| Ablate Heart Dysrhythm Focus (93650) |
$19,104 |
$25,472 |
2.4× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$323.25 |
$431 |
2.5× |
| Acoustic Reflex Testing (92568) |
$160.50 |
$214 |
4.3× |
| Actigraphy Testing Recording Analysis I&R (95803) |
$399 |
$532 |
6.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$111.75 |
$149 |
2.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$480.75 |
$641 |
2.2× |
| Aep neurodiagnostic i&r (92653) |
$1,580.25 |
$2,107 |
7.3× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$1,580.25 |
$2,107 |
7.3× |
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines |
$195–$551.25 |
$260–$735 |
varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$365.25 |
$487 |
2.7× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$309 |
$412 |
2.3× |
| Analyze neurostim no prog (95970) |
$332.25 |
$443 |
2.5× |
| Analyze Pacemaker System (93724) |
$835.50 |
$1,114 |
2.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$185.25 |
$247 |
12.9× |
| Application on-body injector (96377) |
$216 |
$288 |
4.6× |
| Arrhythmia Induction (93618) |
$3,227.25 |
$4,303 |
2.6× |
| Assessment of aphasia per hr (96105) |
$492.75 |
$657 |
5.1× |
| Assessment of tinnitus (92625) |
$453 |
$604 |
3.5× |
| Audiometry Air & Bone (92553) |
$453 |
$604 |
3.5× |
| Auditory Function, 60 Min (92620) |
$711.75 |
$949 |
5.5× |
| Basic vestibular evaluation (92540) |
$591.75 |
$789 |
2.7× |
| Behavral qualit analys voice (92524) |
$886.50 |
$1,182 |
8.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$453 |
$604 |
5.5× |
| Bfb training ea addl 15 min (90913) |
$453 |
$604 |
13.8× |
| Biofeedback training any modality (90901) |
$249.75 |
$333 |
6.1× |
| Breath hydrogen/methane test (91065) |
$2,566.50 |
$3,422 |
11.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$806.25 |
$1,075 |
2.2× |
| Bundle of his recording (93600) |
$13,411.50 |
$17,882 |
1.7× |
| C motor evoked uppr limbs (95928) |
$639 |
$852 |
0.7× |
C motor evoked upr&lwr limbs (95939)
range across 2 matching MRF lines |
$263.25–$1,278 |
$351–$1,704 |
varies |
| Caloric vestibular test w/rec bi monothermal (92538) |
$806.25 |
$1,075 |
3.7× |
| Caloric Vstblr Test W/Rec (92537) |
$806.25 |
$1,075 |
6.2× |
| Canalith repositioning proc (95992) |
$147.75 |
$197 |
3.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,092.75 |
$1,457 |
5.0× |
| Cardiopulmonary exercise testing (94621) |
$1,476 |
$1,968 |
3.9× |
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines |
$742.50–$1,254.75 |
$990–$1,673 |
varies |
| Cardioversion (92960) |
$1,882.50 |
$2,510 |
2.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$64.50 |
$86 |
2.5× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$18,888 |
$25,184 |
5.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$17,012.25 |
$22,683 |
5.2× |
| Cbt 1st hour (94644) |
$463.50 |
$618 |
3.5× |
| Cervical & Ocular Vemp Testing W/I&R (92519) |
$960.75 |
$1,281 |
4.4× |
| Cervical Vemp Testing W/I&R (92517) |
$480.75 |
$641 |
3.7× |
| Chemo Admin Peritoneal Cavity (96446) |
$612.75 |
$817 |
1.8× |
| Chemo Anti-Neopl Sq/Im (96401) |
$433.50 |
$578 |
6.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$429.75 |
$573 |
6.0× |
| Chemo Intralesional Over 7 (96406) |
$660.75 |
$881 |
3.1× |
| Chemo intralesional up to 7 (96405) |
$201.75 |
$269 |
2.8× |
| Chemo IV infusion addl hr (96415) |
$292.50 |
$390 |
4.1× |
| Chemo IV push addl drug (96411) |
$585 |
$780 |
8.1× |
| Chemother Prolong Infuse W/Pump (96416) |
$920.25 |
$1,227 |
2.8× |
| Chemotherapy Into Cns (96450) |
$993 |
$1,324 |
3.0× |
| Chemotherapy Unspecified (96549) |
$920.25 |
$1,227 |
19.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$292.50 |
$390 |
4.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$920.25 |
$1,227 |
2.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$591 |
$788 |
1.8× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$337.50 |
$450 |
1.0× |
| Chest Wall Manipulation (94668) |
$174 |
$232 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$1,620.75 |
