| Administration of chemotherapy into artery using push technique (96420) |
$2,073.40 |
$3,702.50 |
6.0× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$1,123.92 |
$2,007 |
3.2× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$293.16 |
$523.50 |
1.3× |
| Aerosol inhalation pentamidine (94642) |
$646.80 |
$1,155 |
2.8× |
| Airway inhalation treatment (94640) |
$224 |
$400 |
1.0× |
| Appl on-body injector for timed subq injection (96377) |
$146.72 |
$262 |
3.0× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$91.28 |
$163 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$129.92 |
$232 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$88.48 |
$158 |
— |
| Assessment of aphasia (96105) |
$435.68 |
$778 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$424.48 |
$758 |
— |
| Biofeedback training by any modality Other Outpatient (90901) |
$86.80 |
$155 |
— |
| Bipap initial day (94660) |
$794.36 |
$1,418.50 |
3.4× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$211.12 |
$377 |
1.6× |
| Breathing capacity test (94010) |
$390.60 |
$697.50 |
1.7× |
| Bronchial allergy tests (95070) |
$1,288 |
$2,300 |
3.3× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$705.04 |
$1,259 |
1.8× |
| Canalith repositioning (95992) |
$153.44 |
$274 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$225.68 |
$403 |
5.7× |
| Cardiovascular procedure unlisted (93799) |
$3,130.96 |
$5,591 |
23.1× |
| Cardiovascular stress test (93017) |
$788.48 |
$1,408 |
3.5× |
| Cardioversion elective external (92960) |
$1,986.88 |
$3,548 |
2.8× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$8,328.32 |
$14,872 |
2.4× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$9,133.60 |
$16,310 |
2.7× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$9,994.32 |
$17,847 |
2.9× |
| Chemo anti-neopl sq/im (96401) |
$476 |
$850 |
6.3× |
| Chemo hormon antineopl sq/im (96402) |
$252.56 |
$451 |
3.3× |
| Chemo intralesional over 7 (96406) |
$797.44 |
$1,424 |
3.6× |
| Chemo intralesional up to 7 (96405) |
$664.72 |
$1,187 |
8.8× |
| Chemo IV infus each addl seq (96417) |
$326.76 |
$583.50 |
4.3× |
| Chemo IV infusion addl hr (96415) |
$608.16 |
$1,086 |
8.0× |
| Chemo IV push addl drug (96411) |
$388.08 |
$693 |
5.1× |
| Chemother prolong infuse w/pump (96416) |
$1,325.52 |
$2,367 |
3.8× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$1,032.08 |
$1,843 |
3.0× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$4,544.12 |
$8,114.50 |
13.0× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$594.16 |
$1,061 |
1.7× |
| Chest physiotherapy initial (94667) |
$392 |
$700 |
2.8× |
| Color/duplex Doppler, complete (93975) |
$912.80 |
$1,630 |
3.6× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$120.40 |
$215 |
— |
| Cont gluc mntr physician/qhp provided equipment (95250) |
$510.72 |
$912 |
3.6× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$327.60 |
$585 |
2.3× |
| Coronary art/grft angio s&i (93455) |
$8,328.32 |
$14,872 |
2.4× |
| Coronary artery angio s&i (93454) |
$9,994.32 |
$17,847 |
2.9× |
| Cpr (92950) |
$1,099.84 |
$1,964 |
4.8× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,323.60 |
$5,935 |
3.8× |
| Debridement open wound 20 sq cm< (97597) |
$579.60 |
$1,035 |
2.7× |
| Delivery/birthing room resuscitation (99465) |
$2,009.28 |
$3,588 |
2.9× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$225.12 |
$402 |
1.7× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$882 |
$1,575 |
8.0× |
| Duplex hemodialysis access (93990) |
$392 |
$700 |
3.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$974.40 |
$1,740 |
3.9× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$854 |
$1,525 |
3.4× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$1,032.08 |
$1,843 |
4.1× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$694.40 |
$1,240 |
6.3× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$972.16 |
$1,736 |
3.9× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$854 |
$1,525 |
7.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$1,504.72 |
$2,687 |
6.0× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$1,115.52 |
$1,992 |
10.1× |
| ECG monit/reprt up to 48 hrs (93226) |
$721 |
$1,287.50 |
11.6× |
| Echo transesophageal (93312) |
$1,246 |
$2,225 |
2.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$358.96 |
$641 |
0.6× |
| Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) |
$2,618 |
$4,675 |
4.5× |
| Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording);… (93313) |
$1,924.16 |
$3,436 |
3.3× |
| EEG 41-60 minutes (95812) |
$1,283.52 |
$2,292 |
5.6× |
| EKG 12 lead tracing only (93005) |
$184.52 |
$329.50 |
3.0× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$115.92 |
$207 |
1.2× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$87.36 |
$156 |
0.6× |
| Elec alys implt smpl cn npgt prgrmg (95976) |
$49.28 |
$88 |
1.3× |
| Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) |
$3,773.84 |
$6,739 |
2.9× |
| Emergency department visit high mdm (99285) |
