| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$381.70 |
$477.12 |
2.3× |
| Acoustic Reflex Testing (92568) |
$89.04 |
$111.30 |
1.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$130.68 |
$163.35 |
2.5× |
| Aep neurodiagnostic i&r (92653) |
$774.34 |
$967.92 |
2.8× |
| Airway Inhalation Treatment (94640) |
$639.58 |
$799.47 |
2.3× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$294.12 |
$367.65 |
1.7× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$294.12 |
$367.65 |
1.7× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
$381.70 |
$477.12 |
2.3× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) |
$381.70 |
$477.12 |
2.3× |
| Analyze neurostim complex (95972) |
$322.51 |
$403.14 |
2.6× |
| Analyze neurostim no prog (95970) |
$294.12 |
$367.65 |
1.7× |
| Analyze Neurostim Simple (95971) |
$322.51 |
$403.14 |
2.6× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) |
$294.12 |
$367.65 |
1.7× |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
$294.12 |
$367.65 |
1.7× |
| Application on-body injector (96377) |
$142.44 |
$178.05 |
2.4× |
| Assessment of aphasia per hr (96105) |
$528 |
$660 |
5.4× |
| Assessment of tinnitus (92625) |
$381.70 |
$477.12 |
2.3× |
| Audiometry Air & Bone (92553) |
$468.41 |
$585.51 |
2.8× |
| Auditory Function, 60 Min (92620) |
$381.70 |
$477.12 |
2.3× |
| Basic vestibular evaluation (92540) |
$381.70 |
$477.12 |
1.4× |
| Bioimpedance Cv Analysis (93701) |
$294.12 |
$367.65 |
1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$949.59 |
$1,186.99 |
2.0× |
| C motor evoked uppr limbs (95928) |
$2,528.38 |
$3,160.47 |
2.3× |
| C motor evoked upr&lwr limbs (95939) |
$2,528.38 |
$3,160.47 |
2.3× |
| Caloric Vstblr Test W/Rec (92537) |
$381.70 |
$477.12 |
2.3× |
| Canalith repositioning proc (95992) |
$108.98 |
$136.23 |
2.7× |
| Car seat/bed test 60 min (94780) |
$119.69 |
$149.61 |
2.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$949.59 |
$1,186.99 |
3.4× |
| Cardiopulmonary resuscitation (92950) |
$949.59 |
$1,186.99 |
3.4× |
| Cardioversion (92960) |
$1,995.50 |
$2,494.37 |
2.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$9,808.25 |
$12,260.31 |
2.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$9,808.25 |
$12,260.31 |
2.4× |
| Cbt 1st hour (94644) |
$393.07 |
$491.34 |
2.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$321.13 |
$401.41 |
3.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$217.03 |
$271.29 |
2.3× |
| Chemo Ia Push (96420) |
$1,015.54 |
$1,269.42 |
2.4× |
| Chemo IV infusion addl hr (96415) |
$217.03 |
$271.29 |
2.3× |
| Chemo IV push addl drug (96411) |
$217.03 |
$271.29 |
2.3× |
| Chemother Prolong Infuse W/Pump (96416) |
$1,015.54 |
$1,269.42 |
2.4× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$510.96 |
$638.70 |
1.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
$105.98 |
$132.48 |
1.8× |
| Chemotherapy Into Cns (96450) |
$1,015.54 |
$1,269.42 |
2.4× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$919.66 |
$1,149.57 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$321.13 |
$401.41 |
3.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$1,015.54 |
$1,269.42 |
2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$1,015.54 |
$1,269.42 |
2.4× |
| Chest Wall Manipulation (94668) |
$393.07 |
$491.34 |
2.3× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
$294.12 |
$367.65 |
3.9× |
| Color/duplex Doppler, complete (93975) |
$737.11 |
$921.39 |
2.4× |
| Color/duplex Doppler, limited (93976) |
$329.66 |
$412.08 |
2.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$201.43 |
$251.79 |
0.9× |
| Comprehensive Hearing Test (92557) |
$381.70 |
$477.12 |
2.3× |
| Computerized dynamic posturography (92548) |
$294.12 |
$367.65 |
1.7× |
| Computerized Ophthalmic Imaging Retina (92134) |
$156.70 |
$195.87 |
2.1× |
| Conditioning Play Audiometry (92582) |
