| Airway Inhalation Treatment (94640) |
$168.60 |
$843 |
0.8× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$73.60 |
$368 |
0.6× |
| Analyze neurostim complex (95972) |
$262.60 |
$1,313 |
2.9× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$157 |
$785 |
0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$50 |
$250 |
3.5× |
| Application on-body injector (96377) |
$97 |
$485 |
2.1× |
| Assessment of aphasia per hr (96105) |
$178 |
$890 |
1.8× |
| Behavral qualit analys voice (92524) |
$208.20 |
$1,041 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$371.80 |
$1,859 |
1.0× |
| Canalith repositioning proc (95992) |
$93.80 |
$469 |
2.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$639 |
$3,195 |
3.1× |
| Cardiopulmonary exercise testing (94621) |
$640 |
$3,200 |
1.8× |
| Cardiopulmonary resuscitation (92950) |
$576 |
$2,880 |
2.8× |
| Cardioversion (92960) |
$935 |
$4,675 |
1.5× |
| Cardioversion elective internal (92961) |
$909.60 |
$4,548 |
1.4× |
| Cbt 1st hour (94644) |
$205.40 |
$1,027 |
1.6× |
| Chemo Anti-Neopl Sq/Im (96401) |
$80.40 |
$402 |
1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$80.40 |
$402 |
1.2× |
| Chemo IV infusion addl hr (96415) |
$65.40 |
$327 |
0.9× |
| Chemotherapy Into Cns (96450) |
$256.20 |
$1,281 |
0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$216.20 |
$1,081 |
3.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$353 |
$1,765 |
1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$288.20 |
$1,441 |
0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$264.20 |
$1,321 |
0.8× |
| Chest Wall Manipulation (94668) |
$96.40 |
$482 |
0.8× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$639.60 |
$3,198 |
1.8× |
| Color/duplex Doppler, complete (93975) |
$430 |
$2,150 |
1.9× |
| Color/duplex Doppler, limited (93976) |
$405 |
$2,025 |
4.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$48 |
$240 |
1.5× |
| Continuous Pulse Ox (94762) |
$130.80 |
$654 |
1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$399.40 |
$1,997 |
1.9× |
| Cpt initial (94667) |
$151.20 |
$756 |
1.2× |
| Critical care first hour (99291) |
$1,570.40 |
$7,852 |
2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$181.80 |
$909 |
0.9× |
| Dialysis One Evaluation (90945) |
$431.80 |
$2,159 |
1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$398.80 |
$1,994 |
1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$427.20 |
$2,136 |
4.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$471.80 |
$2,359 |
2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$297.40 |
$1,487 |
2.9× |
Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$471.80–$492 |
$2,359–$2,460 |
varies |
| Dup-scan xtr veins unilateral/limited study (93971) |
$473.20 |
$2,366 |
4.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$854.80 |
$4,274 |
3.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$580 |
$2,900 |
5.8× |
| Duplex Scan Hemodialysis Access (93990) |
$186.60 |
$933 |
1.9× |
| Duplex up extrem art bilat (93930) |
$409.60 |
$2,048 |
1.8× |
| Duplex up extrem art unilat/ltd (93931) |
$278 |
$1,390 |
2.8× |
| ECG/monitoring and analysis (93271) |
$180.20 |
$901 |
2.0× |
| Echo Congenital Complete (93303) |
$1,653.60 |
$8,268 |
3.1× |
| Echo Heart Xthoracic,Limited (93308) |
$419.20 |
$2,096 |
1.8× |
| Echo r-t 2d w/probe placement only (93313) |
$497.60 |
$2,488 |
0.9× |
| Echo transesophag montr cardiac pump functj (93318) |
$2,306.60 |
$11,533 |
4.4× |
Echo transesophageal (93312) range across 2 matching MRF lines |
$615.20–$668.20 |
$3,076–$3,341 |
varies |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$941 |
$4,705 |
1.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,198.20 |
$5,991 |
2.3× |
Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$395.80–$788.60 |
