| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) |
$789.60 |
$1,410 |
1.8× |
| Ablate Heart Dysrhythm Focus (93650) |
$13,484.80 |
$24,080 |
1.2× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$122.08 |
$218 |
0.7× |
| Acoustic Reflex Testing (92568) |
$154 |
$275 |
2.9× |
| Actigraphy Testing Recording Analysis I&R (95803) |
$261.52 |
$467 |
3.1× |
| Actinotherapy Ultraviolet Light (96900) |
$156.80 |
$280 |
3.0× |
| Acupunct W/Stimul 15 Min (97813) |
$78.96 |
$141 |
1.9× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$76.16 |
$136 |
1.9× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) |
$336 |
$600 |
1.3× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) |
$235.20 |
$420 |
1.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$45.92 |
$82 |
0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$672 |
$1,200 |
2.2× |
| Aep neurodiagnostic i&r (92653) |
$845.60 |
$1,510 |
2.8× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$845.60 |
$1,510 |
2.8× |
| Airway Inhalation Treatment (94640) |
$464.80 |
$830 |
1.5× |
| Airway resistance by oscillometry (94728) |
$476 |
$850 |
2.6× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$159.60 |
$285 |
3.0× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
$145.60 |
$260 |
3.6× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$728 |
$1,300 |
3.9× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$532 |
$950 |
2.8× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
$487.20 |
$870 |
2.7× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) |
$459.20 |
$820 |
2.5× |
| Analyze neurostim complex (95972) |
$728 |
$1,300 |
5.4× |
| Analyze neurostim no prog (95970) |
$148.40 |
$265 |
0.8× |
| Analyze Neurostim Simple (95971) |
$526.40 |
$940 |
3.9× |
| Analyze Pacemaker System (93724) |
$851.20 |
$1,520 |
2.0× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$644 |
$1,150 |
2.3× |
| Ans parasymp & symp w/tilt (95924) |
$1,013.60 |
$1,810 |
3.3× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) |
$436.80 |
$780 |
2.3× |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
$504 |
$900 |
2.7× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$75.60 |
$135 |
1.4× |
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines |
$63.28–$104.72 |
$113–$187 |
varies |
Application Modality 1/> Areas Diathermy (97024)
range across 2 matching MRF lines |
$24.64–$29.68 |
$44–$53 |
varies |
Application Modality 1/> Areas Infrared (97026)
range across 2 matching MRF lines |
$22.96–$50.40 |
$41–$90 |
varies |
| Application on-body injector (96377) |
$227.36 |
$406 |
3.4× |
| Arrhythmia Induction (93618) |
$4,020.80 |
$7,180 |
2.3× |
| Art pressure waveform analys (93050) |
$136.64 |
$244 |
3.3× |
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines |
$258.72–$263.76 |
$462–$471 |
varies |
Assessment of tinnitus (92625)
range across 2 matching MRF lines |
$358.40–$442.40 |
$640–$790 |
varies |
| Audiometry Air & Bone (92553) |
$324.80 |
$580 |
1.8× |
| Auditory Function, 60 Min (92620) |
$487.20 |
$870 |
2.7× |
| Basic vestibular evaluation (92540) |
$1,444.80 |
$2,580 |
4.7× |
| Behavior id assessment by phys/qhp ea 15 min (97151) |
$235.20 |
$420 |
1.6× |
| Behavior id support assmt by 1 tech ea 15 min (97152) |
$235.20 |
$420 |
1.6× |
| Behavral qualit analys voice (92524) |
$722.40 |
$1,290 |
6.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$492.80 |
$880 |
6.0× |
| Bfb training ea addl 15 min (90913) |
$403.20 |
$720 |
12.3× |
| Biofeedback training any modality (90901) |
$102.48 |
$183 |
2.5× |
| Bioimpedance Cv Analysis (93701) |
$244.16 |
$436 |
1.3× |
| Bis Xtracell Fluid Analysis (93702) |
$414.40 |
$740 |
2.3× |
| Blink reflex test (95933) |
$174.72 |
$312 |
2.1× |
| Breath hydrogen/methane test (91065) |
$1,780.80 |
$3,180 |
5.8× |
| Breathing response to hypoxia (94450) |
$599.20 |
$1,070 |
3.3× |
| Brief Emotional/Behav Assmt (96127) |
$104.72 |
$187 |
2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$1,114.40 |
$1,990 |
2.1× |
| Bundle of his recording (93600) |
$6,059.20 |
$10,820 |
0.6× |
| C motor evoked uppr limbs (95928) |
$2,760.80 |
$4,930 |
2.3× |
| C motor evoked upr&lwr limbs (95939) |
$2,508.80 |
$4,480 |
2.1× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$1,288 |
$2,300 |
4.2× |
| Caloric Vstblr Test W/Rec (92537) |
$1,131.20 |
$2,020 |
6.2× |
| Canalith repositioning proc (95992) |
$233.52 |
$417 |
5.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,551.20 |
$2,770 |
5.1× |
| Cardiopulmonary exercise testing (94621) |
$1,808.80 |
$3,230 |
3.4× |
| Cardiopulmonary resuscitation (92950) |
$1,573.60 |
$2,810 |
5.2× |
| Cardioversion (92960) |
$3,309.60 |
$5,910 |
3.5× |
| Cardioversion elective internal (92961) |
$2,755.20 |
$4,920 |
3.0× |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
$273.28 |
$488 |
5.2× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$120.40 |
$215 |
2.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$51.52 |
$92 |
2.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$22,551.20 |
$40,270 |
4.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$19,488 |
$34,800 |
4.3× |
| Cbt 1st hour (94644) |
$459.20 |
$820 |
2.4× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) |
$392 |
$700 |
2.1× |
| Cervical & Ocular Vemp Testing W/I&R (92519) |
$1,198.40 |
$2,140 |
3.9× |
| Cervical Vemp Testing W/I&R (92517) |
$448 |
$800 |
2.5× |
| Chemo Admin Peritoneal Cavity (96446) |
$1,019.20 |
$1,820 |
2.2× |
| Chemo Anti-Neopl Sq/Im (96401) |
$543.20 |
$970 |
5.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$347.20 |
$620 |
3.4× |
| Chemo Ia Push (96420) |
$1,377.60 |
$2,460 |
3.0× |
