| Airway Inhalation Treatment (94640) |
$253.20 |
$422 |
1.2× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$136.80 |
$228 |
1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$196.20 |
$327 |
13.7× |
| Assessment of aphasia per hr (96105) |
$733.20 |
$1,222 |
7.5× |
| Behavral qualit analys voice (92524) |
$406.20 |
$677 |
3.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$490.20 |
$817 |
1.4× |
| Canalith repositioning proc (95992) |
$96.60 |
$161 |
2.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$768.60 |
$1,281 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$367.20 |
$612 |
1.8× |
| Cardioversion (92960) |
$780.60 |
$1,301 |
1.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$135 |
$225 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$54 |
$90 |
0.8× |
| Chemo IV infusion addl hr (96415) |
$141.60 |
$236 |
2.1× |
| Chemo IV push addl drug (96411) |
$286.20 |
$477 |
4.2× |
| Chemother Prolong Infuse W/Pump (96416) |
$433.20 |
$722 |
1.4× |
| Chemotherapy Unspecified (96549) |
$58.20 |
$97 |
1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$136.20 |
$227 |
2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$477 |
$795 |
1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$223.20 |
$372 |
0.7× |
| Chest Wall Manipulation (94668) |
$91.80 |
$153 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$987 |
$1,645 |
4.4× |
| Color/duplex Doppler, limited (93976) |
$723 |
$1,205 |
7.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$55.20 |
$92 |
1.7× |
| Continuous Pulse Ox (94762) |
$316.20 |
$527 |
2.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$498.60 |
$831 |
2.4× |
| Cpt initial (94667) |
$105 |
$175 |
0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$249.60 |
$416 |
1.3× |
| Dialysis One Evaluation (90945) |
$1,500 |
$2,500 |
3.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$819.60 |
$1,366 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$704.40 |
$1,174 |
7.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$957.60 |
$1,596 |
4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$721.20 |
$1,202 |
7.4× |
| Duplex up extrem art bilat (93930) |
$819.60 |
$1,366 |
3.7× |
| Duplex up extrem art unilat/ltd (93931) |
$704.40 |
$1,174 |
7.2× |
| Echo Congenital Complete (93303) |
$816.60 |
$1,361 |
1.6× |
| Echo Heart Xthoracic,Limited (93308) |
$540.60 |
$901 |
2.4× |
| Echo transesophageal (93312) |
$1,325.40 |
$2,209 |
2.6× |
| EEG awake and asleep (95819) |
$463.20 |
$772 |
2.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$175.20 |
$292 |
11.9× |
| Electrocardiogram Tracing (93005) |
$234.60 |
$391 |
4.2× |
| Emergency Dept Visit Level 2 (99282) |
$152.40 |
$254 |
1.1× |
| Emergency Dept Visit Level 3 (99283) |
$292.80 |
$488 |
1.1× |
| Emergency Dept Visit Level 4 (99284) |
$1,847.40 |
$3,079 |
4.7× |
| Er level 1 (99281) |
$66.60 |
$111 |
0.8× |
Er level v (99285)
range across 5 matching MRF lines |
$1,174.80–$3,148.80 |
$1,958–$5,248 |
varies |
| Evaluate Speech Production (92522) |
$429 |
$715 |
3.8× |
| Evaluate Swallowing Function (92610) |
$558.60 |
$931 |
6.6× |
| Evaluation of speech fluency (92521) |
$429 |
$715 |
3.2× |
| External ECG rec>48hr<7d recording (93242) |
$51.60 |
$86 |
1.5× |
| External ECG rec>7d<15d recording (93246) |
$82.20 |
$137 |
2.3× |
| Extracranial Bilat Study (93880) |
$819.60 |
$1,366 |
3.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$1,500 |
$2,500 |
2.3× |
| Holter monitor recording (93225) |
$127.20 |
$212 |
1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$86.40 |
$144 |
1.3× |
| Immunization administration (90471) |
$86.40 |
$144 |
1.3× |
| Iontophoresis 15 min (97033) |
$199.20 |
$332 |
10.5× |
| Irrig Drug Delivery Device (96523) |
$86.40 |
