| Admn Sarscov2 Vacc 1 Dose (90480) |
$34 |
$68 |
0.9× |
| Airway Inhalation Treatment (94640) |
$158.50 |
$317 |
0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$118 |
$236 |
8.2× |
| Application on-body injector (96377) |
$23 |
$46 |
0.5× |
| Assessment of aphasia per hr (96105) |
$407 |
$814 |
4.2× |
| Behavral qualit analys voice (92524) |
$201.50 |
$403 |
1.8× |
| Biofeedback training any modality (90901) |
$163.50 |
$327 |
4.0× |
| Breath hydrogen/methane test (91065) |
$1,181.50 |
$2,363 |
5.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$388.50 |
$777 |
1.1× |
| Canalith repositioning proc (95992) |
$33.50 |
$67 |
0.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$805 |
$1,610 |
4.0× |
| Cardiopulmonary exercise testing (94621) |
$871 |
$1,742 |
2.5× |
| Cardiopulmonary resuscitation (92950) |
$382.50 |
$765 |
1.9× |
| Cardioversion (92960) |
$941 |
$1,882 |
1.5× |
| 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) |
$9,224.50 |
$18,449 |
3.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$7,940 |
$15,880 |
2.6× |
| Cbt 1st hour (94644) |
$123 |
$246 |
1.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$86 |
$172 |
1.3× |
| Chemo IV infusion addl hr (96415) |
$54 |
$108 |
0.8× |
| Chemo IV push addl drug (96411) |
$67.50 |
$135 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$34.50 |
$69 |
0.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$99.50 |
$199 |
0.3× |
| Chest Wall Manipulation (94668) |
$153.50 |
$307 |
1.2× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$461 |
$922 |
1.3× |
| Colon Motility 6 Hr Study (91117) |
$665 |
$1,330 |
3.3× |
| Color/duplex Doppler, complete (93975) |
$1,544 |
$3,088 |
7.0× |
| Computerized Ophthalmic Imaging Retina (92134) |
$57 |
$114 |
1.0× |
| Continuous Pulse Ox (94762) |
$301 |
$602 |
2.5× |
| Corneal Topography (92025) |
$102.50 |
$205 |
1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$202 |
$404 |
1.0× |
| Cpt initial (94667) |
$158.50 |
$317 |
1.3× |
| Critical care first hour (99291) |
$2,204 |
$4,408 |
2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$194.50 |
$389 |
1.0× |
| Dialysis One Evaluation (90945) |
$335 |
$670 |
0.9× |
| Duodenal motility study (91022) |
$2,625 |
$5,250 |
7.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$830.50 |
$1,661 |
8.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,072 |
$2,144 |
4.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$418 |
$836 |
4.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,066 |
$2,132 |
4.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$749 |
$1,498 |
7.7× |
| Duplex Scan Hemodialysis Access (93990) |
$203.50 |
$407 |
2.1× |
| Duplex up extrem art bilat (93930) |
$1,072 |
$2,144 |
4.8× |
| Duplex up extrem art unilat/ltd (93931) |
$418 |
$836 |
4.3× |
| ECG/monitoring and analysis (93271) |
$140 |
$280 |
1.6× |
| Echo Congenital Complete (93303) |
$1,021.50 |
$2,043 |
2.0× |
| Echo Heart Xthoracic,Limited (93308) |
$289.50 |
$579 |
1.3× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,072.50 |
$2,145 |
2.1× |
| Echo transesophageal (93312) |
$1,377.50 |
$2,755 |
2.7× |
| Eeg 41-60 Minutes (95812) |
$1,160 |
$2,320 |
5.8× |
| EEG awake and asleep (95819) |
$1,043.50 |
$2,087 |
5.2× |
| EEG awake drowsy (95816) |
$797 |
$1,594 |
4.0× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$273.50 |
$547 |
1.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$2,776 |
$5,552 |
13.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$273.50 |
$547 |
1.4× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$273.50 |
$547 |
1.4× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$524.50 |
$1,049 |
