Visits & medical services prices at Cox Medical Center Branson

Branson, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
unusually low: confirm this is the full procedure
$3,739.15 $16,472.03 0.5×
Actigraphy testing recording analysis i&r (95803) $77.36 $340.78 1.3×
Aep hearing status deter broadband stimuli i&r (92651) $141.73 $624.34 0.7×
Aep Neurodiagnostic I&R (92653) $144 $634.35 0.7×
Aep threshold estimation mlt frequencies i&r (92652) $231.98 $1,021.94 1.1×
Airway inhalation treatment (94640) $105.50 $464.76 0.5×
Analyze Neurostim Complex (95972) $176.72 $778.49 1.9×
Analyze neurostim no prog (95970) $33.75 $148.67 0.3×
Appl on-body injector for timed subq injection (96377) $49.25 $216.94 1.1×
Arrhythmia induction (93618) $1,339.60 $5,901.30 1.1×
Assessment of aphasia (96105) $112.75 $496.69 1.2×
Behavioral and qualitative analysis of voice and resonance (92524) $106.15 $467.64 1.0×
Blink reflex test (95933) $91.79 $404.35 1.6×
Breath Hydrogen/Methane Test (91065) $231.44 $1,019.55 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $176.04 $775.51 0.5×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,745.02 $7,687.32 0.2×
Canalith Repositioning (95992) $31.62 $139.30 0.8×
Capsule endoscopy (91110) $888.22 $3,912.86 1.0×
Car seat/bed test 60 min (94780) $76.83 $338.44 2.1×
Cardiac Stress Tst,Tracing Only (93017) $145.61 $641.44 0.7×
Cardiopulmonary exercise testing (94621) $514.53 $2,266.65 1.4×
Cardiopulmonary resuscitation (92950) $392.21 $1,727.78 1.8×
Cardioversion (92960) $515.70 $2,271.81 0.8×
Cardioversion internal (92961) $493.64 $2,174.64 0.7×
Caregiver training 1st 30 min (97550) $70.33 $309.84 1.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $35.17 $154.92 1.4×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,585.33 $15,794.41 1.1×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $4,232.19 $18,644 1.3×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$8,798.75 $38,761 0.5×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $4,200.22 $18,503.19 1.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,674.11 $16,185.49 1.1×
Cbt 1st hour (94644) $66.69 $293.80 0.5×
Chemo Admin Peritoneal Cavity (96446) $337.95 $1,488.77 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $69.50 $306.16 1.0×
Chemo inj subarach/intravent (96542) $192.64 $848.64 0.6×
Chemo IV push addl drug (96411) $95.15 $419.18 1.3×
Chemo Iv Push Sngl Drug (96409) $125.23 $551.66 0.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $201.80 $888.99 0.6×
Chemother, IV infusion, 1 hr (96413) $181.92 $801.39 0.5×
Chemother, IV infusion, ea add hr (96415) $100.90 $444.50 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $70.54 $310.76 1.0×
Chemotherapy, unspecified procedure (96549) $53.31 $234.84 1.1×
Chemotx Admn Cns Req Spinal Puncture (96450) $313.88 $1,382.72 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $116.02 $511.10 1.6×
Color/duplex Doppler, complete (93975) $448.55 $1,976 1.9×
Color/duplex Doppler, limited (93976) $272.62 $1,200.95 2.6×
Continuous Glucose Monitoring (95250) $123.73 $545.08 0.9×
Coronary artery angio s&i (93454) $3,026.16 $13,331.08 0.9×
Cpap initiation and management (94660) $236.35 $1,041.21 1.1×
Cpt initial (94667) $67.43 $297.05 0.5×
Critical care (99291) $1,013.38 $4,464.23 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $55.24 $243.36 0.3×
Demo &/or eval,pt use,aerosol device (94664) $58.17 $256.25 0.3×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $427.11 $1,881.52 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $322.25 $1,419.60 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $214.83 $946.40 2.1×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $234.33 $1,032.31 2.2×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $147.36 $649.16 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $340.59 $1,500.41 1.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $227.06 $1,000.27 2.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $360.09 $1,586.31 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $240.06 $1,057.54 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $317.41 $1,398.26 3.0×
Duplex hemodialysis access (93990) $228.83 $1,008.05 2.2×
Duplex scan extracranial art compl bi study (93880) $386.42 $1,702.27 1.6×
