| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$30 |
$30 |
0.9× |
| Airway inhalation treatment (94640) |
$684.56 |
$684.56 |
2.6× |
| Assessment of aphasia (96105) |
$389.70 |
$389.70 |
4.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$195.91 |
$195.91 |
1.8× |
| Breath Hydrogen/Methane Test (91065) |
$519.89 |
$519.89 |
2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$1,001.17 |
$1,001.17 |
2.2× |
| Canalith Repositioning (95992) |
$382.03 |
$382.03 |
9.4× |
| Capsule endoscopy (91110) |
$7,007.50 |
$7,007.50 |
6.4× |
| Car seat/bed test 60 min (94780) |
$121.40 |
$121.40 |
2.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,001.17 |
$1,001.17 |
3.9× |
| Cardiopulmonary resuscitation (92950) |
$2,669.33 |
$2,669.33 |
10.3× |
| Cardioversion (92960) |
$2,815.05 |
$2,815.05 |
3.6× |
| Cbt 1st hour (94644) |
$415.05 |
$415.05 |
2.6× |
| Chemother, IV infusion, 1 hr (96413) |
$1,671.03 |
$1,671.03 |
4.2× |
| Chemother, IV infusion, ea add hr (96415) |
$326.85 |
$326.85 |
3.8× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$241.20 |
$241.20 |
2.8× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$1,189.05 |
$1,189.05 |
3.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$264.99 |
$264.99 |
3.1× |
| Color/duplex Doppler, complete (93975) |
$1,104.21 |
$1,104.21 |
3.9× |
| Color/duplex Doppler, limited (93976) |
$886.14 |
$886.14 |
7.1× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$205.47 |
$205.47 |
2.9× |
| Continuous Glucose Monitoring (95250) |
$432.03 |
$432.03 |
2.7× |
| Cpap initiation and management (94660) |
$684.56 |
$684.56 |
2.6× |
| Cpt initial (94667) |
$415.05 |
$415.05 |
2.6× |
| Critical care (99291) |
$3,959 |
$3,959 |
4.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$812.13 |
$812.13 |
3.4× |
| Demo &/or eval,pt use,aerosol device (94664) |
$684.56 |
$684.56 |
2.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$1,076.61 |
$1,076.61 |
3.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$797.98 |
$797.98 |
6.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,332.20 |
$1,332.20 |
4.7× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$1,089.22 |
$1,089.22 |
8.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,332.20 |
$1,332.20 |
4.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$1,089.22 |
$1,089.22 |
8.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,035.17 |
$1,035.17 |
8.3× |
| Duplex hemodialysis access (93990) |
$828.18 |
$828.18 |
6.6× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$1,072.25 |
$1,072.25 |
3.7× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$515.73 |
$515.73 |
4.1× |
| Duplex scan extracranial art compl bi study (93880) |
$1,674.05 |
$1,674.05 |
5.9× |
| Echo Heart Xthoracic,Limited (93308) |
$1,061.69 |
$1,061.69 |
3.7× |
| Echo r-t 2d w/probe placement only (93313) |
$1,879.01 |
$1,879.01 |
2.9× |
| Echo transesophageal (93312) |
$2,233.89 |
$2,233.89 |
3.4× |
| EEG awake asleep (95819) |
$1,001.17 |
$1,001.17 |
3.9× |
| EEG awake drowsy (95816) |
$1,001.17 |
$1,001.17 |
3.9× |
| EEG cerebral death evaluation (95824) |
$1,729.80 |
$1,729.80 |
3.9× |
| EEG coma or sleep only (95822) |
$1,001.17 |
$1,001.17 |
3.9× |
| EKG (93005) |
$252.23 |
$252.23 |
3.6× |
| Er level 1 (99281) |
$268.42 |
$268.42 |
2.7× |
| Er level ii (99282) |
$561.75 |
$561.75 |
3.1× |
| Er level iii (99283) |
$1,337.50 |
$1,337.50 |
4.1× |
| Er level IV (99284) |
$2,140 |
$2,140 |
4.3× |
| Er level v (99285) |
$3,745 |
$3,745 |
5.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$750.04 |
$750.04 |
4.9× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$389.70 |
$389.70 |
5.5× |
| Evaluation of speech fluency (92521) |
$230.34 |
$230.34 |
1.7× |
| Evaluation of speech sound production (92522) |
$183.67 |
$183.67 |
1.6× |
| Evaluation of swallowing function (92610) |
$389.70 |
$389.70 |
4.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$555.62 |
$555.62 |
4.5× |
| External Ecg Scanning Analysis Report (93226) |
$980.47 |
$980.47 |
13.9× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$385.84 |
$385.84 |
1.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$5,193.42 |
$5,193.42 |
5.0× |
| Group Therapeutic Procedures (97150) |
$77.71 |
$77.71 |
4.3× |
| Hemodialysis (90935) |
$2,320.99 |
$2,320.99 |
2.8× |
| Holter Monitor Recording (93225) |
$460.83 |
$460.83 |
2.9× |
| Immunization Admin (90471) |
$241.20 |
$241.20 |
2.8× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$257.46 |
$257.46 |
3.6× |
| IV infusion hydration each additional hour (96361) |
$226.52 |
$226.52 |
4.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$766.06 |
$766.06 |
3.0× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$328.81 |
$328.81 |
3.8× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$793.70 |
$793.70 |
3.1× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$268.40 |
$268.40 |
4.8× |
| IV push initial (96374) |
$738.43 |
$738.43 |
2.9× |
| Manual therapy 15 min (97140) |
$120.90 |
$120.90 |
4.4× |
| Massage 15 min (97124) |
$89.80 |
$89.80 |
3.0× |
