| Ablate Heart Dysrhythm Focus (93650) |
$5,244 |
$17,480 |
0.7× |
| Airway Inhalation Treatment (94640) |
$198 |
$660 |
0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$36 |
$120 |
2.5× |
| Application Modality 1/> Areas Infrared (97026) |
$32.70 |
$109 |
4.9× |
| Application on-body injector (96377) |
$1,049.40 |
$3,498 |
23.3× |
| Behavral qualit analys voice (92524) |
$231 |
$770 |
2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$500.70 |
$1,669 |
1.4× |
| Bundle of his recording (93600) |
$6,064.20 |
$20,214 |
0.8× |
| Canalith repositioning proc (95992) |
$156.90 |
$523 |
3.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$760.20 |
$2,534 |
3.7× |
| Cardiopulmonary exercise testing (94621) |
$984.30 |
$3,281 |
2.7× |
| Cardiopulmonary resuscitation (92950) |
$701.40 |
$2,338 |
3.4× |
| Cardioversion (92960) |
$3,239.40 |
$10,798 |
5.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$25.50 |
$85 |
1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$7,242 |
$24,140 |
2.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$7,575.30 |
$25,251 |
2.4× |
| Cbt 1st hour (94644) |
$329.10 |
$1,097 |
2.6× |
| Chemo Anti-Neopl Sq/Im (96401) |
$158.70 |
$529 |
2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$246.90 |
$823 |
3.6× |
| Chemo Ia Push (96420) |
$246.90 |
$823 |
0.8× |
| Chemo IV infusion addl hr (96415) |
$256.80 |
$856 |
3.7× |
| Chemo IV push addl drug (96411) |
$214.20 |
$714 |
3.1× |
| Chemother Prolong Infuse W/Pump (96416) |
$835.80 |
$2,786 |
2.6× |
| Chemotherapy Into Cns (96450) |
$386.70 |
$1,289 |
1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$125.40 |
$418 |
1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$436.80 |
$1,456 |
1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$244.80 |
$816 |
0.8× |
| Chest Wall Manipulation (94668) |
$211.20 |
$704 |
1.7× |
| Color/duplex Doppler, complete (93975) |
$937.80 |
$3,126 |
4.1× |
| Color/duplex Doppler, limited (93976) |
$743.40 |
$2,478 |
7.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$53.40 |
$178 |
1.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$381.30 |
$1,271 |
3.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$88.50 |
$295 |
1.6× |
| Coronary Art/Grft Angio S&I (93455) |
$6,990 |
$23,300 |
2.2× |
| Coronary Artery Angio S&I (93454) |
$6,095.40 |
$20,318 |
2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$711.90 |
$2,373 |
3.4× |
| Cpt initial (94667) |
$198 |
$660 |
1.5× |
| Critical care first hour (99291) |
$2,244 |
$7,480 |
2.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$885.90 |
$2,953 |
4.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$782.10 |
$2,607 |
3.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$290.10 |
$967 |
2.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$919.80 |
$3,066 |
4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$730.50 |
$2,435 |
7.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,196.40 |
$3,988 |
5.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$778.20 |
$2,594 |
7.7× |
| Duplex Scan Hemodialysis Access (93990) |
$106.80 |
$356 |
1.1× |
| Duplex up extrem art bilat (93930) |
$870.30 |
$2,901 |
3.8× |
| Duplex up extrem art unilat/ltd (93931) |
$597.30 |
$1,991 |
5.9× |
| Echo Congenital Complete (93303) |
$716.40 |
$2,388 |
1.4× |
| Echo Heart Xthoracic,Limited (93308) |
$532.20 |
$1,774 |
2.3× |
| Echo r-t 2d w/probe placement only (93313) |
$532.50 |
$1,775 |
1.0× |
| Echo transesophag montr cardiac pump functj (93318) |
$772.20 |
$2,574 |
1.5× |
| Echo transesophageal (93312) |
$1,500.90 |
$5,003 |
2.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$504.30 |
$1,681 |
1.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$919.20 |
$3,064 |
1.7× |
| Eeg 41-60 Minutes (95812) |
$1,210.80 |
$4,036 |
5.8× |
| EEG awake and asleep (95819) |
$711 |
$2,370 |
3.4× |
| EEG awake drowsy (95816) |
$788.70 |
$2,629 |
3.8× |
| EEG cerebral death evaluation (95824) |
$951.30 |
$3,171 |
