| Admn Sarscov2 Vacc 1 Dose (90480) |
$25.50 |
$51 |
0.6× |
| Airway Inhalation Treatment (94640) |
$386.50 |
$773 |
1.8× |
| Airway resistance by oscillometry (94728) |
$555.50 |
$1,111 |
4.4× |
| Analyze neurostim complex (95972) |
$576 |
$1,152 |
6.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$128 |
$256 |
8.9× |
| Assessment of aphasia per hr (96105) |
$620.50 |
$1,241 |
6.4× |
| Behavral qualit analys voice (92524) |
$521.50 |
$1,043 |
4.8× |
| Biofeedback training any modality (90901) |
$163.50 |
$327 |
4.0× |
| Breath hydrogen/methane test (91065) |
$549.50 |
$1,099 |
2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$474 |
$948 |
1.3× |
| Canalith repositioning proc (95992) |
$42 |
$84 |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,942.50 |
$3,885 |
9.3× |
| Cardiopulmonary resuscitation (92950) |
$1,512 |
$3,024 |
7.2× |
| Cardioversion (92960) |
$3,530 |
$7,060 |
5.5× |
| 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) |
$25,564 |
$51,128 |
8.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$24,236.50 |
$48,473 |
7.7× |
| Cbt 1st hour (94644) |
$204 |
$408 |
1.6× |
| Chemo Anti-Neopl Sq/Im (96401) |
$250.50 |
$501 |
3.6× |
| Chemo IV infusion addl hr (96415) |
$161 |
$322 |
2.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$321.50 |
$643 |
1.0× |
| Chest Wall Manipulation (94668) |
$156 |
$312 |
1.2× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$468.50 |
$937 |
1.3× |
| Colon Motility 6 Hr Study (91117) |
$579 |
$1,158 |
2.8× |
| Color/duplex Doppler, complete (93975) |
$1,418 |
$2,836 |
6.1× |
| Color/duplex Doppler, limited (93976) |
$1,418 |
$2,836 |
14.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$65.50 |
$131 |
2.0× |
| Coronary Art/Grft Angio S&I (93455) |
$24,581 |
$49,162 |
7.8× |
| Coronary Artery Angio S&I (93454) |
$23,710 |
$47,420 |
7.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$432 |
$864 |
2.0× |
| Cpt initial (94667) |
$258.50 |
$517 |
2.0× |
| Critical care first hour (99291) |
$2,519 |
$5,038 |
3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$310 |
$620 |
1.6× |
| Duodenal motility study (91022) |
$1,656 |
$3,312 |
4.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$763 |
$1,526 |
7.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$775.50 |
$1,551 |
3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$802 |
$1,604 |
7.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$5,238.50 |
$10,477 |
22.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$3,211.50 |
$6,423 |
31.6× |
| Duplex up extrem art bilat (93930) |
$452 |
$904 |
1.9× |
| Duplex up extrem art unilat/ltd (93931) |
$452 |
$904 |
4.4× |
| Echo Heart Xthoracic,Limited (93308) |
$525.50 |
$1,051 |
2.3× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,137.50 |
$2,275 |
2.1× |
| Echo transesophageal (93312) |
$1,124 |
$2,248 |
2.1× |
| EEG awake and asleep (95819) |
$2,834.50 |
$5,669 |
13.5× |
| EEG awake drowsy (95816) |
$3,368 |
$6,736 |
16.1× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$245.50 |
$491 |
1.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$2,151.50 |
$4,303 |
10.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$245.50 |
$491 |
1.2× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$245.50 |
$491 |
1.2× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$471.50 |
$943 |
1.3× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$471.50 |
$943 |
1.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$245.50 |
$491 |
1.2× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$471.50 |
$943 |
1.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$79.50 |
$159 |
5.4× |
| Electrocardiogram Tracing (93005) |
$550 |
$1,100 |
9.6× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) |
$779 |
$1,558 |
3.7× |
| Emergency Dept Visit Level 2 (99282) |
$566.50 |
$1,133 |
3.8× |
| Emergency Dept Visit Level 3 (99283) |
$755.50 |
$1,511 |
2.8× |
| Emergency Dept Visit Level 4 (99284) |
$1,385.50 |
$2,771 |
3.4× |
| Endomyocardial Biopsy (93505) |
$2,235.50 |
$4,471 |
0.7× |
| Er level 1 (99281) |
$284 |
$568 |
3.5× |
| Er level v (99285) |
$1,952 |
$3,904 |
3.4× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$833 |
$1,666 |
2.3× |
| Evaluate pt use of inhaler (94664) |
