| Admn Sarscov2 Vacc 1 Dose (90480) |
$18.50 |
$37 |
0.5× |
| Airway Inhalation Treatment (94640) |
$230 |
$460 |
1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$143 |
$286 |
10.0× |
| Biofeedback training any modality (90901) |
$163.50 |
$327 |
4.0× |
| Breath hydrogen/methane test (91065) |
$1,657.50 |
$3,315 |
7.9× |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$329–$388.50 |
$658–$777 |
varies |
| Canalith repositioning proc (95992) |
$33.50 |
$67 |
0.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$509.50 |
$1,019 |
2.4× |
| Cardiopulmonary exercise testing (94621) |
$535.50 |
$1,071 |
1.5× |
| Cardiopulmonary resuscitation (92950) |
$440.50 |
$881 |
2.1× |
| Cardioversion (92960) |
$627.50 |
$1,255 |
1.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$22 |
$44 |
0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$3,728 |
$7,456 |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,728 |
$7,456 |
1.2× |
| Cbt 1st hour (94644) |
$320 |
$640 |
2.5× |
| Chemo Anti-Neopl Sq/Im (96401) |
$163.50 |
$327 |
2.3× |
| Chest Wall Manipulation (94668) |
$77 |
$154 |
0.6× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$356 |
$712 |
1.0× |
| Colon Motility 6 Hr Study (91117) |
$411.50 |
$823 |
2.0× |
| Color/duplex Doppler, complete (93975) |
$1,181 |
$2,362 |
5.1× |
| Color/duplex Doppler, limited (93976) |
$352.50 |
$705 |
3.5× |
| Continuous Pulse Ox (94762) |
$164.50 |
$329 |
1.3× |
| Coronary Art/Grft Angio S&I (93455) |
$3,728 |
$7,456 |
1.2× |
| Coronary Artery Angio S&I (93454) |
$3,728 |
$7,456 |
1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$188 |
$376 |
0.9× |
| Cpt initial (94667) |
$157.50 |
$315 |
1.2× |
| Critical care first hour (99291) |
$2,204 |
$4,408 |
2.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$241 |
$482 |
1.2× |
| Duodenal motility study (91022) |
$2,309.50 |
$4,619 |
6.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$237 |
$474 |
1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$636 |
$1,272 |
6.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$391 |
$782 |
1.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$216 |
$432 |
2.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$406.50 |
$813 |
1.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$408 |
$816 |
4.0× |
| Duplex Scan Hemodialysis Access (93990) |
$203.50 |
$407 |
2.0× |
| Duplex up extrem art bilat (93930) |
$391 |
$782 |
1.7× |
| Duplex up extrem art unilat/ltd (93931) |
$196 |
$392 |
1.9× |
| Echo Heart Xthoracic,Limited (93308) |
$535.50 |
$1,071 |
2.3× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,520.50 |
$3,041 |
2.9× |
| Echo transesophageal (93312) |
$1,408.50 |
$2,817 |
2.7× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,738.50 |
$3,477 |
8.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$113.50 |
$227 |
7.7× |
| Electrocardiogram Tracing (93005) |
$144.50 |
$289 |
2.5× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) |
$1,086 |
$2,172 |
5.2× |
| Emergency Dept Visit Level 2 (99282) |
$440.50 |
$881 |
3.0× |
| Emergency Dept Visit Level 3 (99283) |
$630 |
$1,260 |
2.4× |
| Emergency Dept Visit Level 4 (99284) |
$975.50 |
$1,951 |
2.4× |
| Er level 1 (99281) |
$252 |
$504 |
3.1× |
| Er level v (99285) |
$1,291.50 |
$2,583 |
2.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,162 |
$2,324 |
3.2× |
| Evaluate pt use of inhaler (94664) |
$230 |
$460 |
1.1× |
| Evaluate Swallowing Function (92610) |
$252.50 |
$505 |
3.0× |
| Evaluation of speech fluency (92521) |
$252.50 |
$505 |
1.9× |
| Exercise test for bronchospasm (94617) |
$465.50 |
$931 |
3.6× |
| External Ecg Scanning Analysis Report (93226) |
$303.50 |
$607 |
5.3× |
| Extracranial Bilat Study (93880) |
$615 |
$1,230 |
2.7× |
| Extracranial Uni/Ltd Study (93882) |
$389.50 |
$779 |
3.8× |
| Gastric motility studies (91020) |
$1,070.50 |
$2,141 |
3.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$888.50 |
$1,777 |
2.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$595 |
$1,190 |
2.8× |
| Gi tract capsule endoscopy (91110) |
$256.50 |
$513 |
0.3× |
| Gi wireless capsule measure (91112) |
$733 |
$1,466 |
0.8× |
| Group Therapeutic Procedures (97150) |
$104.50 |
$209 |
5.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$3,728 |
$7,456 |
1.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$497 |
$994 |
0.7× |
| Holter monitor recording (93225) |
$303.50 |
$607 |
2.3× |
| Immunization administration (90471) |
$148 |
$296 |
2.1× |
| Iontophoresis 15 min (97033) |
$218.50 |
$437 |
11.5× |
| Irrig Drug Delivery Device (96523) |
$63 |
$126 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$104.50 |
$209 |
2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$209 |
$418 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$96.50 |
$193 |
1.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$101 |
$202 |
2.2× |
| IV push initial (96374) |
$209 |
$418 |
1.0× |
| L Hrt Art/Grft Angio (93459) |
$3,728 |
$7,456 |
1.2× |
| Liver Elastography W/O Imag W/I&R (91200) |
$368.50 |
$737 |
2.9× |
| Lung Function Test (Mbc/Mvv) (94200) |
$141.50 |
$283 |
2.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$166 |
$332 |
0.8× |
| Motility study esophagus (91010) |
$1,070.50 |
$2,141 |
3.0× |
| Motion Fluoroscopy/Swallow (92611) |
