| Airway Inhalation Treatment (94640) |
$227.20 |
$284 |
1.0× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$384 |
$480 |
1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$104 |
$130 |
7.2× |
| Application on-body injector (96377) |
$145.60 |
$182 |
3.1× |
| Assessment of aphasia per hr (96105) |
$220 |
$275 |
2.3× |
| Behavral qualit analys voice (92524) |
$220 |
$275 |
2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$668.80 |
$836 |
1.8× |
| Canalith repositioning proc (95992) |
$220 |
$275 |
5.4× |
| Car seat/bed test 60 min (94780) |
$120.80 |
$151 |
3.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$792 |
$990 |
3.7× |
| Cardiopulmonary resuscitation (92950) |
$1,117.60 |
$1,397 |
5.2× |
| Cardioversion (92960) |
$1,178.40 |
$1,473 |
1.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$49.60 |
$62 |
1.9× |
| Cbt 1st hour (94644) |
$391.20 |
$489 |
3.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$208.80 |
$261 |
2.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$280.80 |
$351 |
3.9× |
| Chemo IV infusion addl hr (96415) |
$324 |
$405 |
4.5× |
| Chemo IV push addl drug (96411) |
$200 |
$250 |
2.8× |
| Chemother Prolong Infuse W/Pump (96416) |
$703.20 |
$879 |
2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$324 |
$405 |
4.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$488 |
$610 |
1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$365.60 |
$457 |
1.1× |
| Chest Wall Manipulation (94668) |
$139.20 |
$174 |
1.1× |
| Color/duplex Doppler, complete (93975) |
$1,034.40 |
$1,293 |
4.4× |
| Color/duplex Doppler, limited (93976) |
$564.80 |
$706 |
5.4× |
| Continuous Pulse Ox (94762) |
$412 |
$515 |
3.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$622.40 |
$778 |
2.9× |
| Cpt initial (94667) |
$328.80 |
$411 |
2.5× |
Critical care first hour (99291)
range across 3 matching MRF lines |
$3,106.40–$4,660.80 |
$3,883–$5,826 |
varies |
| Debridement Open Wound 20 Sq Cm< (97597) |
$540.80 |
$676 |
2.7× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$281.60 |
$352 |
2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$687.20 |
$859 |
2.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$584 |
$730 |
5.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$789.60 |
$987 |
3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$707.20 |
$884 |
6.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,034.40 |
$1,293 |
4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$757.60 |
$947 |
7.3× |
| Duplex up extrem art bilat (93930) |
$1,004 |
$1,255 |
4.2× |
| Duplex up extrem art unilat/ltd (93931) |
$265.60 |
$332 |
2.5× |
| Echo Heart Xthoracic,Limited (93308) |
$902.40 |
$1,128 |
3.8× |
| Echo transesophageal (93312) |
$1,362.40 |
$1,703 |
2.5× |
| Eeg 41-60 Minutes (95812) |
$731.20 |
$914 |
3.4× |
| EEG awake and asleep (95819) |
$714.40 |
$893 |
3.3× |
| EEG awake drowsy (95816) |
$714.40 |
$893 |
3.3× |
| EEG cerebral death evaluation (95824) |
$1,177.60 |
$1,472 |
3.2× |
| Electrical Stimulation Ea 15 Min (97032) |
$136 |
$170 |
9.3× |
| Electrocardiogram Tracing (93005) |
$142.40 |
$178 |
2.4× |
| Emergency Dept Visit Level 2 (99282) |
$403.20 |
$504 |
2.6× |
| Emergency Dept Visit Level 3 (99283) |
$595.20 |
$744 |
2.2× |
| Emergency Dept Visit Level 4 (99284) |
$839.20 |
$1,049 |
2.0× |
| Er level 1 (99281) |
$276 |
$345 |
3.3× |
| Er level v (99285) |
$1,286.40 |
$1,608 |
2.2× |
| Evaluate pt use of inhaler (94664) |
$276 |
$345 |
1.3× |
| Evaluate Speech Production (92522) |
$220 |
$275 |
2.0× |
| Evaluate Swallowing Function (92610) |
$304 |
$380 |
3.6× |
| Evaluation of speech fluency (92521) |
$220 |
$275 |
1.7× |
| External Ecg Scanning Analysis Report (93226) |
$545.60 |
$682 |
9.3× |
| Extracranial Bilat Study (93880) |
$789.60 |
$987 |
3.3× |
| Extracranial Uni/Ltd Study (93882) |
$738.40 |
$923 |
7.1× |
| Group Therapeutic Procedures (97150) |
$62.40 |
$78 |
3.5× |
| Holter monitor recording (93225) |
$380 |
$475 |
2.9× |
| Immunization administration (90471) |
$81.60 |
$102 |
1.1× |
| Iontophoresis 15 min (97033) |
$94.40 |
$118 |
5.0× |
| Irrig Drug Delivery Device (96523) |
$145.60 |
$182 |
2.5× |
| IV infusion hydration each additional hour (96361) |
$178.40 |
$223 |
3.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$367.20 |
$459 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$213.60 |
$267 |
3.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$213.60 |
$267 |
4.6× |
| IV push initial (96374) |
$230.40 |
$288 |
1.1× |
| Mechanical chest wall oscillation per session (94669) |
$289.60 |
$362 |
1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$56 |
$70 |
1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$56 |
$70 |
1.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$40 |
$50 |
2.3× |
