| Actinotherapy Ultraviolet Light (96900) |
$57 |
$95 |
1.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$45 |
$75 |
1.1× |
Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$155.40–$171 |
$259–$285 |
varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$102 |
$170 |
7.1× |
| Application on-body injector (96377) |
$113.40 |
$189 |
2.4× |
| Assessment of aphasia per hr (96105) |
$171 |
$285 |
1.8× |
| Behavral qualit analys voice (92524) |
$237 |
$395 |
2.2× |
| Biofeedback training any modality (90901) |
$64.20 |
$107 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$373.20 |
$622 |
1.0× |
| C motor evoked uppr limbs (95928) |
$594.60 |
$991 |
0.7× |
| C motor evoked upr&lwr limbs (95939) |
$915 |
$1,525 |
1.1× |
| Canalith repositioning proc (95992) |
$59.40 |
$99 |
1.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$820.20 |
$1,367 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$498.60 |
$831 |
2.3× |
| Cardioversion (92960) |
$661.80 |
$1,103 |
1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$12,010.20 |
$20,017 |
3.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$10,353.60 |
$17,256 |
3.2× |
| Cbt 1st hour (94644) |
$51 |
$85 |
0.4× |
| Chemo Anti-Neopl Sq/Im (96401) |
$108.60 |
$181 |
1.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$108.60 |
$181 |
1.5× |
| Chemo IV infusion addl hr (96415) |
$343.80 |
$573 |
4.8× |
| Chemo IV push addl drug (96411) |
$591 |
$985 |
8.2× |
| Chemother Prolong Infuse W/Pump (96416) |
$948 |
$1,580 |
2.9× |
| Chemotherapy Into Cns (96450) |
$390 |
$650 |
1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$375.60 |
$626 |
5.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$1,085.40 |
$1,809 |
3.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$618.60 |
$1,031 |
1.9× |
| Chest Wall Manipulation (94668) |
$34.20 |
$57 |
0.3× |
| Color/duplex Doppler, complete (93975) |
$570 |
$950 |
2.4× |
| Color/duplex Doppler, limited (93976) |
$558.60 |
$931 |
5.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$41.40 |
$69 |
1.3× |
| Coronary Art/Grft Angio S&I (93455) |
$7,547.40 |
$12,579 |
2.3× |
| Coronary Artery Angio S&I (93454) |
$7,547.40 |
$12,579 |
2.3× |
Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$20.40–$411 |
$34–$685 |
varies |
| Cpt initial (94667) |
$343.20 |
$572 |
2.6× |
| Critical care first hour (99291) |
$1,854 |
$3,090 |
2.3× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$594.60 |
$991 |
1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$316.80 |
$528 |
1.6× |
| Dialysis One Evaluation (90945) |
$348 |
$580 |
0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$347.40 |
$579 |
1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$553.20 |
$922 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$542.40 |
$904 |
5.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$462 |
$770 |
1.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$563.40 |
$939 |
5.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$285 |
$475 |
1.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$135.60 |
$226 |
1.3× |
| Duplex Scan Hemodialysis Access (93990) |
$339.60 |
$566 |
3.3× |
| Duplex up extrem art bilat (93930) |
$247.20 |
$412 |
1.0× |
| Duplex up extrem art unilat/ltd (93931) |
$193.20 |
$322 |
1.9× |
| Echo Congenital Complete (93303) |
$822 |
$1,370 |
1.5× |
Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$554.40–$1,584.60 |
$924–$2,641 |
varies |
Echo transesophageal (93312) range across 2 matching MRF lines |
$916.80–$1,328.40 |
$1,528–$2,214 |
varies |
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$1,533–$3,295.80 |
$2,555–$5,493 |
varies |
| Eeg 41-60 Minutes (95812) |
$291 |
$485 |
1.4× |
| EEG awake and asleep (95819) |
$686.40 |
$1,144 |
3.2× |
| EEG awake drowsy (95816) |
$384.60 |
$641 |
1.8× |
| EEG cerebral death evaluation (95824) |
$579 |
$965 |
1.6× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$318.60 |
$531 |
1.5× |
| EEG extended monitoring 61-119 minutes (95813) |
$528 |
$880 |
2.5× |
| Eeg Sleep Only (95822) |
$323.40 |
$539 |
1.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$318.60 |
$531 |
1.5× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$318.60 |
$531 |
1.5× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$612 |
$1,020 |
1.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$612 |
$1,020 |
1.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$318.60 |
$531 |
1.5× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$612 |
$1,020 |
1.6× |
| Electrical Stimulation Ea 15 Min (97032) |