$2,161 |
6.8× |
| Color/duplex Doppler, limited (93976) |
$1,071 |
$1,428 |
10.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$123 |
$164 |
3.8× |
| Comprehensive Hearing Test (92557) |
$435 |
$580 |
3.4× |
| Computerized dynamic posturography (92548) |
$348.75 |
$465 |
2.6× |
| Conditioning Play Audiometry (92582) |
$288 |
$384 |
2.2× |
| Coronary Art/Grft Angio S&I (93455) |
$13,801.50 |
$18,402 |
4.2× |
| Coronary Artery Angio S&I (93454) |
$12,426 |
$16,568 |
3.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$1,029.75 |
$1,373 |
4.7× |
| Cpt initial (94667) |
$213.75 |
$285 |
1.6× |
Critical care first hour (99291)
range across 3 matching MRF lines |
$481.50–$4,515 |
$642–$6,020 |
varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$639 |
$852 |
1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$482.25 |
$643 |
2.4× |
| Dialysis One Evaluation (90945) |
$1,851.75 |
$2,469 |
4.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$726.75 |
$969 |
1.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$2,388.75 |
$3,185 |
10.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$1,371.75 |
$1,829 |
13.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$1,408.50 |
$1,878 |
13.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,782 |
$2,376 |
7.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,308.75 |
$1,745 |
12.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,620.75 |
$2,161 |
6.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,026 |
$1,368 |
9.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,620.75 |
$2,161 |
6.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$1,152.75 |
$1,537 |
11.0× |
| Duplex Scan Hemodialysis Access (93990) |
$1,152.75 |
$1,537 |
11.0× |
| Duplex up extrem art bilat (93930) |
$1,471.50 |
$1,962 |
6.1× |
| Duplex up extrem art unilat/ltd (93931) |
$1,152.75 |
$1,537 |
11.0× |
| Ear Protector Evaluation (92596) |
$152.25 |
$203 |
4.1× |
| Echo Congenital Complete (93303) |
$3,177.75 |
$4,237 |
5.8× |
| Echo Heart Xthoracic,Limited (93308) |
$1,749.75 |
$2,333 |
7.3× |
| Echo transesophageal (93312) |
$2,427 |
$3,236 |
4.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,980.75 |
$2,641 |
3.6× |
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines |
$126–$1,841.25 |
$168–$2,455 |
varies |
EEG awake and asleep (95819)
range across 2 matching MRF lines |
$129–$1,597.50 |
$172–$2,130 |
varies |
EEG awake drowsy (95816)
range across 2 matching MRF lines |
$126–$1,020.75 |
$168–$1,361 |
varies |
| EEG cerebral death evaluation (95824) |
$1,108.50 |
$1,478 |
3.0× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$1,455 |
$1,940 |
6.7× |
| EEG extended monitoring 61-119 minutes (95813) |
$2,765.25 |
$3,687 |
12.8× |
Eeg Sleep Only (95822)
range across 2 matching MRF lines |
$126.75–$1,101 |
$169–$1,468 |
varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$1,455 |
$1,940 |
6.7× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$1,455 |
$1,940 |
6.7× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$3,459 |
$4,612 |
9.2× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$3,459 |
$4,612 |
9.2× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,455 |
$1,940 |
6.7× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$3,459 |
$4,612 |
9.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$342.75 |
$457 |
3.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$109.50 |
$146 |
2.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$230.25 |
$307 |
15.7× |
| Electrocardiogram Tracing (93005) |
$406.50 |
$542 |
6.9× |
| Electrocochleography (92584) |
$1,580.25 |
$2,107 |
12.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
$10,383.75 |
$13,845 |
1.3× |
| Electrophysiology Evaluation (93642) |
$4,467 |
$5,956 |
3.7× |
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines |
$95.25–$840.75 |
$127–$1,121 |
varies |
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines |
$162.75–$1,278.75 |
$217–$1,705 |
varies |
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines |
$273.75–$1,973.25 |
$365–$2,631 |
varies |
| Emg 3 Extremities (95863) |
$798 |
$1,064 |
6.2× |
| Emg 4 Extremities (95864) |
$954 |
$1,272 |
7.4× |
| Endomyocardial Biopsy (93505) |
$3,590.25 |
$4,787 |
1.1× |
| Ep & ablate supravent arrhyt (93653) |
$39,070.50 |
$52,094 |
1.5× |
| Ep & ablate ventric tachy (93654) |
$39,070.50 |
$52,094 |
1.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$19,104 |
$25,472 |
2.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$19,104 |
$25,472 |
2.4× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$3,048 |
$4,064 |
2.5× |
Er level 1 (99281)
range across 3 matching MRF lines |
$27–$395.25 |
$36–$527 |
varies |
Er level v (99285)
range across 2 matching MRF lines |
$398.25–$2,946 |
$531–$3,928 |
varies |
| Esoph Atrial Electrogram (93615) |
$3,048 |
$4,064 |
2.5× |
| Esophageal Capsule Endoscopy (91111) |
$6,030 |
$8,040 |
6.6× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$453 |
$604 |
3.5× |
| Evaluate Speech Production (92522) |
$886.50 |
$1,182 |
7.9× |
| Evaluate Swallowing Function (92610) |
$753.75 |
$1,005 |
8.9× |
| Evaluation of speech fluency (92521) |
$447.75 |
$597 |
3.4× |
| Evoked Auditory Test,Limited (92587) |
$626.25 |
$835 |
2.9× |
| Extracranial Bilat Study (93880) |
$2,079.75 |
$2,773 |
8.7× |
| Extracranial Uni/Ltd Study (93882) |
$1,190.25 |
$1,587 |
11.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,749.75 |
$2,333 |
3.2× |
| Filtered Speech Test (92571) |
$105.75 |
$141 |
2.8× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$283.50 |
$378 |
1.4× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$2,642.25 |
$3,523 |
3.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$4,926 |
$6,568 |
13.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$5,131.50 |
$6,842 |
6.0× |
| Gi tract capsule endoscopy (91110) |
$8,722.50 |
$11,630 |
9.6× |
| Gi wireless capsule measure (91112) |
$5,131.50 |
$6,842 |
5.6× |
| Group Therapeutic Procedures (97150) |
$123 |
$164 |
6.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$19,293.75 |
$25,725 |
5.9× |
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 3 matching MRF lines |
$1,842.75–$2,850.75 |
$2,457–$3,801 |
varies |
| High altitude simulation test (94452) |
$727.50 |
$970 |
5.5× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$727.50 |
$970 |
5.5× |
| Holter monitor recording (93225) |
$357.75 |
$477 |
2.7× |
| Icd Device Interrogate (93289) |
$294 |
$392 |
7.9× |
| Icd device progr eval dual (93283) |
$294 |
$392 |
7.9× |
| Icd Device Progr Eval Mult (93284) |
$294 |
$392 |
7.9× |
| Icm Device Eval (93290) |
$142.50 |
$190 |
3.8× |
| Ilr Device Eval Progr (93285) |
$142.50 |
$190 |
3.8× |
| Ilr Device Interrogate (93291) |
$142.50 |
$190 |
4.9× |
| Immunization administration (90471) |
$111.75 |
$149 |
1.5× |
| Insert/Place Heart Catheter (93503) |
$3,590.25 |
$4,787 |
2.3× |
| Interrogate Subq Defib (93261) |
$294 |
$392 |
7.9× |
| Intra-atrial pacing (93610) |
$13,411.50 |
$17,882 |
1.7× |
| Intra-atrial recording (93602) |
$13,411.50 |
$17,882 |
1.7× |
| Intracranial Complete Study (93886) |
$1,390.50 |
$1,854 |
5.8× |
| Intraventricular pacing (93612) |
$13,411.50 |
$17,882 |
1.7× |
| Iontophoresis 15 min (97033) |
$230.25 |
$307 |
12.1× |
| Irrig Drug Delivery Device (96523) |
$165.75 |
$221 |
2.8× |
| IV infusion hydration each additional hour (96361) |
$230.25 |
$307 |
4.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$597 |
$796 |
2.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$230.25 |
$307 |
3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$230.25 |
$307 |
4.9× |
| IV push initial (96374) |
$447.75 |
$597 |
2.1× |
| L Hrt Art/Grft Angio (93459) |
$18,390 |
$24,520 |
5.7× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$12,391.50 |
$16,522 |
3.8× |
| Laryngeal Function Studies (92520) |
$543.75 |
$725 |
4.1× |
| Lung Function Test (Mbc/Mvv) (94200) |
$362.25 |
$483 |
6.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,335.75 |
$1,781 |
