| Airway Inhalation Treatment (94640) |
— |
$397 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$75 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$63 |
— |
| Behavral qualit analys voice (92524) |
— |
$129 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$825 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$259 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$889 |
— |
| Cbt 1st hour (94644) |
— |
$220 |
— |
| Chest Wall Manipulation (94668) |
— |
$73 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$934 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$420 |
— |
| Continuous Pulse Ox (94762) |
— |
$63 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$619 |
— |
| Cpt initial (94667) |
— |
$78 |
— |
| Critical care first hour (99291) |
— |
$310 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
— |
$186–$1,005 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$934 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$934 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$420 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$934 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$420 |
— |
| Duplex up extrem art bilat (93930) |
— |
$934 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$420 |
— |
| EEG awake and asleep (95819) |
— |
$335 |
— |
| Electrocardiogram Tracing (93005) |
— |
$116 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$315 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$397 |
— |
| Evaluate Speech Production (92522) |
— |
$129 |
— |
| Evaluate Swallowing Function (92610) |
— |
$129 |
— |
| Evaluation of speech fluency (92521) |
— |
$129 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$350 |
— |
| Extracranial Bilat Study (93880) |
— |
$934 |
— |
| Group Therapeutic Procedures (97150) |
— |
$63 |
— |
| Holter monitor recording (93225) |
— |
$350 |
— |
| Immunization administration (90471) |
— |
$51 |
— |
| Intracranial Complete Study (93886) |
— |
$490 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$183 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$145 |
— |
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines |
— |
$387–$420 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$221 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$139 |
— |
| IV push initial (96374) |
— |
$420 |
— |
Low frequency non-thermal us (97610)
range across 2 matching MRF lines |
— |
$365–$461 |
— |
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines |
— |
$37–$83 |
— |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines |
— |
$95–$541 |
— |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines |
— |
$111–$1,005 |
— |
| Neuromuscular Reeducation (97112) |
— |
$63 |
— |
| Oral Function Therapy (92526) |
— |
$129 |
— |
| Ot eval high complexity (97167) |
— |
$181 |
— |
| Ot Eval Low Complex (97165) |
— |
$129 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$156 |
— |
| Ot manual therapy 15 min (97140) |
— |
$63 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$109 |
— |
| Phlebotomy therapeutic (99195) |
— |
$730 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$187 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$187 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$58 |
— |
| Pt Eval High Complex (97163) |
— |
$166 |
— |
| Pt eval low complex 20 min (97161) |
— |
$129 |
— |
| Pt Eval Mod Complex (97162) |
— |
$149 |
— |
| Pt gait training 15 min (97116) |
— |
$63 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$109 |
— |
| Pulm function test by gas (94727) |
— |
$281 |
— |
| Pulmonary Stress Testing (94618) |
— |
$88 |
— |
| Respiratory flow volume loop (94375) |
— |
$93 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$116 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$541 |
— |
| Speech sound lang comprehen (92523) |
— |
$129 |
— |
| Spirometry (94010) |
— |
$453 |
— |
| Subcutaneous Infusion Each Additional Hour (96370) |
— |
$139 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$675 |
— |
| Subq Infusion Additional Pump Infusion Site (96371) |
— |
$221 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$83 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$78 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$63 |
— |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
— |
$119 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$104 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines |
— |
$58–$221 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$420 |
— |
| Therapeutic Activities (97530) |
— |
$63 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,134 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$119 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$93 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$487 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$595 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,051 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$124 |
— |