| Airway Inhalation Treatment (94640) |
$107.40 |
$179 |
0.5× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$222.60 |
$371 |
1.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$222.60 |
$371 |
1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$132.60 |
$221 |
9.2× |
| Application Modality 1/> Areas Infrared (97026) |
$113.40 |
$189 |
17.0× |
| Application on-body injector (96377) |
$75 |
$125 |
1.7× |
| Behavral qualit analys voice (92524) |
$358.20 |
$597 |
3.3× |
| Breath hydrogen/methane test (91065) |
$159 |
$265 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$756 |
$1,260 |
2.1× |
| Canalith repositioning proc (95992) |
$115.80 |
$193 |
2.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$910.20 |
$1,517 |
4.5× |
| Cardiopulmonary resuscitation (92950) |
$1,168.20 |
$1,947 |
5.7× |
| Cardioversion (92960) |
$1,238.40 |
$2,064 |
2.0× |
| Cardioversion elective internal (92961) |
$1,021.20 |
$1,702 |
1.6× |
| Cbt 1st hour (94644) |
$348 |
$580 |
2.8× |
| Chemo Admin Peritoneal Cavity (96446) |
$967.80 |
$1,613 |
3.1× |
| Chemo Anti-Neopl Sq/Im (96401) |
$252.60 |
$421 |
3.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$287.40 |
$479 |
4.2× |
| Chemo IV infusion addl hr (96415) |
$132.60 |
$221 |
1.9× |
| Chemo IV push addl drug (96411) |
$228 |
$380 |
3.3× |
| Chemother Prolong Infuse W/Pump (96416) |
$479.40 |
$799 |
1.5× |
| Chemotherapy Into Cns (96450) |
$550.20 |
$917 |
1.8× |
| Chemotherapy Unspecified (96549) |
$516.60 |
$861 |
11.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$163.80 |
$273 |
2.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$307.80 |
$513 |
1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$222.60 |
$371 |
0.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$247.80 |
$413 |
0.8× |
| Chest Wall Manipulation (94668) |
$117 |
$195 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$871.80 |
$1,453 |
3.9× |
| Color/duplex Doppler, limited (93976) |
$559.20 |
$932 |
5.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$107.40 |
$179 |
3.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$108 |
$180 |
1.9× |
| Continuous Pulse Ox (94762) |
$134.40 |
$224 |
1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$789 |
$1,315 |
3.8× |
| Cpt initial (94667) |
$161.40 |
$269 |
1.3× |
| Critical care first hour (99291) |
$1,377 |
$2,295 |
1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$243.60 |
$406 |
1.3× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$288.60 |
$481 |
2.4× |
| Dialysis One Evaluation (90945) |
$1,466.40 |
$2,444 |
3.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$953.40 |
$1,589 |
4.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,137.60 |
$1,896 |
5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$722.40 |
$1,204 |
7.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,327.80 |
$2,213 |
5.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$809.40 |
$1,349 |
8.2× |
| Duplex up extrem art bilat (93930) |
$646.80 |
$1,078 |
2.9× |
| ECG/monitoring and analysis (93271) |
$642.60 |
$1,071 |
7.1× |
| Echo Heart Xthoracic,Limited (93308) |
$691.20 |
$1,152 |
3.1× |
| Echo r-t 2d w/probe placement only (93313) |
$869.40 |
$1,449 |
1.7× |
| Echo transesophageal (93312) |
$1,357.20 |
$2,262 |
2.6× |
| Electrical Stimulation Ea 15 Min (97032) |
$126 |
$210 |
8.6× |
| Electrocardiogram Tracing (93005) |
$151.80 |
$253 |
2.7× |
| Emergency Dept Visit Level 2 (99282) |
$322.80 |
$538 |
2.2× |
| Emergency Dept Visit Level 3 (99283) |
$463.80 |
$773 |
1.8× |
| Emergency Dept Visit Level 4 (99284) |
$985.20 |
$1,642 |
2.5× |
| Er level 1 (99281) |
$156 |
$260 |
2.0× |
| Er level v (99285) |
$1,179.60 |
$1,966 |
2.1× |
