| Aep neurodiagnostic i&r (92653) |
$424.85 |
$1,465 |
2.0× |
| Airway Inhalation Treatment (94640) |
$21.75 |
$75 |
0.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$35.38 |
$122 |
2.5× |
| Assessment of aphasia per hr (96105) |
$153.99 |
$531 |
1.6× |
| Behavral qualit analys voice (92524) |
$155.15 |
$535 |
1.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$54.81 |
$189 |
0.7× |
| Bfb training ea addl 15 min (90913) |
$55.10 |
$190 |
1.7× |
| Bis Xtracell Fluid Analysis (93702) |
$53.65 |
$185 |
0.4× |
| Blink reflex test (95933) |
$150.80 |
$520 |
2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$237.51 |
$819 |
0.6× |
| C motor evoked upr&lwr limbs (95939) |
$825.63 |
$2,847 |
1.0× |
| Canalith repositioning proc (95992) |
$88.45 |
$305 |
2.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$941.63 |
$3,247 |
4.4× |
| Cardiopulmonary resuscitation (92950) |
$775.75 |
$2,675 |
3.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$35.96 |
$124 |
1.4× |
| Cbt 1st hour (94644) |
$67.57 |
$233 |
0.5× |
| Chemo Anti-Neopl Sq/Im (96401) |
$145 |
$500 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$145 |
$500 |
2.0× |
| Chemo IV infusion addl hr (96415) |
$261 |
$900 |
3.6× |
| Chemo IV push addl drug (96411) |
$261 |
$900 |
3.6× |
| Chemother Prolong Infuse W/Pump (96416) |
$522 |
$1,800 |
1.6× |
| Chemotherapy Unspecified (96549) |
$261 |
$900 |
5.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$261 |
$900 |
3.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$435 |
$1,500 |
1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$275.50 |
$950 |
0.8× |
| Chest Wall Manipulation (94668) |
$75.40 |
$260 |
0.6× |
Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$356.41–$679.18 |
$1,229–$2,342 |
varies |
| Color/duplex Doppler, limited (93976) |
$356.41 |
$1,229 |
3.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$35.96 |
$124 |
1.1× |
| Continuous Pulse Ox (94762) |
$210.25 |
$725 |
1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$570.72 |
$1,968 |
2.6× |
| Cpt initial (94667) |
$75.40 |
$260 |
0.6× |
| Critical care first hour (99291) |
$1,523.37 |
$5,253 |
1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$202.13 |
$697 |
1.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$679.18 |
$2,342 |
2.8× |
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$617.41–$1,234.82 |
$2,129–$4,258 |
varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,234.53 |
$4,257 |
5.2× |
Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$587.83–$617.41 |
$2,027–$2,129 |
varies |
| Duplex up extrem art bilat (93930) |
$679.18 |
$2,342 |
2.8× |
Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$617.41–$1,234.82 |
$2,129–$4,258 |
varies |
| Echo Heart Xthoracic,Limited (93308) |
$432.39 |
$1,491 |
1.8× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,556.14 |
$5,366 |
2.8× |
| Echo transesophageal (93312) |
$1,789.59 |
$6,171 |
3.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,789.59 |
$6,171 |
3.3× |
Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$550.13–$607.84 |
$1,897–$2,096 |
varies |
| EEG awake and asleep (95819) |
$626.11 |
$2,159 |
2.9× |
| EEG awake drowsy (95816) |
$626.11 |
$2,159 |
2.9× |
| EEG cerebral death evaluation (95824) |
$725.58 |
$2,502 |
1.9× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$1,631.25 |
$5,625 |
7.5× |
| EEG extended monitoring 61-119 minutes (95813) |
$825.63 |
$2,847 |
3.8× |
| Eeg Sleep Only (95822) |
$725.58 |
$2,502 |
3.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$357.28 |
$1,232 |
1.7× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$715.14 |
$2,466 |
1.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$98.02 |
$338 |
1.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$38.86 |
$134 |
1.0× |
| Electrical Stimulation Ea 15 Min (97032) |
$35.38 |
$122 |
2.4× |
| Electrocardiogram Tracing (93005) |
$194.59 |
$671 |
3.3× |
| Emergency Dept Visit Level 2 (99282) |
$229.10 |
$790 |
1.5× |