| Chemo Intralesional Over 7 (96406) |
$716.80 |
$1,280 |
2.4× |
| Chemo intralesional up to 7 (96405) |
$341.60 |
$610 |
3.4× |
| Chemo IV infusion addl hr (96415) |
$403.20 |
$720 |
4.0× |
| Chemo IV push addl drug (96411) |
$464.80 |
$830 |
4.6× |
| Chemother Prolong Infuse W/Pump (96416) |
$817.60 |
$1,460 |
1.8× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$912.80 |
$1,630 |
2.0× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
$249.20 |
$445 |
3.8× |
| Chemotherapy Into Cns (96450) |
$3,494.40 |
$6,240 |
7.5× |
| Chemotherapy Intracavitary (96440) |
$1,416.80 |
$2,530 |
3.0× |
| Chemotherapy Unspecified (96549) |
$256.48 |
$458 |
3.9× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$1,019.20 |
$1,820 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$504 |
$900 |
5.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$1,103.20 |
$1,970 |
2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$845.60 |
$1,510 |
1.8× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$985.60 |
$1,760 |
2.1× |
| Chest Wall Manipulation (94668) |
$256.48 |
$458 |
1.4× |
| Chiropract manj 3-4 regions (98941) |
$117.04 |
$209 |
3.8× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) |
$117.04 |
$209 |
3.8× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) |
$117.04 |
$209 |
3.8× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$1,607.20 |
$2,870 |
3.1× |
| Cmptr ophth dx img ant segmt (92132) |
$146.16 |
$261 |
1.8× |
| Colon Motility 6 Hr Study (91117) |
$1,069.60 |
$1,910 |
3.5× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
$227.36 |
$406 |
2.7× |
| Color/duplex Doppler, complete (93975) |
$2,329.60 |
$4,160 |
6.9× |
| Color/duplex Doppler, limited (93976) |
$1,338.40 |
$2,390 |
9.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$190.96 |
$341 |
6.0× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$208.88 |
$373 |
0.8× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) |
$3,477.60 |
$6,210 |
2.9× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) |
$1,607.20 |
$2,870 |
3.1× |
| Comprehensive Hearing Test (92557) |
$548.80 |
$980 |
3.0× |
| Computerized dynamic posturography (92548) |
$498.40 |
$890 |
2.7× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$192.64 |
$344 |
2.3× |
| Computerized Ophthalmic Imaging Retina (92134) |
$185.92 |
$332 |
2.2× |
| Conditioning Play Audiometry (92582) |
$352.80 |
$630 |
1.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$420 |
$750 |
2.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$554.40 |
$990 |
6.7× |
| Contact Lens Fit,Corneoscleral Lens (92313) |
$341.60 |
$610 |
1.8× |
| Continuous Pulse Ox (94762) |
$963.20 |
$1,720 |
5.3× |
| Cornea hysteresis determin impulse stimj uni/bi (92145) |
$150.08 |
$268 |
1.8× |
| Corneal Topography (92025) |
$213.36 |
$381 |
2.6× |
| Coronary Art/Grft Angio S&I (93455) |
$16,794.40 |
$29,990 |
3.7× |
| Coronary Artery Angio S&I (93454) |
$16,396.80 |
$29,280 |
3.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$1,590.40 |
$2,840 |
5.1× |
| Cpt initial (94667) |
$210 |
$375 |
1.1× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$554.40 |
$990 |
1.8× |
| Critical care first hour (99291) |
$5,909.68 |
$10,553 |
5.1× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$1,562.40 |
$2,790 |
3.0× |
| Dark Adaptation Eye Exam (92284) |
$492.80 |
$880 |
0.8× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
$543.20–$616 |
$970–$1,100 |
varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) |
$526.40 |
$940 |
1.9× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$845.60 |
$1,510 |
4.7× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$487.20 |
$870 |
2.7× |
| Dialysis One Evaluation (90945) |
$1,103.20 |
$1,970 |
1.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$868 |
$1,550 |
1.6× |
| Duodenal motility study (91022) |
$2,503.20 |
$4,470 |
4.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,590.40 |
$2,840 |
4.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$1,125.60 |
$2,010 |
7.6× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$761.60 |
$1,360 |
5.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$2,363.20 |
$4,220 |
7.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,360.80 |
$2,430 |
9.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,803.20 |
$3,220 |
5.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,153.60 |
$2,060 |
7.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,108.80 |
$1,980 |
3.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$907.20 |
$1,620 |
6.1× |
| Duplex Scan Hemodialysis Access (93990) |
$1,596 |
$2,850 |
10.8× |
| Duplex up extrem art bilat (93930) |
$1,920.80 |
$3,430 |
5.7× |
| Duplex up extrem art unilat/ltd (93931) |
$1,545.60 |
$2,760 |
10.5× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$386.40 |
$690 |
2.1× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$420 |
$750 |
2.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$604.80 |
$1,080 |
3.3× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) |
$767.20 |
$1,370 |
2.5× |
| Ear and throat examination (92502) |
$1,450.40 |
$2,590 |
1.9× |
| Ear Protector Evaluation (92596) |
$112.56 |
$201 |
2.1× |
| ECG/monitoring and analysis (93271) |
$1,030.40 |
$1,840 |
7.7× |
| Echo Congenital Complete (93303) |
$3,074.40 |
$5,490 |
4.0× |
| Echo Heart Xthoracic,Limited (93308) |
$1,909.60 |
$3,410 |
5.7× |
| Echo r-t 2d w/probe placement only (93313) |
$2,318.40 |
$4,140 |
3.0× |
| Echo transesophag congen probe plcmt only (93316) |
$2,458.40 |
$4,390 |
3.2× |
| Echo transesophag montr cardiac pump functj (93318) |
$2,458.40 |
$4,390 |
3.2× |
| Echo transesophageal (93312) |
