| Admn Sarscov2 Vacc 1 Dose (90480) |
$80 |
$160 |
2.0× |
| Airway Inhalation Treatment (94640) |
$110 |
$220 |
0.5× |
| Analyze neurostim complex (95972) |
$205 |
$410 |
2.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$83 |
$166 |
5.8× |
| Application on-body injector (96377) |
$26.50 |
$53 |
0.6× |
| Behavral qualit analys voice (92524) |
$270.50 |
$541 |
2.5× |
| Biofeedback training any modality (90901) |
$163.50 |
$327 |
4.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$501 |
$1,002 |
1.4× |
| Canalith repositioning proc (95992) |
$158.50 |
$317 |
3.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,012.50 |
$2,025 |
4.9× |
| Cardiopulmonary resuscitation (92950) |
$414.50 |
$829 |
2.0× |
| Cardioversion (92960) |
$1,102 |
$2,204 |
1.7× |
| 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) |
$7,424 |
$14,848 |
2.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$7,077 |
$14,154 |
2.3× |
| Cbt 1st hour (94644) |
$262 |
$524 |
2.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$359 |
$718 |
5.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$149 |
$298 |
2.1× |
| Chemo IV infusion addl hr (96415) |
$215.50 |
$431 |
3.1× |
| Chemo IV push addl drug (96411) |
$359 |
$718 |
5.2× |
| Chemother Prolong Infuse W/Pump (96416) |
$565.50 |
$1,131 |
1.8× |
| Chemotherapy Unspecified (96549) |
$72 |
$144 |
1.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$247.50 |
$495 |
3.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$565.50 |
$1,131 |
1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$359 |
$718 |
1.1× |
| Chest Wall Manipulation (94668) |
$104 |
$208 |
0.8× |
| Color/duplex Doppler, complete (93975) |
$868 |
$1,736 |
3.8× |
| Color/duplex Doppler, limited (93976) |
$656 |
$1,312 |
6.5× |
| Continuous Pulse Ox (94762) |
$368.50 |
$737 |
3.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$297 |
$594 |
1.4× |
| Cpt initial (94667) |
$131 |
$262 |
1.0× |
| Critical care first hour (99291) |
$2,204 |
$4,408 |
2.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$286 |
$572 |
1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$733.50 |
$1,467 |
3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$592 |
$1,184 |
5.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$742 |
$1,484 |
3.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$607 |
$1,214 |
6.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,051.50 |
$2,103 |
4.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$660 |
$1,320 |
6.5× |
| Duplex up extrem art bilat (93930) |
$680 |
$1,360 |
2.9× |
| Duplex up extrem art unilat/ltd (93931) |
$527 |
$1,054 |
5.2× |
| Echo Heart Xthoracic,Limited (93308) |
$575.50 |
$1,151 |
2.5× |
| Echo transesophageal (93312) |
$1,528 |
$3,056 |
2.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,026.50 |
$2,053 |
1.9× |
| Eeg 41-60 Minutes (95812) |
$809.50 |
$1,619 |
3.9× |
| EEG awake and asleep (95819) |
$883 |
$1,766 |
4.2× |
| EEG awake drowsy (95816) |
$830 |
$1,660 |
4.0× |
| EEG cerebral death evaluation (95824) |
$883 |
$1,766 |
2.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,138 |
$2,276 |
5.5× |
| Eeg Sleep Only (95822) |
$864 |
$1,728 |
4.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$369.50 |
$739 |
1.8× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$1,058.50 |
$2,117 |
2.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$488.50 |
$977 |
5.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$407 |
$814 |
11.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$86.50 |
$173 |
5.9× |
| Electrocardiogram Tracing (93005) |
$267 |
$534 |
4.7× |
| Electrophysiology Evaluation (93642) |
$2,536 |
$5,072 |
2.2× |
| 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× |
| Evaluate pt use of inhaler (94664) |
$147.50 |
$295 |
0.7× |
| Evaluate Speech Production (92522) |
$270.50 |
$541 |
2.4× |
| Evaluate Swallowing Function (92610) |
$282 |
$564 |
3.3× |
| Evaluation of speech fluency (92521) |
$270.50 |
$541 |
2.0× |
| External ECG rec>7d<15d recording (93246) |
$68 |
$136 |
1.9× |
| External Ecg Scanning Analysis Report (93226) |
$620 |
$1,240 |
10.9× |
| Extracranial Bilat Study (93880) |
$894.50 |
$1,789 |
3.9× |
| Extracranial Uni/Ltd Study (93882) |
$568.50 |
$1,137 |
5.6× |
| Gi tract capsule endoscopy (91110) |
$2,181 |
$4,362 |
2.5× |
| Gi wireless capsule measure (91112) |
$654.50 |
$1,309 |
0.7× |
| Group Therapeutic Procedures (97150) |
$72 |
$144 |
4.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$7,817 |
$15,634 |
2.5× |
| Holter monitor recording (93225) |
$531.50 |
$1,063 |
4.1× |
| Immunization administration (90471) |
$84.50 |
$169 |
1.2× |
| Insert/Place Heart Catheter (93503) |
$2,185.50 |
$4,371 |
1.4× |
| Iontophoresis 15 min (97033) |
$105.50 |
$211 |
5.5× |
| Irrig Drug Delivery Device (96523) |
$137.50 |
$275 |
2.4× |
| IV infusion hydration each additional hour (96361) |
$158.50 |
$317 |
3.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$469 |
$938 |
2.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$192 |
$384 |
2.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$162 |
$324 |
3.6× |
| IV push initial (96374) |
$212 |
$424 |
1.0× |
| L Hrt Art/Grft Angio (93459) |
$7,169 |
$14,338 |
2.3× |
| Lung Function Test (Mbc/Mvv) (94200) |
$174 |
$348 |
3.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,037.50 |