| Mechanical chest wall oscillation (94669) |
$684.56 |
$684.56 |
2.6× |
| Mechanical traction (97012) |
$131.27 |
$131.27 |
9.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$40.13 |
$40.13 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$53.50 |
$53.50 |
1.5× |
| Methacholine challenge (94070) |
$1,801.09 |
$1,801.09 |
4.0× |
| Mnt Group Ea 30 Min (97804) |
$51.77 |
$51.77 |
3.0× |
| Motility study esophagus (91010) |
$6,135.92 |
$6,135.92 |
13.7× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$428.67 |
$428.67 |
4.7× |
| Multiple sleep latency test (95805) |
$5,178.80 |
$5,178.80 |
5.0× |
| Nasopharyngoscopy (92511) |
$694 |
$694 |
2.9× |
| Neg press wound tx >50 cm (97608) |
$1,333.66 |
$1,333.66 |
2.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$645.53 |
$645.53 |
2.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$1,333.66 |
$1,333.66 |
2.7× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$1,023.05 |
$1,023.05 |
6.4× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$1,920.44 |
$1,920.44 |
7.4× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$1,096.32 |
$1,096.32 |
7.1× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$120.90 |
$120.90 |
2.6× |
| Ot eval high complex 60 min (97167) |
$385.84 |
$385.84 |
3.8× |
| Ot eval low complex 30 min (97165) |
$385.84 |
$385.84 |
3.8× |
| Ot eval mod complex 45 min (97166) |
$385.84 |
$385.84 |
3.8× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$193.50 |
$193.50 |
3.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$108.04 |
$108.04 |
2.7× |
| Ot re-eval est plan care (97168) |
$308.68 |
$308.68 |
4.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$429.21 |
$429.21 |
2.8× |
| Paraffin bath (97018) |
$51.81 |
$51.81 |
8.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$684.56 |
$684.56 |
2.6× |
| Peripheral arterial disease rehab per session (93668) |
$272.09 |
$272.09 |
3.8× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$205.47 |
$205.47 |
2.9× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$205.47 |
$205.47 |
2.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$5,708.45 |
$5,708.45 |
5.5× |
| Psych diag eval w/med srvcs (90792) |
$636.83 |
$636.83 |
3.0× |
| Psychiatric diagnostic evaluation (90791) |
$605.35 |
$605.35 |
2.8× |
| Psychoanalysis (90845) |
$800.29 |
$800.29 |
3.8× |
| Pt Aquatic Therapy/Exercises (97113) |
$130.82 |
$130.82 |
3.5× |
| Pt Electric Current Therapy (97033) |
$86.35 |
$86.35 |
4.5× |
| Pt Electrical Stimulation (97032) |
$77.71 |
$77.71 |
5.3× |
| Pt eval high complex 45 min (97163) |
$385.84 |
$385.84 |
3.9× |
| Pt eval low complex 20 min (97161) |
$385.84 |
$385.84 |
3.9× |
| Pt Gait Training Therapy (97116) |
$112.25 |
$112.25 |
3.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$120.90 |
$120.90 |
3.7× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$385.84 |
$385.84 |
3.9× |
| Pt re-evaluation (97164) |
$308.68 |
$308.68 |
4.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$120.90 |
$120.90 |
3.7× |
| Pt Ultrasound Therapy (97035) |
$56.14 |
$56.14 |
3.9× |
| Pt Whirlpool Therapy (97022) |
$64.91 |
$64.91 |
4.1× |
| Pulm function test by gas (94727) |
$1,091.16 |
$1,091.16 |
4.2× |
| Pulmonary stress testing (94618) |
$460.80 |
$460.80 |
2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$668.10 |
$668.10 |
2.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$415.05 |
$415.05 |
2.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$123.48 |
$123.48 |
2.6× |
| Sensory Integration Ea 15 Min (97533) |
$88.74 |
$88.74 |
1.5× |
| Sleep study unattended (95806) |
$5,708.45 |
$5,708.45 |
22.1× |
| Speech sound lang comprehen (92523) |
$382.03 |
$382.03 |
1.7× |
| Spirometry (94010) |
$548.16 |
$548.16 |
2.1× |
| Standardized Cognitive Performance Testing (96125) |
$389.70 |
$389.70 |
3.8× |
| Stress Tte Complete (93351) |
$3,508.88 |
$3,508.88 |
5.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$88.50 |
$88.50 |
4.0× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$86.83 |
$86.83 |
4.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$241.20 |
$241.20 |
2.8× |
| Therapeutic Activities (97530) |
$116.58 |
$116.58 |
3.3× |
| Therapeutic phlebotomy (99195) |
$580.98 |
$580.98 |
3.6× |
| Tilt Table Eval (93660) |
$2,375.61 |
$2,375.61 |
5.3× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,853.42 |
$1,853.42 |
2.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$302.23 |
$302.23 |
4.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$181.33 |
$181.33 |
2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$240.13 |
$240.13 |
4.3× |
| Ultraviolet Light Therapy (96900) |
$182.50 |
$182.50 |
4.1× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,380.28 |
$1,380.28 |
4.8× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$1,025.55 |
$1,025.55 |
8.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,990.17 |
$1,990.17 |
2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,990.17 |
$1,990.17 |
2.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$102.87 |
$102.87 |
3.3× |