| Ablate Heart Dysrhythm Focus (93650) |
— |
$13,991 |
— |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
— |
$322 |
— |
| Acoustic Reflex Testing (92568) |
— |
$306 |
— |
| Acupunct W/Stimul 15 Min (97813) |
— |
$70 |
— |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
— |
$60 |
— |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) |
— |
$152 |
— |
| Adaptive behavior tx by protocol tech ea 15 min (97153) |
— |
$152 |
— |
| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$85 |
— |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
— |
$409 |
— |
| Aep neurodiagnostic i&r (92653) |
— |
$1,060 |
— |
| Aep threshold estimation mlt frequencies i&r (92652) |
— |
$1,060 |
— |
| Airway Inhalation Treatment (94640) |
— |
$276 |
— |
| Airway resistance by oscillometry (94728) |
— |
$572 |
— |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
— |
$91 |
— |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
— |
$91 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$587 |
— |
| Analyze neurostim complex (95972) |
— |
$1,222 |
— |
| Analyze neurostim no prog (95970) |
— |
$408 |
— |
| Analyze Neurostim Simple (95971) |
— |
$454 |
— |
| Analyze Pacemaker System (93724) |
— |
$873 |
— |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
— |
$215 |
— |
| Ans parasymp & symp w/tilt (95924) |
— |
$626 |
— |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
— |
$611 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$148 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$257 |
— |
| Application on-body injector (96377) |
— |
$216 |
— |
| Arrhythmia Induction (93618) |
— |
$6,855 |
— |
| Assessment of aphasia per hr (96105) |
— |
$443 |
— |
| Assessment of tinnitus (92625) |
— |
$395 |
— |
Audiometry Air & Bone (92553)
range across 2 matching MRF lines |
— |
$243–$255 |
— |
| Auditory Function, 60 Min (92620) |
— |
$469 |
— |
| Basic vestibular evaluation (92540) |
— |
$1,048 |
— |
| Behavior id assessment by phys/qhp ea 15 min (97151) |
— |
$162 |
— |
| Behavior id support assmt by 1 tech ea 15 min (97152) |
— |
$152 |
— |
| Behavral qualit analys voice (92524) |
— |
$570 |
— |
Biofeedback training any modality (90901)
range across 5 matching MRF lines |
— |
$124–$421 |
— |
| Blink reflex test (95933) |
— |
$408 |
— |
| Breath hydrogen/methane test (91065) |
— |
$1,399 |
— |
| Brief Emotional/Behav Assmt (96127) |
— |
$56 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$915 |
— |
| Bundle of his recording (93600) |
— |
$8,294 |
— |
| C motor evoked uppr limbs (95928) |
— |
$968 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$1,072 |
— |
| Caloric vestibular test w/rec bi monothermal (92538) |
— |
$482 |
— |
| Caloric Vstblr Test W/Rec (92537) |
— |
$714 |
— |
| Car seat/bed test 60 min (94780) |
— |
$536 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,571 |
— |
Cardiopulmonary exercise testing (94621)
range across 4 matching MRF lines |
— |
$1,434–$1,509 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,252 |
— |
Cardioversion (92960)
range across 5 matching MRF lines |
— |
$1,861–$1,959 |
— |
| Cardioversion elective internal (92961) |
— |
$2,455 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$82 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$13,495 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$13,861 |
— |
| Cbt 1st hour (94644) |
— |
$257 |
— |
| Cervical & Ocular Vemp Testing W/I&R (92519) |
— |
$583 |
— |
| Cervical Vemp Testing W/I&R (92517) |
— |
$339 |
— |
| Chemo Admin Peritoneal Cavity (96446) |
— |
$438 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$485 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$407 |
— |
| Chemo Ia Push (96420) |
— |
$379 |
— |
| Chemo Intralesional Over 7 (96406) |
— |
$443 |
— |
| Chemo intralesional up to 7 (96405) |
— |
$136 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$408 |
— |
| Chemo IV push addl drug (96411) |
— |
$327 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$940 |
— |
Chemotherapy Into Cns (96450)
range across 3 matching MRF lines |
— |
$1,359–$1,520 |
— |
| Chemotherapy Unspecified (96549) |
— |
$343 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$496 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$1,099 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$550 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$356 |
— |
| Chest Wall Manipulation (94668) |
— |
$223 |
— |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
— |
$557 |
— |
| Cmptr ophth dx img ant segmt (92132) |
— |
$408 |
— |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
— |
$109 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,995 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$1,198 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$157 |
— |
Comprehensive Hearing Test (92557)
range across 3 matching MRF lines |
— |
$309–$504 |
— |
| Computerized dynamic posturography (92548) |
— |
$756 |
— |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
— |
$77 |
— |
| Computerized Ophthalmic Imaging Retina (92134) |
— |
