| Actinotherapy Ultraviolet Light (96900) |
$52.80 |
$88 |
1.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$197.40 |
$329 |
1.0× |
| Aep neurodiagnostic i&r (92653) |
$373.80 |
$623 |
1.8× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$373.80 |
$623 |
1.8× |
| Airway Inhalation Treatment (94640) |
$263.40 |
$439 |
1.3× |
| Analyze neurostim complex (95972) |
$600 |
$1,000 |
6.6× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$519 |
$865 |
2.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$68.40 |
$114 |
4.8× |
| Application on-body injector (96377) |
$94.20 |
$157 |
2.1× |
| Assessment of aphasia per hr (96105) |
$233.40 |
$389 |
2.4× |
| Behavral qualit analys voice (92524) |
$243.60 |
$406 |
2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$418.20 |
$697 |
1.2× |
| Car seat/bed test 60 min (94780) |
$240 |
$400 |
6.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$739.80 |
$1,233 |
3.6× |
| Cardiopulmonary resuscitation (92950) |
$653.40 |
$1,089 |
3.2× |
Cardioversion (92960)
range across 3 matching MRF lines |
$793.80–$1,131 |
$1,323–$1,885 |
varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$10,023.60 |
$16,706 |
3.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$9,116.40 |
$15,194 |
2.9× |
| Cbt 1st hour (94644) |
$159 |
$265 |
1.2× |
| Chemo Anti-Neopl Sq/Im (96401) |
$189 |
$315 |
2.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$154.80 |
$258 |
2.2× |
| Chemo Ia Push (96420) |
$450.60 |
$751 |
1.4× |
| Chemo IV infusion addl hr (96415) |
$177.60 |
$296 |
2.6× |
| Chemo IV push addl drug (96411) |
$217.20 |
$362 |
3.1× |
| Chemotherapy Unspecified (96549) |
$142.80 |
$238 |
3.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$221.40 |
$369 |
3.2× |
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines |
$450.60–$519.60 |
$751–$866 |
varies |
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines |
$332.40–$519.60 |
$554–$866 |
varies |
| Chest Wall Manipulation (94668) |
$159 |
$265 |
1.2× |
| Cmptr ophth dx img ant segmt (92132) |
$78.60 |
$131 |
1.4× |
| Color/duplex Doppler, complete (93975) |
$795 |
$1,325 |
3.5× |
| Color/duplex Doppler, limited (93976) |
$555.60 |
$926 |
5.5× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$91.80 |
$153 |
1.6× |
| Computerized Ophthalmic Imaging Retina (92134) |
$101.40 |
$169 |
1.8× |
| Continuous Pulse Ox (94762) |
$231.60 |
$386 |
1.9× |
| Corneal Topography (92025) |
$96.60 |
$161 |
1.7× |
| Coronary Art/Grft Angio S&I (93455) |
$7,561.80 |
$12,603 |
2.4× |
| Coronary Artery Angio S&I (93454) |
$7,051.80 |
$11,753 |
2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$422.40 |
$704 |
2.0× |
| Cpt initial (94667) |
$130.20 |
$217 |
1.0× |
Critical care first hour (99291)
range across 3 matching MRF lines |
$1,950–$2,048.40 |
$3,250–$3,414 |
varies |
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines |
$253.80–$297.73 |
$423–$496.21 |
varies |
| Dialysis One Evaluation (90945) |
$513.60 |
$856 |
1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$636 |
$1,060 |
2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$428.40 |
$714 |
4.3× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$435 |
$725 |
4.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$816.60 |
$1,361 |
3.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$556.80 |
$928 |
5.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$879.60 |
$1,466 |
3.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$602.40 |
$1,004 |
6.0× |
| Duplex up extrem art bilat (93930) |
$729 |
$1,215 |
3.2× |
| Duplex up extrem art unilat/ltd (93931) |
$498 |
$830 |
5.0× |
| ECG/monitoring and analysis (93271) |
$420 |
$700 |
4.6× |
| Echo Heart Xthoracic,Limited (93308) |
$564 |
$940 |
2.5× |
| Echo transesophag congen probe plcmt only (93316) |
$831 |
$1,385 |
1.6× |
| Echo transesophageal (93312) |
$1,598.40 |
$2,664 |
3.0× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,282.80 |
$2,138 |
2.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,380 |
$2,300 |
2.6× |
| Eeg 41-60 Minutes (95812) |
$780.60 |
$1,301 |
3.8× |
| EEG awake and asleep (95819) |
$759.60 |
$1,266 |
3.7× |
| EEG awake drowsy (95816) |
$697.20 |
$1,162 |
3.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$930.60 |
$1,551 |
4.5× |
| Eeg Sleep Only (95822) |
$706.20 |
$1,177 |
3.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$194.40 |
$324 |
2.1× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$67.20 |
