Visits & medical services prices at Covenant Medical Center

Lubbock, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $7,660.38 $18,239 1.0×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $16.59 $39.50 0.1×
Adaptive behavior tx by protocol tech ea 15 min (97153) $16.59 $39.50 0.2×
Aep Neurodiagnostic I&R (92653) $1,058.82 $2,521 4.9×
Aep threshold estimation mlt frequencies i&r (92652) $1,058.82 $2,521 4.9×
Airway inhalation treatment (94640) $697.62 $1,661 3.2×
Anogenital exam, child (99170) $177.66 $423 0.9×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $94.50 $225 2.5×
Behav assmt w/score & docd/stand instrument (96127) $20.58 $49 0.5×
Behavior id assessment by phys/qhp ea 15 min (97151) $41.58 $99 0.4×
Behavior id support assmt by 1 tech ea 15 min (97152) $41.58 $99 0.4×
Bfb training 1st 15 min (90912) $61.32 $146 0.7×
Bfb training ea addl 15 min (90913) $30.66 $73 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $388.08 $924 1.0×
Bundle of his recording (93600) $4,944.66 $11,773 0.6×
C motor evoked upr&lwr limbs (95939) $656.04 $1,562 0.8×
Canalith Repositioning (95992) $84.84 $202 2.1×
Capsule endoscopy (91110) $5,201.70 $12,385 5.7×
Car seat/bed test 60 min (94780) $60.48 $144 1.6×
Cardiac Stress Tst,Tracing Only (93017) $880.32 $2,096 4.1×
Cardiopulmonary resuscitation (92950) $1,021.44 $2,432 4.7×
Cardioversion (92960) $971.46 $2,313 1.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $17.64 $42 0.5×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $11,687.76 $27,828 3.6×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $15,626.94 $37,207 4.8×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$6,347.46 $15,113 0.3×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $20,643.42 $49,151 6.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $19,599.72 $46,666 6.0×
Chemo Hormon Antineopl Sq/Im (96402) $200.76 $478 2.8×
Chemo IV push addl drug (96411) $226.80 $540 3.1×
Chemo Iv Push Sngl Drug (96409) $304.92 $726 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $442.26 $1,053 1.3×
Chemother, IV infusion, 1 hr (96413) $828.66 $1,973 2.5×
Chemother, IV infusion, ea add hr (96415) $440.16 $1,048 6.1×
Chemother,Ia Push Technique (96420) $304.92 $726 0.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $325.08 $774 4.5×
Chemotherapy, unspecified procedure (96549) $238.56 $568 5.1×
Chemotx Admn Cns Req Spinal Puncture (96450) $1,111.74 $2,647 3.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $413.70 $985 5.7×
Color/duplex Doppler, complete (93975) $969.78 $2,309 4.0×
Color/duplex Doppler, limited (93976) $459.06 $1,093 4.4×
Coronary artery angio s&i (93454) $10,644.48 $25,344 3.3×
Cortical mapping 1st hr (95961) $1,177.26 $2,803 1.4×
Cpap initiation and management (94660) $1,092.42 $2,601 5.0×
Cpt initial (94667) $181.86 $433 1.4×
Critical care (99291) $4,887.96 $11,638 5.9×
Debridement Open Wound 20 Sq Cm< (97597) $330.12 $786 1.6×
Demo &/or eval,pt use,aerosol device (94664) $165.06 $393 0.8×
Developmental tst admin phys/qhp 1st hour (96112) $180.60 $430 1.4×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $842.10 $2,005 2.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $969.78 $2,309 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $459.06 $1,093 4.4×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $131.88 $314 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $969.78 $2,309 4.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $459.06 $1,093 4.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $969.78 $2,309 4.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $459.06 $1,093 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $523.74 $1,247 5.0×
Duplex hemodialysis access (93990) $702.24 $1,672 6.7×
Duplex scan extracranial art compl bi study (93880) $301.98 $719 1.3×
Echo Heart Xthoracic,Limited (93308) $301.98 $719 1.3×
Echo transesophageal (93312) $633.78 $1,509 1.2×
Echo Transthoracic - Congenital Tte Complete (93303) $633.78 $1,509 1.2×
Echo Transthoracic - Congenital Tte Limited (93304) $331.38 $789 0.6×
EEG awake asleep (95819) $1,615.32 $3,846 7.4×
EEG awake drowsy (95816) $634.62 $1,511 2.9×
EEG cerebral death evaluation (95824) $682.92 $1,626 1.8×
EEG coma or sleep only (95822) $1,981.98 $4,719 9.1×