$1,979–$3,943 |
varies |
EEG awake and asleep (95819) range across 2 matching MRF lines |
$635.20–$933.40 |
$3,176–$4,667 |
varies |
| EEG awake drowsy (95816) |
$783 |
$3,915 |
3.8× |
| EEG cerebral death evaluation (95824) |
$430.20 |
$2,151 |
1.2× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$315.80 |
$1,579 |
1.5× |
EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$736–$1,018.80 |
$3,680–$5,094 |
varies |
| Eeg Sleep Only (95822) |
$826.60 |
$4,133 |
4.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$325.60 |
$1,628 |
1.6× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$325.60 |
$1,628 |
1.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$1,790.40 |
$8,952 |
5.0× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$2,775.80 |
$13,879 |
7.7× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$177.60 |
$888 |
1.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$65.80 |
$329 |
1.8× |
| Electrical Stimulation Ea 15 Min (97032) |
$58.20 |
$291 |
4.0× |
Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$143–$244 |
$715–$1,220 |
varies |
| Emergency Dept Visit Level 2 (99282) |
$162.80 |
$814 |
1.1× |
| Emergency Dept Visit Level 3 (99283) |
$216.40 |
$1,082 |
0.8× |
| Emergency Dept Visit Level 4 (99284) |
$361.20 |
$1,806 |
0.9× |
| Emg 3 Extremities (95863) |
$288.20 |
$1,441 |
2.3× |
| Emg 4 Extremities (95864) |
$404.60 |
$2,023 |
3.3× |
| Er level 1 (99281) |
$116.20 |
$581 |
1.4× |
| Er level v (99285) |
$559.40 |
$2,797 |
1.0× |
| Evaluate pt use of inhaler (94664) |
$168.60 |
$843 |
0.8× |
| Evaluate Speech Production (92522) |
$208.20 |
$1,041 |
1.9× |
| Evaluate Swallowing Function (92610) |
$185.20 |
$926 |
2.2× |
| Evaluation of speech fluency (92521) |
$174 |
$870 |
1.3× |
| External ECG rec>48hr<7d recording (93242) |
$116.60 |
$583 |
3.2× |
| External ECG rec>7d<15d recording (93246) |
$116.60 |
$583 |
3.2× |
| External Ecg Scanning Analysis Report (93226) |
$165.20 |
$826 |
2.9× |
| Extracranial Bilat Study (93880) |
$471.80 |
$2,359 |
2.0× |
| Extracranial Uni/Ltd Study (93882) |
$409.60 |
$2,048 |
4.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$795.60 |
$3,978 |
1.5× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$60 |
$300 |
0.3× |
| Fluorescein angiography (92235) |
$201.20 |
$1,006 |
1.0× |
Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$867.40–$1,395.20 |
$4,337–$6,976 |
varies |
| Gi tract capsule endoscopy (91110) |
$2,316.20 |
$11,581 |
2.6× |
| Group Therapeutic Procedures (97150) |
$42.20 |
$211 |
2.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$648.40 |
$3,242 |
1.0× |
| Holter monitor recording (93225) |
$511.20 |
$2,556 |
4.0× |
Immunization administration (90471) range across 5 matching MRF lines |
$56.60–$69.20 |
$283–$346 |
varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$807.60 |
$4,038 |
2.2× |
| Intracranial Complete Study (93886) |
$391.40 |
$1,957 |
1.7× |
| Iontophoresis 15 min (97033) |
$50 |
$250 |
2.6× |
| Irrig Drug Delivery Device (96523) |
$126.40 |
$632 |
2.2× |
| IV infusion hydration each additional hour (96361) |
$104.20 |
$521 |
2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$173 |
$865 |
0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$101.60 |
$508 |
1.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$101.60 |
$508 |
2.2× |
| IV push initial (96374) |
$142.20 |
$711 |
0.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$189.20 |
$946 |
0.9× |
| Mechanical chest wall oscillation per session (94669) |
$186.20 |
$931 |
0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$58 |
$290 |
1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$11.40 |
$57 |
0.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$38.80 |