| Emergency Dept Visit Level 3 (99283) |
$435 |
$1,500 |
1.6× |
| Emergency Dept Visit Level 4 (99284) |
$671.35 |
$2,315 |
1.6× |
| Er level 1 (99281) |
$139.20 |
$480 |
1.6× |
| Er level v (99285) |
$1,057.34 |
$3,646 |
1.8× |
| Evaluate pt use of inhaler (94664) |
$85.26 |
$294 |
0.4× |
| Evaluate Speech Production (92522) |
$106.43 |
$367 |
1.0× |
| Evaluate Swallowing Function (92610) |
$149.06 |
$514 |
1.8× |
| Evaluation of speech fluency (92521) |
$127.89 |
$441 |
1.0× |
| External Ecg Scanning Analysis Report (93226) |
$750.23 |
$2,587 |
12.7× |
| Extracranial Bilat Study (93880) |
$563.47 |
$1,943 |
2.4× |
| Extracranial Uni/Ltd Study (93882) |
$283.62 |
$978 |
2.7× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$149.06 |
$514 |
0.7× |
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 3 matching MRF lines |
$671.64–$763.86 |
$2,316–$2,634 |
varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,231.63 |
$4,247 |
1.4× |
| Gi tract capsule endoscopy (91110) |
$1,469.43 |
$5,067 |
1.6× |
| Group Therapeutic Procedures (97150) |
$33.93 |
$117 |
1.9× |
| Holter monitor recording (93225) |
$191.11 |
$659 |
1.4× |
| Immunization administration (90471) |
$94.25 |
$325 |
1.3× |
| Iontophoresis 15 min (97033) |
$35.38 |
$122 |
1.9× |
| Irrig Drug Delivery Device (96523) |
$75.69 |
$261 |
1.3× |
| IV infusion hydration each additional hour (96361) |
$108.46 |
$374 |
2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$166.75 |
$575 |
0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$108.46 |
$374 |
1.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$108.46 |
$374 |
2.3× |
| IV push initial (96374) |
$191.69 |
$661 |
0.9× |
| Liver Elastography W/O Imag W/I&R (91200) |
$196.91 |
$679 |
1.5× |
| Lung Function Test (Mbc/Mvv) (94200) |
$107.30 |
$370 |
1.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$711.08 |
$2,452 |
3.3× |
| Mechanical chest wall oscillation per session (94669) |
$85.26 |
$294 |
0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$25.23 |
$87 |
0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$25.23 |
$87 |
0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$16.53 |
$57 |
1.0× |
| Methacholine challenge (94070) |
$605.23 |
$2,087 |
1.6× |
| Motility study esophagus (91010) |
$764.15 |
$2,635 |
2.0× |
| Motion Fluoroscopy/Swallow (92611) |
$149.06 |
$514 |
1.6× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$133.40 |
$460 |
0.3× |
| Multiple Sleep Latency Test (95805) |
$1,684.32 |
$5,808 |
2.0× |
| Muscle Test 2 Limbs (95861) |
$481.40 |
$1,660 |
3.6× |
| Muscle Test One Limb (95860) |
$240.70 |
$830 |
1.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$215.47 |
$743 |
1.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$344.52 |
$1,188 |
0.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$351.77 |
$1,213 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$202.13 |
$697 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$360.76 |
$1,244 |
0.9× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$293.77 |
$1,013 |
1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,117.08 |
$3,852 |
3.0× |
| Nerve conduction studies 13 or more studies (95913) |
$1,293.69 |
$4,461 |
3.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$411.80 |
$1,420 |
1.9× |
| Nerve conduction studies 5-6 studies (95909) |
$510.98 |
$1,762 |
2.4× |
| Nerve conduction studies 7-8 studies (95910) |
$764.15 |
$2,635 |
2.0× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$940.47 |
$3,243 |
2.5× |
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$225.04–$258.68 |
$776–$892 |
varies |
| Neuromuscular Reeducation (97112) |
$35.38 |
$122 |
1.1× |
| Newborn resuscitation (99465) |
$775.75 |
$2,675 |
1.2× |
| Oral Function Therapy (92526) |
$129.05 |
$445 |
1.5× |
| Oral Speech Device Eval (92597) |
$109.33 |
$377 |
1.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$43.79 |
$151 |
0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$35.38 |
$122 |
0.8× |
| Oscillating Tracking Test (92545) |
