| Administration of prolonged chemotherapy into artery (96425) |
$70 |
$350 |
0.2× |
| Airway inhalation treatment (94640) |
$33 |
$165 |
0.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$63 |
$315 |
0.6× |
| Biofeedback training any modality (90901) |
$16 |
$80 |
0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$160 |
$800 |
0.5× |
| Canalith Repositioning (95992) |
$20 |
$100 |
0.5× |
| Cardiopulmonary resuscitation (92950) |
$175 |
$875 |
0.9× |
| Cardioversion (92960) |
— |
$250 |
— |
| Cbt 1st hour (94644) |
$48.40 |
$242 |
0.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$20 |
$100 |
0.3× |
| Chemo IV push addl drug (96411) |
$60 |
$300 |
0.9× |
| Chemo Iv Push Sngl Drug (96409) |
$60 |
$300 |
0.2× |
| Chemother, IV infusion, 1 hr (96413) |
$155 |
$775 |
0.5× |
| Chemother, IV infusion, ea add hr (96415) |
$84 |
$420 |
1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$40 |
$200 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$306.25 |
$1,225 |
1.4× |
| Color/duplex Doppler, limited (93976) |
$200 |
$1,000 |
2.1× |
| Continuous Glucose Monitoring (95250) |
— |
$288 |
— |
| Cpap initiation and management (94660) |
$125 |
$625 |
0.6× |
| Cpt initial (94667) |
$50 |
$250 |
0.4× |
| Critical care (99291) |
— |
$550 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
$77.50 |
$150 |
0.4× |
| Demo &/or eval,pt use,aerosol device (94664) |
$90 |
$450 |
0.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$300 |
$1,200 |
1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$195 |
$975 |
2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$200 |
$1,000 |
0.9× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$150 |
$750 |
1.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$200 |
$1,000 |
0.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$150 |
$750 |
1.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$200 |
$1,000 |
2.1× |
| Duplex hemodialysis access (93990) |
$200 |
$1,000 |
2.1× |
| Duplex scan extracranial art compl bi study (93880) |
$228.12 |
$1,012.50 |
1.0× |
| Echo Heart Xthoracic,Limited (93308) |
$325 |
$1,300 |
1.5× |
| EKG (93005) |
$75 |
$375 |
1.4× |
| Er level 1 (99281) |
— |
$150 |
— |
| Er level ii (99282) |
— |
$200 |
— |
| Er level iii (99283) |
— |
$300 |
— |
| Er level IV (99284) |
— |
$500 |
— |
| Er level v (99285) |
— |
$700 |
— |
| Evaluation of speech fluency (92521) |
$63 |
$315 |
0.5× |
| Evaluation of speech sound production (92522) |
$63 |
$315 |
0.6× |
| Evaluation of swallowing function (92610) |
$64 |
$320 |
0.8× |
| External Ecg Scanning Analysis Report (93226) |
$85 |
$425 |
1.6× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$80 |
$400 |
0.4× |
| Flow volume loop (94375) |
$40 |
$200 |
0.2× |
| Holter Monitor Recording (93225) |
$85 |
$425 |
0.7× |
| Immunization Admin (90471) |
$25 |
$125 |
0.4× |
| Ins swan ganz bedside (93503) |
$3,920 |
$11,200 |
2.7× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$24 |
$120 |
0.4× |
| IV infusion hydration each additional hour (96361) |
$49 |
$245 |
1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$65 |
$325 |
0.3× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$57 |
$285 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$80 |
$400 |
0.4× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$55 |
$275 |
1.3× |
| IV push initial (96374) |
$30 |
$150 |
0.2× |
| Manual therapy 15 min (97140) |
$20 |
$100 |
0.7× |
| Mechanical traction (97012) |
$16 |
$80 |
1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$10 |
$50 |
0.3× |
| Motility study esophagus (91010) |
$137 |
$507.50 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$95 |
$475 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$140 |
$700 |
0.4× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$195 |
$975 |
1.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$70 |
$350 |
0.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$23 |
$115 |
0.5× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$16 |
$80 |
0.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$18 |
$90 |
1.3× |
| Ot eval high complex 60 min (97167) |
$60 |
$300 |
0.6× |
| Ot eval low complex 30 min (97165) |
$52 |
$260 |
0.5× |
| Ot eval mod complex 45 min (97166) |
$56 |
$280 |
0.6× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$14.50 |
$72.50 |
0.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$50 |
$250 |
1.2× |
| Ot re-eval est plan care (97168) |
$30 |
$150 |
0.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$55 |
$275 |
0.5× |
| Paraffin bath (97018) |
$10.40 |
$52 |
1.7× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$86 |
$430 |
1.6× |
| Pt Aquatic Therapy/Exercises (97113) |
$20 |
$100 |
0.5× |
| Pt Electric Current Therapy (97033) |
$18 |
$90 |
0.9× |
| Pt Electrical Stimulation (97032) |
$16 |
$80 |
1.1× |
| Pt eval high complex 45 min (97163) |
$56 |
$280 |
0.6× |
| Pt eval low complex 20 min (97161) |
$48 |
$240 |
0.5× |
| Pt Gait Training Therapy (97116) |
$18.50 |
$92.50 |
0.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$20 |
$100 |
0.6× |
| Pt Physical Performance Test (97750) |
$21 |
$105 |
0.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$52 |
$260 |
0.5× |
| Pt re-evaluation (97164) |
$30 |
$150 |
0.4× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$25 |
$125 |
0.8× |
| Pt Ultrasound Therapy (97035) |
$13.50 |
$67.50 |
0.9× |
| Pt Whirlpool Therapy (97022) |
$15 |
$75 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$50 |
$250 |
0.3× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$25 |
$125 |
0.2× |
| Sensory Integration Ea 15 Min (97533) |
$25 |
$125 |
0.4× |
| Speech sound lang comprehen (92523) |
$63 |
$315 |
0.3× |
| Spirometry (94010) |
$130 |
$650 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$50 |
$250 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$25 |
$125 |
1.1× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$23 |
$115 |
1.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$25 |
$125 |
0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$36 |
$180 |
0.5× |
| Therapeutic Activities (97530) |
$22 |
$110 |
0.6× |
| Therapeutic phlebotomy (99195) |
$53 |
$265 |
0.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$787.50 |
$3,150 |
1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$40 |
$200 |
0.5× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$44 |
$220 |
0.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$20 |
$100 |
0.5× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$400 |
$1,600 |
3.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$300 |
$1,200 |
1.4× |
| Vasopneumatic device (97016) |
$20 |
$100 |
1.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$422 |
$1,688 |
0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$365.75 |
$1,463 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$17 |
$85 |
0.5× |