| 1St psychiatric collab care mgmt 1st 70 mins (99492) |
— |
$167 |
— |
| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) |
— |
$918 |
— |
| Ablate Heart Dysrhythm Focus (93650) |
— |
$7,871 |
— |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
— |
$105 |
— |
| Acoustic Reflex Testing (92568) |
— |
$56 |
— |
| Actigraphy Testing Recording Analysis I&R (95803) |
— |
$319 |
— |
| Actinotherapy Ultraviolet Light (96900) |
— |
$163 |
— |
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines |
— |
$23.03–$64 |
— |
| Advncd Care Plan 30 Min (99497) |
— |
$66 |
— |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
— |
$455 |
— |
| Aep neurodiagnostic i&r (92653) |
— |
$510 |
— |
| Aep threshold estimation mlt frequencies i&r (92652) |
— |
$510 |
— |
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines |
— |
$175–$496 |
— |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
— |
$687 |
— |
| Analyze neurostim complex (95972) |
— |
$222 |
— |
| Analyze neurostim no prog (95970) |
— |
$338 |
— |
| Analyze Neurostim Simple (95971) |
— |
$180 |
— |
| Analyze Pacemaker System (93724) |
— |
$1,366 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$175 |
— |
| Application on-body injector (96377) |
— |
$148 |
— |
| Arrhythmia Induction (93618) |
— |
$4,513 |
— |
| Assmt & care planning pt w/cognitive impairment (99483) |
— |
$279 |
— |
| Audiometry Air & Bone (92553) |
— |
$130 |
— |
| Auditory Function, 60 Min (92620) |
— |
$261 |
— |
| Basic vestibular evaluation (92540) |
— |
$616 |
— |
| Behavral qualit analys voice (92524) |
— |
$701 |
— |
| Biofeedback training any modality (90901) |
— |
$134 |
— |
| Blink reflex test (95933) |
— |
$455 |
— |
| Breath hydrogen/methane test (91065) |
— |
$350 |
— |
| Brief Emotional/Behav Assmt (96127) |
— |
$36 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$357 |
— |
| Bundle of his recording (93600) |
— |
$7,316 |
— |
| C motor evoked uppr limbs (95928) |
— |
$895 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$1,789 |
— |
| Caloric vestibular test w/rec bi monothermal (92538) |
— |
$345 |
— |
| Caloric Vstblr Test W/Rec (92537) |
— |
$345 |
— |
| Canalith repositioning proc (95992) |
— |
$163 |
— |
| Car seat/bed test 60 min (94780) |
— |
$248 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,131 |
— |
| Cardiopulmonary exercise testing (94621) |
— |
$716 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,236 |
— |
| Cardioversion (92960) |
— |
$3,303 |
— |
| Cardioversion elective internal (92961) |
— |
$975 |
— |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
— |
$84 |
— |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
— |
$63 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$124 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$10,015 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$8,805 |
— |
| Cbt 1st hour (94644) |
— |
$293 |
— |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) |
— |
$527 |
— |
| Cervical & Ocular Vemp Testing W/I&R (92519) |
— |
$576 |
— |
| Cervical Vemp Testing W/I&R (92517) |
— |
$455 |
— |
| Chemo Admin Peritoneal Cavity (96446) |
— |
$1,269 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$551 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$391 |
— |
| Chemo Intralesional Over 7 (96406) |
— |
$602 |
— |
| Chemo intralesional up to 7 (96405) |
— |
$455 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$268 |
— |
| Chemo IV push addl drug (96411) |
— |
$447 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$995 |
— |
| Chemotherapy Into Cns (96450) |
— |
$1,496 |
— |
| Chemotherapy Unspecified (96549) |
— |
$298 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$536 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$995 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$829 |
— |
| Chest Wall Manipulation (94668) |
— |
$195 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,673 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$1,054 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$137 |
— |
| Comprehensive Hearing Test (92557) |
— |
$157 |
— |
| Computerized dynamic posturography (92548) |
— |
$404 |
— |
| Conditioning Play Audiometry (92582) |
— |
$143 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$586 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$92 |
— |
| Continuous Pulse Ox (94762) |
— |
$422 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$7,141 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$6,542 |
— |
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines |
— |
$1,236–$3,004 |
— |
| Cpt initial (94667) |
— |
$325 |
— |
| Critical care first hour (99291) |
— |
$4,510 |
— |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
— |
$752 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$269 |
— |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) |
— |
$975 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$388 |
— |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
— |
$458 |
— |
Dialysis One Evaluation (90945)
range across 2 matching MRF lines |
— |
$1,392–$3,105 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
— |
$217 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,709 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$1,054 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,366 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$1,029 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,550 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,065 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
— |
$1,118 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
— |
$937 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$923 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,239 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$975 |
— |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
— |
$293 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
— |
$292 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
— |
$462 |
— |
| ECG/monitoring and analysis (93271) |
— |
$559 |
— |
