| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$59.98 |
$193.48 |
0.5× |
| Acoustic Reflex Testing (92568) |
$41.21 |
$132.92 |
1.2× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$125.50 |
$404.82 |
0.6× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$125.50 |
$404.82 |
0.6× |
| Airway Inhalation Treatment (94640) |
$132.06 |
$426 |
0.6× |
| Analyze neurostim no prog (95970) |
$75.47 |
$243.42 |
0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$46.83 |
$151.04 |
3.3× |
| Application on-body injector (96377) |
$26.34 |
$84.95 |
0.6× |
| Assessment of aphasia per hr (96105) |
$297.91 |
$960.98 |
3.1× |
| Assessment of tinnitus (92625) |
$63.06 |
$203.40 |
0.5× |
| Audiometry Air & Bone (92553) |
$49.05 |
$158.22 |
0.4× |
| Behavral qualit analys voice (92524) |
$118.98 |
$383.79 |
1.1× |
| Brief Emotional/Behav Assmt (96127) |
$15.40 |
$49.67 |
0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$169.44 |
$546.57 |
0.5× |
| Canalith repositioning proc (95992) |
$25.04 |
$80.76 |
0.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$372.13 |
$1,200.41 |
1.8× |
| Cardiopulmonary resuscitation (92950) |
$194.69 |
$628.03 |
1.0× |
| Cardioversion (92960) |
$403.62 |
$1,302 |
0.7× |
| Cardioversion elective internal (92961) |
$403.69 |
$1,302.21 |
0.7× |
| Cbt 1st hour (94644) |
$79.05 |
$255 |
0.6× |
| Chemo Admin Peritoneal Cavity (96446) |
$187.76 |
$605.67 |
0.6× |
| Chemo Anti-Neopl Sq/Im (96401) |
$52.70 |
$170 |
0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$52.70 |
$170 |
0.8× |
| Chemo Ia Push (96420) |
$187.76 |
$605.67 |
0.6× |
| Chemo intralesional up to 7 (96405) |
$38.75 |
$125 |
0.6× |
| Chemo IV infusion addl hr (96415) |
$41.54 |
$134 |
0.6× |
| Chemo IV push addl drug (96411) |
$78.74 |
$254 |
1.2× |
| Chemother Prolong Infuse W/Pump (96416) |
$187.55 |
$605 |
0.6× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$187.76 |
$605.67 |
0.6× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
$26.34 |
$84.95 |
0.6× |
| Chemotherapy Into Cns (96450) |
$187.76 |
$605.67 |
0.6× |
| Chemotherapy Intracavitary (96440) |
$187.76 |
$605.67 |
0.6× |
| Chemotherapy Unspecified (96549) |
$26.34 |
$84.95 |
0.6× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$187.76 |
$605.67 |
0.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$82.46 |
$266 |
1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$374.79 |
$1,209 |
1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$215.45 |
$695 |
0.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$187.76 |
$605.67 |
0.6× |
| Chest Wall Manipulation (94668) |
$49.28 |
$158.96 |
0.4× |
| Color/duplex Doppler, complete (93975) |
$760.93 |
$2,454.61 |
3.4× |
| Color/duplex Doppler, limited (93976) |
$464.04 |
$1,496.88 |
4.7× |
| Comprehensive Hearing Test (92557) |
$92.07 |
$297 |
0.8× |
| Conditioning Play Audiometry (92582) |
$59.98 |
$193.48 |
0.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$108.88 |
$351.21 |
0.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$50.84 |
$164 |
0.9× |
| Continuous Pulse Ox (94762) |
$164.02 |
$529.07 |
1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$158.72 |
$512 |
0.8× |
| Cpt initial (94667) |
$97.87 |
$315.69 |
0.8× |
| Critical care first hour (99291) |
$794.45 |
$2,562.71 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$183.52 |
$592 |
1.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$120.53 |
$388.78 |
0.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$292.05 |
$942.08 |
1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$206.69 |
$666.74 |
2.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$729.98 |
$2,354.75 |
3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$352.64 |
$1,137.54 |
3.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$616.98 |
$1,990.24 |
2.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$374.23 |
$1,207.18 |
3.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$279.43 |
$901.38 |
1.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$160.73 |
$518.48 |
1.6× |
| Duplex Scan Hemodialysis Access (93990) |
$334.25 |
$1,078.21 |
3.4× |
| Duplex up extrem art bilat (93930) |
