| Ablate Heart Dysrhythm Focus (93650) |
$11,194.50 |
$14,926 |
1.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$90 |
$120 |
1.8× |
| Airway Inhalation Treatment (94640) |
$617.25 |
$823 |
2.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$42.75 |
$57 |
3.0× |
| Application on-body injector (96377) |
$138 |
$184 |
2.5× |
| Behavral qualit analys voice (92524) |
$515.25 |
$687 |
4.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$910.50 |
$1,214 |
2.0× |
| Canalith repositioning proc (95992) |
$107.25 |
$143 |
2.6× |
| Car seat/bed test 60 min (94780) |
$141 |
$188 |
3.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,102.50 |
$1,470 |
4.3× |
| Cardiopulmonary exercise testing (94621) |
$589.50 |
$786 |
1.3× |
| Cardiopulmonary resuscitation (92950) |
$910.50 |
$1,214 |
3.5× |
| Cardioversion (92960) |
$1,911 |
$2,548 |
2.4× |
| Cardioversion elective internal (92961) |
$870 |
$1,160 |
1.1× |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
$55.50 |
$74 |
1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$56.25 |
$75 |
2.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$6,171.75 |
$8,229 |
1.6× |
| Chemo Anti-Neopl Sq/Im (96401) |
$214.50 |
$286 |
2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$214.50 |
$286 |
2.5× |
| Chemo Ia Push (96420) |
$264.75 |
$353 |
0.7× |
| Chemo IV infusion addl hr (96415) |
$214.50 |
$286 |
2.5× |
| Chemo IV push addl drug (96411) |
$222 |
$296 |
2.6× |
| Chemother Prolong Infuse W/Pump (96416) |
$1,080.75 |
$1,441 |
2.7× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$703.50 |
$938 |
1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$214.50 |
$286 |
2.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$1,080.75 |
$1,441 |
2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$671.25 |
$895 |
1.7× |
| Chest Wall Manipulation (94668) |
$363.75 |
$485 |
2.3× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$599.25 |
$799 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$1,035 |
$1,380 |
3.6× |
| Color/duplex Doppler, limited (93976) |
$379.50 |
$506 |
3.0× |
| Continuous Pulse Ox (94762) |
$474 |
$632 |
3.1× |
| Coronary Artery Angio S&I (93454) |
$6,171.75 |
$8,229 |
1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$617.25 |
$823 |
2.4× |
| Cpt initial (94667) |
$377.25 |
$503 |
2.4× |
| Critical care first hour (99291) |
$2,503.50 |
$3,338 |
2.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$534 |
$712 |
2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$760.50 |
$1,014 |
2.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$241.50 |
$322 |
1.9× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$651 |
$868 |
5.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$760.50 |
$1,014 |
2.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$438.75 |
$585 |
3.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$760.50 |
$1,014 |
2.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$348 |
$464 |
2.8× |
| Duplex Scan Hemodialysis Access (93990) |
$262.50 |
$350 |
2.1× |
| Duplex up extrem art bilat (93930) |
$425.25 |
$567 |
1.5× |
| Duplex up extrem art unilat/ltd (93931) |
$282 |
$376 |
2.3× |
| Echo Heart Xthoracic,Limited (93308) |
$760.50 |
$1,014 |
2.7× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,636.50 |
$2,182 |
2.5× |
| Echo transesophageal (93312) |
$1,636.50 |
$2,182 |
2.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,646 |
$3,528 |
4.0× |
| Eeg 41-60 Minutes (95812) |
$702 |
$936 |
2.7× |
| EEG awake and asleep (95819) |
$910.50 |
$1,214 |
3.5× |
| EEG awake drowsy (95816) |
$910.50 |
$1,214 |
3.5× |
| EEG extended monitoring 61-119 minutes (95813) |
$702 |
$936 |
2.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$2,073.75 |
$2,765 |
8.0× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$2,016 |
$2,688 |
7.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$2,073.75 |
$2,765 |
4.6× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$2,073.75 |
$2,765 |
4.6× |
| Electrical Stimulation Ea 15 Min (97032) |
$81 |
$108 |
5.5× |
| Electrocardiogram Tracing (93005) |
$186.75 |
$249 |
2.6× |
| Electroconvulsive Therapy (90870) |
$941.25 |
$1,255 |
0.9× |
| Emergency Dept Visit Level 2 (99282) |
$669.75 |
$893 |
3.6× |
| Emergency Dept Visit Level 3 (99283) |
$853.50 |
$1,138 |
2.6× |
| Emergency Dept Visit Level 4 (99284) |
$1,091.25 |
$1,455 |
2.2× |
| Er level 1 (99281) |
$557.25 |
$743 |
5.5× |
| Er level v (99285) |
$1,382.25 |
$1,843 |
1.9× |
| Esophageal Capsule Endoscopy (91111) |
$1,882.50 |
$2,510 |
1.7× |
| Esophagus acid perfusion test esophagitis (91030) |
$241.50 |
$322 |
0.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,574.25 |
$2,099 |
3.5× |
| Evaluate pt use of inhaler (94664) |
