| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$91.20 |
$114 |
2.1× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
$88.80 |
$111 |
2.6× |
| Ans parasymp & symp w/tilt (95924) |
$698.40 |
$873 |
2.8× |
| Application Modality 1/> Areas Diathermy (97024) |
$26.40 |
$33 |
3.6× |
| Application Modality 1/> Areas Infrared (97026) |
$24 |
$30 |
3.6× |
| Arrhythmia Induction (93618) |
$2,597.60 |
$3,247 |
1.8× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$168.80 |
$211 |
1.4× |
| Bis Xtracell Fluid Analysis (93702) |
$525.60 |
$657 |
3.5× |
| Blink reflex test (95933) |
$208.80 |
$261 |
3.0× |
| Breathing response to hypoxia (94450) |
$340.80 |
$426 |
2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$699.20 |
$874 |
1.6× |
| Bundle of his recording (93600) |
$16,303.20 |
$20,379 |
1.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$911.20 |
$1,139 |
3.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$16,772 |
$20,965 |
4.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$13,675.20 |
$17,094 |
3.6× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$1,170.40 |
$1,463 |
2.7× |
| Cmptr ophth dx img ant segmt (92132) |
$160 |
$200 |
2.3× |
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines |
$1,032.80–$1,233.60 |
$1,291–$1,542 |
varies |
| Color/duplex Doppler, limited (93976) |
$821.60 |
$1,027 |
6.8× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$160 |
$200 |
2.3× |
| Computerized Ophthalmic Imaging Retina (92134) |
$160 |
$200 |
2.3× |
| Cornea hysteresis determin impulse stimj uni/bi (92145) |
$133.60 |
$167 |
2.0× |
| Coronary Art/Grft Angio S&I (93455) |
$7,760 |
$9,700 |
2.1× |
| Coronary Artery Angio S&I (93454) |
$11,337.60 |
$14,172 |
3.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,110.40 |
$1,388 |
4.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$684.80 |
$856 |
5.6× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$240 |
$300 |
2.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,024 |
$1,280 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$772.80 |
$966 |
6.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,343.20 |
$1,679 |
4.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$905.60 |
$1,132 |
7.5× |
| Duplex Scan Hemodialysis Access (93990) |
$512.80 |
$641 |
4.2× |
| Duplex up extrem art unilat/ltd (93931) |
$776 |
$970 |
6.4× |
Echo Congenital Complete (93303)
range across 2 matching MRF lines |
$1,600–$1,717.60 |
$2,000–$2,147 |
varies |
| Echo Heart Xthoracic,Limited (93308) |
$953.60 |
$1,192 |
3.4× |
Echo transesophageal (93312)
range across 2 matching MRF lines |
$1,600–$2,537.60 |
$2,000–$3,172 |
varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,600 |
$2,000 |
2.5× |
| EEG awake and asleep (95819) |
$1,468 |
$1,835 |
5.9× |
| EEG awake drowsy (95816) |
$1,262.40 |
$1,578 |
5.0× |
| EEG cerebral death evaluation (95824) |
$1,170.40 |
$1,463 |
2.7× |
| Eeg Sleep Only (95822) |
$1,445.60 |
$1,807 |
5.8× |
| EKG signal averaged (93278) |
$133.60 |
$167 |
2.0× |
| Electrocardiogram Tracing (93005) |
$269.60 |
$337 |
3.9× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
$16,303.20 |
$20,379 |
1.8× |
| Emergency Dept Visit Level 2 (99282) |
$604 |
$755 |
3.4× |
| Emergency Dept Visit Level 3 (99283) |
$1,180.80 |
$1,476 |
3.7× |
| Emergency Dept Visit Level 4 (99284) |
$1,888.80 |
$2,361 |
3.9× |
| Emg 3 Extremities (95863) |
$446.40 |
$558 |
3.0× |
| Emg 4 Extremities (95864) |
$518.40 |
$648 |
3.5× |
| Endomyocardial Biopsy (93505) |
$6,150.40 |
$7,688 |
1.7× |
| Ep & ablate supravent arrhyt (93653) |
$32,268.80 |
$40,336 |
1.1× |
| Ep & ablate ventric tachy (93654) |
$56,558.40 |
$70,698 |
1.9× |