EEG cont rec w/video by tech min 8 channels (95700) $3,905.16 $9,298 18.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,168.86 $2,783 5.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $136.92 $326 0.6×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $273 $650 0.7×
EKG (93005) $274.26 $653 4.6×
EKG rhythm strip (93041) $199.08 $474 3.4×
Electroconvulsive Therapy (90870) $257.04 $612 0.3×
EMG cranial nerve bilat (95868) $1,225.56 $2,918 5.7×
EMG cranial nerve unilat (95867) $595.98 $1,419 2.7×
EMG four extremities (95864) $1,516.20 $3,610 11.7×
EMG one extremity (95860) $1,225.56 $2,918 9.2×
EMG three extremities (95863) $187.74 $447 1.5×
EMG two extremities (95861) $1,225.56 $2,918 9.2×
Ep & ablate supravent arrhyt (93653) $23,973.18 $57,079 0.9×
Ep & ablate ventric tachy (93654) $29,489.46 $70,213 1.1×
Ep Analyze Pacer Sys (93724) $186.90 $445 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $8,811.60 $20,980 1.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,811.60 $20,980 1.1×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $3,003 $7,150 2.5×
Ep Right Ventricular Recording (93603) $1,706.46 $4,063 1.4×
Er level 1 (99281) $325.08 $774 3.8×
Er level ii (99282) $541.80 $1,290 3.5×
Er level iii (99283) $937.86 $2,233 3.4×
Er level IV (99284) $1,706.04 $4,062 4.1×
Er level v (99285) $3,231.06 $7,693 5.4×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $323.82 $771 4.6×
Evaluation of speech fluency (92521) $610.68 $1,454 4.6×
Evaluation of speech sound production (92522) $409.50 $975 3.7×
Evaluation of swallowing function (92610) $316.26 $753 3.7×
Exercise tst brncspsm (94617) $657.72 $1,566 4.9×
Fam adapt bhv tx gdn phy/qhp (97156) $17.22 $41 0.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $298.20 $710 1.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,598.94 $3,807 1.9×
Gi wireless capsule measure (91112) $4,001.34 $9,527 4.4×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $17.22 $41 0.5×
Grp adapt bhv tx by tech (97154) $42.84 $102 1.1×
Health Behavior Assessment/Re-Assessment (96156) $44.73 $106.50 0.4×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $19.32 $46 0.5×
Health behavior ivntj group f2f 1st 30 min (96164) $19.32 $46 0.5×
Health behavior ivntj indiv f2f 1st 30 min (96158) $44.73 $106.50 0.3×
Hemodialysis (90935) $3,821.16 $9,098 5.5×
Ilr Device Eval Progr (93285) $75.60 $180 2.0×
Immunization Admin (90471) $124.11 $295.51 1.7×
Injection intra arterial (96373) $262.50 $625 1.2×
Injection of hypnotic drug for psychiatric diagnosis or therapy (90865) $94.08 $224 0.5×
Ins swan ganz bedside (93503) $2,896.74 $6,897 1.8×
Intraventricular pacing (93612) $10,285.80 $24,490 1.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $114.66 $273 1.9×
IV infusion hydration each additional hour (96361) $235.20 $560 5.0×
IV infusion hydration initial 31 min-1 hour (96360) $433.02 $1,031 2.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $244.02 $581 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $433.02 $1,031 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $248.64 $592 5.3×
IV push initial (96374) $248.22 $591 1.2×
Liver elastography w/o imag w/i&r (91200) $285.18 $679 2.2×
Low frequency non-thermal us (97610) $207.90 $495 1.0×
Maintenance of spinal canal or brain drug infusion pump (95990) $1,273.86 $3,033 3.8×
Manual therapy 15 min (97140) $62.58 $149 2.3×
Massage 15 min (97124) $66.78 $159 2.2×
Mechanical chest wall oscillation (94669) $53.34 $127 0.2×
Mechanical traction (97012) $37.38 $89 2.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $69.30 $165 2.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $88.20 $210 2.4×
Methacholine challenge (94070) $598.92 $1,426 1.6×
Motility study esophagus (91010) $3,580.92 $8,526 9.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $416.64 $992 4.6×
Mult fam adapt bhv tx gdn (97157) $17.22 $41 0.5×
Multiple Family Group Psychotherapy (90849) $94.08 $224 0.5×
Multiple sleep latency test (95805) $3,032.82 $7,221 3.5×
Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with… (96202) $47.04 $112 2.3×
Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with… (96203) $47.04 $112 8.8×
Nasopharyngoscopy (92511) $293.58 $699 1.5×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $163.80 $390 1.2×
Neg press wnd tx </=50 sq cm (97607) $478.70 $1,139.76 1.2×