$57.75 |
$77 |
0.2× |
| Evaluate Speech Production (92522) |
$515.25 |
$687 |
4.6× |
| Evaluate Swallowing Function (92610) |
$543 |
$724 |
6.4× |
| Evaluation of speech fluency (92521) |
$283.50 |
$378 |
2.1× |
| Exercise test for bronchospasm (94617) |
$544.50 |
$726 |
3.4× |
| External ECG rec>48hr<7d recording (93242) |
$444.75 |
$593 |
9.9× |
| External ECG rec>7d<15d recording (93246) |
$444.75 |
$593 |
9.9× |
| External Ecg Scanning Analysis Report (93226) |
$297.75 |
$397 |
4.2× |
| Extracranial Bilat Study (93880) |
$760.50 |
$1,014 |
2.7× |
| Extracranial Uni/Ltd Study (93882) |
$334.50 |
$446 |
2.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$642 |
$856 |
1.4× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$778.21 |
$1,037.61 |
3.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,574.25 |
$2,099 |
1.5× |
| Gi tract capsule endoscopy (91110) |
$2,684.25 |
$3,579 |
2.5× |
| Group Therapeutic Procedures (97150) |
$116.25 |
$155 |
6.4× |
| Holter monitor recording (93225) |
$228 |
$304 |
1.4× |
| Icd Device Interrogate (93289) |
$72.75 |
$97 |
1.6× |
| Icd device progr eval dual (93283) |
$115.50 |
$154 |
2.6× |
| Icd Device Progr Eval Mult (93284) |
$115.50 |
$154 |
2.6× |
| Icm Device Eval (93290) |
$72 |
$96 |
1.6× |
| Ilr Device Interrogate (93291) |
$62.25 |
$83 |
1.8× |
| Immunization administration (90471) |
$214.50 |
$286 |
2.5× |
| Insert/Place Heart Catheter (93503) |
$644.25 |
$859 |
0.3× |
| Intracranial Complete Study (93886) |
$379.50 |
$506 |
1.3× |
| Irrig Drug Delivery Device (96523) |
$186.75 |
$249 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$138 |
$184 |
2.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$671.25 |
$895 |
2.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$214.50 |
$286 |
2.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$138 |
$184 |
2.5× |
| IV push initial (96374) |
$653.25 |
$871 |
2.6× |
| Liver Elastography W/O Imag W/I&R (91200) |
$401.25 |
$535 |
2.6× |
| Mechanical chest wall oscillation per session (94669) |
$579 |
$772 |
2.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$84 |
$112 |
2.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$98.25 |
$131 |
2.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$36 |
$48 |
2.1× |
| Methacholine challenge (94070) |
$910.50 |
$1,214 |
2.0× |
| Motility study esophagus (91010) |
$1,574.25 |
$2,099 |
3.5× |
| Motion Fluoroscopy/Swallow (92611) |
$543 |
$724 |
5.9× |
| Multiple Sleep Latency Test (95805) |
$2,044.50 |
$2,726 |
2.0× |
| Nasopharyngoscopy (92511) |
$549.75 |
$733 |
2.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$1,170 |
$1,560 |
2.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$988.86 |
$1,318.48 |
2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$585 |
$780 |
2.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$1,131.75 |
$1,509 |
2.3× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$474 |
$632 |
1.8× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,574.25 |
$2,099 |
3.5× |
| Nerve conduction studies 13 or more studies (95913) |
$816 |
$1,088 |
1.8× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$462.75 |
$617 |
1.8× |
| Nerve conduction studies 5-6 studies (95909) |
$910.50 |
$1,214 |
3.5× |
| Nerve conduction studies 7-8 studies (95910) |
$910.50 |
$1,214 |
2.0× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$816 |
$1,088 |
1.8× |
| Neurobehavioral Status Exam (96116) |
$910.50 |
$1,214 |
3.5× |
| Neuromuscular Reeducation (97112) |
$103.50 |
$138 |
3.2× |
| Newborn resuscitation (99465) |
$1,897.50 |
$2,530 |
2.4× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$30.75 |
$41 |
1.2× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$30.75 |
$41 |
0.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$30.75 |
$41 |
2.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$602.25 |
$803 |
1.3× |
| Oral Function Therapy (92526) |
$327 |
$436 |
3.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$169.50 |
$226 |
3.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$151.50 |
$202 |
3.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$73.50 |
$98 |
2.8× |
| Ot eval high complexity (97167) |
$309 |
$412 |
3.1× |
| Ot Eval Low Complex (97165) |
$309.75 |
$413 |
3.1× |
| Ot Eval Moderate Complexity (97166) |
$309 |
$412 |
3.1× |
| Ot manual therapy 15 min (97140) |
$98.25 |
$131 |
3.5× |
| Ot paraffin bath (97018) |
$60 |
$80 |
10.0× |
| Ot Re-Eval Est Plan Care (97168) |
$195.75 |
$261 |
2.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$454.50 |
$606 |
2.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$390 |
$520 |
2.5× |
| Penile Vascular Study,Ltd or F/U (93981) |
$600.75 |
$801 |
