| Admn Sarscov2 Vacc 1 Dose (90480) |
$37.35 |
$83 |
0.9× |
| Airway Inhalation Treatment (94640) |
$111.15 |
$247 |
0.5× |
| Analyze neurostim no prog (95970) |
$103.95 |
$231 |
0.7× |
| Analyze Neurostim Simple (95971) |
$114.75 |
$255 |
1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$63.45 |
$141 |
4.4× |
| Application Modality 1/> Areas Infrared (97026) |
$16.20 |
$36 |
2.4× |
| Application on-body injector (96377) |
$168.75 |
$375 |
3.4× |
| Behavral qualit analys voice (92524) |
$374.85 |
$833 |
3.4× |
| Bis Xtracell Fluid Analysis (93702) |
$221.85 |
$493 |
1.6× |
| Breath hydrogen/methane test (91065) |
$491.40 |
$1,092 |
2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$382.05 |
$849 |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$448.65 |
$997 |
1.9× |
| Cardiopulmonary resuscitation (92950) |
$631.80 |
$1,404 |
2.7× |
| Cardioversion (92960) |
$1,038.15 |
$2,307 |
1.5× |
| Chemo Anti-Neopl Sq/Im (96401) |
$199.35 |
$443 |
2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$243.45 |
$541 |
3.2× |
| Chemo Ia Push (96420) |
$316.35 |
$703 |
0.9× |
| Chemo Intralesional Over 7 (96406) |
$122.85 |
$273 |
0.5× |
| Chemo intralesional up to 7 (96405) |
$84.60 |
$188 |
1.1× |
| Chemo IV infusion addl hr (96415) |
$278.10 |
$618 |
3.6× |
| Chemo IV push addl drug (96411) |
$267.30 |
$594 |
3.5× |
| Chemother Prolong Infuse W/Pump (96416) |
$630 |
$1,400 |
1.8× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$416.70 |
$926 |
1.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
$186.30 |
$414 |
3.7× |
| Chemotherapy Into Cns (96450) |
$609.75 |
$1,355 |
1.7× |
| Chemotherapy Unspecified (96549) |
$80.55 |
$179 |
1.6× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$781.65 |
$1,737 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$223.65 |
$497 |
2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$436.05 |
$969 |
1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$370.80 |
$824 |
1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$329.85 |
$733 |
0.9× |
| Chest Wall Manipulation (94668) |
$45.45 |
$101 |
0.3× |
| Color/duplex Doppler, complete (93975) |
$731.25 |
$1,625 |
2.9× |
| Color/duplex Doppler, limited (93976) |
$535.95 |
$1,191 |
4.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$83.25 |
$185 |
2.6× |
| Continuous Pulse Ox (94762) |
$227.70 |
$506 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$698.85 |
$1,553 |
3.0× |
| Cpt initial (94667) |
$77.85 |
$173 |
0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$228.15 |
$507 |
1.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,236.60 |
$2,748 |
4.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$580.05 |
$1,289 |
5.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,574.55 |
$3,499 |
6.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$717.75 |
$1,595 |
6.4× |
| Duplex up extrem art bilat (93930) |
$1,080.45 |
$2,401 |
4.2× |
| Duplex up extrem art unilat/ltd (93931) |
$389.70 |
$866 |
3.5× |
| Echo Heart Xthoracic,Limited (93308) |
$724.95 |
$1,611 |
2.8× |
| Echo transesophageal (93312) |
$718.20 |
$1,596 |
1.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$423.90 |
$942 |
1.8× |
| Electrical Stimulation Ea 15 Min (97032) |
$85.95 |
$191 |
5.8× |
| Electrocardiogram Tracing (93005) |
$238.95 |
$531 |
3.8× |
| Evaluate pt use of inhaler (94664) |
$155.70 |
$346 |
0.7× |
| Evaluate Speech Production (92522) |
$374.85 |
$833 |
3.4× |
| Evaluate Swallowing Function (92610) |
$451.80 |
$1,004 |
5.3× |
| External Ecg Scanning Analysis Report (93226) |
$460.35 |
$1,023 |
7.3× |
Extracranial Bilat Study (93880)
range across 2 matching MRF lines |
$1,207.35–$1,425.15 |
$2,683–$3,167 |
varies |
| Flexible endoscopic eval swallow c/v rec (92612) |
$448.20 |
$996 |
2.2× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$453.15 |
$1,007 |
2.0× |
| Gi tract capsule endoscopy (91110) |
$1,308.15 |
$2,907 |
1.4× |
| Group Therapeutic Procedures (97150) |
$71.10 |
$158 |
3.9× |
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 8 matching MRF lines |
$103.50–$1,361.70 |
$230–$3,026 |
varies |
| High altitude simulation test (94452) |
$334.80 |
$744 |
2.4× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$457.65 |
$1,017 |
3.2× |
| Holter monitor recording (93225) |
$324.45 |
$721 |
2.3× |
| Hubbard tank 15 min (97036) |
$61.20 |
$136 |
1.8× |
| Immunization administration (90471) |
$85.95 |
$191 |
1.1× |
| Iontophoresis 15 min (97033) |
$124.65 |
$277 |
6.5× |
| Irrig Drug Delivery Device (96523) |
$103.50 |
$230 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$225 |
$500 |
4.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$395.10 |
$878 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$210.15 |
$467 |
