Visits & medical services prices at Kaiser Permanente Moanalua Medical Center

Honolulu, HI · every code in this section with a posted price and a Medicare benchmark.

323 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $7,500 $10,000 0.8×
Acoustic reflex testing (92568) $39.75 $53 0.9×
Actigraphy testing recording analysis i&r (95803) $460.50 $614 6.6×
Advance care planning first 30 mins (99497) $232.50 $310 1.9×
Aep hearing status deter broadband stimuli i&r (92651) $672 $896 2.6×
Aep neurodiagnostic interpretation and report (92653) $830.25 $1,107 3.3×
Aep Thrshld Est Mlt Freq I&R (92652) $830.25 $1,107 3.3×
Airway inhalation treatment (94640) $230.25 $307 0.9×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $64.50 $86 1.5×
Analyze neurostim complex (95972) $336.75 $449 3.0×
Ant Sgm Imaging W/Microscopy Endothelial Analy (92286) $91.50 $122 0.6×
Basic vestibular evaluation (92540) $417 $556 1.6×
Bedside Swallowing Eval (92610) $310.50 $414 3.7×
Behavioral and qualitative analysis of voice and resonance (92524) $304.50 $406 2.8×
Breath Hydrogen/Methane Test (91065) $397.50 $530 1.6×
Breathing response to hypoxia (94450) $287.25 $383 1.9×
Brief Emotional/Behavioral Assessment (96127) $99 $132 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $830.25 $1,107 1.9×
C motor evoked upr&lwr limbs (95939) $2,749.50 $3,666 2.7×
Cardiac Stress Tst,Tracing Only (93017) $517.50 $690 2.0×
Cardiopulmonary exercise testing (94621) $830.25 $1,107 1.9×
Cardiopulmonary resuscitation (92950) $900 $1,200 3.5×
Cardioversion (92960) $1,800 $2,400 2.3×
Cardioversion elective internal (92961) $1,728.75 $2,305 2.2×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $18,525 $24,700 0.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,725 $10,300 2.0×
Cbt 1st hour (94644) $304.50 $406 1.9×
Cervical & ocular vemp testing w/i&r (92519) $830.25 $1,107 3.3×
Cervical vemp testing w/i&r (92517) $417 $556 2.7×
Chemo IV push addl drug (96411) $372 $496 4.4×
Chemother, IV infusion, 1 hr (96413) $858.75 $1,145 2.2×
Chemother, IV infusion, ea add hr (96415) $378 $504 4.4×
Chemother,Ia Push Technique (96420) $858.75 $1,145 2.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $298.50 $398 3.5×
Chemotherapy into cns (96450) $864 $1,152 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $183.75 $245 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $720.75 $961 1.8×
Color Vision Examination (92283) $101.25 $135 1.5×
Color/duplex Doppler, complete (93975) $948.75 $1,265 3.4×
Color/duplex Doppler, limited (93976) $768 $1,024 6.2×
Comprehensive Hearing Test (92557) $104.25 $139 0.7×
Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report… (92145) $40.50 $54 0.6×
Corneal Topography (92025) $66 $88 0.9×
Coronary art/grft angio s&i (93455) $6,150 $8,200 1.6×
Coronary artery angio s&i (93454) $7,050 $9,400 1.8×
Cpap/bipap (94660) $565.50 $754 2.2×
Cpt initial (94667) $435 $580 2.8×
Cptrized oph dx img anterior segment uni/bi (92132) $63.75 $85 0.9×
Cptrized oph dx img pst segment uni/bi optic nrv (92133) $63.75 $85 0.9×
Cptrized oph dx img pst segment uni/bi retina (92134) $82.50 $110 1.2×
Critical care (99291) $5,140.50 $6,854 5.3×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,415.25 $1,887 3.2×
Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) $2,749.50 $3,666 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $530.25 $707 2.2×
Diagnostic dark adaptation examination with interpretation and report Non-Facility (92284) $266.25 $355 0.5×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $830.25 $1,107 3.3×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $830.25 $1,107 1.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $847.50 $1,130 3.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $394.50 $526 3.2×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $398.25 $531 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $807 $1,076 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $638.25 $851 5.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $701.25 $935 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $442.50 $590 3.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $764.25 $1,019 2.7×
