| Advncd Care Plan 30 Min (99497) |
— |
$128 |
— |
| Airway Inhalation Treatment (94640) |
— |
$450 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$67 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$650 |
— |
| Canalith repositioning proc (95992) |
— |
$189 |
— |
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines |
— |
$624–$1,750 |
— |
| Cardioversion (92960) |
— |
$290 |
— |
| Cbt 1st hour (94644) |
— |
$300 |
— |
| Chest Wall Manipulation (94668) |
— |
$300 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$530 |
— |
| Continuous Pulse Ox (94762) |
— |
$350 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$450 |
— |
| Cpt initial (94667) |
— |
$300 |
— |
Critical care first hour (99291)
range across 4 matching MRF lines |
— |
$445–$1,496 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$60 |
— |
| Dialysis One Evaluation (90945) |
— |
$964 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$668 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$668 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$796 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$637 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$80 |
— |
| Electrocardiogram Tracing (93005) |
— |
$128 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$395 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$594 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$887 |
— |
| Er level 1 (99281) |
— |
$151 |
— |
| Er level v (99285) |
— |
$1,322 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$450 |
— |
| Evaluate Swallowing Function (92610) |
— |
$148 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$84 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$138 |
— |
| Extracranial Bilat Study (93880) |
— |
$672 |
— |
| Group Therapeutic Procedures (97150) |
— |
$41 |
— |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
— |
$1,071 |
— |
Immunization administration (90471)
range across 4 matching MRF lines |
— |
$47–$150 |
— |
| Iontophoresis 15 min (97033) |
— |
$88 |
— |
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines |
— |
$122–$126 |
— |
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines |
— |
$106–$109 |
— |
IV infusion hydration initial 31 min-1 hour (96360)
range across 6 matching MRF lines |
— |
$447–$461 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$150 |
— |
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines |
— |
$102–$103 |
— |
IV push initial (96374)
range across 4 matching MRF lines |
— |
$456–$461 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$450 |
— |
Motion Fluoroscopy/Swallow (92611)
range across 4 matching MRF lines |
— |
$411–$983 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$46 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$50 |
— |
| Neuromuscular Reeducation (97112) |
— |
$96 |
— |
| Oral Function Therapy (92526) |
— |
$148 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$113 |
— |
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 4 matching MRF lines |
— |
$47–$60 |
— |
| Ot eval high complexity (97167) |
— |
$179 |
— |
| Ot Eval Low Complex (97165) |
— |
$179 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$179 |
— |
| Ot manual therapy 15 min (97140) |
— |
$88 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$117 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$450 |
— |
| Phlebotomy therapeutic (99195) |
— |
$175 |
— |
| Pt Eval High Complex (97163) |
— |
$189 |
— |
| Pt eval low complex 20 min (97161) |
— |
$189 |
— |
| Pt Eval Mod Complex (97162) |
— |
$189 |
— |
| Pt gait training 15 min (97116) |
— |
$85 |
— |
| Pt mechanical traction (97012) |
— |
$57 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$123 |
— |
| Pulmonary Stress Testing (94618) |
— |
$300 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$87 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$128 |
— |
| Self Care Mngment Training (97535) |
— |
$103 |
— |
| Speech sound lang comprehen (92523) |
— |
$377 |
— |
| Spirometry (94010) |
— |
$335 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,310 |
— |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 4 matching MRF lines |
— |
$61–$96 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$58 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$80 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$461 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines |
— |
$148–$150 |
— |
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines |
— |
$456–$461 |
— |
| Therapeutic Activities (97530) |
— |
$101 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,167 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$138 |
— |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines |
— |
$136–$137 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$530 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,400 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$700 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$90 |
— |