$647.72 |
$2,089.41 |
2.9× |
| Duplex up extrem art unilat/ltd (93931) |
$304.30 |
$981.60 |
3.1× |
| Echo Congenital Complete (93303) |
$743.78 |
$2,399.28 |
1.5× |
| Echo Heart Xthoracic,Limited (93308) |
$313.69 |
$1,011.90 |
1.4× |
| Echo transesophageal (93312) |
$743.78 |
$2,399.28 |
1.5× |
| EEG awake and asleep (95819) |
$305.66 |
$986 |
1.5× |
| EEG awake drowsy (95816) |
$296.67 |
$957 |
1.5× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$92 |
$296.75 |
1.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$34.13 |
$110.07 |
1.0× |
| Electrical Stimulation Ea 15 Min (97032) |
$40.70 |
$131.27 |
2.8× |
| Electrocardiogram Tracing (93005) |
$61.88 |
$199.61 |
1.1× |
| Emergency Dept Visit Level 2 (99282) |
$127.62 |
$411.66 |
0.9× |
| Emergency Dept Visit Level 3 (99283) |
$208.31 |
$671.95 |
0.8× |
| Emergency Dept Visit Level 4 (99284) |
$383.29 |
$1,236.39 |
1.0× |
| Er level 1 (99281) |
$72.23 |
$233 |
0.9× |
| Er level v (99285) |
$570.51 |
$1,840.33 |
1.0× |
| Evaluate pt use of inhaler (94664) |
$97.87 |
$315.69 |
0.5× |
| Evaluate Speech Production (92522) |
$114.62 |
$369.74 |
1.0× |
| Evaluate Swallowing Function (92610) |
$144.87 |
$467.30 |
1.7× |
| Evaluation of speech fluency (92521) |
$140.74 |
$453.97 |
1.1× |
| Evoked Auditory Test,Limited (92587) |
$40.92 |
$132 |
0.2× |
| Exercise test for bronchospasm (94617) |
$304.97 |
$983.77 |
2.4× |
| External ECG rec>48hr<7d recording (93242) |
$22.24 |
$71.72 |
0.6× |
| External ECG rec>7d<15d recording (93246) |
$22.24 |
$71.72 |
0.6× |
| External Ecg Scanning Analysis Report (93226) |
$157.48 |
$508 |
2.8× |
| Extracranial Bilat Study (93880) |
$415.20 |
$1,339.33 |
1.9× |
| Extracranial Uni/Ltd Study (93882) |
$375.10 |
$1,210 |
3.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$534.66 |
$1,724.70 |
1.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$473.32 |
$1,526.82 |
1.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$545.94 |
$1,761.08 |
0.7× |
| Group Therapeutic Procedures (97150) |
$20.83 |
$67.19 |
1.2× |
| Holter monitor recording (93225) |
$193.85 |
$625.31 |
1.6× |
| Immunization administration (90471) |
$41.54 |
$134 |
0.6× |
| Intracranial Complete Study (93886) |
$250.27 |
$807.31 |
1.1× |
| Iontophoresis 15 min (97033) |
$62.95 |
$203.05 |
3.3× |
| Irrig Drug Delivery Device (96523) |
$46.50 |
$150 |
0.8× |
| IV infusion hydration each additional hour (96361) |
$65.10 |
$210 |
1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$223.65 |
$721.43 |
1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$65.10 |
$210 |
1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$37.20 |
$120 |
0.8× |
| IV push initial (96374) |
$122.54 |
$395.27 |
0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$234.78 |
$757.35 |
1.2× |
| Mechanical chest wall oscillation per session (94669) |
$83.10 |
$268.04 |
0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$33.48 |
$108 |
1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$29.76 |
$96 |
0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$18.29 |
$59 |
1.1× |
| Motility study esophagus (91010) |
$404.79 |
$1,305.76 |
1.2× |
| Motion Fluoroscopy/Swallow (92611) |
$144.87 |
$467.30 |
1.6× |
| Multiple Sleep Latency Test (95805) |
$1,079.21 |
$3,481.30 |
1.3× |
| Nasopharyngoscopy (92511) |
$76.06 |
$245.35 |
0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$214.61 |
$692.27 |
0.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$214.61 |
$692.27 |
0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$107.68 |
$347.33 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$183.70 |
$592.57 |
0.5× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$205.81 |
$663.88 |
0.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$30.52 |
$98.45 |
0.2× |
| Nerve conduction studies 5-6 studies (95909) |
$120.53 |
$388.78 |
0.6× |
| Nerve conduction studies 7-8 studies (95910) |
$120.53 |
$388.78 |
0.3× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$120.53 |
$388.78 |
0.3× |
| Neuromuscular Reeducation (97112) |
$41.83 |
$134.91 |
1.3× |
| Oral Function Therapy (92526) |
$103.21 |