| Er level 1 (99281) |
$367.20 |
$459 |
3.8× |
| Er level v (99285) |
$2,623.20 |
$3,279 |
3.8× |
| Ergonovine provocation test (93024) |
$869.60 |
$1,087 |
1.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$2,716 |
$3,395 |
6.3× |
| Evaluate Swallowing Function (92610) |
$353.60 |
$442 |
4.2× |
| Exercise test for bronchospasm (94617) |
$279.20 |
$349 |
1.8× |
| Exhaled Air Analysis O2 (94680) |
$340.80 |
$426 |
2.3× |
Extracranial Bilat Study (93880)
range across 2 matching MRF lines |
$748.80–$973.60 |
$936–$1,217 |
varies |
| Extracranial Uni/Ltd Study (93882) |
$784 |
$980 |
6.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$2,282.40 |
$2,853 |
2.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,460.80 |
$3,076 |
5.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$904 |
$1,130 |
3.6× |
| Gi tract capsule endoscopy (91110) |
$2,750.40 |
$3,438 |
2.6× |
| Gi wireless capsule measure (91112) |
$6,092.80 |
$7,616 |
5.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$7,760 |
$9,700 |
2.1× |
| High altitude simulation test (94452) |
$279.20 |
$349 |
1.8× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$279.20 |
$349 |
1.8× |
| Icd device progr eval dual (93283) |
$106.40 |
$133 |
2.5× |
| Icd Device Progr Eval Mult (93284) |
$103.20 |
$129 |
2.4× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$87.20 |
$109 |
2.0× |
| Immunization administration (90471) |
$76 |
$95 |
0.9× |
| Ingestion challenge test initial 120 minutes (95076) |
$798.40 |
$998 |
1.8× |
| Interrogate Subq Defib (93261) |
$152.80 |
$191 |
3.5× |
| Intracranial Complete Study (93886) |
$865.60 |
$1,082 |
3.1× |
| Ischemic limb exercise test (95875) |
$340.80 |
$426 |
2.3× |
| L Hrt Art/Grft Angio (93459) |
$15,948.80 |
$19,936 |
4.2× |
| Liver Elastography W/O Imag W/I&R (91200) |
$328 |
$410 |
2.2× |
| Lung Function Test (Mbc/Mvv) (94200) |
$133.60 |
$167 |
2.0× |
| Methacholine challenge (94070) |
$685.60 |
$857 |
1.6× |
| Motility study esophagus (91010) |
$1,917.60 |
$2,397 |
4.4× |
| Motion Fluoroscopy/Swallow (92611) |
$414.40 |
$518 |
4.5× |
| Muscle Test 2 Limbs (95861) |
$323.20 |
$404 |
2.1× |
| Muscle Test Hemidiaphragm (95866) |
$340.80 |
$426 |
2.3× |
| Muscle Test Nonparaspinal (95870) |
$266.40 |
$333 |
1.7× |
| Muscle Test One Limb (95860) |
$279.20 |
$349 |
1.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$685.60 |
$857 |
2.7× |
| Needle electromyography larynx (95865) |
$279.20 |
$349 |
1.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$685.60 |
$857 |
2.7× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$340.80 |
$426 |
1.4× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$340.80 |
$426 |
1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,222.40 |
$1,528 |
2.8× |
| Nerve conduction studies 13 or more studies (95913) |
$1,275.20 |
$1,594 |
2.9× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$459.20 |
$574 |
1.8× |
| Nerve conduction studies 5-6 studies (95909) |
$455.20 |
$569 |
1.8× |
| Nerve conduction studies 7-8 studies (95910) |
$696 |
$870 |
1.6× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,035.20 |
$1,294 |
2.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$340.80 |
$426 |
2.3× |
| Neuromuscular Reeducation (97112) |
$128 |
$160 |
3.9× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$685.60 |
$857 |
1.6× |
| Oral Function Therapy (92526) |
$386.40 |
$483 |
4.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$136 |
$170 |
3.0× |
| Ot eval high complexity (97167) |
$396 |
$495 |
3.9× |
| Ot Eval Low Complex (97165) |
$280 |
$350 |
2.8× |
| Ot Eval Moderate Complexity (97166) |
$312.80 |
$391 |
3.1× |
| Ot manual therapy 15 min (97140) |
$92.80 |
