Visits & medical services prices at Concord Hospital

Concord, NH · every code in this section with a posted price and a Medicare benchmark.

539 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
1St psyc collab care mgmt (99492) $107.10 $357 1.0×
Ablation av node (93650)
likely a partial charge, not the full procedure
$1,027.50 $3,425 0.1×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $66.90 $223 0.5×
Acoustic reflex testing (92568) $21.15 $70.50 0.5×
Actigraphy testing recording analysis i&r (95803) $56.40 $188 0.9×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $20.40 $68 0.7×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $41.10 $137 1.3×
Advance care planning first 30 mins (99497) $117.30 $391 1.1×
Aep neurodiagnostic interpretation and report (92653) $66 $220 0.3×
Aep Thrshld Est Mlt Freq I&R (92652) $94.50 $315 0.4×
Airway inhalation treatment (94640) $177.90 $593 0.8×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $9.60 $32 0.2×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $4.50 $15 0.1×
Ambulatory Bp Analysis (93788) $45.60 $152 0.3×
Ambulatory Bp Recording (93786) $44.70 $149 0.3×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $110.70 $369 0.8×
Analyze neurostim complex (95972) $195.15 $650.50 1.9×
Analyze neurostim no prog (95970) $42 $140 0.3×
Analyze neurostim simple (95971) $73.80 $246 0.7×
Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed Facility (99170) $131.25 $437.50 0.6×
Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) $51 $170 0.4×
Ant Sgm Imaging W/Microscopy Endothelial Analy (92286) $24.60 $82 0.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $40.50 $135 2.8×
Application Modality 1/> Areas Infrared (97026) $3.90 $13 0.6×
Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Facility (97036) $17.40 $58 0.5×
Art pressure waveform analys (93050) $10.80 $36 0.3×
Assessment of aphasia per hr (96105) $167.70 $559 1.7×
Assmt & care planning pt w/cognitive impairment (99483) $241.80 $806 2.2×
Auditory Function, 60 Min (92620) $94.50 $315 0.7×
Basic vestibular evaluation (92540) $143.10 $477 0.6×
Bedside Swallowing Eval (92610) $138.60 $462 1.6×
Behavioral and qualitative analysis of voice and resonance (92524) $189.60 $632 1.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $99.75 $332.50 1.2×
Bfb training ea addl 15 min (90913) $44.40 $148 1.4×
Biofeedback training any modality (90901) $25.20 $84 0.6×
Breath Hydrogen/Methane Test (91065) $12.30 $41 0.1×
Breathing response to hypoxia (94450) $24.60 $82 0.2×
Brief Emotional/Behavioral Assessment (96127) $9.60 $32 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $108.60 $323 0.3×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$133.80 $446 0.0×
C motor evoked upr&lwr limbs (95939) $178.95 $596.50 0.2×
Caloric vestibular test w/rec bi bithermal (92537) $56.10 $187 0.4×
Caloric vestibular test w/rec bi monothermal (92538) $29.70 $99 0.1×
Canalith Repositioning Procedure (95992) $43.95 $146.50 1.1×
Car seat/bed test 60 min (94780) $61.20 $204 1.5×
Cardiac Stress Tst,Tracing Only (93017) $577.20 $1,924 2.5×
Cardiopulmonary exercise testing (94621) $89.70 $299 0.2×
Cardiopulmonary resuscitation (92950) $364.20 $1,214 1.6×
Cardioversion (92960) $783 $2,610 1.1×
Cardioversion elective internal (92961) $304.80 $1,016 0.4×
Care mgmt svc bhvl hlth cond (99484) $47.70 $159 1.2×
Caregiver hlth risk assmt score doc stnd instrm (96161) $13.20 $44 0.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $30 $100 1.2×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
likely a partial charge, not the full procedure
$1,132.80 $3,776 0.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,407.50 $18,025 1.6×
Cbt 1st hour (94644) $99.90 $333 0.7×
Cdp-sot 6 cond w/i&r mct&adt (92549) $54.90 $183 0.4×
Cervical & ocular vemp testing w/i&r (92519) $75.60 $252 0.3×
Cervical vemp testing w/i&r (92517) $50.40 $168 0.4×
Chemo Admin Peritoneal Cavity (96446) $23.40 $78 0.1×
Chemo Hormon Antineopl Sq/Im (96402) $99.60 $332 1.3×
Chemo Ia Infuse Each Addl Hr (96423) $93.30 $311 1.9×
Chemo IV push addl drug (96411) $136.20 $454 1.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $172.50 $575 0.5×
Chemother, IV infusion, 1 hr (96413) $267.30 $891 0.8×
Chemother, IV infusion, ea add hr (96415) $106.50 $355 1.4×
