| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$81.60 |
$170 |
0.7× |
| Actigraphy Testing Recording Analysis I&R (95803) |
$564.48 |
$1,176 |
10.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$36 |
$75 |
0.9× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$512.16 |
$1,067 |
2.5× |
| Aep neurodiagnostic i&r (92653) |
$507.84 |
$1,058 |
2.5× |
Aep threshold estimation mlt frequencies i&r (92652)
range across 2 matching MRF lines |
$683.52–$1,190.88 |
$1,424–$2,481 |
varies |
| Airway Inhalation Treatment (94640) |
$86.88 |
$181 |
0.4× |
| Airway resistance by oscillometry (94728) |
$269.28 |
$561 |
2.2× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$40.32 |
$84 |
1.1× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
$21.12 |
$44 |
0.8× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$427.20 |
$890 |
3.4× |
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601)
range across 3 matching MRF lines |
$345.12–$517.92 |
$719–$1,079 |
varies |
| Analyze neurostim no prog (95970) |
$71.52 |
$149 |
0.6× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$146.88 |
$306 |
0.8× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) |
$656.16 |
$1,367 |
5.2× |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
$97.92 |
$204 |
0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$30.72 |
$64 |
2.1× |
| Art pressure waveform analys (93050) |
$44.64 |
$93 |
1.6× |
| Assessment of aphasia per hr (96105) |
$274.56 |
$572 |
2.8× |
| Audiometry Air & Bone (92553) |
$122.40 |
$255 |
1.0× |
Behavral qualit analys voice (92524)
range across 3 matching MRF lines |
$123.84–$310.56 |
$258–$647 |
varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$272.16 |
$567 |
3.3× |
| Bfb training ea addl 15 min (90913) |
$153.60 |
$320 |
4.7× |
| Biofeedback training any modality (90901) |
$120.96 |
$252 |
2.9× |
| Breath hydrogen/methane test (91065) |
$230.40 |
$480 |
1.1× |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 4 matching MRF lines |
$266.40–$359.04 |
$555–$748 |
varies |
| C motor evoked uppr limbs (95928) |
$620.64 |
$1,293 |
0.8× |
| C motor evoked upr&lwr limbs (95939) |
$1,682.40 |
$3,505 |
2.1× |
| Canalith repositioning proc (95992) |
$138.72 |
$289 |
3.4× |
| Car seat/bed test 60 min (94780) |
$216.96 |
$452 |
6.1× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,689.12 |
$3,519 |
8.3× |
| Cardiopulmonary resuscitation (92950) |
$1,423.20 |
$2,965 |
7.0× |
| Cardioversion (92960) |
$839.52 |
$1,749 |
1.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$53.28 |
$111 |
2.0× |
| Cbt 1st hour (94644) |
$557.28 |
$1,161 |
4.4× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) |
$274.08 |
$571 |
2.2× |
| Chemo Anti-Neopl Sq/Im (96401) |
$303.84 |
$633 |
4.5× |
| Chemo Ia Push (96420) |
$431.52 |
$899 |
1.4× |
| Chemo IV infusion addl hr (96415) |
$116.64 |
$243 |
1.7× |
| Chemo IV push addl drug (96411) |
$230.40 |
$480 |
3.4× |
| Chemother Prolong Infuse W/Pump (96416) |
$536.64 |
$1,118 |
1.7× |
| Chemotherapy Into Cns (96450) |
$313.44 |
$653 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$267.84 |
$558 |
3.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$546.72 |
$1,139 |
1.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$421.92 |
$879 |
1.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$171.84 |
$358 |
0.5× |
| Chest Wall Manipulation (94668) |
$340.80 |
$710 |
2.7× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$100.80 |
$210 |
0.3× |
| Cmptr ophth dx img ant segmt (92132) |
$84.96 |
$177 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$995.04 |
$2,073 |
4.4× |
| Color/duplex Doppler, limited (93976) |
$569.76 |
$1,187 |
5.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$69.12 |
$144 |
2.2× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) |
