| Airway Inhalation Treatment (94640) |
$137.40 |
$229 |
0.6× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$63.60 |
$106 |
1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$47.40 |
$79 |
3.3× |
| Application Modality 1/> Areas Infrared (97026) |
$43.20 |
$72 |
6.5× |
| Behavral qualit analys voice (92524) |
$1,482.60 |
$2,471 |
13.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$203.40 |
$339 |
2.5× |
| Bfb training ea addl 15 min (90913) |
$203.40 |
$339 |
6.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$697.20 |
$1,162 |
1.9× |
| Canalith repositioning proc (95992) |
$218.40 |
$364 |
5.4× |
| Car seat/bed test 60 min (94780) |
$87 |
$145 |
2.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$38.40 |
$64 |
1.5× |
| Cbt 1st hour (94644) |
$524.40 |
$874 |
4.1× |
| Chemo Admin Peritoneal Cavity (96446) |
$563.40 |
$939 |
1.8× |
| Chemo Anti-Neopl Sq/Im (96401) |
$617.40 |
$1,029 |
8.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$617.40 |
$1,029 |
8.8× |
| Chemo Ia Push (96420) |
$466.20 |
$777 |
1.5× |
| Chemo IV infusion addl hr (96415) |
$389.40 |
$649 |
5.6× |
| Chemo IV push addl drug (96411) |
$617.40 |
$1,029 |
8.8× |
| Chemother Prolong Infuse W/Pump (96416) |
$1,677 |
$2,795 |
5.2× |
| Chemotherapy Into Cns (96450) |
$413.40 |
$689 |
1.3× |
| Chemotherapy Unspecified (96549) |
$389.40 |
$649 |
8.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$389.40 |
$649 |
5.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$1,396.80 |
$2,328 |
4.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$617.40 |
$1,029 |
1.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$492 |
$820 |
1.5× |
| Chest Wall Manipulation (94668) |
$229.20 |
$382 |
1.8× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$2,032.80 |
$3,388 |
5.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$84.60 |
$141 |
2.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$1,326 |
$2,210 |
6.2× |
| Cpt initial (94667) |
$579 |
$965 |
4.5× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines |
$298.20–$37,971.08 |
$497–$63,285.13 |
varies |
| Electrical Stimulation Ea 15 Min (97032) |
$172.20 |
$287 |
11.7× |
| Evaluate pt use of inhaler (94664) |
$175.80 |
$293 |
0.8× |
| Evaluate Speech Production (92522) |
$405 |
$675 |
3.6× |
| Evaluate Swallowing Function (92610) |
$1,032 |
$1,720 |
12.2× |
| Evaluation of speech fluency (92521) |
$405 |
$675 |
3.0× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$1,432.20 |
$2,387 |
7.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$9,293.42 |
$15,489.03 |
11.1× |
| Group Therapeutic Procedures (97150) |
$102 |
$170 |
5.7× |
| Iontophoresis 15 min (97033) |
$127.20 |
$212 |
6.7× |
| IV infusion hydration each additional hour (96361) |
$163.80 |
$273 |
3.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$936 |
$1,560 |
4.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$163.80 |
$273 |
2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$105.60 |
$176 |
2.3× |
| IV push initial (96374) |
$420.60 |
$701 |
2.0× |
| Liver Elastography W/O Imag W/I&R (91200) |
$274.80 |
$458 |
2.2× |
| Mechanical chest wall oscillation per session (94669) |
$192.60 |
$321 |
0.9× |
| Motility study esophagus (91010) |
$1,137.60 |
$1,896 |
3.1× |
| Motion Fluoroscopy/Swallow (92611) |
$1,432.20 |
$2,387 |
15.6× |
| Nasopharyngoscopy (92511) |
$360 |
$600 |
1.9× |
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines |
$585–$37,971.08 |
$975–$63,285.13 |
varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$577.20 |
$962 |
1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$631.20 |
$1,052 |
3.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$631.20 |
$1,052 |
1.6× |
| Neuromuscular Reeducation (97112) |
