| Admn Sarscov2 Vacc 1 Dose (90480) |
$80 |
$80 |
2.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$476 |
$476 |
2.2× |
Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$367–$375 |
$367–$375 |
varies |
| Analyze neurostim complex (95972) |
$409 |
$409 |
4.3× |
| Analyze neurostim no prog (95970) |
$324 |
$324 |
2.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$77 |
$77 |
5.4× |
| Application on-body injector (96377) |
$204 |
$204 |
4.4× |
| Assessment of aphasia per hr (96105) |
$420 |
$420 |
4.3× |
| Behavral qualit analys voice (92524) |
$133 |
$133 |
1.2× |
| Bis Xtracell Fluid Analysis (93702) |
$235 |
$235 |
1.8× |
Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$76–$88 |
$76–$88 |
varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$429 |
$429 |
1.2× |
Canalith repositioning proc (95992) range across 2 matching MRF lines |
$130–$145 |
$130–$145 |
varies |
| Car seat/bed test 60 min (94780) |
$140 |
$140 |
3.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$730 |
$730 |
3.4× |
| Cardiopulmonary exercise testing (94621) |
$371 |
$371 |
1.0× |
Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$594–$741 |
$594–$741 |
varies |
Cardioversion (92960) range across 3 matching MRF lines |
$1,146–$1,174 |
$1,146–$1,174 |
varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$45 |
$45 |
1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$63 |
$63 |
2.4× |
| Cbt 1st hour (94644) |
$239 |
$239 |
1.8× |
| Chemo Anti-Neopl Sq/Im (96401) |
$294 |
$294 |
4.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$294 |
$294 |
4.1× |
| Chemo IV infusion addl hr (96415) |
$239 |
$239 |
3.3× |
| Chemo IV push addl drug (96411) |
$272 |
$272 |
3.8× |
| Chemotherapy Into Cns (96450) |
$1,218 |
$1,218 |
3.7× |
| Chemotherapy Unspecified (96549) |
$361 |
$361 |
7.7× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$896 |
$896 |
2.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$361 |
$361 |
5.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$749 |
$749 |
2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$454 |
$454 |
1.4× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$434 |
$434 |
1.3× |
| Chest Wall Manipulation (94668) |
$113 |
$113 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$1,252 |
$1,252 |
5.3× |
| Color/duplex Doppler, limited (93976) |
$1,045 |
$1,045 |
10.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$69 |
$69 |
2.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$529 |
$529 |
4.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$180 |
$180 |
3.1× |
| Continuous Pulse Ox (94762) |
$214 |
$214 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$398 |
$398 |
1.8× |
| Cpt initial (94667) |
$113 |
$113 |
0.9× |
| Critical care first hour (99291) |
$6,271 |
$6,271 |
7.6× |
Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$184–$254 |
$184–$254 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,229 |
$1,229 |
5.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$639 |
$639 |
6.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,056 |
$1,056 |
4.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,067 |
$1,067 |
10.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,266 |
$1,266 |
5.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,048 |
$1,048 |
10.1× |
| Duplex Scan Hemodialysis Access (93990) |
$256 |
$256 |
2.5× |
| Duplex up extrem art bilat (93930) |
$859 |
$859 |
3.6× |
| Duplex up extrem art unilat/ltd (93931) |
$784 |
$784 |
7.5× |
| Echo Congenital Complete (93303) |
$2,311 |
$2,311 |
4.2× |
| Echo Heart Xthoracic,Limited (93308) |
$869 |
$869 |
3.7× |
| Echo transesophageal (93312) |
$2,302 |
$2,302 |
4.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,496 |
$1,496 |
2.7× |
| Eeg 41-60 Minutes (95812) |
$798 |
$798 |
3.7× |
| EEG awake and asleep (95819) |
$665 |
$665 |
3.1× |
| EEG awake drowsy (95816) |
$665 |
$665 |
3.1× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$840 |
$840 |
3.9× |
| EEG extended monitoring 61-119 minutes (95813) |
$958 |
$958 |
4.5× |
| Eeg Sleep Only (95822) |
$724 |
$724 |
3.4× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$840 |
$840 |
3.9× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$2,630 |
$2,630 |
7.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$840 |
$840 |
3.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$67 |
$67 |
4.6× |
| Electrocardiogram Tracing (93005) |
$137 |
$137 |
2.3× |
| Emergency Dept Visit Level 2 (99282) |
$813 |
$813 |
5.3× |
| Emergency Dept Visit Level 3 (99283) |
$1,055 |
$1,055 |
3.9× |
| Emergency Dept Visit Level 4 (99284) |
$1,846 |
$1,846 |
4.4× |
| Er level 1 (99281) |
$332 |
$332 |
4.0× |
| Er level v (99285) |
$2,492 |
$2,492 |
4.2× |
| Evaluate Speech Production (92522) |
$140 |
