| Airway inhalation treatment (94640) |
$328.50 |
$438 |
1.6× |
| Assessment of aphasia (96105) |
$114 |
$152 |
1.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$160.50 |
$214 |
1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$203.62 |
$271.50 |
0.6× |
| Canalith Repositioning (95992) |
$43.50 |
$58 |
1.1× |
| Capsule endoscopy (91110) |
$1,362 |
$1,816 |
1.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$695.25 |
$927 |
3.3× |
| Cardiopulmonary resuscitation (92950) |
$537.75 |
$717 |
2.6× |
| Cardioversion (92960) |
$447 |
$596 |
0.7× |
| Cardioversion internal (92961) |
$642.75 |
$857 |
1.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$4,381.50 |
$5,842 |
1.4× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$4,419 |
$5,892 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$4,381.50 |
$5,842 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$4,381.50 |
$5,842 |
1.4× |
| Cbt 1st hour (94644) |
$83.25 |
$111 |
0.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$90 |
$120 |
1.3× |
| Chemo IV push addl drug (96411) |
$120.75 |
$161 |
1.7× |
| Chemo Iv Push Sngl Drug (96409) |
$240.75 |
$321 |
0.8× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$441.75 |
$589 |
1.4× |
| Chemother, IV infusion, 1 hr (96413) |
$441.75 |
$589 |
1.4× |
| Chemother, IV infusion, ea add hr (96415) |
$66 |
$88 |
1.0× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$144.75 |
$193 |
2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$66 |
$88 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$367.50 |
$490 |
1.6× |
| Color/duplex Doppler, limited (93976) |
$268.12 |
$357.50 |
2.7× |
| Coronary artery angio s&i (93454) |
$4,381.50 |
$5,842 |
1.4× |
| Cpap initiation and management (94660) |
$183.75 |
$245 |
0.9× |
| Cpt initial (94667) |
$72 |
$96 |
0.6× |
| Critical care (99291) |
$1,125 |
$1,500 |
1.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$269.62 |
$359.50 |
1.4× |
| Demo &/or eval,pt use,aerosol device (94664) |
$124.50 |
$166 |
0.6× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$643.50 |
$858 |
1.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$386.25 |
$515 |
1.7× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$201.75 |
$269 |
2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$888 |
$1,184 |
3.9× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$744.75 |
$993 |
7.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$232.88 |
$310.50 |
1.0× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$177.38 |
$236.50 |
1.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$742.50 |
$990 |
7.4× |
| Duplex hemodialysis access (93990) |
$209.25 |
$279 |
2.1× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$216.75 |
$289 |
0.9× |
| Duplex scan extracranial art compl bi study (93880) |
$1,158.75 |
$1,545 |
5.0× |
| Echo Heart Xthoracic,Limited (93308) |
$896.62 |
$1,195.50 |
3.9× |
| Echo transesophageal (93312) |
$924 |
$1,232 |
1.8× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,483.50 |
$1,978 |
2.8× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,483.50 |
$1,978 |
2.8× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$1,483.50 |
$1,978 |
2.8× |
| EEG awake asleep (95819) |
$519 |
$692 |
2.5× |
| EEG awake drowsy (95816) |
$354 |
$472 |
1.7× |
| EEG coma or sleep only (95822) |
$540 |
$720 |
2.6× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$258 |
$344 |
1.2× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$519 |
$692 |
2.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$519 |
$692 |
2.5× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$885.75 |
$1,181 |
2.5× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$885.75 |
$1,181 |
2.5× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$885.75 |
$1,181 |
2.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$519 |
$692 |
2.5× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$519 |
$692 |
2.5× |
| EKG (93005) |
$117.75 |
$157 |
2.1× |
| EKG rhythm strip (93041) |
$66 |
$88 |
1.2× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$519 |
$692 |
2.5× |
| Endomyocardial biopsy (93505) |
$5,460.10 |
$7,280.13 |
1.8× |
| Er level 1 (99281) |
$141 |
$188 |
1.7× |
| Er level ii (99282) |
$225 |
$300 |
1.5× |
| Er level iii (99283) |
$360 |
$480 |
1.4× |
| Er level IV (99284) |
$585 |
$780 |
1.5× |
| Er level v (99285) |
$787.50 |
$1,050 |
1.4× |
| Evaluation of speech fluency (92521) |
$184.50 |
$246 |
1.4× |
