
1.2× |
| Behavral qualit analys voice (92524) |
$145 |
$290 |
1.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$66 |
$132 |
0.8× |
| Biofeedback training any modality (90901) |
$32.50 |
$65 |
0.8× |
| Brief Emotional/Behav Assmt (96127) |
$44.63 |
$89.25 |
1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$274 |
$548 |
0.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$251 |
$502 |
1.3× |
| Cardiopulmonary resuscitation (92950) |
$147 |
$294 |
0.8× |
| Cardioversion (92960) |
$380.63 |
$761.25 |
0.7× |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
$35 |
$70 |
1.1× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$38.50 |
$77 |
1.2× |
| Chemo IV infusion addl hr (96415) |
$35 |
$70 |
0.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$364 |
$728 |
1.3× |
| Chest Wall Manipulation (94668) |
$64.58 |
$129.15 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$441 |
$882 |
2.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$25 |
$50 |
0.8× |
| Continuous Pulse Ox (94762) |
$190.50 |
$381 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$210.50 |
$421 |
1.1× |
| Cpt initial (94667) |
$118.13 |
$236.25 |
1.0× |
| Critical care first hour (99291) |
$933.80 |
$1,867.60 |
1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$232.05 |
$464.10 |
1.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$385.88 |
$771.75 |
1.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$275.63 |
$551.25 |
3.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$413.70 |
$827.40 |
2.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$330.75 |
$661.50 |
3.6× |
| Duplex up extrem art bilat (93930) |
$385.88 |
$771.75 |
1.8× |
| Echo Heart Xthoracic,Limited (93308) |
$385.88 |
$771.75 |
1.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$484.50 |
$969 |
1.0× |
| Eeg 41-60 Minutes (95812) |
$425.50 |
$851 |
2.2× |
| EEG awake drowsy (95816) |
$425.50 |
$851 |
2.2× |
| Electrical Stimulation Ea 15 Min (97032) |
$25 |
$50 |
1.7× |
| Electrocardiogram Tracing (93005) |
$106.38 |
$212.75 |
2.1× |
| Emergency Dept Visit Level 2 (99282) |
$150.08 |
$300.15 |
1.1× |
| Emergency Dept Visit Level 3 (99283) |
$200.10 |
$400.20 |
0.8× |
| Emergency Dept Visit Level 4 (99284) |
$383.53 |
$767.05 |
1.0× |
| Emg 3 Extremities (95863) |
$101.33 |
$202.65 |
0.9× |
Emg 4 Extremities (95864) range across 2 matching MRF lines |
$128.63–$352.50 |
$257.25–$705 |
varies |
| Er level 1 (99281) |
$100.05 |
$200.10 |
1.4× |
| Er level v (99285) |
$533.60 |
$1,067.20 |
1.0× |
| Evaluate pt use of inhaler (94664) |
$149.10 |
$298.20 |
0.8× |
| Evaluate Speech Production (92522) |
$139 |
$278 |
1.2× |
| Evaluate Swallowing Function (92610) |
$92.50 |
$185 |
1.1× |
| Evaluation of speech fluency (92521) |
$171.50 |
$343 |
1.3× |
| External ECG rec>48hr<7d recording (93242) |
$83.38 |
$166.75 |
2.5× |
| External ECG rec>7d<15d recording (93246) |
$83.38 |
$166.75 |
2.5× |
| External Ecg Scanning Analysis Report (93226) |
$94.88 |
$189.75 |
1.8× |
| Extracranial Bilat Study (93880) |
$275.63 |
$551.25 |
1.3× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$92.50 |
$185 |
0.5× |
| Group Therapeutic Procedures (97150) |
$27.50 |
$55 |
1.5× |
| Hypnotherapy (90880) |
$110.50 |
$221 |
1.2× |
| Immunization administration (90471) |
$81.65 |
$163.30 |
1.3× |
| Iontophoresis 15 min (97033) |
$25 |
$50 |
1.3× |
| Irrig Drug Delivery Device (96523) |
$75 |
$150 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$38.53 |
$77.05 |
0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$309.35 |
$618.70 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$38.53 |
$77.05 |
0.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$38.53 |
$77.05 |
0.9× |
| IV push initial (96374) |
$116.15 |
$232.30 |
0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$438.50 |
$877 |
2.3× |
| Mechanical chest wall oscillation per session (94669) |
$246.75 |
$493.50 |
1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$32.55 |
$65.10 |
1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$38.85 |
$77.70 |
1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$24.15 |
$48.30 |
1.4× |
| Methacholine challenge (94070) |
$346 |
$692 |
1.1× |
| Motion Fluoroscopy/Swallow (92611) |
$92.50 |
$185 |
1.0× |
| Multiple Family Group Psychotherapy (90849) |
$109 |
$218 |
0.7× |
| Multiple Sleep Latency Test (95805) |
$1,348.05 |
$2,696.10 |
1.8× |
Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$86.63–$244 |
$173.25–$488 |
varies |
| Muscle Test One Limb (95860) |
$65.63 |
$131.25 |
0.6× |
| Narcosynthesis (90865) |
$167.50 |
$335 |
1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$52.50 |
$105 |
0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$112.88 |
$225.75 |
0.3× |
Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$137.50–$170 |