$3,802.40 |
$6,790 |
4.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$2,318.40 |
$4,140 |
3.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$3,337.60 |
$5,960 |
4.3× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) |
$148.40 |
$265 |
2.8× |
| Eeg 41-60 Minutes (95812) |
$1,355.20 |
$2,420 |
4.4× |
| EEG awake and asleep (95819) |
$1,674.40 |
$2,990 |
5.5× |
| EEG awake drowsy (95816) |
$1,523.20 |
$2,720 |
5.0× |
| EEG cerebral death evaluation (95824) |
$1,607.20 |
$2,870 |
3.1× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$2,245.60 |
$4,010 |
7.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$3,584 |
$6,400 |
11.8× |
| Eeg Sleep Only (95822) |
$1,629.60 |
$2,910 |
5.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$1,932 |
$3,450 |
6.3× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$1,932 |
$3,450 |
6.3× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$1,932 |
$3,450 |
3.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$1,932 |
$3,450 |
3.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,932 |
$3,450 |
6.3× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$2,228.80 |
$3,980 |
4.2× |
| EKG signal averaged (93278) |
$280 |
$500 |
3.4× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$520.80 |
$930 |
3.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$554.40 |
$990 |
4.1× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$431.20 |
$770 |
8.2× |
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines |
$87.92–$124.88 |
$157–$223 |
varies |
| Electro-Oculography (92270) |
$336 |
$600 |
1.8× |
| Electrocardiogram Tracing (93005) |
$380.80 |
$680 |
4.6× |
| Electrocochleography (92584) |
$756 |
$1,350 |
4.2× |
| Electroconvulsive Therapy (90870) |
$3,640 |
$6,500 |
3.0× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) |
$845.60 |
$1,510 |
2.8× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) |
$436.80 |
$780 |
2.3× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
$12,896.80 |
$23,030 |
1.2× |
| Electrophysiology Evaluation (93642) |
$3,684.80 |
$6,580 |
2.1× |
| Emergency Dept Visit Level 2 (99282) |
$872.48 |
$1,558 |
4.0× |
| Emergency Dept Visit Level 3 (99283) |
$1,621.76 |
$2,896 |
4.2× |
| Emergency Dept Visit Level 4 (99284) |
$2,712.64 |
$4,844 |
4.6× |
| Emg 3 Extremities (95863) |
$655.20 |
$1,170 |
3.6× |
| Emg 4 Extremities (95864) |
$677.60 |
$1,210 |
3.7× |
| Endomyocardial Biopsy (93505) |
$3,640 |
$6,500 |
0.8× |
| Ep & ablate supravent arrhyt (93653) |
$33,415.20 |
$59,670 |
0.9× |
| Ep & ablate ventric tachy (93654) |
$34,624.80 |
$61,830 |
0.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$17,746.40 |
$31,690 |
1.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$15,478.40 |
$27,640 |
1.4× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$3,348.80 |
$5,980 |
1.9× |
| Er level 1 (99281) |
$472.08 |
$843 |
4.0× |
| Er level v (99285) |
$4,220.16 |
$7,536 |
5.0× |
| Ergonovine provocation test (93024) |
$890.40 |
$1,590 |
1.4× |
| Esoph Atrial Electrogram (93615) |
$2,912 |
$5,200 |
1.7× |
| Esophageal Capsule Endoscopy (91111) |
$3,063.20 |
$5,470 |
2.4× |
| Esophagus acid perfusion test esophagitis (91030) |
$1,881.60 |
$3,360 |
3.6× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
$1,332.80 |
$2,380 |
2.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,456 |
$2,600 |
2.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$672 |
$1,200 |
3.7× |
| Evaluate pt use of inhaler (94664) |
$336 |
$600 |
1.1× |
| Evaluate Speech Production (92522) |
$940.80 |
$1,680 |
8.4× |
Evaluate Swallowing Function (92610)
range across 4 matching MRF lines |
$258.72–$649.60 |
$462–$1,160 |
varies |
| Evaluation of speech fluency (92521) |
$352.80 |
$630 |
2.6× |
| Evoked Auditory Test,Limited (92587) |
$1,002.40 |
$1,790 |
3.3× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) |
$565.60 |
$1,010 |
2.0× |
| Excimer laser tx psoriasis >500 sq cm (96922) |
$1,024.80 |
$1,830 |
1.8× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) |
$588 |
$1,050 |
2.1× |
| Exercise test for bronchospasm (94617) |
$498.40 |
$890 |
2.7× |
| Exhaled Air Analysis O2 (94680) |
$599.20 |
$1,070 |
3.3× |
| External ECG rec>48hr<7d recording (93242) |
$147.28 |
$263 |
2.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$241.92 |
$432 |
1.3× |
| External ECG rec>7d<15d recording (93246) |
$241.92 |
$432 |
4.6× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$392 |
$700 |
2.1× |
| External Ecg Scanning Analysis Report (93226) |
$873.60 |
$1,560 |
10.5× |
| Extracranial Bilat Study (93880) |
$1,775.20 |
$3,170 |
5.3× |
| Extracranial Uni/Ltd Study (93882) |
$789.60 |
$1,410 |
5.3× |
| Eye Allergy Tests (95060) |
$436.80 |
$780 |
2.3× |
| Eye exam w anesth; complete (92018) |
$2,161.60 |
$3,860 |
0.6× |
| Eye exam w anesth; limited (92019) |
$4,530.40 |
$8,090 |
1.3× |
| Eye Exam With Photos (92230) |
$576.80 |
$1,030 |
1.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$2,318.40 |
$4,140 |
3.0× |
| Facial nerve function studies (92516) |
$851.20 |
$1,520 |
2.8× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) |
$89.04 |
$159 |
1.7× |
| Filtered Speech Test (92571) |
$112.56 |
$201 |
2.1× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) |
$149.52 |
$267 |
2.8× |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) |
$149.52 |
$267 |
2.8× |
| Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) |
$256.48 |
$458 |
3.1× |
| Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) |
$256.48 |
$458 |
3.1× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
$336 |
$600 |
2.2× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$683.20 |