$147.60 |
$246 |
10.0× |
| Electrocardiogram Tracing (93005) |
$174 |
$290 |
3.0× |
| Electrophysiology Evaluation (93642) |
$1,401 |
$2,335 |
1.2× |
| Emergency Dept Visit Level 2 (99282) |
$452.40 |
$754 |
3.0× |
| Emergency Dept Visit Level 3 (99283) |
$966.60 |
$1,611 |
3.6× |
| Emergency Dept Visit Level 4 (99284) |
$1,480.80 |
$2,468 |
3.6× |
| Emg 3 Extremities (95863) |
$464.40 |
$774 |
3.6× |
| Emg 4 Extremities (95864) |
$429 |
$715 |
3.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$7,653.60 |
$12,756 |
1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$7,653.60 |
$12,756 |
1.0× |
| Er level 1 (99281) |
$411.60 |
$686 |
4.9× |
| Er level v (99285) |
$2,056.80 |
$3,428 |
3.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,523.40 |
$2,539 |
4.1× |
| Evaluate pt use of inhaler (94664) |
$424.20 |
$707 |
1.9× |
| Evaluate Speech Production (92522) |
$173.40 |
$289 |
1.5× |
| Evaluate Swallowing Function (92610) |
$253.80 |
$423 |
3.0× |
| Evaluation of speech fluency (92521) |
$193.20 |
$322 |
1.4× |
| Evoked Auditory Test,Limited (92587) |
$153 |
$255 |
0.7× |
| External Ecg Scanning Analysis Report (93226) |
$188.40 |
$314 |
3.2× |
| Extracranial Bilat Study (93880) |
$760.80 |
$1,268 |
3.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$419.40 |
$699 |
0.8× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$366 |
$610 |
1.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,311.20 |
$3,852 |
6.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$2,775 |
$4,625 |
3.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$12,010.20 |
$20,017 |
3.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$562.80 |
$938 |
0.8× |
| Icd Device Interrogate (93289) |
$60.60 |
$101 |
1.6× |
| Immunization administration (90471) |
$54.60 |
$91 |
0.8× |
| Insert/Place Heart Catheter (93503) |
$1,809.60 |
$3,016 |
1.2× |
| Iontophoresis 15 min (97033) |
$294.60 |
$491 |
15.5× |
| Irrig Drug Delivery Device (96523) |
$112.80 |
$188 |
1.9× |
| IV infusion hydration each additional hour (96361) |
$114.60 |
$191 |
2.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$343.80 |
$573 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$128.40 |
$214 |
1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$128.40 |
$214 |
2.8× |
| IV push initial (96374) |
$198.60 |
$331 |
0.9× |
| L Hrt Art/Grft Angio (93459) |
$10,353.60 |
$17,256 |
3.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$339 |
$565 |
1.6× |
Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$31.80–$401.40 |
$53–$669 |
varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$37.20 |
$62 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$37.20 |
$62 |
1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$96 |
$160 |
5.6× |
| Motility study esophagus (91010) |
$2,381.40 |
$3,969 |
6.4× |
| Motion Fluoroscopy/Swallow (92611) |
$178.20 |
$297 |
1.9× |
| Multiple Sleep Latency Test (95805) |
$1,863 |
$3,105 |
2.2× |
| Muscle Test 2 Limbs (95861) |
$510.60 |
$851 |
3.9× |
| Muscle Test Nonparaspinal (95870) |
$283.80 |
$473 |
2.1× |
| Muscle Test One Limb (95860) |
$362.40 |
$604 |
2.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$370.80 |
$618 |
0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$370.80 |
$618 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$263.40 |
$439 |
1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$284.40 |
$474 |
0.7× |
| Neuromuscular Reeducation (97112) |
$79.20 |
$132 |
2.4× |
| Oral Function Therapy (92526) |
$250.80 |
$418 |
3.0× |
| Oral Speech Device Eval (92597) |
$133.20 |
$222 |
1.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$61.20 |
$102 |
1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$81 |
$135 |
1.8× |
| Ot eval high complexity (97167) |
$171 |
$285 |
1.7× |
| Ot Eval Low Complex (97165) |
$171 |
$285 |
1.7× |
| Ot Eval Moderate Complexity (97166) |
$171 |
$285 |
1.7× |
| Ot manual therapy 15 min (97140) |
$183.60 |
$306 |
6.6× |
| Ot paraffin bath (97018) |
$44.40 |
$74 |
7.4× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$41.40 |
$69 |
1.0× |
| Ot Re-Eval Est Plan Care (97168) |
$124.80 |
$208 |
1.8× |
| Ot rom hand (95852) |
$95.40 |
$159 |
4.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$345.60 |
$576 |
2.7× |
| Peripheral arterial disease rehab per session (93668) |
$60.60 |
$101 |
1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$7,884.60 |
$13,141 |
1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$15,768.60 |
$26,281 |
1.4× |
| Phlebotomy therapeutic (99195) |
