| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$215 |
$810 |
1.0× |
| Airway Inhalation Treatment (94640) |
$218 |
$1,001.11 |
1.0× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$37 |
$169.20 |
1.0× |
| Analyze Neurostim Simple (95971) |
$95 |
$587.70 |
1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$13 |
$199.60 |
0.9× |
| Audiometry Air & Bone (92553) |
$128 |
$66 |
1.0× |
| Behavral qualit analys voice (92524) |
$107 |
$519 |
1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$373 |
$1,383.85 |
1.0× |
| Canalith repositioning proc (95992) |
$29 |
$265.06 |
0.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$215 |
$1,599.90 |
1.0× |
| Cardiopulmonary resuscitation (92950) |
$215 |
$1,383.85 |
1.0× |
Cardioversion (92960) range across 2 matching MRF lines |
$660 |
$2,869.45–$11,460.80 |
1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$3,240 |
$14,052 |
1.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,240 |
$14,366.80 |
1.0× |
| Cbt 1st hour (94644) |
$133 |
$563.20 |
1.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$71 |
$340 |
1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$71 |
$117.39 |
1.0× |
| Chemo Ia Push (96420) |
$330 |
$257 |
1.0× |
| Chemo IV infusion addl hr (96415) |
$71 |
$310.55 |
1.0× |
| Chemo IV push addl drug (96411) |
$71 |
$176 |
1.0× |
| Chemother Prolong Infuse W/Pump (96416) |
$330 |
$612 |
1.0× |
| Chemotherapy Into Cns (96450) |
$330 |
$1,623.67 |
1.0× |
| Chemotherapy Unspecified (96549) |
$46 |
$93 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$71 |
$310.55 |
1.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$330 |
$1,623.67 |
1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$330 |
$612 |
1.0× |
| Chest Wall Manipulation (94668) |
$133 |
$563.20 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$238 |
$1,929.41 |
1.0× |
| Color/duplex Doppler, limited (93976) |
$104 |
$1,265.50 |
1.0× |
| Continuous Pulse Ox (94762) |
$128 |
$729.15 |
1.0× |
| Coronary Art/Grft Angio S&I (93455) |
$3,240 |
$14,052 |
1.0× |
| Coronary Artery Angio S&I (93454) |
$3,240 |
$14,366.80 |
1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$218 |
$1,001.11 |
1.0× |
| Cpt initial (94667) |
$133 |
$563.20 |
1.0× |
| Critical care first hour (99291) |
$825 |
$4,180 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$200 |
$897.75 |
1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$238 |
$1,654 |
1.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$238 |
$1,204.68 |
1.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$104 |
$593.56 |
1.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$238 |
$1,204.68 |
1.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$104 |
$587.86 |
1.0× |
| Duplex up extrem art bilat (93930) |
$238 |
$1,686.55 |
1.0× |
| Duplex up extrem art unilat/ltd (93931) |
$104 |
$587.86 |
1.0× |
| Echo Congenital Complete (93303) |
$546 |
$2,487.45 |
1.0× |
| Echo Heart Xthoracic,Limited (93308) |
$238 |
$1,204.68 |
1.0× |
| Echo r-t 2d w/probe placement only (93313) |
$546 |
$2,487.45 |
1.0× |
| Echo transesophag montr cardiac pump functj (93318) |
$546 |
$2,487.45 |
1.0× |
Echo transesophageal (93312) range across 2 matching MRF lines |
$546 |
$2,599.39–$12,577 |
1.0× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$546 |
$2,487.45 |
1.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$546 |
$2,487.45 |
1.0× |
| EEG awake and asleep (95819) |
$215 |
$1,383.85 |
1.0× |
| EEG awake drowsy (95816) |
$215 |
$1,383.85 |
1.0× |
| EEG cerebral death evaluation (95824) |
$373 |
$2,276.35 |
1.0× |
| Eeg Sleep Only (95822) |
$215 |
$1,383.85 |
1.0× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$215 |
$1,495.30 |
1.0× |
| Electrical Stimulation Ea 15 Min (97032) |
$14 |
$199.18 |
1.0× |