$1,220 |
3.4× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$515.20 |
$920 |
2.3× |
| Fluorescein angiography (92235) |
$767.20 |
$1,370 |
2.5× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) |
$974.40 |
$1,740 |
3.2× |
| Full Field Electroretinography W/I&R (92273) |
$767.20 |
$1,370 |
2.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$2,940 |
$5,250 |
2.4× |
| Fundus photography (92250) |
$330.40 |
$590 |
1.8× |
| Gastric motility studies (91020) |
$2,732.80 |
$4,880 |
5.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,251.20 |
$4,020 |
4.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$1,254.40 |
$2,240 |
4.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$3,040.80 |
$5,430 |
2.5× |
| Gi tract capsule endoscopy (91110) |
$5,017.60 |
$8,960 |
3.9× |
| Gi tract imaging intraluminal colon i&r (91113) |
$2,424.80 |
$4,330 |
1.8× |
| Gi wireless capsule measure (91112) |
$2,587.20 |
$4,620 |
2.0× |
| Gonioscopy (92020) |
$135.52 |
$242 |
0.7× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) |
$89.04 |
$159 |
1.7× |
Group Therapeutic Procedures (97150)
range across 9 matching MRF lines |
$66.64–$229.60 |
$119–$410 |
varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) |
$89.04 |
$159 |
1.7× |
| Health Behavior Assessment/Re-Assessment (96156) |
$324.80 |
$580 |
2.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$194.32 |
$347 |
3.7× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$135.52 |
$242 |
2.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$397.60 |
$710 |
1.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$22,293.60 |
$39,810 |
4.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$2,452.80 |
$4,380 |
2.5× |
| High altitude simulation test (94452) |
$1,120 |
$2,000 |
6.0× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$347.20 |
$620 |
1.8× |
| Holter monitor recording (93225) |
$621.60 |
$1,110 |
3.3× |
| Hubbard tank 15 min (97036) |
$153.44 |
$274 |
4.4× |
| Hypnotherapy (90880) |
$369.60 |
$660 |
2.6× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) |
$145.60 |
$260 |
2.8× |
| Icd Device Interrogate (93289) |
$285.60 |
$510 |
5.4× |
| Icd device progr eval dual (93283) |
$548.80 |
$980 |
10.4× |
| Icd Device Progr Eval Mult (93284) |
$364 |
$650 |
6.9× |
| Icm Device Eval (93290) |
$101.92 |
$182 |
1.9× |
| Ilr Device Eval Progr (93285) |
$230.16 |
$411 |
4.4× |
| Ilr Device Interrogate (93291) |
$175.84 |
$314 |
4.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$63.84 |
$114 |
0.6× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) |
$146.72 |
$262 |
1.8× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) |
$141.68 |
$253 |
1.7× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$129.36 |
$231 |
2.5× |
| Immunization administration (90471) |
$122.64 |
$219 |
1.2× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
$767.20 |
$1,370 |
2.5× |
| Ingestion challenge test initial 120 minutes (95076) |
$1,859.20 |
$3,320 |
3.5× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$1,416.80 |
$2,530 |
2.7× |
| Inital newborn e/m (99460) |
$442.40 |
$790 |
2.4× |
| Insert/Place Heart Catheter (93503) |
$3,550.40 |
$6,340 |
1.6× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) |
$383.04 |
$684 |
2.1× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) |
$383.04 |
$684 |
2.1× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
$226.24 |
$404 |
1.7× |
| Interrog&prgrmg ipnss during polysomnography (93152) |
$739.20 |
$1,320 |
1.7× |
| Interrogate Subq Defib (93261) |
$193.20 |
$345 |
3.7× |
| Interrogation eval in person wr defibrillator (93292) |
$211.68 |
$378 |
4.0× |
| Interrogation vad in person (93750) |
$296.80 |
$530 |
2.2× |
| Interrogation without programming ipnss (93153) |
$226.24 |
$404 |
1.7× |
| Intra-atrial pacing (93610) |
$6,059.20 |
$10,820 |
0.6× |
| Intra-atrial recording (93602) |
$6,059.20 |
$10,820 |
0.6× |
| Intracranial Complete Study (93886) |
$1,568 |
$2,800 |
4.7× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) |
$145.60 |
$260 |
3.6× |
| Intracutaneous tests w/allergenic extracts (95024) |
$256.48 |
$458 |
3.1× |
| Intraventricular pacing (93612) |
$6,059.20 |
$10,820 |
0.6× |
| Io anal gast n-stim subsq (95981) |
$308 |
$550 |
3.7× |
| Io ga n-stim subsq w/reprog (95982) |
$254.24 |
$454 |
4.8× |
Iontophoresis 15 min (97033)
range across 2 matching MRF lines |
$80.64–$118.16 |
$144–$211 |
varies |
| Irrig Drug Delivery Device (96523) |
$212.80 |
$380 |
2.6× |
| Ischemic limb exercise test (95875) |
$543.20 |
$970 |
3.0× |
| IV infusion hydration each additional hour (96361) |
$369.60 |
$660 |
5.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$739.20 |
$1,320 |
2.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$369.60 |
$660 |
3.6× |
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines |
$160.16–$442.40 |
$286–$790 |
varies |
| IV push initial (96374) |
$520.80 |
$930 |
1.7× |
| L Hrt Art/Grft Angio (93459) |
$19,488 |
$34,800 |
4.3× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$6,104 |
$10,900 |
1.3× |
| Laryngeal Function Studies (92520) |
$392 |
$700 |
2.1× |
| Liver Elastography W/O Imag W/I&R (91200) |
$487.20 |
$870 |
2.7× |
| Loudness balance test (92562) |
$380.80 |
$680 |
1.2× |
| Low frequency non-thermal us (97610) |
$470.40 |
$840 |
1.7× |
| Lung Function Test (Mbc/Mvv) (94200) |
$453.60 |
$810 |
5.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,288 |
$2,300 |
4.2× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) |
$3,029.60 |
$5,410 |
2.5× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) |
$3,914.40 |
$6,990 |
3.2× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
