| Aep neurodiagnostic i&r (92653) |
$241.80 |
$403 |
1.1× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$241.80 |
$403 |
1.1× |
| Airway Inhalation Treatment (94640) |
$148.80 |
$248 |
0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$49.20 |
$82 |
3.4× |
| Application Modality 1/> Areas Infrared (97026) |
$43.20 |
$72 |
6.5× |
| Assessment of aphasia per hr (96105) |
$144 |
$240 |
1.5× |
| Behavral qualit analys voice (92524) |
$211.80 |
$353 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$253.80 |
$423 |
0.7× |
| Canalith repositioning proc (95992) |
$110.40 |
$184 |
2.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$637.20 |
$1,062 |
3.0× |
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines |
$307.80–$723.60 |
$513–$1,206 |
varies |
| Cardioversion (92960) |
$727.20 |
$1,212 |
1.1× |
| Cbt 1st hour (94644) |
$422.40 |
$704 |
3.2× |
| Chemo Anti-Neopl Sq/Im (96401) |
$263.40 |
$439 |
3.7× |
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines |
$61.20–$237.60 |
$102–$396 |
varies |
| Chemo IV infusion addl hr (96415) |
$130.20 |
$217 |
1.8× |
| Chemo IV push addl drug (96411) |
$189.60 |
$316 |
2.6× |
| Chemother Prolong Infuse W/Pump (96416) |
$691.80 |
$1,153 |
2.1× |
| Chemotherapy Unspecified (96549) |
$541.20 |
$902 |
11.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$135.60 |
$226 |
1.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$691.80 |
$1,153 |
2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$421.20 |
$702 |
1.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$420.60 |
$701 |
1.3× |
| Chest Wall Manipulation (94668) |
$84 |
$140 |
0.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$64.80 |
$108 |
2.0× |
| Continuous Pulse Ox (94762) |
$118.80 |
$198 |
0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$214.20 |
$357 |
1.0× |
| Cpt initial (94667) |
$322.80 |
$538 |
2.4× |
| Critical care first hour (99291) |
$1,578.60 |
$2,631 |
1.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$287.40 |
$479 |
1.4× |
| Duodenal motility study (91022) |
$5,024.40 |
$8,374 |
13.5× |
| ECG/monitoring and analysis (93271) |
$397.20 |
$662 |
4.2× |
| Echo Congenital Complete (93303) |
$484.20 |
$807 |
0.9× |
| Echo Heart Xthoracic,Limited (93308) |
$235.20 |
$392 |
1.0× |
| Echo transesophageal (93312) |
$1,357.20 |
$2,262 |
2.5× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,357.20 |
$2,262 |
2.5× |
| Eeg 41-60 Minutes (95812) |
$895.20 |
$1,492 |
4.2× |
| EEG awake and asleep (95819) |
$543.60 |
$906 |
2.5× |
| EEG awake drowsy (95816) |
$253.80 |
$423 |
1.2× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$510.60 |
$851 |
2.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$330 |
$550 |
1.5× |
| Eeg Sleep Only (95822) |
$895.20 |
$1,492 |
4.2× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$895.20 |
$1,492 |
4.2× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$895.20 |
$1,492 |
4.2× |
| Electrical Stimulation Ea 15 Min (97032) |
$64.20 |
$107 |
4.4× |
| Electrocardiogram Tracing (93005) |
$79.80 |
$133 |
1.4× |
| Emergency Dept Visit Level 2 (99282) |
$699.60 |
$1,166 |
4.6× |
| Emergency Dept Visit Level 3 (99283) |
$775.80 |
$1,293 |
2.9× |
| Emergency Dept Visit Level 4 (99284) |
$1,323 |
$2,205 |
3.2× |
| Er level 1 (99281) |
$368.40 |
$614 |
4.4× |
| Er level v (99285) |
$1,456.20 |
$2,427 |
2.5× |
| Evaluate pt use of inhaler (94664) |
$186 |
$310 |
0.9× |
| Evaluate Speech Production (92522) |
$211.80 |
$353 |
1.9× |
| Evaluate Swallowing Function (92610) |
$234.60 |
$391 |
2.8× |
| Evaluation of speech fluency (92521) |
$211.80 |
$353 |
1.6× |
| Exercise test for bronchospasm (94617) |
$223.20 |
$372 |
1.7× |
| External ECG rec>48hr<7d recording (93242) |
$58.80 |
$98 |
1.6× |
| External ECG rec>7d<15d recording (93246) |
$224.40 |
$374 |
6.0× |
| External Ecg Scanning Analysis Report (93226) |
$397.20 |
$662 |
6.8× |
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines |
$484.20–$870 |
$807–$1,450 |
varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$7,126.62 |
$11,877.70 |
8.3× |
| Group Therapeutic Procedures (97150) |
$49.20 |
$82 |
2.7× |
| Holter monitor recording (93225) |
$110.40 |
$184 |
0.8× |
| Icm Device Eval (93290) |
$195.60 |
$326 |
5.3× |
| Insert/Place Heart Catheter (93503) |
$1,638 |
$2,730 |
1.0× |
| Iontophoresis 15 min (97033) |
$96.60 |
$161 |
5.1× |
| Irrig Drug Delivery Device (96523) |
$192 |
$320 |
3.3× |
| IV infusion hydration each additional hour (96361) |
$39 |
$65 |
0.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$186 |
$310 |
0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$117 |
$195 |
1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$117 |
$195 |
2.5× |
| IV push initial (96374) |
$178.80 |
$298 |
0.8× |
| Lung Function Test (Mbc/Mvv) (94200) |
$222.60 |
$371 |
3.8× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
$570 |
$950 |
2.7× |
| Mechanical chest wall oscillation per session (94669) |
$265.80 |
$443 |
1.2× |