Chemother,ia infusn tech,<1 hr (96422) $229.20 $764 0.6×
Chemother,Ia Push Technique (96420) $131.70 $439 0.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $81.15 $270.50 1.1×
Chemotherapy Administration Intralesional </7 (96405) $33.30 $111 0.4×
Chemotherapy into cns (96450) $221.10 $737 0.6×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $226.80 $756 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $156 $520 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $186.60 $622 0.5×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $133.80 $446 0.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $47.40 $158 0.1×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $24.15 $80.50 1.0×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions Facility (98941) $33 $110 1.4×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $42.60 $142 1.8×
Chronic care management services 1st 20 min (99490) $55.95 $186.50 0.5×
Colon Motility 6 Hr Study (91117) $154.50 $515 0.7×
Color Vision Examination (92283) $10.80 $36 0.2×
Color/duplex Doppler, complete (93975) $911.10 $3,037 3.6×
Color/duplex Doppler, limited (93976) $431.10 $1,437 3.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $112.05 $373.50 0.6×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $113.70 $379 0.3×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure… (96001) $135.30 $451 0.1×
Comprehensive Hearing Test (92557) $68.40 $228 0.5×
Computerized dynamic posturography (92548) $31.80 $106 0.2×
Cont Gluc Monitoring Patient Provided Equipment (95249) $138.60 $462 2.2×
Continuous Glucose Monitoring (95250) $217.05 $723.50 1.5×
Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report… (92145) $10.80 $36 0.2×
Corneal Topography (92025) $22.20 $74 0.4×
Coronary art/grft angio s&i (93455) $422.40 $1,408 0.1×
Coronary artery angio s&i (93454) $390.30 $1,301 0.1×
Cpap/bipap (94660) $428.40 $1,428 1.8×
Cpt initial (94667) $97.20 $324 0.7×
Cptrized oph dx img anterior segment uni/bi (92132) $19.20 $64 0.3×
Cptrized oph dx img pst segment uni/bi optic nrv (92133) $24.60 $82 0.4×
Cptrized oph dx img pst segment uni/bi retina (92134) $27.90 $93 0.4×
Critical care (99291) $1,026.90 $3,423 1.2×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $155.25 $517.50 0.4×
Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) $155.25 $517.50 0.2×
Dbrdmt prmlg les w/pdt (96574) $436.50 $1,455 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $141 $470 0.7×
Dermatological procedure (96999) $131.70 $439 0.6×
Developmental tst admin phys/qhp 1st hour (96112) $161.70 $539 1.2×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $184.80 $616 1.3×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming Facility (92601) $224.10 $747 1.6×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $21.90 $73 0.1×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $33.30 $111 0.1×
Duodenal motility study (91022) $90.90 $303 0.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $506.40 $1,688 2.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $522.90 $1,743 4.7×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $78.90 $263 0.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $310.50 $1,035 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $615.30 $2,051 5.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $269.40 $898 1.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $615.30 $2,051 5.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,021.20 $3,404 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $633.60 $2,112 5.7×
Duplex penile vessels ltd (93981) $27.90 $93 0.2×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $50.40 $168 0.2×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $31.80 $106 0.3×
Duplex scan extracranial art compl bi study (93880) $51.15 $170.50 0.2×
Duplex Scan Hemodialysis Access (93990) $31.80 $106 0.3×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $82.20 $274 0.6×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $140.25 $467.50 1.0×
Dyn surf EMG,walking/func act,1-12 mus (96002) $25.20 $84 0.1×
Ear and throat examination (92502) $95.10 $317 0.2×
Echo Heart Xthoracic,Limited (93308) $347.10 $1,157 1.4×
Echo r-t 2d w/probe placement only (93313) $1,044.30 $52 1.8×