2.7× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$265.50 |
$885 |
1.3× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,561.80 |
$5,206 |
7.5× |
| Eeg Sleep Only (95822) |
$916.80 |
$3,056 |
4.4× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$518.40 |
$1,728 |
1.4× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$508.50 |
$1,695 |
1.4× |
| EKG signal averaged (93278) |
$417.60 |
$1,392 |
7.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$155.10 |
$517 |
1.7× |
| Electrical Stimulation Ea 15 Min (97032) |
$52.80 |
$176 |
3.6× |
| Electrocardiogram Tracing (93005) |
$294 |
$980 |
5.2× |
| Electrophysiology Evaluation (93642) |
$1,702.50 |
$5,675 |
1.5× |
| Emergency Dept Visit Level 2 (99282) |
$544.50 |
$1,815 |
3.7× |
| Emergency Dept Visit Level 3 (99283) |
$780.30 |
$2,601 |
3.0× |
| Emergency Dept Visit Level 4 (99284) |
$1,164.30 |
$3,881 |
2.9× |
| Emg 3 Extremities (95863) |
$1,037.40 |
$3,458 |
8.4× |
| Emg 4 Extremities (95864) |
$1,201.50 |
$4,005 |
9.7× |
| Endomyocardial Biopsy (93505) |
$2,060.40 |
$6,868 |
0.7× |
| Ep & ablate supravent arrhyt (93653) |
$17,358 |
$57,860 |
0.7× |
| Ep & ablate ventric tachy (93654) |
$15,622.20 |
$52,074 |
0.6× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$4,728.60 |
$15,762 |
0.6× |
| Er level 1 (99281) |
$454.20 |
$1,514 |
5.6× |
| Er level v (99285) |
$1,628.40 |
$5,428 |
2.8× |
| Evaluate pt use of inhaler (94664) |
$396.30 |
$1,321 |
1.9× |
| Evaluate Speech Production (92522) |
$231 |
$770 |
2.1× |
| Evaluate Swallowing Function (92610) |
$217.80 |
$726 |
2.6× |
| Evaluation of speech fluency (92521) |
$231 |
$770 |
1.7× |
| External Ecg Scanning Analysis Report (93226) |
$272.40 |
$908 |
4.8× |
| Extracranial Bilat Study (93880) |
$878.10 |
$2,927 |
3.8× |
| Extracranial Uni/Ltd Study (93882) |
$518.10 |
$1,727 |
5.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$561 |
$1,870 |
1.1× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$172.20 |
$574 |
0.9× |
| Gi tract capsule endoscopy (91110) |
$2,497.50 |
$8,325 |
2.9× |
| Group Therapeutic Procedures (97150) |
$61.20 |
$204 |
3.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$8,128.50 |
$27,095 |
2.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$808.80 |
$2,696 |
1.2× |
| Icd device progr eval dual (93283) |
$39.90 |
$133 |
1.1× |
| Immunization administration (90471) |
$110.40 |
$368 |
1.6× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$776.10 |
$2,587 |
2.2× |
| Insert/Place Heart Catheter (93503) |
$1,253.10 |
$4,177 |
0.8× |
| Interrog&prgrmg ipnss during polysomnography (93152) |
$976.50 |
$3,255 |
3.3× |
| Interrogation vad in person (93750) |
$93.90 |
$313 |
1.0× |
| Intra-atrial pacing (93610) |
$5,838.90 |
$19,463 |
0.8× |
| Intracranial Complete Study (93886) |
$438.30 |
$1,461 |
1.9× |
| Iontophoresis 15 min (97033) |
$104.10 |
$347 |
5.5× |
| Irrig Drug Delivery Device (96523) |
$75.90 |
$253 |
1.3× |
| IV infusion hydration each additional hour (96361) |
$161.10 |
$537 |
3.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$357 |
$1,190 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$113.10 |
$377 |
1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$233.10 |
$777 |
5.2× |
| IV push initial (96374) |
$195.30 |
$651 |
1.0× |
| L Hrt Art/Grft Angio (93459) |
$9,364.50 |
$31,215 |
3.0× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$3,076.50 |
$10,255 |
1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$759.90 |
$2,533 |
3.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$91.20 |
$304 |
2.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$79.20 |
$264 |
2.2× |
| Methacholine challenge (94070) |
$274.80 |
$916 |
0.8× |
| Motion Fluoroscopy/Swallow (92611) |
$278.40 |
$928 |
3.0× |
| Multiple Family Group Psychotherapy (90849) |
$294.60 |
$982 |
1.7× |
| Multiple Sleep Latency Test (95805) |
$2,518.80 |
$8,396 |
3.0× |
| Muscle Test 2 Limbs (95861) |
$897.30 |
$2,991 |
7.0× |
| Muscle Test One Limb (95860) |
$692.10 |
$2,307 |
