| Airway Inhalation Treatment (94640) |
$247.20 |
$412 |
1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$163.20 |
$272 |
11.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$529.80 |
$883 |
1.5× |
| Canalith repositioning proc (95992) |
$96.60 |
$161 |
2.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$484.20 |
$807 |
2.4× |
| Cardiopulmonary resuscitation (92950) |
$720 |
$1,200 |
3.6× |
| Cardioversion (92960) |
$821.40 |
$1,369 |
1.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$14,478.60 |
$24,131 |
4.8× |
| Chemo Anti-Neopl Sq/Im (96401) |
$136.20 |
$227 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$54 |
$90 |
0.8× |
| Chemo IV infusion addl hr (96415) |
$143.40 |
$239 |
2.1× |
| Chemo IV push addl drug (96411) |
$327 |
$545 |
4.8× |
| Chemother Prolong Infuse W/Pump (96416) |
$443.40 |
$739 |
1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$136.20 |
$227 |
2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$477 |
$795 |
1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$223.20 |
$372 |
0.7× |
| Chest Wall Manipulation (94668) |
$100.20 |
$167 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$975.60 |
$1,626 |
4.4× |
| Color/duplex Doppler, limited (93976) |
$174.60 |
$291 |
1.8× |
| Continuous Pulse Ox (94762) |
$315 |
$525 |
2.6× |
| Coronary Art/Grft Angio S&I (93455) |
$10,004.40 |
$16,674 |
3.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$493.80 |
$823 |
2.4× |
| Cpt initial (94667) |
$103.20 |
$172 |
0.8× |
| Critical care first hour (99291) |
$280.20 |
$467 |
0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$336 |
$560 |
1.8× |
| Dialysis One Evaluation (90945) |
$1,500 |
$2,500 |
3.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$158.40 |
$264 |
0.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$755.40 |
$1,259 |
3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$603.60 |
$1,006 |
6.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$806.40 |
$1,344 |
3.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$721.20 |
$1,202 |
7.4× |
| Duplex up extrem art bilat (93930) |
$693 |
$1,155 |
3.1× |
| Duplex up extrem art unilat/ltd (93931) |
$597.60 |
$996 |
6.1× |
| Echo Heart Xthoracic,Limited (93308) |
$727.80 |
$1,213 |
3.3× |
| Echo transesophageal (93312) |
$793.80 |
$1,323 |
1.5× |
| EEG awake and asleep (95819) |
$484.20 |
$807 |
2.4× |
| EEG cerebral death evaluation (95824) |
$359.40 |
$599 |
1.0× |
| Electrical Stimulation Ea 15 Min (97032) |
$148.80 |
$248 |
10.1× |
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines |
$64.20–$255 |
$107–$425 |
varies |
| Emergency Dept Visit Level 2 (99282) |
$150 |
$250 |
1.0× |
| Emergency Dept Visit Level 3 (99283) |
$288 |
$480 |
1.1× |
| Emergency Dept Visit Level 4 (99284) |
$1,811.40 |
$3,019 |
4.6× |
| Er level 1 (99281) |
$63.60 |
$106 |
0.8× |
Er level v (99285)
range across 5 matching MRF lines |
$1,152–$3,091.20 |
$1,920–$5,152 |
varies |
| Evaluate Speech Production (92522) |
$324.60 |
$541 |
2.9× |
| Evaluate Swallowing Function (92610) |
$424.20 |
$707 |
5.0× |
| External ECG rec>48hr<7d recording (93242) |
$51.60 |
$86 |
1.5× |
| External ECG rec>7d<15d recording (93246) |
$82.20 |
$137 |
2.3× |
| External Ecg Scanning Analysis Report (93226) |
$403.80 |
$673 |
7.3× |
| Extracranial Bilat Study (93880) |
$1,268.40 |
$2,114 |
5.7× |
| Extracranial Uni/Ltd Study (93882) |
$163.20 |
$272 |
1.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$1,500 |
$2,500 |
2.3× |
| Holter monitor recording (93225) |
$127.20 |
$212 |
1.0× |
| Immunization administration (90471) |
$71.40 |
$119 |
1.1× |
| Inital newborn e/m (99460) |
$136.80 |
$228 |
1.1× |
| Irrig Drug Delivery Device (96523) |
$90.60 |
$151 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$75 |
