| Ablate Heart Dysrhythm Focus (93650) |
— |
$1,248.48 |
— |
| Acoustic Reflex Testing (92568) |
— |
$31.92 |
— |
| Actinotherapy Ultraviolet Light (96900) |
— |
$40.62 |
— |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
— |
$354.04 |
— |
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines |
— |
$34.11–$436.71 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$55.18 |
— |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
— |
$28.59 |
— |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
— |
$325.10 |
— |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) |
— |
$226.80 |
— |
| Analyze neurostim complex (95972) |
— |
$139.51 |
— |
| Analyze neurostim no prog (95970) |
— |
$90.68 |
— |
| Analyze Neurostim Simple (95971) |
— |
$101.40 |
— |
| Analyze Pacemaker System (93724) |
— |
$655.08 |
— |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
— |
$309.26 |
— |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) |
— |
$278.92 |
— |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
— |
$226.73 |
— |
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines |
— |
$27.26–$160.57 |
— |
| Application Modality 1/> Areas Diathermy (97024) |
— |
$13.80 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$12.48 |
— |
| Arrhythmia Induction (93618) |
— |
$731.76 |
— |
| Assessment of aphasia per hr (96105) |
— |
$208.16 |
— |
| Assessment of tinnitus (92625) |
— |
$139.58 |
— |
| Audiometry Air & Bone (92553) |
— |
$71.74 |
— |
| Auditory Function, 60 Min (92620) |
— |
$186.86 |
— |
| Behavral qualit analys voice (92524) |
— |
$354.32 |
— |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
— |
$157.14 |
— |
| Bfb training ea addl 15 min (90913) |
— |
$64.46 |
— |
| Biofeedback training any modality (90901) |
— |
$77.66 |
— |
| Bioimpedance Cv Analysis (93701) |
— |
$67.58 |
— |
| Blink reflex test (95933) |
— |
$156.62 |
— |
| Breath hydrogen/methane test (91065) |
— |
$142.68 |
— |
| Breathing response to hypoxia (94450) |
— |
$139.62 |
— |
| Brief Emotional/Behav Assmt (96127) |
— |
$14.05 |
— |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines |
— |
$113.28–$769.86 |
— |
| Bundle of his recording (93600) |
— |
$394.47 |
— |
| C motor evoked uppr limbs (95928) |
— |
$421.12 |
— |
| Canalith repositioning proc (95992) |
— |
$88.02 |
— |
| Car seat/bed test 60 min (94780) |
— |
$288 |
— |
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines |
— |
$100.22–$1,147.89 |
— |
| Cardiopulmonary exercise testing (94621) |
— |
$310.68 |
— |
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines |
— |
$621.72–$1,675.43 |
— |
Cardioversion (92960)
range across 3 matching MRF lines |
— |
$509.07–$1,930 |
— |
| Cardioversion elective internal (92961) |
— |
$524.66 |
— |
Cbt 1st hour (94644)
range across 3 matching MRF lines |
— |
$92.94–$501 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$150.64 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$58.94 |
— |
| Chemo Ia Push (96420) |
— |
$198.06 |
— |
| Chemo Intralesional Over 7 (96406) |
— |
$235.12 |
— |
| Chemo intralesional up to 7 (96405) |
— |
$161.71 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$58.50 |
— |
| Chemo IV push addl drug (96411) |
— |
$111.08 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$274.79 |
— |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
— |
$324.34 |
— |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
— |
$150.42 |
— |
| Chemotherapy Into Cns (96450) |
— |
$520.82 |
— |
| Chemotherapy Intracavitary (96440) |
— |
$1,591.80 |
— |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
— |
$343.96 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$129.24 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$266.28 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$204.90 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$333.44 |
— |
| Chest Wall Manipulation (94668) |
— |
$61.36 |
— |
| Chiropract manj 3-4 regions (98941) |
— |
$81.40 |
— |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) |
— |
$56.10 |
— |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) |
— |
$105.58 |
— |
| Chron Care Mgmt Srvc 20 Min (99490) |
— |
$88.32 |
— |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
— |
$102.10 |
— |
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines |
— |
$111.57–$1,740.41 |
— |
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines |
— |
$76.27–$1,316 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$64.82 |
— |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
— |
$165 |
— |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) |
— |
$263.28 |
— |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) |
— |
$193.60 |
— |
| Comprehensive Hearing Test (92557) |
— |