5.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$792.60 |
$2,642 |
2.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$872.10 |
$2,907 |
2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$246.60 |
$822 |
1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$346.20 |
$1,154 |
0.9× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$525.30 |
$1,751 |
2.5× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$673.80 |
$2,246 |
1.9× |
| Nerve conduction studies 13 or more studies (95913) |
$525.30 |
$1,751 |
1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$525.30 |
$1,751 |
2.5× |
| Nerve conduction studies 5-6 studies (95909) |
$525.30 |
$1,751 |
2.5× |
| Nerve conduction studies 7-8 studies (95910) |
$525.30 |
$1,751 |
1.5× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$525.30 |
$1,751 |
1.5× |
| Neuromuscular Reeducation (97112) |
$43.20 |
$144 |
1.3× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$301.20 |
$1,004 |
0.8× |
| Oral Function Therapy (92526) |
$152.10 |
$507 |
1.8× |
| Oral Speech Device Eval (92597) |
$276.60 |
$922 |
3.9× |
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines |
$53.70–$57.30 |
$179–$191 |
varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$52.20 |
$174 |
1.1× |
| Ot Contrast Bath Ea 15 Min (97034) |
$59.10 |
$197 |
4.2× |
| Ot eval high complexity (97167) |
$132 |
$440 |
1.3× |
| Ot Eval Low Complex (97165) |
$108.90 |
$363 |
1.1× |
| Ot Eval Moderate Complexity (97166) |
$120 |
$400 |
1.2× |
| Ot manual therapy 15 min (97140) |
$46.50 |
$155 |
1.7× |
| Ot paraffin bath (97018) |
$36.30 |
$121 |
6.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$82.50 |
$275 |
2.0× |
| Ot Re-Eval Est Plan Care (97168) |
$60.60 |
$202 |
0.9× |
| Ot rom hand (95852) |
$101.70 |
$339 |
4.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$169.50 |
$565 |
1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$140.40 |
$468 |
1.1× |
| Peripheral arterial disease rehab per session (93668) |
$86.40 |
$288 |
1.5× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) |
$16,857 |
$56,190 |
1.0× |
| Perq transcath closure pda (93582) |
$19,905 |
$66,350 |
1.1× |
| Perq Transcath Cls Aortic (93591) |
$18,422.10 |
$61,407 |
1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$6,560.40 |
$21,868 |
1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$9,516.60 |
$31,722 |
0.9× |
| Phlebotomy therapeutic (99195) |
$219.60 |
$732 |
1.7× |
| Physical Performance Test (97750) |
$66.60 |
$222 |
2.0× |
| Plethysmography (94726) |
$377.70 |
$1,259 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,091.20 |
$10,304 |
3.7× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,120.20 |
$3,734 |
1.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,232.10 |
$4,107 |
1.5× |
| Prq Card Angio/Athrect 1 Art (92924) |
$11,946.90 |
$39,823 |
1.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$9,516.60 |
$31,722 |
0.9× |
| Prq Card Stent/Ath/Angio (92933) |
$9,516.60 |
$31,722 |
0.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$9,516.60 |
$31,722 |
0.9× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$20,103.60 |
$67,012 |
1.1× |
| Prq trl rvs ch occ ant&rtrgr (92945) |
$10,614.90 |
$35,383 |
1.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$11,280.30 |
$37,601 |
1.0× |
| Pt Eval High Complex (97163) |
$136.20 |
$454 |
1.4× |
| Pt eval low complex 20 min (97161) |
$112.20 |
$374 |
1.1× |
| Pt Eval Mod Complex (97162) |
$123.60 |
$412 |
1.3× |
| Pt gait training 15 min (97116) |
$49.20 |
$164 |
1.7× |
| Pt mechanical traction (97012) |
$73.50 |
$245 |
5.1× |
| Pt Re-Eval Est Plan Care (97164) |
$78.30 |
$261 |
1.2× |
| Pulm function test by gas (94727) |
$451.50 |
$1,505 |
2.2× |
| Pulmonary service/procedure (94799) |
$150.90 |
$503 |
1.2× |
| Pulmonary Stress Testing (94618) |
$166.50 |
$555 |
1.3× |
| R Hrt Art/Grft Angio (93457) |
$11,293.80 |
$37,646 |
3.6× |
| R hrt coronary artery angio (93456) |
$9,502.20 |
$31,674 |
3.0× |
| Refill/Maint Portable Pump (96521) |
