| Airway Inhalation Treatment (94640) |
$212.50 |
$250 |
1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$97.75 |
$115 |
6.8× |
| Assessment of aphasia per hr (96105) |
$323 |
$380 |
3.3× |
| Behavral qualit analys voice (92524) |
$255 |
$300 |
2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$552.50 |
$650 |
1.5× |
| Canalith repositioning proc (95992) |
$106.25 |
$125 |
2.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$765 |
$900 |
3.5× |
| Cardiopulmonary resuscitation (92950) |
$531.25 |
$625 |
2.5× |
| Cardioversion (92960) |
$1,445 |
$1,700 |
2.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$55.25 |
$65 |
2.1× |
| Cbt 1st hour (94644) |
$119 |
$140 |
0.9× |
| Chemo Anti-Neopl Sq/Im (96401) |
$127.50 |
$150 |
1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$136 |
$160 |
1.9× |
| Chemo IV infusion addl hr (96415) |
$173.40 |
$204 |
2.4× |
| Chemo IV push addl drug (96411) |
$89.25 |
$105 |
1.2× |
| Chemother Prolong Infuse W/Pump (96416) |
$297.50 |
$350 |
0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$178.50 |
$210 |
2.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$807.50 |
$950 |
2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$272 |
$320 |
0.8× |
| Chest Wall Manipulation (94668) |
$85 |
$100 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$850 |
$1,000 |
3.6× |
| Continuous Pulse Ox (94762) |
$276.25 |
$325 |
2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$1,190 |
$1,400 |
5.4× |
| Cpt initial (94667) |
$136 |
$160 |
1.0× |
| Critical care first hour (99291) |
$2,720 |
$3,200 |
3.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$276.25 |
$325 |
1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$620.50 |
$730 |
2.6× |
Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$680–$807.50 |
$800–$950 |
varies |
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$637.50–$680 |
$750–$800 |
varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$765 |
$900 |
3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$807.50 |
$950 |
7.7× |
| Duplex up extrem art bilat (93930) |
$1,105 |
$1,300 |
4.6× |
| Duplex up extrem art unilat/ltd (93931) |
$671.50 |
$790 |
6.4× |
| Echo Heart Xthoracic,Limited (93308) |
$637.50 |
$750 |
2.7× |
| Electrical Stimulation Ea 15 Min (97032) |
$85 |
$100 |
5.8× |
| Electrocardiogram Tracing (93005) |
$165.75 |
$195 |
2.8× |
| Emergency Dept Visit Level 2 (99282) |
$510 |
$600 |
3.3× |
| Emergency Dept Visit Level 3 (99283) |
$850 |
$1,000 |
3.1× |
| Emergency Dept Visit Level 4 (99284) |
$1,105 |
$1,300 |
2.6× |
| Er level 1 (99281) |
$276.25 |
$325 |
3.3× |
| Er level v (99285) |
$1,615 |
$1,900 |
2.7× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
$765 |
$900 |
2.0× |
| Evaluate Speech Production (92522) |
$297.50 |
$350 |
2.7× |
| Evaluate Swallowing Function (92610) |
$225.25 |
$265 |
2.7× |
| Evaluation of speech fluency (92521) |
$255 |
$300 |
1.9× |
| External ECG rec>48hr<7d recording (93242) |
$68 |
$80 |
1.8× |
| External ECG rec>7d<15d recording (93246) |
$127.50 |
$150 |
3.4× |
| External Ecg Scanning Analysis Report (93226) |
$374 |
$440 |
6.3× |
| Extracranial Bilat Study (93880) |
$637.50 |
$750 |
2.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$637.50 |
$750 |
1.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$1,433.10 |
$1,686 |
6.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$382.50 |
$450 |
0.4× |
| Group Therapeutic Procedures (97150) |
$76.50 |
$90 |
4.2× |
| Holter monitor recording (93225) |
$378.25 |
$445 |
2.8× |
| Icd device progr eval dual (93283) |
$136 |
$160 |
3.6× |
| Icd Device Progr Eval Mult (93284) |
$106.25 |
$125 |
2.8× |
| Icm Device Eval (93290) |
$85 |
$100 |
2.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$68 |
$80 |
0.9× |
| Immunization administration (90471) |
$77.35 |
$91 |
1.1× |
| Iontophoresis 15 min (97033) |
$97.75 |
$115 |
5.1× |
| Irrig Drug Delivery Device (96523) |
$170 |
$200 |
2.9× |
| IV infusion hydration each additional hour (96361) |
$102 |
