Visits & medical services prices at Lawrence + Memorial Hospital

New London, CT · every code in this section with a posted price and a Medicare benchmark.

412 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $168.12 $466.99 1.1×
Acoustic reflex testing (92568) $37.56 $104.34 0.8×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $52.44 $145.68 1.5×
Administration of prolonged chemotherapy into artery (96425) $410.56 $1,140.45 1.0×
Aep hearing status deter broadband stimuli i&r (92651) $213.12 $592 0.8×
Aep Neurodiagnostic I&R (92653) $403.93 $1,122.04 1.6×
Aep threshold estimation mlt frequencies i&r (92652) $403.93 $1,122.04 1.6×
Airway inhalation treatment (94640) $229.36 $637.10 0.9×
Allergy skin tests (95028) $37.08 $103 0.8×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $37.56 $104.34 1.1×
Ambulatory Bp Analysis (93788) $132.38 $367.72 0.8×
Ambulatory Bp Recording (93786) $132.38 $367.72 0.8×
Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) $168.12 $466.99 1.1×
Analyze Neurostim Complex (95972) $144.41 $401.15 1.3×
Analyze neurostim no prog (95970) $132.38 $367.72 0.8×
Appl on-body injector for timed subq injection (96377) $70.38 $195.51 1.3×
Assessment of aphasia (96105) $296.12 $822.56 3.0×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $50.69 $140.81 1.3×
Behav assmt w/score & docd/stand instrument (96127) $43.74 $121.50 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $378.54 $1,051.49 3.5×
Bfb training 1st 15 min (90912) $168.12 $466.99 2.0×
Bfb training ea addl 15 min (90913) $126.09 $350.24 3.9×
Biofeedback training any modality (90901) $158.64 $440.66 3.9×
Bis extracellular fluid alys lymphedema assmnt (93702) $168.12 $466.99 1.1×
Blink reflex test (95933) $72.21 $200.57 1.0×
Breath Hydrogen/Methane Test (91065) $225.14 $625.38 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $307.43 $853.96 0.7×
C motor evoked upr&lwr limbs (95939) $1,144.73 $3,179.81 1.1×
Caloric vestibular test w/rec bi bithermal (92537) $307.43 $853.96 2.0×
Caloric vestibular test w/rec bi monothermal (92538) $307.43 $853.96 1.2×
Canalith Repositioning (95992) $113.41 $315.04 2.8×
Capsule endoscopy (91110) $1,306.27 $3,628.52 1.2×
Car seat/bed test 60 min (94780) $44.84 $124.56 1.0×
Cardiac Stress Tst,Tracing Only (93017) $307.43 $853.96 1.2×
Cardiopulmonary exercise testing (94621) $307.43 $853.96 0.7×
Cardiopulmonary resuscitation (92950) $340.58 $946.04 1.3×
Cardioversion (92960) $497.34 $1,381.52 0.6×
Cardioversion internal (92961) $747.51 $2,076.43 0.9×
Caregiver training 1st 30 min (97550) $271.32 $753.68 5.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $135.66 $376.84 5.2×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,297.44 $9,159.55 0.8×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $3,297.44 $9,159.55 0.8×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$9,213.64 $25,593.45 0.4×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $3,297.44 $9,159.55 0.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,297.44 $9,159.55 0.8×
Cbt 1st hour (94644) $132.38 $367.72 0.8×
Cdp-sot 6 cond w/i&r mct&adt (92549) $142.55 $395.98 0.9×
Chemo Admin Peritoneal Cavity (96446) $198.75 $552.09 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $70.38 $195.51 0.8×
Chemo inj subarach/intravent (96542) $237.77 $660.48 0.6×
Chemo IV push addl drug (96411) $70.38 $195.51 0.8×
Chemo Iv Push Sngl Drug (96409) $237.77 $660.48 0.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $369.78 $1,027.18 0.9×
Chemother, IV infusion, 1 hr (96413) $369.78 $1,027.18 0.9×
Chemother, IV infusion, ea add hr (96415) $70.38 $195.51 0.8×
Chemother,Ia Push Technique (96420) $257.83 $716.19 0.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $70.38 $195.51 0.8×
