Visits & medical services prices at Dignity Health, Yavapai Regional Medical Center West

Prescott, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $6,020.59 $8,114 0.7×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $48.23 $65 1.6×
Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) $51.94 $70 1.7×
Advance care planning first 30 mins (99497) $121.69 $164 1.1×
Airway inhalation treatment (94640) $166.95 $225 0.7×
Ambulatory Bp Recording (93786) $251.54 $339 1.8×
Analyze Neurostim Complex (95972) $86.08 $116 0.8×
Analyze neurostim no prog (95970) $28.20 $38 0.2×
Arrhythmia induction (93618) $330.94 $446 0.3×
Assessment of aphasia (96105) $341.32 $460 3.5×
Assmt & care planning pt w/cognitive impairment (99483) $405.14 $546 3.7×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $103.14 $139 2.7×
Basic vestibular evaluation (92540) $169.18 $228 0.7×
Behav assmt w/score & docd/stand instrument (96127) $47.49 $64 1.2×
Behavioral and qualitative analysis of voice and resonance (92524) $337.61 $455 3.1×
Blink reflex test (95933) $131.34 $177 2.1×
Breath Hydrogen/Methane Test (91065) $134.31 $181 0.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $267.12 $224 0.7×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$178.83 $241 0.0×
C motor evoked upr&lwr limbs (95939) $1,672.47 $2,254 1.8×
Caloric vestibular test w/rec bi bithermal (92537) $63.07 $85 0.5×
Caloric vestibular test w/rec bi monothermal (92538) $34.88 $47 0.2×
Canalith Repositioning (95992) $94.61 $127.50 2.3×
Capsule endoscopy (91110) $1,240.63 $1,672 1.3×
Car seat/bed test 60 min (94780) $66.78 $90 1.7×
Cardiac Stress Tst,Tracing Only (93017) $1,319.28 $1,778 5.7×
Cardiopulmonary exercise testing (94621) $455.59 $614 1.1×
Cardiopulmonary resuscitation (92950) $1,489.57 $2,007.50 6.5×
Cardioversion (92960) $986.86 $1,330 1.4×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $8,228.42 $11,089.50 2.4×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $8,502.58 $11,459 2.5×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $15,932.23 $21,472 0.8×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $9,215.64 $12,420 2.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,925.52 $12,029 2.6×
Cbt 1st hour (94644) $421.46 $568 3.0×
Chemo IV push addl drug (96411) $343.55 $463 4.5×
Chemo Iv Push Sngl Drug (96409) $385.84 $520 1.1×
Chemother, IV infusion, 1 hr (96413) $774.65 $1,044 2.2×
Chemother, IV infusion, ea add hr (96415) $218.89 $295 2.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $392.52 $529 5.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $416.27 $561 5.4×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $77.91 $105 0.7×
Color vision examination (92283) $82.37 $111 1.3×
Color/duplex Doppler, complete (93975) $638.12 $860 2.5×
Color/duplex Doppler, limited (93976) $312.39 $421 2.8×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $140.98 $190 0.7×
Computerized dynamic posturography (92548) $76.43 $103 0.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $173.63 $234 2.8×
Continuous Glucose Monitoring (95250) $347.26 $468 2.4×
Corneal Topography (92025) $55.65 $75 0.9×
Coronary artery angio s&i (93454) $6,752.58 $9,100.50 2.0×
Cpap initiation and management (94660) $400.68 $540 1.7×
Cpt initial (94667) $297.55 $401 2.1×
Critical care (99291) $2,733.53 $3,684 3.1×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $834.01 $1,124 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $55.65 $75 0.3×
Demo &/or eval,pt use,aerosol device (94664) $196.26 $264.50 0.8×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $2,348.43 $3,165 5.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $63.07 $85 0.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $58.62 $79 0.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $206.28 $278 0.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $242.64 $327 2.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $284.93 $384 1.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $334.65 $451 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $382.88 $516 3.4×
Duplex scan extracranial art compl bi study (93880) $63.82 $86 0.3×
Echo Heart Xthoracic,Limited (93308) $41.56 $56 0.2×
Echo transesophageal (93312) $1,379.01 $1,858.50 2.4×
Echo Transthoracic - Congenital Tte Complete (93303) $253.02 $341 0.4×
EEG awake drowsy (95816) $93.50 $126 0.4×
EEG cerebral death evaluation (95824) $52.69 $71 0.1×