$498.40 |
$890 |
1.6× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) |
$1,607.20 |
$2,870 |
3.1× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) |
$448 |
$800 |
2.5× |
| Mechanical chest wall oscillation per session (94669) |
$532 |
$950 |
1.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$140 |
$250 |
4.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$99.68 |
$178 |
2.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$105.84 |
$189 |
6.2× |
| Methacholine challenge (94070) |
$929.60 |
$1,660 |
1.8× |
| Microvolt T-Wave Assess (93025) |
$543.20 |
$970 |
3.0× |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) |
$57.12 |
$102 |
2.9× |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) |
$57.12 |
$102 |
10.7× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) |
$436.80 |
$780 |
2.3× |
| Motility study esophagus (91010) |
$3,628.80 |
$6,480 |
6.9× |
Motion Fluoroscopy/Swallow (92611)
range across 7 matching MRF lines |
$302.40–$800.80 |
$540–$1,430 |
varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$420 |
$750 |
0.7× |
| Multifocal Electroretinography W/I&R (92274) |
$386.40 |
$690 |
2.1× |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) |
$89.04 |
$159 |
1.7× |
| Multiple Family Group Psychotherapy (90849) |
$526.40 |
$940 |
2.1× |
| Multiple Sleep Latency Test (95805) |
$3,164 |
$5,650 |
2.6× |
| Muscle Test 2 Limbs (95861) |
$341.60 |
$610 |
1.8× |
| Muscle Test Hemidiaphragm (95866) |
$487.20 |
$870 |
2.7× |
| Muscle Test Nonparaspinal (95870) |
$259.84 |
$464 |
1.4× |
| Muscle Test One Limb (95860) |
$364 |
$650 |
1.9× |
| Narcosynthesis (90865) |
$537.60 |
$960 |
2.1× |
| Nasal function studies (92512) |
$868 |
$1,550 |
2.8× |
| Nasopharyngoscopy (92511) |
$481.60 |
$860 |
1.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$845.60 |
$1,510 |
2.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$828.80 |
$1,480 |
2.7× |
| Needle electromyography larynx (95865) |
$296.80 |
$530 |
1.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$593.60 |
$1,060 |
1.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$1,579.20 |
$2,820 |
5.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$1,148 |
$2,050 |
2.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$1,153.60 |
$2,060 |
2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$565.60 |
$1,010 |
2.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$526.40 |
$940 |
0.9× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$386.40 |
$690 |
1.3× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$2,122.40 |
$3,790 |
4.0× |
| Nerve conduction studies 13 or more studies (95913) |
$2,122.40 |
$3,790 |
4.0× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$845.60 |
$1,510 |
2.8× |
| Nerve conduction studies 5-6 studies (95909) |
$1,366.40 |
$2,440 |
4.5× |
| Nerve conduction studies 7-8 studies (95910) |
$1,797.60 |
$3,210 |
3.4× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$2,122.40 |
$3,790 |
4.0× |
| Neurobehavioral Status Exam (96116) |
$767.20 |
$1,370 |
2.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$459.20 |
$820 |
2.5× |
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines |
$175.84–$229.04 |
$314–$409 |
varies |
| Newborn resuscitation (99465) |
$1,719.20 |
$3,070 |
1.8× |
| Nitric oxide expired gas determination (95012) |
$280 |
$500 |
5.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$123.20 |
$220 |
4.9× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$145.04 |
$259 |
4.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$66.64 |
$119 |
4.9× |
| Nose Allergy Test (95065) |
$145.60 |
$260 |
2.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$1,310.40 |
$2,340 |
2.5× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$459.20 |
$820 |
0.9× |
| Ocular Vemp Testing W/I&R (92518) |
$448 |
$800 |
2.5× |
| Oculoelectromyography (92265) |
$256.48 |
$458 |
3.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$352.80 |
$630 |
1.9× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$245.28 |
$438 |
1.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$207.20 |
$370 |
1.1× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$146.72 |
$262 |
0.8× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$140 |
$250 |
0.7× |
| Ophthalmodynamometry (92260) |
$149.52 |
$267 |
2.8× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$169.68 |
$303 |
2.0× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$199.36 |
$356 |
2.4× |
| Optokinetic Nystagmus Test (92544) |
$487.20 |
$870 |
2.7× |
Oral Function Therapy (92526)
range across 13 matching MRF lines |
$291.20–$403.20 |
$520–$720 |
varies |
| Oral Speech Device Eval (92597) |
$677.60 |
$1,210 |
9.5× |
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines |
$150.64–$196.56 |
$269–$351 |
varies |
| Orthoptic training under supervision of phys/qhp (92066) |
$127.68 |
$228 |
1.5× |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines |
$136.64–$193.76 |
$244–$346 |
varies |
| Oscillating Tracking Test (92545) |
$828.80 |
$1,480 |
2.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$141.12 |
$252 |
4.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$141.12 |
$252 |
4.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$141.12 |
$252 |
4.6× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$127.12 |
$227 |
4.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$151.20 |
$270 |
5.0× |
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines |
$62.16–$81.20 |
$111–$145 |
varies |
| Ot eval high complexity (97167) |
$700 |
$1,250 |
7.0× |
| Ot Eval Low Complex (97165) |
$414.40 |
$740 |
4.1× |
| Ot Eval Moderate Complexity (97166) |