$494 |
— |
| Conditioning Play Audiometry (92582) |
— |
$400 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$563 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$282 |
— |
| Contact Lens Fit,Corneoscleral Lens (92313) |
— |
$152 |
— |
| Continuous Pulse Ox (94762) |
— |
$411 |
— |
| Cornea hysteresis determin impulse stimj uni/bi (92145) |
— |
$50 |
— |
| Corneal Topography (92025) |
— |
$176 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$11,153 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$10,314 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$934 |
— |
| Cpt initial (94667) |
— |
$259 |
— |
| Critical care first hour (99291) |
— |
$4,233 |
— |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
— |
$932 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$423 |
— |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) |
— |
$406 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$561 |
— |
| Dialysis One Evaluation (90945) |
— |
$1,995 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
— |
$335 |
— |
| Duodenal motility study (91022) |
— |
$1,048 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,640 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$852 |
— |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
— |
$1,350 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,463 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$1,062 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$2,060 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,368 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
— |
$943 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
— |
$352 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$957 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,527 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$1,191 |
— |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
— |
$304 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
— |
$516 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
— |
$602 |
— |
| ECG/monitoring and analysis (93271) |
— |
$1,352 |
— |
| Echo Congenital Complete (93303) |
— |
$2,298 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,146 |
— |
| Echo r-t 2d w/probe placement only (93313) |
— |
$1,193 |
— |
| Echo transesophag montr cardiac pump functj (93318) |
— |
$1,329 |
— |
Echo transesophageal (93312)
range across 5 matching MRF lines |
— |
$2,501–$2,632 |
— |
| Echo Transesophageal - Congenital Tee Complete (93315) |
— |
$3,017 |
— |
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 6 matching MRF lines |
— |
$3,790–$4,743 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$1,386 |
— |
| EEG awake and asleep (95819) |
— |
$1,437 |
— |
| EEG awake drowsy (95816) |
— |
$1,287 |
— |
| EEG cerebral death evaluation (95824) |
— |
$1,434 |
— |
| EEG cont rec w/video by tech min 8 channels (95700) |
— |
$755 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$1,909 |
— |
| Eeg Sleep Only (95822) |
— |
$1,649 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$755 |
— |
| EEG w/o vid 2-12hr cont mntr (95707) |
— |
$755 |
— |
| EEG w/o vid ea 12-26hr intmt (95709) |
— |
$1,340 |
— |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
— |
$1,340 |
— |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
— |
$755 |
— |
| EEG wo vid ea 12-26hr unmntr (95708) |
— |
$1,340 |
— |
| EKG signal averaged (93278) |
— |
$368 |
— |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
— |
$1,102 |
— |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
— |
$521 |
— |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
— |
$434 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$150 |
— |
| Electrocardiogram Tracing (93005) |
— |
$432 |
— |
| Electrocochleography (92584) |
— |
$753 |
— |
| Electroconvulsive Therapy (90870) |
— |
$794 |
— |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
— |
$9,308 |
— |
| Electrophysiology Evaluation (93642) |
— |
$5,764 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$834 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$1,800 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$3,400 |
— |
| Emg 3 Extremities (95863) |
— |
$676 |
— |
| Emg 4 Extremities (95864) |
— |
$744 |
— |
| Endomyocardial Biopsy (93505) |
— |
$4,535 |
— |
| Ep & ablate supravent arrhyt (93653) |
— |
$26,859 |
— |
| Ep & ablate ventric tachy (93654) |
— |
$36,036 |
— |
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
range across 2 matching MRF lines |
— |
$12,391–$13,043 |
— |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
— |
$8,027 |
— |
| Ep Esophageal Recording Atria+Pacing (93616) |
— |
$2,659 |
— |
| Er level 1 (99281) |
— |
$550 |
— |
| Er level v (99285) |
— |
$3,800 |
— |
| Ergonovine provocation test (93024) |
— |
$1,718 |
— |
| Esoph Atrial Electrogram (93615) |
— |
$2,418 |
— |
| Esophageal Capsule Endoscopy (91111) |
— |
$2,688 |
— |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
— |
$854 |
— |
Esophgl funcj g-esop rflx impd eltrd prolng (91038)
range across 4 matching MRF lines |
— |