6.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$69.75 |
$93 |
2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$69.75 |
$93 |
1.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$42 |
$56 |
2.5× |
| Methacholine challenge (94070) |
$937.50 |
$1,250 |
2.5× |
| Motility study esophagus (91010) |
$5,091.75 |
$6,789 |
13.6× |
| Motion Fluoroscopy/Swallow (92611) |
$975.75 |
$1,301 |
10.7× |
| Multiple Family Group Psychotherapy (90849) |
$245.25 |
$327 |
1.4× |
Multiple Sleep Latency Test (95805)
range across 3 matching MRF lines |
$127.50–$3,107.25 |
$170–$4,143 |
varies |
Muscle Test 2 Limbs (95861)
range across 3 matching MRF lines |
$180.75–$861.75 |
$241–$1,149 |
varies |
Muscle Test Nonparaspinal (95870)
range across 2 matching MRF lines |
$43.50–$587.25 |
$58–$783 |
varies |
| Muscle Test One Limb (95860) |
$575.25 |
$767 |
4.3× |
| Nasopharyngoscopy (92511) |
$516 |
$688 |
2.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$1,324.50 |
$1,766 |
6.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$733.50 |
$978 |
3.4× |
| Needle electromyography larynx (95865) |
$302.25 |
$403 |
2.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$919.50 |
$1,226 |
2.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$919.50 |
$1,226 |
2.3× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 9 matching MRF lines |
$56.25–$477.75 |
$75–$637 |
varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$919.50 |
$1,226 |
2.3× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$576 |
$768 |
2.7× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$2,192.25 |
$2,923 |
5.9× |
| Nerve conduction studies 13 or more studies (95913) |
$2,718.75 |
$3,625 |
7.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$783.75 |
$1,045 |
3.6× |
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines |
$176.25–$1,112.25 |
$235–$1,483 |
varies |
| Nerve conduction studies 7-8 studies (95910) |
$1,418.25 |
$1,891 |
3.8× |
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines |
$292.50–$1,786.50 |
$390–$2,382 |
varies |
| Neurobehavioral Status Exam (96116) |
$886.50 |
$1,182 |
4.1× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$378.75 |
$505 |
2.9× |
| Neuromuscular Reeducation (97112) |
$177 |
$236 |
5.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$735.75 |
$981 |
2.0× |
| Ocular Vemp Testing W/I&R (92518) |
$480.75 |
$641 |
3.7× |
| Optokinetic Nystagmus Test (92544) |
$397.50 |
$530 |
3.1× |
| Oral Function Therapy (92526) |
$444.75 |
$593 |
5.3× |
| Oral Speech Device Eval (92597) |
$404.25 |
$539 |
5.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$168 |
$224 |
3.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$193.50 |
$258 |
4.2× |
| Oscillating Tracking Test (92545) |
$746.25 |
$995 |
3.4× |
| Ot Contrast Bath Ea 15 Min (97034) |
$101.25 |
$135 |
7.2× |
| Ot eval high complexity (97167) |
$591.75 |
$789 |
5.9× |
| Ot Eval Low Complex (97165) |
$536.25 |
$715 |
5.3× |
| Ot Eval Moderate Complexity (97166) |
$563.25 |
$751 |
5.6× |
| Ot manual therapy 15 min (97140) |
$261.75 |
$349 |
9.4× |
| Ot paraffin bath (97018) |
$189 |
$252 |
31.4× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$168 |
$224 |
4.2× |
| Ot Re-Eval Est Plan Care (97168) |
$406.50 |
$542 |
5.9× |
| Ot rom hand (95852) |
$59.25 |
$79 |
2.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$384.75 |
$513 |
3.0× |
| Penile Vascular Study,Ltd or F/U (93981) |
$1,288.50 |
$1,718 |
12.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$579 |
$772 |
2.6× |
| Peripheral arterial disease rehab per session (93668) |
$203.25 |
$271 |
3.4× |
| Perq transcath closure pda (93582) |
$35,702.25 |
$47,603 |
1.9× |
| Perq Transcath Cls Aortic (93591) |
$34,385.25 |
$45,847 |
1.9× |
| Perq Transcath Cls Mitral (93590) |
$34,384.50 |
$45,846 |
1.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$14,964 |
$19,952 |
2.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$28,521.75 |
$38,029 |
2.5× |
| Phlebotomy therapeutic (99195) |
$440.25 |
$587 |
3.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$579.75 |