1.5× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$524.50 |
$1,049 |
1.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$273.50 |
$547 |
1.4× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$524.50 |
$1,049 |
1.5× |
| Electrical Stimulation Ea 15 Min (97032) |
$206 |
$412 |
14.0× |
| Electrocardiogram Tracing (93005) |
$257 |
$514 |
4.7× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) |
$1,234 |
$2,468 |
6.1× |
| Emergency Dept Visit Level 2 (99282) |
$440.50 |
$881 |
3.1× |
| Emergency Dept Visit Level 3 (99283) |
$630 |
$1,260 |
2.5× |
| Emergency Dept Visit Level 4 (99284) |
$975.50 |
$1,951 |
2.5× |
| Er level 1 (99281) |
$252 |
$504 |
3.2× |
| Er level v (99285) |
$1,291.50 |
$2,583 |
2.3× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,320.50 |
$2,641 |
3.8× |
| Evaluate pt use of inhaler (94664) |
$77.50 |
$155 |
0.4× |
| Evaluate Speech Production (92522) |
$328 |
$656 |
2.9× |
| Evaluate Swallowing Function (92610) |
$328 |
$656 |
3.9× |
| Evaluation of speech fluency (92521) |
$187 |
$374 |
1.4× |
| External ECG rec>48hr<7d recording (93242) |
$39 |
$78 |
1.1× |
| External ECG rec>7d<15d recording (93246) |
$63.50 |
$127 |
1.8× |
| External Ecg Scanning Analysis Report (93226) |
$1,569.50 |
$3,139 |
28.6× |
| Extracranial Bilat Study (93880) |
$826.50 |
$1,653 |
3.7× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$219.50 |
$439 |
1.1× |
| Gastric motility studies (91020) |
$1,424 |
$2,848 |
4.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,907.50 |
$5,815 |
8.4× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$676 |
$1,352 |
3.4× |
| Gi tract capsule endoscopy (91110) |
$1,946.50 |
$3,893 |
2.3× |
| Gi wireless capsule measure (91112) |
$2,036 |
$4,072 |
2.4× |
| Group Therapeutic Procedures (97150) |
$55.50 |
$111 |
3.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$497 |
$994 |
0.8× |
| Holter monitor recording (93225) |
$1,569.50 |
$3,139 |
12.7× |
| Immunization administration (90471) |
$121 |
$242 |
1.8× |
| Iontophoresis 15 min (97033) |
$178 |
$356 |
9.3× |
| IV infusion hydration each additional hour (96361) |
$78.50 |
$157 |
1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$371 |
$742 |
1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$108 |
$216 |
1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$121 |
$242 |
2.8× |
| IV push initial (96374) |
$231.50 |
$463 |
1.2× |
| Liver Elastography W/O Imag W/I&R (91200) |
$557 |
$1,114 |
4.7× |
| Lung Function Test (Mbc/Mvv) (94200) |
$116.50 |
$233 |
2.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$810 |
$1,620 |
4.0× |
| Motility study esophagus (91010) |
$1,424 |
$2,848 |
4.1× |
| Motion Fluoroscopy/Swallow (92611) |
$198 |
$396 |
2.2× |
| Nasal function studies (92512) |
$185.50 |
$371 |
0.9× |
| Nasopharyngoscopy (92511) |
$178.50 |
$357 |
1.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$125 |
$250 |
0.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$389 |
$778 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$125 |
$250 |
0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$172 |
$344 |
0.5× |
| Neuromuscular Reeducation (97112) |
$111.50 |
$223 |
3.4× |
| Oral Function Therapy (92526) |
$198 |
$396 |
2.4× |
| Oral Speech Device Eval (92597) |
$164.50 |
$329 |
2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$50 |
$100 |
1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$131 |
$262 |
2.8× |
| Ot eval high complexity (97167) |
$229.50 |
$459 |
2.3× |
| Ot Eval Low Complex (97165) |
$188 |
$376 |
1.9× |
| Ot Eval Moderate Complexity (97166) |
$206 |
$412 |
2.0× |
| Ot manual therapy 15 min (97140) |
$152 |
$304 |