$1,934–$2,036 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
— |
$406 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$282 |
— |
Evaluate Speech Production (92522)
range across 6 matching MRF lines |
— |
$22–$570 |
— |
| Evaluate Swallowing Function (92610) |
— |
$469 |
— |
Evaluation of speech fluency (92521)
range across 6 matching MRF lines |
— |
$22–$544 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$335 |
— |
| Excimer laser tx psoriasis 250-500 sq cm (96921) |
— |
$339 |
— |
| Excimer laser tx psoriasis >500 sq cm (96922) |
— |
$747 |
— |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) |
— |
$339 |
— |
| Exercise test for bronchospasm (94617) |
— |
$593 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$608 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$608 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$1,396 |
— |
| Extracranial Bilat Study (93880) |
— |
$2,410 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$921 |
— |
| Eye exam w anesth; complete (92018) |
— |
$4,229 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$1,719 |
— |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) |
— |
$67 |
— |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
— |
$250 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$288 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
— |
$469 |
— |
Fluorescein angiography (92235)
range across 3 matching MRF lines |
— |
$922–$1,383 |
— |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
— |
$1,218 |
— |
| Fundus photography (92250) |
— |
$408 |
— |
| Gastric motility studies (91020) |
— |
$680 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$1,612 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$959 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$3,060 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$2,875 |
— |
| Gi tract imaging intraluminal colon i&r (91113) |
— |
$3,349 |
— |
| Gi wireless capsule measure (91112) |
— |
$1,984 |
— |
| Gonioscopy (92020) |
— |
$140 |
— |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) |
— |
$67 |
— |
| Group Therapeutic Procedures (97150) |
— |
$149 |
— |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) |
— |
$67 |
— |
| Health Behavior Assessment/Re-Assessment (96156) |
— |
$197 |
— |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
— |
$69 |
— |
| Health behavior ivntj group f2f 1st 30 min (96164) |
— |
$69 |
— |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
— |
$197 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$11,569 |
— |
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 3 matching MRF lines |
— |
$1,487–$1,502 |
— |
| Holter monitor recording (93225) |
— |
$993 |
— |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) |
— |
$397 |
— |
| Icd Device Interrogate (93289) |
— |
$438 |
— |
| Icd device progr eval dual (93283) |
— |
$616 |
— |
| Icd Device Progr Eval Mult (93284) |
— |
$616 |
— |
| Icm Device Eval (93290) |
— |
$587 |
— |
| Ilr Device Eval Progr (93285) |
— |
$408 |
— |
| Ilr Device Interrogate (93291) |
— |
$199 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$135 |
— |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) |
— |
$408 |
— |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
— |
$408 |
— |
| Immunization administration (90471) |
— |
$121 |
— |
| Ingestion challenge test initial 120 minutes (95076) |
— |
$574 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$3,800 |
— |
| Interrogate Subq Defib (93261) |
— |
$98 |
— |
| Interrogation eval in person wr defibrillator (93292) |
— |
$365 |
— |
| Interrogation vad in person (93750) |
— |
$366 |
— |
| Intra-atrial pacing (93610) |
— |
$14,285 |
— |
| Intra-atrial recording (93602) |
— |
$14,285 |
— |
| Intracranial Complete Study (93886) |
— |
$1,661 |
— |
| Intracutaneous tests w/allergenic extracts (95024) |
— |
$115 |
— |
| Intraventricular pacing (93612) |
— |
$14,285 |
— |
| Iontophoresis 15 min (97033) |
— |
$168 |
— |
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines |
— |
$260–$264 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$353 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$568 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$320 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$256 |
— |
| IV push initial (96374) |
— |
$384 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$12,852 |
— |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
— |
$9,093 |
— |
| Laryngeal Function Studies (92520) |
— |
$250 |
— |
| Liver Elastography W/O Imag W/I&R (91200) |
— |
$402 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$267 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$1,012 |
— |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
— |
$572 |
— |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) |
— |
$986 |
— |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) |
— |
$829 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$225 |
— |
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 3 matching MRF lines |
— |
$30–$80 |
— |