| Methacholine challenge (94070) |
$253.80 |
$423 |
0.7× |
| Motility study esophagus (91010) |
$5,024.40 |
$8,374 |
13.5× |
| Motion Fluoroscopy/Swallow (92611) |
$384.60 |
$641 |
4.2× |
| Nasopharyngoscopy (92511) |
$394.20 |
$657 |
2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$142.80 |
$238 |
0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$262.20 |
$437 |
0.6× |
| Neuromuscular Reeducation (97112) |
$64.80 |
$108 |
2.0× |
| Newborn resuscitation (99465) |
$1,081.80 |
$1,803 |
1.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$55.20 |
$92 |
2.2× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$82.20 |
$137 |
2.4× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$28.20 |
$47 |
2.1× |
| Oral Function Therapy (92526) |
$128.40 |
$214 |
1.5× |
| Oral Speech Device Eval (92597) |
$226.80 |
$378 |
3.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$57.60 |
$96 |
1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$89.40 |
$149 |
1.9× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$33.60 |
$56 |
1.6× |
| Ot Contrast Bath Ea 15 Min (97034) |
$121.80 |
$203 |
8.7× |
| Ot eval high complexity (97167) |
$193.80 |
$323 |
1.9× |
| Ot Eval Low Complex (97165) |
$147.60 |
$246 |
1.5× |
| Ot Eval Moderate Complexity (97166) |
$170.40 |
$284 |
1.7× |
| Ot manual therapy 15 min (97140) |
$70.20 |
$117 |
2.5× |
| Ot paraffin bath (97018) |
$73.80 |
$123 |
12.3× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$89.40 |
$149 |
2.2× |
| Ot Re-Eval Est Plan Care (97168) |
$97.80 |
$163 |
1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$358.20 |
$597 |
1.6× |
| Physical Performance Test (97750) |
$150 |
$250 |
4.4× |
| Plethysmography (94726) |
$319.20 |
$532 |
0.9× |
| Pt Eval High Complex (97163) |
$202.20 |
$337 |
2.1× |
| Pt eval low complex 20 min (97161) |
$121.20 |
$202 |
1.2× |
| Pt Eval Mod Complex (97162) |
$175.20 |
$292 |
1.8× |
| Pt gait training 15 min (97116) |
$75 |
$125 |
2.6× |
| Pt mechanical traction (97012) |
$43.20 |
$72 |
3.0× |
| Pt Re-Eval Est Plan Care (97164) |
$103.20 |
$172 |
1.5× |
| Pulm function test by gas (94727) |
$140.40 |
$234 |
0.7× |
| Pulmonary service/procedure (94799) |
$288.60 |
$481 |
2.3× |
| Pulmonary Stress Testing (94618) |
$210.60 |
$351 |
1.6× |
| Refill/Maint Portable Pump (96521) |
$149.40 |
$249 |
0.7× |
| Refill/Maint Pump/Resvr Syst (96522) |
$420.60 |
$701 |
2.0× |
| Remote 30 Day Ecg Rev/Report (93270) |
$234.60 |
$391 |
6.3× |
| Remote 30 Day Ecg Tech Supp (93229) |
$267 |
$445 |
0.7× |
| Respiratory flow volume loop (94375) |
$253.80 |
$423 |
1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$139.80 |
$233 |
2.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$135 |
$225 |
0.7× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$301.20 |
$502 |
11.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$259.20 |
$432 |
2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$74.40 |
$124 |
1.6× |
| Self Care Mngment Training (97535) |
$64.80 |
$108 |
2.0× |
| Sensory Integration Ea 15 Min (97533) |
$89.40 |
$149 |
1.5× |
| Speech sound lang comprehen (92523) |
$255 |
$425 |
1.1× |
| Spirometry (94010) |
$140.40 |
$234 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$260.40 |
$434 |
2.5× |
| Stress Tte Only (93350) |
$1,918.80 |
$3,198 |
3.5× |
| Temp transcutaneous pacing (92953) |
$435.60 |
$726 |
0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$39 |
$65 |
1.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$51 |
$85 |
2.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$127.20 |
$212 |
3.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$51.60 |
$86 |
1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$160.20 |
$267 |
1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$85.20 |
$142 |
1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$292.80 |
$488 |
1.4× |
Therapeutic Activities (97530)
range across 16 matching MRF lines |
$58.80–$73.20 |
$98–$122 |
varies |
| Trans Care Mgmt 14 Day Disch (99495) |
$210 |
$350 |
1.6× |
| Trans Care Mgmt 7 Day Disch (99496) |
$210 |
$350 |
1.6× |
| Tte w/doppler, complete (93306) |
$1,407.60 |
$2,346 |
2.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$163.80 |
$273 |
2.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$93.60 |
$156 |
3.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$117 |
$195 |
2.5× |
| Tympanometry (92567) |
$64.20 |
$107 |
1.7× |
| Unlisted otorhinolaryngological service (92700) |
$40.80 |
$68 |
1.4× |
| Vasopneumatic device (97016) |
$19.20 |
$32 |
1.6× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,896.60 |
$3,161 |
5.1× |
| Veeg 2-12 hr intmt mntr (95712) |
$1,896.60 |
$3,161 |
5.1× |
| Vent Mgmt Inpat Init Day (94002) |
$607.80 |
$1,013 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$441 |
$735 |
0.7× |
| Vital capacity, total (94150) |
$139.80 |
$233 |
1.1× |
| Whirlpool Therapy (97022) |
$51.60 |
$86 |
3.3× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$112.80 |
$188 |
1.9× |