$223.20 |
$372 |
1.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$318 |
$530 |
5.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$279 |
$465 |
4.8× |
| Physical Performance Test (97750) |
$43.20 |
$72 |
1.3× |
| Plethysmography (94726) |
$366.60 |
$611 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,211.40 |
$7,019 |
4.9× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,552 |
$5,920 |
4.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,552 |
$5,920 |
4.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$15,768.60 |
$26,281 |
1.4× |
Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$15,768.60–$20,026.20 |
$26,281–$33,377 |
varies |
| Psychiatric diagnostic evaluation (90791) |
$57 |
$95 |
0.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$76.80 |
$128 |
2.0× |
| Pt Eval High Complex (97163) |
$181.80 |
$303 |
1.9× |
| Pt eval low complex 20 min (97161) |
$181.80 |
$303 |
1.9× |
| Pt Eval Mod Complex (97162) |
$181.80 |
$303 |
1.9× |
| Pt gait training 15 min (97116) |
$46.20 |
$77 |
1.6× |
| Pt mechanical traction (97012) |
$170.40 |
$284 |
11.9× |
| Pt Re-Eval Est Plan Care (97164) |
$96.60 |
$161 |
1.4× |
| Pulm function test by gas (94727) |
$326.40 |
$544 |
1.5× |
| Pulmonary service/procedure (94799) |
$181.20 |
$302 |
1.4× |
| Pulmonary Stress Testing (94618) |
$165 |
$275 |
1.2× |
| R Hrt Art/Grft Angio (93457) |
$6,004.80 |
$10,008 |
1.9× |
| R hrt coronary artery angio (93456) |
$6,004.80 |
$10,008 |
1.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$11,984.40 |
$19,974 |
3.7× |
| Refill/Maint Portable Pump (96521) |
$163.80 |
$273 |
0.8× |
| Refill/Maint Pump/Resvr Syst (96522) |
$163.80 |
$273 |
0.8× |
| Respiratory flow volume loop (94375) |
$318 |
$530 |
1.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$63.60 |
$106 |
1.1× |
| Right Heart Cath (93451) |
$5,992.20 |
$9,987 |
1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$157.80 |
$263 |
0.8× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$120 |
$200 |
4.6× |
| Self Care Mngment Training (97535) |
$64.80 |
$108 |
2.0× |
| Sensory Integration Ea 15 Min (97533) |
$48 |
$80 |
0.8× |
| Short-latency somatosens ep std upr limbs (95925) |
$263.40 |
$439 |
1.2× |
| Sleep study attended (95807) |
$729.60 |
$1,216 |
2.0× |
| Sleep study unattended (95806) |
$480 |
$800 |
2.2× |
| Somatosensory Testing (95938) |
$652.20 |
$1,087 |
0.8× |
| Speech sound lang comprehen (92523) |
$273 |
$455 |
1.2× |
| Spirometry (94010) |
$286.80 |
$478 |
1.3× |
| Ssep lower limbs (95926) |
$263.40 |
$439 |
1.2× |
| Standardized Cognitive Performance Testing (96125) |
$189 |
$315 |
1.8× |
| Stress Tte Only (93350) |
$1,303.20 |
$2,172 |
2.4× |
| Surfactant Admin Thru Tube (94610) |
$237 |
$395 |
1.1× |
| Temp transcutaneous pacing (92953) |
$324.60 |
$541 |
0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$43.20 |
$72 |
1.9× |
Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$43.20–$47.40 |
$72–$79 |
varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$67.80 |
$113 |
1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$40.80 |
$68 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$129 |
$215 |
1.8× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$457.80 |
$763 |
2.2× |
| Therapeutic Activities (97530) |
$63.60 |
$106 |
1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$36 |
$60 |
1.0× |
Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,335–$1,789.20 |
$2,225–$2,982 |
varies |
| Tte W/O Doppler Complete (93307) |
$729 |
$1,215 |
3.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$286.20 |
$477 |
3.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$100.20 |
$167 |
4.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$198.60 |
$331 |
4.3× |
| Unlisted cardiovascular service/procedure (93799) |
$945 |
$1,575 |
7.4× |
| Upr/L Xtremity Art 2 Levels (93922) |
$297.60 |
$496 |
2.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$297.60 |
$496 |
1.4× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$612 |
$1,020 |
1.6× |
| Veeg 2-12 hr intmt mntr (95712) |
$318.60 |
$531 |
0.9× |
| Veeg 2-12 hr unmonitored (95711) |
$318.60 |
$531 |
1.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$612 |
$1,020 |
1.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$612 |
$1,020 |
1.6× |
| Veeg ea 12-26hr cont mntr (95716) |
$1,145.40 |
$1,909 |
1.3× |
| Vital capacity, total (94150) |
$115.20 |
$192 |
0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$30 |
$50 |
1.0× |
| Whirlpool Therapy (97022) |
$123.60 |
$206 |
7.9× |