$112 |
1.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$73.80 |
$123 |
5.0× |
| Electrocardiogram Tracing (93005) |
$181.80 |
$303 |
3.2× |
| Emergency Dept Visit Level 2 (99282) |
$357 |
$595 |
2.4× |
| Emergency Dept Visit Level 3 (99283) |
$470.40 |
$784 |
1.8× |
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines |
$659.40–$779.40 |
$1,099–$1,299 |
varies |
| Endomyocardial Biopsy (93505) |
$4,043.40 |
$6,739 |
1.3× |
| Er level 1 (99281) |
$211.20 |
$352 |
2.6× |
Er level v (99285)
range across 4 matching MRF lines |
$720–$1,125 |
$1,200–$1,875 |
varies |
| Evaluate pt use of inhaler (94664) |
$286.80 |
$478 |
1.4× |
| Evaluate Speech Production (92522) |
$223.80 |
$373 |
2.0× |
| Evaluate Swallowing Function (92610) |
$253.80 |
$423 |
3.0× |
| Evaluation of speech fluency (92521) |
$210 |
$350 |
1.6× |
| External ECG rec>7d<15d recording (93246) |
$85.80 |
$143 |
2.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$159 |
$265 |
1.2× |
| External Ecg Scanning Analysis Report (93226) |
$421.80 |
$703 |
7.5× |
| Extracranial Bilat Study (93880) |
$801.60 |
$1,336 |
3.5× |
| Extracranial Uni/Ltd Study (93882) |
$487.80 |
$813 |
4.9× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$682.80 |
$1,138 |
1.3× |
| Fluorescein angiography (92235) |
$514.80 |
$858 |
2.5× |
| Fundus photography (92250) |
$142.20 |
$237 |
1.1× |
| Gonioscopy (92020) |
$159 |
$265 |
1.2× |
| Group Therapeutic Procedures (97150) |
$76.20 |
$127 |
4.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$10,648.80 |
$17,748 |
3.4× |
| Icd Device Interrogate (93289) |
$90.60 |
$151 |
2.5× |
| Ilr Device Eval Progr (93285) |
$132 |
$220 |
3.7× |
Immunization administration (90471)
range across 4 matching MRF lines |
$100.80–$111 |
$168–$185 |
varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
$373.80 |
$623 |
1.8× |
| Inital newborn e/m (99460) |
$690 |
$1,150 |
5.4× |
| Insert/Place Heart Catheter (93503) |
$2,837.40 |
$4,729 |
1.9× |
| Iontophoresis 15 min (97033) |
$83.40 |
$139 |
4.4× |
| Irrig Drug Delivery Device (96523) |
$115.80 |
$193 |
2.0× |
| IV infusion hydration each additional hour (96361) |
$135 |
$225 |
3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$317.40 |
$529 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$155.40 |
$259 |
2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$159 |
$265 |
3.5× |
| IV push initial (96374) |
$284.40 |
$474 |
1.4× |
| L Hrt Art/Grft Angio (93459) |
$9,604.80 |
$16,008 |
3.1× |
| Lung Function Test (Mbc/Mvv) (94200) |
$142.80 |
$238 |
2.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$41.40 |
$69 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$44.40 |
$74 |
1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$36.60 |
$61 |
2.1× |
| Motion Fluoroscopy/Swallow (92611) |
$320.40 |
$534 |
3.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$383.40 |
$639 |
0.9× |
| Multiple Family Group Psychotherapy (90849) |
$367.80 |
$613 |
2.2× |
| Muscle Test 2 Limbs (95861) |
$356.40 |
$594 |
2.8× |
| Muscle Test Nonparaspinal (95870) |
$257.40 |
$429 |
2.0× |
| Muscle Test One Limb (95860) |
$227.40 |
$379 |
1.8× |
| Nasopharyngoscopy (92511) |
$229.80 |
$383 |
1.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$373.80 |
$623 |
1.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$373.80 |
$623 |
1.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$220.20 |
$367 |
1.1× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$197.40 |
$329 |
1.0× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$689.40 |
$1,149 |
1.9× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$373.80 |
$623 |
1.8× |
| Nerve conduction studies 5-6 studies (95909) |
$373.80 |
$623 |
1.8× |
| Nerve conduction studies 7-8 studies (95910) |
$373.80 |
$623 |
1.0× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$689.40 |
$1,149 |
1.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$238.80 |
$398 |
1.9× |
| Neuromuscular Reeducation (97112) |
$85.20 |
$142 |
2.6× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$174 |
$290 |
1.4× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$135 |
$225 |
1.1× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$168 |
$280 |
1.3× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$168 |
$280 |
1.3× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$168 |
$280 |
1.3× |
| Oral Function Therapy (92526) |
$184.80 |
$308 |
2.2× |
| Oral Speech Device Eval (92597) |
$268.80 |