| Evaluate pt use of inhaler (94664) |
$146.40 |
$244 |
0.7× |
| Evaluate Speech Production (92522) |
$358.20 |
$597 |
3.2× |
| Evaluate Swallowing Function (92610) |
$621.60 |
$1,036 |
7.3× |
| Evaluation of speech fluency (92521) |
$358.20 |
$597 |
2.7× |
| Exercise test for bronchospasm (94617) |
$223.20 |
$372 |
1.8× |
| External ECG rec>48hr<7d recording (93242) |
$224.40 |
$374 |
6.3× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$224.40 |
$374 |
1.8× |
| External ECG rec>7d<15d recording (93246) |
$224.40 |
$374 |
6.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$224.40 |
$374 |
1.8× |
| External Ecg Scanning Analysis Report (93226) |
$709.80 |
$1,183 |
12.7× |
| Extracranial Bilat Study (93880) |
$1,015.20 |
$1,692 |
4.5× |
| Group Therapeutic Procedures (97150) |
$52.20 |
$87 |
2.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$1,466.40 |
$2,444 |
2.3× |
| Holter monitor recording (93225) |
$589.80 |
$983 |
4.7× |
| Immunization administration (90471) |
$55.20 |
$92 |
0.8× |
| Insert/Place Heart Catheter (93503) |
$12,775.20 |
$21,292 |
8.6× |
| Iontophoresis 15 min (97033) |
$163.80 |
$273 |
8.6× |
| Irrig Drug Delivery Device (96523) |
$118.80 |
$198 |
2.1× |
| IV infusion hydration each additional hour (96361) |
$140.40 |
$234 |
3.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$200.40 |
$334 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$165.60 |
$276 |
2.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$164.40 |
$274 |
3.7× |
IV push initial (96374)
range across 3 matching MRF lines |
$250.80–$381.60 |
$418–$636 |
varies |
| Lung Function Test (Mbc/Mvv) (94200) |
$222.60 |
$371 |
4.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,528.20 |
$2,547 |
7.5× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
$571.20 |
$952 |
2.8× |
| Mechanical chest wall oscillation per session (94669) |
$253.20 |
$422 |
1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$29.40 |
$49 |
0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$29.40 |
$49 |
0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$45 |
$75 |
2.6× |
| Methacholine challenge (94070) |
$632.40 |
$1,054 |
1.8× |
| Motion Fluoroscopy/Swallow (92611) |
$567 |
$945 |
6.2× |
| Multiple Sleep Latency Test (95805) |
$2,142 |
$3,570 |
2.6× |
| Nasopharyngoscopy (92511) |
$375.60 |
$626 |
2.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$455.40 |
$759 |
1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$455.40 |
$759 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$132.60 |
$221 |
0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$648 |
$1,080 |
1.7× |
| Neuromuscular Reeducation (97112) |
$122.40 |
$204 |
3.7× |
| Newborn resuscitation (99465) |
$1,083 |
$1,805 |
1.7× |
| 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) |
$278.40 |
$464 |
3.3× |
| Oral Speech Device Eval (92597) |
$288.60 |
$481 |
4.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$91.20 |
$152 |
2.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$30 |
$50 |
1.5× |
| Ot eval high complexity (97167) |
$344.40 |
$574 |
3.4× |
| Ot Eval Low Complex (97165) |
$253.80 |
$423 |
2.5× |
| Ot Eval Moderate Complexity (97166) |
$300.60 |
$501 |
3.0× |
Ot manual therapy 15 min (97140)
range across 20 matching MRF lines |
$140.40–$3,990 |
$234–$6,650 |
varies |
| Ot paraffin bath (97018) |
$91.20 |
$152 |
15.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$115.20 |
$192 |
2.9× |
| Ot Re-Eval Est Plan Care (97168) |
$151.20 |
$252 |
2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$309 |
$515 |
2.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$332.40 |
$554 |
1.6× |
| Peripheral arterial disease rehab per session (93668) |
$118.20 |
$197 |