$194 |
2.3× |
| Methacholine challenge (94070) |
$333.60 |
$1,668 |
0.9× |
| Motility study esophagus (91010) |
$844 |
$4,220 |
2.3× |
| Motion Fluoroscopy/Swallow (92611) |
$185.20 |
$926 |
2.0× |
| Multiple Sleep Latency Test (95805) |
$1,809.60 |
$9,048 |
2.2× |
| Muscle Test 2 Limbs (95861) |
$248.20 |
$1,241 |
1.9× |
| Muscle Test One Limb (95860) |
$160.20 |
$801 |
1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$464.80 |
$2,324 |
1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$464.80 |
$2,324 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$141.80 |
$709 |
0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$464.80 |
$2,324 |
1.2× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$212.60 |
$1,063 |
1.0× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$497.80 |
$2,489 |
1.4× |
| Nerve conduction studies 13 or more studies (95913) |
$550.40 |
$2,752 |
1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$284.20 |
$1,421 |
1.4× |
| Nerve conduction studies 5-6 studies (95909) |
$339 |
$1,695 |
1.6× |
| Nerve conduction studies 7-8 studies (95910) |
$438.80 |
$2,194 |
1.2× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$494.60 |
$2,473 |
1.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$152.40 |
$762 |
1.2× |
| Neuromuscular Reeducation (97112) |
$94.40 |
$472 |
2.9× |
| Oral Function Therapy (92526) |
$100.60 |
$503 |
1.2× |
| Oral Speech Device Eval (92597) |
$112.40 |
$562 |
1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$73.80 |
$369 |
1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$82.40 |
$412 |
1.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$41.40 |
$207 |
3.0× |
| Ot eval high complexity (97167) |
$138.60 |
$693 |
1.4× |
| Ot Eval Low Complex (97165) |
$106 |
$530 |
1.1× |
| Ot Eval Moderate Complexity (97166) |
$138.60 |
$693 |
1.4× |
| Ot manual therapy 15 min (97140) |
$80.40 |
$402 |
2.9× |
| Ot paraffin bath (97018) |
$38 |
$190 |
6.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$69.20 |
$346 |
1.7× |
| Ot Re-Eval Est Plan Care (97168) |
$94.20 |
$471 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$182.20 |
$911 |
1.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$151 |
$755 |
1.2× |
| Oxygen Uptake Rest Indirect (94690) |
$91.20 |
$456 |
1.6× |
| Peripheral arterial disease rehab per session (93668) |
$163.80 |
$819 |
2.9× |
| Phlebotomy therapeutic (99195) |
$142.20 |
$711 |
1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$120.60 |
$603 |
2.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$120.60 |
$603 |
2.1× |
| Physical Performance Test (97750) |
$66.40 |
$332 |
2.0× |
| Plethysmography (94726) |
$353 |
$1,765 |
1.0× |
| Pm/Icd Remote Tech Serv (93296) |
$41.40 |
$207 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,221 |
$11,105 |
2.7× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,064 |
$5,320 |
1.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,064 |
$5,320 |
1.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$119.80 |
$599 |
3.2× |
| Pt Eval High Complex (97163) |
$78.80 |
$394 |
0.8× |
| Pt eval low complex 20 min (97161) |
$78.80 |
$394 |
0.8× |
| Pt Eval Mod Complex (97162) |
$78.80 |
$394 |
0.8× |
| Pt gait training 15 min (97116) |
$60.40 |
$302 |
2.1× |
| Pt mechanical traction (97012) |
$56 |
$280 |
3.9× |
| Pt Re-Eval Est Plan Care (97164) |
$44 |
$220 |
0.7× |
| Pulm function test by gas (94727) |
$371.80 |
$1,859 |
1.8× |
Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$488–$488.40 |
$2,440–$2,442 |
varies |
| Pulmonary Stress Testing (94618) |
$123 |
$615 |
1.0× |
| Refill/Maint Portable Pump (96521) |
$209.80 |
$1,049 |
1.0× |
| Refill/Maint Pump/Resvr Syst (96522) |
$210.20 |
$1,051 |
1.0× |
| Remote 30 Day Ecg Rev/Report (93270) |