$144 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$72 |
$120 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$282 |
$470 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$86.40 |
$144 |
1.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$55.20 |
$92 |
1.3× |
| IV push initial (96374) |
$282 |
$470 |
1.4× |
| Mechanical chest wall oscillation per session (94669) |
$91.80 |
$153 |
0.4× |
| Motility study esophagus (91010) |
$3,846 |
$6,410 |
11.0× |
| Motion Fluoroscopy/Swallow (92611) |
$738.60 |
$1,231 |
8.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$249.60 |
$416 |
1.3× |
| Neuromuscular Reeducation (97112) |
$164.40 |
$274 |
5.0× |
| Newborn resuscitation (99465) |
$721.20 |
$1,202 |
1.2× |
| Oral Function Therapy (92526) |
$219.60 |
$366 |
2.6× |
| Oral Speech Device Eval (92597) |
$795 |
$1,325 |
11.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$150 |
$250 |
3.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$67.20 |
$112 |
3.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$70.80 |
$118 |
3.5× |
| Ot Eval Low Complex (97165) |
$276 |
$460 |
2.7× |
| Ot Eval Moderate Complexity (97166) |
$276 |
$460 |
2.7× |
| Ot manual therapy 15 min (97140) |
$223.20 |
$372 |
8.1× |
| Ot paraffin bath (97018) |
$122.40 |
$204 |
20.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$217.20 |
$362 |
1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$30.60 |
$51 |
0.3× |
| Phlebotomy therapeutic (99195) |
$156 |
$260 |
1.2× |
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626)
range across 3 matching MRF lines |
$100.80–$141 |
$5–$235 |
varies |
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 3 matching MRF lines |
$22.20–$141 |
$37–$235 |
varies |
| Plethysmography (94726) |
$88.80 |
$148 |
0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,809.40 |
$6,349 |
4.7× |
| Pt eval low complex 20 min (97161) |
$226.80 |
$378 |
2.3× |
| Pt Eval Mod Complex (97162) |
$226.80 |
$378 |
2.3× |
| Pt gait training 15 min (97116) |
$150 |
$250 |
5.2× |
| Pt mechanical traction (97012) |
$216.60 |
$361 |
15.1× |
| Pt Re-Eval Est Plan Care (97164) |
$150 |
$250 |
2.2× |
| Pulm function test by gas (94727) |
$179.40 |
$299 |
0.9× |
| Pulmonary Stress Testing (94618) |
$294 |
$490 |
2.4× |
| Refill/Maint Portable Pump (96521) |
$316.20 |
$527 |
1.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$175.20 |
$292 |
5.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$249.60 |
$416 |
1.3× |
| Self Care Mngment Training (97535) |
$171.60 |
$286 |
5.3× |
| Sleep study attended (95807) |
$678 |
$1,130 |
1.9× |
| Sleep study unattended (95806) |
$928.80 |
$1,548 |
4.6× |
| Slp Stdy Unatnd W/Anal (95801) |
$494.40 |
$824 |
8.9× |
| Speech sound lang comprehen (92523) |
$429 |
$715 |
1.9× |
| Spirometry (94010) |
$198.60 |
$331 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$230.40 |
$384 |
2.2× |
| Stress Tte Only (93350) |
$397.80 |
$663 |
0.8× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$72 |
$120 |
1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$86.40 |
$144 |
1.3× |
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines |
$171.60–$363 |
$286–$605 |
varies |
| Therapeutic Activities (97530) |
$175.20 |
$292 |
5.0× |
| Tte w/doppler, complete (93306) |
$2,035.80 |
$3,393 |
4.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$265.80 |
$443 |
3.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$91.80 |
$153 |
2.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$205.20 |
$342 |
1.0× |
| Vent Mgmt Inpat Init Day (94002) |
$776.40 |
$1,294 |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$397.20 |
$662 |
0.7× |
| Vital capacity, total (94150) |
$202.80 |
$338 |
1.7× |
| Whirlpool Therapy (97022) |
$156.60 |
$261 |
10.0× |