| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$50 |
— |
| Advncd Care Plan 30 Min (99497) |
— |
$68 |
— |
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines |
— |
$15–$373 |
— |
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines |
— |
$27–$76 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$20 |
— |
| Behavral qualit analys voice (92524) |
— |
$295 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$73 |
— |
| Canalith repositioning proc (95992) |
— |
$85 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,197 |
— |
| Cardioversion (92960) |
— |
$1,236 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$210 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$233 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$181 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$588 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$210 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$873 |
— |
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines |
— |
$341–$399 |
— |
| Critical care first hour (99291) |
— |
$1,798 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
— |
$321–$624 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,622 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$738 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,283 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$505 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$438 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,011 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$143 |
— |
| Electrocardiogram Tracing (93005) |
— |
$201 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$390 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$519 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$868 |
— |
| Er level 1 (99281) |
— |
$164 |
— |
| Er level v (99285) |
— |
$1,459 |
— |
| Evaluate Speech Production (92522) |
— |
$240 |
— |
| Evaluate Swallowing Function (92610) |
— |
$463 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$500 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$500 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$561 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,110 |
— |
| Holter monitor recording (93225) |
— |
$420 |
— |
Immunization administration (90471)
range across 4 matching MRF lines |
— |
$19–$58 |
— |
| Iontophoresis 15 min (97033) |
— |
$71 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$168 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$134 |
— |
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines |
— |
$35–$356 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$184 |
— |
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines |
— |
$20–$161 |
— |
| IV push initial (96374) |
— |
$168 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$609 |
— |
| Neuromuscular Reeducation (97112) |
— |
$84 |
— |
| Oral Function Therapy (92526) |
— |
$322 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$78 |
— |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
— |
$48 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$68 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
— |
$87 |
— |
| Osteopathic manipulative tx 7-8 body regions (98928) |
— |
$104 |
— |
| Osteopathic manipulative tx 9-10 body regions (98929) |
— |
$122 |
— |
| Ot eval high complexity (97167) |
— |
$257 |
— |
| Ot Eval Low Complex (97165) |
— |
$234 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$258 |
— |
| Ot manual therapy 15 min (97140) |
— |
$84 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$244 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$121 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$3,741 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$7 |
— |
| Pt Eval High Complex (97163) |
— |
$257 |
— |
| Pt eval low complex 20 min (97161) |
— |
$213 |
— |
| Pt Eval Mod Complex (97162) |
— |
$247 |
— |
| Pt gait training 15 min (97116) |
— |
$109 |
— |
| Pt mechanical traction (97012) |
— |
$50 |
— |
| Pt ultraviolet (97028) |
— |
$24 |
— |
| Self Care Mngment Training (97535) |
— |
$90 |
— |
| Speech sound lang comprehen (92523) |
— |
$610 |
— |
| Spirometry (94010) |
— |
$51 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$345 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$102 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$82 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines |
— |
$19–$139 |
— |
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines |
— |
$66–$373 |
— |
| Therapeutic Activities (97530) |
— |
$76 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$240 |
— |
| Trans Care Mgmt 7 Day Disch (99496) |
— |
$325 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,651 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$235 |
— |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines |
— |
$15–$153 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$561 |
— |
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines |
— |
$92–$95 |
— |