$140 |
1.3× |
| Evaluate Swallowing Function (92610) |
$333 |
$333 |
3.9× |
| Evaluation of speech fluency (92521) |
$157 |
$157 |
1.2× |
| Evoked Auditory Test,Limited (92587) |
$440 |
$440 |
2.0× |
| External ECG rec>48hr<7d recording (93242) |
$147 |
$147 |
3.9× |
| External ECG rec>7d<15d recording (93246) |
$184 |
$184 |
4.9× |
| External Ecg Scanning Analysis Report (93226) |
$194 |
$194 |
3.3× |
| Extracranial Bilat Study (93880) |
$719 |
$719 |
3.0× |
| Extracranial Uni/Ltd Study (93882) |
$716 |
$716 |
6.9× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$528 |
$528 |
2.6× |
| Group Therapeutic Procedures (97150) |
$70 |
$70 |
3.9× |
| Holter monitor recording (93225) |
$194 |
$194 |
1.5× |
| Icd Device Interrogate (93289) |
$89 |
$89 |
2.4× |
| Icd device progr eval dual (93283) |
$125 |
$125 |
3.4× |
| Icd Device Progr Eval Mult (93284) |
$125 |
$125 |
3.4× |
| Icm Device Eval (93290) |
$85 |
$85 |
2.3× |
| Ilr Device Interrogate (93291) |
$89 |
$89 |
3.1× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$28 |
$28 |
0.8× |
Immunization administration (90471) range across 11 matching MRF lines |
$23.03–$148 |
$23.03–$148 |
varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$441 |
$441 |
1.2× |
| Interrogate Subq Defib (93261) |
$144 |
$144 |
3.9× |
| Interrogation vad in person (93750) |
$377 |
$377 |
4.0× |
| Iontophoresis 15 min (97033) |
$139 |
$139 |
7.3× |
| Irrig Drug Delivery Device (96523) |
$241 |
$241 |
4.1× |
| IV infusion hydration each additional hour (96361) |
$234 |
$234 |
5.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$530 |
$530 |
2.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$248 |
$248 |
3.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$248 |
$248 |
5.3× |
| IV push initial (96374) |
$351 |
$351 |
1.7× |
| Low frequency non-thermal us (97610) |
$702 |
$702 |
3.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$303 |
$303 |
1.4× |
| Mechanical chest wall oscillation per session (94669) |
$346 |
$346 |
1.6× |
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$55–$60 |
$55–$60 |
varies |
Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$55–$60 |
$55–$60 |
varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$40 |
$40 |
2.3× |
| Methacholine challenge (94070) |
$429 |
$429 |
1.2× |
| Motion Fluoroscopy/Swallow (92611) |
$438 |
$438 |
4.8× |
| Multiple Sleep Latency Test (95805) |
$3,589 |
$3,589 |
4.2× |
| Muscle Test 2 Limbs (95861) |
$391 |
$391 |
2.9× |
| Muscle Test Nonparaspinal (95870) |
$140 |
$140 |
1.1× |
| Muscle Test One Limb (95860) |
$259 |
$259 |
2.0× |
| Nasopharyngoscopy (92511) |
$414 |
$414 |
2.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$365 |
$365 |
0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$506 |
$506 |
1.2× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$351–$452 |
$351–$452 |
varies |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$587–$735 |
$587–$735 |
varies |
| Nerve Conduction Studies 1-2 Studies (95907) |
$660 |
$660 |
3.1× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,485 |
$1,485 |
4.0× |
| Nerve conduction studies 13 or more studies (95913) |
$1,485 |
$1,485 |
4.0× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$990 |
$990 |
4.6× |
| Nerve conduction studies 5-6 studies (95909) |
$990 |
$990 |
4.6× |
| Nerve conduction studies 7-8 studies (95910) |
$990 |
$990 |
2.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,485 |
$1,485 |
4.0× |
| Neuromuscular Reeducation (97112) |
$75 |
$75 |
2.3× |
| Newborn resuscitation (99465) |
$1,263 |
$1,263 |
1.9× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$72 |
$72 |
2.9× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$107 |
$107 |
3.1× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$35 |
$35 |
2.6× |
| Oral Function Therapy (92526) |
$214 |
$214 |
2.5× |
| Oral Speech Device Eval (92597) |
$292 |
$292 |
4.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$57 |
$57 |
1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$83 |
$83 |
1.8× |
| Ot eval high complexity (97167) |
$242 |
$242 |
2.4× |
| Ot Eval Low Complex (97165) |
$226 |
$226 |
2.2× |
| Ot Eval Moderate Complexity (97166) |
$230 |
$230 |
2.3× |
| Ot manual therapy 15 min (97140) |
$75 |
$75 |
2.7× |
| Ot paraffin bath (97018) |
$14 |
$14 |
2.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$70 |
$70 |
1.7× |
| Ot Re-Eval Est Plan Care (97168) |
$150 |
$150 |
2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$219 |
$219 |
1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$219 |
$219 |
1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$290 |
$290 |
1.3× |
| Peripheral arterial disease rehab per session (93668) |
$152 |
$152 |
2.6× |
| Phlebotomy therapeutic (99195) |
$330 |
$330 |