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines |
— |
$35–$94 |
— |
| Methacholine challenge (94070) |
— |
$1,470 |
— |
Motility study esophagus (91010)
range across 3 matching MRF lines |
— |
$2,972–$3,129 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$781 |
— |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
— |
$438 |
— |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) |
— |
$67 |
— |
| Multiple Family Group Psychotherapy (90849) |
— |
$162 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$2,742 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$605 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$201 |
— |
| Muscle Test One Limb (95860) |
— |
$567 |
— |
| Nasal function studies (92512) |
— |
$317 |
— |
| Nasopharyngoscopy (92511) |
— |
$494 |
— |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
— |
$582 |
— |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
— |
$330 |
— |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
— |
$177 |
— |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
— |
$493 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$506 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$591 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$385 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$538 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$299 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$717 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$753 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$498 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$550 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$590 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$683 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$359 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$414 |
— |
| Neuromuscular Reeducation (97112) |
— |
$185 |
— |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
— |
$84 |
— |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
— |
$111 |
— |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
— |
$56 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$967 |
— |
| Ocular Vemp Testing W/I&R (92518) |
— |
$339 |
— |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
— |
$233 |
— |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
— |
$246 |
— |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
— |
$243 |
— |
Ophth medical xm&eval intermediate estab pt (92012)
range across 2 matching MRF lines |
— |
$132–$243 |
— |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
— |
$243 |
— |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
— |
$183 |
— |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
— |
$183 |
— |
| Optokinetic Nystagmus Test (92544) |
— |
$320 |
— |
| Oral Function Therapy (92526) |
— |
$504 |
— |
| Oral Speech Device Eval (92597) |
— |
$660 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$130 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$149 |
— |
| Oscillating Tracking Test (92545) |
— |
$320 |
— |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
— |
$27 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$30 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
— |
$41 |
— |
| Osteopathic manipulative tx 7-8 body regions (98928) |
— |
$49 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$148 |
— |
| Ot eval high complexity (97167) |
— |
$592 |
— |
| Ot Eval Low Complex (97165) |
— |
$402 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$506 |
— |
| Ot manual therapy 15 min (97140) |
— |
$226 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$130 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$297 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$395 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$252 |
— |
| Oxygen Uptake Rest Indirect (94690) |
— |
$506 |
— |
| Patch/Application Test Specify Number Tests (95044) |
— |
$18 |
— |
| Patient-initiated spirometric recording (94015) |
— |
$623 |
— |
| Pdt dstr prmlg les phys/qhp (96573) |
— |
$371 |
— |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
— |
$371 |
— |
| Penile Vascular Study,Ltd or F/U (93981) |
— |
$1,004 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$378 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$14 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$338 |
— |
| Perq transcath closure pda (93582) |
— |
$20,486 |
— |
| Perq Transcath Cls Aortic (93591) |
— |
$25,132 |
— |
| Perq Transcath Cls Mitral (93590) |
— |
$25,132 |
— |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
— |
$13,815 |
— |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
— |
$16,990 |
— |
| Phlebotomy therapeutic (99195) |
— |
$372 |
— |
| Photo patch test(s) (95052) |
— |
$98 |
— |
| Photo Tests (95056) |
— |
$397 |
— |
| Photochemotx Psoralens&Ultraviolet Puva (96912) |
— |
$339 |
— |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
— |
$449 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$282 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$282 |
— |