$75.66 |
— |
| Computerized dynamic posturography (92548) |
— |
$215.73 |
— |
| Conditioning Play Audiometry (92582) |
— |
$136.88 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$283.02 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$107 |
— |
| Contact Lens Fit,Corneoscleral Lens (92313) |
— |
$190.14 |
— |
Continuous Pulse Ox (94762)
range across 2 matching MRF lines |
— |
$47.24–$572 |
— |
| Corneal Topography (92025) |
— |
$73.34 |
— |
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines |
— |
$125.58–$1,212.35 |
— |
Cpt initial (94667)
range across 2 matching MRF lines |
— |
$47.44–$305 |
— |
Critical care first hour (99291)
range across 4 matching MRF lines |
— |
$414.30–$4,734.57 |
— |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
— |
$431.04 |
— |
| Dark Adaptation Eye Exam (92284) |
— |
$142.32 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines |
— |
$170.32–$570.99 |
— |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
— |
$201.84 |
— |
| Dialysis One Evaluation (90945) |
— |
$171.28 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
— |
$121.78 |
— |
| Duodenal motility study (91022) |
— |
$327.36 |
— |
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines |
— |
$360.68–$1,178.39 |
— |
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines |
— |
$229.60–$756.69 |
— |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
— |
$368.10 |
— |
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines |
— |
$487–$2,845.50 |
— |
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines |
— |
$286.56–$924.58 |
— |
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 5 matching MRF lines |
— |
$291.73–$1,650.25 |
— |
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines |
— |
$206.16–$1,124.58 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$297.78 |
— |
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines |
— |
$392.26–$1,135.04 |
— |
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines |
— |
$244.62–$756.69 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
— |
$180.56 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
— |
$304.48 |
— |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) |
— |
$44.74 |
— |
| Ear and throat examination (92502) |
— |
$191.94 |
— |
| Ear Protector Evaluation (92596) |
— |
$125.40 |
— |
ECG/monitoring and analysis (93271)
range across 2 matching MRF lines |
— |
$342.79–$1,111 |
— |
Echo Congenital Complete (93303)
range across 2 matching MRF lines |
— |
$449.54–$2,554 |
— |
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines |
— |
$187.86–$880 |
— |
| Echo r-t 2d w/probe placement only (93313) |
— |
$74.14 |
— |
| Echo transesophag congen probe plcmt only (93316) |
— |
$75.79 |
— |
| Echo transesophag montr cardiac pump functj (93318) |
— |
$591.80 |
— |
| Echo transesophageal (93312) |
— |
$477.42 |
— |
| Echo Transesophageal - Congenital Tee Complete (93315) |
— |
$523.01 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$616.72 |
— |
| EEG awake and asleep (95819) |
— |
$808.56 |
— |
| EEG awake drowsy (95816) |
— |
$688.46 |
— |
| EEG cerebral death evaluation (95824) |
— |
$168.14 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$768.48 |
— |
| Eeg Sleep Only (95822) |
— |
$730.20 |
— |
| EKG signal averaged (93278) |
— |
$92.25 |
— |
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines |
— |
$29.48–$165.01 |
— |
| Electro-Oculography (92270) |
— |
$184.40 |
— |
Electrocardiogram Tracing (93005)
range across 6 matching MRF lines |
— |
$23.35–$339.90 |
— |
| Electrocochleography (92584) |
— |
$151.10 |
— |
| Electroconvulsive Therapy (90870) |
— |
$345.22 |
— |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) |
— |
$454.10 |
— |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) |
— |
$497.52 |
— |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
— |
$639.24 |
— |
| Electrophysiology Evaluation (93642) |
— |
$858.13 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$63.23 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$94.68 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$179.75 |
— |
| Emg 3 Extremities (95863) |
— |
$420.38 |
— |
| Emg 4 Extremities (95864) |
— |
$482.44 |
— |
| Endomyocardial Biopsy (93505) |
— |
$1,362.62 |
— |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
— |
$1,869.53 |
— |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
— |
$1,360.16 |
— |
| Ep Esophageal Recording Atria+Pacing (93616) |
— |
$152.57 |
— |
| Er level 1 (99281) |
— |
$32.40 |
— |
| Er level v (99285) |
— |
$265.04 |
— |
| Ergonovine provocation test (93024) |
— |
$214.74 |
— |
| Esoph Atrial Electrogram (93615) |
— |
$97.34 |
— |
| Esophageal Capsule Endoscopy (91111) |
— |
$1,522.66 |