$128 |
$256 |
1.4× |
| Multiple Sleep Latency Test (95805) |
$1,138 |
$2,276 |
1.4× |
| Nasal function studies (92512) |
$185.50 |
$371 |
0.9× |
| Nasopharyngoscopy (92511) |
$184.50 |
$369 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$116 |
$232 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$309.50 |
$619 |
0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$149.50 |
$299 |
0.7× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$456 |
$912 |
1.3× |
| Nerve conduction studies 13 or more studies (95913) |
$456 |
$912 |
1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$253 |
$506 |
1.2× |
| Nerve conduction studies 5-6 studies (95909) |
$253 |
$506 |
1.2× |
| Nerve conduction studies 7-8 studies (95910) |
$253 |
$506 |
0.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$456 |
$912 |
1.3× |
| Neuromuscular Reeducation (97112) |
$150 |
$300 |
4.6× |
| Oral Function Therapy (92526) |
$194.50 |
$389 |
2.3× |
| Oral Speech Device Eval (92597) |
$258 |
$516 |
3.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$50 |
$100 |
1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$170.50 |
$341 |
3.7× |
| Ot Contrast Bath Ea 15 Min (97034) |
$135.50 |
$271 |
9.7× |
| Ot eval high complexity (97167) |
$174 |
$348 |
1.7× |
| Ot Eval Low Complex (97165) |
$74 |
$148 |
0.7× |
| Ot Eval Moderate Complexity (97166) |
$334 |
$668 |
3.3× |
| Ot manual therapy 15 min (97140) |
$75 |
$150 |
2.7× |
| Ot paraffin bath (97018) |
$135.50 |
$271 |
22.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$174 |
$348 |
4.3× |
| Ot Re-Eval Est Plan Care (97168) |
$138 |
$276 |
2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$140 |
$280 |
1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$296 |
$592 |
1.4× |
| Phlebotomy therapeutic (99195) |
$88 |
$176 |
0.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$100.50 |
$201 |
1.8× |
| Plethysmography (94726) |
$188 |
$376 |
0.5× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$767–$1,051 |
$1,534–$2,102 |
varies |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,305.50 |
$4,611 |
2.8× |
| Pt Eval High Complex (97163) |
$377 |
$754 |
3.9× |
| Pt eval low complex 20 min (97161) |
$311.50 |
$623 |
3.2× |
| Pt Eval Mod Complex (97162) |
$342.50 |
$685 |
3.5× |
| Pt gait training 15 min (97116) |
$152 |
$304 |
5.2× |
| Pt group caregiver training (97552) |
$10 |
$20 |
0.5× |
| Pt mechanical traction (97012) |
$175.50 |
$351 |
12.2× |
| Pt Re-Eval Est Plan Care (97164) |
$120.50 |
$241 |
1.8× |
| Pulm function test by gas (94727) |
$187.50 |
$375 |
0.9× |
| Pulmonary Stress Testing (94618) |
$180.50 |
$361 |
1.4× |
| R Hrt Art/Grft Angio (93457) |
$3,728 |
$7,456 |
1.2× |
| R hrt coronary artery angio (93456) |
$3,728 |
$7,456 |
1.2× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$3,728 |
$7,456 |
1.2× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$35 |
$70 |
1.0× |
| Rem ther mntr dev sply resp (98976) |
$35 |
$70 |
1.0× |
| Remote 30 Day Ecg Rev/Report (93270) |
$182 |
$364 |
5.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$114 |
$228 |
0.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$25 |
$50 |
0.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$25 |
$50 |
0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$125 |
$250 |
0.6× |
| Self Care Mngment Training (97535) |
$144.50 |
$289 |
4.5× |
| Sensory Integration Ea 15 Min (97533) |
$102.50 |
$205 |
1.7× |
| Slp caregiver training 1st 30 min (97550) |
$43.50 |
$87 |
0.8× |
| Speech sound lang comprehen (92523) |
$252.50 |
$505 |
1.1× |
| Spirometry (94010) |
$180.50 |
$361 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$504 |
$1,008 |
4.9× |
| Surfactant Admin Thru Tube (94610) |
$146 |
$292 |
0.7× |
| Temp transcutaneous pacing (92953) |
$275.50 |
$551 |
0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$137.50 |
$275 |
6.1× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$69 |
$138 |
3.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$137.50 |
$275 |
3.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$146 |
$292 |
4.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$97.50 |
$195 |
1.4× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$209 |
$418 |
1.0× |
Therapeutic Activities (97530) range across 3 matching MRF lines |
$73–$170 |
$146–$340 |
varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$80.50 |
$161 |
2.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$36 |
$72 |
1.0× |
| Tte w/doppler, complete (93306) |
$1,880.50 |
$3,761 |
3.5× |
| Tte W/O Doppler Complete (93307) |
$984 |
$1,968 |
4.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$194.50 |
$389 |
2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$61 |
$122 |
1.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$189 |
$378 |
1.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$352 |
$704 |
1.7× |
| Vasopneumatic device (97016) |
$130 |
$260 |
10.8× |
| Vent Mgmt Inpat Init Day (94002) |
$492 |
$984 |
0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$492 |
$984 |
0.8× |
| Visual Evoked Potential Test (95930) |
$215 |
$430 |
1.0× |
| Vital capacity, total (94150) |
$180.50 |
$361 |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$191.50 |
$383 |
6.2× |
| Whirlpool Therapy (97022) |
$234 |
$468 |
14.9× |