Chemotherapy, unspecified procedure (96549) $45.95 $127.64 0.8×
Chemotx Admn Cns Req Spinal Puncture (96450) $369.78 $1,027.18 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $70.38 $195.51 0.8×
Color/duplex Doppler, complete (93975) $299.04 $830.66 1.0×
Color/duplex Doppler, limited (93976) $240.69 $668.58 1.9×
Comprehensive Hearing Test (92557) $168.12 $466.99 1.1×
Conditioning Play Audiometry (92582) $154.62 $429.51 1.0×
Cont Gluc Monitoring Patient Provided Equipment (95249) $77.97 $216.58 1.1×
Continuous Glucose Monitoring (95250) $141.12 $392 0.9×
Coronary artery angio s&i (93454) $3,297.44 $9,159.55 0.8×
Cortical mapping 1st hr (95961) $1,144.73 $3,179.81 1.1×
Cpap initiation and management (94660) $229.36 $637.10 0.9×
Cpt initial (94667) $166.11 $461.41 1.0×
Critical care (99291) $1,011.37 $2,809.36 1.0×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $1,144.73 $3,179.81 2.6×
Debridement Open Wound 20 Sq Cm< (97597) $110.87 $307.98 0.5×
Demo &/or eval,pt use,aerosol device (94664) $229.36 $637.10 0.9×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $460.29 $1,278.57 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $299.04 $830.66 1.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $168.10 $466.95 1.3×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $149.16 $414.32 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $447.71 $1,243.63 1.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $306.02 $850.06 2.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $404.73 $1,124.24 1.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $250.40 $695.56 2.0×
Dup-scan xtr veins unilateral/limited study (93971) $182.72 $507.54 1.5×
Duplex hemodialysis access (93990) $260.75 $724.30 2.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $304.76 $846.55 1.1×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $146.64 $407.32 1.2×
Duplex scan extracranial art compl bi study (93880) $387.02 $1,075.06 1.4×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $225.10 $625.28 1.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $111.23 $308.97 0.7×
Echo Heart Xthoracic,Limited (93308) $316.90 $880.30 1.1×
Echo transesophageal (93312) $595.16 $1,653.22 0.9×
Echo Transesophageal - Congenital Tee Complete (93315) $816.52 $2,268.11 1.2×
Echo Transthoracic - Congenital Tte Complete (93303) $595.16 $1,653.22 0.9×
Echo Transthoracic - Congenital Tte Limited (93304) $595.16 $1,653.22 0.9×
EEG awake asleep (95819) $389.86 $1,082.94 1.5×
EEG awake drowsy (95816) $389.86 $1,082.94 1.5×
EEG cerebral death evaluation (95824) $549.94 $1,527.60 1.2×
EEG coma or sleep only (95822) $307.43 $853.96 1.2×
EEG cont rec w/video by tech min 8 channels (95700) $331.12 $919.78 1.3×
Eeg Extended Monitoring 61-119 Minutes (95813) $389.86 $1,082.94 1.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $331.12 $919.78 1.3×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $634.28 $1,761.90 1.4×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $634.28 $1,761.90 1.4×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $634.28 $1,761.90 1.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $331.12 $919.78 1.3×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $331.12 $919.78 1.3×
EKG (93005) $87.81 $243.92 1.2×
EKG rhythm strip (93041) $72.21 $200.57 1.0×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $144.41 $401.15 1.3×
Electroconvulsive Therapy (90870) $1,087.56 $3,020.99 1.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $389.86 $1,082.94 1.5×
EMG cranial nerve bilat (95868) $168.12 $466.99 0.6×
EMG cranial nerve unilat (95867) $168.12 $466.99 0.6×
EMG one extremity (95860) $132.38 $367.72 0.8×
EMG thoracic paraspinal (95869) $104.66 $290.73 0.4×
EMG two extremities (95861) $132.38 $367.72 0.8×