Dup-scan xtr veins unilateral/limited study (93971) $600 $800 4.9×
Duplex penile vessels ltd (93981) $342.75 $457 2.8×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $645 $860 2.3×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $360 $480 2.9×
Duplex scan extracranial art compl bi study (93880) $822.75 $1,097 2.9×
Duplex Scan Hemodialysis Access (93990) $363 $484 2.9×
Echo Heart Xthoracic,Limited (93308) $652.50 $870 2.3×
Echo r-t 2d w/probe placement only (93313) $1,650 $2,200 2.6×
Echo transesophag montr cardiac pump functj (93318) $1,500 $2,000 2.3×
Echo transesophageal (93312) $1,500 $2,000 2.3×
Echo Transesophageal - Congenital Tee Complete (93315) $1,650 $2,200 2.6×
Echo Transthoracic - Congenital Tte Complete (93303) $1,462.50 $1,950 2.3×
Echo Transthoracic - Congenital Tte Limited (93304) $1,462.50 $1,950 2.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,462.50 $1,950 2.3×
EEG awake and asleep (95819) $1,139.25 $1,519 4.5×
EEG awake drowsy (95816) $956.25 $1,275 3.7×
EEG coma or sleep only (95822) $1,249.50 $1,666 4.9×
EEG greater than 1 hour (95813) $1,327.50 $1,770 5.2×
EKG rhythm strip (93041) $126 $168 1.8×
Ekg Signal Averaging (93278) $134.25 $179 1.9×
Electro-oculography with interpretation and report Non-Facility (92270) $144 $192 0.9×
Electrocardiogram Tracing (93005) $292.50 $390 4.2×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,056.75 $1,409 4.1×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $4,959 $6,612 0.5×
EMG four extremities (95864) $795 $1,060 5.2×
EMG one extremity (95860) $390.75 $521 2.5×
EMG three extremities (95863) $710.25 $947 4.7×
EMG two extremities (95861) $549.75 $733 3.5×
Endomyocardial biopsy (93505) $3,375 $4,500 0.9×
Ep & ablate supravent arrhyt (93653) $38,775 $51,700 1.3×
Ep & ablate ventric tachy (93654) $23,325 $31,100 0.8×
Ep Analyze Pacer Sys (93724) $825 $1,100 2.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,125 $9,500 0.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,125 $9,500 0.8×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,920.75 $2,561 1.3×
Er level 1 (99281) $360 $480 3.6×
Er level ii (99282) $641.25 $855 3.5×
Er level iii (99283) $1,387.50 $1,850 4.3×
Er level IV (99284) $2,025 $2,700 4.1×
Er level v (99285) $2,895 $3,860 4.1×
Ergonovine provocation test (93024) $282 $376 0.5×
Esophagus acid perfusion test esophagitis (91030) $971.25 $1,295 2.2×
Eval speech sound production (92522) $280.50 $374 2.5×
Eval to use/fit voice prosth (92597) $238.50 $318 3.4×
Evaluate Pt Use Of Inhaler (94664) $296.25 $395 1.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $360 $480 2.9×
Exercise tst brncspsm (94617) $304.50 $406 1.9×
Exhaled Air Analysis (94690) $183 $244 2.6×
Exhaled air analysis o2 (94680) $189 $252 1.2×
External ECG rec>48hr<7d recording (93242) $78.75 $105 1.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $256.50 $342 1.6×
External ECG rec>7d<15d recording (93246) $215.25 $287 4.9×
External ECG rec>7d<15d scanning alys w/report (93247) $516 $688 3.3×
External Ecg Scanning Analysis Report (93226) $247.50 $330 3.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $603 $804 3.0×
Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) $516.75 $689 2.0×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $2,749.50 $3,666 2.7×
Fundus photography w/interpretation & report (92250) $97.50 $130 0.6×
Gastric motility studies (91020) $1,247.25 $1,663 2.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,662 $2,216 1.6×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $2,571 $3,428 2.4×
Gi tract capsule endoscopy (91110) $3,174.75 $4,233 3.0×
Gi wireless capsule measure (91112) $3,575.25 $4,767 3.3×
Hemodialysis (90935) $1,652.25 $2,203 2.0×