$381.70 |
$477.12 |
2.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$396.38 |
$495.48 |
2.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$183.41 |
$229.26 |
2.4× |
| Contact Lens Fit,Corneoscleral Lens (92313) |
$294.12 |
$367.65 |
1.7× |
| Continuous Pulse Ox (94762) |
$381.70 |
$477.12 |
2.3× |
| Coronary Art/Grft Angio S&I (93455) |
$7,878.17 |
$9,847.71 |
1.9× |
| Coronary Artery Angio S&I (93454) |
$9,808.25 |
$12,260.31 |
2.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$639.58 |
$799.47 |
2.3× |
| Cpt initial (94667) |
$393.07 |
$491.34 |
2.3× |
| Critical care first hour (99291) |
$6,789.40 |
$8,486.75 |
6.4× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$2,528.38 |
$3,160.47 |
5.3× |
| Dark Adaptation Eye Exam (92284) |
$924.05 |
$1,155.06 |
1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$605.92 |
$757.40 |
2.3× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$381.70 |
$477.12 |
2.3× |
| Dialysis One Evaluation (90945) |
$1,328.14 |
$1,660.17 |
2.5× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$696.72 |
$870.90 |
1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$737.11 |
$921.39 |
2.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$329.66 |
$412.08 |
2.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$918.96 |
$1,148.70 |
3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$329.66 |
$412.08 |
2.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$737.11 |
$921.39 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$329.66 |
$412.08 |
2.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$737.11 |
$921.39 |
2.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$329.66 |
$412.08 |
2.5× |
| Duplex up extrem art bilat (93930) |
$1,019.76 |
$1,274.70 |
3.3× |
| Duplex up extrem art unilat/ltd (93931) |
$329.66 |
$412.08 |
2.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$381.70 |
$477.12 |
2.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$381.70 |
$477.12 |
2.3× |
| Ear Protector Evaluation (92596) |
$89.04 |
$111.30 |
1.9× |
| ECG/monitoring and analysis (93271) |
$322.51 |
$403.14 |
2.6× |
| Echo Congenital Complete (93303) |
$1,672.01 |
$2,090.01 |
2.4× |
| Echo Heart Xthoracic,Limited (93308) |
$737.11 |
$921.39 |
2.4× |
| Echo r-t 2d w/probe placement only (93313) |
$1,672.01 |
$2,090.01 |
2.4× |
| Echo transesophag congen probe plcmt only (93316) |
$1,362.74 |
$1,703.43 |
1.9× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,362.74 |
$1,703.43 |
1.9× |
| Echo transesophageal (93312) |
$1,760.64 |
$2,200.80 |
2.5× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,672.01 |
$2,090.01 |
2.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,672.01 |
$2,090.01 |
2.4× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) |
$222.62 |
$278.28 |
4.6× |
| Eeg 41-60 Minutes (95812) |
$949.59 |
$1,186.99 |
3.4× |
| EEG awake and asleep (95819) |
$941.21 |
$1,176.51 |
3.4× |
| EEG awake drowsy (95816) |
$941.21 |
$1,176.51 |
3.4× |
| EEG cerebral death evaluation (95824) |
$1,618.03 |
$2,022.54 |
3.4× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$718.25 |
$897.81 |
2.6× |
| EEG extended monitoring 61-119 minutes (95813) |
$949.59 |
$1,186.99 |
3.4× |
| Eeg Sleep Only (95822) |
$949.59 |
$1,186.99 |
3.4× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$1,607.23 |
$2,009.04 |
3.3× |
| EKG signal averaged (93278) |
$156.70 |
$195.87 |
2.1× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$280.51 |
$350.64 |
2.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$315.43 |
$394.29 |
2.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$100.80 |
$126 |
2.1× |
| Electro-Oculography (92270) |
$294.12 |
$367.65 |
1.7× |
| Electrocardiogram Tracing (93005) |
$183.41 |
$229.26 |
2.4× |
| Emergency Dept Visit Level 2 (99282) |
$1,065.95 |
$1,332.44 |
5.4× |
| Emergency Dept Visit Level 3 (99283) |
