| Admn Sarscov2 Vacc 1 Dose (90480) |
$60 |
$100 |
1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$90 |
$150 |
6.3× |
| Behavral qualit analys voice (92524) |
$345 |
$575 |
3.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$570 |
$950 |
1.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,020 |
$1,700 |
4.4× |
| Cardiopulmonary resuscitation (92950) |
$840.60 |
$1,401 |
3.6× |
| Cardioversion (92960) |
$1,366.20 |
$2,277 |
1.9× |
| Color/duplex Doppler, limited (93976) |
$660 |
$1,100 |
5.9× |
| Critical care first hour (99291) |
$2,617.80 |
$4,363 |
3.0× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
$402–$471.60 |
$670–$786 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$900 |
$1,500 |
3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,140 |
$1,900 |
4.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$660 |
$1,100 |
5.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,140 |
$1,900 |
4.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$660 |
$1,100 |
5.9× |
| Duplex up extrem art bilat (93930) |
$900 |
$1,500 |
3.5× |
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines |
$660–$739.20 |
$1,100–$1,232 |
varies |
| Echo Heart Xthoracic,Limited (93308) |
$900 |
$1,500 |
3.5× |
| Electrical Stimulation Ea 15 Min (97032) |
$90 |
$150 |
6.1× |
| Electrocardiogram Tracing (93005) |
$276 |
$460 |
4.4× |
| Emergency Dept Visit Level 2 (99282) |
$516 |
$860 |
3.1× |
| Emergency Dept Visit Level 3 (99283) |
$873.60 |
$1,456 |
3.0× |
| Emergency Dept Visit Level 4 (99284) |
$1,397.40 |
$2,329 |
3.1× |
| Er level 1 (99281) |
$285.60 |
$476 |
3.2× |
| Er level v (99285) |
$1,773 |
$2,955 |
2.8× |
| Evaluate Speech Production (92522) |
$432.60 |
$721 |
3.9× |
| Evaluate Swallowing Function (92610) |
$324 |
$540 |
3.8× |
| External ECG rec>48hr<7d recording (93242) |
$420 |
$700 |
10.5× |
| External ECG rec>7d<15d recording (93246) |
$420 |
$700 |
10.5× |
| External Ecg Scanning Analysis Report (93226) |
$692.40 |
$1,154 |
11.0× |
| Extracranial Bilat Study (93880) |
$1,140 |
$1,900 |
4.5× |
| Extracranial Uni/Ltd Study (93882) |
$15 |
$25 |
0.1× |
| Holter monitor recording (93225) |
$660 |
$1,100 |
4.6× |
Immunization administration (90471)
range across 2 matching MRF lines |
$60–$165.60 |
$100–$276 |
varies |
| Irrig Drug Delivery Device (96523) |
$159.60 |
$266 |
2.5× |
| IV infusion hydration each additional hour (96361) |
$216.60 |
$361 |
4.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$456.60 |
$761 |
2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$270 |
$450 |
3.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$191.40 |
$319 |
3.8× |
| IV push initial (96374) |
$505.20 |
$842 |
2.2× |
| Motion Fluoroscopy/Swallow (92611) |
$490.80 |
$818 |
5.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$471.60 |
$786 |
2.2× |
| Neuromuscular Reeducation (97112) |
$136.20 |
$227 |
4.2× |
| Oral Function Therapy (92526) |
$276 |
$460 |
3.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$135 |
$225 |
2.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$111 |
$185 |
2.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$61.20 |
$102 |
2.6× |
| Ot eval high complexity (97167) |
$364.80 |
$608 |
3.6× |
| Ot Eval Low Complex (97165) |
$321.60 |
$536 |
3.2× |
| Ot Eval Moderate Complexity (97166) |
$327.60 |
$546 |
3.3× |
| Ot manual therapy 15 min (97140) |
$164.40 |
$274 |
5.9× |
| Ot paraffin bath (97018) |
$84 |
$140 |
14.0× |
| Ot Re-Eval Est Plan Care (97168) |
$223.20 |
$372 |
3.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$261 |
$435 |
1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$261 |
$435 |
1.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$300 |
$500 |
4.7× |
| Plethysmography (94726) |
$594.60 |
$991 |
1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,328.40 |
$7,214 |
4.7× |
| Psych diag eval w/med srvcs (90792) |
$396 |
$660 |
2.1× |
| Psychiatric diagnostic evaluation (90791) |
$384 |
$640 |
2.0× |
| Pt Eval High Complex (97163) |
$312 |
$520 |
3.2× |
| Pt eval low complex 20 min (97161) |
$240 |
$400 |
2.5× |
| Pt Eval Mod Complex (97162) |
$300 |
$500 |
3.1× |
| Pt mechanical traction (97012) |
$108 |
$180 |
7.5× |
| Pt Re-Eval Est Plan Care (97164) |
$234 |
$390 |
3.5× |
| Pulmonary Stress Testing (94618) |
$285 |
$475 |
2.0× |
| Remote 30 Day Ecg Rev/Report (93270) |
$276 |
$460 |
6.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$471.60 |
$786 |
2.2× |
| Self Care Mngment Training (97535) |
$141 |
$235 |
4.4× |
| Sensory Integration Ea 15 Min (97533) |
$135 |
$225 |
2.2× |
| Sleep study unattended (95806) |
$661.80 |
$1,103 |
2.9× |
| Slp caregiver training 1st 30 min (97550) |
$126 |
$210 |
2.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$927 |
$1,545 |
4.0× |
| Speech sound lang comprehen (92523) |
$477.60 |
$796 |
2.1× |
Spirometry (94010)
range across 2 matching MRF lines |
$186–$240 |
$310–$400 |
varies |
| Stress Tte Only (93350) |
$2,220 |
$3,700 |
3.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$90 |
$150 |
4.0× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$87 |
$145 |
4.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$137.40 |
$229 |
3.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$334.20 |
$557 |
4.3× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$505.20 |
$842 |
2.2× |
| Therapeutic Activities (97530) |
$128.40 |
$214 |
3.7× |
| Tte w/doppler, complete (93306) |
$2,220 |
$3,700 |
3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$333 |
$555 |
4.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$292.20 |
$487 |
5.8× |
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines |
$15–$780 |
$25–$1,300 |
varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$840 |
$1,400 |
3.6× |