| Airway inhalation treatment (94640) |
$77.32 |
$96.66 |
0.3× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$53.21 |
$66.51 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$84.47 |
$105.58 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$119.09 |
$148.86 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$65.04 |
$81.29 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$70.11 |
$87.63 |
— |
| Assessment of aphasia (96105) |
$586.16 |
$732.69 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$493.25 |
$616.56 |
— |
| Bfb training ea addl 15 min (90913) |
$66.72 |
$83.40 |
— |
| Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) |
$119.94 |
$149.92 |
— |
| Bipap initial day (94660) |
$586.66 |
$733.32 |
2.5× |
| Breathing capacity test (94010) |
$154.47 |
$193.08 |
0.7× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$286.87 |
$358.58 |
0.7× |
| Canalith repositioning (95992) |
$130.92 |
$163.64 |
— |
| Cardiovascular procedure unlisted (93799) |
$198.60 |
$248.25 |
1.5× |
| Cardiovascular stress test (93017) |
$529.60 |
$662 |
2.3× |
| Cardioversion elective external (92960) |
$1,575.26 |
$1,969.08 |
2.3× |
| Cardioversion elective internal (92961) |
$3,302.20 |
$4,127.75 |
4.7× |
| Caregiver training 1st 30 min (97550) |
$504.85 |
$631.06 |
— |
| Caregiver training ea addl 15 (97551) |
$271.41 |
$339.26 |
— |
| Chemo anti-neopl sq/im (96401) |
$298.76 |
$373.44 |
3.9× |
| Chemo hormon antineopl sq/im (96402) |
$415.03 |
$518.78 |
5.5× |
| Chemo intralesional over 7 (96406) |
$411.64 |
$514.54 |
1.8× |
| Chemo intralesional up to 7 (96405) |
$102.70 |
$128.37 |
1.4× |
| Chemo IV infus each addl seq (96417) |
$391.26 |
$489.07 |
5.2× |
| Chemo IV infusion addl hr (96415) |
$244.44 |
$305.54 |
3.2× |
| Chemo IV push addl drug (96411) |
$224.92 |
$281.14 |
3.0× |
| Chemother prolong infuse w/pump (96416) |
$534.70 |
$668.37 |
1.5× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$1,196.70 |
$1,495.87 |
3.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$411.64 |
$514.54 |
1.2× |
| Chiropract manj 1-2 regions (98940) |
$257.01 |
$321.26 |
11.3× |
| Color/duplex Doppler, complete (93975) |
$508.92 |
$636.14 |
2.0× |
| Color/duplex Doppler, limited (93976) |
$430.33 |
$537.90 |
3.9× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$121.63 |
$152.03 |
— |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$357.21 |
$446.51 |
2.5× |
| Cpr (92950) |
$1,147.48 |
$1,434.34 |
5.0× |
| Critical care ill/injured patient init 30-74 min (99291) |
$3,532.47 |
$4,415.58 |
4.1× |
| Debridement open wound 20 sq cm< (97597) |
$556.05 |
$695.06 |
2.6× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$351.32 |
$439.15 |
1.4× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$469.42 |
$586.76 |
4.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$756.44 |
$945.54 |
3.0× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$1,008.16 |
$1,260.20 |
9.1× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$676.59 |
$845.73 |
2.7× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$474.46 |
$593.06 |
4.3× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$792.58 |
$990.72 |
3.1× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$521.52 |
$651.90 |
4.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$718.61 |
$898.26 |
2.9× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$598 |
$747.50 |
5.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,315.32 |
$2,894.14 |
4.0× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,395.30 |
$1,744.12 |
5.5× |
| EKG 12 lead tracing only (93005) |
$99.31 |
$124.13 |
1.6× |
| Emergency department visit high mdm (99285) |
$2,399.04 |
$2,998.80 |
3.8× |
| Emergency department visit low mdm (99283) |
$801.68 |
$1,002.09 |
2.8× |
| Emergency department visit may not req phys/qhp (99281) |
$202.98 |
$253.72 |
2.3× |
| Emergency department visit moderate mdm (99284) |
$1,600.79 |
$2,000.98 |
3.6× |
| Emergency department visit straightforward mdm (99282) |
$401.69 |
$502.11 |
2.5× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$252.54 |
$315.67 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$452.71 |
$565.88 |
— |
| Evaluation of speech fluency (92521) |
$644.44 |
$805.54 |
— |
| Evaluation of speech sound production articulate (92522) |
$524.50 |
$655.62 |
— |
| Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) |
$544.04 |
$680.04 |
3.9× |
| Group caregiver training strategies & technique (97552) |
$118.62 |
$148.27 |
— |
| Hot/cold pack (97010) |
$36.32 |
$45.40 |
— |
| Imm admn sarscov2 vaccine single dose (90480) |
$453.86 |
$567.32 |
10.6× |
| Immunization administration (90471) |
$45.39 |
$56.73 |
0.6× |
| Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral (92240) |
$3,342.28 |
$4,177.85 |
14.7× |
| Infrared therapy (97026) |
$93.78 |
$117.22 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$101.22 |
$126.51 |
2.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$253.84 |
$317.28 |
1.1× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) |
