Visits & medical services prices at Foothills Hospital

Boulder, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Acupunct w/o stimul 15 min (97810) $143 $286 4.6×
Acupunct w/stimul 15 min (97813) $143 $286 4.6×
Administration of chemotherapy into artery using push technique (96420) $513.50 $1,027 1.5×
Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) $1,471 $2,942 4.2×
Advance care planning first 30 mins (99497) $74.50 $149 0.7×
Aep hearing status deter broadband stimuli i&r (92651) $187 $374 0.8×
Aerosol inhalation pentamidine (94642) $500.50 $1,001 2.1×
Airway inhalation treatment (94640) $145.25 $290.50 0.6×
Allergy injection single (95115) $12 $24 0.2×
Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours… (93788) $926.75 $1,853.50 6.5×
Ambulatory bp recording (93786) $926.75 $1,853.50 6.5×
Analyze pacemaker system (93724) $229.50 $459 0.7×
Appl on-body injector for timed subq injection (96377) $72 $144 1.4×
Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) $138.50 $277
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $138.50 $277
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $138.50 $277
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $138.50 $277
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $97.75 $195.50
Assessment of aphasia (96105) $635 $1,270
Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) $199.75 $399.50
Behav assmt w/score & docd/stand instrument (96127) $383 $766 9.6×
Behavioral & qualit analysis voice and resonance (92524) $635 $1,270
Biofeedback training by any modality Other Outpatient (90901) $110 $220
Bioimpedance-derived physiologic cardiovascular analysis (93701) $28 $56 0.2×
Biopsy of heart lining (93505) $4,697.75 $9,395.50 1.4×
Breathing capacity test (94010) $178 $356 0.8×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $436.50 $873 1.1×
Bundle of his recording (93600)
likely a partial charge — not the full procedure
$110.50 $221 0.0×
Canalith repositioning (95992) $277 $554
Cardiopulmonary exercise testing (94621) $583.50 $1,167 1.5×
Cardiovascular procedure unlisted (93799) $2,512 $5,024 18.3×
Cardiovascular stress test (93017) $2,155.50 $4,311 9.4×
Cardioversion elective external (92960) $6,905 $13,810 9.8×
Cardioversion elective internal (92961) $1,056.50 $2,113 1.5×
Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a… (99484) $58 $116 1.5×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) $15,751.75 $31,503.50 4.6×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) $15,267.25 $30,534.50 4.4×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) $13,308.75 $26,617.50 3.8×
Chemo anti-neopl sq/im (96401) $1,258.50 $2,517 16.4×
Chemo hormon antineopl sq/im (96402) $1,258.50 $2,517 16.4×
Chemo IV infus each addl seq (96417) $147.50 $295 1.9×
Chemo IV infusion addl hr (96415) $161 $322 2.1×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $631.50 $1,263 1.8×
Color/duplex Doppler, complete (93975) $2,424.50 $4,849 9.5×
Color/duplex Doppler, limited (93976) $940 $1,880 8.4×
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $138.50 $277
Compre electrophysiologic w/o arrhyt induction (93619) $13,270 $26,540 1.6×
Compre ep eval abltj atr fib pulm vein isolation (93656) $70,168.25 $140,336.50 2.5×
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) $20,993.50 $41,987 2.5×
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) $54,105.75 $108,211.50 1.9×
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) $70,511 $141,022 2.5×
Coronary art/grft angio s&i (93455) $11,829 $23,658 3.4×
Coronary artery angio s&i (93454) $8,542.75 $17,085.50 2.5×
Cpr (92950) $634.75 $1,269.50 2.8×
Critical care ill/injured patient init 30-74 min (99291) $4,375.50 $8,751 5.0×
Debridement open wound 20 sq cm< (97597) $335.50 $671 1.6×
Delivery/birthing room resuscitation (99465) $139.50 $279 0.2×
Developmental tst admin phys/qhp 1st hour (96112) $1,036 $2,072 7.5×
Dialysis one evaluation (90945) $567.50 $1,135 1.3×
Duplex hemodialysis access (93990) $1,150 $2,300 10.3×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $879.50 $1,759 3.5×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $2,647 $5,294 10.4×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $1,015.50 $2,031 9.1×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $2,647 $5,294 10.4×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $1,320 $2,640 11.8×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $2,860.50 $5,721 25.7×
ECG monit/reprt up to 48 hrs (93226) $1,481.50 $2,963 23.5×
Echo transesophageal (93312) $4,809.50 $9,619 8.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $122 $244 0.2×
Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) $98.50 $197 0.2×
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) $4,178 $8,356 16.4×