Holter Monitor (93225) $633.75 $845 4.0×
Ilr Device Eval Progr (93285) $144.75 $193 3.3×
Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) $160.50 $214 2.3×
Imm admn sarscov2 vaccine single dose (90480) $82.50 $110 1.7×
Immunization Admin (90471) $87.75 $117 1.0×
Ingestion challenge test initial 120 minutes (95076) $1,163.25 $1,551 2.6×
Inital newborn e/m (99460) $343.50 $458 2.2×
Ins swan ganz bedside (93503) $1,125 $1,500 0.6×
Interrog dev eval icpms phys/qhp in person (93290) $128.25 $171 2.9×
Interrog dev eval scrms phys/qhp in person (93291) $118.50 $158 3.5×
Interrog device eval heart (93289) $247.50 $330 5.6×
Interrogate subq defib (93261) $178.50 $238 4.0×
Interrogation eval in person wr defibrillator (93292) $123.75 $165 2.8×
Intra Atrial Recording (93602) $7,464.75 $9,953 0.8×
Intra-atrial pacing (93610) $7,125 $9,500 0.8×
Irrig drug delivery device (96523) $130.50 $174 1.9×
Ischemic limb exercise test (95875) $417 $556 2.7×
IV infusion hydration each additional hour (96361) $231 $308 4.2×
IV infusion hydration initial 31 min-1 hour (96360) $438.75 $585 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $204 $272 2.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $441.75 $589 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $225.75 $301 4.1×
IV push ea addl new drug (96375) $108 $144 2.0×
IV push initial (96374) $217.50 $290 0.9×
L hrt art/grft angio (93459) $9,525 $12,700 2.5×
L hrt cath chd nm/abn nt cnj (93595) $5,550 $7,400 1.4×
Loudness balance test, alternate binaural or monaural Facility (92562) $450 $600 1.8×
Manual therapy 15 min (97140) $156 $208 5.6×
Maximum voluntary ventilation (94200) $89.25 $119 1.3×
Mechanical chest wall oscillation (94669) $497.25 $663 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $96.75 $129 3.0×
Methacholine challenge (94070) $830.25 $1,107 1.9×
Motility study esophagus (91010) $939 $1,252 2.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $224.25 $299 2.5×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $293.25 $391 0.6×
Multiple Sleep Latency Test (95805) $1,441.50 $1,922 1.4×
Nasopharyngoscopy (92511) $521.25 $695 2.2×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $830.25 $1,107 3.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $830.25 $1,107 3.3×
Needle electromyography larynx (95865) $459 $612 2.9×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $309.75 $413 2.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $306 $408 1.2×
Needle Emg W/1 Fiber Electrode Quan Meas Jitter (95872) $625.50 $834 2.5×
Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report Non-Facility (92265) $95.25 $127 1.4×
Neg press wound tx >50 cm (97608) $1,065.75 $1,421 2.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,065.75 $1,421 2.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $392.25 $523 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $858 $1,144 1.8×
Nerve Conduction Studies 11-12 Studies (95912) $1,293 $1,724 2.9×
Nerve conduction studies 13/> studies (95913) $1,415.25 $1,887 3.2×
Nerve Conduction Studies 3-4 Studies (95908) $591 $788 2.3×
Nerve Conduction Studies 5-6 Studies (95909) $637.50 $850 2.5×
Nerve Conduction Studies 7-8 Studies (95910) $699.75 $933 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $1,176 $1,568 2.7×
Nerve conduction studies; 1-2 studies (95907) $417 $556 1.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $417 $556 2.7×
Newborn resuscitation (99465) $1,745.25 $2,327 2.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $373.50 $498 2.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $417 $556 2.7×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $819.75 $1,093 1.9×
Ocular vemp testing w/i&r (92518) $417 $556 2.7×
Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) $112.50 $150 0.7×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $417 $556 2.7×