$1,542.21 |
$1,927.76 |
4.4× |
| Emergency Dept Visit Level 4 (99284) |
$2,368.59 |
$2,960.74 |
4.4× |
| Emg 3 Extremities (95863) |
$381.70 |
$477.12 |
2.3× |
| Emg 4 Extremities (95864) |
$468.41 |
$585.51 |
2.8× |
| Endomyocardial Biopsy (93505) |
$7,706.59 |
$9,633.24 |
1.9× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$3,701.99 |
$4,627.49 |
2.4× |
| Er level 1 (99281) |
$603.75 |
$754.69 |
5.6× |
| Er level v (99285) |
$4,235.86 |
$5,294.82 |
5.5× |
| Ergonovine provocation test (93024) |
$924.05 |
$1,155.06 |
1.6× |
| Esoph Atrial Electrogram (93615) |
$3,701.99 |
$4,627.49 |
2.4× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$381.70 |
$477.12 |
2.3× |
| Evaluate pt use of inhaler (94664) |
$639.58 |
$799.47 |
2.3× |
Evaluate Speech Production (92522)
range across 4 matching MRF lines |
$271.78–$407.66 |
$339.72–$509.58 |
varies |
| Evaluate Swallowing Function (92610) |
$933.60 |
$1,167 |
11.0× |
| Evoked Auditory Test,Limited (92587) |
$696.72 |
$870.90 |
2.5× |
| External ECG rec>48hr<7d recording (93242) |
$120.26 |
$150.33 |
2.5× |
| External Ecg Scanning Analysis Report (93226) |
$294.12 |
$367.65 |
3.9× |
| Extracranial Bilat Study (93880) |
$737.11 |
$921.39 |
2.4× |
| Extracranial Uni/Ltd Study (93882) |
$519.48 |
$649.35 |
3.9× |
| Eye exam w anesth; limited (92019) |
$5,071.85 |
$6,339.81 |
1.7× |
| Eye Exam With Photos (92230) |
$1,244.30 |
$1,555.38 |
2.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,672.01 |
$2,090.01 |
2.4× |
| Facial nerve function studies (92516) |
$381.70 |
$477.12 |
1.4× |
| Filtered Speech Test (92571) |
$89.04 |
$111.30 |
1.9× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) |
$89.04 |
$111.30 |
1.9× |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) |
$89.04 |
$111.30 |
1.9× |
| Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) |
$156.70 |
$195.87 |
2.1× |
| Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) |
$156.70 |
$195.87 |
2.1× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
$205.68 |
$257.10 |
1.4× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$874.40 |
$1,093 |
4.4× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$284.21 |
$355.26 |
1.2× |
| Fluorescein angiography (92235) |
$696.72 |
$870.90 |
2.5× |
| Fundus photography (92250) |
$383.04 |
$478.80 |
2.2× |
| Gonioscopy (92020) |
$294.12 |
$367.65 |
1.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$7,925.38 |
$9,906.72 |
1.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$2,133.75 |
$2,667.19 |
2.4× |
| Holter monitor recording (93225) |
$393.07 |
$491.34 |
2.3× |
| Icd Device Interrogate (93289) |
$105.67 |
$132.09 |
2.2× |
| Icd device progr eval dual (93283) |
$105.67 |
$132.09 |
2.2× |
| Icd Device Progr Eval Mult (93284) |
$105.67 |
$132.09 |
2.2× |
| Icm Device Eval (93290) |
$105.67 |
$132.09 |
2.2× |
| Ilr Device Eval Progr (93285) |
$105.67 |
$132.09 |
2.2× |
| Ilr Device Interrogate (93291) |
$48.91 |
$61.14 |
1.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$211.25 |
$264.06 |
2.3× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$119.69 |
$149.61 |
2.5× |
| Immunization administration (90471) |
$211.25 |
$264.06 |
2.3× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
$696.72 |
$870.90 |
2.5× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$1,618.03 |
$2,022.54 |
3.4× |
| Insert/Place Heart Catheter (93503) |
$4,535.98 |
$5,669.97 |
2.2× |
| Interrogate Subq Defib (93261) |
$113.71 |
$142.14 |
2.4× |
| Interrogation eval in person wr defibrillator (93292) |
$105.67 |
$132.09 |
2.2× |
| Intracranial Complete Study (93886) |
$734.78 |
$918.48 |
2.4× |
| Io anal gast n-stim subsq (95981) |
$294.12 |
$367.65 |
3.9× |
| Io ga n-stim subsq w/reprog (95982) |
$105.67 |
$132.09 |
2.2× |
| Irrig Drug Delivery Device (96523) |
$183.41 |
$229.26 |
2.4× |
