| Airway Inhalation Treatment (94640) |
$192.96 |
$268 |
0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$96.48 |
$134 |
6.7× |
| Behavral qualit analys voice (92524) |
$275.04 |
$382 |
2.5× |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines |
$401.04–$652.32 |
$557–$906 |
varies |
| Cardiac Stress Tst,Tracing Only (93017) |
$874.80 |
$1,215 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$735.84 |
$1,022 |
3.2× |
| Cardioversion (92960) |
$1,447.92 |
$2,011 |
2.0× |
| Cbt 1st hour (94644) |
$264.24 |
$367 |
1.9× |
| Chemo Anti-Neopl Sq/Im (96401) |
$187.20 |
$260 |
2.4× |
| Chemo IV infusion addl hr (96415) |
$256.32 |
$356 |
3.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$727.92 |
$1,011 |
2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$707.04 |
$982 |
2.0× |
| Chest Wall Manipulation (94668) |
$130.32 |
$181 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$674.64 |
$937 |
2.6× |
| Color/duplex Doppler, limited (93976) |
$1,316.16 |
$1,828 |
11.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$293.76 |
$408 |
2.1× |
| Continuous Pulse Ox (94762) |
$312.48 |
$434 |
2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$507.60 |
$705 |
2.2× |
| Cpt initial (94667) |
$238.32 |
$331 |
1.7× |
| Critical care first hour (99291) |
$1,781.28 |
$2,474 |
2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,316.16 |
$1,828 |
5.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$280.08 |
$389 |
2.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,406.88 |
$1,954 |
5.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$318.96 |
$443 |
2.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,406.88 |
$1,954 |
5.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,013.76 |
$1,408 |
9.0× |
| Duplex up extrem art bilat (93930) |
$1,277.28 |
$1,774 |
5.0× |
| Duplex up extrem art unilat/ltd (93931) |
$280.08 |
$389 |
2.5× |
| Echo Congenital Complete (93303) |
$1,026 |
$1,425 |
1.8× |
| Echo Heart Xthoracic,Limited (93308) |
$347.76 |
$483 |
1.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,026 |
$1,425 |
1.8× |
| Electrical Stimulation Ea 15 Min (97032) |
$115.92 |
$161 |
7.9× |
| Electrocardiogram Tracing (93005) |
$258.48 |
$359 |
4.1× |
| Emergency Dept Visit Level 2 (99282) |
$390.24 |
$542 |
2.4× |
| Emergency Dept Visit Level 3 (99283) |
$619.92 |
$861 |
2.1× |
| Emergency Dept Visit Level 4 (99284) |
$892.80 |
$1,240 |
2.0× |
| Er level 1 (99281) |
$236.16 |
$328 |
2.6× |
| Er level v (99285) |
$1,280.16 |
$1,778 |
2.0× |
| Evaluate Speech Production (92522) |
$314.64 |
$437 |
2.8× |
| Evaluate Swallowing Function (92610) |
$345.60 |
$480 |
4.1× |
| Evaluation of speech fluency (92521) |
$167.76 |
$233 |
1.3× |
| External Ecg Scanning Analysis Report (93226) |
$380.88 |
$529 |
6.0× |
| Extracranial Bilat Study (93880) |
$848.16 |
$1,178 |
3.3× |
| Extracranial Uni/Ltd Study (93882) |
$231.12 |
$321 |
2.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,026 |
$1,425 |
1.8× |
| Holter monitor recording (93225) |
$1,306.80 |
$1,815 |
9.2× |
| Immunization administration (90471) |
$79.92 |
$111 |
1.0× |
| Iontophoresis 15 min (97033) |
$126.72 |
$176 |
6.7× |
| Irrig Drug Delivery Device (96523) |
$145.44 |
$202 |
2.3× |
| IV infusion hydration each additional hour (96361) |
$126 |
$175 |
2.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$303.12 |
$421 |
1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$150.48 |
$209 |
2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$126 |
$175 |
2.5× |
| IV push initial (96374) |
$216.72 |
$301 |
1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$562.32 |
$781 |
2.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$34.56 |
$48 |
1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$39.60 |
$55 |
1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$43.92 |
$61 |
2.6× |