$712.08 |
$890.10 |
18.1× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$79.01 |
$98.76 |
1.3× |
| IV infusion hydration each additional hour (96361) |
$76.74 |
$95.92 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$236.48 |
$295.59 |
1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$149.65 |
$187.06 |
2.0× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$281.65 |
$352.06 |
1.3× |
| IV tx, each additional hour (96366) |
$98.67 |
$123.34 |
2.0× |
| Low frequency non-thermal us (97610) |
$206.89 |
$258.61 |
1.0× |
| Mechanical traction therapy (97012) |
$86.16 |
$107.69 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$34.80 |
$43.50 |
— |
| Medical nutrition group (97804) |
$60.26 |
$75.32 |
— |
| Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) |
$33.11 |
$41.38 |
— |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$304.91 |
$381.13 |
— |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$127.76 |
$159.69 |
0.3× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$143.72 |
$179.65 |
0.3× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$292.66 |
$365.82 |
1.4× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$308.85 |
$386.06 |
0.7× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$379.90 |
$474.87 |
1.7× |
| Occupational therapy eval high complex 60 mins (97167) |
$304.91 |
$381.13 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$304.91 |
$381.13 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$304.91 |
$381.13 |
— |
| Oral function therapy (92526) |
$304.91 |
$381.13 |
— |
| Oral speech device eval (92597) |
$821.07 |
$1,026.33 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$143.59 |
$179.48 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$282.95 |
$353.68 |
— |
| Osteopath manj 1-2 regions (98925) |
$410.22 |
$512.77 |
18.0× |
| Osteopath manj 3-4 regions (98926) |
$286.01 |
$357.51 |
12.6× |
| Ot manual therapy ea 15 min (97140) |
$95.44 |
$119.30 |
— |
| Ot neuromuscular re-education (97112) |
$117.40 |
$146.75 |
— |
| Ot paraffin bath (97018) |
$33.79 |
$42.23 |
— |
| Ot re-evaluation (97168) |
$358.96 |
$448.69 |
— |
| OT Therapeutic Activities Charges (97530) |
$130.92 |
$163.64 |
— |
| Ot wheelchair management (97542) |
$134.29 |
$167.86 |
— |
| Other physical medicine or rehabilitation service or procedure (97799) |
$38.85 |
$48.56 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$117.12 |
$146.40 |
0.9× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$234.25 |
$292.81 |
1.7× |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted (94681) |
$270.75 |
$338.43 |
0.7× |
| Phlebotomy therapeutic (99195) |
$154.65 |
$193.31 |
1.1× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$95.91 |
$119.88 |
1.5× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$95.91 |
$119.88 |
1.5× |
| Physical therapy evaluation high complex 45 mins (97163) |
$282.95 |
$353.68 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$282.95 |
$353.68 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$282.95 |
$353.68 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$1,745.82 |
$2,182.27 |
1.9× |
| Pr unlisted therapeutic procedure specify (97139) |
$45.19 |
$56.48 |
— |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$147.82 |
$184.76 |
— |
| Pt gait training 15 min (97116) |
$99.67 |
$124.58 |
— |
| Pt physical performance test (97750) |
$282.95 |
$353.68 |
— |
| Pt re-evaluation (97164) |
$195.95 |
$244.93 |
— |
| Pulmonary stress testing (94618) |
$544.04 |
$680.04 |
3.9× |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
$79.40 |
$99.24 |
— |
| Remote 30 day ECG rev/report (93270) |
$225.76 |
$282.20 |
5.7× |
| Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads… (93264) |
$229.16 |
$286.44 |
5.8× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$121.63 |
$152.03 |
— |
| Sleep study unattended (95806) |
$373.44 |
$466.80 |
1.6× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$1,404.61 |
$1,755.76 |
6.2× |
| Speech sound lang comprehen (92523) |
$1,103.90 |
$1,379.87 |
— |
| Standardized cognitive performance testing (96125) |
$360.65 |
$450.81 |
— |
| Temp transcutaneous pacing (92953) |
$11.88 |
$14.85 |
0.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$130.92 |
$163.64 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$87 |
$108.74 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) |
$221.29 |
$276.61 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$167.24 |
$209.04 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$64.39 |
$80.48 |
0.8× |
| Tte f-up or lmtd (93308) |
$976.88 |
$1,221.10 |
3.9× |
| Tte w/doppler complete (93306) |
$2,047.96 |
$2,559.95 |
3.6× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$451.02 |
$563.77 |
— |
| Unlisted modality (specify type and time if constant attendance) (97039) |
$36.32 |
$45.40 |
— |
| Upr/l xtremity art 2 levels (93922) |
$316.87 |
$396.08 |
2.3× |
| Ventilation ip/obs initial day (94002) |
$1,186.76 |
$1,483.45 |
1.8× |
| Wound(s) care non-selective (97602) |
$84.05 |
$105.06 |
0.4× |