— |
| Esophagus acid perfusion test esophagitis (91030) |
— |
$265.36 |
— |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
— |
$905.30 |
— |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
— |
$839.64 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
— |
$178.12 |
— |
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines |
— |
$32–$369 |
— |
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines |
— |
$193.61–$601 |
— |
| Evaluation of speech fluency (92521) |
— |
$354.32 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$91.98 |
— |
| Excimer laser tx psoriasis 250-500 sq cm (96921) |
— |
$502.42 |
— |
| Excimer laser tx psoriasis >500 sq cm (96922) |
— |
$605.73 |
— |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) |
— |
$497.36 |
— |
| Exhaled Air Analysis O2 (94680) |
— |
$124.23 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$113.70 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$113.70 |
— |
External Ecg Scanning Analysis Report (93226)
range across 3 matching MRF lines |
— |
$129.67–$1,129 |
— |
Extracranial Bilat Study (93880)
range across 5 matching MRF lines |
— |
$293.97–$1,710.72 |
— |
Extracranial Uni/Ltd Study (93882)
range across 3 matching MRF lines |
— |
$245.70–$1,101 |
— |
| Eye Allergy Tests (95060) |
— |
$65.78 |
— |
| Eye exam w anesth; complete (92018) |
— |
$290.46 |
— |
| Eye exam w anesth; limited (92019) |
— |
$144.48 |
— |
| Eye Exam With Photos (92230) |
— |
$129.49 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$305.28 |
— |
| Facial nerve function studies (92516) |
— |
$131.64 |
— |
| Filtered Speech Test (92571) |
— |
$50.56 |
— |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
— |
$276.02 |
— |
Flexible endoscopic eval swallow c/v rec (92612)
range across 3 matching MRF lines |
— |
$367.90–$668 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
— |
$400.78 |
— |
| Fluorescein angiography (92235) |
— |
$215.51 |
— |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
— |
$598.80 |
— |
| Fundus photography (92250) |
— |
$122.94 |
— |
| Gastric motility studies (91020) |
— |
$474.42 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$364.36 |
— |
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037)
range across 2 matching MRF lines |
— |
$102.96–$315.80 |
— |
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines |
— |
$918.16–$1,176.46 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$1,671.70 |
— |
| Gonioscopy (92020) |
— |
$54.04 |
— |
| Group Therapeutic Procedures (97150) |
— |
$36.34 |
— |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
— |
$147.64 |
— |
| High altitude simulation test (94452) |
— |
$104.90 |
— |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
— |
$144.72 |
— |
Holter monitor recording (93225)
range across 3 matching MRF lines |
— |
$73.49–$896.50 |
— |
| Hubbard tank 15 min (97036) |
— |
$67.42 |
— |
| Hypnotherapy (90880) |
— |
$211.84 |
— |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) |
— |
$24.72 |
— |
| Icd Device Interrogate (93289) |
— |
$117.82 |
— |
| Icd device progr eval dual (93283) |
— |
$166.06 |
— |
| Ilr Device Eval Progr (93285) |
— |
$94.40 |
— |
| Ilr Device Interrogate (93291) |
— |
$73.46 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$20 |
— |
Immunization administration (90471)
range across 4 matching MRF lines |
— |
$20–$164 |
— |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
— |
$457.19 |
— |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
— |
$126.49 |
— |
| Inital newborn e/m (99460) |
— |
$144.91 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$229.58 |
— |
| Interrogation eval in person wr defibrillator (93292) |
— |
$78.64 |
— |
| Intra-atrial pacing (93610) |
— |
$435.97 |
— |
| Intra-atrial recording (93602) |
— |
$320.09 |
— |
| Intracranial Complete Study (93886) |
— |
$515.04 |
— |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) |
— |
$8.91 |
— |
| Intracutaneous tests w/allergenic extracts (95024) |
— |
$15.50 |
— |
| Intraventricular pacing (93612) |
— |
$448.79 |
— |
| Io anal gast n-stim subsq (95981) |
— |
$66.84 |
— |
| Io ga n-stim subsq w/reprog (95982) |
— |
$108.34 |
— |
Iontophoresis 15 min (97033)
range across 2 matching MRF lines |
— |
$40.80–$131.41 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$51.66 |
— |
| Ischemic limb exercise test (95875) |
— |
$256.28 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$45.26 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$204.22 |
— |
| IV push initial (96374) |
— |
$76.25 |
— |
| Laryngeal Function Studies (92520) |
— |
$152.92 |
— |
| Loudness balance test (92562) |
— |
$85 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$52.72 |
— |