$204.48 |
$426 |
0.6× |
| Comprehensive Hearing Test (92557) |
$89.28 |
$186 |
0.7× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$84.96 |
$177 |
1.5× |
| Computerized Ophthalmic Imaging Retina (92134) |
$86.88 |
$181 |
1.6× |
| Conditioning Play Audiometry (92582) |
$231.84 |
$483 |
1.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$179.52 |
$374 |
1.4× |
| Continuous Pulse Ox (94762) |
$238.56 |
$497 |
2.0× |
| Corneal Topography (92025) |
$94.08 |
$196 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$340.80 |
$710 |
1.6× |
| Cpt initial (94667) |
$219.84 |
$458 |
1.7× |
| Critical care first hour (99291) |
$2,608.80 |
$5,435 |
3.3× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$637.44 |
$1,328 |
1.8× |
| Dark Adaptation Eye Exam (92284) |
$249.60 |
$520 |
0.6× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines |
$76.80–$277.44 |
$160–$578 |
varies |
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602)
range across 3 matching MRF lines |
$194.88–$292.80 |
$406–$610 |
varies |
| Dialysis One Evaluation (90945) |
$907.20 |
$1,890 |
2.3× |
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)
range across 2 matching MRF lines |
$32.16–$56.16 |
$67–$117 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,488 |
$3,100 |
6.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$983.04 |
$2,048 |
9.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,368.96 |
$2,852 |
6.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,256.16 |
$2,617 |
12.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,612.80 |
$3,360 |
7.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,020.96 |
$2,127 |
10.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$2,201.28 |
$4,586 |
9.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$1,290.72 |
$2,689 |
13.0× |
| Duplex Scan Hemodialysis Access (93990) |
$1,287.36 |
$2,682 |
13.0× |
| Duplex up extrem art bilat (93930) |
$1,654.08 |
$3,446 |
7.3× |
| Duplex up extrem art unilat/ltd (93931) |
$1,048.80 |
$2,185 |
10.6× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$186.24 |
$388 |
1.5× |
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604)
range across 3 matching MRF lines |
$186.24–$279.36 |
$388–$582 |
varies |
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603)
range across 3 matching MRF lines |
$335.52–$503.52 |
$699–$1,049 |
varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) |
$46.08 |
$96 |
0.2× |
| Echo Congenital Complete (93303) |
$1,405.92 |
$2,929 |
2.7× |
| Echo Heart Xthoracic,Limited (93308) |
$648.96 |
$1,352 |
2.9× |
| Echo transesophageal (93312) |
$1,157.76 |
$2,412 |
2.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,430.88 |
$2,981 |
2.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,324.32 |
$2,759 |
2.6× |
| Eeg 41-60 Minutes (95812) |
$978.24 |
$2,038 |
4.8× |
| EEG awake and asleep (95819) |
$1,320 |
$2,750 |
6.5× |
| EEG awake drowsy (95816) |
$1,109.76 |
$2,312 |
5.4× |
| EEG cerebral death evaluation (95824) |
$698.40 |
$1,455 |
2.0× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$1,157.28 |
$2,411 |
5.7× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,171.68 |
$2,441 |
5.7× |
| Eeg Sleep Only (95822) |
$1,205.28 |
$2,511 |
5.9× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$1,157.28 |
$2,411 |
5.7× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$1,157.28 |
$2,411 |
5.7× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$2,554.56 |
$5,322 |
7.2× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$2,938.56 |
$6,122 |
8.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,157.28 |
$2,411 |
5.7× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$2,220.96 |
$4,627 |
6.3× |
| EKG signal averaged (93278) |
$183.84 |
$383 |
3.3× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$189.12 |