$332.92 |
1.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$53.63 |
$173 |
1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$44.64 |
$144 |
1.0× |
| Ot Eval Low Complex (97165) |
$148.22 |
$478.10 |
1.5× |
| Ot Eval Moderate Complexity (97166) |
$157.65 |
$508.53 |
1.6× |
| Ot manual therapy 15 min (97140) |
$58.90 |
$190 |
2.1× |
| Ot paraffin bath (97018) |
$32.24 |
$104 |
5.4× |
| Ot Re-Eval Est Plan Care (97168) |
$61.88 |
$199.61 |
0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$123.09 |
$397.05 |
1.0× |
| Patch/Application Test Specify Number Tests (95044) |
$617.64 |
$1,992.36 |
0.8× |
| Percutaneous tests w/allergenic extracts (95004) |
$617.52 |
$1,992 |
0.8× |
| Phlebotomy therapeutic (99195) |
$101.33 |
$326.86 |
0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$55.19 |
$178.03 |
1.0× |
| Physical Performance Test (97750) |
$54.98 |
$177.33 |
1.6× |
| Plethysmography (94726) |
$111.08 |
$358.32 |
0.3× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines |
$1,545.70–$1,761.92 |
$4,986.11–$5,683.61 |
varies |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,409.12 |
$4,545.54 |
1.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$18.60 |
$59.98 |
0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$24.84 |
$80.12 |
0.6× |
| Pt Eval High Complex (97163) |
$139.49 |
$449.95 |
1.4× |
| Pt eval low complex 20 min (97161) |
$120.64 |
$389.15 |
1.2× |
| Pt Eval Mod Complex (97162) |
$130.07 |
$419.57 |
1.3× |
| Pt gait training 15 min (97116) |
$38.46 |
$124.06 |
1.3× |
| Pt mechanical traction (97012) |
$41.83 |
$134.91 |
2.9× |
| Pt Re-Eval Est Plan Care (97164) |
$70.91 |
$228.72 |
1.1× |
| Pulm function test by gas (94727) |
$111.08 |
$358.32 |
0.5× |
| Pulmonary Stress Testing (94618) |
$120.36 |
$388.25 |
1.0× |
| Pure Tone Audiometry Air (92552) |
$51.95 |
$167.57 |
0.4× |
| Refill/Maint Portable Pump (96521) |
$122.45 |
$395 |
0.6× |
| Refill/Maint Pump/Resvr Syst (96522) |
$118.83 |
$383.32 |
0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$105.49 |
$340.27 |
0.6× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$30.81 |
$99.37 |
1.2× |
| Self Care Mngment Training (97535) |
$40.90 |
$131.91 |
1.3× |
| Sensory Integration Ea 15 Min (97533) |
$43.40 |
$140 |
0.7× |
| Sleep study attended (95807) |
$1,051.96 |
$3,393.39 |
3.0× |
| Speech Audiometry Complete (92556) |
$23.49 |
$75.76 |
0.4× |
| Speech audiometry threshold (92555) |
$59.98 |
$193.48 |
1.1× |
| Speech sound lang comprehen (92523) |
$237.75 |
$766.91 |
1.0× |
| Spirometry (94010) |
$268.15 |
$865 |
1.3× |
| Standardized Cognitive Performance Testing (96125) |
$110.27 |
$355.69 |
1.1× |
| Temp transcutaneous pacing (92953) |
$403.69 |
$1,302.21 |
0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$52.39 |
$168.98 |
2.3× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$17.37 |
$56.02 |
0.8× |
| Ther/Proph/Diag Inj Ia (96373) |
$118.83 |
$383.32 |
0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$54.82 |
$176.82 |
0.8× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$215.47 |
$695.06 |
1.1× |
| Therapeutic Activities (97530) |
$49.60 |
$160 |
1.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$774.62 |
$2,498.77 |
2.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$26.35 |
$85 |
0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$17.98 |
$57.98 |
0.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$168.39 |
$543.18 |
1.7× |
| Tte w/doppler, complete (93306) |
$534.66 |
$1,724.70 |
1.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$104.20 |
$336.11 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$58.03 |
$187.17 |
1.3× |
| Tympanometry (92567) |
$40.92 |
$132 |
1.2× |
| Tympanometry and reflex threshold measurements (92550) |
$59.98 |
$193.48 |
0.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$127.41 |
$411 |
1.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$268.15 |
$865 |
1.3× |
| Vent Mgmt Inpat Init Day (94002) |
$436.98 |
$1,409.59 |
0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$436.98 |
$1,409.59 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$36.74 |
$118.50 |
1.2× |