$1,783.88 |
$3,185.50 |
2.8× |
| Emergency department visit low mdm (99283) |
$894.32 |
$1,597 |
3.1× |
| Emergency department visit may not req phys/qhp (99281) |
$332.08 |
$593 |
3.7× |
| Emergency department visit moderate mdm (99284) |
$1,381.52 |
$2,467 |
3.1× |
| Emergency department visit straightforward mdm (99282) |
$466.76 |
$833.50 |
2.9× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$390.60 |
$697.50 |
2.9× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$1,209.60 |
$2,160 |
5.3× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$2,009 |
$3,587.50 |
5.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$274.96 |
$491 |
2.0× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$451.92 |
$807 |
— |
| Evaluate pt use of inhaler (94664) |
$341.60 |
$610 |
1.5× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$446.04 |
$796.50 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$544.88 |
$973 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$184.80 |
$330 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) |
$83.44 |
$149 |
— |
| Evaluation of speech fluency (92521) |
$487.76 |
$871 |
— |
| Evaluation of speech sound production articulate (92522) |
$424.48 |
$758 |
— |
| Exam of retinal blood vessels using an endoscope after injection of a dye (92230) |
$791.84 |
$1,414 |
2.0× |
| External ECG rec>48hr<7d recording (93242) |
$229.04 |
$409 |
5.8× |
| External ECG rec>7d<15d recording (93246) |
$229.04 |
$409 |
5.8× |
| External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) |
$352.80 |
$630 |
2.5× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$318.08 |
$568 |
1.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$2,760.80 |
$4,930 |
3.0× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$2,443 |
$4,362.50 |
3.4× |
| Hot/cold pack (97010) |
$26.32 |
$47 |
— |
| Immunization administration (90471) |
$50.96 |
$91 |
0.7× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$207.76 |
$371 |
4.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$1,089.76 |
$1,946 |
4.9× |
| Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) |
$25.20 |
$45 |
0.6× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$161.84 |
$289 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$613.20 |
$1,095 |
12.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$550.20 |
$982.50 |
2.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$327.60 |
$585 |
4.3× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$558.04 |
$996.50 |
2.5× |
| IV tx, each additional hour (96366) |
$207.20 |
$370 |
4.2× |
| Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Other Outpatient (92520) |
$106.40 |
$190 |
0.8× |
| Low frequency non-thermal us (97610) |
$521.36 |
$931 |
2.5× |
| Lwr xtr vasc stdy bilat (93924) |
$806.96 |
$1,441 |
3.5× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$392 |
$700 |
2.8× |
| Mechanical chest wall oscillation lung function (94669) |
$614.32 |
$1,097 |
2.7× |
| Mechanical traction therapy (97012) |
$68.32 |
$122 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$134.12 |
$239.50 |
— |
| Medical nutrition group (97804) |
$84 |
$150 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$168.56 |
$301 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$518.56 |
$926 |
— |
| Multiple sleep latency (95805) |
$2,711.52 |
$4,842 |
3.0× |
| Nasopharyngoscopy (92511) |
$533.40 |
$952.50 |
2.5× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$985.32 |
$1,759.50 |
2.3× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$1,153.60 |
$2,060 |
2.7× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$517.16 |
$923.50 |
2.4× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$1,164.24 |
$2,079 |
2.7× |
| Nitric oxide expired gas determination (95012) |
$26.88 |
$48 |
0.7× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$371.85 |
$664.01 |
2.7× |
| Occupational therapy eval high complex 60 mins (97167) |
$177.52 |
$317 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$174.72 |
$312 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$175.84 |
$314 |
— |
| Oral function therapy (92526) |
$257.60 |
$460 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$100.24 |
$179 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$98 |
$175 |
— |
| Osteopath manj 1-2 regions (98925) |
$251.44 |
$449 |
11.0× |
| Osteopath manj 3-4 regions (98926) |
$257.04 |
$459 |
11.3× |
| Ot manual therapy ea 15 min (97140) |
$146.72 |
$262 |
— |
| Ot neuromuscular re-education (97112) |
$142.80 |
$255 |
— |
| Ot paraffin bath (97018) |
$112.56 |
$201 |
— |
| Ot re-evaluation (97168) |
$156.24 |
$279 |
— |
| OT Therapeutic Activities Charges (97530) |
$197.12 |
$352 |
— |
| Ot wheelchair management (97542) |
$131.04 |
$234 |
— |
| Other physical medicine or rehabilitation service or procedure (97799) |
$34.72 |
$62 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$342.44 |
$611.50 |
2.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$320.88 |
$573 |