| Echo Congenital Complete (93303) |
— |
$1,821 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$773 |
— |
| Echo transesophageal (93312) |
— |
$1,782 |
— |
| Echo Transesophageal - Congenital Tee Complete (93315) |
— |
$1,887 |
— |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
— |
$2,714 |
— |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) |
— |
$481 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$2,633 |
— |
| EEG awake and asleep (95819) |
— |
$3,279 |
— |
| EEG awake drowsy (95816) |
— |
$2,764 |
— |
| EEG cerebral death evaluation (95824) |
— |
$1,225 |
— |
| EEG cont rec w/video by tech min 8 channels (95700) |
— |
$1,326 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$3,038 |
— |
| Eeg Sleep Only (95822) |
— |
$2,560 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$890 |
— |
| EEG w/o vid 2-12hr cont mntr (95707) |
— |
$2,781 |
— |
| EEG w/o vid ea 12-26hr intmt (95709) |
— |
$3,794 |
— |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
— |
$6,602 |
— |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
— |
$1,975 |
— |
| EEG wo vid ea 12-26hr unmntr (95708) |
— |
$1,796 |
— |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
— |
$195 |
— |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
— |
$228 |
— |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
— |
$85 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$167 |
— |
| Electrocardiogram Tracing (93005) |
— |
$235 |
— |
| Electrocochleography (92584) |
— |
$559 |
— |
| Electroconvulsive Therapy (90870) |
— |
$1,929 |
— |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
— |
$10,848 |
— |
| Electrophysiology Evaluation (93642) |
— |
$1,366 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$553 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$1,068 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$1,731 |
— |
| Emg 3 Extremities (95863) |
— |
$774 |
— |
| Emg 4 Extremities (95864) |
— |
$904 |
— |
| Endomyocardial Biopsy (93505) |
— |
$7,518 |
— |
| Ep & ablate supravent arrhyt (93653) |
— |
$7,871 |
— |
| Ep & ablate ventric tachy (93654) |
— |
$7,871 |
— |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
— |
$15,701 |
— |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
— |
$15,701 |
— |
| Er level 1 (99281) |
— |
$279 |
— |
| Er level v (99285) |
— |
$2,639 |
— |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
— |
$3,252 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
— |
$329 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$124 |
— |
| Evaluate Speech Production (92522) |
— |
$701 |
— |
| Evaluate Swallowing Function (92610) |
— |
$409 |
— |
| Evaluation of speech fluency (92521) |
— |
$701 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$301 |
— |
| Exercise test for bronchospasm (94617) |
— |
$586 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$553 |
— |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
— |
$846 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$553 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$846 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$722 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,497 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$781 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$864 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$643 |
— |
| Full Field Electroretinography W/I&R (92273) |
— |
$555 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$1,059 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$2,407 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$3,160 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$3,252 |
— |
Group Therapeutic Procedures (97150)
range across 4 matching MRF lines |
— |
$206–$218 |
— |
| Health Behavior Assessment/Re-Assessment (96156) |
— |
$329 |
— |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
— |
$250 |
— |
| Health behavior ivntj group f2f 1st 30 min (96164) |
— |
$34 |
— |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
— |
$233 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$10,015 |
— |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
— |
$3,105 |
— |
| Holter monitor recording (93225) |
— |
$566 |
— |
| Icd Device Interrogate (93289) |
— |
$219 |
— |
| Icd device progr eval dual (93283) |
— |
$247 |
— |
| Icd Device Progr Eval Mult (93284) |
— |
$289 |
— |
| Icm Device Eval (93290) |
— |
$197 |
— |
| Ilr Device Eval Progr (93285) |
— |
$212 |
— |
| Ilr Device Interrogate (93291) |
— |
$197 |
— |
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines |
— |
$23.03–$30 |
— |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
— |
$107 |
— |
Immunization administration (90471)
range across 2 matching MRF lines |
— |
$23.03–$43 |
— |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
— |
$542 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$937 |
— |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
— |
$166 |
— |
| Interrog&prgrmg ipnss during polysomnography (93152) |
— |
$1,524 |
— |
| Interrogate Subq Defib (93261) |
— |
$197 |
— |
| Interrogation eval in person wr defibrillator (93292) |
— |
$197 |
— |
| Interrogation vad in person (93750) |
— |
$122 |
— |
| Interrogation without programming ipnss (93153) |
— |
$166 |
— |
| Intra-atrial pacing (93610) |
— |
$5,073 |
— |
| Intra-atrial recording (93602) |
— |
$7,316 |
— |
| Intraventricular pacing (93612) |
— |
$5,073 |
— |
| Iontophoresis 15 min (97033) |
— |
$208 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$195 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$170 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$396 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$296 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$195 |
— |
| IV push initial (96374) |
— |
$320 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$9,442 |
— |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
— |
$9,762 |
— |
| Liver Elastography W/O Imag W/I&R (91200) |
— |
