| Actigraphy Testing Recording Analysis I&R (95803) |
— |
$217.50 |
— |
| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$45 |
— |
| Airway Inhalation Treatment (94640) |
— |
$176 |
— |
| Airway resistance by oscillometry (94728) |
— |
$619 |
— |
| Analyze neurostim complex (95972) |
— |
$299.50 |
— |
| Analyze neurostim no prog (95970) |
— |
$299.50 |
— |
| Analyze Neurostim Simple (95971) |
— |
$299.50 |
— |
| Bioimpedance Cv Analysis (93701) |
— |
$267 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$1,103.50 |
— |
| C motor evoked uppr limbs (95928) |
— |
$2,162.25 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$899 |
— |
| Car seat/bed test 60 min (94780) |
— |
$235.25 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,190 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,311.75 |
— |
| Cardioversion (92960) |
— |
$542.50 |
— |
| Cardioversion elective internal (92961) |
— |
$1,355.75 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$14,879.75 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$14,879.75 |
— |
| Cbt 1st hour (94644) |
— |
$154.75 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$321.75 |
— |
Chemo Hormon Antineopl Sq/Im (96402)
range across 3 matching MRF lines |
— |
$78–$321.75 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$881.25 |
— |
| Chemo IV push addl drug (96411) |
— |
$321.75 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$881.25 |
— |
| Chemotherapy Into Cns (96450) |
— |
$321.75 |
— |
| Chemotherapy Intracavitary (96440) |
— |
$321.75 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$321.75 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$881.25 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$321.75 |
— |
| Chest Wall Manipulation (94668) |
— |
$107 |
— |
| Cmptr ophth dx img ant segmt (92132) |
— |
$24 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$584 |
— |
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines |
— |
$291.50–$584 |
— |
| Comprehensive Hearing Test (92557) |
— |
$62.98 |
— |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
— |
$24 |
— |
| Computerized Ophthalmic Imaging Retina (92134) |
— |
$25 |
— |
| Continuous Pulse Ox (94762) |
— |
$144.25 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$14,879.75 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$14,879.75 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$510.50 |
— |
| Cpt initial (94667) |
— |
$452.25 |
— |
| Critical care first hour (99291) |
— |
$1,330.75 |
— |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
— |
$480.25 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$247.50 |
— |
| Dialysis One Evaluation (90945) |
— |
$1,036.75 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$584 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$391.25 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$769.25 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$658 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,894.75 |
— |
Dup-scan xtr veins unilateral/limited study (93971)
range across 7 matching MRF lines |
— |
$291.50–$948 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$2,293.50 |
— |
| Duplex up extrem art bilat (93930) |
— |
$702 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$570.75 |
— |
| Echo Congenital Complete (93303) |
— |
$1,752.50 |
— |
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines |
— |
$589.75–$1,019.75 |
— |
| Echo transesophageal (93312) |
— |
$3,649.75 |
— |
| EEG awake and asleep (95819) |
— |
$1,050.25 |
— |
| EEG awake drowsy (95816) |
— |
$1,050.25 |
— |
| EEG cerebral death evaluation (95824) |
— |
$762.50 |
— |
| Eeg Sleep Only (95822) |
— |
$762.50 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$637 |
— |
| EEG wo vid ea 12-26hr unmntr (95708) |
— |
$1,174.25 |
— |
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines |
— |
$26–$290.25 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$251.50 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$324.75 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$725 |
— |
| Emg 3 Extremities (95863) |
— |
$282 |
— |
| Emg 4 Extremities (95864) |
— |
$282 |
— |
| Er level 1 (99281) |
— |
$119 |
— |
| Er level v (99285) |
— |
$1,075.75 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$452.25 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$77.75 |
— |
External ECG rec>7d<15d recording (93246)
range across 3 matching MRF lines |
— |
$23–$131.60 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$1,059.75 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,711 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$554.50 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$918.75 |
— |
| Fundus photography (92250) |
— |
$91 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$1,173.25 |
— |
| Gonioscopy (92020) |
— |
$30.39 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$14,879.75 |
— |
| Holter monitor recording (93225) |
— |
$381.25 |
— |
| Icd Device Interrogate (93289) |
— |
$104.21 |
— |
| Icd device progr eval dual (93283) |
— |
$58 |
— |
Immunization administration (90471)
range across 11 matching MRF lines |
— |
$45–$63.25 |
— |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
— |
$1,173 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$2,987.50 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$143.75 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$95.50 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$490.50 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$95.50 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$95.50 |