Neg press wound tx >50 cm (97608) $503.58 $1,199 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $254.10 $605 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $514.50 $1,225 1.3×
Nerve conduction studies 13/> studies (95913) $2,689.68 $6,404 7.2×
Nerve Conduction Studies 3-4 Studies (95908) $881.16 $2,098 4.1×
Nerve Conduction Studies 9-10 Studies (95911) $1,721.16 $4,098 4.6×
Nerve conduction studies; 1-2 studies (95907) $705.18 $1,679 3.3×
Nerve conduction studies; 11-12 studies (95912) $2,151.66 $5,123 5.7×
Nerve conduction studies; 5-6 studies (95909) $1,101.66 $2,623 5.1×
Nerve conduction studies; 7-8 studies (95910) $1,377.18 $3,279 3.7×
Neurobehavioral Status Exam (96116) $158.76 $378 0.7×
Neuromuscular junction test (95937) $742.14 $1,767 5.7×
New patient problem focused exam of visual system (92002) $184.80 $440 1.4×
Newborn resuscitation (99465) $1,614.48 $3,844 2.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $945 $2,250 7.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,143.24 $2,722 5.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $924.42 $2,201 7.2×
Nrpsyc tst eval phys/qhp 1st (96132) $273.42 $651 0.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $122.64 $292 2.7×
Osteopathic manipulative tx 1-2 body regions (98925) $29.82 $71 1.4×
Osteopathic manipulative tx 3-4 body regions (98926) $29.82 $71 1.4×
Osteopathic manipulative tx 5-6 body regions (98927) $29.82 $71 1.4×
Osteopathic manipulative tx 7-8 body regions (98928) $29.82 $71 1.4×
Osteopathic manipulative tx 9-10 body regions (98929) $29.82 $71 1.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $129.36 $308 4.0×
Ot Contrast Bath Ea 15 Min (97034) $33.60 $80 2.4×
Ot eval high complex 60 min (97167) $264.18 $629 2.6×
Ot eval low complex 30 min (97165) $222.18 $529 2.2×
Ot eval mod complex 45 min (97166) $175 $579 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $134.40 $320 2.7×
Ot Prosthetic Training, Each 15 Min (97761) $122.64 $292 3.0×
Ot Range Motion Measure,Each Extrem (95851) $120.12 $286 4.6×
Ot re-eval est plan care (97168) $170 $386 2.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $512.82 $1,221 4.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $512.82 $1,221 4.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $315.42 $751 1.4×
Peripheral arterial disease rehab per session (93668) $133.98 $319 2.3×
Phy/qhp op pulm rhb w/mntr (94626) $63.84 $152 1.1×
Phy/qhp op pulm rhb w/o mntr (94625) $64.26 $153 1.1×
Pm device eval in person (93288) $86.94 $207 2.3×
Pm device progr eval dual (93280) $68.04 $162 1.8×
Pm device progr eval sngl (93279) $58.38 $139 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $850 $7,877 1.0×
Polysom <6 yrs 4/> paramtrs (95782) $3,150.84 $7,502 3.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,050.02 $4,881 2.4×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $92.40 $220 2.5×
Programming of dual lead implantable defibrillator system (93283) $80.64 $192 2.2×
Programming of single lead implantable defibrillator system (93282) $70.14 $167 1.9×
Prq balloon valvuloplasty aortic valve (92986) $11,714.64 $27,892 2.0×
Prq card revasc chronic 1vsl (92943) $39,585.42 $94,251 3.4×
Prq Card Stent W/Angio 1 Vsl (92928) $30,793.98 $73,319 2.7×
Prq Card Stent/Ath/Angio (92933) $39,585.42 $94,251 2.1×
Prq revasc byp graft 1 vsl (92937) $39,585.42 $94,251 3.4×
Prq trluml coronary angio/atherect one art/brnch (92924) $21,724.92 $51,726 1.9×
Prq trluml coronary angioplasty one art/branch (92920) $14,453.88 $34,414 2.5×
Psych diag eval w/med srvcs (90792) $94.08 $224 0.5×
Psychiatric diagnostic evaluation (90791) $94.08 $224 0.5×
Psychoanalysis (90845) $94.08 $224 0.5×
Psycl tst eval phys/qhp 1st (96130) $158.76 $378 0.7×
Psycl/Nrpsyc Tst Auto Result (96146) $13.86 $33 0.5×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $207.06 $493 0.5×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $63.84 $152 0.5×
Psytx crisis initial 60 min (90839) $23.73 $56.50 0.1×
Pt Aquatic Therapy/Exercises (97113) $86.10 $205 2.3×
Pt Electric Current Therapy (97033) $110.04 $262 5.8×
Pt Electrical Stimulation (97032) $33.60 $80 2.3×
Pt eval high complex 45 min (97163) $235.20 $560 2.4×
Pt eval low complex 20 min (97161) $175 $592 1.8×
Pt Gait Training Therapy (97116) $125 $162 4.3×
