| Actinotherapy Ultraviolet Light (96900) |
— |
$258 |
— |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
— |
$315 |
— |
| Aep neurodiagnostic i&r (92653) |
— |
$773 |
— |
| Aep threshold estimation mlt frequencies i&r (92652) |
— |
$773 |
— |
| Airway Inhalation Treatment (94640) |
— |
$1,065 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$109 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$138 |
— |
| Behavral qualit analys voice (92524) |
— |
$558 |
— |
| Biofeedback training any modality (90901) |
— |
$286 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$1,065 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,076 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$16,238.57 |
— |
| Cardioversion (92960) |
— |
$6,119.15 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$19,077.70 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$21,003.86 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$254 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$262 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$1,253 |
— |
| Chemo IV push addl drug (96411) |
— |
$801 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$254 |
— |
| Chemotherapy Into Cns (96450) |
— |
$254 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$777 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$1,290 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$778 |
— |
| Chest Wall Manipulation (94668) |
— |
$442 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$410 |
— |
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines |
— |
$95–$108 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$11,362 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$33,101.95 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$728 |
— |
| Cpt initial (94667) |
— |
$735 |
— |
| Critical care first hour (99291) |
— |
$2,105 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$2,932.91 |
— |
| Dialysis One Evaluation (90945) |
— |
$104 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$410 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$897 |
— |
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines |
— |
$396–$859 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$897 |
— |
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines |
— |
$396–$859 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
— |
$410 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
— |
$897 |
— |
| Duplex up extrem art bilat (93930) |
— |
$859 |
— |
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines |
— |
$396–$897 |
— |
| ECG/monitoring and analysis (93271) |
— |
$134 |
— |
| Echo Congenital Complete (93303) |
— |
$1,932 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$897 |
— |
| Echo transesophageal (93312) |
— |
$4,517.01 |
— |
| EEG awake drowsy (95816) |
— |
$3,422 |
— |
| EEG cerebral death evaluation (95824) |
— |
$1,065 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$106 |
— |
| Electrocardiogram Tracing (93005) |
— |
$228 |
— |
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines |
— |
$288–$536 |
— |
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines |
— |
$536–$941 |
— |
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines |
— |
$941–$1,466 |
— |
| Emg 3 Extremities (95863) |
— |
$442 |
— |
| Emg 4 Extremities (95864) |
— |
$548 |
— |
Er level 1 (99281)
range across 3 matching MRF lines |
— |
$288–$358 |
— |
Er level v (99285)
range across 3 matching MRF lines |
— |
$1,466–$2,105 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$728 |
— |
| Evaluate Speech Production (92522) |
— |
$558 |
— |
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines |
— |
$246–$284 |
— |
| Evaluation of speech fluency (92521) |
— |
$558 |
— |
| Exhaled Air Analysis O2 (94680) |
— |
$442 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$446 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$130 |
— |
| Extracranial Bilat Study (93880) |
— |
$859 |
— |
Extracranial Uni/Ltd Study (93882)
range across 3 matching MRF lines |
— |
$410–$897 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$1,932 |
— |
Group Therapeutic Procedures (97150)
range across 5 matching MRF lines |
— |
$147–$317 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$16,732.24 |
— |
| Holter monitor recording (93225) |
— |
$221 |
— |
| Immunization administration (90471) |
— |
$1,953.94 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$11,362 |
— |
| Iontophoresis 15 min (97033) |
— |
$109 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$509 |
— |
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines |
— |
$160–$793 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$2,363.34 |
— |
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines |
— |
$259–$262 |
— |
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines |
— |
$164–$793 |
— |
| IV push initial (96374) |
— |
$9,190.22 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$21,081.34 |
— |
| Methacholine challenge (94070) |
— |
$1,065 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$421 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$270 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$442 |
— |
| Muscle Test One Limb (95860) |
— |
$1,839 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$680 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$1,405 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$44 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$1,839 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$1,839 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$1,065 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$1,065 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$1,065 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$1,065 |
— |
| Neuromuscular Reeducation (97112) |
— |
$109 |
— |
| Oral Function Therapy (92526) |
— |
$558 |
— |
| Oral Speech Device Eval (92597) |
— |
$250 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$95 |
— |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines |
— |
$109–$1,371 |
— |
Ot Contrast Bath Ea 15 Min (97034)
range across 3 matching MRF lines |
— |
$95–$109 |
— |
| Ot eval high complexity (97167) |
— |
$489 |
— |
| Ot Eval Low Complex (97165) |
— |
$250 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$369 |
— |
| Ot manual therapy 15 min (97140) |
— |
$109 |
— |
| Ot paraffin bath (97018) |
— |
$78 |
— |
Ot Prosthetic Training, Each 15 Min (97761)
range across 3 matching MRF lines |
— |
$95–$109 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$489 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$452 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$1,857 |
— |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
— |
$41,128.71 |
— |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
— |
$5,120 |
— |
| Phlebotomy therapeutic (99195) |
— |
$450 |
— |
| Plethysmography (94726) |
— |
$553 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$3,422 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$40,767 |
— |
| Prq Revasc Byp Graft 1 Vsl (92937) |
— |
$44,510.86 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$549 |
— |
| Pt Eval High Complex (97163) |
— |
$489 |
— |
| Pt eval low complex 20 min (97161) |
— |
$317 |
— |
| Pt Eval Mod Complex (97162) |
— |
$369 |
— |
| Pt gait training 15 min (97116) |
— |
$113 |
— |
| Pt mechanical traction (97012) |
— |
$128 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$489 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$11,362 |
— |
| R hrt coronary artery angio (93456) |
— |
$11,362 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$11,362 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$1,222 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$221 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$1,076 |
— |
| Right Heart Cath (93451) |
— |
$14,693.86 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$332 |
— |
Self Care Mngment Training (97535)
range across 3 matching MRF lines |
— |
$108–$109 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$109 |
— |
| Sleep study unattended (95806) |
— |
$1,773 |
— |
| Speech sound lang comprehen (92523) |
— |
$321 |
— |
| Spirometry (94010) |
— |
$2,118 |
— |
| Stress Tte Only (93350) |
— |
$1,932 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$101 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$113 |
— |
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines |
— |
$101–$109 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$284 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$3,531.77 |
— |
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines |
— |
$163–$801 |
— |
Therapeutic Activities (97530)
range across 3 matching MRF lines |
— |
$109–$250 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$1,778.02 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,932 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,932 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$215 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$5,388.47 |
— |
| Unlisted cardiovascular service/procedure (93799) |
— |
$19,781.71 |
— |
| Unlisted noninvasive vascular diagnostic study (93998) |
— |
$410 |
— |
| Unlisted otorhinolaryngological service (92700) |
— |
$773 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$446 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$559 |
— |
| Vasopneumatic device (97016) |
— |
$78 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$96 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$2,118 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$95 |
— |
| Whirlpool Therapy (97022) |
— |
$138 |
— |