| Airway inhalation treatment (94640) |
$285.60 |
$420 |
1.5× |
| Appl on-body injector for timed subq injection (96377) |
$119 |
$175 |
2.9× |
| Biofeedback training any modality (90901) |
$95.88 |
$141 |
2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$543.66 |
$799.50 |
1.7× |
| Canalith Repositioning (95992) |
$76.16 |
$112 |
1.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$702.78 |
$1,033.50 |
3.7× |
| Cardiopulmonary resuscitation (92950) |
$944.86 |
$1,389.50 |
5.0× |
| Cardioversion (92960) |
$1,125.74 |
$1,655.50 |
1.9× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$544 |
$800 |
0.2× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$544 |
$800 |
0.2× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$612 |
$900 |
0.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$578 |
$850 |
0.2× |
| Cbt 1st hour (94644) |
$293.08 |
$431 |
2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$201.28 |
$296 |
3.2× |
| Chemo IV push addl drug (96411) |
$210.80 |
$310 |
3.3× |
| Chemo Iv Push Sngl Drug (96409) |
$320.96 |
$472 |
1.1× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$655.52 |
$964 |
2.3× |
| Chemother, IV infusion, 1 hr (96413) |
$535.16 |
$787 |
1.8× |
| Chemother, IV infusion, ea add hr (96415) |
$159.12 |
$234 |
2.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$201.28 |
$296 |
3.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$188.36 |
$277 |
3.0× |
| Color vision examination (92283) |
$10.20 |
$15 |
0.2× |
| Color/duplex Doppler, complete (93975) |
$1,205.64 |
$1,773 |
5.8× |
| Color/duplex Doppler, limited (93976) |
$574.60 |
$845 |
6.3× |
| Coronary artery angio s&i (93454) |
$459 |
$675 |
0.2× |
| Cpap initiation and management (94660) |
$636.48 |
$936 |
3.3× |
| Cpt initial (94667) |
$176.12 |
$259 |
1.5× |
| Critical care (99291) |
$1,126.08 |
$1,656 |
1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$133.96 |
$197 |
0.8× |
| Demo &/or eval,pt use,aerosol device (94664) |
$228.82 |
$336.50 |
1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$372.30 |
$547.50 |
4.1× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$497.08 |
$731 |
5.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,056.72 |
$1,554 |
5.1× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$556.24 |
$818 |
6.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$987.02 |
$1,451.50 |
4.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$500.48 |
$736 |
5.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$582.76 |
$857 |
6.4× |
| Duplex hemodialysis access (93990) |
$427.04 |
$628 |
4.7× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$316.20 |
$465 |
1.5× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$331.84 |
$488 |
3.6× |
| Duplex scan extracranial art compl bi study (93880) |
$871.76 |
$1,282 |
4.2× |
| Echo Heart Xthoracic,Limited (93308) |
$563.38 |
$828.50 |
2.7× |
| Echo transesophageal (93312) |
$410.04 |
$603 |
0.9× |
| EEG awake asleep (95819) |
$698.70 |
$1,027.50 |
3.7× |
| EEG awake drowsy (95816) |
$481.44 |
$708 |
2.5× |
| EEG cerebral death evaluation (95824) |
$1,052.30 |
$1,547.50 |
3.2× |
| EEG coma or sleep only (95822) |
$720.12 |
$1,059 |
3.8× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$505.92 |
$744 |
2.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$720.12 |
$1,059 |
3.8× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$1,551.76 |
$2,282 |
4.7× |
| EKG (93005) |
$131.24 |
$193 |
2.5× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$388.96 |
$572 |
2.1× |
| EMG cranial nerve bilat (95868) |
$252.28 |
$371 |
1.3× |
| EMG cranial nerve unilat (95867) |
$251.60 |
$370 |
1.3× |
| EMG one extremity (95860) |
$223.72 |
$329 |
1.9× |
| EMG two extremities (95861) |
$377.40 |
$555 |
3.2× |
| Er level 1 (99281) |
$182.58 |
$268.50 |
2.5× |
| Er level ii (99282) |
$299.54 |
$440.50 |
2.2× |
| Er level iii (99283) |
$317.56 |
$467 |
1.3× |
| Er level IV (99284) |
$585.48 |
$861 |
1.6× |
| Er level v (99285) |
$873.46 |
$1,284.50 |
1.7× |
| Evaluation of swallowing function (92610) |
$254.32 |
$374 |
3.0× |
| External ECG rec>48hr<7d recording (93242) |
$467.16 |
$687 |
14.3× |
| External ECG rec>7d<15d recording (93246) |
$630.36 |
$927 |
19.3× |
| Flow volume loop (94375) |
$343.40 |
$505 |
1.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,131.52 |
$1,664 |
1.5× |
| Hemodialysis (90935) |
$1,236.24 |
$1,818 |
2.1× |
| Holter Monitor Recording (93225) |
$499.12 |
$734 |
4.3× |
| Immunization Admin (90471) |
$87.04 |
$128 |
1.4× |
| Immunotherapy, 2+ Injections (95117) |
$38.08 |
$56 |
0.9× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$519.52 |
$764 |
1.6× |
| Injection intra arterial (96373) |
$259.76 |
$382 |
1.4× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$136.34 |
$200.50 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$91.12 |
$134 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$323.68 |
$476 |
1.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$226.44 |
$333 |
3.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$435.88 |
$641 |
2.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$174.08 |
$256 |
4.2× |