$118.61 |
$409 |
0.5× |
| Ot eval high complexity (97167) |
$95.12 |
$328 |
0.9× |
| Ot Eval Low Complex (97165) |
$90.77 |
$313 |
0.9× |
| Ot Eval Moderate Complexity (97166) |
$92.80 |
$320 |
0.9× |
| Ot manual therapy 15 min (97140) |
$35.38 |
$122 |
1.3× |
| Ot paraffin bath (97018) |
$35.96 |
$124 |
6.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$43.79 |
$151 |
1.1× |
| Ot Re-Eval Est Plan Care (97168) |
$61.77 |
$213 |
0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$98.02 |
$338 |
0.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$98.02 |
$338 |
0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$153.12 |
$528 |
0.7× |
| Peripheral arterial disease rehab per session (93668) |
$73.95 |
$255 |
1.3× |
| Phlebotomy therapeutic (99195) |
$185.31 |
$639 |
1.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$97.15 |
$335 |
1.6× |
Plethysmography (94726) range across 3 matching MRF lines |
$210.25–$420.50 |
$725–$1,450 |
varies |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$1,505.10–$2,974.53 |
$5,190–$10,257 |
varies |
| Positional nystagmus test (92542) |
$118.61 |
$409 |
0.9× |
| Pt Eval High Complex (97163) |
$95.12 |
$328 |
1.0× |
| Pt eval low complex 20 min (97161) |
$90.77 |
$313 |
0.9× |
| Pt Eval Mod Complex (97162) |
$98.60 |
$340 |
1.0× |
| Pt gait training 15 min (97116) |
$35.38 |
$122 |
1.2× |
| Pt mechanical traction (97012) |
$35.38 |
$122 |
2.5× |
| Pt Re-Eval Est Plan Care (97164) |
$61.77 |
$213 |
0.9× |
| Pulm function test by gas (94727) |
$210.25 |
$725 |
1.0× |
| Pulmonary Stress Testing (94618) |
$247.08 |
$852 |
1.9× |
| Refill/Maint Portable Pump (96521) |
$232 |
$800 |
1.1× |
| Refill/Maint Pump/Resvr Syst (96522) |
$232 |
$800 |
1.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$185.60 |
$640 |
3.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$195.75 |
$675 |
1.0× |
| Self Care Mngment Training (97535) |
$35.38 |
$122 |
1.1× |
| Sleep study attended (95807) |
$1,254.54 |
$4,326 |
3.4× |
| Slp caregiver training 1st 30 min (97550) |
$71.92 |
$248 |
1.4× |
| Somatosensory Testing (95938) |
$825.63 |
$2,847 |
1.0× |
| Speech sound lang comprehen (92523) |
$214.60 |
$740 |
0.9× |
| Spirometry (94010) |
$186.76 |
$644 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$132.82 |
$458 |
1.3× |
| Surfactant Admin Thru Tube (94610) |
$87.87 |
$303 |
0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$35.38 |
$122 |
1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$35.38 |
$122 |
1.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$35.38 |
$122 |
1.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$35.38 |
$122 |
1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$108.75 |
$375 |
1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$191.98 |
$662 |
0.9× |
| Therapeutic Activities (97530) |
$46.40 |
$160 |
1.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$1,358.07 |
$4,683 |
3.6× |
| Tte w/doppler, complete (93306) |
$1,789.59 |
$6,171 |
3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$84.10 |
$290 |
1.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$33.93 |
$117 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$108.17 |
$373 |
2.3× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$180.38 |
$622 |
6.2× |
| Upr/L Xtremity Art 2 Levels (93922) |
$470.38 |
$1,622 |
3.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$646.41 |
$2,229 |
3.0× |
| Vasopneumatic device (97016) |
$35.96 |
$124 |
3.0× |
| Veeg 2-12 hr unmonitored (95711) |
$939.31 |
$3,239 |
4.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,056.18 |
$3,642 |
2.8× |
| Vent Mgmt Inpat Init Day (94002) |
$691.07 |
$2,383 |
1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$691.07 |
$2,383 |
1.1× |
| Visual Evoked Potential Test (95930) |
$646.41 |
$2,229 |
3.0× |
| Vital capacity, total (94150) |
$86.71 |
$299 |
0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$35.38 |
$122 |
1.1× |
| Whirlpool Therapy (97022) |
$35.96 |
$124 |
2.3× |