$571.20 |
$1,020 |
5.7× |
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines |
$119.84–$155.68 |
$214–$278 |
varies |
| Ot paraffin bath (97018) |
$69.44 |
$124 |
11.6× |
Ot Prosthetic Training, Each 15 Min (97761)
range across 3 matching MRF lines |
$143.92–$151.76 |
$257–$271 |
varies |
| Ot Re-Eval Est Plan Care (97168) |
$319.20 |
$570 |
4.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$313.60 |
$560 |
1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$313.60 |
$560 |
1.7× |
| Oxygen Uptake Rest Indirect (94690) |
$159.60 |
$285 |
1.9× |
| Patch/Application Test Specify Number Tests (95044) |
$627.20 |
$1,120 |
0.5× |
| Patient-initiated spirometric recording (94015) |
$217.28 |
$388 |
0.7× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) |
$604.80 |
$1,080 |
1.0× |
| Pdt dstr prmlg les phys/qhp (96573) |
$705.60 |
$1,260 |
2.5× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$700 |
$1,250 |
2.5× |
| Pediatric apnea monitor analyses computer (94776) |
$515.20 |
$920 |
2.8× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) |
$537.60 |
$960 |
3.0× |
| Penile Vascular Study,Ltd or F/U (93981) |
$1,041.60 |
$1,860 |
7.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$817.60 |
$1,460 |
2.6× |
| Percutaneous tests w/allergenic extracts (95004) |
$627.20 |
$1,120 |
0.5× |
| Peripheral arterial disease rehab per session (93668) |
$161.28 |
$288 |
1.9× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) |
$54,537.84 |
$97,389 |
2.1× |
| Perq transcath closure pda (93582) |
$28,784 |
$51,400 |
1.1× |
| Perq Transcath Cls Aortic (93591) |
$42,375.20 |
$75,670 |
1.6× |
| Perq Transcath Cls Mitral (93590) |
$42,375.20 |
$75,670 |
1.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$11,681.60 |
$20,860 |
1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$26,325.60 |
$47,010 |
1.6× |
| Phlebotomy therapeutic (99195) |
$492.80 |
$880 |
2.6× |
| Photo patch test(s) (95052) |
$98.56 |
$176 |
1.2× |
| Photo Tests (95056) |
$256.48 |
$458 |
1.4× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) |
$1,198.40 |
$2,140 |
2.1× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) |
$347.20 |
$620 |
4.2× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$225.12 |
$402 |
2.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$190.40 |
$340 |
2.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$251.44 |
$449 |
3.0× |
| Physical Performance Test (97750) |
$176.96 |
$316 |
5.2× |
| Plethysmography (94726) |
$599.20 |
$1,070 |
1.1× |
| Pm device eval in person (93288) |
$234.64 |
$419 |
4.5× |
| Pm device progr eval dual (93280) |
$548.80 |
$980 |
10.4× |
| Pm device progr eval multi (93281) |
$364 |
$650 |
6.9× |
| Pm Device Progr Eval Sngl (93279) |
$249.20 |
$445 |
4.7× |
| Pm/Icd Remote Tech Serv (93296) |
$364 |
$650 |
6.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,651.20 |
$6,520 |
3.0× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,897.60 |
$6,960 |
3.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,180.80 |
$5,680 |
2.6× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$3,180.80 |
$5,680 |
2.6× |
| Positional nystagmus test (92542) |
$392 |
$700 |
2.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$165.20 |
$295 |
2.5× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) |
$165.20 |
$295 |
2.5× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) |
$261.52 |
$467 |
4.0× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) |
$261.52 |
$467 |
2.6× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) |
$250.32 |
$447 |
2.5× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
$576.80 |
$1,030 |
0.9× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) |
$256.48 |
$458 |
1.4× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) |
$436.80 |
$780 |
2.3× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) |
$177.52 |
$317 |
3.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$208.88 |
$373 |
4.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$548.80 |
$980 |
10.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$58.24 |
$104 |
0.9× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$165.20 |
$295 |
2.5× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) |
$250.32 |
$447 |
2.5× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) |
$165.20 |
$295 |
2.5× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) |
$201.60 |
$360 |
3.0× |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) Facility (92358) |
$256.48 |
$458 |
3.1× |
| Prq Card Angio/Athrect 1 Art (92924) |
$27,350.40 |
$48,840 |
1.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$13,748 |
$24,550 |
0.8× |
| Prq Card Stent/Ath/Angio (92933) |
$26,325.60 |
$47,010 |
1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$26,325.60 |
$47,010 |
1.6× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$34,540.80 |
$61,680 |
1.3× |
| Prq trl rvs ch occ ant&rtrgr (92945) |
$34,344.80 |
$61,330 |
2.1× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$16,335.20 |
$29,170 |
1.0× |
| Psych diag eval w/med srvcs (90792) |
$2,178.40 |
$3,890 |
8.7× |
| Psychiatric diagnostic evaluation (90791) |
$659.12 |
$1,177 |
2.6× |
| Psychoanalysis (90845) |
$537.60 |
$960 |
2.1× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$828.80 |
$1,480 |
2.7× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$481.60 |
$860 |
11.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$1,103.20 |
$1,970 |
1.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$369.60 |
$660 |
2.0× |
| Psytx Crisis Initial 60 Min (90839) |
$593.60 |
$1,060 |
2.4× |
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755)