Endomyocardial biopsy (93505) $1,727.13 $4,797.57 0.5×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$13,416.94 $37,269.28 0.4×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$13,416.94 $37,269.28 0.4×
Ep Analyze Pacer Sys (93724) $334.41 $928.92 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Ep Electrophysiologic F/U Study (93624)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,137.80 $3,160.56 0.8×
Ep Right Ventricular Recording (93603) $1,137.80 $3,160.56 0.8×
Er level 1 (99281) $109.38 $303.82 1.1×
Er level ii (99282) $192.45 $534.58 1.0×
Er level iii (99283) $392.20 $1,089.43 1.2×
Er level IV (99284) $534.76 $1,485.46 1.1×
Er level v (99285) $778.84 $2,163.44 1.1×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $772.37 $2,145.47 1.7×
Esophageal Capsule Endoscopy (91111) $1,306.27 $3,628.52 1.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $109.04 $302.89 0.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $246.52 $684.79 3.5×
Evaluation of speech fluency (92521) $138.58 $384.94 1.0×
Evaluation of speech sound production (92522) $231.94 $644.27 2.1×
Evaluation of swallowing function (92610) $326.75 $907.65 3.9×
Evaluation with prescription of speech-generating alternative (92607) $412.82 $1,146.72 3.4×
Evoked Auditory Test,Comprehsv (92588) $282.63 $785.08 0.6×
Evoked auditory test,limited (92587) $245.43 $681.75 0.9×
Exam of visual field with intermediate testing (92082) $72.21 $200.57 1.0×
Exam of visual field with limited testing (92081) $72.21 $200.57 1.0×
Excimer laser tx psoriasis >500 sq cm (96922) $275.88 $766.33 0.6×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $275.88 $766.33 1.1×
Exercise tst brncspsm (94617) $132.38 $367.72 0.8×
Exhaled Air Analysis (94690) $37.56 $104.34 0.5×
Exhaled air analysis o2 (94680) $168.12 $466.99 1.1×
External ECG rec>48hr<7d recording (93242) $51.70 $143.60 1.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $85.01 $236.15 0.5×
External ECG rec>7d<15d recording (93246) $85.01 $236.15 1.9×
External ECG rec>7d<15d scanning alys w/report (93247) $170.91 $474.75 1.1×
External Ecg Scanning Analysis Report (93226) $132.38 $367.72 1.9×
External ocular photography (92285) $72.21 $200.57 1.6×
Eye exam, new patient,comprehesv (92004) $141.13 $392.03 0.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $357.39 $992.74 1.8×
Flow volume loop (94375) $191.09 $530.81 0.7×
Fluorescein&icg angrph multiframe img i&r uni/bi (92242) $307.43 $853.96 1.2×
Fundus photography w/interpretation & report (92250) $132.38 $367.72 0.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $772.37 $2,145.47 1.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $452.30 $1,256.40 1.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $772.37 $2,145.47 0.8×
Gi wireless capsule measure (91112) $2,393.71 $6,649.20 2.2×
Gonioscopy (92020) $48.88 $135.78 0.3×
Group Therapeutic Procedures (97150) $72.94 $202.60 4.0×
Health Behavior Assessment/Re-Assessment (96156) $102.75 $285.42 0.8×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $35.74 $99.29 0.8×
Health behavior ivntj group f2f 1st 30 min (96164) $35.74 $99.29 0.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $102.75 $285.42 0.5×
Hemodialysis (90935) $728.63 $2,023.97 0.9×
High altitude simulation test (94453) $132.38 $367.72 0.8×
Holter Monitor Recording (93225) $132.38 $367.72 0.8×
Hypoxia Response Curve (94450) $168.12 $466.99 1.1×
Icd Device Interrogate (93289) $46.68 $129.66 1.0×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $51.84 $144 1.1×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $51.84 $144 0.6×
Immunization Admin (90471) $51.84 $144 0.6×
Immunotherapy, 2+ Injections (95117) $68.52 $190.33 1.2×
Ingestion challenge test initial 120 minutes (95076) $598.13 $1,661.48 1.3×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $549.94 $1,527.60 1.2×