Echo transesophag congen probe plcmt only (93316) $37.80 $126 0.1×
Echo transesophag montr cardiac pump functj (93318) $135.30 $451 0.2×
Echo transesophageal (93312) $1,069.80 $3,566 1.8×
Echo Transesophageal - Congenital Tee Complete (93315) $169.50 $565 0.3×
Echo Transthoracic - Congenital Tte Complete (93303) $583.80 $1,946 1.0×
Echo Transthoracic - Congenital Tte Limited (93304) $420.60 $1,402 0.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $465.75 $1,552.50 0.8×
Ecog implanted brain npgt w/rec i&r <30 days (95836) $124.80 $416 3.1×
EEG awake and asleep (95819) $138.30 $461 0.6×
EEG awake drowsy (95816) $138.30 $461 0.6×
EEG cerebral death evaluation (95824) $46.80 $156 0.1×
EEG coma or sleep only (95822) $360.15 $1,200.50 1.6×
EEG cont rec w/video by tech min 8 channels (95700) $117.60 $392 0.5×
EEG greater than 1 hour (95813) $102.90 $343 0.4×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $256.80 $856 0.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $200.70 $669 0.9×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $310.20 $1,034 1.3×
Ekg Signal Averaging (93278) $14.70 $49 0.2×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $57.30 $191 0.6×
Elec alys implt cplx cn npgt prgrmg (95977) $61.20 $204 0.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $45.90 $153 1.2×
Elec Alys Nstim Pls Gen Gastric Sbsq W/Reprgrmg (95982) $41.10 $137 1.0×
Electro-oculography with interpretation and report Non-Facility (92270) $51 $170 0.4×
Electrocardiogram Tracing (93005) $110.40 $368 1.8×
Electrocochleography (92584) $99 $330 0.7×
Electroconvulsive Therapy (90870) $642 $2,140 0.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $68.10 $227 0.3×
Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) $33.30 $111 0.1×
Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) $41.40 $138 0.3×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (95981) $19.20 $64 0.3×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,126.50 $1,028 0.9×
EMG four extremities (95864) $217.20 $724 1.6×
EMG one extremity (95860) $117.60 $392 0.8×
EMG three extremities (95863) $209.70 $699 1.5×
EMG two extremities (95861) $189.75 $632.50 1.3×
Endomyocardial biopsy (93505) $968.70 $3,229 0.3×
Ep & ablate supravent arrhyt (93653) $15,840.45 $21,471 0.6×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$1,244.40 $4,148 0.0×
Ep Analyze Pacer Sys (93724) $307.80 $1,026 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure
$771.60 $2,572 0.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure
$488.10 $1,627 0.1×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $465 $1,550 0.4×
Ep Esophageal Recording Atria+Pacing (93616) $78.30 $261 0.1×
Er level 1 (99281) $30.60 $102 0.3×
Er level ii (99282) $68.25 $227.50 0.4×
Er level iii (99283) $98.55 $328.50 0.3×
Er level IV (99284) $460.95 $1,536.50 1.0×
Er level v (99285) $677.25 $2,257.50 1.1×
Ergonovine provocation test (93024) $73.80 $246 0.2×
Esoph balloon distension tst (91040) $61.20 $204 0.2×
Esophageal recording (93615) $46.80 $156 0.0×
Esophagus acid perfusion test esophagitis (91030) $57.60 $192 0.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $69.30 $231 0.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $88.20 $294 0.6×
Eval speech sound production (92522) $180.60 $602 1.6×
Eval to use/fit voice prosth (92597) $124.20 $414 1.7×
Evaluate Pt Use Of Inhaler (94664) $89.70 $299 0.4×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $164.85 $549.50 1.3×
Evaluation of speech fluency (92521) $227.70 $759 1.7×
Excimer laser tx psoriasis 250-500 sq cm (96921) $81.60 $272 0.4×
Excimer laser tx psoriasis >500 sq cm (96922) $132 $440 0.3×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $72.60 $242 0.3×
Exercise tst brncspsm (94617) $102.30 $341 0.7×
Exhaled Air Analysis (94690) $23.10 $77 0.4×
Exhaled air analysis o2 (94680) $15.60 $52 0.1×
External ECG rec>48hr<7d recording (93242) $366.30 $1,221 9.2×
External ECG rec>7d<15d recording (93246) $366.30 $1,221 9.2×
External Ecg Scanning Analysis Report (93226) $197.10 $657 3.1×
Eye exam w anesth; complete (92018) $157.50 $525 0.1×
Eye exam, new patient,comprehesv (92004) $114.90 $383 0.8×
Facial nerve function studies (92516) $45.30 $151 0.2×
Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) $23.40 $78 0.4×
Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) $31.80 $106 0.5×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $79.80 $266 0.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $335.40 $1,118 1.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $372 $1,240 1.6×
Fluorescein angioscopy with interpretation and report Facility (92230) $37.80 $126 0.1×
Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) $47.40 $158 0.2×
Fluorescein icg angrph w/multiframe i&r uni/bi (92242) $60 $200 0.3×
Full field electroretinography w/i&r (92273) $43.80 $146 0.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $187.20 $624 0.2×
Fundus photography w/interpretation & report (92250) $24.60 $82 0.2×
Gastric motility studies (91020) $90.90 $303 0.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $61.20 $204 0.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $129 $430 0.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,337.10 $4,457 1.5×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $63 $210 0.1×
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report Non-Facility (91113) $1,538.10 $5,127 1.5×
Gi tract capsule endoscopy (91110) $1,533.90 $5,113 1.6×
Gi wireless capsule measure (91112) $132 $440 0.1×
Gonioscopy (92020) $23.40 $78 0.2×
Group Therapeutic Procedures (97150) $33.60 $112 1.9×
Health Behavior Assessment/Re-Assessment (96156) $127.05 $423.50 1.2×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $93.60 $312 2.3×
Health behavior ivntj group f2f 1st 30 min (96164) $12.60 $42 0.3×
Health behavior ivntj indiv f2f 1st 30 min (96158) $87 $290 0.5×
Hemodialysis (90935) $644.25 $2,147.50 0.9×
High altitude simulation test (94452) $20.40 $68 0.1×
High altitude simulation test (94453) $24.60 $82 0.2×
Holter Monitor (93225) $266.40 $888 1.9×
Hypnotherapy (90880) $138.30 $461 1.3×
Ilr Device Eval Progr (93285) $46.80 $156 1.2×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $23.40 $78 0.6×
Imm admn sarscov2 vaccine single dose (90480) $9 $30 0.2×
Immune Admin Oral/Nasal (90473) $6.60 $22 0.1×
Immunization Admin (90471) $11.40 $38 0.1×
Indocyanine-Green Angrph W/Multiframe I&R Uni/Bi (92240) $50.40 $168 0.2×
Induction of arrhythmia by electrical pacing (93618) $269.40 $898 0.2×
Ingestion challenge test initial 120 minutes (95076) $94.50 $315 0.2×
Inhalation bronchial challenge testing (95070) $383.40 $1,278 1.0×
Inital newborn e/m (99460) $87.90 $293 0.6×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $134.40 $448 0.9×
Injection intra arterial (96373) $67.80 $226 0.3×
Ins swan ganz bedside (93503) $214.80 $716 0.1×
Interrog dev eval icpms phys/qhp in person (93290) $74.70 $249 1.9×
Interrog dev eval scrms phys/qhp in person (93291) $26.40 $88 0.9×
Interrog device eval heart (93289) $57.90 $193 1.5×
Interrogate subq defib (93261) $46.80 $156 1.2×
Interrogation eval in person wr defibrillator (93292) $26.40 $88 0.7×
Interrogation vad in person (93750) $57.90 $193 0.6×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure
$133.80 $446 0.0×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$205.50 $685 0.0×
Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) $10.50 $19 0.2×
Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) $4.50 $9 0.1×
Intralesional Chemo Admin,8+ Lesn (96406) $50.70 $169 0.2×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $110.55 $368.50 0.5×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$205.50 $685 0.0×
Iontophoresis 15 min (97033) $49.50 $165 2.6×
Irrig drug delivery device (96523) $62.40 $203 1.0×
Ischemic limb exercise test (95875) $69.30 $231 0.5×
IV infusion hydration each additional hour (96361) $71.70 $239 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $195.60 $652 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $86.10 $287 1.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $195.60 $652 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $71.70 $239 1.4×
IV push ea addl new drug (96375) $143.10 $477 2.9×
IV push initial (96374) $136.20 $454 0.6×
L hrt art/grft angio (93459) $1,003.80 $3,346 0.3×
Laryngeal Function Studies (92520) $59.70 $199 0.4×
Liver Elastography W/O Imag W/I&R (91200) $16.20 $54 0.1×
Low frequency non-thermal us (97610) $24.60 $82 0.1×
Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) $251.10 $837 0.3×
Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) $503.40 $1,678 0.5×
Manual therapy 15 min (97140) $40.50 $135 1.5×
Massage 15 min (97124) $22.20 $74 0.7×
Maximum voluntary ventilation (94200) $37.95 $126.50 0.6×
Measurement of lung volumes (ie, functional residual capacity ºFRC», forced vital capacity ºFVC», and expiratory… (94013) $25.20 $84 0.1×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $110.40 $368 0.8×
Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2… (94012) $179.70 $599 0.8×
Mechanical traction (97012) $14.70 $49 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $27.90 $93 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $30 $100 0.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $28.80 $96 1.7×
Methacholine challenge (94070) $92.40 $308 0.2×
Microvolt T-wave alternans for assessment of ventricular arrhythmias Non-Facility (93025) $51.60 $172 0.4×
Motility study esophagus (91010) $222.15 $740.50 0.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $147 $490 1.6×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $3 $10 0.0×
Multifocal electroretinography w/i&r (92274) $38.10 $127 0.3×
Multiple Family Group Psychotherapy (90849) $59.40 $198 0.3×
Multiple Sleep Latency Test (95805) $75.60 $252 0.1×
Narcosynthesis (90865) $178.80 $596 0.9×
Nasal function studies (92512) $34.80 $116 0.2×
Nasopharyngoscopy (92511) $117.45 $391.50 0.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $74.40 $248 0.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $101.70 $339 0.4×
Needle electromyography hemidiaphragm (95866) $78.60 $262 0.6×
Needle electromyography larynx (95865) $99.30 $331 0.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $58.80 $196 0.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $23.40 $78 0.1×
Needle Emg W/1 Fiber Electrode Quan Meas Jitter (95872) $181.80 $606 0.8×
Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report Non-Facility (92265) $51 $170 0.8×
Neg press wound tx >50 cm (97608) $121.95 $406.50 0.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $583.65 $1,945.50 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $99.15 $330.50 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $108.75 $362.50 0.3×
Nerve Conduction Studies 11-12 Studies (95912) $259.20 $864 0.7×
Nerve conduction studies 13/> studies (95913) $289.20 $964 0.7×
Nerve Conduction Studies 3-4 Studies (95908) $139.80 $466 0.6×
Nerve Conduction Studies 5-6 Studies (95909) $169.50 $565 0.7×
Nerve Conduction Studies 7-8 Studies (95910) $170.70 $569 0.4×
Nerve Conduction Studies 9-10 Studies (95911) $229.50 $765 0.6×
Nerve conduction studies; 1-2 studies (95907) $109.80 $366 0.5×
Neurobehavioral Status Exam (96116) $112.20 $374 0.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $88.50 $295 0.6×
Newborn resuscitation (99465) $333.60 $1,112 0.5×
Nitric oxide expired gas determination (95012) $12.90 $43 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $203.70 $679 1.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $55.20 $184 0.4×
Nonphysician Telephone Assessment 11-20 Min (98967) $31.80 $106 1.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $47.40 $158 1.4×
Nonphysician Telephone Assessment 5-10 Min (98966) $14.70 $49 1.1×
Nrpsyc tst eval phys/qhp 1st (96132) $81 $270 0.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $87.60 $292 0.2×
Ocular vemp testing w/i&r (92518) $50.40 $168 0.4×
Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) $34.20 $114 0.2×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $89.70 $299 0.6×
Ophth medical xm&eval intermediate estab pt (92012) $58.05 $193.50 0.4×
Ophthalmodynamometry Facility (92260) $12.30 $41 0.3×
Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for… (92019) $82.80 $276 0.0×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $64.95 $216.50 0.5×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $16.20 $54 0.3×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $24.60 $82 0.4×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $16.20 $54 0.1×
Orbicularis Oculi Reflx Electrodiagnostic Test (95933) $36.90 $123 0.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $64.50 $215 1.4×