Orbicularis Oculi Reflx Electrodiagnostic Test (95933) $249.75 $333 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $126 $168 2.7×
Oscillating Tracking Test (92545) $723.75 $965 2.8×
Ot eval high complex 60 min (97167) $486 $648 4.8×
Ot eval low complex 30 min (97165) $241.50 $322 2.4×
Ot eval mod complex 45 min (97166) $253.50 $338 2.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $140.25 $187 2.8×
Ot re-evaluation (97168) $175.50 $234 2.6×
Ot therapeutic activity 15 min (97530) $110.25 $147 3.1×
Pediatric apnea monitor analyses computer (94776) $436.50 $582 2.9×
Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) $436.50 $582 2.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $596.25 $795 2.3×
Percutaneous tests w/allergenic extracts (95004) $46.50 $62 0.0×
Peritoneal Dialysis (90945) $1,059 $1,412 2.1×
Perq Transcath Cls Mitral (93590) $33,423 $44,564 1.5×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $30,384.75 $40,513 1.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $9,375 $12,500 1.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $7,350 $9,800 0.5×
Phlebotomy therapeutic (99195) $356.25 $475 2.3×
Plethysmography (94726) $392.25 $523 0.9×
Pm device eval in person (93288) $150 $200 3.4×
Pm device progr eval dual (93280) $279 $372 6.3×
Pm device progr eval multi (93281) $200.25 $267 4.5×
Pm device progr eval sngl (93279) $157.50 $210 3.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,529.50 $4,706 3.5×
Polysom <6 yrs 4/> paramtrs (95782) $3,343.50 $4,458 3.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,804.75 $5,073 3.8×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,775.75 $3,701 2.7×
Positional Nystagmus Test (92542) $86.25 $115 0.5×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $36 $48 0.7×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $195.75 $261 4.4×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $230.25 $307 5.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $37.50 $50 0.7×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $337.50 $450 7.7×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $337.50 $450 7.7×
Prq balloon valvuloplasty aortic valve (92986) $9,663.75 $12,885 1.4×
Prq Balloon Valvuloplasty Mitral Valve (92987) $12,105.75 $16,141 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $18,000 $24,000 1.3×
Prq Card Stent/Ath/Angio (92933) $11,700 $15,600 0.5×
Prq Revasc Byp Graft 1 Vsl (92937) $7,350 $9,800 0.5×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $18,453 $24,604 0.9×
Prq tcat plmt ntrac st 2+les (92930) $33,711.75 $44,949 1.6×
Prq trl rvs ch occ ant&rtrgr (92945) $21,229.50 $28,306 1.6×
Prq trluml coronary angio/atherect one art/brnch (92924) $7,350 $9,800 0.5×
Psych diag eval w/med srvcs (90792) $408 $544 1.9×
Psychiatric diagnostic evaluation (90791) $408 $544 1.9×
Pt Electrical Stimulation (97032) $37.50 $50 2.6×
Pt eval high complex 45 min (97163) $318.75 $425 3.3×
Pt eval low complex 20 min (97161) $236.25 $315 2.4×
Pt eval mod complex 30 min (97162) $322.50 $430 3.3×
Pt gait training 15 min (97116) $97.50 $130 3.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $110.25 $147 3.4×
Pt re-evaluation (97164) $175.50 $234 2.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $102 $136 3.1×
Pt ultraviolet (97028) $21.75 $29 2.6×
Pulm Funct Test Oscillometry (94728) $249.75 $333 1.6×
Pulm function test by gas (94727) $279.75 $373 1.1×
Pulmonary stress test simple (94618) $138 $184 0.9×
Pure Tone Audiometry Air & Bone (92553) $277.50 $370 1.8×
Pure Tone Audiometry Air Only (92552) $182.25 $243 1.2×
R & l hrt cath w/njx l ventriculog img s&i (93453) $5,325 $7,100 1.4×
R hrt art/grft angio (93457) $5,325 $7,100 1.4×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $5,510.25 $7,347 1.4×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $5,550 $7,400 1.4×
R hrt coronary artery angio (93456) $5,025 $6,700 1.3×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $10,275 $13,700 2.7×
