| Actinotherapy Ultraviolet Light (96900) |
$65 |
$130 |
1.8× |
| Airway Inhalation Treatment (94640) |
$375 |
$750 |
1.7× |
| Airway resistance by oscillometry (94728) |
$475 |
$950 |
3.7× |
| Breathing response to hypoxia (94450) |
$475 |
$950 |
3.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$500 |
$1,000 |
1.4× |
| Car seat/bed test 60 min (94780) |
$60 |
$120 |
1.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$500 |
$1,000 |
2.3× |
| Cardiopulmonary exercise testing (94621) |
$500 |
$1,000 |
1.4× |
| Cardiopulmonary resuscitation (92950) |
$475 |
$950 |
2.2× |
Cardioversion (92960) range across 5 matching MRF lines |
$1,050–$1,500 |
$2,100–$3,000 |
varies |
| Cbt 1st hour (94644) |
$225 |
$450 |
1.7× |
| Chest Wall Manipulation (94668) |
$225 |
$450 |
1.7× |
| Color/duplex Doppler, complete (93975) |
$425 |
$850 |
1.8× |
| Continuous Pulse Ox (94762) |
$275 |
$550 |
2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$375 |
$750 |
1.7× |
| Cpt initial (94667) |
$225 |
$450 |
1.7× |
| Critical care first hour (99291) |
$1,500 |
$3,000 |
1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$325 |
$650 |
1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$425 |
$850 |
1.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$425 |
$850 |
1.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$200 |
$400 |
1.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$425 |
$850 |
1.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$225 |
$450 |
2.2× |
| Duplex up extrem art bilat (93930) |
$410 |
$820 |
1.7× |
| Duplex up extrem art unilat/ltd (93931) |
$200 |
$400 |
1.9× |
| ECG/monitoring and analysis (93271) |
$175 |
$350 |
1.9× |
| Echo Heart Xthoracic,Limited (93308) |
$425 |
$850 |
1.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$900 |
$1,800 |
1.7× |
| Electro-Oculography (92270) |
$1,200 |
$2,400 |
9.1× |
| Electrocardiogram Tracing (93005) |
$100 |
$200 |
1.7× |
| Emergency Dept Visit Level 2 (99282) |
$275 |
$550 |
1.8× |
| Emergency Dept Visit Level 3 (99283) |
$475 |
$950 |
1.8× |
| Emergency Dept Visit Level 4 (99284) |
$750 |
$1,500 |
1.8× |
| Er level 1 (99281) |
$150 |
$300 |
1.8× |
| Er level v (99285) |
$1,100 |
$2,200 |
1.9× |
| Evaluate pt use of inhaler (94664) |
$375 |
$750 |
1.7× |
| Evaluate Swallowing Function (92610) |
$103 |
$206 |
1.2× |
| Exercise test for bronchospasm (94617) |
$200 |
$400 |
1.5× |
| Exhaled Air Analysis O2 (94680) |
$250 |
$500 |
2.0× |
| External ECG rec>48hr<7d recording (93242) |
$65 |
$130 |
1.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$200 |
$400 |
1.5× |
| External ECG rec>7d<15d recording (93246) |
$70 |
$140 |
1.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$200 |
$400 |
1.5× |
| Extracranial Bilat Study (93880) |
$425 |
$850 |
1.8× |
| Holter monitor recording (93225) |
$200 |
$400 |
1.5× |
| Icd device progr eval dual (93283) |
$70 |
$140 |
1.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$125 |
$250 |
1.8× |
| Immunization administration (90471) |
$125 |
$250 |
1.8× |
| Irrig Drug Delivery Device (96523) |
$100 |
$200 |
1.7× |
| IV infusion hydration each additional hour (96361) |
$75 |
$150 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$400 |
$800 |
1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$125 |
$250 |
1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$75 |
$150 |
1.6× |
| IV push initial (96374) |
$400 |
$800 |
1.9× |
| Lung Function Test (Mbc/Mvv) (94200) |
$100 |
$200 |
1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$50 |
$100 |
1.4× |
| Methacholine challenge (94070) |
$475 |
$950 |
1.3× |
| Motion Fluoroscopy/Swallow (92611) |
$108.50 |
$217 |
1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$625 |
$1,250 |
1.6× |
| Neurobehavioral Status Exam (96116) |
$500 |
$1,000 |
2.3× |
| Neuromuscular Reeducation (97112) |
$45 |
$90 |
1.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$475 |
$950 |
1.3× |
| Oral Function Therapy (92526) |
$90 |
$180 |
1.1× |
| Ot eval high complexity (97167) |
$100 |
$200 |
1.0× |
| Ot Eval Low Complex (97165) |
$100 |
$200 |
1.0× |
| Ot Eval Moderate Complexity (97166) |
$100 |
$200 |
1.0× |
| Ot manual therapy 15 min (97140) |
$40 |
$80 |
1.4× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$45 |
$90 |
1.1× |
| Oxygen Uptake Rest Indirect (94690) |
$100 |
$200 |
1.7× |
| Patient-initiated spirometric recording (94015) |
$475 |
$950 |
2.2× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) |
$485 |
$970 |
1.1× |
| Phlebotomy therapeutic (99195) |
$225 |
$450 |
1.7× |
| Plethysmography (94726) |
$475 |
$950 |
1.3× |
| Pm device progr eval dual (93280) |
$70 |
$140 |
1.9× |
| Pm device progr eval multi (93281) |
$75 |
$150 |
2.0× |
| Pm Device Progr Eval Sngl (93279) |
$65 |
$130 |
1.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,650 |
$3,300 |
1.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$65 |
$130 |
1.8× |
| Pt Eval High Complex (97163) |
$100 |
$200 |
1.0× |
| Pt eval low complex 20 min (97161) |
$100 |
$200 |
1.0× |
| Pt Eval Mod Complex (97162) |
$100 |
$200 |
1.0× |
| Pt gait training 15 min (97116) |
$40 |
$80 |
1.4× |
| Pulm function test by gas (94727) |
$275 |
$550 |
1.3× |
| Pulmonary Stress Testing (94618) |
$225 |
$450 |
1.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$65 |
$130 |
1.8× |
| Remote 30 Day Ecg Tech Supp (93229) |
$250 |
$500 |
0.7× |
| Respiratory flow volume loop (94375) |
$475 |
$950 |
2.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$100 |
$200 |
1.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$325 |
$650 |
1.6× |
| Self Care Mngment Training (97535) |
$50 |
$100 |
1.5× |
| Spirometry (94010) |
$250 |
$500 |
1.2× |
| Stress Tte Only (93350) |
$900 |
$1,800 |
1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$125 |
$250 |
1.8× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$400 |
$800 |
1.9× |
| Therapeutic Activities (97530) |
$50 |
$100 |
1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$45 |
$90 |
1.2× |
| Tte w/doppler, complete (93306) |
$900 |
$1,800 |
1.7× |
| Tte W/O Doppler Complete (93307) |
$425 |
$850 |
1.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$40 |
$80 |
0.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$75 |
$150 |
1.6× |
| Vent Mgmt Inpat Init Day (94002) |
$900 |
$1,800 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$900 |
$1,800 |
1.5× |
| Vital capacity, total (94150) |
$275 |
$550 |
2.2× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$100 |
$200 |
1.7× |