EEG coma or sleep only (95822) $77.91 $105 0.3×
EKG (93005) $406.25 $547.50 6.5×
EKG rhythm strip (93041) $136.53 $184 2.2×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $76.43 $103 0.8×
Elec alys implt cplx cn npgt prgrmg (95977) $80.14 $108 0.8×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $60.11 $81 1.5×
Electro-oculography w/i&r (92270) $168.44 $227 1.2×
EMG cranial nerve bilat (95868) $483.05 $651 2.1×
EMG cranial nerve unilat (95867) $172.15 $232 0.7×
EMG four extremities (95864) $384.36 $518 2.8×
EMG one extremity (95860) $173.63 $234 1.2×
EMG three extremities (95863) $342.81 $462 2.5×
EMG two extremities (95861) $247.09 $333 1.7×
Endomyocardial biopsy (93505) $1,987.08 $2,678 0.6×
Ep & ablate supravent arrhyt (93653) $34,847.29 $24,343.50 1.2×
Ep & ablate ventric tachy (93654) $18,428.32 $24,836 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,286.97 $8,473 0.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,643.28 $7,605.50 0.7×
Ep Electrophysiologic F/U Study (93624) $12,427.02 $8,627.50 1.5×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,728.12 $2,329 1.3×
Ep Esophageal Recording Atria+Pacing (93616) $89.79 $121 0.1×
Ep Right Ventricular Recording (93603) $173.63 $234 0.1×
Er level 1 (99281) $211.10 $284.50 2.3×
Er level ii (99282) $405.50 $546.50 2.5×
Er level iii (99283) $622.92 $839.50 2.1×
Er level IV (99284) $1,018.40 $1,372.50 2.3×
Er level v (99285) $1,627.95 $2,194 2.6×
Esophageal recording (93615) $56.40 $76 0.0×
Esophgl balo distension dx std w/provocation (91040) $457.44 $616.50 1.1×
Evaluation of speech fluency (92521) $363.58 $490 2.7×
Evaluation of speech sound production (92522) $342.07 $461 3.1×
Evaluation of swallowing function (92610) $350.23 $472 4.1×
Evaluation with prescription of speech-generating alternative (92607) $449.66 $606 3.7×
Exam of visual field with extended testing (92083) $96.46 $130 0.7×
Exam of visual field with limited testing (92081) $51.20 $69 0.8×
Exercise tst brncspsm (94617) $48.98 $66 0.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $500.85 $675 2.5×
Flow volume loop (94375) $163.24 $220 0.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $341.32 $460 1.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $983.52 $1,325.50 1.1×
Group Therapeutic Procedures (97150) $42.30 $57 2.3×
Hemodialysis (90935) $2,050.15 $2,763 2.8×
Holter Monitor Recording (93225) $28.94 $39 0.2×
Icd Device Interrogate (93289) $56.40 $76 1.4×
Ilr Device Eval Progr (93285) $39.33 $53 1.0×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $123.92 $167 2.9×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $20.41 $27.50 0.3×
Immunization Admin (90471) $40.07 $54 0.5×
Immunotherapy, 2+ Injections (95117) $17.81 $24 0.4×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $54.17 $73 0.1×
Inital newborn e/m (99460) $143.95 $194 1.0×
Initial normal newborn care, same day discharge (99463) $168.44 $227 1.2×
Ins swan ganz bedside (93503) $3,612.06 $4,868 2.2×
Interrog dev eval icpms phys/qhp in person (93290) $31.91 $43 0.8×
Interrog dev eval scrms phys/qhp in person (93291) $27.46 $37 0.9×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure
$173.63 $234 0.0×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$246.35 $332 0.0×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$241.90 $326 0.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $142.46 $192 2.3×
IV infusion hydration each additional hour (96361) $224.83 $303 4.5×
IV infusion hydration initial 31 min-1 hour (96360) $458.56 $618 2.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $233.73 $315 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $347.26 $468 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $233.73 $315 4.7×
IV push initial (96374) $301.26 $406 1.3×
Liver elastography w/o imag w/i&r (91200) $51.20 $69 0.4×
Manual therapy 15 min (97140) $132.82 $179 4.8×
Mechanical chest wall oscillation (94669) $297.55 $401 1.3×
Mechanical traction (97012) $84.59 $114 5.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $72.72 $98 2.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $61.59 $83 1.7×
Methacholine challenge (94070) $336.88 $454 0.8×
Mnt Group Ea 30 Min (97804) $33.39 $45 2.0×
Motility study esophagus (91010) $575.06 $775 1.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $418.49 $564 4.6×