Inital newborn e/m (99460) $141.13 $392.03 0.9×
Injection intra arterial (96373) $128.73 $357.59 0.5×
Ins swan ganz bedside (93503) $823.08 $2,286.34 0.4×
Interrog dev eval icpms phys/qhp in person (93290) $46.68 $129.66 1.0×
Interrog dev eval scrms phys/qhp in person (93291) $37.56 $104.34 1.1×
Interrogate subq defib (93261) $46.68 $129.66 1.0×
Interrogation eval in person wr defibrillator (93292) $46.68 $129.66 1.0×
Interrogation of vad (93750) $144.41 $401.15 1.3×
Intra Atrial Recording (93602)
unusually low: confirm this is the full procedure
$3,142.53 $8,729.25 0.3×
Intralesional Chemo Admin,8+ Lesn (96406) $237.77 $660.48 0.9×
Intralesional Chemo Admin,<8 Lesn (96405) $70.38 $195.51 0.8×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $72.21 $200.57 1.0×
IV infusion hydration each additional hour (96361) $45.95 $127.64 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $237.77 $660.48 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $70.38 $195.51 0.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $237.77 $660.48 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $45.95 $127.64 0.8×
IV push initial (96374) $208.96 $580.45 0.8×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $3,746.57 $10,407.14 1.0×
Laryngeal Function Studies (92520) $132.38 $367.72 0.8×
Low frequency non-thermal us (97610) $202.76 $563.23 0.8×
Maintenance of spinal canal or brain drug infusion pump (95990) $369.78 $1,027.18 0.9×
Manual therapy 15 min (97140) $90.08 $250.21 3.2×
Massage 15 min (97124) $75.49 $209.69 2.5×
Maximum voluntary ventilation (94200) $132.38 $367.72 1.9×
Mechanical chest wall oscillation (94669) $307.35 $853.76 1.2×
Mechanical traction (97012) $114.51 $318.08 8.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $51.81 $143.92 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $51.81 $143.92 1.4×
Methacholine challenge (94070) $307.43 $853.96 0.7×
Mnt Group Ea 30 Min (97804) $33 $91.67 1.9×
Motility study esophagus (91010) $772.37 $2,145.47 1.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $255.64 $710.11 2.8×
Multiple Family Group Psychotherapy (90849) $105.03 $291.74 0.5×
Multiple sleep latency test (95805) $1,224.38 $3,401.06 1.2×
Nasal function studies (92512) $119.98 $333.28 0.5×
Nasopharyngoscopy (92511) $147.63 $410.08 0.6×
Needle electromyography larynx (95865) $132.38 $367.72 0.8×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $72.21 $200.57 0.5×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $168.12 $466.99 0.6×
Neg press wnd tx </=50 sq cm (97607) $382.91 $1,063.65 0.8×
Neg press wound tx >50 cm (97608) $382.91 $1,063.65 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $136.03 $377.85 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $286.28 $795.21 0.6×
Nerve conduction studies 13/> studies (95913) $549.94 $1,527.60 1.2×
Nerve Conduction Studies 3-4 Studies (95908) $307.43 $853.96 1.2×
Nerve Conduction Studies 9-10 Studies (95911) $549.94 $1,527.60 1.2×
Nerve conduction studies; 1-2 studies (95907) $168.12 $466.99 0.6×
Nerve conduction studies; 11-12 studies (95912) $549.94 $1,527.60 1.2×
Nerve conduction studies; 5-6 studies (95909) $307.43 $853.96 1.2×
Nerve conduction studies; 7-8 studies (95910) $307.43 $853.96 0.7×
Neuromuscular junction test (95937) $168.12 $466.99 1.1×
New patient problem focused exam of visual system (92002) $141.13 $392.03 0.9×
Newborn resuscitation (99465) $637.10 $1,769.71 0.8×
Nitric oxide expired gas determination (95012) $37.56 $104.34 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $183.83 $510.63 1.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $277.38 $770.50 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $168.12 $466.99 1.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $23.40 $65 0.9×