EEG 41-60 minutes (95812) $1,081.50 $2,163 4.7×
EEG awake & asleep (95819) $915.75 $1,831.50 4.0×
EEG awake/drowsy (95816) $1,711 $3,422 7.4×
EEG coma or sleep only (95822) $915.75 $1,831.50 4.0×
EEG extended monitoring 61-119 minutes (95813) $921 $1,842 4.0×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $1,533 $3,066 3.9×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,161 $2,322 2.9×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $2,131 $4,262 5.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $709 $1,418 3.1×
EEG w/o video by tech 2-12 hr unmonitored (95705) $1,130 $2,260 4.9×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $586.50 $1,173 2.5×
EKG 12 lead tracing only (93005) $393 $786 6.2×
EKG rhythm strip (93041) $393 $786 6.2×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $48.50 $97 0.5×
Elec alys implt cplx cn npgt prgrmg (95977) $51 $102 0.5×
Elec alys implt npgt cplx sp/pn prgrmg (95972) $39.50 $79 0.4×
Elec alys implt npgt phys/qhp w/o programming (95970) $18 $36 0.1×
Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) $38 $76 0.4×
Elec alys implt smpl cn npgt prgrmg (95976) $38.50 $77 1.0×
Electroconvulsive therapy (90870) $1,802.50 $3,605 2.0×
Electrode stimulation brain (95961) $245.25 $490.50 0.3×
Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) $1,999 $3,998 1.5×
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) $6,332 $12,664 0.8×
Emergency department visit high mdm (99285) $2,699 $5,398 4.2×
Emergency department visit low mdm (99283) $255 $510 0.9×
Emergency department visit may not req phys/qhp (99281) $214.50 $429 2.4×
Emergency department visit moderate mdm (99284) $1,503.50 $3,007 3.4×
Emergency department visit straightforward mdm (99282) $453.50 $907 2.8×
EMG thoracic paraspinal (95869) $58.50 $117 0.3×
Endoscopy swallow (fees) vid (92612) $635 $1,270
Esophageal recording (93615) $42 $84 0.0×
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing without Cardiac Cath (93616) $56.50 $113 0.0×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $548.50 $1,097
Evaluate pt use of inhaler (94664) $18.50 $37 0.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) $321 $642
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $1,036 $2,072
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) $1,240.50 $2,481
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) $318.50 $637
Evaluation of speech fluency (92521) $635 $1,270
Evaluation of speech sound production articulate (92522) $635 $1,270
Evoked auditory test limited (92587) $177.50 $355 0.8×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $891.50 $1,783 6.3×
Fluidotherapy (97022) $138.50 $277
Fundus photography with interpretation and report (92250) $38 $76 0.3×
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $12 $24 0.1×
Health behavior assessment/re-assessment (96156) $87.50 $175 0.8×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $64 $128 1.6×
Health behavior ivntj group f2f 1st 30 min (96164) $9.50 $19 0.2×
Health behavior ivntj indiv f2f 1st 30 min (96158) $60.50 $121 0.3×
Hot/cold pack (97010) $30 $60
Im adm intransl/oral 1 vaccine (90473) $113.50 $227 1.5×
Imm admn sarscov2 vaccine single dose (90480) $113.50 $227 2.6×
Immunization administration (90471) $113.50 $227 1.5×
Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) $895.75 $1,791.50 0.7×
Infrared therapy (97026) $70.50 $141
Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health… (99492) $146 $292 1.3×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $130.75 $261.50 2.6×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $187.75 $375.50 0.8×
Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) $1,073.50 $2,147 0.6×
Interrog dev eval pm/ldls pm phys/qhp in person (93288) $107.75 $215.50 2.7×
Interrog device eval heart (93289) $33.50 $67 0.8×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) $20.50 $41 0.5×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) $17.50 $35 0.6×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) $35 $70 0.9×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93292) $20.50 $41 0.5×
Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) $147 $294 3.7×
Interrogation vad in prson w/phys/qhp analysis (93750) $39 $78 0.4×
Intra-atrial pacing (93610)
likely a partial charge — not the full procedure
$153.50 $307 0.0×
Intra-atrial recording (93602)
likely a partial charge — not the full procedure
$109 $218 0.0×
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) $16,827 $33,654 2.0×
Intraventricular pacing (93612)
likely a partial charge — not the full procedure
$151.50 $303 0.0×
Irrigaj implntd venous access drug delivery syst (96523) $115.50 $231 1.8×
IV infusion hydration each additional hour (96361) $222.50 $445 4.5×
IV infusion hydration initial 31 min-1 hour (96360) $783.50 $1,567 3.5×