Lwr Xtr Vasc Stdy Bilat (93924)
range across 5 matching MRF lines |
— |
$258.38–$313.72 |
— |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) |
— |
$1,762.60 |
— |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) |
— |
$3,520.98 |
— |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
— |
$286.88 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$397.92 |
— |
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 4 matching MRF lines |
— |
$63.32–$96 |
— |
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines |
— |
$73.06–$105 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$33.46 |
— |
Methacholine challenge (94070)
range across 2 matching MRF lines |
— |
$208.77–$1,029.93 |
— |
| Microvolt T-Wave Assess (93025) |
— |
$502.11 |
— |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) |
— |
$82.34 |
— |
Motility study esophagus (91010)
range across 3 matching MRF lines |
— |
$365.72–$2,146 |
— |
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines |
— |
$193.61–$773.80 |
— |
| Multiple Family Group Psychotherapy (90849) |
— |
$81.36 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$1,032.90 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$335.64 |
— |
| Muscle Test Hemidiaphragm (95866) |
— |
$267.50 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$173.68 |
— |
| Muscle Test One Limb (95860) |
— |
$233.84 |
— |
| Narcosynthesis (90865) |
— |
$336.16 |
— |
| Nasal function studies (92512) |
— |
$115.32 |
— |
| Nasopharyngoscopy (92511) |
— |
$225.92 |
— |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
— |
$145.76 |
— |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
— |
$105.08 |
— |
Needle electromyography larynx (95865)
range across 3 matching MRF lines |
— |
$168.48–$518 |
— |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
— |
$179.64 |
— |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
— |
$394.78 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$628.88 |
— |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines |
— |
$85.76–$528.10 |
— |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines |
— |
$100.62–$687.08 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$191.58 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$168.90 |
— |
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines |
— |
$68.92–$196 |
— |
| Newborn resuscitation (99465) |
— |
$220.98 |
— |
| Nitric oxide expired gas determination (95012) |
— |
$37.96 |
— |
| Nose Allergy Test (95065) |
— |
$49.22 |
— |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
— |
$164.73 |
— |
| Oculoelectromyography (92265) |
— |
$169.42 |
— |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
— |
$134.72 |
— |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
— |
$294.26 |
— |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
— |
$246.02 |
— |
| Ophth medical xm&eval intermediate estab pt (92012) |
— |
$171.14 |
— |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
— |
$162.76 |
— |
| Ophthalmodynamometry (92260) |
— |
$37.80 |
— |
| Optokinetic Nystagmus Test (92544) |
— |
$64.02 |
— |
Oral Function Therapy (92526)
range across 2 matching MRF lines |
— |
$170.50–$260.89 |
— |
| Oral Speech Device Eval (92597) |
— |
$148.71 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$104.30 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$92.76 |
— |
| Oscillating Tracking Test (92545) |
— |
$59.46 |
— |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
— |
$62.26 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$89.76 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
— |
$117.92 |
— |
| Osteopathic manipulative tx 7-8 body regions (98928) |
— |
$143.44 |
— |
| Osteopathic manipulative tx 9-10 body regions (98929) |
— |
$171.60 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$29.92 |
— |
| Ot eval high complexity (97167) |
— |
$487.35 |
— |
| Ot Eval Low Complex (97165) |
— |
$282.75 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$385.19 |
— |
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines |
— |
$55.04–$201 |
— |
| Ot paraffin bath (97018) |
— |
$13.80 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$80.18 |
— |
| Ot rom hand (95852) |
— |
$35.96 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$49.74 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$31.97 |
— |
| Oxygen Uptake Rest Indirect (94690) |
— |
$115.47 |
— |
| Patch/Application Test Specify Number Tests (95044) |
— |
$12.19 |
— |
| Patient-initiated spirometric phys/qhp r&i only (94016) |
— |
$51.14 |
— |
| Patient-initiated spirometric recording (94015) |
— |
$57.18 |
— |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) |
— |
$108.32 |
— |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