$394 |
2.1× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$199.68 |
$416 |
2.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$150.24 |
$313 |
4.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$31.20 |
$65 |
2.1× |
| Electro-Oculography (92270) |
$386.40 |
$805 |
3.1× |
| Electrocardiogram Tracing (93005) |
$348.48 |
$726 |
6.2× |
| Emergency Dept Visit Level 2 (99282) |
$511.68 |
$1,066 |
3.5× |
| Emergency Dept Visit Level 3 (99283) |
$875.04 |
$1,823 |
3.4× |
| Emergency Dept Visit Level 4 (99284) |
$1,477.92 |
$3,079 |
3.7× |
| Emg 3 Extremities (95863) |
$347.04 |
$723 |
2.8× |
| Emg 4 Extremities (95864) |
$403.68 |
$841 |
3.3× |
| Er level 1 (99281) |
$181.44 |
$378 |
2.3× |
| Er level v (99285) |
$2,142.24 |
$4,463 |
3.8× |
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines |
$199.68–$209.28 |
$416–$436 |
varies |
| Evaluate pt use of inhaler (94664) |
$160.80 |
$335 |
0.8× |
Evaluate Speech Production (92522)
range across 2 matching MRF lines |
$300.48–$314.40 |
$626–$655 |
varies |
Evaluate Swallowing Function (92610)
range across 4 matching MRF lines |
$151.68–$197.76 |
$316–$412 |
varies |
Evaluation of speech fluency (92521)
range across 2 matching MRF lines |
$359.04–$376.32 |
$748–$784 |
varies |
| Evoked Auditory Test,Limited (92587) |
$24 |
$50 |
0.1× |
| External ECG rec>48hr<7d recording (93242) |
$74.88 |
$156 |
2.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$148.80 |
$310 |
1.2× |
| External ECG rec>7d<15d recording (93246) |
$74.88 |
$156 |
2.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$148.80 |
$310 |
1.2× |
| Extracranial Bilat Study (93880) |
$1,592.16 |
$3,317 |
7.0× |
| Extracranial Uni/Ltd Study (93882) |
$1,048.80 |
$2,185 |
10.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,058.40 |
$2,205 |
2.0× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
$184.32 |
$384 |
1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$187.20 |
$390 |
0.9× |
| Fluorescein angiography (92235) |
$550.56 |
$1,147 |
2.7× |
| Full Field Electroretinography W/I&R (92273) |
$499.20 |
$1,040 |
2.4× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$547.20 |
$1,140 |
0.7× |
| Fundus photography (92250) |
$90.72 |
$189 |
0.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$383.52 |
$799 |
1.9× |
| Gi tract capsule endoscopy (91110) |
$2,019.36 |
$4,207 |
2.4× |
| Gi wireless capsule measure (91112) |
$4,914.24 |
$10,238 |
5.7× |
| Group Therapeutic Procedures (97150) |
$38.88 |
$81 |
2.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$100.80 |
$210 |
0.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$759.84 |
$1,583 |
1.2× |
| Holter monitor recording (93225) |
$656.64 |
$1,368 |
5.2× |
Icd Device Interrogate (93289)
range across 2 matching MRF lines |
$216.48–$293.28 |
$451–$611 |
varies |
| Icd device progr eval dual (93283) |
$253.44 |
$528 |
7.2× |
| Icd Device Progr Eval Mult (93284) |
$270.72 |
$564 |
7.7× |
| Ilr Device Eval Progr (93285) |
$208.32 |
$434 |
5.9× |
| Ilr Device Interrogate (93291) |
$187.20 |
$390 |
6.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$9.72 |
$20.26 |
0.1× |
| Immunization administration (90471) |
$9.72 |
$20.26 |
0.1× |
| Ingestion challenge test initial 120 minutes (95076) |
$416.64 |
$868 |
1.2× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$199.68 |
$416 |
0.6× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
$154.08 |
$321 |
1.7× |
| Interrog&prgrmg ipnss during polysomnography (93152) |
$360.48 |
$751 |
1.2× |
| Interrogation vad in person (93750) |
$5,050.56 |
$10,522 |
56.1× |
| Interrogation without programming ipnss (93153) |
$83.04 |
$173 |
0.9× |
| Intracranial Complete Study (93886) |
$1,518.72 |
$3,164 |
6.7× |
| Intracutaneous tests w/allergenic extracts (95024) |
