| Airway Inhalation Treatment (94640) |
$157.50 |
$315 |
0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$21 |
$42 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$382 |
$764 |
1.6× |
| Color/duplex Doppler, limited (93976) |
$382 |
$764 |
3.6× |
| Critical care first hour (99291) |
$1,000 |
$2,000 |
1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$150 |
$300 |
0.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$537 |
$1,074 |
2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$181 |
$362 |
1.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$574 |
$1,148 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$350 |
$700 |
3.3× |
| Echo Congenital Complete (93303) |
$424.50 |
$849 |
0.8× |
| Electrical Stimulation Ea 15 Min (97032) |
$22 |
$44 |
1.5× |
| Electrocardiogram Tracing (93005) |
$82.50 |
$165 |
1.4× |
| Emergency Dept Visit Level 2 (99282) |
$200 |
$400 |
1.3× |
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines |
$325–$350 |
$650–$700 |
varies |
| Emergency Dept Visit Level 4 (99284) |
$575 |
$1,150 |
1.4× |
| Er level 1 (99281) |
$125 |
$250 |
1.5× |
Er level v (99285)
range across 2 matching MRF lines |
$650–$762.50 |
$1,300–$1,525 |
varies |
| Evaluate Swallowing Function (92610) |
$252.50 |
$505 |
3.0× |
| External ECG rec>48hr<7d recording (93242) |
$64.50 |
$129 |
1.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$293.50 |
$587 |
2.2× |
| External ECG rec>7d<15d recording (93246) |
$100 |
$200 |
2.7× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$366 |
$732 |
2.7× |
| Extracranial Bilat Study (93880) |
$512.50 |
$1,025 |
2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$45 |
$90 |
0.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$37.50 |
$75 |
0.8× |
| IV push initial (96374) |
$62.50 |
$125 |
0.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$25 |
$50 |
0.7× |
| Neuromuscular Reeducation (97112) |
$62.50 |
$125 |
1.9× |
| Oral Function Therapy (92526) |
$82.50 |
$165 |
1.0× |
| Ot Eval Low Complex (97165) |
$87.50 |
$175 |
0.9× |
| Ot Eval Moderate Complexity (97166) |
$90.50 |
$181 |
0.9× |
| Ot manual therapy 15 min (97140) |
$50 |
$100 |
1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$75 |
$150 |
0.6× |
| Phlebotomy therapeutic (99195) |
$124.50 |
$249 |
0.9× |
| Pt Eval High Complex (97163) |
$142 |
$284 |
1.5× |
| Pt eval low complex 20 min (97161) |
$112.50 |
$225 |
1.1× |
| Pt Eval Mod Complex (97162) |
$112.50 |
$225 |
1.1× |
| Pt gait training 15 min (97116) |
$50 |
$100 |
1.7× |
| Pt mechanical traction (97012) |
$32.50 |
$65 |
2.3× |
| Pt Re-Eval Est Plan Care (97164) |
$54 |
$108 |
0.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$231 |
$462 |
1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$37.50 |
$75 |
1.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$20 |
$40 |
1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$50 |
$100 |
0.7× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$75 |
$150 |
0.4× |
| Therapeutic Activities (97530) |
$52.50 |
$105 |
1.5× |
| Tte w/doppler, complete (93306) |
$955 |
$1,910 |
1.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$77.50 |
$155 |
1.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$25 |
$50 |
0.5× |