range across 3 matching MRF lines |
$119.28–$155.12 |
$213–$277 |
varies |
| Pt Eval High Complex (97163) |
$453.60 |
$810 |
4.6× |
| Pt eval low complex 20 min (97161) |
$336 |
$600 |
3.4× |
| Pt Eval Mod Complex (97162) |
$380.80 |
$680 |
3.9× |
Pt gait training 15 min (97116)
range across 2 matching MRF lines |
$133.84–$190.96 |
$239–$341 |
varies |
| Pt group caregiver training (97552) |
$51.52 |
$92 |
2.3× |
Pt mechanical traction (97012)
range across 4 matching MRF lines |
$61.04–$100.80 |
$109–$180 |
varies |
| Pt Re-Eval Est Plan Care (97164) |
$324.80 |
$580 |
4.8× |
| Pt ultraviolet (97028) |
$39.76 |
$71 |
4.8× |
| Pulm function test by gas (94727) |
$498.40 |
$890 |
1.6× |
Pulmonary service/procedure (94799)
range across 11 matching MRF lines |
$166.88–$263.20 |
$298–$470 |
varies |
| Pulmonary Stress Testing (94618) |
$672 |
$1,200 |
3.6× |
| Pure Tone Audiometry Air (92552) |
$176.40 |
$315 |
0.9× |
| Quan puplmtry phy/qhp uni/bi (95919) |
$247.52 |
$442 |
1.3× |
| R Hrt Art/Grft Angio (93457) |
$19,488 |
$34,800 |
4.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$6,104 |
$10,900 |
1.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$6,104 |
$10,900 |
1.3× |
| R hrt coronary artery angio (93456) |
$21,616 |
$38,600 |
4.7× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$6,104 |
$10,900 |
1.3× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$6,104 |
$10,900 |
1.3× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$11,132.80 |
$19,880 |
2.4× |
| Rapid Desensitization Procedure Each Hour (95180) |
$593.60 |
$1,060 |
0.9× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$1,019.20 |
$1,820 |
2.2× |
| Refill/Maint Portable Pump (96521) |
$991.20 |
$1,770 |
3.3× |
| Refill/Maint Pump/Resvr Syst (96522) |
$526.40 |
$940 |
1.8× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$147.28 |
$263 |
2.8× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$87.92 |
$157 |
1.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$392 |
$700 |
2.1× |
| Rem Mntr Wrls P-Art Prs Snr (93264) |
$143.92 |
$257 |
2.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$313.60 |
$560 |
6.0× |
| Remote 30 Day Ecg Tech Supp (93229) |
$1,388.80 |
$2,480 |
2.6× |
| Repair and refitting spectacles; spectacle prosthesis for aphakia Facility (92371) |
$256.48 |
$458 |
3.1× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$963.20 |
$1,720 |
3.2× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) |
$845.60 |
$1,510 |
2.8× |
| Replacement of contact lens (92326) |
$256.48 |
$458 |
3.1× |
| Respiratory flow volume loop (94375) |
$711.20 |
$1,270 |
2.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$144.48 |
$258 |
1.7× |
| Right Heart Cath (93451) |
$10,500 |
$18,750 |
2.3× |
| Right ventricular recording (93603) |
$3,180.80 |
$5,680 |
1.9× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines |
$285.60–$341.60 |
$510–$610 |
varies |
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 2 matching MRF lines |
$403.20–$498.40 |
$720–$890 |
varies |
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608)
range across 2 matching MRF lines |
$142.24–$176.96 |
$254–$316 |
varies |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) |
$414.40 |
$740 |
2.2× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
$1,607.20 |
$2,870 |
3.1× |
| Same day nb discharge (99463) |
$442.40 |
$790 |
2.4× |
| Select picture audiometry (92583) |
$112.56 |
$201 |
1.4× |
Self Care Mngment Training (97535)
range across 3 matching MRF lines |
$148.96–$201.04 |
$266–$359 |
varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$158.48 |
$283 |
1.9× |
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines |
$116.48–$241.92 |
$208–$432 |
varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$868 |
$1,550 |
2.8× |
| Short-latency somatosens ep std upr limbs (95925) |
$1,097.60 |
$1,960 |
3.6× |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
$800.80 |
$1,430 |
4.4× |
| Sleep study attended (95807) |
$2,727.20 |
$4,870 |
5.2× |
| Sleep study unattended (95806) |
$823.20 |
$1,470 |
2.7× |
| Slp caregiver training 1st 30 min (97550) |
$51.52 |
$92 |
1.0× |
| Slp Stdy Unatnd W/Anal (95801) |
$504 |
$900 |
6.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$784 |
$1,400 |
2.6× |
| Somatosensory Testing (95938) |
$1,416.80 |
$2,530 |
1.2× |
| Speech Audiometry Complete (92556) |
$199.92 |
$357 |
2.4× |
| Speech audiometry threshold (92555) |
$82.88 |
$148 |
1.0× |
| Speech sound lang comprehen (92523) |
$666.40 |
$1,190 |
2.9× |
| Spin/Brain Pump Refil & Main (95991) |
$991.20 |
$1,770 |
2.3× |
| Spirometry (94010) |
$487.20 |
$870 |
1.6× |
| Spontaneous Nystagmus Test (92541) |
$392 |
$700 |
2.1× |
| Ssep lower limbs (95926) |
$1,019.20 |
$1,820 |
3.3× |
| Staggered Spondaic Word Test (92572) |
$442.40 |
$790 |
2.4× |
| Standardized Cognitive Performance Testing (96125) |
$560 |
$1,000 |
5.4× |
| Stenger Test Speech (92577) |
$823.20 |
$1,470 |
1.6× |
| Stenger Test, Pure Tone (92565) |
$77.84 |
$139 |
0.9× |
| Stress Tte Only (93350) |
$4,144 |
$7,400 |
5.4× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$548.80 |
$980 |
8.3× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$1,036 |
$1,850 |
3.4× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$249.20 |
$445 |
2.5× |
| Surfactant Admin Thru Tube (94610) |
$380.80 |
$680 |
1.2× |
| Synthetic Sentence Identification Test (92576) |
$112.56 |
$201 |
2.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$509.60 |
$910 |
3.5× |
| Temp transcutaneous pacing (92953) |
$1,719.20 |
$3,070 |
1.8× |
Temperature Gradient Studies (93740)
range across 3 matching MRF lines |
$425.60–$526.40 |
$760–$940 |