| IV infusion hydration each additional hour (96361) |
$142.44 |
$178.05 |
2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$642.72 |
$803.40 |
2.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$217.03 |
$271.29 |
2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$258.39 |
$322.99 |
4.3× |
| IV push initial (96374) |
$642.72 |
$803.40 |
2.3× |
| L Hrt Art/Grft Angio (93459) |
$9,808.25 |
$12,260.31 |
2.4× |
| Laryngeal Function Studies (92520) |
$294.12 |
$367.65 |
1.7× |
| Loudness balance test (92562) |
$381.70 |
$477.12 |
1.4× |
| Methacholine challenge (94070) |
$949.59 |
$1,186.99 |
2.0× |
| Microvolt T-Wave Assess (93025) |
$381.70 |
$477.12 |
2.3× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) |
$294.12 |
$367.65 |
1.7× |
| Motion Fluoroscopy/Swallow (92611) |
$893.20 |
$1,116.50 |
9.8× |
| Muscle Test 2 Limbs (95861) |
$383.04 |
$478.80 |
2.2× |
| Muscle Test One Limb (95860) |
$383.04 |
$478.80 |
2.2× |
| Nasal function studies (92512) |
$696.72 |
$870.90 |
2.5× |
| Nasopharyngoscopy (92511) |
$439.82 |
$549.78 |
1.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$381.70 |
$477.12 |
1.4× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$381.70 |
$477.12 |
1.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$1,195.68 |
$1,494.60 |
2.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$1,195.68 |
$1,494.60 |
2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$600.34 |
$750.42 |
2.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$1,195.68 |
$1,494.60 |
2.3× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$135.86 |
$169.82 |
0.5× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,607.23 |
$2,009.04 |
3.3× |
| Nerve conduction studies 13 or more studies (95913) |
$1,618.03 |
$2,022.54 |
3.4× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$949.59 |
$1,186.99 |
3.4× |
| Nerve conduction studies 5-6 studies (95909) |
$949.59 |
$1,186.99 |
3.4× |
| Nerve conduction studies 7-8 studies (95910) |
$949.59 |
$1,186.99 |
2.0× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,618.03 |
$2,022.54 |
3.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$477.11 |
$596.39 |
2.9× |
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines |
$160–$179.20 |
$200–$224 |
varies |
| Newborn resuscitation (99465) |
$1,995.50 |
$2,494.37 |
2.3× |
| Nitric oxide expired gas determination (95012) |
$120.26 |
$150.33 |
2.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$980.54 |
$1,225.68 |
2.0× |
| Oculoelectromyography (92265) |
$156.70 |
$195.87 |
2.1× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$303.94 |
$379.92 |
1.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$396.38 |
$495.48 |
2.3× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$318.34 |
$397.92 |
1.9× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$303.94 |
$379.92 |
1.8× |
| Ophthalmodynamometry (92260) |
$89.04 |
$111.30 |
1.9× |
| Optokinetic Nystagmus Test (92544) |
$381.70 |
$477.12 |
2.3× |
Oral Function Therapy (92526)
range across 4 matching MRF lines |
$208.32–$416.64 |
$260.40–$520.80 |
varies |
| Oral Speech Device Eval (92597) |
$177.91 |
$222.39 |
2.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$160 |
$200 |
3.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$160 |
$200 |
3.5× |
| Oscillating Tracking Test (92545) |
$381.70 |
$477.12 |
1.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$77.15 |
$96.44 |
2.8× |
| Ot eval high complexity (97167) |
$746.88 |
$933.60 |
7.4× |
| Ot Eval Low Complex (97165) |
$373.44 |
$466.80 |
3.7× |
| Ot Eval Moderate Complexity (97166) |
$560.16 |
$700.20 |
5.6× |
| Ot manual therapy 15 min (97140) |
$179.20 |
$224 |
6.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$160 |
$200 |
4.0× |
| Ot Re-Eval Est Plan Care (97168) |
$373.44 |
$466.80 |
5.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$326.64 |