4.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$273.75 |
$365 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$186.75 |
$249 |
2.6× |
| Phlebotomy therapeutic (99195) |
$377.25 |
$503 |
2.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$168.75 |
$225 |
2.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$186.75 |
$249 |
2.6× |
| Plethysmography (94726) |
$200.25 |
$267 |
0.4× |
| Pm device eval in person (93288) |
$86.25 |
$115 |
1.9× |
| Pm device progr eval dual (93280) |
$115.50 |
$154 |
2.6× |
| Pm device progr eval multi (93281) |
$72 |
$96 |
1.6× |
| Pm Device Progr Eval Sngl (93279) |
$115.50 |
$154 |
2.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,039.75 |
$4,053 |
3.0× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,039.75 |
$4,053 |
3.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,425.50 |
$3,234 |
2.4× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,968 |
$2,624 |
1.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$115.50 |
$154 |
2.6× |
| Psych diag eval w/med srvcs (90792) |
$308.25 |
$411 |
1.4× |
| Psychiatric diagnostic evaluation (90791) |
$308.25 |
$411 |
1.4× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$602.25 |
$803 |
1.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$602.25 |
$803 |
3.8× |
| Pt Eval High Complex (97163) |
$300.75 |
$401 |
3.1× |
| Pt eval low complex 20 min (97161) |
$300.75 |
$401 |
3.1× |
| Pt Eval Mod Complex (97162) |
$300.75 |
$401 |
3.1× |
| Pt gait training 15 min (97116) |
$89.25 |
$119 |
3.1× |
| Pt mechanical traction (97012) |
$55.50 |
$74 |
3.9× |
| Pt Re-Eval Est Plan Care (97164) |
$204.75 |
$273 |
3.0× |
| Pulm function test by gas (94727) |
$474 |
$632 |
1.8× |
| Pulmonary Stress Testing (94618) |
$354 |
$472 |
2.2× |
| Pure Tone Audiometry Air (92552) |
$30 |
$40 |
0.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$315.75 |
$421 |
0.8× |
| Refill/Maint Portable Pump (96521) |
$241.50 |
$322 |
0.9× |
| Refill/Maint Pump/Resvr Syst (96522) |
$241.50 |
$322 |
0.9× |
| Respiratory flow volume loop (94375) |
$353.25 |
$471 |
1.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$186.75 |
$249 |
2.6× |
| Right Heart Cath (93451) |
$5,352.47 |
$7,136.62 |
1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$585 |
$780 |
2.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$72.75 |
$97 |
2.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$309 |
$412 |
2.5× |
| Self Care Mngment Training (97535) |
$99.75 |
$133 |
3.1× |
| Sleep study unattended (95806) |
$813.75 |
$1,085 |
3.1× |
| Slp caregiver training 1st 30 min (97550) |
$270.75 |
$361 |
5.1× |
| Speech sound lang comprehen (92523) |
$671.25 |
$895 |
3.0× |
| Spirometry (94010) |
$444.75 |
$593 |
1.7× |
| Stress Tte Only (93350) |
$1,636.50 |
$2,182 |
2.5× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$138 |
$184 |
2.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$671.25 |
$895 |
2.6× |
| Temp transcutaneous pacing (92953) |
$64.50 |
$86 |
0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$89.25 |
$119 |
4.0× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$89.25 |
$119 |
4.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$113.25 |
$151 |
3.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$231.75 |
$309 |
2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$214.50 |
$286 |
2.5× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$671.25 |
$895 |
2.6× |
| Therapeutic Activities (97530) |
$114.75 |
$153 |
3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$86.25 |
$115 |
1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$86.25 |
$115 |
1.9× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$341.25 |
$455 |
2.7× |
| Tte w/doppler, complete (93306) |
$1,699.50 |
$2,266 |
2.6× |
| Tte W/O Doppler Complete (93307) |
$1,018.50 |
$1,358 |
3.6× |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines |
$216–$233.25 |
$288–$311 |
varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$159.75 |
$213 |
6.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$138 |
$184 |
2.5× |
| Unlisted Special Dermatological Service/Px (96999) |
$583.50 |
$778 |
2.4× |
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines |
$377.25–$755.25 |
$503–$1,007 |
varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$696.75 |
$929 |
2.7× |
| Veeg 2-12 hr unmonitored (95711) |
$2,073.75 |
$2,765 |
8.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,073.75 |
$2,765 |
4.6× |
| Vent Mgmt Inpat Init Day (94002) |
$1,721.25 |
$2,295 |
2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,721.25 |
$2,295 |
2.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$90 |
$120 |
2.9× |
| Whirlpool Therapy (97022) |
$66.75 |
$89 |
4.3× |