varies |
| Tensilon Test (95857) |
$868 |
$1,550 |
2.8× |
| Test to assess hearing loss using different tone pitches (92575) |
$129.36 |
$231 |
2.5× |
| Testing Autonomic Nervous System Function (95923) |
$761.60 |
$1,360 |
4.1× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) |
$226.24 |
$404 |
1.7× |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines |
$126–$198.24 |
$225–$354 |
varies |
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines |
$106.40–$171.92 |
$190–$307 |
varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$141.68 |
$253 |
3.8× |
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines |
$97.44–$127.68 |
$174–$228 |
varies |
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 4 matching MRF lines |
$375.20–$672 |
$670–$1,200 |
varies |
Ther/Prop/Diag Inj/Inf Proc (96379)
range across 2 matching MRF lines |
$65.52–$160.72 |
$117–$287 |
varies |
| Ther/Proph/Diag Inj Ia (96373) |
$672 |
$1,200 |
2.2× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 7 matching MRF lines |
$179.20–$236.88 |
$320–$423 |
varies |
Ther/Proph/Diag Iv Inf Init (96365)
range across 8 matching MRF lines |
$700–$840 |
$1,250–$1,500 |
varies |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$828.80 |
$1,480 |
2.7× |
Therapeutic Activities (97530)
range across 3 matching MRF lines |
$139.44–$191.52 |
$249–$342 |
varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$4,659.20 |
$8,320 |
8.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$79.52 |
$142 |
1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$73.36 |
$131 |
1.4× |
| Tone Decay Test (92563) |
$112.56 |
$201 |
2.1× |
| Trans Care Mgmt 14 Day Disch (99495) |
$319.20 |
$570 |
1.7× |
| Trans Care Mgmt 7 Day Disch (99496) |
$319.20 |
$570 |
1.7× |
| Transcath Closure of Asd (93580) |
$34,540.80 |
$61,680 |
1.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$509.60 |
$910 |
3.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$498.40 |
$890 |
3.4× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$347.20 |
$620 |
6.6× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) |
$459.20 |
$820 |
2.5× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) |
$436.80 |
$780 |
2.3× |
| Tte w/doppler, complete (93306) |
$3,824.80 |
$6,830 |
5.0× |
| Tte W/O Doppler Complete (93307) |
$1,288 |
$2,300 |
3.8× |
| Tx atrial fib pulm vein isol (93656) |
$39,104.80 |
$69,830 |
1.1× |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines |
$277.76–$571.20 |
$496–$1,020 |
varies |
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 5 matching MRF lines |
$89.60–$178.08 |
$160–$318 |
varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$302.40 |
$540 |
4.6× |
| Tympanometry (92567) |
$232.96 |
$416 |
4.4× |
| Tympanometry and reflex threshold measurements (92550) |
$509.60 |
$910 |
1.7× |
Unlis neurological/neuromuscular dx px (95999)
range across 2 matching MRF lines |
$364–$464.80 |
$650–$830 |
varies |
Unlisted allergy/clinical immunologic srvc/px (95199)
range across 3 matching MRF lines |
$90.16–$111.44 |
$161–$199 |
varies |
| Unlisted cardiovascular service/procedure (93799) |
$554.40 |
$990 |
3.1× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$666.40 |
$1,190 |
3.7× |
Unlisted noninvasive vascular diagnostic study (93998)
range across 10 matching MRF lines |
$117.60–$291.20 |
$210–$520 |
varies |
Unlisted ophthalmological service/procedure (92499)
range across 4 matching MRF lines |
$120.40–$182.56 |
$215–$326 |
varies |
Unlisted otorhinolaryngological service (92700)
range across 8 matching MRF lines |
$54.32–$324.80 |
$97–$580 |
varies |
| Unlisted Psychiatric Service/Procedure (90899) |
$277.76 |
$496 |
5.2× |
Unlisted Special Dermatological Service/Px (96999)
range across 6 matching MRF lines |
$210.56–$448 |
$376–$800 |
varies |
| Upr/L Xtremity Art 2 Levels (93922) |
$716.80 |
$1,280 |
3.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,831.20 |
$3,270 |
6.0× |
| Valvuloplasty aortic valve (92986) |
$14,980 |
$26,750 |
1.9× |
| Valvuloplasty mitral valve (92987) |
$16,335.20 |
$29,170 |
1.0× |
| Valvuloplasty pulmonary valve (92990) |
$16,335.20 |
$29,170 |
1.0× |
Vasopneumatic device (97016)
range across 3 matching MRF lines |
$72.80–$104.72 |
$130–$187 |
varies |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,540 |
$2,750 |
2.9× |
| Veeg 2-12 hr intmt mntr (95712) |
$1,932 |
$3,450 |
3.7× |
| Veeg 2-12 hr unmonitored (95711) |
$3,018.40 |
$5,390 |
9.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,932 |
$3,450 |
3.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,772 |
$4,950 |
5.3× |
| Veeg ea 12-26hr cont mntr (95716) |
$3,225.60 |
$5,760 |
2.7× |
| Vent Mgmt Inpat Init Day (94002) |
$4,328.80 |
$7,730 |
5.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$2,368.80 |
$4,230 |
2.7× |
| Visual Evoked Potential Test (95930) |
$845.60 |
$1,510 |
2.8× |
| Visual Field Exam Extended (92083) |
$296.80 |
$530 |
1.6× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$216.72 |
$387 |
2.6× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$223.44 |
$399 |
2.7× |
| Visual reinforcement audiometry (vra) (92579) |
$352.80 |
$630 |
1.2× |
| Vital capacity, total (94150) |
$453.60 |
$810 |
2.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$3,029.60 |
$5,410 |
2.5× |
Wheelchair Mgmt Ea 15 Min (97542)
range across 3 matching MRF lines |
$116.48–$168.56 |
$208–$301 |
varies |
Whirlpool Therapy (97022)
range across 4 matching MRF lines |
$91.84–$120.96 |
$164–$216 |
varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$129.92 |
$232 |
1.6× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$246.96 |
$441 |
4.7× |