$77.50 |
$155 |
0.4× |
| Evaluate Speech Production (92522) |
$67.50 |
$135 |
0.6× |
| Evaluate Swallowing Function (92610) |
$490 |
$980 |
5.8× |
| Evoked Auditory Test,Limited (92587) |
$71 |
$142 |
0.3× |
| External ECG rec>7d<15d recording (93246) |
$71.50 |
$143 |
2.0× |
| External Ecg Scanning Analysis Report (93226) |
$158.50 |
$317 |
2.8× |
| Extracranial Bilat Study (93880) |
$3,811 |
$7,622 |
16.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$903 |
$1,806 |
1.7× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$548 |
$1,096 |
2.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$148 |
$296 |
0.6× |
| Gastric motility studies (91020) |
$661.50 |
$1,323 |
1.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,013 |
$2,026 |
2.8× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$426 |
$852 |
2.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,336 |
$2,672 |
1.6× |
| Gi tract capsule endoscopy (91110) |
$1,187 |
$2,374 |
1.3× |
| Gi wireless capsule measure (91112) |
$971.50 |
$1,943 |
1.1× |
| Group Therapeutic Procedures (97150) |
$91.50 |
$183 |
5.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$27,761.50 |
$55,523 |
8.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$497 |
$994 |
0.7× |
| Holter monitor recording (93225) |
$2,057.50 |
$4,115 |
15.9× |
| Immunization administration (90471) |
$79.50 |
$159 |
1.1× |
| Insert/Place Heart Catheter (93503) |
$6,189.50 |
$12,379 |
4.0× |
| Iontophoresis 15 min (97033) |
$217.50 |
$435 |
11.4× |
| Irrig Drug Delivery Device (96523) |
$295.50 |
$591 |
5.2× |
| IV infusion hydration each additional hour (96361) |
$187.50 |
$375 |
4.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$375 |
$750 |
1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$187.50 |
$375 |
2.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$187.50 |
$375 |
4.1× |
| IV push initial (96374) |
$229 |
$458 |
1.1× |
| L Hrt Art/Grft Angio (93459) |
$22,312 |
$44,624 |
7.1× |
| Laryngeal Function Studies (92520) |
$202 |
$404 |
1.6× |
| Liver Elastography W/O Imag W/I&R (91200) |
$157.50 |
$315 |
1.3× |
| Methacholine challenge (94070) |
$1,754.50 |
$3,509 |
4.8× |
| Motility study esophagus (91010) |
$661.50 |
$1,323 |
1.8× |
| Motion Fluoroscopy/Swallow (92611) |
$456 |
$912 |
5.0× |
| Multiple Sleep Latency Test (95805) |
$4,712 |
$9,424 |
5.6× |
| Nasal function studies (92512) |
$185.50 |
$371 |
0.9× |
| Nasopharyngoscopy (92511) |
$184.50 |
$369 |
1.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$171.50 |
$343 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$745 |
$1,490 |
3.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$752.50 |
$1,505 |
1.9× |
| Nerve conduction studies 5-6 studies (95909) |
$340 |
$680 |
1.6× |
| Neuromuscular Reeducation (97112) |
$213.50 |
$427 |
6.5× |
| Oral Function Therapy (92526) |
$533 |
$1,066 |
6.3× |
| Oral Speech Device Eval (92597) |
$388 |
$776 |
5.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$193.50 |
$387 |
3.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$216 |
$432 |
4.7× |
| Ot eval high complexity (97167) |
$196 |
$392 |
1.9× |
| Ot Eval Low Complex (97165) |
$186.50 |
$373 |
1.9× |
| Ot Eval Moderate Complexity (97166) |
$191.50 |
$383 |
1.9× |
| Ot manual therapy 15 min (97140) |
$160.50 |
$321 |
5.8× |
| Ot paraffin bath (97018) |
$144.50 |
$289 |
24.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$216 |
$432 |
5.3× |
| Ot Re-Eval Est Plan Care (97168) |
$182.50 |
$365 |
2.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$210.50 |
$421 |
1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$497.50 |
$995 |
2.3× |
| Phlebotomy therapeutic (99195) |
$1,744.50 |
$3,489 |
13.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$216 |
$432 |
3.8× |
| Physical Performance Test (97750) |
$144.50 |
$289 |
4.3× |
| Plethysmography (94726) |
$422 |
$844 |
1.2× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines |
$2,946.50–$5,892 |
$5,893–$11,784 |
varies |
| Polysom <6 yrs 4/> paramtrs (95782) |
$5,515.50 |
$11,031 |
6.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$5,515.50 |
$11,031 |
6.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$13,127.50 |
$26,255 |
1.2× |