Oscillating Tracking Test (92545) $14.70 $49 0.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $28.80 $96 1.2×
Osteopathic manipulative tx 3-4 body regions (98926) $44.70 $149 1.9×
Osteopathic manipulative tx 5-6 body regions (98927) $60.90 $203 2.6×
Osteopathic manipulative tx 7-8 body regions (98928) $76.20 $254 3.3×
Osteopathic manipulative tx 9-10 body regions (98929) $91.80 $306 4.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $27.90 $93 0.9×
Ot Contrast Bath Ea 15 Min (97034) $17.70 $59 1.3×
Ot eval high complex 60 min (97167) $172.50 $575 1.7×
Ot eval low complex 30 min (97165) $126 $420 1.3×
Ot eval mod complex 45 min (97166) $150 $500 1.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $64.50 $215 1.3×
Ot Prosthetic Training, Each 15 Min (97761) $52.50 $175 1.3×
Ot Range Motion Measure,Each Extrem (95851) $10.50 $35 0.4×
Ot re-evaluation (97168) $90 $300 1.3×
Ot therapeutic activity 15 min (97530) $43.50 $145 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $152.40 $508 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $87.60 $292 0.6×
Paraffin bath pt (97018) $14.40 $48 2.4×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $33.30 $111 0.1×
Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or… (94016) $39.15 $130.50 1.6×
Pdt dstr prmlg les phys/qhp (96573) $184.65 $615.50 0.9×
Percutaneous tests w/allergenic extracts (95004) $8.10 $15 0.0×
Peripheral arterial disease rehab per session (93668) $48.60 $162 0.8×
Peritoneal Dialysis (90945) $753.30 $2,511 1.7×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure
$790.80 $2,636 0.0×
Perq Transcath Cls Mitral (93590)
likely a partial charge, not the full procedure
$1,368 $4,560 0.1×
Perq transcath cls paravalvr leak 1 aortic valve (93591)
likely a partial charge, not the full procedure
$1,132.80 $3,776 0.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
unusually low: confirm this is the full procedure
$2,469 $8,230 0.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
likely a partial charge, not the full procedure
$3,663.90 $12,213 0.3×
Phlebotomy therapeutic (99195) $115.20 $384 0.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $126.60 $422 2.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $111.60 $372 1.8×
Plethysmography (94726) $160.05 $533.50 0.4×
Pm device eval in person (93288) $22.50 $75 0.6×
Pm device progr eval dual (93280) $48.30 $161 1.2×
Pm device progr eval multi (93281) $53.70 $179 1.3×
Pm device progr eval sngl (93279) $41.40 $138 1.0×
Pm/Icd Remote Tech Serv (93296) $74.10 $247 1.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $411.30 $1,371 0.4×
Polysom <6 yrs 4/> paramtrs (95782) $178.50 $595 0.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $178.50 $595 0.2×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $109.50 $365 0.1×
Positional Nystagmus Test (92542) $30 $100 0.2×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $4.95 $16.50 0.1×
Prepj& antigen allergen immunotherapy 1 insect (95145) $3.90 $13 0.1×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92312) $79.20 $264 0.6×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $68.10 $227 0.1×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) $57.90 $193 0.4×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) $42.60 $142 0.3×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) $27.90 $93 0.2×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) $27.90 $93 0.7×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $53.40 $178 1.3×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $82.20 $274 2.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $23.70 $79 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $32.40 $108 0.6×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95149) $3.90 $13 0.1×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95147) $3.90 $13 0.1×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95146) $3.90 $13 0.1×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $3.90 $13 0.1×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $3.90 $13 0.1×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $3.90 $13 0.1×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $53.70 $179 1.3×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $72.30 $241 1.8×
Prq balloon valvuloplasty aortic valve (92986)