| Evaluation of speech sound production (92522) |
$148.50 |
$198 |
1.3× |
| Evaluation of swallowing function (92610) |
$133.50 |
$178 |
1.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$195 |
$260 |
1.6× |
| Evoked auditory test,limited (92587) |
$71.25 |
$95 |
0.3× |
| External ECG rec>48hr<7d recording (93242) |
$67.50 |
$90 |
1.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$140.25 |
$187 |
1.1× |
| External Ecg Scanning Analysis Report (93226) |
$140.25 |
$187 |
2.5× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$96.75 |
$129 |
0.5× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$178.50 |
$238 |
0.8× |
| Fluorescein angiography (92235) |
$75 |
$100 |
0.4× |
| Group Therapeutic Procedures (97150) |
$32.25 |
$43 |
1.8× |
| Hemodialysis (90935) |
$597 |
$796 |
0.9× |
| Holter Monitor Recording (93225) |
$259.50 |
$346 |
2.0× |
| Icd Device Interrogate (93289) |
$463.50 |
$618 |
12.9× |
| Immunization Admin (90471) |
$106.50 |
$142 |
1.5× |
| Ins swan ganz bedside (93503) |
$1,526.25 |
$2,035 |
1.0× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$463.50 |
$618 |
16.7× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$80.25 |
$107 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$56.25 |
$75 |
1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$153 |
$204 |
0.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$60 |
$80 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$201 |
$268 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$56.25 |
$75 |
1.2× |
| IV push initial (96374) |
$193.50 |
$258 |
0.9× |
| Laryngeal Function Studies (92520) |
$71.25 |
$95 |
0.6× |
| Laryngoscopic Sensory Test (92614) |
$118.50 |
$158 |
0.8× |
| Manual therapy 15 min (97140) |
$48.75 |
$65 |
1.8× |
| Massage 15 min (97124) |
$56.25 |
$75 |
1.9× |
| Mechanical traction (97012) |
$45.75 |
$61 |
3.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$162.38 |
$216.50 |
1.8× |
| Multiple sleep latency test (95805) |
$4,369.50 |
$5,826 |
5.3× |
| Neg press wnd tx </=50 sq cm (97607) |
$400.88 |
$534.50 |
1.0× |
| Neg press wound tx >50 cm (97608) |
$431.25 |
$575 |
1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$241.50 |
$322 |
1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$271.88 |
$362.50 |
0.7× |
| Nerve conduction studies 13/> studies (95913) |
$459 |
$612 |
1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$292.12 |
$389.50 |
1.4× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$459.38 |
$612.50 |
1.3× |
| Nerve conduction studies; 1-2 studies (95907) |
$292.50 |
$390 |
1.4× |
| Nerve conduction studies; 11-12 studies (95912) |
$459.38 |
$612.50 |
1.3× |
| Nerve conduction studies; 5-6 studies (95909) |
$451.50 |
$602 |
2.2× |
| Nerve conduction studies; 7-8 studies (95910) |
$459.38 |
$612.50 |
1.3× |
| Newborn resuscitation (99465) |
$702.75 |
$937 |
1.1× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$814.50 |
$1,086 |
6.4× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$146.25 |
$195 |
0.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$276 |
$368 |
2.2× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$69.38 |
$92.50 |
1.5× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$47.25 |
$63 |
2.3× |
| Ot eval high complex 60 min (97167) |
$128.25 |
$171 |
1.3× |
| Ot eval low complex 30 min (97165) |
$93 |
$124 |
0.9× |
| Ot eval mod complex 45 min (97166) |
$112.50 |
$150 |
1.1× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$75 |
$100 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$48 |
$64 |
1.2× |
| Ot re-eval est plan care (97168) |
$87.75 |
$117 |
1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$122.25 |
$163 |
1.0× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$187.50 |
$250 |
1.5× |
| Paraffin bath (97018) |
$26.25 |
$35 |
4.4× |
| Peripheral arterial disease rehab per session (93668) |
$99 |
$132 |
1.7× |
| Plethysmography (94726) |
$444.75 |
$593 |
1.2× |
| Pm device eval in person (93288) |
$405.75 |
$541 |
11.3× |
| Pm device progr eval dual (93280) |
$264.75 |
$353 |
7.4× |
| Pm device progr eval multi (93281) |
$463.50 |
$618 |
12.9× |
| Pm device progr eval sngl (93279) |
$405.75 |
$541 |
11.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,767.75 |
$6,357 |
5.8× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$4,369.50 |
$5,826 |
5.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$4,369.50 |
$5,826 |
5.3× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$463.50 |