— |
$232.04 |
— |
| Penile Vascular Study,Ltd or F/U (93981) |
— |
$302.57 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$8.47 |
— |
| Phlebotomy therapeutic (99195) |
— |
$190.70 |
— |
| Photo patch test(s) (95052) |
— |
$14.91 |
— |
| Photo Tests (95056) |
— |
$87.20 |
— |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) |
— |
$259.42 |
— |
| Photochemotx Psoralens&Ultraviolet Puva (96912) |
— |
$182.58 |
— |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
— |
$215.04 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$273 |
— |
| Physical Performance Test (97750) |
— |
$68.62 |
— |
| Plethysmography (94726) |
— |
$585.19 |
— |
Pm device eval in person (93288)
range across 4 matching MRF lines |
— |
$42.60–$85.94 |
— |
| Pm device progr eval dual (93280) |
— |
$126.54 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$107.76 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$47.90 |
— |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 5 matching MRF lines |
— |
$1,282.78–$5,896.90 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$5,384.69 |
— |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
— |
$1,269.40 |
— |
| Positional nystagmus test (92542) |
— |
$80.29 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$27.06 |
— |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) |
— |
$54.22 |
— |
| Prepj& antigen allergen immunotherapy 2 insect (95146) |
— |
$99.92 |
— |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) |
— |
$103.24 |
— |
| Prepj& antigen allergen immunotherapy 5 insect (95149) |
— |
$197.30 |
— |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
— |
$201.88 |
— |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) |
— |
$184.56 |
— |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) |
— |
$148.10 |
— |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) |
— |
$154.74 |
— |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
— |
$131.66 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$22.19 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$28.72 |
— |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) |
— |
$148.28 |
— |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) |
— |
$27.72 |
— |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) |
— |
$20.44 |
— |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
— |
$2,830.08 |
— |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
— |
$1,393.62 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$396.24 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$355.90 |
— |
| Psychoanalysis (90845) |
— |
$192.78 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$289.50 |
— |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
— |
$75.58 |
— |
| Pt Eval High Complex (97163) |
— |
$546 |
— |
| Pt eval low complex 20 min (97161) |
— |
$401 |
— |
| Pt Eval Mod Complex (97162) |
— |
$481 |
— |
Pt gait training 15 min (97116)
range across 2 matching MRF lines |
— |
$60.02–$179.73 |
— |
Pt mechanical traction (97012)
range across 2 matching MRF lines |
— |
$29.48–$168 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$172.37 |
— |
| Pt ultraviolet (97028) |
— |
$15.92 |
— |
| Pulmonary Stress Testing (94618) |
— |
$490.39 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$59.16 |
— |
| Rapid Desensitization Procedure Each Hour (95180) |
— |
$273.06 |
— |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
— |
$174.18 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$276.46 |
— |
| Refill/Maint Pump/Resvr Syst (96522) |
— |
$227.66 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$53.34 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$53.34 |
— |
Remote 30 Day Ecg Rev/Report (93270)
range across 3 matching MRF lines |
— |
$73.49–$583 |
— |
| Replacement of contact lens (92326) |
— |
$93.87 |
— |
| Respiratory flow volume loop (94375) |
— |
$76.42 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$10.80 |
— |
| Right ventricular recording (93603) |
— |
$363.73 |
— |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines |
— |
$48.54–$484 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$40.22 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$256.68 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$101.88 |
— |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) |
— |
$233.40 |
— |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
— |
$767.68 |
— |
| Select picture audiometry (92583) |
— |
$89.64 |
— |
Self Care Mngment Training (97535)
range across 2 matching MRF lines |
— |
$67.30–$115.01 |
— |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
— |
$125 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$83.36 |
— |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