Nonphysician Telephone Assessment 21-30 Min (98968) $34.56 $96 1.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $12.24 $34 0.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $141.13 $392.03 0.9×
Ophth medical xm&eval intermediate estab pt (92012) $89.35 $248.19 0.6×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $71.95 $199.86 1.0×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $82 $227.78 1.2×
Orthoptic training under supervision of phys/qhp (92066) $85.39 $237.20 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $72.94 $202.60 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $83.15 $230.96 2.6×
Ot Contrast Bath Ea 15 Min (97034) $287.73 $799.26 20.5×
Ot eval high complex 60 min (97167) $256.37 $712.14 2.5×
Ot eval low complex 30 min (97165) $256.37 $712.14 2.5×
Ot eval mod complex 45 min (97166) $256.37 $712.14 2.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $92.63 $257.30 1.8×
Ot Prosthetic Training, Each 15 Min (97761) $84.61 $235.02 2.1×
Ot Range Motion Measure,Each Extrem (95851) $23.71 $65.85 0.9×
Ot re-eval est plan care (97168) $167.39 $464.97 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $145.87 $405.20 0.9×
Paraffin bath (97018) $68.56 $190.44 11.4×
Patch/Application Test Specify Number Tests (95044) $95.40 $265 0.1×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $346.08 $961.34 0.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $229.36 $637.10 0.9×
Percutaneous tests w/allergenic extracts (95004) $95.40 $265 0.1×
Peripheral arterial disease rehab per session (93668) $38.66 $107.38 0.5×
Perq transcath closure pda (93582)
unusually low: confirm this is the full procedure
$9,213.64 $25,593.45 0.4×
Perq Transcath Cls Mitral (93590)
unusually low: confirm this is the full procedure
$9,213.64 $25,593.45 0.4×
Photochemotx psoralens&ultraviolet puva (96912) $103.20 $286.68 1.5×
Phy/qhp op pulm rhb w/mntr (94626) $82 $227.78 1.2×
Phy/qhp op pulm rhb w/o mntr (94625) $82 $227.78 1.2×
Plethysmography (94726) $202.76 $563.23 0.5×
Pm device eval in person (93288) $46.68 $129.66 1.0×
Pm device progr eval dual (93280) $46.68 $129.66 1.0×
Pm device progr eval multi (93281) $46.68 $129.66 1.0×
Pm device progr eval sngl (93279) $46.68 $129.66 1.0×
Pm/Icd Remote Tech Serv (93296) $46.68 $129.66 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,388.11 $3,855.85 1.3×
Polysom <6 yrs 4/> paramtrs (95782) $1,388.11 $3,855.85 1.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,388.11 $3,855.85 1.3×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,388.11 $3,855.85 1.3×
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $981.51 $2,726.41 21.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $45.95 $127.64 0.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $46.68 $129.66 1.0×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $52.88 $146.89 1.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $21.24 $59 0.4×
Programming of dual lead implantable defibrillator system (93283) $46.68 $129.66 1.0×
Programming of single lead implantable defibrillator system (93282) $46.68 $129.66 1.0×
Prq balloon valvuloplasty aortic valve (92986) $4,496.14 $12,489.28 0.7×
Prq Balloon Valvuloplasty Mitral Valve (92987) $7,303.45 $20,287.35 0.5×
Prq card revasc chronic 1vsl (92943) $9,763.03 $27,119.54 0.7×
Prq Card Stent W/Angio 1 Vsl (92928) $9,763.03 $27,119.54 0.7×
Prq Card Stent/Ath/Angio (92933) $13,185.90 $36,627.50 0.6×
Prq revasc byp graft 1 vsl (92937) $9,763.03 $27,119.54 0.7×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$9,213.64 $25,593.45 0.4×
Prq trluml coronary angio/atherect one art/brnch (92924) $7,303.45 $20,287.35 0.5×