| Psychiatric diagnostic evaluation (90791) |
$139 |
$278 |
0.8× |
| Pt Eval High Complex (97163) |
$323.50 |
$647 |
3.3× |
| Pt eval low complex 20 min (97161) |
$289 |
$578 |
3.0× |
| Pt Eval Mod Complex (97162) |
$302 |
$604 |
3.1× |
| Pt gait training 15 min (97116) |
$73 |
$146 |
2.5× |
| Pt group caregiver training (97552) |
$10 |
$20 |
0.5× |
| Pt mechanical traction (97012) |
$189.50 |
$379 |
13.2× |
| Pt Re-Eval Est Plan Care (97164) |
$289 |
$578 |
4.3× |
| Pulm function test by gas (94727) |
$555.50 |
$1,111 |
2.6× |
| Pulmonary Stress Testing (94618) |
$290 |
$580 |
2.2× |
| R Hrt Art/Grft Angio (93457) |
$27,241 |
$54,482 |
8.6× |
| R hrt coronary artery angio (93456) |
$24,770 |
$49,540 |
7.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$23,407.50 |
$46,815 |
7.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$36.50 |
$73 |
1.0× |
| 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) |
$230 |
$460 |
6.3× |
| 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× |
| Right Heart Cath (93451) |
$12,900.50 |
$25,801 |
4.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$244 |
$488 |
1.3× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$104.50 |
$209 |
4.0× |
Self Care Mngment Training (97535)
range across 5 matching MRF lines |
$52–$65.50 |
$104–$131 |
varies |
| Sensory Integration Ea 15 Min (97533) |
$260 |
$520 |
4.3× |
| Sleep study attended (95807) |
$1,164 |
$2,328 |
3.2× |
| Sleep study unattended (95806) |
$680 |
$1,360 |
3.2× |
| Slp caregiver training 1st 30 min (97550) |
$43.50 |
$87 |
0.8× |
| Speech sound lang comprehen (92523) |
$145 |
$290 |
0.6× |
| Spirometry (94010) |
$466 |
$932 |
2.2× |
| Standardized Cognitive Performance Testing (96125) |
$214 |
$428 |
2.1× |
| Stress Tte Only (93350) |
$1,479 |
$2,958 |
2.8× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$187.50 |
$375 |
4.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$375 |
$750 |
1.8× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$187.50 |
$375 |
2.7× |
| Surfactant Admin Thru Tube (94610) |
$211 |
$422 |
1.0× |
| Temp transcutaneous pacing (92953) |
$376.50 |
$753 |
0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$181 |
$362 |
8.1× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$91 |
$182 |
4.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$119.50 |
$239 |
3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$199.50 |
$399 |
6.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$113 |
$226 |
1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$436 |
$872 |
6.2× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$375 |
$750 |
1.8× |
| Therapeutic Activities (97530) |
$80.50 |
$161 |
2.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$2,562.50 |
$5,125 |
7.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$24 |
$48 |
0.7× |
Tte w/doppler, complete (93306)
range across 2 matching MRF lines |
$928.50–$3,278 |
$1,857–$6,556 |
varies |
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines |
$928.50–$1,222.50 |
$1,857–$2,445 |
varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$267.50 |
$535 |
3.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$229 |
$458 |
5.0× |
| Unlisted cardiovascular service/procedure (93799) |
$3,592.50 |
$7,185 |
28.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$173 |
$346 |
1.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$309 |
$618 |
1.5× |
| Vasopneumatic device (97016) |
$87.50 |
$175 |
7.3× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$471.50 |
$943 |
1.3× |
| Veeg 2-12 hr intmt mntr (95712) |
$245.50 |
$491 |
0.7× |
| Veeg 2-12 hr unmonitored (95711) |
$245.50 |
$491 |
1.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$471.50 |
$943 |
1.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$471.50 |
$943 |
1.3× |
| Veeg ea 12-26hr cont mntr (95716) |
$882 |
$1,764 |
1.1× |
| Vent Mgmt Inpat Init Day (94002) |
$927 |
$1,854 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$601 |
$1,202 |
1.0× |
| Visual Evoked Potential Test (95930) |
$346.50 |
$693 |
1.7× |
| Vital capacity, total (94150) |
$163.50 |
$327 |
1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$85.50 |
$171 |
2.8× |
| Whirlpool Therapy (97022) |
$217 |
$434 |
13.8× |