| Physical Performance Test (97750) |
— |
$192 |
— |
| Plethysmography (94726) |
— |
$580 |
— |
| Pm device eval in person (93288) |
— |
$261 |
— |
| Pm device progr eval dual (93280) |
— |
$336 |
— |
| Pm device progr eval multi (93281) |
— |
$318 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$600 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$1,200 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$7,020 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$4,944 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$5,133 |
— |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
— |
$3,284 |
— |
| Positional nystagmus test (92542) |
— |
$320 |
— |
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 2 matching MRF lines |
— |
$18–$91 |
— |
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145)
range across 2 matching MRF lines |
— |
$50–$91 |
— |
Prepj& antigen allergen immunotherapy 2 insect (95146)
range across 2 matching MRF lines |
— |
$50–$91 |
— |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) |
— |
$135 |
— |
| Prepj& antigen allergen immunotherapy 5 insect (95149) |
— |
$135 |
— |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
— |
$756 |
— |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
— |
$98 |
— |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
— |
$400 |
— |
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines |
— |
$85–$91 |
— |
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines |
— |
$46–$91 |
— |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) |
— |
$135 |
— |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) |
— |
$91 |
— |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) |
— |
$91 |
— |
| Prq Card Angio/Athrect 1 Art (92924) |
— |
$15,553 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$20,436 |
— |
| Prq Card Stent/Ath/Angio (92933) |
— |
$24,393 |
— |
| Prq Revasc Byp Graft 1 Vsl (92937) |
— |
$16,990 |
— |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
— |
$22,794 |
— |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
— |
$13,758 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$631 |
— |
| Psychological tst eval svc phys/qhp first hour (96130) |
— |
$398 |
— |
| Psycl/Nrpsyc Tst Auto Result (96146) |
— |
$199 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$756 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$199 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$631 |
— |
| Pt Eval High Complex (97163) |
— |
$592 |
— |
| Pt eval low complex 20 min (97161) |
— |
$402 |
— |
| Pt Eval Mod Complex (97162) |
— |
$557 |
— |
| Pt gait training 15 min (97116) |
— |
$172 |
— |
| Pt group caregiver training (97552) |
— |
$68 |
— |
| Pt mechanical traction (97012) |
— |
$215 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$297 |
— |
| Pulm function test by gas (94727) |
— |
$422 |
— |
| Pulmonary service/procedure (94799) |
— |
$297 |
— |
| Pulmonary Stress Testing (94618) |
— |
$570 |
— |
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines |
— |
$202–$214 |
— |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) |
— |
$84 |
— |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) |
— |
$111 |
— |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) |
— |
$56 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$12,852 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
— |
$9,093 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
— |
$9,093 |
— |
| R hrt coronary artery angio (93456) |
— |
$11,569 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
— |
$14,289 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
— |
$14,289 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$10,728 |
— |
Rapid Desensitization Procedure Each Hour (95180)
range across 2 matching MRF lines |
— |
$756–$760 |
— |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
— |
$479 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$471 |
— |
| Refill/Maint Pump/Resvr Syst (96522) |
— |
$403 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$163 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$163 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$491 |
— |
| Remote 30 Day Ecg Tech Supp (93229) |
— |
$4,912 |
— |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
— |
$561 |
— |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) |
— |
$561 |
— |
| Respiratory flow volume loop (94375) |
— |
$356 |
— |
| Right Heart Cath (93451) |
— |
$8,284 |
— |
| Right ventricular recording (93603) |
— |
$6,409 |
— |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines |
— |
$244–$251 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$498 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$334 |
— |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) |
— |
$754 |
— |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
— |
$1,148 |
— |
| Select picture audiometry (92583) |
— |
$200 |
— |
| Self Care Mngment Training (97535) |
— |
$169 |
— |
| Self-meas bp pt educaj/traing & dev calibration (99473) |
— |
$71 |
— |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