$125 |
1.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$289.20 |
$482 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$289.20 |
$482 |
4.3× |
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines |
$72–$88.20 |
$120–$147 |
varies |
| IV push initial (96374) |
$226.80 |
$378 |
1.1× |
| L Hrt Art/Grft Angio (93459) |
$15,282 |
$25,470 |
5.0× |
| Motion Fluoroscopy/Swallow (92611) |
$553.80 |
$923 |
6.1× |
| Muscle Test One Limb (95860) |
$62.40 |
$104 |
0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$226.80 |
$378 |
1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$494.40 |
$824 |
1.3× |
| Neuromuscular Reeducation (97112) |
$135 |
$225 |
4.1× |
| Newborn resuscitation (99465) |
$702.60 |
$1,171 |
1.1× |
| Oral Function Therapy (92526) |
$165.60 |
$276 |
2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$126 |
$210 |
2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$126 |
$210 |
2.7× |
| Ot Contrast Bath Ea 15 Min (97034) |
$126 |
$210 |
9.0× |
| Ot eval high complexity (97167) |
$229.80 |
$383 |
2.3× |
| Ot Eval Low Complex (97165) |
$229.80 |
$383 |
2.3× |
| Ot Eval Moderate Complexity (97166) |
$229.80 |
$383 |
2.3× |
| Ot manual therapy 15 min (97140) |
$183.60 |
$306 |
6.6× |
| Ot paraffin bath (97018) |
$100.80 |
$168 |
16.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$126 |
$210 |
3.1× |
| Ot Re-Eval Est Plan Care (97168) |
$179.40 |
$299 |
2.6× |
| Phlebotomy therapeutic (99195) |
$156 |
$260 |
1.2× |
| Physical Performance Test (97750) |
$50.40 |
$84 |
1.5× |
| Plethysmography (94726) |
$88.80 |
$148 |
0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,538.20 |
$5,897 |
4.4× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,277 |
$3,795 |
2.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$18.60 |
$31 |
0.4× |
| Pt Eval High Complex (97163) |
$192 |
$320 |
2.0× |
| Pt eval low complex 20 min (97161) |
$192 |
$320 |
2.0× |
| Pt Eval Mod Complex (97162) |
$192 |
$320 |
2.0× |
| Pt gait training 15 min (97116) |
$126 |
$210 |
4.3× |
| Pt Re-Eval Est Plan Care (97164) |
$126 |
$210 |
1.9× |
| Pulmonary Stress Testing (94618) |
$424.80 |
$708 |
3.4× |
| Refill/Maint Portable Pump (96521) |
$316.20 |
$527 |
1.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$181.20 |
$302 |
5.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$265.80 |
$443 |
1.4× |
| Self Care Mngment Training (97535) |
$143.40 |
$239 |
4.4× |
| Sensory Integration Ea 15 Min (97533) |
$126 |
$210 |
2.1× |
| Sleep study attended (95807) |
$2,586.60 |
$4,311 |
7.4× |
| Slp Stdy Unatnd W/Anal (95801) |
$494.40 |
$824 |
8.9× |
| Speech sound lang comprehen (92523) |
$324.60 |
$541 |
1.4× |
| Spirometry (94010) |
$214.20 |
$357 |
1.1× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$82.80 |
$138 |
1.9× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines |
$24.60–$84.60 |
$41–$141 |
varies |
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines |
$163.20–$318.60 |
$272–$531 |
varies |
| Therapeutic Activities (97530) |
$148.80 |
$248 |
4.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$24 |
$40 |
0.7× |
| Tte w/doppler, complete (93306) |
$2,375.40 |
$3,959 |
4.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$199.20 |
$332 |
2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$91.80 |
$153 |
2.1× |
| Upr/L Xtremity Art 2 Levels (93922) |
$223.80 |
$373 |
1.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$205.20 |
$342 |
1.0× |
| Vent Mgmt Inpat Init Day (94002) |
$841.20 |
$1,402 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$430.80 |
$718 |
0.7× |
| Vital capacity, total (94150) |
$202.80 |
$338 |
1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$126 |
$210 |
4.1× |
| Whirlpool Therapy (97022) |
$133.20 |
$222 |
8.5× |