2.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$158 |
$158 |
2.7× |
| Physical Performance Test (97750) |
$79 |
$79 |
2.3× |
| Plethysmography (94726) |
$572 |
$572 |
1.5× |
| Pm device eval in person (93288) |
$89 |
$89 |
2.4× |
| Pm device progr eval dual (93280) |
$125 |
$125 |
3.4× |
| Pm device progr eval multi (93281) |
$125 |
$125 |
3.4× |
| Pm Device Progr Eval Sngl (93279) |
$125 |
$125 |
3.4× |
| Pm/Icd Remote Tech Serv (93296) |
$86 |
$86 |
2.3× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,888–$3,850 |
$2,888–$3,850 |
varies |
Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$4,418–$5,890 |
$4,418–$5,890 |
varies |
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$5,011–$6,682 |
$5,011–$6,682 |
varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$148 |
$148 |
4.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$125 |
$125 |
3.4× |
| Psychiatric diagnostic evaluation (90791) |
$224 |
$224 |
1.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$126 |
$126 |
3.3× |
| Pt Eval High Complex (97163) |
$195 |
$195 |
2.0× |
| Pt eval low complex 20 min (97161) |
$182 |
$182 |
1.9× |
| Pt Eval Mod Complex (97162) |
$191 |
$191 |
2.0× |
| Pt gait training 15 min (97116) |
$72 |
$72 |
2.5× |
| Pt group caregiver training (97552) |
$53 |
$53 |
2.4× |
| Pt mechanical traction (97012) |
$128 |
$128 |
8.9× |
| Pt Re-Eval Est Plan Care (97164) |
$115 |
$115 |
1.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$45 |
$45 |
1.2× |
| Pulmonary service/procedure (94799) |
$254 |
$254 |
2.0× |
| Pulmonary Stress Testing (94618) |
$400 |
$400 |
3.0× |
| Refill/Maint Portable Pump (96521) |
$655 |
$655 |
3.1× |
| Refill/Maint Pump/Resvr Syst (96522) |
$266 |
$266 |
1.3× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$66 |
$66 |
1.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$66 |
$66 |
1.8× |
| Remote 30 Day Ecg Rev/Report (93270) |
$213 |
$213 |
5.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$211 |
$211 |
1.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$618 |
$618 |
5.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$323 |
$323 |
6.8× |
| Self Care Mngment Training (97535) |
$97 |
$97 |
3.0× |
| Sensory Integration Ea 15 Min (97533) |
$134 |
$134 |
2.2× |
| Sleep study unattended (95806) |
$589 |
$589 |
2.7× |
| Slp caregiver training 1st 30 min (97550) |
$129 |
$129 |
2.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$237 |
$237 |
1.1× |
| Somatosensory Testing (95938) |
$915 |
$915 |
1.1× |
| Speech sound lang comprehen (92523) |
$299 |
$299 |
1.3× |
| Spirometry (94010) |
$292 |
$292 |
1.4× |
| Standardized Cognitive Performance Testing (96125) |
$234 |
$234 |
2.3× |
| Stress Tte Only (93350) |
$1,643 |
$1,643 |
3.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$627 |
$627 |
3.0× |
| Temp transcutaneous pacing (92953) |
$657 |
$657 |
1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$52 |
$52 |
2.3× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$51 |
$51 |
2.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$72 |
$72 |
1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$50 |
$50 |
1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$222 |
$222 |
2.2× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$206 |
$206 |
4.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$197 |
$197 |
2.7× |
Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$580–$683 |
$580–$683 |
varies |
| Therapeutic Activities (97530) |
$73 |
$73 |
2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$82 |
$82 |
2.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$41 |
$41 |
1.1× |
| Trans Care Mgmt 14 Day Disch (99495) |
$313 |
$313 |
2.4× |
| Trans Care Mgmt 7 Day Disch (99496) |
$313 |
$313 |
2.4× |
| Tte w/doppler, complete (93306) |
$2,039 |
$2,039 |
3.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$213 |
$213 |
2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$254 |
$254 |
5.4× |
| Upr/L Xtremity Art 2 Levels (93922) |
$179 |
$179 |
1.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$281 |
$281 |
1.3× |
| Vasopneumatic device (97016) |
$54 |
$54 |
4.5× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,610 |
$1,610 |
4.3× |
| Veeg 2-12 hr intmt mntr (95712) |
$840 |
$840 |
2.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,610 |
$1,610 |
4.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,289 |
$1,289 |
3.5× |
| Veeg ea 12-26hr cont mntr (95716) |
$3,015 |
$3,015 |
3.5× |
| Vent Mgmt Inpat Init Day (94002) |
$1,039 |
$1,039 |
1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,039 |
$1,039 |
1.7× |
| Vital capacity, total (94150) |
$111 |
$111 |
0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$65 |
$65 |
2.1× |
| Whirlpool Therapy (97022) |
$73 |
$73 |
4.6× |