Needle electromyography larynx (95865) $200.34 $270 1.4×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $191.07 $257.50 1.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $310.90 $419 1.3×
Needle oculography 1/ xoc musc 1/both eye w/i&r (92265) $133.56 $180 2.1×
Neg press wnd tx </=50 sq cm (97607) $612.16 $825 1.4×
Neg press wound tx >50 cm (97608) $919.34 $1,239 2.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $292.72 $394.50 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $41.56 $56 0.1×
Nerve conduction studies 13/> studies (95913) $442.98 $597 1.1×
Nerve Conduction Studies 3-4 Studies (95908) $174.37 $235 0.8×
Nerve Conduction Studies 9-10 Studies (95911) $328.71 $443 0.8×
Nerve conduction studies; 1-2 studies (95907) $138.76 $187 0.6×
Nerve conduction studies; 11-12 studies (95912) $383.62 $517 1.0×
Nerve conduction studies; 5-6 studies (95909) $209.25 $282 0.9×
Nerve conduction studies; 7-8 studies (95910) $274.54 $370 0.7×
Neurobehavioral Status Exam (96116) $143.21 $193 0.6×
Neuromuscular junction test (95937) $162.50 $219 1.2×
New patient problem focused exam of visual system (92002) $127.63 $172 0.9×
Newborn resuscitation (99465) $219.64 $296 0.3×
Nitric oxide expired gas determination (95012) $43.41 $58.50 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $225.94 $304.50 1.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $191.82 $258.50 0.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $215.92 $291 1.6×
Nrpsyc tst eval phys/qhp 1st (96132) $201.09 $271 0.5×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $186.99 $252 1.3×
Ophth medical xm&eval intermediate estab pt (92012) $132.08 $178 0.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $117.24 $158 2.5×
Osteopathic manipulative tx 1-2 body regions (98925) $45.27 $61 2.0×
Osteopathic manipulative tx 3-4 body regions (98926) $65.30 $88 2.8×
Osteopathic manipulative tx 5-6 body regions (98927) $84.59 $114 3.7×
Osteopathic manipulative tx 7-8 body regions (98928) $103.88 $140 4.5×
Osteopathic manipulative tx 9-10 body regions (98929) $128.37 $173 5.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $131.34 $177 4.1×
Ot Contrast Bath Ea 15 Min (97034) $106.11 $143 7.6×
Ot eval high complex 60 min (97167) $316.10 $426 3.1×
Ot eval low complex 30 min (97165) $215.18 $290 2.1×
Ot eval mod complex 45 min (97166) $238.93 $322 2.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $135.05 $182 2.7×
Ot Prosthetic Training, Each 15 Min (97761) $99.43 $134 2.5×
Ot re-eval est plan care (97168) $176.60 $238 2.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $278.25 $375 2.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $275.29 $371 2.0×
Paraffin bath (97018) $65.30 $88 10.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $258.22 $348 1.1×
Perq Transcath Cls Mitral (93590) $16,618.58 $22,397 0.8×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $16,474.63 $22,203 0.8×
Plethysmography (94726) $521.63 $363.50 1.3×
Pm device eval in person (93288) $47.12 $63.50 1.2×
Pm device progr eval dual (93280) $57.14 $77 1.4×
Pm device progr eval multi (93281) $64.56 $87 1.6×
Pm device progr eval sngl (93279) $48.98 $66 1.2×
Pm/Icd Remote Tech Serv (93296) $37.10 $50 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $189.21 $255 0.2×
Positional Nystagmus Test (92542) $44.52 $60 0.3×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $94.24 $127 2.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15.59 $21 0.3×
Programming of dual lead implantable defibrillator system (93283) $86.82 $117 2.2×
Programming of single lead implantable defibrillator system (93282) $64.56 $87 1.6×
Prq balloon valvuloplasty aortic valve (92986) $6,610.48 $8,909 1.1×
Prq card revasc chronic 1vsl (92943) $9,292.07 $12,523 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $9,237.54 $12,449.50 0.7×
Prq Card Stent/Ath/Angio (92933) $11,353.72 $15,301.50 0.6×
Prq revasc byp graft 1 vsl (92937) $9,236.80 $12,448.50 0.7×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $15,114.17 $20,369.50 0.8×
Prq trluml coronary angio/atherect one art/brnch (92924) $9,703.88 $13,078 0.8×
Prq trluml coronary angioplasty one art/branch (92920) $6,694.70 $9,022.50 1.1×
Psych diag eval w/med srvcs (90792) $287.16 $387 1.5×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $51.94 $70 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $65.30 $88 0.5×
Pt Electric Current Therapy (97033) $55.65 $75 2.9×