$511.80 |
$1,706 |
2.5× |
| Refill/Maint Pump/Resvr Syst (96522) |
$511.80 |
$1,706 |
2.5× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$36.60 |
$122 |
1.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$128.10 |
$427 |
1.0× |
| Respiratory flow volume loop (94375) |
$400.20 |
$1,334 |
1.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$294.90 |
$983 |
5.2× |
| Right Heart Cath (93451) |
$4,899.60 |
$16,332 |
1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$388.50 |
$1,295 |
2.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$123 |
$410 |
4.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$581.70 |
$1,939 |
4.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$108.90 |
$363 |
2.3× |
| Self Care Mngment Training (97535) |
$76.50 |
$255 |
2.4× |
| Sensory Integration Ea 15 Min (97533) |
$77.10 |
$257 |
1.3× |
| Short-latency somatosens ep std upr limbs (95925) |
$872.40 |
$2,908 |
4.2× |
| Slp caregiver training 1st 30 min (97550) |
$50.70 |
$169 |
1.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$144 |
$480 |
0.7× |
| Speech sound lang comprehen (92523) |
$300.90 |
$1,003 |
1.3× |
| Spirometry (94010) |
$290.70 |
$969 |
1.4× |
| Ssep lower limbs (95926) |
$366.90 |
$1,223 |
1.8× |
| Standardized Cognitive Performance Testing (96125) |
$178.50 |
$595 |
1.7× |
| Stress Tte Only (93350) |
$1,822.80 |
$6,076 |
3.5× |
| Surfactant Admin Thru Tube (94610) |
$459 |
$1,530 |
2.2× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$420 |
$1,400 |
4.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$75.60 |
$252 |
3.4× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$75.60 |
$252 |
3.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$59.40 |
$198 |
1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$30.30 |
$101 |
1.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$303 |
$1,010 |
3.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$77.70 |
$259 |
1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$364.50 |
$1,215 |
1.8× |
| Therapeutic Activities (97530) |
$62.10 |
$207 |
1.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$518.40 |
$1,728 |
1.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$30.60 |
$102 |
0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$30.60 |
$102 |
0.8× |
| Transcath Closure of Asd (93580) |
$19,943.10 |
$66,477 |
1.1× |
| Tte w/doppler, complete (93306) |
$1,620 |
$5,400 |
3.1× |
| Tte W/O Doppler Complete (93307) |
$814.50 |
$2,715 |
3.5× |
| Tx atrial fib pulm vein isol (93656) |
$17,358 |
$57,860 |
0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$208.20 |
$694 |
2.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$152.10 |
$507 |
6.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$172.80 |
$576 |
3.8× |
| Unlisted cardiovascular service/procedure (93799) |
$957.30 |
$3,191 |
7.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$594.90 |
$1,983 |
4.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,237.80 |
$4,126 |
6.0× |
| Valvuloplasty aortic valve (92986) |
$6,606.90 |
$22,023 |
1.2× |
| Valvuloplasty mitral valve (92987) |
$6,606.90 |
$22,023 |
0.6× |
| Valvuloplasty pulmonary valve (92990) |
$11,992.80 |
$39,976 |
1.1× |
| Vasopneumatic device (97016) |
$46.50 |
$155 |
3.9× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$676.80 |
$2,256 |
1.9× |
| Veeg 2-12 hr intmt mntr (95712) |
$615.60 |
$2,052 |
1.7× |
| Veeg 2-12 hr unmonitored (95711) |
$559.20 |
$1,864 |
2.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,917.30 |
$6,391 |
5.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,743 |
$5,810 |
4.9× |
| Veeg ea 12-26hr cont mntr (95716) |
$2,109 |
$7,030 |
2.6× |
| Vent Mgmt Inpat Init Day (94002) |
$2,910.30 |
$9,701 |
4.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$835.50 |
$2,785 |
1.4× |
| Visual Evoked Potential Test (95930) |
$759.90 |
$2,533 |
3.7× |
| Vital capacity, total (94150) |
$130.20 |
$434 |
1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$73.50 |
$245 |
2.4× |