$773 |
9.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$463.50 |
$618 |
7.8× |
| Physical Performance Test (97750) |
$185.25 |
$247 |
5.5× |
| Plethysmography (94726) |
$531 |
$708 |
1.4× |
| Pm device eval in person (93288) |
$294 |
$392 |
7.9× |
| Pm device progr eval dual (93280) |
$294 |
$392 |
7.9× |
| Pm device progr eval multi (93281) |
$294 |
$392 |
7.9× |
| Pm Device Progr Eval Sngl (93279) |
$294 |
$392 |
7.9× |
| Pm/Icd Remote Tech Serv (93296) |
$294 |
$392 |
7.9× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines |
$274.50–$6,162 |
$366–$8,216 |
varies |
| Polysom <6 yrs 4/> paramtrs (95782) |
$5,232.75 |
$6,977 |
6.1× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$5,881.50 |
$7,842 |
6.8× |
| Positional nystagmus test (92542) |
$237 |
$316 |
1.8× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$294 |
$392 |
7.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$294 |
$392 |
7.9× |
| Prq Card Angio/Athrect 1 Art (92924) |
$27,163.50 |
$36,218 |
2.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$27,163.50 |
$36,218 |
2.3× |
| Prq Card Stent/Ath/Angio (92933) |
$28,521.75 |
$38,029 |
1.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$27,163.50 |
$36,218 |
2.3× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$35,702.25 |
$47,603 |
1.9× |
| Psychiatric diagnostic evaluation (90791) |
$486.75 |
$649 |
2.7× |
| Psytx Crisis Initial 60 Min (90839) |
$387.75 |
$517 |
2.2× |
| Pt Eval High Complex (97163) |
$591.75 |
$789 |
6.0× |
| Pt eval low complex 20 min (97161) |
$536.25 |
$715 |
5.5× |
| Pt Eval Mod Complex (97162) |
$563.25 |
$751 |
5.8× |
| Pt gait training 15 min (97116) |
$214.50 |
$286 |
7.4× |
| Pt mechanical traction (97012) |
$219 |
$292 |
15.3× |
| Pt Re-Eval Est Plan Care (97164) |
$406.50 |
$542 |
6.0× |
Pulm function test by gas (94727)
range across 3 matching MRF lines |
$505.50–$531 |
$674–$708 |
varies |
| Pulmonary Stress Testing (94618) |
$440.25 |
$587 |
3.3× |
| Pure Tone Audiometry Air (92552) |
$152.25 |
$203 |
1.1× |
| R Hrt Art/Grft Angio (93457) |
$25,438.50 |
$33,918 |
7.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$12,391.50 |
$16,522 |
3.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$12,391.50 |
$16,522 |
3.8× |
| R hrt coronary artery angio (93456) |
$22,975.50 |
$30,634 |
7.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$15,833.25 |
$21,111 |
4.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$15,833.25 |
$21,111 |
4.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$15,066.75 |
$20,089 |
4.6× |
| Refill/Maint Portable Pump (96521) |
$765.75 |
$1,021 |
3.6× |
| Refill/Maint Pump/Resvr Syst (96522) |
$544.50 |
$726 |
2.6× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$96.75 |
$129 |
2.6× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$96.75 |
$129 |
2.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$534 |
$712 |
14.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$246.75 |
$329 |
4.2× |
| Right Heart Cath (93451) |
$12,033 |
$16,044 |
3.7× |
| Right ventricular recording (93603) |
$2,313.75 |
$3,085 |
1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$274.50 |
$366 |
1.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$65.25 |
$87 |
2.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$600 |
$800 |
4.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$204.75 |
$273 |
4.3× |
| Self Care Mngment Training (97535) |
$204.75 |
$273 |
6.3× |
| Sensory Integration Ea 15 Min (97533) |
$171.75 |
$229 |
2.8× |
| Short-latency somatosens ep std upr limbs (95925) |
$1,615.50 |
$2,154 |
7.5× |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
$453 |
$604 |
3.5× |
Sleep study unattended (95806)
range across 3 matching MRF lines |
$99–$2,790.75 |
$132–$3,721 |
varies |
| Slp caregiver training 1st 30 min (97550) |
$131.25 |
$175 |
2.5× |
| Slp Stdy Unatnd W/Anal (95801) |
$735 |
$980 |
12.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$735 |
$980 |
3.4× |
Somatosensory Testing (95938)