Pt Infrared Therapy (97026) $40.74 $97 6.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $125 $189 3.8×
Pt Physical Performance Test (97750) $77.70 $185 2.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $175 $546 1.8×
Pt re-evaluation (97164) $170 $405 2.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $76.02 $181 2.3×
Pt Ultrasound Therapy (97035) $32.76 $78 2.3×
Pt Whirlpool Therapy (97022) $45.36 $108 2.9×
Pt-focused hlth risk assmt (96160) $19.32 $46 0.5×
Pulm function test by gas (94727) $498.96 $1,188 2.3×
Pulmonary stress testing (94618) $487.62 $1,161 3.6×
R & l hrt cath w/njx l ventriculog img s&i (93453) $17,257.80 $41,090 5.3×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $21,724.92 $51,726 6.7×
R hrt art/grft angio (93457) $16,122.54 $38,387 5.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $22,767.78 $54,209 7.0×
Refill/Maint Pump/Resvr Syst (96522) $265.44 $632 1.2×
Refill/maint, portable pump (96521) $529.20 $1,260 2.5×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $162.12 $386 1.2×
Repet tms tx initial w/map/motr threshld/del&m (90867) $180.60 $430 0.8×
Repet tms tx subseq motr threshld w/deliv & mn (90869) $180.60 $430 0.8×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $349.44 $832 1.1×
Right heart cath (93451) $8,287.44 $19,732 2.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $234.78 $559 1.2×
Rt Chest Wall Manipulation,Subsequent (94668) $210.84 $502 1.6×
Sc Ther Infusion Reset Pump (96371) $85.68 $204 1.2×
Sensory Integration Ea 15 Min (97533) $152.04 $362 2.5×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $577.08 $1,374 2.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $309.54 $737 1.4×
Somatosensory testing (95938) $1,909.32 $4,546 2.2×
Speech sound lang comprehen (92523) $250 $2,025 1.1×
Spirometry (94010) $352.38 $839 1.6×
Standardized Cognitive Performance Testing (96125) $18.06 $43 0.2×
Stress echo (93350) $633.78 $1,509 1.2×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $53.76 $128 1.1×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $262.50 $625 1.2×
Surfactant Admin Thru Tube (94610) $157.92 $376 0.7×
Temp transcutaneous pacing (92953) $487.20 $1,160 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $52.50 $125 2.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $49.98 $119 2.4×
Ther/prop/diag inj/inf proc (96379) $53.76 $128 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $189.42 $451 2.6×
Therap repetitive tms tx subseq delivery & mng (90868) $180.60 $430 0.8×
Therapeutic Activities (97530) $125 $211 3.6×
Therapeutic phlebotomy (99195) $258.72 $616 1.9×
Tilt Table Eval (93660) $5,782.56 $13,768 15.4×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $301.98 $719 1.3×
Transcranial Doppler Limited (93888) $142.80 $340 1.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $938.70 $2,235 1.7×
Tx atrial fib pulm vein isol (93656) $30,074.52 $71,606 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $125 $448 1.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $386.82 $921 4.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $278.46 $663 5.9×
Tympanometry (92567) $49.98 $119 1.3×
Unlisted Cardiovascular Service/Procedure (93799) $183.12 $436 1.4×
Unlisted pulmonary service/procedure (94799) $130.20 $310 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $527.94 $1,257 2.2×
Vasc Duplex Scan Extracranial,Limited (93882) $142.80 $340 1.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,374.66 $3,273 6.3×
Vasopneumatic device (97016) $27.30 $65 2.3×
Veeg by tech 2-12 hours unmonitored (95711) $279.30 $665 1.3×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $838.32 $1,996 2.2×
Veeg by tech 2-12 hr intermittent monitoring (95712) $559.02 $1,331 1.5×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $2,612.82 $6,221 3.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,260 $3,000 3.4×
Veeg Ea 12-26 Hr Unmntr (95714) $557.76 $1,328 1.5×
Ventilation assist & mgmt inpatient 1st day (94002) $4,016.88 $9,564 6.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,837.12 $9,136 6.2×
Visual reinforcement audiometry (vra) (92579) $191.10 $455 0.9×
Vital capacity total (94150) $406.56 $968 3.1×
Wheelchair Mgmt Ea 15 Min (97542) $81.90 $195 2.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $165.48 $394 1.7×