| Motion Fluoroscopy/Swallow (92611) |
$429.84 |
$597 |
4.7× |
| Multiple Sleep Latency Test (95805) |
$3,059.28 |
$4,249 |
3.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$225.36 |
$313 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$431.28 |
$599 |
1.0× |
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines |
$99.36–$263.52 |
$138–$366 |
varies |
| Oral Function Therapy (92526) |
$229.68 |
$319 |
2.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$144 |
$200 |
3.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$59.04 |
$82 |
2.6× |
| Ot eval high complexity (97167) |
$838.08 |
$1,164 |
8.3× |
| Ot Eval Low Complex (97165) |
$287.28 |
$399 |
2.9× |
| Ot Eval Moderate Complexity (97166) |
$575.28 |
$799 |
5.7× |
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines |
$115.20–$526.32 |
$160–$731 |
varies |
| Ot paraffin bath (97018) |
$71.28 |
$99 |
11.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$131.04 |
$182 |
3.2× |
| Ot Re-Eval Est Plan Care (97168) |
$166.32 |
$231 |
2.4× |
| Ot rom hand (95852) |
$84.96 |
$118 |
4.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$185.76 |
$258 |
1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$184.32 |
$256 |
1.3× |
| Peripheral arterial disease rehab per session (93668) |
$128.88 |
$179 |
2.0× |
| Phlebotomy therapeutic (99195) |
$193.68 |
$269 |
1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$164.16 |
$228 |
2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$156.96 |
$218 |
2.5× |
| Physical Performance Test (97750) |
$115.92 |
$161 |
3.4× |
| Plethysmography (94726) |
$371.52 |
$516 |
0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,701.52 |
$5,141 |
4.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$90 |
$125 |
1.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$141.84 |
$197 |
2.8× |
| Pt Eval High Complex (97163) |
$789.84 |
$1,097 |
8.1× |
| Pt eval low complex 20 min (97161) |
$263.52 |
$366 |
2.7× |
| Pt Eval Mod Complex (97162) |
$526.32 |
$731 |
5.4× |
Pt gait training 15 min (97116)
range across 2 matching MRF lines |
$98.64–$263.52 |
$137–$366 |
varies |
| Pt mechanical traction (97012) |
$119.52 |
$166 |
8.3× |
| Pt Re-Eval Est Plan Care (97164) |
$202.32 |
$281 |
3.0× |
| Pulmonary Stress Testing (94618) |
$257.04 |
$357 |
1.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$188.64 |
$262 |
3.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$225.36 |
$313 |
1.0× |
| Self Care Mngment Training (97535) |
$117.36 |
$163 |
3.6× |
| Sensory Integration Ea 15 Min (97533) |
$117.36 |
$163 |
1.9× |
| Sleep study unattended (95806) |
$295.92 |
$411 |
1.3× |
| Speech sound lang comprehen (92523) |
$421.20 |
$585 |
1.9× |
| Spirometry (94010) |
$210.96 |
$293 |
0.9× |
| Stress Tte Only (93350) |
$1,328.40 |
$1,845 |
2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$123.84 |
$172 |
5.5× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$116.64 |
$162 |
5.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$113.76 |
$158 |
3.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$103.68 |
$144 |
1.3× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$303.12 |
$421 |
1.3× |
| Therapeutic Activities (97530) |
$117.36 |
$163 |
3.3× |
| Tte w/doppler, complete (93306) |
$1,915.20 |
$2,660 |
3.3× |
| Tte W/O Doppler Complete (93307) |
$488.88 |
$679 |
1.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$281.52 |
$391 |
3.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$134.64 |
$187 |
2.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$488.16 |
$678 |
3.4× |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines |
$888.48–$915.12 |
$1,234–$1,271 |
varies |
| Vasopneumatic device (97016) |
$101.52 |
$141 |
8.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$106.56 |
$148 |
3.4× |
| Whirlpool Therapy (97022) |
$136.08 |
$189 |
8.7× |