range across 3 matching MRF lines |
$101.25–$3,120 |
$135–$4,160 |
varies |
| Speech Audiometry Complete (92556) |
$88.50 |
$118 |
1.5× |
| Speech audiometry threshold (92555) |
$47.25 |
$63 |
0.8× |
| Speech sound lang comprehen (92523) |
$402 |
$536 |
1.8× |
| Spirometry (94010) |
$400.50 |
$534 |
1.8× |
| Spontaneous Nystagmus Test (92541) |
$315.75 |
$421 |
2.4× |
| Ssep lower limbs (95926) |
$1,689.75 |
$2,253 |
7.8× |
| Standardized Cognitive Performance Testing (96125) |
$435.75 |
$581 |
4.2× |
| Stenger Test Speech (92577) |
$1,477.50 |
$1,970 |
3.9× |
| Stenger Test, Pure Tone (92565) |
$105.75 |
$141 |
1.8× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$205.50 |
$274 |
4.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$668.25 |
$891 |
3.1× |
| Surfactant Admin Thru Tube (94610) |
$297 |
$396 |
1.4× |
| Temp transcutaneous pacing (92953) |
$2,166 |
$2,888 |
3.3× |
| Test to assess hearing loss using different tone pitches (92575) |
$294 |
$392 |
7.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$171.75 |
$229 |
7.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$171.75 |
$229 |
8.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$189 |
$252 |
5.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$185.25 |
$247 |
6.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$414.75 |
$553 |
4.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$216 |
$288 |
3.0× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$597 |
$796 |
2.8× |
| Therapeutic Activities (97530) |
$225.75 |
$301 |
6.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$2,001 |
$2,668 |
5.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$177 |
$236 |
4.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$87.75 |
$117 |
2.3× |
| Tone Decay Test (92563) |
$135 |
$180 |
3.6× |
| Transcath Closure of Asd (93580) |
$35,702.25 |
$47,603 |
1.9× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$972 |
$1,296 |
9.3× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$198.75 |
$265 |
5.3× |
| Tte w/doppler, complete (93306) |
$3,331.50 |
$4,442 |
6.1× |
| Tte W/O Doppler Complete (93307) |
$1,749.75 |
$2,333 |
7.3× |
| Tx atrial fib pulm vein isol (93656) |
$39,070.50 |
$52,094 |
1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$302.25 |
$403 |
4.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$123 |
$164 |
5.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$423 |
$564 |
9.0× |
| Tympanometry (92567) |
$142.50 |
$190 |
3.8× |
| Tympanometry and reflex threshold measurements (92550) |
$285 |
$380 |
1.3× |
Unlisted cardiovascular service/procedure (93799)
range across 5 matching MRF lines |
$1,882.50–$15,264.75 |
$2,510–$20,353 |
varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$379.50 |
$506 |
2.9× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$82.50 |
$110 |
2.8× |
| Upr/L Xtremity Art 2 Levels (93922) |
$484.50 |
$646 |
3.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,242.75 |
$1,657 |
5.7× |
| Valvuloplasty aortic valve (92986) |
$20,983.50 |
$27,978 |
3.7× |
| Valvuloplasty mitral valve (92987) |
$20,532.75 |
$27,377 |
1.8× |
| Vasopneumatic device (97016) |
$51.75 |
$69 |
4.3× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$3,459 |
$4,612 |
9.2× |
| Veeg 2-12 hr intmt mntr (95712) |
$1,455 |
$1,940 |
3.9× |
| Veeg 2-12 hr unmonitored (95711) |
$1,455 |
$1,940 |
6.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$3,459 |
$4,612 |
9.2× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$3,459 |
$4,612 |
9.2× |
| Veeg ea 12-26hr cont mntr (95716) |
$3,931.50 |
$5,242 |
4.6× |
| Vent Mgmt Inpat Init Day (94002) |
$2,324.25 |
$3,099 |
3.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,995 |
$2,660 |
3.2× |
| Visual Evoked Potential Test (95930) |
$984.75 |
$1,313 |
4.5× |
| Visual reinforcement audiometry (vra) (92579) |
$302.25 |
$403 |
1.4× |
| Vital capacity, total (94150) |
$370.50 |
$494 |
2.9× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$72.75 |
$97 |
2.3× |
| Whirlpool Therapy (97022) |
$266.25 |
$355 |
17.0× |