Echo Heart Xthoracic,Limited (93308) $194.56 $857.11 0.8×
Echo transesophageal (93312) $832.11 $3,665.68 1.5×
Echo Transthoracic - Congenital Tte Limited (93304) $374.61 $1,650.28 0.7×
EEG awake asleep (95819) $434.58 $1,914.43 2.0×
EEG awake drowsy (95816) $364.86 $1,607.32 1.7×
EEG cerebral death evaluation (95824) $284.78 $1,254.53 0.8×
EEG coma or sleep only (95822) $462.81 $2,038.82 2.1×
EEG cont rec w/video by tech min 8 channels (95700) $206.45 $909.48 1.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,054.92 $4,647.24 4.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $325.81 $1,435.28 1.5×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $485.09 $2,136.95 1.3×
EKG (93005) $40.59 $178.81 0.7×
EKG rhythm strip (93041) $35.60 $156.83 0.6×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $59.48 $262.03 0.6×
Elec alys implt cplx cn npgt prgrmg (95977) $62.90 $277.06 0.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $14.12 $62.21 0.4×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $172.51 $759.97 1.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $454.77 $2,003.40 2.1×
EMG cranial nerve bilat (95868) $253.39 $1,116.25 1.2×
EMG four extremities (95864) $111.26 $490.14 0.9×
EMG one extremity (95860) $82.60 $363.87 0.6×
EMG thoracic paraspinal (95869) $77.68 $342.18 0.4×
EMG three extremities (95863) $217.06 $956.19 1.7×
EMG two extremities (95861) $112.62 $496.13 0.8×
Endomyocardial biopsy (93505) $2,738.07 $12,062 0.9×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$10,750.42 $47,358.70 0.4×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$10,691.17 $47,097.68 0.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,665.14 $16,146 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$3,750.73 $16,523.04 0.5×
Ep Electrophysiologic F/U Study (93624)
unusually low: confirm this is the full procedure
$3,084.07 $13,586.20 0.4×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,346.66 $5,932.44 1.1×
Ep Right Ventricular Recording (93603) $1,048.12 $4,617.26 0.9×
Er level 1 (99281) $87.72 $386.43 1.0×
Er level ii (99282) $167.55 $738.12 1.1×
Er level iii (99283) $312.70 $1,377.54 1.1×
Er level IV (99284) $499.35 $2,199.76 1.2×
Er level v (99285) $754.20 $3,322.48 1.3×
Evaluation of speech fluency (92521) $89.85 $395.80 0.7×
Evaluation of speech sound production (92522) $96.80 $426.42 0.9×
Evaluation of swallowing function (92610) $97.13 $427.88 1.1×
Exercise tst brncspsm (94617) $137.78 $606.98 1.0×
External ECG rec>48hr<7d recording (93242) $146.66 $646.09 3.9×
External ECG rec>7d<15d recording (93246) $91.03 $401.02 2.4×
External Ecg Scanning Analysis Report (93226) $205.40 $904.86 3.5×
Flow volume loop (94375) $89.75 $395.37 0.4×
Fundus photography w/interpretation & report (92250) $30.37 $133.81 0.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $450 $1,982.39 1.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $246.26 $1,084.84 1.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $454.37 $2,001.64 0.5×
Group Therapeutic Procedures (97150) $28.78 $126.76 1.6×
Hast w/report (94452) $117.84 $519.12 0.9×
Hemodialysis (90935) $563.63 $2,482.97 0.8×
High altitude simulation test (94453) $174.06 $766.78 1.3×
Holter Monitor Recording (93225) $189.25 $833.68 1.4×
Icd Device Interrogate (93289) $23.50 $103.55 0.6×
Ilr Device Eval Progr (93285) $32.04 $141.14 0.9×
Immunization Admin (90471) $22.08 $97.26 0.3×
Immunotherapy, 2+ Injections (95117) $30.57 $134.68 0.7×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $228.55 $1,006.85 0.6×
Ins swan ganz bedside (93503) $1,248.33 $5,499.23 0.8×
Interrog dev eval scrms phys/qhp in person (93291) $6.69 $29.47 0.2×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure
$1,694.24 $7,463.62 0.2×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$1,694.24 $7,463.62 0.2×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$1,694.24 $7,463.62 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $58.18 $256.32 1.0×
IV infusion hydration each additional hour (96361) $65.24 $287.39 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $130.48 $574.78 0.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $93.24 $410.75 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $63.04 $277.72 0.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $70.05 $308.58 1.5×
IV push initial (96374) $64.20 $282.84 0.3×
Low frequency non-thermal us (97610) $43.67 $192.38 0.2×
Maintenance of spinal canal or brain drug infusion pump (95990) $219.17 $965.52 0.7×
Manual therapy 15 min (97140) $35.64 $157.01 1.3×
Massage 15 min (97124) $29.46 $129.79 1.0×
Maximum voluntary ventilation (94200) $62.97 $277.38 1.1×
Measurement of heart blood flow and respiration (93701) $54.67 $240.82 0.4×
Mechanical chest wall oscillation (94669) $81.15 $357.47 0.4×
Mechanical traction (97012) $31.63 $139.36 2.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $18.55 $81.71 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $17 $74.88 0.5×
Mnt Group Ea 30 Min (97804) $17.92 $78.95 1.1×
Motility study esophagus (91010) $467.51 $2,059.50 1.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $126.36 $556.66 1.4×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $52.84 $232.76 0.1×
Multiple sleep latency test (95805) $817.24 $3,600.20 1.0×
Nasopharyngoscopy (92511) $93.65 $412.56 0.5×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $98.46 $433.72 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $73.85 $325.34 0.4×
Nerve conduction studies 13/> studies (95913) $461.33 $2,032.28 1.2×
Nerve Conduction Studies 3-4 Studies (95908) $141.16 $621.84 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $304.03 $1,339.34 0.8×
Nerve conduction studies; 1-2 studies (95907) $80.64 $355.22 0.4×
Nerve conduction studies; 11-12 studies (95912) $404.21 $1,780.64 1.1×
Nerve conduction studies; 5-6 studies (95909) $217.76 $959.27 1.0×
Nerve conduction studies; 7-8 studies (95910) $239.15 $1,053.52 0.6×
Neuromuscular junction test (95937) $83.50 $367.84 0.6×
Newborn resuscitation (99465) $129.87 $572.10 0.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $152.46 $671.63 1.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $219.88 $968.60 1.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $211.15 $930.18 1.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $36.71 $161.73 0.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $47.58 $209.61 1.5×
Ot eval high complex 60 min (97167) $93.94 $413.82 0.9×
Ot eval low complex 30 min (97165) $71.51 $315 0.7×
Ot eval mod complex 45 min (97166) $76.24 $335.84 0.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $36.22 $159.54 0.7×
Ot Prosthetic Training, Each 15 Min (97761) $31.40 $138.32 0.8×
Ot Range Motion Measure,Each Extrem (95851) $41.37 $182.24 1.6×
Ot re-eval est plan care (97168) $56.96 $250.93 0.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $80.28 $353.65 0.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $80.28 $353.65 0.6×
Paraffin bath (97018) $22.38 $98.60 3.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $119.78 $527.65 0.5×
Peripheral arterial disease rehab per session (93668) $66.14 $291.35 1.1×
Phy/qhp op pulm rhb w/mntr (94626) $84.58 $372.60 1.4×
Phy/qhp op pulm rhb w/o mntr (94625) $72.58 $319.73 1.2×
Plethysmography (94726) $147.79 $651.04 0.4×
Pm device eval in person (93288) $26.16 $115.28 0.7×
Pm device progr eval dual (93280) $19.20 $84.56 0.5×
Pm device progr eval multi (93281) $28.84 $127.02 0.8×
Pm device progr eval sngl (93279) $16.20 $71.37 0.4×
Pm/Icd Remote Tech Serv (93296) $47.52 $209.35 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,535.01 $6,762.16 1.8×
Polysom <6 yrs 4/> paramtrs (95782) $1,112.18 $4,899.48 1.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,660.01 $7,312.80 1.9×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $60.87 $268.16 1.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $10.91 $48.06 0.2×
Programming of dual lead implantable defibrillator system (93283) $59.62 $262.67 1.6×
Programming of single lead implantable defibrillator system (93282) $29.90 $131.72 0.8×
Prq card revasc chronic 1vsl (92943) $7,251.52 $31,945 0.6×
Prq Card Stent W/Angio 1 Vsl (92928) $5,817.97 $25,629.84 0.5×
Prq Card Stent/Ath/Angio (92933) $9,565 $42,136.55 0.5×
Prq revasc byp graft 1 vsl (92937) $8,358.53 $36,821.72 0.7×
Prq tcat plmt ntrac st 2+les (92930)
unusually low: confirm this is the full procedure
$8,726.96 $38,444.77 0.5×
Prq trluml coronary angio/atherect one art/brnch (92924)
unusually low: confirm this is the full procedure
$5,586.58 $24,610.49 0.5×
Prq trluml coronary angioplasty one art/branch (92920) $4,524.78 $19,932.94 0.8×
Pt Aquatic Therapy/Exercises (97113) $37.59 $165.60 1.0×
Pt Electric Current Therapy (97033) $48.80 $214.98 2.6×
Pt Electrical Stimulation (97032) $31.48 $138.68 2.1×
Pt eval high complex 45 min (97163) $95.85 $422.24 1.0×
Pt eval low complex 20 min (97161) $70.37 $310 0.7×
Pt Gait Training Therapy (97116) $30.83 $135.80 1.1×
Pt group caregiver training (97552) $41.34 $182.11 1.9×
Pt Infrared Therapy (97026) $12.33 $54.31 1.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $33.01 $145.42 1.0×
Pt Physical Performance Test (97750) $36.91 $162.62 1.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $74.13 $326.56 0.8×
Pt re-evaluation (97164) $56.96 $250.93 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $31.56 $139.05 1.0×
Pt Ultrasound Therapy (97035) $29.64 $130.58 2.1×
Pt Whirlpool Therapy (97022) $35.70 $157.26 2.3×
Pulm function test by gas (94727) $94.05 $414.30 0.4×
Pulmonary stress testing (94618) $126.18 $555.84 0.9×
R & l hrt cath w/njx l ventriculog img s&i (93453) $3,851.28 $16,966 1.2×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $3,905.04 $17,202.84 1.2×
R hrt art/grft angio (93457) $5,601.62 $24,676.74 1.7×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $4,292.08 $18,907.82 1.3×
Rem interrog icpms <30 d phys/qhp (93297) $14.74 $64.93 0.4×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $14.74 $64.93 0.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $164.70 $725.54 4.4×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $183.29 $807.45 0.6×
Right heart cath (93451) $2,620.16 $11,542.54 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $93.72 $412.88 0.5×
Rom meas&reprt hand w/wo comparison normal sid (95852) $37.58 $165.55 1.8×
Rt Chest Wall Manipulation,Subsequent (94668) $48.16 $212.16 0.4×
Sensory Integration Ea 15 Min (97533) $38.38 $169.08 0.6×
Sleep study unattended (95806) $256.94 $1,131.89 1.2×
Smoking cessation > 10 min (99407) $22.22 $97.88 0.6×
Speech sound lang comprehen (92523) $135.98 $599.04 0.6×
Spirometry (94010) $102.74 $452.61 0.5×
Standardized Cognitive Performance Testing (96125) $102.59 $451.94 1.0×
Stress echo (93350) $378.97 $1,669.45 0.7×
Stress Tte Complete (93351) $457.27 $2,014.40 0.8×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $116.61 $513.71 2.5×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $116.61 $513.71 0.5×
Surfactant Admin Thru Tube (94610) $110.07 $484.88 0.5×
Temp transcutaneous pacing (92953) $250.96 $1,105.57 0.4×
Tensilon test (95857) $106.81 $470.53 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $31.87 $140.40 1.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $30.20 $133.02 1.4×
Ther/Proph/Diag Inj Sc/Im (96372) $20.45 $90.10 0.3×
Therapeutic Activities (97530) $33.90 $149.36 1.0×
Therapeutic phlebotomy (99195) $76.36 $336.38 0.6×
Tilt Table Eval (93660) $719.34 $3,168.88 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $13.98 $61.58 0.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $734.26 $3,234.63 1.3×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$11,487.34 $50,605.02 0.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $88.50 $389.88 1.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $82.11 $361.71 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $65.28 $287.56 1.4×
Unlisted Cardiovascular Service/Procedure (93799) $1,029.08 $4,533.39 8.0×
Unlisted Diagnostic Gastroenterology Procedure (91299) $97.66 $430.22 0.8×
Unlisted noninvasive vascular diagnostic study (93998) $74.74 $329.24 2.6×
Unlisted pulmonary service/procedure (94799) $59.44 $261.83 0.5×
Vasc Duplex Extrem Venous,Bilat (93970) $476.11 $2,097.39 2.0×
Vasc Duplex Scan Extracranial,Limited (93882) $257.61 $1,134.85 2.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $214.66 $945.64 1.0×
Vasopneumatic device (97016) $31.28 $137.78 2.6×
Veeg by tech 2-12 hours unmonitored (95711) $333.34 $1,468.48 1.5×
Veeg Ea 12-26 Hr Unmntr (95714) $508.11 $2,238.37 1.4×
Ventilation assist & mgmt inpatient 1st day (94002) $573.74 $2,527.47 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $503.13 $2,216.44 0.8×
Vital capacity total (94150) $61.56 $271.20 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $38.50 $169.61 1.2×