— |
$252.14 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$251.26 |
— |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
— |
$197.72 |
— |
| Sleep study attended (95807) |
— |
$815 |
— |
Sleep study unattended (95806)
range across 3 matching MRF lines |
— |
$337.42–$651.27 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$1,258.50 |
— |
| Speech Audiometry Complete (92556) |
— |
$71.08 |
— |
| Speech audiometry threshold (92555) |
— |
$45.26 |
— |
| Speech sound lang comprehen (92523) |
— |
$471.78 |
— |
| Spin/Brain Pump Refil & Main (95991) |
— |
$224.54 |
— |
Spirometry (94010)
range across 3 matching MRF lines |
— |
$67.64–$526 |
— |
| Spontaneous Nystagmus Test (92541) |
— |
$80.45 |
— |
| Ssep lower limbs (95926) |
— |
$243.32 |
— |
| Staggered Spondaic Word Test (92572) |
— |
$80.56 |
— |
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines |
— |
$218.06–$354.32 |
— |
| Stenger Test Speech (92577) |
— |
$44.37 |
— |
| Stenger Test, Pure Tone (92565) |
— |
$28.70 |
— |
Stress Tte Only (93350)
range across 3 matching MRF lines |
— |
$361.50–$2,316.48 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$113.96 |
— |
| Synthetic Sentence Identification Test (92576) |
— |
$68.44 |
— |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
— |
$658.40 |
— |
| Temp transcutaneous pacing (92953) |
— |
$27.43 |
— |
| Tensilon Test (95857) |
— |
$105.94 |
— |
| Test to assess hearing loss using different tone pitches (92575) |
— |
$118.98 |
— |
| Testing Autonomic Nervous System Function (95923) |
— |
$247.62 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$115.01 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$115.01 |
— |
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines |
— |
$76.08–$144.24 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$55.90 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$213.82 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$36.30 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$33.68 |
— |
Therapeutic Activities (97530)
range across 2 matching MRF lines |
— |
$77.84–$194.51 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$311.66 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$42.55 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$22.23 |
— |
| Tone Decay Test (92563) |
— |
$57.84 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$240.79 |
— |
| Trans Care Mgmt 7 Day Disch (99496) |
— |
$340.39 |
— |
| Transcath Closure of Asd (93580) |
— |
$2,072.14 |
— |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
— |
$592.58 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$300.26 |
— |
Transtelephonic Rhythm Strip Pacemaker Eval (93293)
range across 4 matching MRF lines |
— |
$30.50–$100.26 |
— |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) |
— |
$162.62 |
— |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) |
— |
$185.70 |
— |
| Tte w/doppler, complete (93306) |
— |
$2,839.76 |
— |
Tte W/O Doppler Complete (93307)
range across 3 matching MRF lines |
— |
$306.96–$2,223.82 |
— |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines |
— |
$156.34–$295.31 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$46.52 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$31.92 |
— |
| Tympanometry (92567) |
— |
$36.35 |
— |
| Tympanometry and reflex threshold measurements (92550) |
— |
$43.52 |
— |
| Unlisted otorhinolaryngological service (92700) |
— |
$132.61 |
— |
Upr/L Xtremity Art 2 Levels (93922)
range across 5 matching MRF lines |
— |
$131.56–$506.58 |
— |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 5 matching MRF lines |
— |
$210.95–$1,026.98 |
— |
| Valvuloplasty aortic valve (92986) |
— |
$2,782.76 |
— |
| Valvuloplasty mitral valve (92987) |
— |
$2,869.14 |
— |
| Valvuloplasty pulmonary valve (92990) |
— |
$2,290.96 |
— |
| Vasopneumatic device (97016) |
— |
$25.10 |
— |
Vent Mgmt Inpat Init Day (94002)
range across 3 matching MRF lines |
— |
$189.82–$2,628 |
— |
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 3 matching MRF lines |
— |
$135.48–$1,342.71 |
— |
| Visual Evoked Potential Test (95930) |
— |
$130.96 |
— |
| Visual Field Exam Extended (92083) |
— |
$123.22 |
— |
| Visual field xm uni/bi w/interp intermed exam (92082) |
— |
$92.18 |
— |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
— |
$69.97 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$91.48 |
— |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
— |
$1,115.44 |
— |
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines |
— |
$65.48–$123.48 |
— |
Whirlpool Therapy (97022)
range across 2 matching MRF lines |
— |
$34.98–$95.35 |
— |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
— |
$72.14 |
— |