$120 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$255 |
$300 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$114.75 |
$135 |
1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$123.25 |
$145 |
2.6× |
| IV push initial (96374) |
$221 |
$260 |
1.0× |
| Mechanical chest wall oscillation per session (94669) |
$255 |
$300 |
1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$60.35 |
$71 |
1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$78.20 |
$92 |
2.1× |
| Motion Fluoroscopy/Swallow (92611) |
$276.25 |
$325 |
3.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$1,020 |
$1,200 |
2.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$510 |
$600 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$297.50 |
$350 |
1.5× |
| Neuromuscular Reeducation (97112) |
$114.75 |
$135 |
3.5× |
| Oral Function Therapy (92526) |
$212.50 |
$250 |
2.5× |
| Oral Speech Device Eval (92597) |
$170 |
$200 |
2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$119 |
$140 |
2.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$106.25 |
$125 |
2.3× |
| Ot eval high complexity (97167) |
$212.50 |
$250 |
2.1× |
| Ot Eval Low Complex (97165) |
$208.25 |
$245 |
2.1× |
| Ot Eval Moderate Complexity (97166) |
$212.50 |
$250 |
2.1× |
| Ot manual therapy 15 min (97140) |
$106.25 |
$125 |
3.8× |
| Ot paraffin bath (97018) |
$85 |
$100 |
14.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$72.25 |
$85 |
1.8× |
| Ot Re-Eval Est Plan Care (97168) |
$136 |
$160 |
2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$161.50 |
$190 |
1.3× |
| Phlebotomy therapeutic (99195) |
$235.45 |
$277 |
1.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$259.25 |
$305 |
4.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$212.50 |
$250 |
3.6× |
| Pm device progr eval dual (93280) |
$106.25 |
$125 |
2.8× |
| Pm device progr eval multi (93281) |
$51 |
$60 |
1.4× |
| Pm Device Progr Eval Sngl (93279) |
$106.25 |
$125 |
2.8× |
| Pt Eval High Complex (97163) |
$212.50 |
$250 |
2.2× |
| Pt eval low complex 20 min (97161) |
$212.50 |
$250 |
2.2× |
| Pt Eval Mod Complex (97162) |
$212.50 |
$250 |
2.2× |
| Pt gait training 15 min (97116) |
$68 |
$80 |
2.3× |
| Pt group caregiver training (97552) |
$23.80 |
$28 |
1.1× |
| Pt mechanical traction (97012) |
$93.50 |
$110 |
6.5× |
| Pt Re-Eval Est Plan Care (97164) |
$153 |
$180 |
2.3× |
| Pulm function test by gas (94727) |
$398.65 |
$469 |
1.8× |
| Pulmonary service/procedure (94799) |
$38.25 |
$45 |
0.3× |
| Pulmonary Stress Testing (94618) |
$148.75 |
$175 |
1.1× |
| Remote 30 Day Ecg Rev/Report (93270) |
$68 |
$80 |
1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$255 |
$300 |
1.3× |
| Self Care Mngment Training (97535) |
$85 |
$100 |
2.6× |
| Slp caregiver training 1st 30 min (97550) |
$106.25 |
$125 |
2.0× |
| Speech sound lang comprehen (92523) |
$403.75 |
$475 |
1.8× |
| Spirometry (94010) |
$212.50 |
$250 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$318.75 |
$375 |
3.1× |
| Stress Tte Only (93350) |
$2,040 |
$2,400 |
3.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$63.75 |
$75 |
2.8× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$68 |
$80 |
3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$63.75 |
$75 |
2.1× |
| Ther/Proph/Diag Inj Ia (96373) |
$255 |
$300 |
1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$97.75 |
$115 |
1.4× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$318.75 |
$375 |
1.5× |
| Therapeutic Activities (97530) |
$68 |
$80 |
1.9× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$487.90 |
$574 |
4.7× |
| Tte w/doppler, complete (93306) |
$1,785 |
$2,100 |
3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$276.25 |
$325 |
3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$127.50 |
$150 |
2.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$425 |
$500 |
3.2× |
| Vent Mgmt Inpat Init Day (94002) |
$1,275 |
$1,500 |
2.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,275 |
$1,500 |
2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$72.25 |
$85 |
2.3× |