$408.30 |
2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$326.64 |
$408.30 |
2.0× |
| Oxygen Uptake Rest Indirect (94690) |
$140.34 |
$175.42 |
1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$639.58 |
$799.47 |
2.3× |
| Phlebotomy therapeutic (99195) |
$383.04 |
$478.80 |
2.2× |
| Plethysmography (94726) |
$949.59 |
$1,186.99 |
2.0× |
| Pm device eval in person (93288) |
$113.09 |
$141.36 |
2.4× |
| Pm device progr eval dual (93280) |
$113.71 |
$142.14 |
2.4× |
| Pm device progr eval multi (93281) |
$105.67 |
$132.09 |
2.2× |
| Pm Device Progr Eval Sngl (93279) |
$113.71 |
$142.14 |
2.4× |
| Pm/Icd Remote Tech Serv (93296) |
$113.71 |
$142.14 |
2.4× |
| Positional nystagmus test (92542) |
$294.12 |
$367.65 |
1.7× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
$924.05 |
$1,155.06 |
1.6× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) |
$156.70 |
$195.87 |
0.9× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) |
$294.12 |
$367.65 |
1.7× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) |
$89.04 |
$111.30 |
1.9× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$105.98 |
$132.48 |
2.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$105.67 |
$132.09 |
2.2× |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) Facility (92358) |
$156.70 |
$195.87 |
2.1× |
| Psych diag eval w/med srvcs (90792) |
$347.06 |
$433.83 |
1.5× |
| Psytx Crisis Initial 60 Min (90839) |
$347.06 |
$433.83 |
1.5× |
| Pt Eval High Complex (97163) |
$746.88 |
$933.60 |
7.6× |
| Pt eval low complex 20 min (97161) |
$373.44 |
$466.80 |
3.8× |
| Pt Eval Mod Complex (97162) |
$560.16 |
$700.20 |
5.7× |
| Pt gait training 15 min (97116) |
$208.80 |
$261 |
7.2× |
| Pt Re-Eval Est Plan Care (97164) |
$373.44 |
$466.80 |
5.5× |
| Pulm function test by gas (94727) |
$477.11 |
$596.39 |
1.7× |
| Pulmonary service/procedure (94799) |
$477.11 |
$596.39 |
2.9× |
| Pulmonary Stress Testing (94618) |
$383.04 |
$478.80 |
2.2× |
| Pure Tone Audiometry Air (92552) |
$383.04 |
$478.80 |
2.2× |
| R Hrt Art/Grft Angio (93457) |
$9,808.25 |
$12,260.31 |
2.4× |
| R hrt coronary artery angio (93456) |
$7,878.17 |
$9,847.71 |
1.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$9,808.25 |
$12,260.31 |
2.4× |
| Rapid Desensitization Procedure Each Hour (95180) |
$1,194.77 |
$1,493.46 |
2.1× |
| Refill/Maint Pump/Resvr Syst (96522) |
$212.53 |
$265.66 |
0.8× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$51.72 |
$64.65 |
1.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$60.65 |
$75.81 |
1.3× |
| Remote 30 Day Ecg Rev/Report (93270) |
$324.41 |
$405.51 |
6.8× |
| Remote 30 Day Ecg Tech Supp (93229) |
$941.21 |
$1,176.51 |
2.0× |
| Repair and refitting spectacles; spectacle prosthesis for aphakia Facility (92371) |
$156.70 |
$195.87 |
2.1× |
| Replacement of contact lens (92326) |
$294.12 |
$367.65 |
3.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$181.14 |
$226.42 |
2.4× |
| Right Heart Cath (93451) |
$9,808.25 |
$12,260.31 |
2.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$605.92 |
$757.40 |
2.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$230.33 |
$287.91 |
1.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$45.12 |
$56.40 |
0.9× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) |
$294.12 |
$367.65 |
1.7× |
| Select picture audiometry (92583) |
$89.04 |
$111.30 |
1.2× |
| Self Care Mngment Training (97535) |
$160 |
$200 |
4.9× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$156.70 |
$195.87 |
2.1× |
| Sensory Integration Ea 15 Min (97533) |
$155.50 |
$194.37 |
2.6× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$381.70 |
$477.12 |
1.4× |
| Short-latency somatosens ep std upr limbs (95925) |
$941.21 |
$1,176.51 |
3.4× |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
$381.70 |
$477.12 |
2.3× |
| Sleep study attended (95807) |