2.1× |
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines |
$328.80–$501 |
$548–$835 |
varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$251.40 |
$419 |
4.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$251.40 |
$419 |
4.5× |
| Physical Performance Test (97750) |
$153.60 |
$256 |
4.6× |
| Plethysmography (94726) |
$346.80 |
$578 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,811 |
$4,685 |
3.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$38.40 |
$64 |
0.9× |
| Psytx Crisis Initial 60 Min (90839) |
$253.20 |
$422 |
1.5× |
| Pt Eval High Complex (97163) |
$315 |
$525 |
3.2× |
| Pt eval low complex 20 min (97161) |
$233.40 |
$389 |
2.4× |
| Pt Eval Mod Complex (97162) |
$208.20 |
$347 |
2.1× |
| Pt gait training 15 min (97116) |
$115.20 |
$192 |
4.0× |
| Pt mechanical traction (97012) |
$183 |
$305 |
12.7× |
| Pt Re-Eval Est Plan Care (97164) |
$151.20 |
$252 |
2.2× |
| Pulm function test by gas (94727) |
$448.20 |
$747 |
2.2× |
| Pulmonary service/procedure (94799) |
$288.60 |
$481 |
2.4× |
| Pulmonary Stress Testing (94618) |
$448.20 |
$747 |
3.6× |
| Refill/Maint Portable Pump (96521) |
$206.40 |
$344 |
1.0× |
| Refill/Maint Pump/Resvr Syst (96522) |
$665.40 |
$1,109 |
3.3× |
| Remote 30 Day Ecg Rev/Report (93270) |
$456.60 |
$761 |
12.9× |
| Respiratory flow volume loop (94375) |
$446.40 |
$744 |
2.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$96.60 |
$161 |
1.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$208.20 |
$347 |
1.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$154.80 |
$258 |
1.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$44.40 |
$74 |
0.9× |
| Self Care Mngment Training (97535) |
$100.20 |
$167 |
3.1× |
| Sensory Integration Ea 15 Min (97533) |
$74.40 |
$124 |
1.2× |
| Sleep study unattended (95806) |
$613.80 |
$1,023 |
3.0× |
| Speech sound lang comprehen (92523) |
$358.20 |
$597 |
1.6× |
| Spirometry (94010) |
$366.60 |
$611 |
1.8× |
| Standardized Cognitive Performance Testing (96125) |
$171 |
$285 |
1.7× |
| Stress Tte Only (93350) |
$2,750.40 |
$4,584 |
5.3× |
| Temp transcutaneous pacing (92953) |
$802.20 |
$1,337 |
1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$128.40 |
$214 |
5.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$128.40 |
$214 |
6.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$106.20 |
$177 |
2.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$121.80 |
$203 |
4.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$96 |
$160 |
0.9× |
| Ther/Proph/Diag Inj Ia (96373) |
$214.20 |
$357 |
1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$78.60 |
$131 |
1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$214.20 |
$357 |
1.1× |
| Therapeutic Activities (97530) |
$107.40 |
$179 |
3.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$2,721.60 |
$4,536 |
7.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$51.60 |
$86 |
1.5× |
| Tte w/doppler, complete (93306) |
$1,708.80 |
$2,848 |
3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$482.40 |
$804 |
6.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$55.20 |
$92 |
2.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$161.40 |
$269 |
3.6× |
| Upr/L Xtremity Art 2 Levels (93922) |
$566.40 |
$944 |
4.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$655.80 |
$1,093 |
3.2× |
| Vasopneumatic device (97016) |
$121.80 |
$203 |
10.1× |
| Vent Mgmt Inpat Init Day (94002) |
$1,486.80 |
$2,478 |
2.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$783.60 |
$1,306 |
1.3× |
| Vital capacity, total (94150) |
$288.60 |
$481 |
2.4× |
| Whirlpool Therapy (97022) |
$150 |
$250 |
9.6× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$223.20 |
$372 |
4.0× |