| Airway Inhalation Treatment (94640) |
$161.25 |
$215 |
0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$27.75 |
$37 |
1.9× |
| Application on-body injector (96377) |
$241.50 |
$322 |
4.3× |
| Behavral qualit analys voice (92524) |
$321 |
$428 |
2.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$450.75 |
$601 |
1.0× |
| Canalith repositioning proc (95992) |
$120 |
$160 |
2.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$546.75 |
$729 |
2.1× |
Cardioversion (92960)
range across 2 matching MRF lines |
$348–$964.50 |
$464–$1,286 |
varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$14,425.50 |
$19,234 |
3.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$12,940.50 |
$17,254 |
3.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$549.75 |
$733 |
6.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$335.25 |
$447 |
3.9× |
| Chemo IV infusion addl hr (96415) |
$231 |
$308 |
2.7× |
| Chemo IV push addl drug (96411) |
$456.75 |
$609 |
5.3× |
| Chemother Prolong Infuse W/Pump (96416) |
$1,695.75 |
$2,261 |
4.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$521.25 |
$695 |
6.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$789.75 |
$1,053 |
2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$568.50 |
$758 |
1.4× |
| Color/duplex Doppler, complete (93975) |
$996 |
$1,328 |
3.5× |
| Color/duplex Doppler, limited (93976) |
$543.75 |
$725 |
4.3× |
| Coronary Artery Angio S&I (93454) |
$10,720.50 |
$14,294 |
2.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$279.75 |
$373 |
1.1× |
| Critical care first hour (99291) |
$1,512.75 |
$2,017 |
1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$664.50 |
$886 |
2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$854.25 |
$1,139 |
3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$549.75 |
$733 |
4.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$663 |
$884 |
2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$442.50 |
$590 |
3.5× |
| Duplex up extrem art bilat (93930) |
$573 |
$764 |
2.0× |
| Echo Congenital Complete (93303) |
$1,091.25 |
$1,455 |
1.7× |
| Echo Heart Xthoracic,Limited (93308) |
$578.25 |
$771 |
2.0× |
| Echo transesophageal (93312) |
$1,624.50 |
$2,166 |
2.5× |
| Eeg 41-60 Minutes (95812) |
$934.50 |
$1,246 |
3.6× |
| EEG awake and asleep (95819) |
$988.50 |
$1,318 |
3.8× |
| EEG awake drowsy (95816) |
$868.50 |
$1,158 |
3.4× |
| Electrical Stimulation Ea 15 Min (97032) |
$61.50 |
$82 |
4.2× |
| Electrocardiogram Tracing (93005) |
$131.25 |
$175 |
1.9× |
| Emergency Dept Visit Level 3 (99283) |
$426.75 |
$569 |
1.3× |
| Emergency Dept Visit Level 4 (99284) |
$809.25 |
$1,079 |
1.6× |
| Er level v (99285) |
$1,198.50 |
$1,598 |
1.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$674.25 |
$899 |
1.5× |
| Evaluate Swallowing Function (92610) |
$144 |
$192 |
1.7× |
| Extracranial Bilat Study (93880) |
$673.50 |
$898 |
2.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$674.25 |
$899 |
1.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$395.25 |
$527 |
1.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$674.25 |
$899 |
0.7× |
| Holter monitor recording (93225) |
$538.50 |
$718 |
3.4× |
Immunization administration (90471)
range across 2 matching MRF lines |
$17.25–$40.50 |
$23–$54 |
varies |
| Irrig Drug Delivery Device (96523) |
$186 |
$248 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$155.25 |
$207 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$423.75 |
$565 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$268.50 |
$358 |
3.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$204.75 |
$273 |
3.6× |
| IV push initial (96374) |
$567.75 |
$757 |
2.2× |
| L Hrt Art/Grft Angio (93459) |
$15,135.75 |
$20,181 |
3.9× |
| Laryngeal Function Studies (92520) |
$146.25 |
$195 |
0.9× |
| Lung Function Test (Mbc/Mvv) (94200) |
$224.25 |
$299 |
3.2× |
| Methacholine challenge (94070) |
$473.25 |
$631 |
1.1× |
| Motility study esophagus (91010) |
$674.25 |
$899 |
1.5× |
| Motion Fluoroscopy/Swallow (92611) |
$217.50 |
$290 |
2.4× |
| Neuromuscular Reeducation (97112) |
$95.25 |
$127 |
2.9× |
| Nitric oxide expired gas determination (95012) |
$69 |
$92 |
1.5× |
| Oral Function Therapy (92526) |
$212.25 |
$283 |
2.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$204 |
$272 |
4.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$113.25 |
$151 |
2.5× |
| Ot eval high complexity (97167) |
$248.25 |
$331 |
2.5× |
| Ot Eval Low Complex (97165) |
$248.25 |
$331 |
2.5× |
| Ot Eval Moderate Complexity (97166) |
$248.25 |
$331 |
2.5× |
| Ot manual therapy 15 min (97140) |
$87 |
$116 |
3.1× |
| Ot Re-Eval Est Plan Care (97168) |
$175.50 |
$234 |
2.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$257.25 |
$343 |
1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$525 |
$700 |
2.0× |
| Phlebotomy therapeutic (99195) |
$210.75 |
$281 |
1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$330.75 |
$441 |
4.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$228.75 |
$305 |
3.2× |
| Plethysmography (94726) |
$503.25 |
$671 |
1.1× |
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines |
$318.75–$433.50 |
$425–$578 |
varies |
| Pt Eval High Complex (97163) |
$217.50 |
$290 |
2.2× |
| Pt eval low complex 20 min (97161) |
$217.50 |
$290 |
2.2× |
| Pt Eval Mod Complex (97162) |
$217.50 |
$290 |
2.2× |
| Pt gait training 15 min (97116) |
$86.25 |
$115 |
3.0× |
| Pt mechanical traction (97012) |
$43.50 |
$58 |
3.0× |
| Pt Re-Eval Est Plan Care (97164) |
$159 |
$212 |
2.4× |
| Pulm function test by gas (94727) |
$274.50 |
$366 |
1.1× |
| Pulmonary Stress Testing (94618) |
$106.50 |
$142 |
0.7× |
| R hrt coronary artery angio (93456) |
$13,052.25 |
$17,403 |
3.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$14,427.75 |
$19,237 |
3.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$270 |
$360 |
6.0× |
| Right Heart Cath (93451) |
$9,963.75 |
$13,285 |
2.6× |
| Self Care Mngment Training (97535) |
$109.50 |
$146 |
3.4× |
| Speech sound lang comprehen (92523) |
$339.75 |
$453 |
1.5× |
| Spirometry (94010) |
$260.25 |
$347 |
1.0× |
| Stress Tte Only (93350) |
$1,008 |
$1,344 |
1.5× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines |
$17.25–$165.75 |
$23–$221 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$525.75 |
$701 |
2.1× |
| Therapeutic Activities (97530) |
$102 |
$136 |
2.9× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$2,695.50 |
$3,594 |
6.0× |
| Tte w/doppler, complete (93306) |
$1,442.25 |
$1,923 |
2.2× |
| Tte W/O Doppler Complete (93307) |
$1,160.25 |
$1,547 |
4.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$295.50 |
$394 |
3.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$231.75 |
$309 |
4.1× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$694.50 |
$926 |
20.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$500.25 |
$667 |
1.9× |
| Vasopneumatic device (97016) |
$78 |
$104 |
6.5× |