| Admn Sarscov2 Vacc 1 Dose (90480) |
$72.50 |
$145 |
1.8× |
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines |
$25.50–$89 |
$51–$178 |
varies |
| Analyze neurostim complex (95972) |
$151.50 |
$303 |
1.6× |
| Analyze neurostim no prog (95970) |
$133 |
$266 |
1.0× |
| Analyze Neurostim Simple (95971) |
$346.50 |
$693 |
3.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$87 |
$174 |
6.1× |
| Assessment of aphasia per hr (96105) |
$188.50 |
$377 |
1.9× |
| Audiometry Air & Bone (92553) |
$216 |
$432 |
1.7× |
| Behavral qualit analys voice (92524) |
$281 |
$562 |
2.6× |
| Biofeedback training any modality (90901) |
$71 |
$142 |
1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$417.50 |
$835 |
1.2× |
| Canalith repositioning proc (95992) |
$100.50 |
$201 |
2.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$534 |
$1,068 |
2.5× |
| Cardiopulmonary resuscitation (92950) |
$448 |
$896 |
2.1× |
| Cardioversion (92960) |
$1,117 |
$2,234 |
1.7× |
| Cbt 1st hour (94644) |
$150 |
$300 |
1.2× |
| Chemo Anti-Neopl Sq/Im (96401) |
$141.75 |
$283.50 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$54.50 |
$109 |
0.8× |
| Chemo IV infusion addl hr (96415) |
$71 |
$142 |
1.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$340 |
$680 |
1.1× |
| Chest Wall Manipulation (94668) |
$74.50 |
$149 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$768 |
$1,536 |
3.3× |
| Color/duplex Doppler, limited (93976) |
$446 |
$892 |
4.4× |
| Comprehensive Hearing Test (92557) |
$161 |
$322 |
1.3× |
| Conditioning Play Audiometry (92582) |
$224.50 |
$449 |
1.8× |
| Continuous Pulse Ox (94762) |
$476 |
$952 |
3.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$265.50 |
$531 |
1.3× |
| Cpt initial (94667) |
$74.50 |
$149 |
0.6× |
| Critical care first hour (99291) |
$1,637.50 |
$3,275 |
2.0× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
$217.50–$269.50 |
$435–$539 |
varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$364.50 |
$729 |
1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$522.50 |
$1,045 |
2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$180.50 |
$361 |
0.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$90 |
$180 |
0.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$764.50 |
$1,529 |
3.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$469.50 |
$939 |
4.6× |
| Duplex up extrem art bilat (93930) |
$178.50 |
$357 |
0.8× |
| Duplex up extrem art unilat/ltd (93931) |
$180.50 |
$361 |
1.8× |
| Echo Heart Xthoracic,Limited (93308) |
$688.50 |
$1,377 |
3.0× |
| Echo transesophageal (93312) |
$1,306.50 |
$2,613 |
2.5× |
| Electrical Stimulation Ea 15 Min (97032) |
$83 |
$166 |
5.6× |
| Electrocardiogram Tracing (93005) |
$146 |
$292 |
2.6× |
| Emergency Dept Visit Level 2 (99282) |
$342 |
$684 |
2.3× |
| Emergency Dept Visit Level 3 (99283) |
$653 |
$1,306 |
2.5× |
| Emergency Dept Visit Level 4 (99284) |
$1,035.50 |
$2,071 |
2.6× |
| Er level 1 (99281) |
$198 |
$396 |
2.4× |
| Er level v (99285) |
$1,317.50 |
$2,635 |
2.3× |
| Evaluate pt use of inhaler (94664) |
$113 |
$226 |
0.5× |
| Evaluate Speech Production (92522) |
$344.50 |
$689 |
3.1× |
| Evaluate Swallowing Function (92610) |
$216.50 |
$433 |
2.6× |
| Evaluation of speech fluency (92521) |
$154 |
$308 |
1.2× |
| Evoked Auditory Test,Limited (92587) |
$171.50 |
$343 |
0.8× |
| External ECG rec>48hr<7d recording (93242) |
$372 |
$744 |
10.3× |
| External ECG rec>7d<15d recording (93246) |
$387 |
$774 |
10.7× |
| Extracranial Bilat Study (93880) |
$779.50 |
$1,559 |
3.4× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$277.50 |
$555 |
1.4× |
| Group Therapeutic Procedures (97150) |
$70 |
$140 |
3.9× |
| Holter monitor recording (93225) |
$381 |
$762 |
3.0× |
| Immunization administration (90471) |
$57 |
$114 |
0.8× |
| Iontophoresis 15 min (97033) |
$112 |
$224 |
5.9× |
| Irrig Drug Delivery Device (96523) |
$125 |
$250 |
2.2× |
| IV infusion hydration each additional hour (96361) |
$120.50 |
$241 |
2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$320 |
$640 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$159 |
$318 |
2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$56 |
$112 |
1.2× |
| IV push initial (96374) |
$211 |
$422 |
1.0× |
| Laryngeal Function Studies (92520) |
$262 |
$524 |
2.0× |
| Lung Function Test (Mbc/Mvv) (94200) |
$69 |
$138 |
1.2× |
| Mechanical chest wall oscillation per session (94669) |
$148.50 |
$297 |
0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$35.50 |
$71 |
1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$54 |
$108 |
1.5× |
| Motion Fluoroscopy/Swallow (92611) |
$261.50 |
$523 |
2.9× |
| Multiple Sleep Latency Test (95805) |
$1,075 |
$2,150 |
1.3× |
| Nasopharyngoscopy (92511) |
$181.50 |
$363 |
0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$379.50 |
$759 |
1.0× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines |
$102.50–$210 |
$205–$420 |
varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$117 |
$234 |
0.3× |
| Neuromuscular Reeducation (97112) |
$70 |
$140 |
2.1× |
| Newborn resuscitation (99465) |
$722.50 |
$1,445 |
1.1× |
| Oral Function Therapy (92526) |
$159.50 |
$319 |
1.9× |
| Oral Speech Device Eval (92597) |
$208.50 |
$417 |
2.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$79.50 |
$159 |
1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$78 |
$156 |
1.7× |
| Ot eval high complexity (97167) |
$239 |
$478 |
2.4× |
| Ot Eval Low Complex (97165) |
$146.50 |
$293 |
1.5× |
| Ot Eval Moderate Complexity (97166) |
$194.50 |
$389 |
1.9× |
| Ot manual therapy 15 min (97140) |
$79.50 |
$159 |
2.9× |
| Ot paraffin bath (97018) |
$74.50 |
$149 |
12.4× |
| Ot Re-Eval Est Plan Care (97168) |
$143 |
$286 |
2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$140.50 |
$281 |
1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$87.50 |
$175 |
0.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$84 |
$168 |
1.5× |
| Physical Performance Test (97750) |
$77.50 |
$155 |
2.3× |
| Plethysmography (94726) |
$250 |
$500 |
0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,069.50 |
$4,139 |
2.5× |
| Psych diag eval w/med srvcs (90792) |
$113 |
$226 |
0.7× |
| Pt Eval High Complex (97163) |
$319.50 |
$639 |
3.3× |
| Pt eval low complex 20 min (97161) |
$146.50 |
$293 |
1.5× |
| Pt Eval Mod Complex (97162) |
$194.50 |
$389 |
2.0× |
| Pt gait training 15 min (97116) |
$65.50 |
$131 |
2.3× |
| Pt mechanical traction (97012) |
$96.50 |
$193 |
6.7× |
| Pt Re-Eval Est Plan Care (97164) |
$146.50 |
$293 |
2.2× |
| Pulm function test by gas (94727) |
$96.50 |
$193 |
0.5× |
| Pulmonary service/procedure (94799) |
$127 |
$254 |
1.0× |
| Pulmonary Stress Testing (94618) |
$271 |
$542 |
2.1× |
| Pure Tone Audiometry Air (92552) |
$68 |
$136 |
0.5× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$67.50 |
$135 |
1.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$67.50 |
$135 |
1.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$103 |
$206 |
1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$106 |
$212 |
0.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$969.50 |
$1,939 |
7.9× |
Self Care Mngment Training (97535)
range across 2 matching MRF lines |
$69–$69.50 |
$138–$139 |
varies |
| Sensory Integration Ea 15 Min (97533) |
$52.50 |
$105 |
0.9× |
| Sleep study unattended (95806) |
$425.50 |
$851 |
2.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$362.50 |
$725 |
1.7× |
| Speech Audiometry Complete (92556) |
$117 |
$234 |
2.0× |
| Speech audiometry threshold (92555) |
$75 |
$150 |
1.3× |
| Speech sound lang comprehen (92523) |
$100 |
$200 |
0.4× |
| Spirometry (94010) |
$330.50 |
$661 |
1.6× |
| Standardized Cognitive Performance Testing (96125) |
$148.50 |
$297 |
1.4× |
| Stenger Test, Pure Tone (92565) |
$89 |
$178 |
1.6× |
| Stress Tte Only (93350) |
$1,413.50 |
$2,827 |
2.7× |
| Surfactant Admin Thru Tube (94610) |
$140 |
$280 |
0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$29.50 |
$59 |
1.3× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$29.50 |
$59 |
1.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$107 |
$214 |
2.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$38 |
$76 |
1.3× |
| Ther/Proph/Diag Inj Ia (96373) |
$118 |
$236 |
0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$110 |
$220 |
1.6× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$343.50 |
$687 |
1.7× |
| Therapeutic Activities (97530) |
$82.50 |
$165 |
2.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$21 |
$42 |
0.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$22.50 |
$45 |
0.6× |
| Trans Care Mgmt 14 Day Disch (99495) |
$79.50 |
$159 |
0.6× |
| Trans Care Mgmt 7 Day Disch (99496) |
$82.50 |
$165 |
0.6× |
| Tte w/doppler, complete (93306) |
$2,265.50 |
$4,531 |
4.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$162.50 |
$325 |
2.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$45 |
$90 |
1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$127.50 |
$255 |
2.8× |
| Tympanometry (92567) |
$71.50 |
$143 |
2.0× |
| Tympanometry and reflex threshold measurements (92550) |
$196.50 |
$393 |
0.9× |
| Unlisted otorhinolaryngological service (92700) |
$97 |
$194 |
3.5× |
| Upr/L Xtremity Art 2 Levels (93922) |
$190 |
$380 |
1.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$207.50 |
$415 |
1.0× |
| Vasopneumatic device (97016) |
$62 |
$124 |
5.2× |
| Vent Mgmt Inpat Init Day (94002) |
$366.50 |
$733 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$309.50 |
$619 |
0.5× |
| Visual reinforcement audiometry (vra) (92579) |
$447.50 |
$895 |
2.1× |
| Vital capacity, total (94150) |
$105 |
$210 |
0.8× |
Whirlpool Therapy (97022)
range across 4 matching MRF lines |
$114–$129 |
$228–$258 |
varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$132 |
$264 |
2.3× |