$448 |
3.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$88.80 |
$148 |
1.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$58.80 |
$98 |
4.2× |
| Ot eval high complexity (97167) |
$254.40 |
$424 |
2.5× |
| Ot Eval Low Complex (97165) |
$188.40 |
$314 |
1.9× |
| Ot Eval Moderate Complexity (97166) |
$220.20 |
$367 |
2.2× |
| Ot manual therapy 15 min (97140) |
$86.40 |
$144 |
3.1× |
| Ot paraffin bath (97018) |
$58.20 |
$97 |
9.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$75.60 |
$126 |
1.9× |
| Ot Re-Eval Est Plan Care (97168) |
$131.40 |
$219 |
1.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$265.80 |
$443 |
1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$8,368.20 |
$13,947 |
1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$14,188.20 |
$23,647 |
1.3× |
| Phlebotomy therapeutic (99195) |
$159 |
$265 |
1.2× |
| Plethysmography (94726) |
$315 |
$525 |
0.9× |
| Pm device eval in person (93288) |
$131.40 |
$219 |
3.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$14,605.20 |
$24,342 |
1.3× |
| Prq Card Stent/Ath/Angio (92933) |
$22,686 |
$37,810 |
1.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$14,188.20 |
$23,647 |
1.3× |
| Psych diag eval w/med srvcs (90792) |
$189 |
$315 |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$205.20 |
$342 |
1.2× |
| Psytx Crisis Initial 60 Min (90839) |
$189 |
$315 |
1.1× |
| Pt Eval High Complex (97163) |
$236.40 |
$394 |
2.4× |
| Pt eval low complex 20 min (97161) |
$181.80 |
$303 |
1.9× |
| Pt Eval Mod Complex (97162) |
$209.40 |
$349 |
2.1× |
| Pt gait training 15 min (97116) |
$78.60 |
$131 |
2.7× |
| Pt mechanical traction (97012) |
$73.20 |
$122 |
5.1× |
| Pt Re-Eval Est Plan Care (97164) |
$126 |
$210 |
1.9× |
| Pulmonary service/procedure (94799) |
$179.40 |
$299 |
1.5× |
| R hrt coronary artery angio (93456) |
$8,646 |
$14,410 |
2.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$9,080.40 |
$15,134 |
2.9× |
| Refill/Maint Pump/Resvr Syst (96522) |
$289.20 |
$482 |
1.4× |
| Remote 30 Day Ecg Rev/Report (93270) |
$219.60 |
$366 |
6.1× |
| Respiratory flow volume loop (94375) |
$373.80 |
$623 |
1.8× |
| Right Heart Cath (93451) |
$5,926.20 |
$9,877 |
1.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$139.80 |
$233 |
2.9× |
| Self Care Mngment Training (97535) |
$83.40 |
$139 |
2.6× |
| Sensory Integration Ea 15 Min (97533) |
$67.80 |
$113 |
1.1× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$507.60 |
$846 |
2.5× |
| Speech sound lang comprehen (92523) |
$316.20 |
$527 |
1.4× |
| Spirometry (94010) |
$228 |
$380 |
1.1× |
| Standardized Cognitive Performance Testing (96125) |
$226.80 |
$378 |
2.2× |
| Stress Tte Only (93350) |
$1,166.40 |
$1,944 |
2.2× |
| Temp transcutaneous pacing (92953) |
$793.80 |
$1,323 |
1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$72 |
$120 |
3.2× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$42.60 |
$71 |
2.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$64.80 |
$108 |
2.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$184.80 |
$308 |
1.8× |
| Ther/Proph/Diag Inj Ia (96373) |
$289.20 |
$482 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$105 |
$175 |
1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$353.40 |
$589 |
1.7× |
| Therapeutic Activities (97530) |
$86.40 |
$144 |
2.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$39.60 |
$66 |
1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$37.20 |
$62 |
1.0× |
| Tte w/doppler, complete (93306) |
$1,496.40 |
$2,494 |
2.9× |
| Tte W/O Doppler Complete (93307) |
$985.80 |
$1,643 |
4.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$189.60 |
$316 |
2.5× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$82.80 |
$138 |
3.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$138 |
$230 |
3.1× |
| Upr/L Xtremity Art 2 Levels (93922) |
$355.20 |
$592 |
2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$555.60 |
$926 |
2.7× |
| Vent Mgmt Inpat Init Day (94002) |
$975.60 |
$1,626 |
1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$832.80 |
$1,388 |
1.4× |
| Visual Field Exam Extended (92083) |
$159 |
$265 |
1.2× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$99 |
$165 |
1.7× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$120.60 |
$201 |
2.1× |
| Vital capacity, total (94150) |
$197.40 |
$329 |
1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$73.80 |
$123 |
2.4× |
| Whirlpool Therapy (97022) |
$79.20 |
$132 |
5.0× |