| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$61 |
— |
| Advncd Care Plan 30 Min (99497) |
— |
$108 |
— |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
— |
$232 |
— |
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines |
— |
$327–$632 |
— |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
— |
$48 |
— |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
— |
$48 |
— |
| Analyze Neurostim Simple (95971) |
— |
$173 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$176 |
— |
| Application on-body injector (96377) |
— |
$91 |
— |
| Assessment of aphasia per hr (96105) |
— |
$361 |
— |
| Behavral qualit analys voice (92524) |
— |
$946 |
— |
| Brief Emotional/Behav Assmt (96127) |
— |
$48 |
— |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines |
— |
$121–$1,645 |
— |
| C motor evoked uppr limbs (95928) |
— |
$671 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$1,231 |
— |
| Canalith repositioning proc (95992) |
— |
$203 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,589 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$936 |
— |
| Cardioversion (92960) |
— |
$2,958 |
— |
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines |
— |
$88–$403 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$629 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$629 |
— |
| Chemo IV push addl drug (96411) |
— |
$204 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$1,651 |
— |
| Chemotherapy Unspecified (96549) |
— |
$138 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$629 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$1,031 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$629 |
— |
| Chest Wall Manipulation (94668) |
— |
$190 |
— |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) |
— |
$41 |
— |
| Chron Care Mgmt Srvc 20 Min (99490) |
— |
$100 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,790 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$1,202 |
— |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
— |
$200 |
— |
| Comprehensive Hearing Test (92557) |
— |
$301 |
— |
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines |
— |
$171–$388 |
— |
Cont Gluc Mntr Pt Prov Eqp (95249)
range across 2 matching MRF lines |
— |
$156–$186 |
— |
| Continuous Pulse Ox (94762) |
— |
$469 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$634 |
— |
| Cpt initial (94667) |
— |
$355 |
— |
| Critical care first hour (99291) |
— |
$3,951 |
— |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
— |
$632 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$254 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
— |
$374 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$995 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$626 |
— |
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 4 matching MRF lines |
— |
$557–$1,269 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$1,082 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,682 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,088 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
— |
$1,682 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
— |
$1,312 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$1,261 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,418 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$1,114 |
— |
| Ear and throat examination (92502) |
— |
$690 |
— |
| Echo Congenital Complete (93303) |
— |
$3,859 |
— |
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines |
— |
$864–$1,991 |
— |
| Echo transesophageal (93312) |
— |
$6,046 |
— |
| EEG awake and asleep (95819) |
— |
$1,499 |
— |
| EEG awake drowsy (95816) |
— |
$1,350 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$176 |
— |
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines |
— |
$109–$405 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$616 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$1,129 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$1,879 |
— |
| Emg 3 Extremities (95863) |
— |
$794 |
— |
| Emg 4 Extremities (95864) |
— |
$1,044 |
— |
| Er level 1 (99281) |
— |
$299 |
— |
| Er level v (99285) |
— |
$3,003 |
— |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
— |
$1,880 |
— |
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines |
— |
$280–$647 |
— |
| Evaluate Speech Production (92522) |
— |
$946 |
— |
| Evaluate Swallowing Function (92610) |
— |
$562 |
— |
| Evaluation of speech fluency (92521) |
— |
$946 |
— |
| Exercise test for bronchospasm (94617) |
— |
$1,176 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$51 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$83 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$2,858 |
— |
Extracranial Bilat Study (93880)
range across 2 matching MRF lines |
— |
$412–$1,131 |
— |
| Fundus photography (92250) |
— |
$126 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$3,499 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$4,474 |
— |
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines |
— |
$54–$197 |
— |
| Holter monitor recording (93225) |
— |
$687 |
— |
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines |
— |
$23–$61 |
— |
Immunization administration (90471)
range across 11 matching MRF lines |
— |
$23–$215 |
— |
| Ingestion challenge test initial 120 minutes (95076) |
— |
$667 |
— |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
— |
$667 |
— |
| Intracranial Complete Study (93886) |
— |
$520 |
— |
| Intracutaneous tests w/allergenic extracts (95024) |
— |
$84 |
— |
| Iontophoresis 15 min (97033) |
— |
$215 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$116 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$307 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$497 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$497 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$484 |
— |
IV push initial (96374)
range across 4 matching MRF lines |
— |
$284–$287 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$1,060 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$70 |
— |
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines |
— |
$15–$80 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$87 |
— |
| Methacholine challenge (94070) |
— |
$374 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$676 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$3,297 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$683 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$267 |
— |
Muscle Test One Limb (95860)
range across 2 matching MRF lines |
— |
$158–$509 |
— |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
— |
$554 |
— |
| Needle electromyography larynx (95865) |
— |
$436 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$466 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$467 |
— |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines |
— |
$254–$365 |
— |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines |
— |
$467–$660 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$111 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$253 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$147 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$173 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$226 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$254 |
— |
| Neuromuscular Reeducation (97112) |
— |
$178 |
— |
| Nitric oxide expired gas determination (95012) |
— |
$48 |
— |
| Oral Function Therapy (92526) |
— |
$311 |
— |
| Oral Speech Device Eval (92597) |
— |
$261 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$165 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$219 |
— |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
— |
$41 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$41 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
— |
$41 |
— |
| Osteopathic manipulative tx 7-8 body regions (98928) |
— |
$41 |
— |
| Osteopathic manipulative tx 9-10 body regions (98929) |
— |
$41 |
— |
| Ot eval high complexity (97167) |
— |
$321 |
— |
| Ot Eval Low Complex (97165) |
— |
$274 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$297 |
— |
| