| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$475.80 |
$732 |
3.9× |
| Acoustic Reflex Testing (92568) |
$174.20 |
$268 |
4.9× |
| Airway Inhalation Treatment (94640) |
$136.50 |
$210 |
0.7× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$308.75 |
$475 |
1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$89.05 |
$137 |
6.2× |
| Application on-body injector (96377) |
$94.90 |
$146 |
2.1× |
| Assessment of aphasia per hr (96105) |
$189.15 |
$291 |
1.9× |
| Assessment of tinnitus (92625) |
$149.50 |
$230 |
1.2× |
| Audiometry Air & Bone (92553) |
$286.65 |
$441 |
2.4× |
| Behavral qualit analys voice (92524) |
$183.95 |
$283 |
1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$488.15 |
$751 |
1.4× |
| Canalith repositioning proc (95992) |
$211.25 |
$325 |
5.2× |
| Car seat/bed test 60 min (94780) |
$95.55 |
$147 |
2.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$897.65 |
$1,381 |
4.4× |
| Cardiopulmonary resuscitation (92950) |
$945.75 |
$1,455 |
4.6× |
| Cardioversion (92960) |
$847.60 |
$1,304 |
1.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$52 |
$80 |
2.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$20,634.90 |
$31,746 |
6.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$14,637.35 |
$22,519 |
4.8× |
| Cbt 1st hour (94644) |
$295.75 |
$455 |
2.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$227.50 |
$350 |
3.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$232.05 |
$357 |
3.4× |
| Chemo IV infusion addl hr (96415) |
$416 |
$640 |
6.1× |
| Chemo IV push addl drug (96411) |
$161.20 |
$248 |
2.4× |
| Chemother Prolong Infuse W/Pump (96416) |
$865.80 |
$1,332 |
2.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$410.15 |
$631 |
6.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$458.25 |
$705 |
1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$337.35 |
$519 |
1.1× |
| Chest Wall Manipulation (94668) |
$108.55 |
$167 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$976.30 |
$1,502 |
4.3× |
| Color/duplex Doppler, limited (93976) |
$631.80 |
$972 |
6.4× |
| Comprehensive Hearing Test (92557) |
$502.45 |
$773 |
4.1× |
| Conditioning Play Audiometry (92582) |
$345.80 |
$532 |
2.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$300.95 |
$463 |
2.4× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$145.60 |
$224 |
2.6× |
| Continuous Pulse Ox (94762) |
$815.10 |
$1,254 |
6.7× |
| Coronary Art/Grft Angio S&I (93455) |
$6,358.95 |
$9,783 |
2.1× |
| Coronary Artery Angio S&I (93454) |
$6,358.95 |
$9,783 |
2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$802.10 |
$1,234 |
3.9× |
| Cpt initial (94667) |
$233.35 |
$359 |
1.9× |
Critical care first hour (99291) range across 3 matching MRF lines |
$2,678–$4,074.20 |
$4,120–$6,268 |
varies |
| Debridement Open Wound 20 Sq Cm< (97597) |
$472.55 |
$727 |
2.5× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$416 |
$640 |
3.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$373.10 |
$574 |
1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,200.55 |
$1,847 |
5.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$843.05 |
$1,297 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,093.95 |
$1,683 |
11.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,499.55 |
$2,307 |
6.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,153.75 |
$1,775 |
11.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,499.55 |
$2,307 |
6.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$725.40 |
$1,116 |
7.3× |
| Duplex Scan Hemodialysis Access (93990) |
$451.75 |
$695 |
4.6× |
| Duplex up extrem art bilat (93930) |
$1,052.35 |
$1,619 |
4.7× |
| Duplex up extrem art unilat/ltd (93931) |
$725.40 |
$1,116 |
7.3× |
| Echo Congenital Complete (93303) |
$1,957.80 |
$3,012 |
3.8× |
| Echo Heart Xthoracic,Limited (93308) |
$877.50 |
$1,350 |
3.9× |
| Echo transesophageal (93312) |
$2,148.25 |
$3,305 |
4.2× |
| Eeg 41-60 Minutes (95812) |
$1,014 |
$1,560 |
5.0× |
| EEG awake and asleep (95819) |
$1,014 |
$1,560 |
5.0× |
| EEG awake drowsy (95816) |
$1,014 |
$1,560 |
5.0× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,014 |
$1,560 |
5.0× |
| Electrical Stimulation Ea 15 Min (97032) |
$96.20 |
$148 |
6.5× |
| Electrocardiogram Tracing (93005) |
$204.75 |
$315 |
3.7× |
| Electroconvulsive Therapy (90870) |
$1,364.35 |
$2,099 |
1.7× |
| Emergency Dept Visit Level 2 (99282) |
$521.95 |
$803 |
3.6× |
| Emergency Dept Visit Level 3 (99283) |
$693.55 |
$1,067 |
2.7× |
| Emergency Dept Visit Level 4 (99284) |
$1,054.30 |
$1,622 |
2.7× |
| Er level 1 (99281) |
$396.50 |
$610 |
5.0× |
| Er level v (99285) |
$1,992.90 |
$3,066 |
3.5× |
| Evaluate pt use of inhaler (94664) |
$233.35 |
$359 |
1.1× |
| Evaluate Speech Production (92522) |
$176.15 |
$271 |
1.6× |
| Evaluate Swallowing Function (92610) |
$180.05 |
$277 |
2.1× |
| Evaluation of speech fluency (92521) |
$217.10 |
$334 |
1.6× |
| Evoked Auditory Test,Limited (92587) |
$373.10 |
$574 |
1.8× |
| External ECG rec>48hr<7d recording (93242) |
$488.80 |
$752 |
13.8× |
| External ECG rec>7d<15d recording (93246) |
$796.25 |
$1,225 |
22.5× |
| External Ecg Scanning Analysis Report (93226) |
$441.35 |
$679 |
7.9× |
| Extracranial Bilat Study (93880) |
$1,093.95 |
$1,683 |
4.8× |
| Extracranial Uni/Ltd Study (93882) |
$851.50 |
$1,310 |
8.6× |
| Group Therapeutic Procedures (97150) |
$97.50 |
$150 |
5.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$21,481.85 |
$33,049 |
7.0× |
| Holter monitor recording (93225) |
$503.75 |
$775 |
4.0× |
| Immunization administration (90471) |
$68.90 |
$106 |
1.0× |
| Iontophoresis 15 min (97033) |
$133.25 |
$205 |
7.0× |
| Irrig Drug Delivery Device (96523) |
$250.25 |
$385 |
4.5× |
| IV infusion hydration each additional hour (96361) |
$211.90 |
$326 |
4.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$334.75 |
$515 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$114.40 |
$176 |
1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$219.70 |
$338 |
5.0× |
| IV push initial (96374) |
$186.55 |
$287 |
0.9× |
| L Hrt Art/Grft Angio (93459) |
$15,484.30 |
$23,822 |
5.0× |
| Low frequency non-thermal us (97610) |
$465.40 |
$716 |
2.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$2,052.05 |
$3,157 |
10.0× |
| Mechanical chest wall oscillation per session (94669) |
$139.10 |
$214 |
0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$41.60 |
$64 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$47.45 |
$73 |
1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$48.75 |
$75 |
2.9× |
| Motion Fluoroscopy/Swallow (92611) |
$380.90 |
$586 |
4.2× |
| Multiple Sleep Latency Test (95805) |
$4,297.80 |
$6,612 |
5.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$806 |
$1,240 |
2.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$801.45 |
$1,233 |
2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$382.20 |
$588 |
2.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$557.70 |
$858 |
1.5× |
| Neuromuscular Reeducation (97112) |
$146.25 |
$225 |
4.5× |
| Newborn resuscitation (99465) |
$879.45 |
$1,353 |
1.4× |
| Oral Function Therapy (92526) |
$174.85 |
$269 |
2.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$104 |
$160 |
2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$98.80 |
$152 |
2.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$37.05 |
$57 |
1.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$45.50 |
$70 |
3.2× |
| Ot eval high complexity (97167) |
$270.40 |
$416 |
2.7× |
| Ot Eval Low Complex (97165) |
$175.50 |
$270 |
1.7× |
| Ot Eval Moderate Complexity (97166) |
$224.25 |
$345 |
2.2× |
| Ot manual therapy 15 min (97140) |
$126.10 |
$194 |
4.5× |
| Ot paraffin bath (97018) |
$74.10 |
$114 |
12.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$105.30 |
$162 |
2.6× |
| Ot Re-Eval Est Plan Care (97168) |
$104 |
$160 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$154.05 |
$237 |
1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$137.15 |
$211 |
1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$179.40 |
$276 |
0.9× |
| Phlebotomy therapeutic (99195) |
$219.70 |
$338 |
1.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$146.25 |
$225 |
2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$146.25 |
$225 |
2.6× |
| Physical Performance Test (97750) |
$117 |
$180 |
3.5× |
| Plethysmography (94726) |
$645.45 |
$993 |
1.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$6,582.55 |
$10,127 |
8.1× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,859.35 |
$4,399 |
3.5× |
| Pt Eval High Complex (97163) |
$196.95 |
$303 |
2.0× |
| Pt eval low complex 20 min (97161) |
$175.50 |
$270 |
1.8× |
| Pt Eval Mod Complex (97162) |
$185.25 |
$285 |
1.9× |
| Pt gait training 15 min (97116) |
$117.65 |
$181 |
4.0× |
| Pt mechanical traction (97012) |
$89.05 |
$137 |
6.2× |
| Pt Re-Eval Est Plan Care (97164) |
$104 |
$160 |
1.5× |
| Pulm function test by gas (94727) |
$304.20 |
$468 |
1.5× |
| Pulmonary service/procedure (94799) |
$236.60 |
$364 |
1.9× |
| Pulmonary Stress Testing (94618) |
$188.50 |
$290 |
1.5× |
| Pure Tone Audiometry Air (92552) |
$258.05 |
$397 |
2.1× |
| R hrt coronary artery angio (93456) |
$11,724.05 |
$18,037 |
3.8× |
| Refill/Maint Portable Pump (96521) |
$908.70 |
$1,398 |
4.5× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$60.45 |
$93 |
1.7× |
| Rem ther mntr dev sply resp (98976) |
$60.45 |
$93 |
1.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$131.95 |
$203 |
3.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$190.45 |
$293 |
1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$48.10 |
$74 |
1.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$48.10 |
$74 |
0.9× |
| Right Heart Cath (93451) |
$7,976.80 |
$12,272 |
2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$338 |
$520 |
1.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$251.55 |
$387 |
2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$104.65 |
$161 |
2.2× |
| Self Care Mngment Training (97535) |
$104.65 |
$161 |
3.2× |
| Sensory Integration Ea 15 Min (97533) |
$96.85 |
$149 |
1.6× |
| Sleep study attended (95807) |
$1,242.15 |
$1,911 |
3.5× |
| Sleep study unattended (95806) |
$635.05 |
$977 |
3.1× |
| Slp caregiver training 1st 30 min (97550) |
$104.65 |
$161 |
2.0× |
| Speech Audiometry Complete (92556) |
$258.05 |
$397 |
4.6× |
| Speech audiometry threshold (92555) |
$174.20 |
$268 |
3.1× |
| Speech sound lang comprehen (92523) |
$366.60 |
$564 |
1.6× |
| Spirometry (94010) |
$236.60 |
$364 |
1.2× |
| Stress Tte Only (93350) |
$1,856.40 |
$2,856 |
3.6× |
| Temp transcutaneous pacing (92953) |
$419.90 |
$646 |
0.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$117.65 |
$181 |
3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$83.20 |
$128 |
2.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$209.30 |
$322 |
2.0× |
Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$112.45–$143 |
$173–$220 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$334.75 |
$515 |
1.7× |
| Therapeutic Activities (97530) |
$96.85 |
$149 |
2.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$1,662.05 |
$2,557 |
4.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$70.85 |
$109 |
2.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$65 |
$100 |
1.8× |
| Tte w/doppler, complete (93306) |
$2,924.35 |
$4,499 |
5.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$208 |
$320 |
2.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$136.50 |
$210 |
3.1× |
| Tympanometry (92567) |
$174.20 |
$268 |
4.9× |
| Tympanometry and reflex threshold measurements (92550) |
$346.45 |
$533 |
1.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$696.15 |
$1,071 |
5.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$731.25 |
$1,125 |
3.6× |
| Vasopneumatic device (97016) |
$146.25 |
$225 |
12.2× |
| Vent Mgmt Inpat Init Day (94002) |
$1,396.85 |
$2,149 |
2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$923 |
$1,420 |
1.6× |
| Visual reinforcement audiometry (vra) (92579) |
$319.80 |
$492 |
1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$126.75 |
$195 |
4.1× |
| Whirlpool Therapy (97022) |
$86.45 |
$133 |
5.5× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$1,443 |
$2,220 |
25.9× |