Prq trluml coronary angioplasty one art/branch (92920) $4,496.14 $12,489.28 0.7×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $7,303.45 $20,287.35 0.5×
Psych diag eval w/med srvcs (90792) $197.75 $549.30 0.9×
Psychiatric diagnostic evaluation (90791) $185.26 $514.61 0.9×
Psycl tst eval phys/qhp 1st (96130) $151.04 $419.56 0.6×
Pt Aquatic Therapy/Exercises (97113) $76.58 $212.73 2.1×
Pt Electric Current Therapy (97033) $63.09 $175.25 3.3×
Pt Electrical Stimulation (97032) $71.11 $197.54 4.8×
Pt eval high complex 45 min (97163) $256.37 $712.14 2.6×
Pt eval low complex 20 min (97161) $256.37 $712.14 2.6×
Pt Gait Training Therapy (97116) $94.09 $261.35 3.2×
Pt group caregiver training (97552) $72.94 $202.60 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $134.57 $373.80 4.1×
Pt Physical Performance Test (97750) $97.73 $271.48 2.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $256.37 $712.14 2.6×
Pt re-evaluation (97164) $167.39 $464.97 2.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $135.66 $376.84 4.2×
Pt Ultrasound Therapy (97035) $71.48 $198.55 5.0×
Pt Whirlpool Therapy (97022) $110.50 $306.94 7.0×
Pulm Funct Test Oscillometry (94728) $307.43 $853.96 2.0×
Pulm function test by gas (94727) $168.12 $466.99 0.6×
Pulmonary stress testing (94618) $132.38 $367.72 0.8×
Pure Tone Audiometry Air & Bone (92553) $168.12 $466.99 1.1×
Pure Tone Audiometry, Air (92552) $72.21 $200.57 0.5×
Quan puplmtry phy/qhp uni/bi (95919) $172.49 $479.15 1.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $3,297.44 $9,159.55 0.8×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $3,297.44 $9,159.55 0.8×
R hrt art/grft angio (93457) $3,297.44 $9,159.55 0.8×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $3,746.57 $10,407.14 1.0×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $3,746.57 $10,407.14 1.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $3,297.44 $9,159.55 0.8×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $3,746.57 $10,407.14 1.0×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $3,746.57 $10,407.14 1.0×
Rapid Desensitization Procedure Each Hour (95180) $115.24 $320.11 0.2×
Refill/Maint Pump/Resvr Syst (96522) $237.77 $660.48 0.9×
Refill/maint, portable pump (96521) $237.77 $660.48 0.9×
Rem interrog icpms <30 d phys/qhp (93297) $54.35 $150.96 1.2×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $54.35 $150.96 1.2×
Rem ther mntr dev sply cbt (98978) $52 $144.45 1.2×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $52 $144.45 1.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $51.15 $142.09 1.1×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $179.55 $498.75 1.1×
Repet tms tx initial w/map/motr threshld/del&m (90867) $741.60 $2,060 2.9×
Repet tms tx subseq motr threshld w/deliv & mn (90869) $620.72 $1,724.22 2.4×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $305.60 $848.89 0.8×
Right heart cath (93451) $3,297.44 $9,159.55 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $169.58 $471.05 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $166.11 $461.41 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $122.90 $341.38 2.6×
Sc Ther Infusion Reset Pump (96371) $70.38 $195.51 0.8×
Select picture audiometry (92583) $37.56 $104.34 0.5×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $82 $227.78 1.2×
Sensory Integration Ea 15 Min (97533) $88.62 $246.16 1.5×
Short-latency somatosens ep std lwr limbs (95926) $307.43 $853.96 1.2×
Short-latency somatosens ep std upr limbs (95925) $307.43 $853.96 1.2×
Sleep study attended (95807) $718.17 $1,994.93 1.6×
Sleep study unattended (95806) $349.66 $971.29 1.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $477.96 $1,327.67 1.8×
Smoking cessation > 10 min (99407) $31.26 $86.82 0.7×
Somatosensory testing (95938) $549.94 $1,527.60 0.5×