IV infusion ther proph addl sequential to 1 hr (96367) $170 $340 2.2×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $575.25 $1,150.50 2.5×
IV tx, each additional hour (96366) $222.50 $445 4.5×
Low frequency non-thermal us (97610) $18 $36 0.1×
Lwr xtr vasc stdy bilat (93924) $1,795.50 $3,591 7.8×
Maximum voluntary ventilation (94200) $4.50 $9 0.1×
Measurement of brain wave activity (EEG) to evaluate brain death (95824) $38 $76 0.1×
Mechanical traction therapy (97012) $52 $104
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $32.50 $65
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $27.50 $55
Methacholine challenge (94070) $1,247.75 $2,495.50 3.1×
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $635 $1,270
Multiple sleep latency (95805) $3,240.50 $6,481 3.5×
Muscle test 3 limbs (95863) $154 $308 1.1×
Nasopharyngoscopy (92511) $350 $700 1.6×
Ndl EMG 4 xtr w/wo related paraspinal areas (95864) $169.50 $339 1.2×
Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) $120.75 $241.50 0.9×
Needle electromyography; 1 extremity with or without related paraspinal areas (95860) $82.25 $164.50 0.6×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $52.50 $105 0.4×
Neg pressure wound therapy non dme </= 50 sq cm (97607) $907 $1,814 2.1×
Neg pressure wound therapy non dme >50 sq cm (97608) $465.75 $931.50 1.1×
Negative pressure wound therapy dme </= 50 sq cm (97605) $143.75 $287.50 0.7×
Negative pressure wound therapy dme >50 sq cm (97606) $181 $362 0.4×
Nerve conduction studies 1-2 studies (95907) $71.75 $143.50 0.3×
Nerve conduction studies 11-12 studies (95912) $250 $500 0.6×
Nerve conduction studies 13/> studies (95913) $288.50 $577 0.7×
Nerve conduction studies 3-4 studies (95908) $89.25 $178.50 0.4×
Nerve conduction studies 5-6 studies (95909) $106.75 $213.50 0.5×
Nerve conduction studies 7-8 studies (95910) $140.25 $280.50 0.4×
Nerve conduction studies 9-10 studies (95911) $171.50 $343 0.4×
Neuromuscular junction test (95937) $70.25 $140.50 0.5×
Non-invasive physiologic study extremity 3 levels (93923) $2,059 $4,118 8.9×
Noninvasive ear/pulse oximetry overnight monitor (94762) $26.50 $53 0.2×
Occupational therapy eval high complex 60 mins (97167) $490.50 $981
Occupational therapy eval low complex 30 mins (97165) $490.50 $981
Occupational therapy eval mod complex 45 mins (97166) $490.50 $981
Oral function therapy (92526) $553.50 $1,107
Oral speech device eval (92597) $635 $1,270
Orthc/prostc mgmt sbsq enc (97763) $145.75 $291.50
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $153 $306
Osteopath manj 1-2 regions (98925) $23 $46 1.0×
Osteopath manj 3-4 regions (98926) $34.50 $69 1.5×
Osteopath manj 9-10 regions (98929) $69 $138 3.0×
Osteopathic manipulative tx 5-6 body regions (98927) $45.50 $91 2.0×
Osteopathic manipulative tx 7-8 body regions (98928) $57.50 $115 2.5×
Ot manual therapy ea 15 min (97140) $138.50 $277
Ot neuromuscular re-education (97112) $138.50 $277
Ot paraffin bath (97018) $30 $60
Ot re-evaluation (97168) $318.50 $637
OT Therapeutic Activities Charges (97530) $138.50 $277
Ot wheelchair management (97542) $138.50 $277
Other physical medicine or rehabilitation service or procedure (97799) $138.50 $277
Outpatient cardiac rehab w/cont ECG monitoring (93798) $648.50 $1,297 4.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $447 $894 3.3×
Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) $55.50 $111 0.9×
Perq transcath closure pda (93582) $17,922 $35,844 0.9×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $24,777 $49,554 1.3×
Perq transcath cls paravalvr leak 1 mitral valve (93590) $24,777 $49,554 1.3×
Phlebotomy therapeutic (99195) $141.75 $283.50 1.0×
Phy/qhp op pulm rhb w/mntr (94626) $505 $1,010 8.0×
Phy/qhp op pulm rhb w/o mntr (94625) $505 $1,010 8.0×
Physical therapy evaluation high complex 45 mins (97163) $490.50 $981
Physical therapy evaluation low complex 20 mins (97161) $490.50 $981
Physical therapy evaluation mod complex 30 mins (97162) $490.50 $981
Pm device progr eval multi (93281) $40.50 $81 1.0×
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $4,037.50 $8,075 4.4×
Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) $4,734.50 $9,469 5.2×
Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) $2,337 $4,674 2.6×
Prgrmg dev eval pm/ldls pm (93279) $235.50 $471 5.9×
Professional services for allergen immunotherapy; 2 or more injections (95117) $15.50 $31 0.3×
Program eval implantable in persn dual ld pacer (93280) $1,090.50 $2,181 27.4×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $40 $80 1.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93260) $40.50 $81 1.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) $487.50 $975 12.2×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) $59 $118 1.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $304 $608 7.6×