| Motion Fluoroscopy/Swallow (92611) |
$448.80 |
$561 |
4.9× |
| Multiple Sleep Latency Test (95805) |
$2,520 |
$3,150 |
2.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$949.60 |
$1,187 |
2.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$963.20 |
$1,204 |
2.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$448.80 |
$561 |
2.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$670.40 |
$838 |
1.7× |
| Neuromuscular Reeducation (97112) |
$115.20 |
$144 |
3.5× |
| Newborn resuscitation (99465) |
$663.20 |
$829 |
1.0× |
| Oral Function Therapy (92526) |
$136 |
$170 |
1.6× |
| Oral Speech Device Eval (92597) |
$283.20 |
$354 |
4.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$94.40 |
$118 |
1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$94.40 |
$118 |
2.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$45.60 |
$57 |
2.1× |
| Ot eval high complexity (97167) |
$324 |
$405 |
3.2× |
| Ot Eval Low Complex (97165) |
$167.20 |
$209 |
1.7× |
| Ot Eval Moderate Complexity (97166) |
$304 |
$380 |
3.0× |
| Ot manual therapy 15 min (97140) |
$104 |
$130 |
3.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$94.40 |
$118 |
2.3× |
| Ot Re-Eval Est Plan Care (97168) |
$94.40 |
$118 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$233.60 |
$292 |
1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$233.60 |
$292 |
1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$392 |
$490 |
1.8× |
| Peripheral arterial disease rehab per session (93668) |
$146.40 |
$183 |
2.5× |
| Phlebotomy therapeutic (99195) |
$249.60 |
$312 |
1.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$165.60 |
$207 |
2.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$165.60 |
$207 |
2.8× |
| Physical Performance Test (97750) |
$94.40 |
$118 |
2.8× |
| Plethysmography (94726) |
$575.20 |
$719 |
1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,916.80 |
$4,896 |
4.6× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,035.20 |
$3,794 |
3.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,995.20 |
$3,744 |
3.5× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$3,411.20 |
$4,264 |
4.0× |
| Pt Eval High Complex (97163) |
$324 |
$405 |
3.3× |
| Pt eval low complex 20 min (97161) |
$167.20 |
$209 |
1.7× |
| Pt Eval Mod Complex (97162) |
$304 |
$380 |
3.1× |
| Pt gait training 15 min (97116) |
$88.80 |
$111 |
3.1× |
| Pt mechanical traction (97012) |
$73.60 |
$92 |
5.1× |
| Pt Re-Eval Est Plan Care (97164) |
$94.40 |
$118 |
1.4× |
| Pulm function test by gas (94727) |
$412 |
$515 |
1.9× |
| Pulmonary service/procedure (94799) |
$345.60 |
$432 |
2.7× |
| Pulmonary Stress Testing (94618) |
$136 |
$170 |
1.0× |
| Refill/Maint Portable Pump (96521) |
$304.80 |
$381 |
1.4× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$68.80 |
$86 |
1.8× |
| Rem ther mntr dev sply resp (98976) |
$68.80 |
$86 |
1.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$216.80 |
$271 |
1.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$54.40 |
$68 |
1.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$54.40 |
$68 |
1.0× |
| Self Care Mngment Training (97535) |
$94.40 |
$118 |
2.9× |
| Sensory Integration Ea 15 Min (97533) |
$88.80 |
$111 |
1.5× |
| Sleep study unattended (95806) |
$725.60 |
$907 |
3.4× |
| Slp caregiver training 1st 30 min (97550) |
$94.40 |
$118 |
1.8× |
| Speech sound lang comprehen (92523) |
$354.40 |
$443 |
1.6× |
| Spirometry (94010) |
$345.60 |
$432 |
1.6× |
| Standardized Cognitive Performance Testing (96125) |
$115.20 |
$144 |
1.1× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$112.80 |
$141 |
1.6× |
| Temp transcutaneous pacing (92953) |
$1,238.40 |
$1,548 |
1.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$115.20 |
$144 |
5.1× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$115.20 |
$144 |
5.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$94.40 |
$118 |
2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$145.60 |
$182 |
2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$436 |
$545 |
2.1× |
| Therapeutic Activities (97530) |
$94.40 |
$118 |
2.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$72 |
$90 |
1.9× |
| Tte w/doppler, complete (93306) |
$1,613.60 |
$2,017 |
3.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$173.60 |
$217 |
2.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$189.60 |
$237 |
4.1× |
| Upr/L Xtremity Art 2 Levels (93922) |
$399.20 |
$499 |
3.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$645.60 |
$807 |
3.0× |
| Vent Mgmt Inpat Init Day (94002) |
$1,441.60 |
$1,802 |
2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,244 |
$1,555 |
2.0× |
| Vital capacity, total (94150) |
$291.20 |
$364 |
2.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$94.40 |
$118 |
3.0× |
| Whirlpool Therapy (97022) |
$75.20 |
$94 |
4.8× |