Speech Audiometry Threshold (92555) $37.56 $104.34 0.5×
Speech Audiometry, Complete (92556) $37.56 $104.34 0.5×
Speech group therapy (92508) $98.83 $274.52 4.1×
Speech sound lang comprehen (92523) $470.44 $1,306.77 2.1×
Spirometry (94010) $168.12 $466.99 0.6×
Standardized Cognitive Performance Testing (96125) $359.58 $998.82 3.5×
Stenger Test, Pure Tone (92565) $37.56 $104.34 0.5×
Stress echo (93350) $595.16 $1,653.22 0.9×
Stress Tte Complete (93351) $595.16 $1,653.22 0.9×
Surfactant Admin Thru Tube (94610) $248.23 $689.53 0.9×
Temp transcutaneous pacing (92953) $637.10 $910 0.8×
Test for allergy using allergenic extract injected into skin (95024) $71.28 $198 1.0×
Test for allergy using combination of methods with drug or biological (95018) $37.08 $103 0.8×
Testing of autonomic nervous system function heart rate (95921) $168.12 $466.99 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $88.62 $246.16 4.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $88.62 $246.16 4.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $197.29 $548.03 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $70.38 $195.51 0.8×
Therap repetitive tms tx subseq delivery & mng (90868) $430.87 $1,196.86 1.7×
Therapeutic Activities (97530) $137.48 $381.90 3.9×
Therapeutic phlebotomy (99195) $72.21 $200.57 0.5×
Tilt Table Eval (93660) $549.94 $1,527.60 1.2×
Tinnitus assessment (92625) $168.12 $466.99 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $21.42 $59.48 0.5×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $367.23 $1,020.09 1.3×
Transcranial Doppler Limited (93888) $242.15 $672.63 1.9×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $74.39 $206.65 1.7×
Tstg Ans Funcj Vasomotor Adrenergic Innervaj (95922) $132.38 $367.72 0.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $595.16 $1,653.22 0.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $502.53 $1,395.91 1.8×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$13,416.94 $37,269.28 0.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $171.76 $477.12 2.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $282.63 $785.08 3.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $45.95 $127.64 0.8×
Tympanometry (92567) $37.56 $104.34 0.8×
Tympanometry And Reflex Threshold Measurements (92550) $114.88 $319.10 0.4×
Ultraviolet Light Therapy (96900) $51.89 $144.13 1.2×
Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) $16.56 $46 0.5×
Unlisted Cardiovascular Service/Procedure (93799) $168.12 $466.99 1.1×
Unlisted pulmonary service/procedure (94799) $123.63 $343.41 0.8×
Valvuloplasty pulmonary valve (92990) $7,303.45 $20,287.35 0.5×
Vasc Duplex Extrem Venous,Bilat (93970) $387.02 $1,075.06 1.4×
Vasc Duplex Scan Extracranial,Limited (93882) $247.88 $688.55 2.0×
Vasopneumatic device (97016) $51.06 $141.82 4.2×
Veeg by tech 2-12 hours unmonitored (95711) $331.12 $919.78 1.3×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $634.28 $1,761.90 1.4×
Veeg by tech 2-12 hr intermittent monitoring (95712) $331.12 $919.78 0.7×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $1,189.14 $3,303.18 1.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $634.28 $1,761.90 1.4×
Veeg Ea 12-26 Hr Unmntr (95714) $634.28 $1,761.90 1.4×
Ventilation assist & mgmt inpatient 1st day (94002) $592.37 $1,645.46 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $592.37 $1,645.46 0.8×
Visual Evoked Potential Test (95930) $168.12 $466.99 0.6×
Visual reinforcement audiometry (vra) (92579) $168.12 $466.99 0.6×
Vital capacity total (94150) $91.17 $253.25 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $80.96 $224.89 2.6×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $85.01 $236.15 1.2×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $331.86 $921.83 2.9×