| Electrocardiogram Tracing (93005) |
$58 |
$415.35 |
1.0× |
| Emergency Dept Visit Level 2 (99282) |
$153 |
$962.58 |
1.0× |
| Emergency Dept Visit Level 3 (99283) |
$272 |
$1,694.15 |
1.0× |
| Emergency Dept Visit Level 4 (99284) |
$417 |
$2,660.76 |
1.0× |
| Er level 1 (99281) |
$84 |
$531.07 |
1.0× |
| Er level v (99285) |
$595 |
$4,180 |
1.0× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$128 |
$679.75 |
1.0× |
| Evaluate pt use of inhaler (94664) |
$218 |
$1,001.11 |
1.0× |
| Evaluate Speech Production (92522) |
$109 |
$519 |
1.0× |
| Evaluate Swallowing Function (92610) |
$57 |
$853.42 |
0.7× |
| Evaluation of speech fluency (92521) |
$130 |
$519 |
1.0× |
| External ECG rec>48hr<7d recording (93242) |
$37 |
$169.20 |
1.0× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$133 |
$278.30 |
1.0× |
| External ECG rec>7d<15d recording (93246) |
$37 |
$278.30 |
1.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$133 |
$559.75 |
1.0× |
| External Ecg Scanning Analysis Report (93226) |
$58 |
$1,207.22 |
1.0× |
| Extracranial Bilat Study (93880) |
$238 |
$1,204.68 |
1.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$546 |
$2,487.45 |
1.0× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$53 |
$251 |
0.3× |
| Group Therapeutic Procedures (97150) |
$17 |
$80 |
0.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$3,240 |
$14,366.80 |
1.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$686 |
$3,418.93 |
1.0× |
| Holter monitor recording (93225) |
$133 |
$830.78 |
1.0× |
| Icd Device Interrogate (93289) |
$37 |
$185.80 |
1.0× |
| Insert/Place Heart Catheter (93503) |
$1,573 |
$5,468.15 |
1.0× |
| Iontophoresis 15 min (97033) |
$18 |
$141 |
0.9× |
| Irrig Drug Delivery Device (96523) |
$58 |
$290.82 |
1.0× |
| IV infusion hydration each additional hour (96361) |
$46 |
$209.40 |
1.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$212 |
$1,063.29 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$71 |
$437.07 |
1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$46 |
$290.03 |
1.0× |
| IV push initial (96374) |
$212 |
$1,063.29 |
1.0× |
| L Hrt Art/Grft Angio (93459) |
$3,240 |
$14,366.80 |
1.0× |
| Laryngeal Function Studies (92520) |
$133 |
$532.40 |
1.0× |
| Lung Function Test (Mbc/Mvv) (94200) |
$58 |
$532.40 |
1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$215 |
$679.75 |
1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$21 |
$175 |
0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$25 |
$175 |
0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$12 |
$285 |
0.7× |
| Methacholine challenge (94070) |
$373 |
$1,766.17 |
1.0× |
| Motion Fluoroscopy/Swallow (92611) |
$89 |
$841.23 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$200 |
$938.15 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$406 |
$1,758 |
1.0× |
| Neuromuscular Reeducation (97112) |
$31 |
$215 |
0.9× |
| Oral Function Therapy (92526) |
$82 |
$481.75 |
1.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$48 |
$186 |
1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$44 |
$229.45 |
1.0× |
| Ot Contrast Bath Ea 15 Min (97034) |
$13 |
$48 |
0.9× |
| Ot eval high complexity (97167) |
$98 |
$522.50 |
1.0× |
| Ot Eval Low Complex (97165) |
$98 |
$492.15 |
1.0× |
| Ot Eval Moderate Complexity (97166) |
$98 |
$492.20 |
1.0× |
| Ot manual therapy 15 min (97140) |
$27 |
$243.49 |
1.0× |
| Ot paraffin bath (97018) |
$5 |
$153.47 |
0.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$39 |
$201.15 |
1.0× |
| Ot Re-Eval Est Plan Care (97168) |
$66 |
$339.05 |
1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$128 |
$102 |
1.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$218 |
$108 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$58 |
$284.25 |
