| Airway Inhalation Treatment (94640) |
$227.07 |
$841 |
1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$47.25 |
$175 |
3.3× |
| Application Modality 1/> Areas Infrared (97026) |
$46.17 |
$171 |
6.9× |
| Assessment of aphasia per hr (96105) |
$84.24 |
$312 |
0.9× |
| Behavral qualit analys voice (92524) |
$148.50 |
$550 |
1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$300.24 |
$1,112 |
0.8× |
| Canalith repositioning proc (95992) |
$98.01 |
$363 |
2.4× |
| Car seat/bed test 60 min (94780) |
$53.73 |
$199 |
1.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$915.30 |
$3,390 |
4.4× |
| Cardiopulmonary exercise testing (94621) |
$690.93 |
$2,559 |
1.9× |
| Cardiopulmonary resuscitation (92950) |
$714.69 |
$2,647 |
3.4× |
| Cardioversion (92960) |
$1,017.90 |
$3,770 |
1.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$3,944.70 |
$14,610 |
1.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,954.15 |
$14,645 |
1.3× |
| Cbt 1st hour (94644) |
$118.53 |
$439 |
0.9× |
| Chemo Anti-Neopl Sq/Im (96401) |
$39.15 |
$145 |
0.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$39.15 |
$145 |
0.6× |
| Chemo IV infusion addl hr (96415) |
$89.37 |
$331 |
1.3× |
| Chemo IV push addl drug (96411) |
$81.54 |
$302 |
1.2× |
| Chemother Prolong Infuse W/Pump (96416) |
$219.78 |
$814 |
0.7× |
| Chemotherapy Into Cns (96450) |
$294.57 |
$1,091 |
0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$81.54 |
$302 |
1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$255.42 |
$946 |
0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$159.84 |
$592 |
0.5× |
| Chest Wall Manipulation (94668) |
$92.88 |
$344 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$231.66 |
$858 |
1.0× |
| Color/duplex Doppler, limited (93976) |
$675 |
$2,500 |
6.6× |
| Continuous Pulse Ox (94762) |
$325.35 |
$1,205 |
2.6× |
| Coronary Artery Angio S&I (93454) |
$3,954.69 |
$14,647 |
1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$634.77 |
$2,351 |
3.0× |
| Cpt initial (94667) |
$95.58 |
$354 |
0.7× |
| Critical care first hour (99291) |
$798.66 |
$2,958 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$163.89 |
$607 |
0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$282.69 |
$1,047 |
2.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$339.66 |
$1,258 |
1.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$369.90 |
$1,370 |
3.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$378.54 |
$1,402 |
1.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$282.96 |
$1,048 |
2.8× |
| Duplex up extrem art bilat (93930) |
$220.32 |
$816 |
1.0× |
| Duplex up extrem art unilat/ltd (93931) |
$123.66 |
$458 |
1.2× |
| Echo Congenital Complete (93303) |
$1,248.48 |
$4,624 |
2.4× |
| Echo Heart Xthoracic,Limited (93308) |
$469.26 |
$1,738 |
2.0× |
| Echo transesophageal (93312) |
$1,196.10 |
$4,430 |
2.3× |
| EEG awake and asleep (95819) |
$607.77 |
$2,251 |
2.9× |
| EEG awake drowsy (95816) |
$607.77 |
$2,251 |
2.9× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$457.38 |
$1,694 |
1.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$52.92 |
$196 |
3.6× |
| Electrocardiogram Tracing (93005) |
$93.15 |
$345 |
1.6× |
| Emergency Dept Visit Level 2 (99282) |
$199.26 |
$738 |
1.3× |
| Emergency Dept Visit Level 3 (99283) |
$269.19 |
$997 |
1.0× |
| Emergency Dept Visit Level 4 (99284) |
$438.48 |
$1,624 |
1.1× |
| Endomyocardial Biopsy (93505) |
$3,287.52 |
$12,176 |
1.1× |
| Er level 1 (99281) |
$160.92 |
$596 |
2.0× |
| Er level v (99285) |
$634.23 |
$2,349 |
1.1× |
| Evaluate pt use of inhaler (94664) |
$79.92 |
$296 |
0.4× |
| Evaluate Speech Production (92522) |
$148.50 |
$550 |
1.3× |
| Evaluate Swallowing Function (92610) |
$153.63 |
$569 |
1.8× |
| Evaluation of speech fluency (92521) |
$148.50 |
$550 |
1.1× |
| External ECG rec>48hr<7d recording (93242) |
$50.76 |
$188 |
1.4× |
| External ECG rec>7d<15d recording (93246) |
$66.15 |
$245 |
1.8× |
| Extracranial Bilat Study (93880) |
$602.37 |
$2,231 |
2.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$533.52 |
$1,976 |
1.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$3,199.50 |
$11,850 |
1.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$2,066.31 |
$7,653 |
3.1× |
| Holter monitor recording (93225) |
$133.38 |
$494 |
1.0× |
| Immunization administration (90471) |
$78.03 |
$289 |
1.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$694.98 |
$2,574 |
1.9× |
| Insert/Place Heart Catheter (93503) |
$1,662.93 |
$6,159 |
1.1× |
| Iontophoresis 15 min (97033) |
$56.43 |
$209 |
3.0× |
| Irrig Drug Delivery Device (96523) |
$326.43 |
$1,209 |
5.7× |
| IV infusion hydration each additional hour (96361) |
$85.59 |
$317 |
