| Airway Inhalation Treatment (94640) |
— |
$100 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$25 |
— |
| Behavral qualit analys voice (92524) |
— |
$350 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$300 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$637 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$25 |
— |
| Cbt 1st hour (94644) |
— |
$210 |
— |
| Chest Wall Manipulation (94668) |
— |
$259 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$550 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$240 |
— |
| Continuous Pulse Ox (94762) |
— |
$243 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$150 |
— |
| Cpt initial (94667) |
— |
$259 |
— |
| Critical care first hour (99291) |
— |
$1,200 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$260 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$409 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$950 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$650 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$800 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$350 |
— |
| Duplex up extrem art bilat (93930) |
— |
$301 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$650 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$300 |
— |
| Electrocardiogram Tracing (93005) |
— |
$200 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$200 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$300 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$425 |
— |
| Er level 1 (99281) |
— |
$150 |
— |
| Er level v (99285) |
— |
$500 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$325 |
— |
| Evaluate Swallowing Function (92610) |
— |
$200 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$250 |
— |
| Extracranial Bilat Study (93880) |
— |
$600 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$204.50 |
— |
| Holter monitor recording (93225) |
— |
$250 |
— |
| Immunization administration (90471) |
— |
$143 |
— |
| Iontophoresis 15 min (97033) |
— |
$77 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$161 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$96 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$435 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$143 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$96 |
— |
| IV push initial (96374) |
— |
$110 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$400 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$400 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$450 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$550 |
— |
| Neuromuscular Reeducation (97112) |
— |
$50 |
— |
| Oral Function Therapy (92526) |
— |
$125 |
— |
| Ot Eval Low Complex (97165) |
— |
$200 |
— |
| Ot manual therapy 15 min (97140) |
— |
$100 |
— |
| Phlebotomy therapeutic (99195) |
— |
$140 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$90 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$106 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$225 |
— |
| Pt eval low complex 20 min (97161) |
— |
$200 |
— |
| Pt Eval Mod Complex (97162) |
— |
$250 |
— |
| Pt gait training 15 min (97116) |
— |
$110 |
— |
| Pt group caregiver training (97552) |
— |
$60 |
— |
| Pt mechanical traction (97012) |
— |
$30 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$160 |
— |
| Pulmonary service/procedure (94799) |
— |
$63 |
— |
| Respiratory flow volume loop (94375) |
— |
$250 |
— |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
— |
$187–$748 |
— |
| Self Care Mngment Training (97535) |
— |
$85 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$175 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$50 |
— |
| Speech sound lang comprehen (92523) |
— |
$300 |
— |
| Spirometry (94010) |
— |
$199 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$200 |
— |
| Temp transcutaneous pacing (92953) |
— |
$231 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$175 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$75 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$69 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$45 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$435 |
— |
| Therapeutic Activities (97530) |
— |
$80 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$47 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$47 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,300 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$200 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$75 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$500 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,200 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$74 |
— |