likely a partial charge, not the full procedure
$1,439.70 $4,799 0.2×
Prq Balloon Valvuloplasty Mitral Valve (92987)
likely a partial charge, not the full procedure
$1,488.60 $4,962 0.1×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$3,621.60 $12,072 0.3×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$4,841.10 $16,137 0.2×
Prq Revasc Byp Graft 1 Vsl (92937)
likely a partial charge, not the full procedure
$3,621.15 $12,070.50 0.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$1,537.50 $5,125 0.1×
Prq tcat plmt ntrac st 2+les (92930)
likely a partial charge, not the full procedure
$5,537.55 $18,458.50 0.3×
Prq trl rvs ch occ ant&rtrgr (92945)
unusually low: confirm this is the full procedure
$4,125.90 $13,753 0.3×
Prq trluml coronary angio/atherect one art/brnch (92924)
unusually low: confirm this is the full procedure
$4,483.35 $14,944.50 0.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure
$754.80 $2,516 0.1×
Psych diag eval w/med srvcs (90792) $186.60 $622 1.0×
Psychiatric diagnostic evaluation (90791) $204.15 $680.50 1.1×
Psychoanalysis (90845) $126.90 $423 0.7×
Psycl tst eval phys/qhp 1st (96130) $161.70 $539 0.7×
Psycl/nrpsyc tst phy/qhp 1st (96136) $34.50 $115 0.2×
Psytx crisis initial 60 min (90839) $197.70 $659 1.0×
Pt Aquatic Therapy/Exercises (97113) $27.30 $91 0.7×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $39 $130 1.0×
Pt diathermy (97024) $3.90 $13 0.5×
Pt Electrical Stimulation (97032) $41.40 $138 2.8×
Pt eval high complex 45 min (97163) $126 $420 1.3×
Pt eval low complex 20 min (97161) $122.40 $408 1.3×
Pt eval mod complex 30 min (97162) $123.60 $412 1.3×
Pt gait training 15 min (97116) $38.70 $129 1.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $42 $140 1.3×
Pt Physical Performance Test (97750) $45 $150 1.3×
Pt re-evaluation (97164) $85.50 $285 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $43.50 $145 1.3×
Pt ultraviolet (97028) $4.80 $16 0.6×
Pt Whirlpool Therapy (97022) $27.30 $91 1.7×
Pt-focused hlth risk assmt (96160) $9.45 $31.50 0.2×
Pulm Funct Test Oscillometry (94728) $48 $160 0.3×
Pulm function test by gas (94727) $200.70 $669 0.9×
Pulmonary Service/Procedure (94799) $53.10 $177 0.4×
Pulmonary stress test simple (94618) $30.90 $103 0.2×
Pure Tone Audiometry Air & Bone (92553) $99 $330 0.7×
Pure Tone Audiometry Air Only (92552) $78 $260 0.5×
R & l hrt cath w/njx l ventriculog img s&i (93453) $4,331.25 $14,437.50 1.3×
R hrt art/grft angio (93457) $635.10 $2,117 0.2×
R hrt coronary artery angio (93456) $571.20 $1,904 0.2×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $997.50 $3,325 0.3×
R&l hrt art/ventricle angio (93460) $934.80 $3,116 0.3×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $1,887.90 $6,293 0.5×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $1,621.20 $5,404 0.5×
Rapid Desensitization Procedure Each Hour (95180) $126.90 $423 0.3×
Refill/Maint Portable Pump (96521) $173.40 $578 0.8×
Refill/Maint Pump/Resvr Syst (96522) $141.30 $471 0.6×
Rem interrog icpms <30 d phys/qhp (93297) $76.80 $256 1.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $76.80 $256 1.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $49.20 $164 1.2×
Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads… (93264) $44.40 $148 1.1×
Respiratory flow volume loop (94375) $20.40 $68 0.1×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $210 $700 0.6×
Right heart cath (93451) $244.50 $815 0.1×
Right ventricular recording (93603) $133.80 $446 0.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $129.90 $433 0.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $8.10 $27 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $77.70 $259 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $84 $280 1.8×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $154.50 $515 0.4×
Sbsq psyc collab care mgmt (99493) $96.60 $322 0.9×
Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) $43.50 $145 0.7×
Sensory Integration Ea 15 Min (97533) $111.30 $371 1.8×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $297.45 $991.50 1.3×
Short-latency somatosens ep std upr limbs (95925) $297.45 $991.50 1.3×
Sinusoidal Vertical Axis Rotational Testing (92546) $18.60 $62 0.1×
Sleep study attended (95807) $80.70 $269 0.2×
