| Airway inhalation treatment (94640) |
$140.40 |
$234 |
0.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$211.20 |
$352 |
0.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$280.20 |
$467 |
1.3× |
| Cardiopulmonary resuscitation (92950) |
$365.40 |
$609 |
1.8× |
| Cardioversion (92960) |
$585 |
$975 |
0.9× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$231 |
$385 |
0.7× |
| Chemother, IV infusion, ea add hr (96415) |
$46.20 |
$77 |
0.7× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$57.30 |
$95.50 |
0.8× |
| Chemotherapy, unspecified procedure (96549) |
$46.20 |
$77 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$57 |
$95 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$547.80 |
$913 |
2.4× |
| Cpap initiation and management (94660) |
$364.20 |
$607 |
1.7× |
| Cpt initial (94667) |
$88.20 |
$147 |
0.7× |
| Critical care (99291) |
$547.50 |
$912.50 |
0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$166.20 |
$277 |
0.9× |
| Demo &/or eval,pt use,aerosol device (94664) |
$140.40 |
$234 |
0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$367.80 |
$613 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$556.80 |
$928 |
2.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$387 |
$645 |
3.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$438 |
$730 |
1.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$387 |
$645 |
3.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$418.20 |
$697 |
4.2× |
| Duplex scan extracranial art compl bi study (93880) |
$556.80 |
$928 |
2.4× |
| EKG (93005) |
$103.80 |
$173 |
1.8× |
| Er level 1 (99281) |
$67.80 |
$113 |
0.8× |
| Er level ii (99282) |
$94.20 |
$157 |
0.6× |
| Er level iii (99283) |
$153.30 |
$255.50 |
0.6× |
| Er level IV (99284) |
$258 |
$430 |
0.6× |
| Er level v (99285) |
$387 |
$645 |
0.7× |
| Holter Monitor Recording (93225) |
$298.20 |
$497 |
2.3× |
| Immunization Admin (90471) |
$46.20 |
$77 |
0.7× |
| Injection intra arterial (96373) |
$140.40 |
$234 |
0.7× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$120 |
$200 |
2.1× |
| IV infusion hydration each additional hour (96361) |
$46.20 |
$77 |
1.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$140.40 |
$234 |
0.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$46.20 |
$77 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$140.40 |
$234 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$46.20 |
$77 |
1.0× |
| IV push initial (96374) |
$140.40 |
$234 |
0.7× |
| Manual therapy 15 min (97140) |
$40.80 |
$68 |
1.5× |
| Massage 15 min (97124) |
$40.80 |
$68 |
1.4× |
| Mechanical traction (97012) |
$24.60 |
$41 |
1.7× |
| Multiple sleep latency test (95805) |
$900 |
$1,500 |
1.1× |
| Neg press wnd tx </=50 sq cm (97607) |
$231 |
$385 |
0.6× |
| Neg press wound tx >50 cm (97608) |
$231 |
$385 |
0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$140.40 |
$234 |
0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$231 |
$385 |
0.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$105.60 |
$176 |
0.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$32.40 |
$54 |
0.7× |
| Ot Contrast Bath Ea 15 Min (97034) |
$32.40 |
$54 |
2.3× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$32.40 |
$54 |
0.6× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$32.40 |
$54 |
0.8× |
| Paraffin bath (97018) |
$16.20 |
$27 |
2.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,962.60 |
$3,271 |
2.4× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,833 |
$3,055 |
2.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,962.60 |
$3,271 |
2.4× |
| Pt Electric Current Therapy (97033) |
$32.40 |
$54 |
1.7× |
| Pt Electrical Stimulation (97032) |
$20.40 |
$34 |
1.4× |
| Pt eval high complex 45 min (97163) |
$79.20 |
$132 |
0.8× |
| Pt eval low complex 20 min (97161) |
$79.20 |
$132 |
0.8× |
| Pt Gait Training Therapy (97116) |
$32.40 |
$54 |
1.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$32.40 |
$54 |
1.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$79.20 |
$132 |
0.8× |
| Pt re-evaluation (97164) |
$40.80 |
$68 |
0.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$32.40 |
$54 |
1.0× |
| Pt Ultrasound Therapy (97035) |
$24.60 |
$41 |
1.7× |
| Pt Whirlpool Therapy (97022) |
$36 |
$60 |
2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$140.40 |
$234 |
0.7× |
| Sc Ther Infusion Reset Pump (96371) |
$126 |
$210 |
1.8× |
| Sensory Integration Ea 15 Min (97533) |
$29.40 |
$49 |
0.5× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$46.20 |
$77 |
1.0× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$140.40 |
$234 |
0.7× |
| Temp transcutaneous pacing (92953) |
$420 |
$700 |
0.7× |
| Ther/prop/diag inj/inf proc (96379) |
$73.80 |
$123 |
1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$46.20 |
$77 |
0.7× |
| Therapeutic Activities (97530) |
$32.40 |
$54 |
0.9× |
| Therapeutic phlebotomy (99195) |
$119.40 |
$199 |
0.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,113 |
$1,855 |
2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$73.80 |
$123 |
1.6× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$597 |
$995 |
2.6× |
| Vasopneumatic device (97016) |
$26.40 |
$44 |
2.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$477 |
$795 |
0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$477 |
$795 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$32.40 |
$54 |
1.0× |