$1,618.03 |
$2,022.54 |
3.4× |
| Somatosensory Testing (95938) |
$1,618.03 |
$2,022.54 |
1.5× |
| Speech Audiometry Complete (92556) |
$89.04 |
$111.30 |
1.2× |
| Speech audiometry threshold (92555) |
$89.04 |
$111.30 |
1.2× |
| Speech sound lang comprehen (92523) |
$560.33 |
$700.41 |
2.5× |
| Spirometry (94010) |
$477.11 |
$596.39 |
1.7× |
| Spontaneous Nystagmus Test (92541) |
$294.12 |
$367.65 |
1.7× |
| Ssep lower limbs (95926) |
$696.72 |
$870.90 |
2.5× |
| Staggered Spondaic Word Test (92572) |
$381.70 |
$477.12 |
2.3× |
| Standardized Cognitive Performance Testing (96125) |
$528 |
$660 |
5.1× |
| Stenger Test Speech (92577) |
$1,244.30 |
$1,555.38 |
2.6× |
| Stenger Test, Pure Tone (92565) |
$89.04 |
$111.30 |
1.2× |
| Stress Tte Only (93350) |
$1,672.01 |
$2,090.01 |
2.4× |
| Surfactant Admin Thru Tube (94610) |
$639.58 |
$799.47 |
2.3× |
| Synthetic Sentence Identification Test (92576) |
$89.04 |
$111.30 |
1.9× |
| Temp transcutaneous pacing (92953) |
$1,995.50 |
$2,494.38 |
2.3× |
| Test to assess hearing loss using different tone pitches (92575) |
$89.04 |
$111.30 |
1.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$132 |
$165 |
5.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$132 |
$165 |
6.3× |
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 3 matching MRF lines |
$254.54–$509.09 |
$318.18–$636.36 |
varies |
| Ther/Proph/Diag Inj Ia (96373) |
$535.06 |
$668.82 |
2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$217.03 |
$271.29 |
2.3× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$642.72 |
$803.40 |
2.3× |
| Therapeutic Activities (97530) |
$160 |
$200 |
4.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$1,607.23 |
$2,009.04 |
3.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$90.84 |
$113.55 |
1.9× |
| Tone Decay Test (92563) |
$89.04 |
$111.30 |
1.9× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$320.50 |
$400.62 |
2.4× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$105.67 |
$132.09 |
2.2× |
Tte w/doppler, complete (93306)
range across 2 matching MRF lines |
$1,672.01–$2,400.96 |
$2,090.01–$3,001.20 |
varies |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines |
$188.18–$376.37 |
$235.23–$470.46 |
varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$142.44 |
$178.05 |
2.4× |
| Tympanometry (92567) |
$120.26 |
$150.33 |
2.5× |
| Tympanometry and reflex threshold measurements (92550) |
$477.11 |
$596.39 |
1.7× |
| Unlis neurological/neuromuscular dx px (95999) |
$381.70 |
$477.12 |
2.3× |
| Unlisted cardiovascular service/procedure (93799) |
$477.11 |
$596.39 |
2.9× |
| Unlisted otorhinolaryngological service (92700) |
$48.91 |
$61.14 |
1.3× |
| Unlisted Special Dermatological Service/Px (96999) |
$600.34 |
$750.42 |
2.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$393.07 |
$491.34 |
2.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$477.11 |
$596.39 |
1.7× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,607.23 |
$2,009.04 |
3.3× |
| Veeg 2-12 hr unmonitored (95711) |
$941.21 |
$1,176.51 |
3.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,618.03 |
$2,022.54 |
3.4× |
| Veeg ea 12-26hr cont mntr (95716) |
$3,135.19 |
$3,918.99 |
2.8× |
| Vent Mgmt Inpat Init Day (94002) |
$2,015.98 |
$2,519.98 |
2.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$2,015.98 |
$2,519.98 |
2.5× |
| Visual Evoked Potential Test (95930) |
$941.21 |
$1,176.51 |
3.4× |
| Visual Field Exam Extended (92083) |
$294.12 |
$367.65 |
1.7× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$183.41 |
$229.26 |
2.4× |
| Visual reinforcement audiometry (vra) (92579) |
$381.70 |
$477.12 |
1.4× |
| Vital capacity, total (94150) |
$468.41 |
$585.51 |
2.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$160 |
$200 |
5.2× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$156.70 |
$195.87 |
3.3× |