— |
IV push initial (96374)
range across 6 matching MRF lines |
— |
$191.25–$201.50 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$14,879.75 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$987.50 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$452.25 |
— |
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 2 matching MRF lines |
— |
$51.75–$53.25 |
— |
| Methacholine challenge (94070) |
— |
$680 |
— |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
— |
$635.50 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$4,284 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$282 |
— |
| Muscle Test Hemidiaphragm (95866) |
— |
$282 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$145 |
— |
| Muscle Test One Limb (95860) |
— |
$282 |
— |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
— |
$282 |
— |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
— |
$282 |
— |
| Needle electromyography larynx (95865) |
— |
$282 |
— |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
— |
$139.25 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$800.25 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$800.25 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$264 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$401.25 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$78 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$94 |
— |
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines |
— |
$121–$838 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$140 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$253 |
— |
| Newborn resuscitation (99465) |
— |
$651.75 |
— |
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136)
range across 2 matching MRF lines |
— |
$101–$169.75 |
— |
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004)
range across 2 matching MRF lines |
— |
$170.17–$204 |
— |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
— |
$140.63 |
— |
| Ophth medical xm&eval intermediate estab pt (92012) |
— |
$98.85 |
— |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
— |
$95.13 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$253.50 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$253.50 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$192.50 |
— |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
— |
$12,678 |
— |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
— |
$19,256 |
— |
| Phlebotomy therapeutic (99195) |
— |
$165 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$154.75 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$154.75 |
— |
| Plethysmography (94726) |
— |
$1,010.75 |
— |
| Pm device eval in person (93288) |
— |
$40 |
— |
| Pm device progr eval dual (93280) |
— |
$102.17 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$87.06 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$77 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$4,284 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$2,062.50 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$2,062.50 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$23 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$87.75 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$19,256 |
— |
| Prq Revasc Byp Graft 1 Vsl (92937) |
— |
$19,256 |
— |
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines |
— |
$105.12–$443 |
— |
| Pulm function test by gas (94727) |
— |
$770.25 |
— |
| Pulmonary service/procedure (94799) |
— |
$380 |
— |
| Pulmonary Stress Testing (94618) |
— |
$274.75 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$14,879.75 |
— |
| R hrt coronary artery angio (93456) |
— |
$14,879.75 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$14,879.75 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$351.75 |
— |
| Respiratory flow volume loop (94375) |
— |
$621.50 |
— |
| Right Heart Cath (93451) |
— |
$14,879.75 |
— |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
— |
$114 |
— |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
— |
$605.50 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$677.75 |
— |
| Sleep study attended (95807) |
— |
$4,284 |
— |
| Sleep study unattended (95806) |
— |
$414.25 |
— |
| Slp Stdy Unatnd W/Anal (95801) |
— |
$450 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$450 |
— |
| Somatosensory Testing (95938) |
— |
$677.75 |
— |
| Spin/Brain Pump Refil & Main (95991) |
— |
$545.75 |
— |
Spirometry (94010)
range across 2 matching MRF lines |
— |
$52–$384.75 |
— |
| Ssep lower limbs (95926) |
— |
$677.75 |
— |
| Stress Tte Only (93350) |
— |
$1,245 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,700.50 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 11 matching MRF lines |
— |
$45–$62 |
— |
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines |
— |
$433–$490.50 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$81 |
— |
| Transcath Closure of Asd (93580) |
— |
$34,887.75 |
— |
| Tte w/doppler, complete (93306) |
— |
$3,173.50 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$196.25 |
— |
| Tympanometry (92567) |
— |
$27.33 |
— |
| Unlisted noninvasive vascular diagnostic study (93998) |
— |
$175 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$519 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$540.75 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,407 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,407 |
— |
| Visual Field Exam Extended (92083) |
— |
$100 |
— |
| Vital capacity, total (94150) |
— |
$443 |
— |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
— |
$58 |
— |