R&l hrt art/ventricle angio (93460) $10,425 $13,900 2.7×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $5,550 $7,400 1.4×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $5,550 $7,400 1.4×
Rapid Desensitization Procedure Each Hour (95180) $397.50 $530 0.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $122.25 $163 2.8×
Respiratory flow volume loop (94375) $287.25 $383 1.1×
Right heart cath (93451) $5,400 $7,200 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $553.50 $738 2.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $144.75 $193 3.0×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $1,461.75 $1,949 3.3×
Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with… (92060) $66 $88 0.9×
Sensory Integration Ea 15 Min (97533) $169.50 $226 2.8×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $830.25 $1,107 3.3×
Short-latency somatosens ep std upr limbs (95925) $830.25 $1,107 3.3×
Sinusoidal Vertical Axis Rotational Testing (92546) $417 $556 2.7×
Sleep study attended (95807) $1,521.75 $2,029 3.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $465 $620 1.8×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $285 $380 4.1×
Somatosensory testing (95938) $1,441.50 $1,922 1.4×
Speech sound lang comprehen (92523) $534 $712 2.4×
Spirometry (94010) $290.25 $387 1.1×
Spontaneous nystagmus test (92541) $86.25 $115 0.5×
Ssep lower limbs (95926) $830.25 $1,107 3.3×
Staggered Spondaic Word Test (92572) $450 $600 3.0×
Standardized Cognitive Performance Testing (96125) $305.25 $407 3.0×
Stenger Test Speech (92577) $1,466.25 $1,955 3.3×
Stress echo (93350) $1,875 $2,500 2.9×
Subq Infusion Additional Pump Infusion Site (96371) $146.25 $195 1.7×
Temp transcutaneous pacing (92953) $1,728.75 $2,305 2.2×
Tensilon test (95857) $830.25 $1,107 3.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $81.75 $109 3.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $77.25 $103 3.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $305.25 $407 3.0×
Therapeutic prophylactic/dx injection subq/im (96372) $151.50 $202 1.8×
Tilt table evaluation (93660) $1,425 $1,900 3.2×
Trans Care Mgmt 14 Day Disch (99495) $348 $464 2.2×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $880.50 $1,174 3.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $463.50 $618 3.8×
Transtelephonic rhythm strip pacemaker eval (93293) $174 $232 3.9×
Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) $830.25 $1,107 3.3×
Tte w/doppler, complete (93306) $1,425 $1,900 2.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $697.50 $930 2.5×
Tx atrial fib pulm vein isol (93656) $22,800 $30,400 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $192 $256 2.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $288 $384 3.4×
Tympanometry (92567) $84.75 $113 1.9×
Tympanometry And Reflex Threshold Measurements (92550) $529.50 $706 2.1×
Ultraviolet Light Therapy (96900) $63 $84 1.4×
Upr/lxtr art stdy 3+ lvls (93923) $468 $624 1.8×
Valvuloplasty pulmonary valve (92990) $12,105.75 $16,141 0.9×
Vasc Duplex Scan Extracranial,Limited (93882) $423.75 $565 3.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $765.75 $1,021 3.0×
Vent mgmt inpat init day (94002) $1,710 $2,280 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,710 $2,280 2.3×
Visual Evoked Potential Test (95930) $830.25 $1,107 3.3×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $134.25 $179 0.9×
Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) $84.75 $113 1.2×
Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) $60.75 $81 0.9×
Visual reinforcement audiometry (vra) (92579) $312.75 $417 1.2×
Vital capacity, total (94150) $450 $600 3.0×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,749.50 $3,666 2.7×
Wheelchair Mgmt Ea 15 Min (97542) $90 $120 2.9×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $158.25 $211 2.3×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $51.75 $69 1.2×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $541.50 $722 4.8×