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $138.50 $277
Prq trluml coronary angio/atherect one art/brnch (92924) $8,530.75 $17,061.50 0.7×
Prq trluml coronary angioplasty one art/branch (92920) $15,413 $30,826 2.5×
Prq trluml coronary byp grft revasc one vessel (92937) $40,884 $81,768 3.3×
Prq trluml coronary stent w/angio one art/brnch (92928) $40,884 $81,768 3.3×
Prq trluml coronry chronic occlus revasc one vsl (92943) $48,773 $97,546 4.0×
Prq trluml coronry stent/ath/angio one art/brnch (92933) $48,046 $96,092 2.5×
Psych diag eval w/med srvcs (90792) $642.50 $1,285 3.4×
Psychiatric diagnostic evaluation (90791) $601 $1,202 3.2×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $277 $554 2.0×
Psytx crisis initial 60 min (90839) $279 $558 1.5×
Pt gait training 15 min (97116) $138.50 $277
Pt physical performance test (97750) $146 $292
Pt re-evaluation (97164) $318.50 $637
Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) $554 $1,108
Pulm funct tst plethysmograp (94726) $272 $544 0.7×
R hrt art/grft angio (93457) $14,281.50 $28,563 4.1×
R hrt cath chd w/img cath trgt zone nml nt connj (93593) $182.75 $365.50 0.1×
R hrt coronary artery angio (93456) $10,381.75 $20,763.50 3.0×
R&l hrt art/ventricle angio (93461) $17,665.25 $35,330.50 5.1×
R&l hrt cath w/ventriclgrphy (93453) $7,924 $15,848 2.3×
Refilling and maintenance of portable pump (96521) $322.50 $645 1.4×
Remote 30 day ECG rev/report (93270) $20.50 $41 0.5×
Repet tms tx initial w/map/motr threshld/del&m (90867) $397.50 $795 1.7×
Repet tms tx subseq motr threshld w/deliv & mn (90869) $397.50 $795 1.7×
Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) $39 $78 0.1×
Right heart cath o2 saturation & cardiac output (93451) $7,557.25 $15,114.50 2.2×
Right ventricular recording (93603) $2,702 $5,404 2.1×
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $138.50 $277
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $138.25 $276.50
Sleep study attended (95807) $1,232 $2,464 3.1×
Speech sound lang comprehen (92523) $635 $1,270
Standardized cognitive performance testing (96125) $635 $1,270
Stress tte only (93350) $2,391.25 $4,782.50 4.1×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $72 $144 1.4×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $358.50 $717 1.6×
Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care… (99493) $134 $268 1.2×
Surfactant administration (94610) $55.50 $111 0.2×
Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) $184.50 $369
Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) $277 $554
Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) $92 $184
Temp transcutaneous pacing (92953) $440.50 $881 0.6×
Test for hearing various pitches using earphone (92552) $41 $82 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $138.50 $277
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $138.50 $277
Therap repetitive tms tx subseq delivery & mng (90868) $397.50 $795 1.7×
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $226.50 $453
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $138.50 $277
Therapeutic prophylactic/dx injection subq/im (96372) $113.50 $227 1.5×
Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) $506.50 $1,013
Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) $553.50 $1,107
Tilt table evaluation (93660) $2,303.25 $4,606.50 5.8×
Tobacco use cessation intensive >10 minutes (99407) $24.50 $49 0.6×
Tobacco use cessation intermediate 3-10 minutes (99406) $12 $24 0.3×
Trans care mgmt 14 day disch (99495) $138.50 $277 1.0×
Trans care mgmt 7 day disch (99496) $187.50 $375 1.3×
Transcath closure of asd (93580)
unusually low — confirm this is the full procedure
$9,424.50 $18,849 0.5×
Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) $4,809.50 $9,619 8.3×
Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes… (93293) $14 $28 0.4×
Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) $405 $810 0.7×
Tte congenital complete (93303) $2,439.50 $4,879 4.2×
Tte f-up or lmtd (93308) $2,048 $4,096 8.0×
Tte w/doppler complete (93306) $4,819 $9,638 8.3×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $507 $1,014
Tx speech language voice commj auditry 2/>indiv (92508) $226.50 $453
Ultraviolet therapy (97028) $70.50 $141
Upr/l xtremity art 2 levels (93922) $686 $1,372 4.8×
Valvuloplasty aortic valve (92986) $8,772.50 $17,545 1.4×
Valvuloplasty mitral valve (92987) $17,097.50 $34,195 1.4×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,929.50 $3,859 4.8×
Ventilation ip/obs initial day (94002) $89 $178 0.1×
Ventilator subsequent day (94003) $63 $126 0.1×
Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) $277 $554
Wound(s) care non-selective (97602) $263.50 $527 1.2×