$108.40 |
$542 |
3.0× |
| Respiratory flow volume loop (94375) |
$248.20 |
$1,241 |
1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$67.80 |
$339 |
1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$110 |
$550 |
0.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$145 |
$725 |
1.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$50.20 |
$251 |
1.1× |
| Self Care Mngment Training (97535) |
$80.40 |
$402 |
2.5× |
| Sensory Integration Ea 15 Min (97533) |
$121.40 |
$607 |
2.0× |
| Short-latency somatosens ep std upr limbs (95925) |
$486 |
$2,430 |
2.3× |
| Sleep study attended (95807) |
$849.40 |
$4,247 |
2.4× |
| Sleep study unattended (95806) |
$199.80 |
$999 |
1.0× |
| Slp Stdy Unatnd W/Anal (95801) |
$94.20 |
$471 |
1.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$566.60 |
$2,833 |
2.7× |
| Speech sound lang comprehen (92523) |
$238 |
$1,190 |
1.1× |
| Spirometry (94010) |
$174.60 |
$873 |
0.8× |
| Ssep lower limbs (95926) |
$475.40 |
$2,377 |
2.3× |
| Standardized Cognitive Performance Testing (96125) |
$180.80 |
$904 |
1.8× |
| Stress Tte Only (93350) |
$514 |
$2,570 |
1.0× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$54.60 |
$273 |
1.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$233.40 |
$1,167 |
1.1× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$193 |
$965 |
2.8× |
| Surfactant Admin Thru Tube (94610) |
$232.80 |
$1,164 |
1.1× |
| Temp transcutaneous pacing (92953) |
$279.40 |
$1,397 |
0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$43.60 |
$218 |
1.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$43.60 |
$218 |
2.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$80.20 |
$401 |
2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$68.20 |
$341 |
2.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$160.60 |
$803 |
1.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$39.60 |
$198 |
0.9× |
| Ther/Proph/Diag Inj Ia (96373) |
$275.60 |
$1,378 |
1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$77 |
$385 |
1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$233.60 |
$1,168 |
1.1× |
| Therapeutic Activities (97530) |
$73 |
$365 |
2.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$2,634.60 |
$13,173 |
7.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$109.60 |
$548 |
3.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$29 |
$145 |
0.8× |
| Tte w/doppler, complete (93306) |
$663.40 |
$3,317 |
1.3× |
Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$1,823–$2,554 |
$9,115–$12,770 |
varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$100.20 |
$501 |
1.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$45.40 |
$227 |
1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$129 |
$645 |
2.9× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$193.80 |
$969 |
6.9× |
| Upr/L Xtremity Art 2 Levels (93922) |
$310.20 |
$1,551 |
2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$191.40 |
$957 |
0.9× |
| Vasopneumatic device (97016) |
$108.80 |
$544 |
9.1× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$2,775.80 |
$13,879 |
7.7× |
| Veeg 2-12 hr intmt mntr (95712) |
$315.80 |
$1,579 |
0.9× |
| Veeg 2-12 hr unmonitored (95711) |
$325.60 |
$1,628 |
1.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,775.80 |
$13,879 |
7.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,775.80 |
$13,879 |
7.7× |
| Vent Mgmt Inpat Init Day (94002) |
$1,104.40 |
$5,522 |
1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,104.40 |
$5,522 |
1.9× |
| Visual Evoked Potential Test (95930) |
$423.20 |
$2,116 |
2.0× |
| Vital capacity, total (94150) |
$242.80 |
$1,214 |
2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$51.20 |
$256 |
1.6× |
| Whirlpool Therapy (97022) |
$21.60 |
$108 |
1.4× |