$2,075 |
5.0× |
| Methacholine challenge (94070) |
$661 |
$1,322 |
1.8× |
| Motion Fluoroscopy/Swallow (92611) |
$289 |
$578 |
3.2× |
| Multiple Sleep Latency Test (95805) |
$1,937.50 |
$3,875 |
2.3× |
| Nasal function studies (92512) |
$185.50 |
$371 |
0.9× |
| Nasopharyngoscopy (92511) |
$225.50 |
$451 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$124 |
$248 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$331 |
$662 |
0.8× |
| Neuromuscular Reeducation (97112) |
$81 |
$162 |
2.5× |
| Newborn resuscitation (99465) |
$472.50 |
$945 |
0.7× |
| Oral Function Therapy (92526) |
$193.50 |
$387 |
2.3× |
| Oral Speech Device Eval (92597) |
$202.50 |
$405 |
2.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$46.50 |
$93 |
0.9× |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines |
$43–$78 |
$86–$156 |
varies |
| Ot eval high complexity (97167) |
$185 |
$370 |
1.8× |
| Ot Eval Low Complex (97165) |
$166 |
$332 |
1.7× |
| Ot Eval Moderate Complexity (97166) |
$175.50 |
$351 |
1.7× |
| Ot manual therapy 15 min (97140) |
$95.50 |
$191 |
3.4× |
| Ot paraffin bath (97018) |
$53.50 |
$107 |
8.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$78 |
$156 |
1.9× |
| Ot Re-Eval Est Plan Care (97168) |
$97.50 |
$195 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$183 |
$366 |
1.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$92 |
$184 |
0.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$250.50 |
$501 |
1.2× |
| Peripheral arterial disease rehab per session (93668) |
$171.50 |
$343 |
3.0× |
| Phlebotomy therapeutic (99195) |
$185 |
$370 |
1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$179.50 |
$359 |
3.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$79 |
$158 |
1.4× |
| Plethysmography (94726) |
$389.50 |
$779 |
1.1× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines |
$1,517–$3,034 |
$3,034–$6,068 |
varies |
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines |
$968.50–$1,937.50 |
$1,937–$3,875 |
varies |
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 2 matching MRF lines |
$968.50–$1,937.50 |
$1,937–$3,875 |
varies |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$11,224 |
$22,448 |
1.0× |
| Pt Eval High Complex (97163) |
$181 |
$362 |
1.8× |
| Pt eval low complex 20 min (97161) |
$161.50 |
$323 |
1.7× |
| Pt Eval Mod Complex (97162) |
$171 |
$342 |
1.7× |
| Pt gait training 15 min (97116) |
$75.50 |
$151 |
2.6× |
| Pt group caregiver training (97552) |
$10 |
$20 |
0.5× |
| Pt mechanical traction (97012) |
$75.50 |
$151 |
5.3× |
| Pt Re-Eval Est Plan Care (97164) |
$103.50 |
$207 |
1.5× |
| Pulmonary Stress Testing (94618) |
$232.50 |
$465 |
1.8× |
| R hrt coronary artery angio (93456) |
$5,744.50 |
$11,489 |
1.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$5,129 |
$10,258 |
1.6× |
| Refill/Maint Portable Pump (96521) |
$331 |
$662 |
1.6× |
| 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 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× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$121.50 |
$243 |
2.1× |
| Right Heart Cath (93451) |
$4,645.50 |
$9,291 |
1.5× |
| Self Care Mngment Training (97535) |
$72 |
$144 |
2.2× |
| Sensory Integration Ea 15 Min (97533) |
$56 |
$112 |
0.9× |
| Sleep study attended (95807) |
$1,937.50 |
$3,875 |
5.4× |
| Slp caregiver training 1st 30 min (97550) |
$43.50 |
$87 |
0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$474 |
$948 |
2.3× |
| Speech sound lang comprehen (92523) |
$270.50 |
$541 |
1.2× |
| Spirometry (94010) |
$334.50 |
$669 |
1.6× |
| Standardized Cognitive Performance Testing (96125) |
$150 |
$300 |
1.5× |
| Stress Tte Only (93350) |
$1,110.50 |
$2,221 |
2.1× |
| Temp transcutaneous pacing (92953) |
$532.50 |
$1,065 |
0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$21 |
$42 |
0.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$11 |
$22 |
0.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$82.50 |
$165 |
2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$78 |
$156 |
2.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$230.50 |
$461 |
5.1× |
| Ther/Proph/Diag Inj Ia (96373) |
$145 |
$290 |
0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$117.50 |
$235 |
1.7× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$518 |
$1,036 |
2.5× |
| Therapeutic Activities (97530) |
$88 |
$176 |
2.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$1,173 |
$2,346 |
3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$32 |
$64 |
0.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$56 |
$112 |
1.5× |
| Tte w/doppler, complete (93306) |
$1,552.50 |
$3,105 |
2.9× |
| Tte W/O Doppler Complete (93307) |
$740 |
$1,480 |
3.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$202.50 |
$405 |
2.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$207 |
$414 |
4.6× |
| Upr/L Xtremity Art 2 Levels (93922) |
$576 |
$1,152 |
4.5× |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines |
$779.50–$796 |
$1,559–$1,592 |
varies |
| Valvuloplasty aortic valve (92986) |
$3,801.50 |
$7,603 |
0.7× |
| Vent Mgmt Inpat Init Day (94002) |
$738 |
$1,476 |
1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$600.50 |
$1,201 |
1.0× |
| Vital capacity, total (94150) |
$156 |
$312 |
1.3× |
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines |
$70–$74.50 |
$140–$149 |
varies |