$5.76 |
$12 |
0.1× |
| Irrig Drug Delivery Device (96523) |
$138.72 |
$289 |
2.5× |
IV infusion hydration each additional hour (96361)
range across 13 matching MRF lines |
$71.04–$100.32 |
$148–$209 |
varies |
IV infusion hydration initial 31 min-1 hour (96360)
range across 16 matching MRF lines |
$183.36–$258.72 |
$382–$539 |
varies |
IV infusion ther proph addl sequential to 1 hr (96367)
range across 13 matching MRF lines |
$162.72–$229.92 |
$339–$479 |
varies |
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 17 matching MRF lines |
$114.24–$161.28 |
$238–$336 |
varies |
IV push initial (96374)
range across 19 matching MRF lines |
$209.76–$295.68 |
$437–$616 |
varies |
| Laryngeal Function Studies (92520) |
$111.36 |
$232 |
0.9× |
| Liver Elastography W/O Imag W/I&R (91200) |
$207.84 |
$433 |
1.7× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
$1,266.24 |
$2,638 |
6.2× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) |
$173.28 |
$361 |
0.5× |
| Mechanical chest wall oscillation per session (94669) |
$179.52 |
$374 |
0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$25.92 |
$54 |
0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$30.72 |
$64 |
0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$14.88 |
$31 |
0.9× |
Methacholine challenge (94070)
range across 4 matching MRF lines |
$318.72–$569.76 |
$664–$1,187 |
varies |
| Motility study esophagus (91010) |
$502.56 |
$1,047 |
1.4× |
| Motion Fluoroscopy/Swallow (92611) |
$259.68 |
$541 |
2.8× |
| Multifocal Electroretinography W/I&R (92274) |
$308.64 |
$643 |
2.5× |
| Multiple Family Group Psychotherapy (90849) |
$97.92 |
$204 |
0.6× |
| Multiple Sleep Latency Test (95805) |
$2,096.64 |
$4,368 |
2.6× |
Muscle Test 2 Limbs (95861)
range across 3 matching MRF lines |
$250.56–$857.28 |
$522–$1,786 |
varies |
| Muscle Test Hemidiaphragm (95866) |
$196.32 |
$409 |
1.6× |
| Muscle Test Nonparaspinal (95870) |
$199.20 |
$415 |
1.6× |
| Muscle Test One Limb (95860) |
$192.96 |
$402 |
1.5× |
| Nasopharyngoscopy (92511) |
$184.32 |
$384 |
1.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$243.36 |
$507 |
1.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$204.48 |
$426 |
1.0× |
| Needle electromyography larynx (95865) |
$213.60 |
$445 |
1.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$238.08 |
$496 |
1.2× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines |
$101.28–$105.60 |
$211–$220 |
varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$131.52 |
$274 |
0.3× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$118.08 |
$246 |
0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$288.48 |
$601 |
0.8× |
| Nerve conduction studies 13 or more studies (95913) |
$319.68 |
$666 |
0.9× |
Nerve Conduction Studies 3-4 Studies (95908)
range across 3 matching MRF lines |
$145.92–$498.72 |
$304–$1,039 |
varies |
| Nerve conduction studies 5-6 studies (95909) |
$175.68 |
$366 |
0.9× |
| Nerve conduction studies 7-8 studies (95910) |
$222.72 |
$464 |
0.6× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$255.84 |
$533 |
0.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$277.44 |
$578 |
2.3× |
| Neuromuscular Reeducation (97112) |
$73.92 |
$154 |
2.3× |
| Nitric oxide expired gas determination (95012) |
$173.28 |
$361 |
4.9× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$352.80 |
$735 |
1.0× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$79.68 |
$166 |
1.4× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$121.92 |
$254 |
2.2× |
| Optokinetic Nystagmus Test (92544) |
$20.16 |
$42 |
0.2× |
Oral Function Therapy (92526)
range across 3 matching MRF lines |
$184.80–$240.48 |
$385–$501 |
varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$116.16 |
$242 |
2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$105.12 |