Sleep study unattended (95806) $83.70 $279 0.4×
Slp caregiver training 1st 30 min (97550) $64.50 $215 1.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $66 $220 0.3×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $63 $210 1.0×
Smoking cessation > 10 min (99407) $30.60 $102 0.8×
Somatosensory testing (95938) $307.35 $1,024.50 0.3×
Speech Audiometry Complete (92556) $71.70 $239 1.1×
Speech audiometry threshold (92555) $45 $150 0.7×
Speech sound lang comprehen (92523) $366.30 $1,221 1.6×
Spirometry (94010) $105.15 $206 0.5×
Spontaneous nystagmus test (92541) $24.60 $82 0.2×
Ssep lower limbs (95926) $297.45 $991.50 1.3×
Standardized Cognitive Performance Testing (96125) $178.80 $596 1.7×
Stenger Test Speech (92577) $346.80 $1,156 0.9×
Stenger Test, Pure Tone (92565) $23.70 $79 0.4×
Stress echo (93350) $91.80 $306 0.2×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $162.90 $543 0.7×
Subcutaneous Infusion Each Additional Hour (96370) $11.40 $38 0.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $72.60 $242 0.7×
Temp transcutaneous pacing (92953) $19.20 $64 0.0×
Temperature gradient studies Facility (93740) $10.50 $35 0.1×
Tensilon test (95857) $33.60 $112 0.1×
Test to assess hearing loss using different tone pitches (92575) $23.70 $79 0.6×
Testing Autonomic Nervous System Function (95923) $56.40 $188 0.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $43.20 $144 1.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $43.20 $144 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $178.80 $596 1.7×
Therapeutic prophylactic/dx injection subq/im (96372) $54 $180 0.7×
Tilt table evaluation (93660) $119.10 $397 0.3×
Tinnitus assessment (92625) $72.60 $242 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $14.40 $48 0.4×
Tone Decay Test (92563) $23.70 $79 0.6×
Trans Care Mgmt 14 Day Disch (99495) $125.40 $418 0.9×
Trans Care Mgmt 7 Day Disch (99496) $173.55 $578.50 1.2×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $536.70 $1,789 2.1×
Transcranial Doppler Intracran Art Emboli Detect (93892) $72.60 $242 0.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $301.35 $1,004.50 2.7×
Transtelephonic rhythm strip pacemaker eval (93293) $30.60 $102 0.8×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $56.40 $188 0.4×
Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) $109.20 $364 0.5×
Tstg Ans Funcj Vasomotor Adrenergic Innervaj (95922) $60.90 $203 0.4×
Tte w/doppler, complete (93306) $582.60 $1,942 1.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $78.90 $263 0.3×
Tx atrial fib pulm vein isol (93656) $19,718.40 $21,997 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $124.20 $414 1.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $47.40 $158 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $137.10 $457 1.6×
Tympanometry (92567) $18 $60 0.5×
Tympanometry And Reflex Threshold Measurements (92550) $60.60 $202 0.3×
Unlis neurological/neuromuscular dx px (95999) $69.90 $233 0.5×
Unlisted Cardiovascular Service/Procedure (93799) $2,558.85 $8,529.50 18.6×
Upr/lxtr art stdy 3+ lvls (93923) $261 $870 1.1×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$1,150.80 $3,836 0.1×
Vasc Duplex Scan Extracranial,Limited (93882) $277.35 $924.50 2.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $31.80 $106 0.1×
Vasopneumatic device (97016) $22.65 $75.50 1.9×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $382.50 $1,275 1.0×
Vent mgmt inpat init day (94002) $684.45 $2,281.50 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $630.45 $2,101.50 1.0×
Visual Evoked Potential Test (95930) $22.20 $74 0.1×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $31.80 $106 0.2×
Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) $24.60 $82 0.4×
Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) $19.20 $64 0.3×
Visual reinforcement audiometry (vra) (92579) $71.55 $238.50 0.3×
Vital capacity, total (94150) $148.50 $331 1.1×
Wada Activation Test Hemispheric Function W/Eeg (95958) $267 $890 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $64.50 $215 2.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $31.20 $104 0.5×
Xtrnl mobile cv telemetry w/technical support (93229) $446.70 $1,489 1.1×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $3 $10 0.1×