2.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$192.60 |
$428 |
3.9× |
IV push initial (96374)
range across 2 matching MRF lines |
$103.50–$216.90 |
$230–$482 |
varies |
| Low frequency non-thermal us (97610) |
$123.75 |
$275 |
0.6× |
| Mechanical chest wall oscillation per session (94669) |
$170.55 |
$379 |
0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$68.85 |
$153 |
2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$94.05 |
$209 |
2.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$32.85 |
$73 |
1.9× |
| Motion Fluoroscopy/Swallow (92611) |
$330.30 |
$734 |
3.6× |
| Multiple Sleep Latency Test (95805) |
$1,871.55 |
$4,159 |
2.0× |
| Nasopharyngoscopy (92511) |
$170.55 |
$379 |
0.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$123.75 |
$275 |
0.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$123.75 |
$275 |
0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$242.10 |
$538 |
1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$338.85 |
$753 |
0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$388.35 |
$863 |
1.7× |
| Nerve conduction studies 7-8 studies (95910) |
$421.65 |
$937 |
1.1× |
| Neuromuscular Reeducation (97112) |
$91.35 |
$203 |
2.8× |
| Oral Function Therapy (92526) |
$153.45 |
$341 |
1.8× |
| Oral Speech Device Eval (92597) |
$197.55 |
$439 |
2.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$116.10 |
$258 |
2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$104.40 |
$232 |
2.3× |
| Ot eval high complexity (97167) |
$305.55 |
$679 |
3.0× |
| Ot Eval Low Complex (97165) |
$220.05 |
$489 |
2.2× |
| Ot Eval Moderate Complexity (97166) |
$244.35 |
$543 |
2.4× |
| Ot manual therapy 15 min (97140) |
$87.75 |
$195 |
3.2× |
| Ot paraffin bath (97018) |
$48.15 |
$107 |
8.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$117.90 |
$262 |
2.9× |
| Ot Re-Eval Est Plan Care (97168) |
$142.65 |
$317 |
2.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$166.05 |
$369 |
0.7× |
| Phlebotomy therapeutic (99195) |
$215.10 |
$478 |
1.5× |
| Physical Performance Test (97750) |
$90 |
$200 |
2.7× |
| Plethysmography (94726) |
$456.30 |
$1,014 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,256.75 |
$5,015 |
2.5× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,982.25 |
$4,405 |
2.2× |
| Pt Eval High Complex (97163) |
$297 |
$660 |
3.0× |
| Pt eval low complex 20 min (97161) |
$193.95 |
$431 |
2.0× |
| Pt Eval Mod Complex (97162) |
$242.10 |
$538 |
2.5× |
| Pt gait training 15 min (97116) |
$96.75 |
$215 |
3.3× |
| Pt mechanical traction (97012) |
$68.85 |
$153 |
4.8× |
| Pt Re-Eval Est Plan Care (97164) |
$173.70 |
$386 |
2.6× |
| Pulm function test by gas (94727) |
$302.85 |
$673 |
1.3× |
Pulmonary service/procedure (94799)
range across 3 matching MRF lines |
$169.20–$211.05 |
$376–$469 |
varies |
| Pulmonary Stress Testing (94618) |
$359.55 |
$799 |
2.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$212.40 |
$472 |
0.6× |
| Refill/Maint Portable Pump (96521) |
$374.40 |
$832 |
1.6× |
| Refill/Maint Pump/Resvr Syst (96522) |
$953.55 |
$2,119 |
4.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$129.60 |
$288 |
0.6× |
| Self Care Mngment Training (97535) |
$95.40 |
$212 |
2.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$207.90 |
$462 |
0.9× |
| Speech sound lang comprehen (92523) |
$334.35 |
$743 |
1.5× |
| Spin/Brain Pump Refil & Main (95991) |
$275.85 |
$613 |
0.8× |
| Spirometry (94010) |
$137.25 |
$305 |
0.6× |
| Standardized Cognitive Performance Testing (96125) |
$320.40 |
$712 |
3.1× |
| Stress Tte Only (93350) |
$656.10 |
$1,458 |
1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$93.15 |
$207 |
4.2× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$66.15 |
$147 |
3.1× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines |
$109.35–$148.95 |
$243–$331 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$342.90 |
$762 |
1.5× |
| Therapeutic Activities (97530) |
$101.25 |
$225 |
2.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$69.75 |
$155 |
1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$34.65 |
$77 |
0.9× |
| Tte w/doppler, complete (93306) |
$1,718.55 |
$3,819 |
2.9× |
| Tte W/O Doppler Complete (93307) |
$723.60 |
$1,608 |
2.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$141.30 |
$314 |
1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$148.05 |
$329 |
3.0× |
| Upr/L Xtremity Art 2 Levels (93922) |
$358.65 |
$797 |
2.5× |
| Vasopneumatic device (97016) |
$96.75 |
$215 |
8.0× |
| Vent Mgmt Inpat Init Day (94002) |
$1,436.85 |
$3,193 |
2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,016.10 |
$2,258 |
1.5× |
| Vital capacity, total (94150) |
$106.20 |
$236 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$85.05 |
$189 |
2.7× |