| Airway Inhalation Treatment (94640) |
— |
$62 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$61 |
— |
| Application Modality 1/> Areas Diathermy (97024) |
— |
$37 |
— |
| Audiometry Air & Bone (92553) |
— |
$60 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$200 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$636.50 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$700 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$289.53 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$48 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$85 |
— |
| Continuous Pulse Ox (94762) |
— |
$400 |
— |
| Critical care first hour (99291) |
— |
$400 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$120 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$435 |
— |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
— |
$445 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,350 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$625 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,033 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,043 |
— |
| Duplex up extrem art bilat (93930) |
— |
$485 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$435 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$66 |
— |
| Electrocardiogram Tracing (93005) |
— |
$225 |
— |
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines |
— |
$100–$382 |
— |
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines |
— |
$155–$570 |
— |
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines |
— |
$235–$975 |
— |
Er level v (99285)
range across 2 matching MRF lines |
— |
$400–$1,500 |
— |
| Evaluate Speech Production (92522) |
— |
$175 |
— |
| Evaluate Swallowing Function (92610) |
— |
$327 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$450 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,675 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$435 |
— |
| Group Therapeutic Procedures (97150) |
— |
$36 |
— |
| Holter monitor recording (93225) |
— |
$437 |
— |
Immunization administration (90471)
range across 2 matching MRF lines |
— |
$10–$50 |
— |
| Inital newborn e/m (99460) |
— |
$200 |
— |
| Iontophoresis 15 min (97033) |
— |
$99 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$126 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$450 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$236 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$193 |
— |
| IV push initial (96374) |
— |
$219 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$435 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$70 |
— |
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines |
— |
$83–$86 |
— |
| Oral Function Therapy (92526) |
— |
$243 |
— |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines |
— |
$19–$61 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$36 |
— |
| Ot eval high complexity (97167) |
— |
$210 |
— |
| Ot Eval Low Complex (97165) |
— |
$187 |
— |
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines |
— |
$136–$195 |
— |
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines |
— |
$50–$93 |
— |
Ot paraffin bath (97018)
range across 2 matching MRF lines |
— |
$29–$50 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$136 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$266 |
— |
| Phlebotomy therapeutic (99195) |
— |
$200 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$425 |
— |
| Pt Eval High Complex (97163) |
— |
$180 |
— |
| Pt eval low complex 20 min (97161) |
— |
$183 |
— |
| Pt Eval Mod Complex (97162) |
— |
$193 |
— |
| Pt gait training 15 min (97116) |
— |
$101 |
— |
| Pt mechanical traction (97012) |
— |
$82 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$120 |
— |
| Pulmonary Stress Testing (94618) |
— |
$100 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$200 |
— |
Self Care Mngment Training (97535)
range across 4 matching MRF lines |
— |
$19–$87 |
— |
| Speech sound lang comprehen (92523) |
— |
$297 |
— |
| Spirometry (94010) |
— |
$395.23 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$150 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$57 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$104 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$326 |
— |
| Therapeutic Activities (97530) |
— |
$85 |
— |
| Tte w/doppler, complete (93306) |
— |
$2,125 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$2,340 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$200 |
— |
| Unlisted cardiovascular service/procedure (93799) |
— |
$265 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$435 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$450 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$59 |
— |
| Whirlpool Therapy (97022) |
— |
$60 |
— |