$219 |
2.3× |
| Ot eval high complexity (97167) |
$219.84 |
$458 |
2.2× |
| Ot Eval Low Complex (97165) |
$219.84 |
$458 |
2.2× |
| Ot Eval Moderate Complexity (97166) |
$219.84 |
$458 |
2.2× |
| Ot manual therapy 15 min (97140) |
$59.04 |
$123 |
2.1× |
| Ot paraffin bath (97018) |
$12.48 |
$26 |
2.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$90.24 |
$188 |
2.2× |
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines |
$144–$151.20 |
$300–$315 |
varies |
| Oxygen Uptake Rest Indirect (94690) |
$396.48 |
$826 |
7.1× |
| Patch/Application Test Specify Number Tests (95044) |
$28.80 |
$60 |
0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$190.56 |
$397 |
0.9× |
| Percutaneous tests w/allergenic extracts (95004) |
$23.04 |
$48 |
0.0× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$71.04 |
$148 |
1.3× |
| Physical Performance Test (97750) |
$73.92 |
$154 |
2.2× |
| Plethysmography (94726) |
$399.36 |
$832 |
1.1× |
| Pm device eval in person (93288) |
$214.56 |
$447 |
6.1× |
| Pm device progr eval dual (93280) |
$251.52 |
$524 |
7.1× |
| Pm device progr eval multi (93281) |
$255.36 |
$532 |
7.2× |
| Pm Device Progr Eval Sngl (93279) |
$216.48 |
$451 |
6.1× |
| Pm/Icd Remote Tech Serv (93296) |
$130.56 |
$272 |
3.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,925.28 |
$10,261 |
6.1× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$6,227.52 |
$12,974 |
7.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$6,569.28 |
$13,686 |
8.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$343.20 |
$715 |
7.7× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) |
$39.36 |
$82 |
0.9× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) |
$64.80 |
$135 |
1.5× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) |
$59.52 |
$124 |
0.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$231.84 |
$483 |
6.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$45.12 |
$94 |
1.0× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$41.28 |
$86 |
0.9× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) |
$35.04 |
$73 |
0.8× |
Pt Eval High Complex (97163)
range across 3 matching MRF lines |
$208.32–$217.92 |
$434–$454 |
varies |
Pt eval low complex 20 min (97161)
range across 3 matching MRF lines |
$208.32–$217.92 |
$434–$454 |
varies |
Pt Eval Mod Complex (97162)
range across 3 matching MRF lines |
$208.32–$217.92 |
$434–$454 |
varies |
| Pt gait training 15 min (97116) |
$64.32 |
$134 |
2.2× |
| Pt group caregiver training (97552) |
$23.52 |
$49 |
1.1× |
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines |
$144–$151.20 |
$300–$315 |
varies |
| Pulm function test by gas (94727) |
$297.12 |
$619 |
1.5× |
Pulmonary service/procedure (94799)
range across 2 matching MRF lines |
$30.24–$773.76 |
$63–$1,612 |
varies |
| Pulmonary Stress Testing (94618) |
$108.48 |
$226 |
0.9× |
| Pure Tone Audiometry Air (92552) |
$100.80 |
$210 |
0.8× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$287.52 |
$599 |
8.1× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$86.88 |
$181 |
0.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$43.20 |
$90 |
1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$98.88 |
$206 |
1.8× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines |
$153.60–$175.20 |
$320–$365 |
varies |
| Self Care Mngment Training (97535) |
$71.52 |
$149 |
2.2× |
| Self-meas bp pt educaj/traing & dev calibration (99473) |
$50.88 |
$106 |
1.9× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$541.92 |
$1,129 |
2.7× |
| Short-latency somatosens ep std upr limbs (95925) |
$587.04 |
$1,223 |
2.9× |
| Sleep study attended (95807) |
$1,910.40 |
$3,980 |
5.4× |
| Sleep study unattended (95806) |
$280.32 |
$584 |
1.4× |
| Slp caregiver training 1st 30 min (97550) |
$99.36 |
$207 |
1.9× |