$618 |
12.9× |
| Programming of dual lead implantable defibrillator system (93283) |
$540.75 |
$721 |
15.1× |
| Programming of single lead implantable defibrillator system (93282) |
$494.25 |
$659 |
13.8× |
| Prq balloon valvuloplasty aortic valve (92986) |
$8,781 |
$11,708 |
1.6× |
| Prq card revasc chronic 1vsl (92943) |
$9,882 |
$13,176 |
0.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$9,882 |
$13,176 |
0.9× |
| Prq Card Stent/Ath/Angio (92933) |
$12,453 |
$16,604 |
0.7× |
| Prq revasc byp graft 1 vsl (92937) |
$9,882 |
$13,176 |
0.9× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$12,291.75 |
$16,389 |
1.1× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$6,588 |
$8,784 |
1.2× |
| Pt Electric Current Therapy (97033) |
$35.62 |
$47.50 |
1.9× |
| Pt Electrical Stimulation (97032) |
$40.12 |
$53.50 |
2.7× |
| Pt eval high complex 45 min (97163) |
$154.12 |
$205.50 |
1.6× |
| Pt eval low complex 20 min (97161) |
$87.75 |
$117 |
0.9× |
| Pt Gait Training Therapy (97116) |
$54.75 |
$73 |
1.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$62.25 |
$83 |
1.9× |
| Pt Physical Performance Test (97750) |
$75.38 |
$100.50 |
2.2× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$143.25 |
$191 |
1.5× |
| Pt re-evaluation (97164) |
$87.75 |
$117 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$71.62 |
$95.50 |
2.2× |
| Pt Ultrasound Therapy (97035) |
$34.50 |
$46 |
2.4× |
| Pt Whirlpool Therapy (97022) |
$61.50 |
$82 |
3.9× |
| Pulm Funct Test Oscillometry (94728) |
$444.75 |
$593 |
3.6× |
| Pulm function test by gas (94727) |
$250.50 |
$334 |
1.2× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$4,720.12 |
$6,293.50 |
1.5× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$4,419 |
$5,892 |
1.4× |
| R hrt art/grft angio (93457) |
$4,419 |
$5,892 |
1.4× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$4,419 |
$5,892 |
1.4× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$60 |
$80 |
1.7× |
| Right heart cath (93451) |
$5,021.25 |
$6,695 |
1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$271.88 |
$362.50 |
1.4× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$52.88 |
$70.50 |
0.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$25.50 |
$34 |
0.5× |
| Sensory Integration Ea 15 Min (97533) |
$80.25 |
$107 |
1.3× |
| Sleep study unattended (95806) |
$571.12 |
$761.50 |
2.8× |
| Smoking cessation > 10 min (99407) |
$53.62 |
$71.50 |
1.5× |
| Speech group therapy (92508) |
$40.50 |
$54 |
1.7× |
| Speech sound lang comprehen (92523) |
$301.50 |
$402 |
1.3× |
| Spirometry (94010) |
$172.88 |
$230.50 |
0.8× |
| Standardized Cognitive Performance Testing (96125) |
$112.50 |
$150 |
1.1× |
| Stress echo (93350) |
$942.75 |
$1,257 |
1.8× |
| Stress Tte Complete (93351) |
$1,483.50 |
$1,978 |
2.8× |
| Temp transcutaneous pacing (92953) |
$176.25 |
$235 |
0.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$103.50 |
$138 |
4.6× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$37.88 |
$50.50 |
1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$135.75 |
$181 |
1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$52.88 |
$70.50 |
0.8× |
| Therapeutic Activities (97530) |
$69.75 |
$93 |
2.0× |
| Therapeutic phlebotomy (99195) |
$63.75 |
$85 |
0.5× |
| Tilt Table Eval (93660) |
$888.75 |
$1,185 |
2.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$44.25 |
$59 |
1.2× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,668.75 |
$2,225 |
3.2× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,483.50 |
$1,978 |
6.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$149.25 |
$199 |
2.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$104.25 |
$139 |
1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$72.38 |
$96.50 |
1.6× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$1,483.50 |
$1,978 |
2.8× |
| Unlisted pulmonary service/procedure (94799) |
$34.50 |
$46 |
0.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$888 |
$1,184 |
3.9× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$387 |
$516 |
3.8× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$291.75 |
$389 |
1.4× |
| Vasopneumatic device (97016) |
$22.50 |
$30 |
1.9× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$374.25 |
$499 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$374.25 |
$499 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$58.50 |
$78 |
1.9× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$172.50 |
$230 |
1.9× |