— |
$74 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$149 |
— |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
— |
$844 |
— |
Short-latency somatosens ep std upr limbs (95925)
range across 2 matching MRF lines |
— |
$1,005–$1,058 |
— |
| Sleep study attended (95807) |
— |
$2,786 |
— |
| Sleep study unattended (95806) |
— |
$744 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$164 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$335 |
— |
| Somatosensory Testing (95938) |
— |
$1,018 |
— |
Speech Audiometry Complete (92556)
range across 2 matching MRF lines |
— |
$432–$455 |
— |
Speech audiometry threshold (92555)
range across 2 matching MRF lines |
— |
$91–$95 |
— |
Speech sound lang comprehen (92523)
range across 7 matching MRF lines |
— |
$22–$599 |
— |
| Spin/Brain Pump Refil & Main (95991) |
— |
$506 |
— |
| Spirometry (94010) |
— |
$697 |
— |
| Spontaneous Nystagmus Test (92541) |
— |
$320 |
— |
Ssep lower limbs (95926)
range across 2 matching MRF lines |
— |
$931–$980 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$522 |
— |
| Stenger Test Speech (92577) |
— |
$1,026 |
— |
| Stress Tte Only (93350) |
— |
$4,743 |
— |
| Subcutaneous Infusion Each Additional Hour (96370) |
— |
$86 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$407 |
— |
| Subq Infusion Additional Pump Infusion Site (96371) |
— |
$135 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$259 |
— |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
— |
$348 |
— |
| Temp transcutaneous pacing (92953) |
— |
$872 |
— |
| Tensilon Test (95857) |
— |
$479 |
— |
| Testing Autonomic Nervous System Function (95923) |
— |
$551 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$202 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$202 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$188 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$271 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$239 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$682 |
— |
| Therap repetitive tms tx subseq delivery & mng (90868) |
— |
$561 |
— |
| Therapeutic Activities (97530) |
— |
$186 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$2,587 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$84 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$51 |
— |
| Tone Decay Test (92563) |
— |
$147 |
— |
| Transcath Closure of Asd (93580) |
— |
$35,172 |
— |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
— |
$232 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$698 |
— |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
— |
$240 |
— |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) |
— |
$510 |
— |
| Tte w/doppler, complete (93306) |
— |
$3,254 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,462 |
— |
| Tx atrial fib pulm vein isol (93656) |
— |
$36,036 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$457 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$238 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$339 |
— |
| Tympanometry (92567) |
— |
$246 |
— |
| Tympanometry and reflex threshold measurements (92550) |
— |
$245 |
— |
| Unlis neurological/neuromuscular dx px (95999) |
— |
$450 |
— |
| Unlisted allergy/clinical immunologic srvc/px (95199) |
— |
$97 |
— |
Unlisted cardiovascular service/procedure (93799)
range across 6 matching MRF lines |
— |
$506–$5,263 |
— |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
— |
$343 |
— |
| Unlisted noninvasive vascular diagnostic study (93998) |
— |
$107 |
— |
| Unlisted otorhinolaryngological service (92700) |
— |
$500 |
— |
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines |
— |
$860–$905 |
— |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 9 matching MRF lines |
— |
$904–$1,325 |
— |
| Valvuloplasty aortic valve (92986) |
— |
$12,903 |
— |
| Valvuloplasty mitral valve (92987) |
— |
$12,708 |
— |
| Valvuloplasty pulmonary valve (92990) |
— |
$15,076 |
— |
| Vasopneumatic device (97016) |
— |
$139 |
— |
| Veeg 2-12 Hr Cont Mntr (95713) |
— |
$1,340 |
— |
| Veeg 2-12 hr intmt mntr (95712) |
— |
$755 |
— |
| Veeg 2-12 hr unmonitored (95711) |
— |
$755 |
— |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
— |
$1,340 |
— |
| Veeg Ea 12-26 Hr Unmntr (95714) |
— |
$1,340 |
— |
| Veeg ea 12-26hr cont mntr (95716) |
— |
$2,507 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,175 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,140 |
— |
| Visual Evoked Potential Test (95930) |
— |
$936 |
— |
| Visual Field Exam Extended (92083) |
— |
$233 |
— |
| Visual field xm uni/bi w/interp intermed exam (92082) |
— |
$408 |
— |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
— |
$255 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$386 |
— |
| Vital capacity, total (94150) |
— |
$219 |
— |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
— |
$1,720 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$150 |
— |
| Whirlpool Therapy (97022) |
— |
$176 |
— |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
— |
$408 |
— |