$407 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$175 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$1,253 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$325 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$55 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$65 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$30 |
— |
| Methacholine challenge (94070) |
— |
$1,050 |
— |
| Motility study esophagus (91010) |
— |
$1,906 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$470 |
— |
| Multifocal Electroretinography W/I&R (92274) |
— |
$346 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$3,104 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$643 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$551 |
— |
| Muscle Test One Limb (95860) |
— |
$551 |
— |
| Nasopharyngoscopy (92511) |
— |
$573 |
— |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
— |
$683 |
— |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
— |
$551 |
— |
| Needle electromyography larynx (95865) |
— |
$541 |
— |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
— |
$551 |
— |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
— |
$494 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$1,730 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$1,648 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$325 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$596 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$586 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$1,560 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$1,789 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$781 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$975 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$1,171 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$1,366 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$363 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$455 |
— |
| Neuromuscular Reeducation (97112) |
— |
$163 |
— |
| Newborn resuscitation (99465) |
— |
$602 |
— |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
— |
$48 |
— |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
— |
$73 |
— |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
— |
$24 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$118 |
— |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
— |
$325 |
— |
| Ocular Vemp Testing W/I&R (92518) |
— |
$455 |
— |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
— |
$85 |
— |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
— |
$85 |
— |
| Optokinetic Nystagmus Test (92544) |
— |
$169 |
— |
| Oral Function Therapy (92526) |
— |
$481 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$165 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$165 |
— |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
— |
$70 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$32 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
— |
$39 |
— |
| Osteopathic manipulative tx 7-8 body regions (98928) |
— |
$45 |
— |
| Osteopathic manipulative tx 9-10 body regions (98929) |
— |
$50 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$171 |
— |
| Ot eval high complexity (97167) |
— |
$529 |
— |
| Ot Eval Low Complex (97165) |
— |
$300 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$404 |
— |
| Ot manual therapy 15 min (97140) |
— |
$177 |
— |
| Ot paraffin bath (97018) |
— |
$143 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$118 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$163 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$211 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$187 |
— |
| Oxygen Uptake Rest Indirect (94690) |
— |
$1,459 |
— |
| Pdt dstr prmlg les phys/qhp (96573) |
— |
$586 |
— |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
— |
$357 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$930 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$18 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$77 |
— |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) |
— |
$18,000 |
— |
| Perq transcath closure pda (93582) |
— |
$29,943 |
— |
| Perq Transcath Cls Aortic (93591) |
— |
$21,137 |
— |
| Perq Transcath Cls Mitral (93590) |
— |
$21,137 |
— |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
— |
$10,731 |
— |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
— |
$14,671 |
— |
| Phlebotomy therapeutic (99195) |
— |
$771 |
— |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
— |
$544 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$242 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$242 |
— |
| Physical Performance Test (97750) |
— |
$157 |
— |
| Plethysmography (94726) |
— |
$631 |
— |
| Pm device eval in person (93288) |
— |
$177 |
— |
| Pm device progr eval dual (93280) |
— |
$226 |
— |
| Pm device progr eval multi (93281) |
— |
$269 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$205 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$303 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$5,515 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$5,515 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$5,515 |
— |
| Positional nystagmus test (92542) |
— |
$151 |
— |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
— |
$197 |
— |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
— |
$233 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$40 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$40 |
— |
| Prq Card Angio/Athrect 1 Art (92924) |
— |
$9,300 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$15,023 |
— |
| Prq Card Stent/Ath/Angio (92933) |
— |
$9,665 |
— |
| Prq Revasc Byp Graft 1 Vsl (92937) |
— |
$9,665 |
— |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
— |
$19,705 |
— |
| Prq trl rvs ch occ ant&rtrgr (92945) |
— |
$18,000 |
— |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
— |
$32,584 |
— |
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines |
— |
$217–$330 |
— |
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines |
— |
$195–$351 |
— |
| Psychological tst eval svc phys/qhp first hour (96130) |
— |
$118 |