$170.40 |
$284 |
5.2× |
| 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) |
$934.20 |
$1,557 |
11.1× |
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines |
$112.80–$159 |
$188–$265 |
varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$183 |
$305 |
4.0× |
| Ot eval high complexity (97167) |
$356.40 |
$594 |
3.5× |
| Ot Eval Low Complex (97165) |
$263.40 |
$439 |
2.6× |
| Ot Eval Moderate Complexity (97166) |
$309.60 |
$516 |
3.1× |
| Ot manual therapy 15 min (97140) |
$142.80 |
$238 |
5.2× |
| Ot paraffin bath (97018) |
$40.80 |
$68 |
6.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$172.80 |
$288 |
4.3× |
| Ot Re-Eval Est Plan Care (97168) |
$184.20 |
$307 |
2.7× |
| Pediatric apnea monitor analyses computer (94776) |
$174.60 |
$291 |
1.4× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) |
$174.60 |
$291 |
1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$943.80 |
$1,573 |
4.4× |
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 16 matching MRF lines |
$28,500.91–$132,641.07 |
$47,501.52–$221,068.45 |
varies |
| Physical Performance Test (97750) |
$171 |
$285 |
5.1× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$14,806.20 |
$24,677 |
0.8× |
| Pt Eval High Complex (97163) |
$356.40 |
$594 |
3.6× |
| Pt eval low complex 20 min (97161) |
$263.40 |
$439 |
2.7× |
| Pt Eval Mod Complex (97162) |
$309.60 |
$516 |
3.2× |
| Pt gait training 15 min (97116) |
$143.40 |
$239 |
4.9× |
| Pt group caregiver training (97552) |
$34.20 |
$57 |
1.6× |
| Pt mechanical traction (97012) |
$83.40 |
$139 |
5.8× |
| Pt Re-Eval Est Plan Care (97164) |
$184.20 |
$307 |
2.7× |
| Refill/Maint Portable Pump (96521) |
$1,205.40 |
$2,009 |
5.8× |
| Refill/Maint Pump/Resvr Syst (96522) |
$1,205.40 |
$2,009 |
5.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$745.20 |
$1,242 |
3.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$1,357.20 |
$2,262 |
11.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$821.40 |
$1,369 |
17.2× |
| Self Care Mngment Training (97535) |
$115.80 |
$193 |
3.6× |
| Sensory Integration Ea 15 Min (97533) |
$153.60 |
$256 |
2.5× |
| Slp caregiver training 1st 30 min (97550) |
$82.80 |
$138 |
1.6× |
| Speech sound lang comprehen (92523) |
$1,482.60 |
$2,471 |
6.5× |
| Surfactant Admin Thru Tube (94610) |
$147.60 |
$246 |
0.7× |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines |
$81–$193.80 |
$135–$323 |
varies |
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines |
$81–$193.80 |
$135–$323 |
varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$193.80 |
$323 |
5.2× |
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 9 matching MRF lines |
$127.80–$129.60 |
$213–$216 |
varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$685.20 |
$1,142 |
6.7× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$73.80 |
$123 |
1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$208.80 |
$348 |
3.0× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$924 |
$1,540 |
4.5× |
Therapeutic Activities (97530)
range across 28 matching MRF lines |
$148.20–$174 |
$247–$290 |
varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$189 |
$315 |
2.5× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$323.40 |
$539 |
13.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$420.60 |
$701 |
9.2× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$1,137.60 |
$1,896 |
9.1× |
| Vasopneumatic device (97016) |
$84.60 |
$141 |
7.0× |
| Vent Mgmt Inpat Init Day (94002) |
$1,746.60 |
$2,911 |
2.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,326 |
$2,210 |
2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$222.60 |
$371 |
7.2× |
Whirlpool Therapy (97022)
range across 2 matching MRF lines |
$10.20–$60.60 |
$17–$101 |
varies |