1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$5,689 |
$25,200 |
1.0× |
| Phlebotomy therapeutic (99195) |
$133 |
$563.20 |
1.0× |
| Physical Performance Test (97750) |
$32 |
$453 |
0.9× |
| Plethysmography (94726) |
$373 |
$1,383.85 |
1.0× |
| Pm device eval in person (93288) |
$37 |
$185.80 |
1.0× |
| Prq Card Angio/Athrect 1 Art (92924) |
$11,539 |
$29,007.10 |
1.0× |
Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$11,539 |
$29,007.10–$48,503.50 |
1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$11,539 |
$29,007.10 |
1.0× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$36 |
$268.18 |
1.0× |
| Pt Eval High Complex (97163) |
$95 |
$522.50 |
1.0× |
| Pt eval low complex 20 min (97161) |
$95 |
$487.45 |
1.0× |
| Pt Eval Mod Complex (97162) |
$95 |
$487.50 |
1.0× |
| Pt mechanical traction (97012) |
$14 |
$185 |
1.0× |
| Pt Re-Eval Est Plan Care (97164) |
$65 |
$337.45 |
1.0× |
| Pt ultraviolet (97028) |
$8 |
$67 |
1.0× |
| Pulmonary service/procedure (94799) |
$128 |
$688.65 |
1.0× |
| R Hrt Art/Grft Angio (93457) |
$3,240 |
$14,366.80 |
1.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$3,240 |
$14,807.60 |
1.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$3,240 |
$14,807.60 |
1.0× |
| R hrt coronary artery angio (93456) |
$3,240 |
$14,366.80 |
1.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$3,240 |
$14,807.60 |
1.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$3,240 |
$14,807.60 |
1.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$3,240 |
$14,052 |
1.0× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$37 |
$190.15 |
1.0× |
| Rem ther mntr dev sply resp (98976) |
$37 |
$190.15 |
1.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$133 |
$606.75 |
1.0× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$25 |
$191.20 |
0.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$25 |
$243.55 |
0.5× |
| Respiratory flow volume loop (94375) |
$215 |
$1,261.55 |
1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$58 |
$279.50 |
1.0× |
| Right Heart Cath (93451) |
$3,240 |
$14,366.80 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$200 |
$882.25 |
1.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$119 |
$504 |
1.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$46 |
$465 |
1.0× |
| Sensory Integration Ea 15 Min (97533) |
$58 |
$298.50 |
1.0× |
| Speech sound lang comprehen (92523) |
$221 |
$1,110.80 |
1.0× |
| Spirometry (94010) |
$215 |
$688.65 |
1.0× |
| Stress Tte Only (93350) |
$546 |
$2,487.45 |
1.0× |
| Testing Autonomic Nervous System Function (95923) |
$133 |
$550 |
1.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$28 |
$189.15 |
0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$71 |
$437.07 |
1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$212 |
$1,369.22 |
1.0× |
| Tte w/doppler, complete (93306) |
$546 |
$2,599.39 |
1.0× |
| Tte W/O Doppler Complete (93307) |
$238 |
$1,551.83 |
1.0× |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$74 |
$372–$454.58 |
1.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$46 |
$277.09 |
1.0× |
| Tympanometry (92567) |
$37 |
$77 |
1.0× |
| Unlisted cardiovascular service/procedure (93799) |
$128 |
$679.75 |
1.0× |
| Upr/L Xtremity Art 2 Levels (93922) |
$133 |
$559.75 |
1.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$215 |
$1,410.75 |
1.0× |
| Vasopneumatic device (97016) |
$11 |
$90 |
0.9× |
| Vent Mgmt Inpat Init Day (94002) |
$617 |
$2,762.90 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$617 |
$2,762.90 |
1.0× |
| Vital capacity, total (94150) |
$128 |
$679.75 |
1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$30 |
$182.67 |
1.0× |
| Whirlpool Therapy (97022) |
$15 |
$155 |
1.0× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$37 |
$199.65 |
1.0× |