Pt Electrical Stimulation (97032) $72.72 $98 4.9×
Pt eval high complex 45 min (97163) $255.99 $345 2.6×
Pt eval low complex 20 min (97161) $196.63 $265 2.0×
Pt Gait Training Therapy (97116) $83.11 $112 2.9×
Pt Infrared Therapy (97026) $7.42 $10 1.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $109.08 $147 3.3×
Pt Physical Performance Test (97750) $130.60 $176 3.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $230.02 $310 2.4×
Pt re-evaluation (97164) $148.40 $200 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $118.72 $160 3.7×
Pt Ultrasound Therapy (97035) $89.04 $120 6.2×
Pt Whirlpool Therapy (97022) $125.40 $169 8.0×
Pt-focused hlth risk assmt (96160) $157.31 $212 3.9×
Pulm function test by gas (94727) $282.70 $381 1.2×
Pulmonary stress testing (94618) $127.63 $172 0.9×
Pure Tone Audiometry Air & Bone (92553) $66.78 $90 0.5×
R & l hrt cath w/njx l ventriculog img s&i (93453) $5,730.10 $7,722.50 1.7×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $9,855.62 $13,282.50 2.8×
R hrt art/grft angio (93457) $7,051.97 $9,504 2.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $8,492.56 $11,445.50 2.5×
Rem interrog icpms <30 d phys/qhp (93297) $40.07 $54 1.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $40.07 $54 1.0×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $71.24 $96 1.8×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $207.76 $280 1.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $11.88 $16 0.3×
Right heart cath (93451) $4,833.40 $6,514 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $195.52 $263.50 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $150.63 $203 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $83.48 $112.50 1.7×
Sensory Integration Ea 15 Min (97533) $117.98 $159 1.9×
Short-latency somatosens ep std lwr limbs (95926) $1,260.66 $1,699 5.5×
Short-latency somatosens ep std upr limbs (95925) $1,260.66 $1,699 5.5×
Sinusoidal Rotational Test (92546) $195.15 $263 1.4×
Sleep study attended (95807) $594.35 $801 1.5×
Sleep study unattended (95806) $147.66 $199 0.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $243.38 $328 1.1×
Smoking cessation > 10 min (99407) $46.75 $63 1.2×
Somatosensory testing (95938) $551.31 $743 0.6×
Speech sound lang comprehen (92523) $563.18 $759 2.5×
Spirometry (94010) $154.34 $208 0.7×
Spontaneous Nystagmus Test (92541) $39.33 $53 0.3×
Standardized Cognitive Performance Testing (96125) $346.52 $467 3.4×
Stress echo (93350) $115.76 $156 0.2×
Stress Tte Complete (93351) $138.02 $186 0.2×
Test for abnormal eye movement using a moving target with recording (92544) $27.46 $37 0.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $104.63 $141 4.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $99.80 $134.50 4.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $249.32 $336 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $126.89 $171 1.7×
Therapeutic Activities (97530) $106.11 $143 3.0×
Therapeutic phlebotomy (99195) $337.62 $455 2.4×
Tilt Table Eval (93660) $161.76 $218 0.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30.43 $41 0.8×
Trans Care Mgmt 14 Day Disch (99495) $299.03 $403 2.1×
Trans Care Mgmt 7 Day Disch (99496) $404.39 $545 2.8×
Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21 (93316) $40.81 $55 0.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $118.72 $160 0.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $67.53 $91 0.3×
Tx atrial fib pulm vein isol (93656) $20,003.58 $26,959 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $292.35 $394 3.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $273.06 $368 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $301.26 $406 6.0×
Tympanometry (92567) $24.49 $33 0.6×
Unlisted Cardiovascular Service/Procedure (93799) $485.27 $654 3.5×
Unlisted pulmonary service/procedure (94799) $246.35 $332 1.8×
Vasc Duplex Extrem Venous,Bilat (93970) $786.52 $1,060 3.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $40.07 $54 0.2×
Vasopneumatic device (97016) $66.78 $90 5.6×
Ventilation assist & mgmt inpatient 1st day (94002) $2,338.79 $3,152 3.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,080.73 $1,456.50 1.6×
Visual Evoked Potential Test (95930) $2,044.96 $2,756 8.9×
Vital capacity total (94150) $246.35 $332 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $75.69 $102 2.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $167.70 $226 2.7×