| IV push initial (96374) |
$259.76 |
$382 |
1.4× |
| Manual therapy 15 min (97140) |
$72.76 |
$107 |
2.6× |
| Maximum voluntary ventilation (94200) |
$142.12 |
$209 |
2.7× |
| Mechanical chest wall oscillation (94669) |
$263.84 |
$388 |
1.4× |
| Mechanical traction (97012) |
$63.92 |
$94 |
4.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$60.52 |
$89 |
1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$71.40 |
$105 |
1.9× |
| Methacholine challenge (94070) |
$519.52 |
$764 |
1.6× |
| Mnt Group Ea 30 Min (97804) |
$34 |
$50 |
2.0× |
| Motility study esophagus (91010) |
$887.40 |
$1,305 |
2.7× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$254.32 |
$374 |
2.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$499.80 |
$735 |
4.3× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$701.08 |
$1,031 |
3.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$279.48 |
$411 |
2.5× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$93.16 |
$137 |
2.0× |
| Ot eval high complex 60 min (97167) |
$310.08 |
$456 |
3.1× |
| Ot eval low complex 30 min (97165) |
$276.76 |
$407 |
2.8× |
| Ot eval mod complex 45 min (97166) |
$306 |
$450 |
3.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$63.92 |
$94 |
1.6× |
| Ot re-eval est plan care (97168) |
$265.88 |
$391 |
3.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$144.16 |
$212 |
1.3× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$144.16 |
$212 |
1.3× |
| Peripheral arterial disease rehab per session (93668) |
$104.72 |
$154 |
2.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$87.72 |
$129 |
1.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$36.04 |
$53 |
0.9× |
Prq card revasc chronic 1vsl (92943)
likely a partial charge, not the full procedure |
$1,176.40 |
$1,730 |
0.1× |
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure |
$1,088 |
$1,600 |
0.1× |
Prq revasc byp graft 1 vsl (92937)
likely a partial charge, not the full procedure |
$1,088 |
$1,600 |
0.1× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$1,003 |
$1,475 |
0.2× |
| Pt Electric Current Therapy (97033) |
$78.88 |
$116 |
4.1× |
| Pt Electrical Stimulation (97032) |
$58.82 |
$86.50 |
4.0× |
| Pt eval high complex 45 min (97163) |
$294.44 |
$433 |
3.0× |
| Pt eval low complex 20 min (97161) |
$216.92 |
$319 |
2.2× |
| Pt Gait Training Therapy (97116) |
$83.64 |
$123 |
2.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$73.44 |
$108 |
2.2× |
| Pt Physical Performance Test (97750) |
$71.40 |
$105 |
2.1× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$242.08 |
$356 |
2.5× |
| Pt re-evaluation (97164) |
$166.60 |
$245 |
2.5× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$70.72 |
$104 |
2.2× |
| Pt Ultrasound Therapy (97035) |
$74.12 |
$109 |
5.2× |
| Pt Whirlpool Therapy (97022) |
$72.76 |
$107 |
4.6× |
| Pulm function test by gas (94727) |
$267.92 |
$394 |
1.4× |
| Pulmonary stress testing (94618) |
$233.92 |
$344 |
2.0× |
| Pure Tone Audiometry, Air (92552) |
$17 |
$25 |
0.1× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$561 |
$825 |
0.2× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$680 |
$1,000 |
0.2× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$748 |
$1,100 |
0.3× |
| Refill/Maint Pump/Resvr Syst (96522) |
$341.36 |
$502 |
1.8× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$182.92 |
$269 |
5.6× |
| Right heart cath (93451) |
$238 |
$350 |
0.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$325.04 |
$478 |
1.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$117.64 |
$173 |
1.0× |
| Short-latency somatosens ep std upr limbs (95925) |
$1,213.12 |
$1,784 |
6.4× |
| Speech sound lang comprehen (92523) |
$305.32 |
$449 |
1.3× |
| Spirometry (94010) |
$159.80 |
$235 |
0.8× |
| Stress echo (93350) |
$306.68 |
$451 |
0.6× |
| Stress Tte Complete (93351) |
$1,328.04 |
$1,953 |
2.8× |
| Temp transcutaneous pacing (92953) |
$773.84 |
$1,138 |
1.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$81.60 |
$120 |
3.6× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$93.84 |
$138 |
4.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$134.64 |
$198 |
2.1× |
| Therapeutic Activities (97530) |
$82.96 |
$122 |
2.4× |
| Therapeutic phlebotomy (99195) |
$127.84 |
$188 |
1.1× |
| Tilt Table Eval (93660) |
$634.10 |
$932.50 |
1.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,111.12 |
$1,634 |
2.3× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$131.24 |
$193 |
0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$216.92 |
$319 |
2.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$233.92 |
$344 |
2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$168.64 |
$248 |
4.1× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$176.80 |
$260 |
1.6× |
| Unlisted pulmonary service/procedure (94799) |
$205.36 |
$302 |
1.8× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,260.72 |
$1,854 |
6.0× |
| Vasopneumatic device (97016) |
$53.72 |
$79 |
4.5× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$560.66 |
$824.50 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$693.60 |
$1,020 |
1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$64.94 |
$95.50 |
2.1× |