$275–$340 |
varies |
Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$313.50–$581 |
$627–$1,162 |
varies |
Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$363.50–$745.50 |
$727–$1,491 |
varies |
Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$173.50–$252 |
$347–$504 |
varies |
Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$207.50–$334.50 |
$415–$669 |
varies |
Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$273.50–$416.50 |
$547–$833 |
varies |
Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$328–$499 |
$656–$998 |
varies |
| Neurobehavioral Status Exam (96116) |
$354 |
$708 |
1.9× |
| Neuromuscular Reeducation (97112) |
$25 |
$50 |
0.8× |
| Oral Function Therapy (92526) |
$75 |
$150 |
0.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$75 |
$150 |
1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$70.50 |
$141 |
1.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$25 |
$50 |
1.8× |
| Ot eval high complexity (97167) |
$127.50 |
$255 |
1.3× |
| Ot Eval Low Complex (97165) |
$110 |
$220 |
1.1× |
| Ot Eval Moderate Complexity (97166) |
$117.50 |
$235 |
1.2× |
| Ot manual therapy 15 min (97140) |
$27.50 |
$55 |
1.0× |
| Ot paraffin bath (97018) |
$22.50 |
$45 |
3.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$60.50 |
$121 |
1.5× |
| Ot Re-Eval Est Plan Care (97168) |
$79.50 |
$159 |
1.2× |
| Ot rom hand (95852) |
$22 |
$44 |
1.0× |
| Phlebotomy therapeutic (99195) |
$43.58 |
$87.15 |
0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,348.05 |
$2,696.10 |
1.8× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$687.70 |
$1,375.40 |
0.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$687.70 |
$1,375.40 |
0.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$16.50 |
$33 |
0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$24.50 |
$49 |
0.6× |
| Psych diag eval w/med srvcs (90792) |
$173.50 |
$347 |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$184 |
$368 |
1.2× |
| Psychoanalysis (90845) |
$83.34 |
$166.67 |
0.5× |
| Psytx Crisis Initial 60 Min (90839) |
$191 |
$382 |
1.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$30 |
$60 |
0.8× |
| Pt Eval High Complex (97163) |
$132.50 |
$265 |
1.4× |
| Pt eval low complex 20 min (97161) |
$115 |
$230 |
1.2× |
| Pt Eval Mod Complex (97162) |
$120 |
$240 |
1.2× |
| Pt gait training 15 min (97116) |
$25 |
$50 |
0.9× |
| Pt mechanical traction (97012) |
$25 |
$50 |
1.7× |
| Pt Re-Eval Est Plan Care (97164) |
$79.50 |
$159 |
1.2× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$38.50 |
$77 |
1.2× |
| Pulm function test by gas (94727) |
$106 |
$212 |
0.6× |
| Pulmonary service/procedure (94799) |
$68.50 |
$137 |
0.6× |
| Pulmonary Stress Testing (94618) |
$109.50 |
$219 |
0.9× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$372 |
$744 |
1.3× |
| Remote 30 Day Ecg Rev/Report (93270) |
$83.38 |
$166.75 |
2.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$73.50 |
$147 |
0.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$22 |
$44 |
0.8× |
| Self Care Mngment Training (97535) |
$25 |
$50 |
0.8× |
| Sensory Integration Ea 15 Min (97533) |
$25 |
$50 |
0.4× |
| Sleep study unattended (95806) |
$1,348.05 |
$2,696.10 |
7.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$1,348.05 |
$2,696.10 |
7.1× |
| Speech sound lang comprehen (92523) |
$318 |
$636 |
1.4× |
| Spin/Brain Pump Refil & Main (95991) |
$367 |
$734 |
1.4× |
| Standardized Cognitive Performance Testing (96125) |
$160 |
$320 |
1.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$35.50 |
$71 |
1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$34.50 |
$69 |
1.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$40 |
$80 |
1.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$25 |
$50 |
0.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$75 |
$150 |
0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$77.05 |
$154.10 |
1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$309.35 |
$618.70 |
1.7× |
| Therapeutic Activities (97530) |
$25 |
$50 |
0.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$42 |
$84 |
1.3× |
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$40.50–$42 |
$81–$84 |
varies |
| Tte w/doppler, complete (93306) |
$826.88 |
$1,653.75 |
1.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$75 |
$150 |
1.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$116.15 |
$232.30 |
2.8× |
| Upr/L Xtremity Art 2 Levels (93922) |
$219.50 |
$439 |
1.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$383.50 |
$767 |
2.0× |
| Vasopneumatic device (97016) |
$30 |
$60 |
2.5× |
| Vent Mgmt Inpat Init Day (94002) |
$350 |
$700 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$350 |
$700 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$25 |
$50 |
0.8× |
| Whirlpool Therapy (97022) |
$37.50 |
$75 |
2.4× |