2.4× |
| Peripheral vascular rehab (93668) |
$161.84 |
$289 |
2.6× |
| Phlebotomy therapeutic (99195) |
$348.60 |
$622.50 |
2.5× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$267.40 |
$477.50 |
4.3× |
| Physical therapy evaluation high complex 45 mins (97163) |
$177.52 |
$317 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$174.72 |
$312 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$175.84 |
$314 |
— |
| Pm device progr eval multi (93281) |
$25.20 |
$45 |
0.6× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$3,937.36 |
$7,031 |
4.3× |
| Prgrmg dev eval pm/ldls pm (93279) |
$25.20 |
$45 |
0.6× |
| Program eval implantable in persn dual ld pacer (93280) |
$25.20 |
$45 |
0.6× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$25.20 |
$45 |
0.6× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) |
$25.20 |
$45 |
0.6× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) |
$25.20 |
$45 |
0.6× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$25.20 |
$45 |
0.6× |
| Prq tcat plmt ntrac st 2+les (92930) |
$34,111.28 |
$60,913 |
1.8× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$15,326.08 |
$27,368 |
1.3× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$17,618.72 |
$31,462 |
2.9× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$28,422.80 |
$50,755 |
2.3× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$21,794.08 |
$38,918 |
1.8× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$28,422.80 |
$50,755 |
2.3× |
| Prq trluml coronry stent/ath/angio one art/brnch (92933) |
$35,260.96 |
$62,966 |
1.8× |
| Pt gait training 15 min (97116) |
$142.80 |
$255 |
— |
| Pt physical performance test (97750) |
$173.88 |
$310.50 |
— |
| Pt re-evaluation (97164) |
$141.68 |
$253 |
— |
| Pulm funct tst plethysmograp (94726) |
$746.76 |
$1,333.50 |
1.9× |
| Pulmonary stress testing (94618) |
$300.72 |
$537 |
2.1× |
| R hrt art/grft angio (93457) |
$9,017.68 |
$16,103 |
2.6× |
| R hrt coronary artery angio (93456) |
$8,300.60 |
$14,822.50 |
2.4× |
| R&l hrt art/ventricle angio (93461) |
$8,328.32 |
$14,872 |
2.4× |
| R&l hrt cath w/ventriclgrphy (93453) |
$9,017.68 |
$16,103 |
2.6× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$52.08 |
$93 |
— |
| Rapid desensitization procedure each hour (95180) |
$841.68 |
$1,503 |
1.8× |
| Refilling and maintenance of portable pump (96521) |
$614.88 |
$1,098 |
2.7× |
| Rem interrog scrms <30 d phys/qhp (93298) |
$25.20 |
$45 |
0.6× |
| Right heart cath o2 saturation & cardiac output (93451) |
$9,341.64 |
$16,681.50 |
2.7× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$112 |
$200 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$90.72 |
$162 |
— |
| Sleep study unattended (95806) |
$840 |
$1,500 |
3.7× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$397.60 |
$710 |
1.7× |
| Speech sound lang comprehen (92523) |
$424.48 |
$758 |
— |
| Standardized cognitive performance testing (96125) |
$731.64 |
$1,306.50 |
— |
| Stress tte only (93350) |
$1,249.92 |
$2,232 |
2.2× |
| Surfactant administration (94610) |
$646.80 |
$1,155 |
2.8× |
| Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) |
$73.92 |
$132 |
— |
| Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) |
$109.76 |
$196 |
— |
| Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) |
$38.08 |
$68 |
— |
| Temp transcutaneous pacing (92953) |
$1,630.72 |
$2,912 |
2.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$115.36 |
$206 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$190.40 |
$340 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$151.20 |
$270 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$51.52 |
$92 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$207.76 |
$371 |
2.7× |
| Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) |
$172.76 |
$308.50 |
— |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$459.76 |
$821 |
— |
| Tilt table evaluation (93660) |
$1,416.80 |
$2,530 |
3.6× |
| Tobacco use cessation intensive >10 minutes (99407) |
$48.72 |
$87 |
1.2× |
| Tobacco use cessation intermediate 3-10 minutes (99406) |
$20.16 |
$36 |
0.5× |
| Transcath closure of asd (93580) |
$42,488.32 |
$75,872 |
2.2× |
| Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) |
$435.12 |
$777 |
3.9× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$962.64 |
$1,719 |
1.7× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$1,402.80 |
$2,505 |
2.4× |
| Tte congenital complete (93303) |
$1,384.60 |
$2,472.50 |
2.4× |
| Tte f-up or lmtd (93308) |
$717.36 |
$1,281 |
2.9× |
| Tte w/doppler complete (93306) |
$1,249.92 |
$2,232 |
2.2× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$273.84 |
$489 |
— |
| Upr/l xtremity art 2 levels (93922) |
$641.20 |
$1,145 |
4.6× |
| Valvuloplasty aortic valve (92986) |
$16,307.20 |
$29,120 |
2.7× |
| Ventilation ip/obs initial day (94002) |
$2,152.08 |
$3,843 |
3.3× |
| Ventilator subsequent day (94003) |
$2,056.32 |
$3,672 |
3.2× |
| Wound(s) care non-selective (97602) |
$482.72 |
$862 |
2.3× |