| Somatosensory Testing (95938) |
$1,249.44 |
$2,603 |
1.5× |
| Speech Audiometry Complete (92556) |
$120.48 |
$251 |
2.2× |
| Speech audiometry threshold (92555) |
$76.80 |
$160 |
1.4× |
Speech sound lang comprehen (92523)
range across 5 matching MRF lines |
$256.80–$643.20 |
$535–$1,340 |
varies |
| Spin/Brain Pump Refil & Main (95991) |
$153.12 |
$319 |
0.5× |
| Spirometry (94010) |
$173.28 |
$361 |
0.8× |
| Ssep lower limbs (95926) |
$505.44 |
$1,053 |
2.5× |
| Standardized Cognitive Performance Testing (96125) |
$290.88 |
$606 |
2.8× |
| Stress Tte Only (93350) |
$1,037.76 |
$2,162 |
2.0× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$85.92 |
$179 |
1.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$792 |
$1,650 |
3.9× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$325.92 |
$679 |
4.8× |
| Surfactant Admin Thru Tube (94610) |
$510.72 |
$1,064 |
2.5× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) |
$163.20 |
$340 |
1.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$48 |
$100 |
2.1× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$46.56 |
$97 |
2.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$80.16 |
$167 |
2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$65.76 |
$137 |
2.2× |
| Ther/Proph/Diag Inj Ia (96373) |
$101.28 |
$211 |
0.5× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 26 matching MRF lines |
$78.72–$110.88 |
$164–$231 |
varies |
Ther/Proph/Diag Iv Inf Init (96365)
range across 18 matching MRF lines |
$361.44–$509.76 |
$753–$1,062 |
varies |
| Therapeutic Activities (97530) |
$80.16 |
$167 |
2.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$613.92 |
$1,279 |
1.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$1,404.96 |
$2,927 |
14.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$183.36 |
$382 |
5.2× |
| Tte w/doppler, complete (93306) |
$2,167.68 |
$4,516 |
4.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$216.48 |
$451 |
2.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$67.68 |
$141 |
2.8× |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 16 matching MRF lines |
$85.92–$121.44 |
$179–$253 |
varies |
Tympanometry (92567)
range across 4 matching MRF lines |
$30.24–$112.32 |
$63–$234 |
varies |
| Tympanometry and reflex threshold measurements (92550) |
$62.88 |
$131 |
0.3× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$254.40 |
$530 |
2.1× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$483.84 |
$1,008 |
17.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$726.72 |
$1,514 |
5.8× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$2,220.96 |
$4,627 |
6.3× |
| Veeg 2-12 hr intmt mntr (95712) |
$1,332 |
$2,775 |
3.8× |
| Veeg 2-12 hr unmonitored (95711) |
$1,157.28 |
$2,411 |
5.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,938.56 |
$6,122 |
8.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,554.56 |
$5,322 |
7.2× |
| Veeg ea 12-26hr cont mntr (95716) |
$4,157.28 |
$8,661 |
5.1× |
| Vent Mgmt Inpat Init Day (94002) |
$2,301.60 |
$4,795 |
3.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,619.52 |
$3,374 |
2.8× |
| Visual Evoked Potential Test (95930) |
$186.72 |
$389 |
0.9× |
| Visual Field Exam Extended (92083) |
$199.68 |
$416 |
1.6× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$144 |
$300 |
2.6× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$96 |
$200 |
1.7× |
| Visual reinforcement audiometry (vra) (92579) |
$104.64 |
$218 |
0.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$1,493.76 |
$3,112 |
1.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$69.12 |
$144 |
2.2× |
| Whirlpool Therapy (97022) |
$37.44 |
$78 |
2.4× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$445.92 |
$929 |
8.0× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$110.88 |
$231 |
3.1× |