$116 |
3.3× |
| Ot Re-Eval Est Plan Care (97168) |
$184.80 |
$231 |
2.7× |
| Oxygen Uptake Rest Indirect (94690) |
$234.40 |
$293 |
3.4× |
| Penile Vascular Study,Ltd or F/U (93981) |
$240 |
$300 |
2.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$14,983.20 |
$18,729 |
2.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$26,198.40 |
$32,748 |
2.0× |
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines |
$38.40–$383.20 |
$48–$479 |
varies |
| Plethysmography (94726) |
$592 |
$740 |
1.4× |
| Pm device progr eval dual (93280) |
$70.40 |
$88 |
1.6× |
| Pm Device Progr Eval Sngl (93279) |
$101.60 |
$127 |
2.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$5,522.40 |
$6,903 |
5.5× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,464 |
$4,330 |
3.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,656.80 |
$4,571 |
3.7× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$154.40 |
$193 |
3.6× |
| Prq Card Angio/Athrect 1 Art (92924) |
$26,198.40 |
$32,748 |
2.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$26,198.40 |
$32,748 |
2.0× |
| Prq Card Stent/Ath/Angio (92933) |
$41,758.40 |
$52,198 |
2.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$26,198.40 |
$32,748 |
2.0× |
| Psych diag eval w/med srvcs (90792) |
$216.80 |
$271 |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$163.20 |
$204 |
0.8× |
| Psytx Crisis Initial 60 Min (90839) |
$328.80 |
$411 |
1.6× |
| Pt Eval High Complex (97163) |
$344.80 |
$431 |
3.5× |
| Pt eval low complex 20 min (97161) |
$288.80 |
$361 |
3.0× |
| Pt Eval Mod Complex (97162) |
$312 |
$390 |
3.2× |
| Pt gait training 15 min (97116) |
$120.80 |
$151 |
4.2× |
| Pt mechanical traction (97012) |
$50.40 |
$63 |
3.5× |
| Pt Re-Eval Est Plan Care (97164) |
$188.80 |
$236 |
2.8× |
| Pulmonary Stress Testing (94618) |
$748.80 |
$936 |
4.8× |
| R Hrt Art/Grft Angio (93457) |
$7,760 |
$9,700 |
2.1× |
| R hrt coronary artery angio (93456) |
$16,452.80 |
$20,566 |
4.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$7,760 |
$9,700 |
2.1× |
| Respiratory flow volume loop (94375) |
$624.80 |
$781 |
2.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$133.60 |
$167 |
2.0× |
| Right Heart Cath (93451) |
$9,186.40 |
$11,483 |
2.4× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
$1,170.40 |
$1,463 |
2.7× |
| Self Care Mngment Training (97535) |
$109.60 |
$137 |
3.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$744.80 |
$931 |
3.0× |
| Speech sound lang comprehen (92523) |
$386.40 |
$483 |
1.7× |
| Spirometry (94010) |
$448.80 |
$561 |
1.8× |
| Standardized Cognitive Performance Testing (96125) |
$320 |
$400 |
3.1× |
| Stress Tte Only (93350) |
$1,600 |
$2,000 |
2.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$107.20 |
$134 |
4.8× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$60 |
$75 |
0.2× |
| Therapeutic Activities (97530) |
$139.20 |
$174 |
4.0× |
| Trans Care Mgmt 14 Day Disch (99495) |
$181.60 |
$227 |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$200.80 |
$251 |
1.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$431.20 |
$539 |
3.6× |
| Tte w/doppler, complete (93306) |
$2,135.20 |
$2,669 |
3.4× |
| Tte W/O Doppler Complete (93307) |
$865.60 |
$1,082 |
3.1× |
| Tx atrial fib pulm vein isol (93656) |
$38,639.20 |
$48,299 |
1.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$488.80 |
$611 |
3.2× |
| Vasopneumatic device (97016) |
$41.60 |
$52 |
3.5× |
| Vital capacity, total (94150) |
$521.60 |
$652 |
3.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$2,282.40 |
$2,853 |
2.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$108.80 |
$136 |
3.5× |
| Whirlpool Therapy (97022) |
$61.60 |
$77 |
3.9× |