5.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$131 |
$262 |
3.2× |
| Ot Re-Eval Est Plan Care (97168) |
$124 |
$248 |
1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$158.50 |
$317 |
1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$328 |
$656 |
1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$106 |
$212 |
1.9× |
| Plethysmography (94726) |
$213 |
$426 |
0.6× |
| Pm/Icd Remote Tech Serv (93296) |
$91 |
$182 |
2.6× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines |
$965.50–$1,932 |
$1,931–$3,864 |
varies |
| Pt Eval High Complex (97163) |
$229.50 |
$459 |
2.3× |
| Pt eval low complex 20 min (97161) |
$188 |
$376 |
1.9× |
| Pt Eval Mod Complex (97162) |
$206 |
$412 |
2.1× |
| Pt gait training 15 min (97116) |
$111.50 |
$223 |
3.8× |
| Pt group caregiver training (97552) |
$10 |
$20 |
0.5× |
| Pt mechanical traction (97012) |
$206 |
$412 |
14.3× |
| Pt Re-Eval Est Plan Care (97164) |
$111.50 |
$223 |
1.7× |
| Pulm function test by gas (94727) |
$291 |
$582 |
1.4× |
| Pulmonary Stress Testing (94618) |
$232.50 |
$465 |
1.9× |
| 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) |
$375 |
$750 |
10.8× |
| 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) |
$106.50 |
$213 |
0.6× |
| Self Care Mngment Training (97535) |
$108 |
$216 |
3.3× |
| Sensory Integration Ea 15 Min (97533) |
$118 |
$236 |
1.9× |
| Slp caregiver training 1st 30 min (97550) |
$43.50 |
$87 |
0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$712.50 |
$1,425 |
3.5× |
| Speech sound lang comprehen (92523) |
$328 |
$656 |
1.4× |
| Spirometry (94010) |
$237 |
$474 |
1.2× |
| Standardized Cognitive Performance Testing (96125) |
$198 |
$396 |
1.9× |
| Surfactant Admin Thru Tube (94610) |
$154 |
$308 |
0.8× |
| Temp transcutaneous pacing (92953) |
$354 |
$708 |
0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$131 |
$262 |
5.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$65.50 |
$131 |
3.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$131 |
$262 |
3.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$118 |
$236 |
4.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$198 |
$396 |
1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$122 |
$244 |
1.8× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$480 |
$960 |
2.4× |
| Therapeutic Activities (97530) |
$111.50 |
$223 |
3.2× |
| Tte w/doppler, complete (93306) |
$1,238 |
$2,476 |
2.4× |
| Tte W/O Doppler Complete (93307) |
$605 |
$1,210 |
2.7× |
| Tx atrial fib pulm vein isol (93656) |
$16,961 |
$33,922 |
0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$198 |
$396 |
2.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$102 |
$204 |
4.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$180.50 |
$361 |
4.1× |
| Upr/L Xtremity Art 2 Levels (93922) |
$493 |
$986 |
4.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$645.50 |
$1,291 |
3.2× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$524.50 |
$1,049 |
1.5× |
| Veeg 2-12 hr intmt mntr (95712) |
$273.50 |
$547 |
0.8× |
| Veeg 2-12 hr unmonitored (95711) |
$273.50 |
$547 |
1.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$524.50 |
$1,049 |
1.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$524.50 |
$1,049 |
1.5× |
| Veeg ea 12-26hr cont mntr (95716) |
$981.50 |
$1,963 |
1.2× |
| Vent Mgmt Inpat Init Day (94002) |
$1,172 |
$2,344 |
2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$905.50 |
$1,811 |
1.6× |
| Visual Evoked Potential Test (95930) |
$278.50 |
$557 |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$106 |
$212 |
3.4× |
Whirlpool Therapy (97022)
range across 3 matching MRF lines |
$66.50–$242.50 |
$133–$485 |
varies |