— |
| Psycl/Nrpsyc Tst Auto Result (96146) |
— |
$45 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$148 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$55 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$100 |
— |
| Pt Eval High Complex (97163) |
— |
$529 |
— |
| Pt eval low complex 20 min (97161) |
— |
$300 |
— |
| Pt Eval Mod Complex (97162) |
— |
$404 |
— |
| Pt gait training 15 min (97116) |
— |
$147 |
— |
| Pt group caregiver training (97552) |
— |
$124 |
— |
| Pt mechanical traction (97012) |
— |
$167 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$219 |
— |
| Pt ultraviolet (97028) |
— |
$155 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
— |
$63 |
— |
| Pulm function test by gas (94727) |
— |
$223 |
— |
| Pulmonary Stress Testing (94618) |
— |
$437 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$124 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$8,805 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
— |
$7,159 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
— |
$7,159 |
— |
| R hrt coronary artery angio (93456) |
— |
$7,063 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
— |
$10,505 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$7,141 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$912 |
— |
| Refill/Maint Pump/Resvr Syst (96522) |
— |
$860 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$68 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$68 |
— |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
— |
$134 |
— |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
— |
$279 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$437 |
— |
| Remote 30 Day Ecg Tech Supp (93229) |
— |
$2,226 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$75 |
— |
| Right Heart Cath (93451) |
— |
$5,476 |
— |
| Right ventricular recording (93603) |
— |
$5,373 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$335 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$470 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$177 |
— |
| Sbsq Psyc Collab Care Mgmt (99493) |
— |
$145 |
— |
| Self Care Mngment Training (97535) |
— |
$163 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$846 |
— |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
— |
$553 |
— |
| Sleep study attended (95807) |
— |
$2,497 |
— |
| Sleep study unattended (95806) |
— |
$946 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$124 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$1,012 |
— |
| Somatosensory Testing (95938) |
— |
$2,148 |
— |
| Speech Audiometry Complete (92556) |
— |
$122 |
— |
| Speech audiometry threshold (92555) |
— |
$77 |
— |
| Speech sound lang comprehen (92523) |
— |
$701 |
— |
| Spirometry (94010) |
— |
$307 |
— |
| Spontaneous Nystagmus Test (92541) |
— |
$292 |
— |
| Ssep lower limbs (95926) |
— |
$846 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$422 |
— |
| Stenger Test, Pure Tone (92565) |
— |
$50 |
— |
| Stress Tte Only (93350) |
— |
$1,776 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$98 |
— |
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines |
— |
$466–$494 |
— |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) |
— |
$166 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$43 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$43 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$181 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$126 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$481 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$228 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines |
— |
$23.03–$138 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$396 |
— |
| Therapeutic Activities (97530) |
— |
$130 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$2,367 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$32 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$22 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$171 |
— |
| Trans Care Mgmt 7 Day Disch (99496) |
— |
$228 |
— |
| Transcath Closure of Asd (93580) |
— |
$22,298 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$1,145 |
— |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
— |
$289 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,868 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,164 |
— |
| Tx atrial fib pulm vein isol (93656) |
— |
$19,889 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$431 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$167 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$175 |
— |
| Tympanometry (92567) |
— |
$71 |
— |
| Tympanometry and reflex threshold measurements (92550) |
— |
$158 |
— |
Unlisted cardiovascular service/procedure (93799)
range across 16 matching MRF lines |
— |
$122–$19,811 |
— |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
— |
$2,897 |
— |
| Unlisted otorhinolaryngological service (92700) |
— |
$434 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$716 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$1,072 |
— |
| Valvuloplasty aortic valve (92986) |
— |
$9,300 |
— |
| Valvuloplasty mitral valve (92987) |
— |
$10,380 |
— |
| Valvuloplasty pulmonary valve (92990) |
— |
$7,518 |
— |
| Vasopneumatic device (97016) |
— |
$72 |
— |
| Veeg 2-12 Hr Cont Mntr (95713) |
— |
$3,150 |
— |
| Veeg 2-12 hr intmt mntr (95712) |
— |
$2,250 |
— |
| Veeg 2-12 hr unmonitored (95711) |
— |
$1,531 |
— |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
— |
$4,092 |
— |
| Veeg Ea 12-26 Hr Unmntr (95714) |
— |
$2,456 |
— |
| Veeg ea 12-26hr cont mntr (95716) |
— |
$6,448 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$3,823 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$2,342 |
— |
| Visual Evoked Potential Test (95930) |
— |
$514 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$134 |
— |
| Vital capacity, total (94150) |
— |
$175 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$161 |
— |
| Whirlpool Therapy (97022) |
— |
$204 |
— |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
— |
$586 |
— |