| Airway Inhalation Treatment (94640) |
— |
$40 |
— |
| Application on-body injector (96377) |
— |
$750 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
$500 |
$5,000 |
2.4× |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$500 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$500 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$1,000 |
— |
| Chemo IV push addl drug (96411) |
— |
$250 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$1,550 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$500 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$6,000 |
— |
| Color/duplex Doppler, complete (93975) |
$350 |
$1,550 |
1.5× |
| Color/duplex Doppler, limited (93976) |
$350 |
$800 |
3.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$350 |
$1,050 |
1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$350 |
$750 |
3.5× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$350 |
$1,000 |
3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$350 |
$1,000 |
1.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$350 |
$750 |
3.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$350 |
$1,050 |
1.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$350 |
$750 |
3.5× |
| Duplex Scan Hemodialysis Access (93990) |
$350 |
$750 |
3.5× |
| Duplex up extrem art bilat (93930) |
$350 |
$1,000 |
1.5× |
| Duplex up extrem art unilat/ltd (93931) |
$350 |
$750 |
3.5× |
| Echo Congenital Complete (93303) |
$450 |
$1,200 |
0.9× |
| Echo Heart Xthoracic,Limited (93308) |
$450 |
$700 |
2.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$600 |
$6,000 |
1.2× |
| Electrocardiogram Tracing (93005) |
— |
$50 |
— |
| Extracranial Bilat Study (93880) |
$350 |
$950 |
1.5× |
| Extracranial Uni/Ltd Study (93882) |
$350 |
$700 |
3.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$450 |
$950 |
0.9× |
| Intracranial Complete Study (93886) |
$350 |
$950 |
1.5× |
| Irrig Drug Delivery Device (96523) |
— |
$500 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$365 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$250 |
$750 |
1.2× |
| Multiple Sleep Latency Test (95805) |
— |
$925 |
— |
| Penile Vascular Study,Ltd or F/U (93981) |
$350 |
$750 |
3.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$5,500 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$500 |
— |
| Sleep study unattended (95806) |
— |
$1,200 |
— |
| Stress Tte Only (93350) |
$600 |
$6,000 |
1.2× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$350 |
$900 |
3.5× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
— |
$250 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$750 |
— |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$350 |
$900 |
3.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$350 |
$950 |
3.5× |
| Tte w/doppler, complete (93306) |
$450 |
$2,500 |
0.9× |
| Tte W/O Doppler Complete (93307) |
$450 |
$1,200 |
2.0× |
| Upr/L Xtremity Art 2 Levels (93922) |
$250 |
$750 |
2.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$350 |
$750 |
1.7× |