1.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$238.95 |
$885 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$85.86 |
$318 |
1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$87.48 |
$324 |
1.9× |
| IV push initial (96374) |
$87.75 |
$325 |
0.4× |
| L Hrt Art/Grft Angio (93459) |
$9,114.66 |
$33,758 |
2.9× |
| Mechanical chest wall oscillation per session (94669) |
$278.91 |
$1,033 |
1.3× |
| Methacholine challenge (94070) |
$870.48 |
$3,224 |
2.4× |
| Motion Fluoroscopy/Swallow (92611) |
$186.30 |
$690 |
2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$163.89 |
$607 |
0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$315.36 |
$1,168 |
0.8× |
| Neuromuscular Reeducation (97112) |
$54 |
$200 |
1.6× |
| Newborn resuscitation (99465) |
$292.68 |
$1,084 |
0.5× |
| Oral Function Therapy (92526) |
$106.38 |
$394 |
1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$45.36 |
$168 |
1.0× |
| Ot eval high complexity (97167) |
$142.56 |
$528 |
1.4× |
| Ot Eval Low Complex (97165) |
$142.56 |
$528 |
1.4× |
| Ot Eval Moderate Complexity (97166) |
$142.56 |
$528 |
1.4× |
| Ot manual therapy 15 min (97140) |
$38.88 |
$144 |
1.4× |
| Ot Re-Eval Est Plan Care (97168) |
$54 |
$200 |
0.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$123.39 |
$457 |
1.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$123.39 |
$457 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$59.13 |
$219 |
1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$6,720.03 |
$24,889 |
1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$13,582.08 |
$50,304 |
1.2× |
| Physical Performance Test (97750) |
$60.21 |
$223 |
1.8× |
| Plethysmography (94726) |
$120.15 |
$445 |
0.3× |
| Prq Card Angio/Athrect 1 Art (92924) |
$13,582.08 |
$50,304 |
1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$13,582.08 |
$50,304 |
1.2× |
| Prq Card Stent/Ath/Angio (92933) |
$20,586.96 |
$76,248 |
1.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$13,582.08 |
$50,304 |
1.2× |
| Pt Eval High Complex (97163) |
$142.83 |
$529 |
1.5× |
| Pt eval low complex 20 min (97161) |
$142.83 |
$529 |
1.5× |
| Pt Eval Mod Complex (97162) |
$142.83 |
$529 |
1.5× |
| Pt gait training 15 min (97116) |
$36.72 |
$136 |
1.3× |
| Pt mechanical traction (97012) |
$81.81 |
$303 |
5.7× |
| Pt Re-Eval Est Plan Care (97164) |
$89.64 |
$332 |
1.3× |
| Pulm function test by gas (94727) |
$119.88 |
$444 |
0.6× |
Pulmonary service/procedure (94799)
range across 2 matching MRF lines |
$156.60–$211.41 |
$580–$783 |
varies |
| R hrt coronary artery angio (93456) |
$3,954.15 |
$14,645 |
1.3× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$8,026.02 |
$29,726 |
2.5× |
| Refill/Maint Portable Pump (96521) |
$146.07 |
$541 |
0.7× |
| Respiratory flow volume loop (94375) |
$294.57 |
$1,091 |
1.4× |
| Right Heart Cath (93451) |
$3,163.05 |
$11,715 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$163.89 |
$607 |
0.8× |
| Self Care Mngment Training (97535) |
$74.79 |
$277 |
2.3× |
| Speech sound lang comprehen (92523) |
$148.50 |
$550 |
0.7× |
| Spirometry (94010) |
$166.86 |
$618 |
0.8× |
| Standardized Cognitive Performance Testing (96125) |
$153.09 |
$567 |
1.5× |
| Stress Tte Only (93350) |
$740.07 |
$2,741 |
1.4× |
| Surfactant Admin Thru Tube (94610) |
$325.08 |
$1,204 |
1.5× |
| Temp transcutaneous pacing (92953) |
$670.41 |
$2,483 |
1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$35.10 |
$130 |
1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$35.10 |
$130 |
1.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$44.82 |
$166 |
1.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$61.56 |
$228 |
2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$69.66 |
$258 |
1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$241.92 |
$896 |
1.2× |
| Therapeutic Activities (97530) |
$58.32 |
$216 |
1.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$312.12 |
$1,156 |
0.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$34.83 |
$129 |
1.0× |
| Tte w/doppler, complete (93306) |
$724.41 |
$2,683 |
1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$103.95 |
$385 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$87.48 |
$324 |
1.9× |
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines |
$260.82–$3,114.99 |
$966–$11,537 |
varies |
| Upr/L Xtremity Art 2 Levels (93922) |
$209.79 |
$777 |
1.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$486.27 |
$1,801 |
2.3× |
| Vent Mgmt Inpat Init Day (94002) |
$1,902.15 |
$7,045 |
3.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,116.99 |
$4,137 |
1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$55.89 |
$207 |
1.8× |
| Whirlpool Therapy (97022) |
$31.05 |
$115 |
2.0× |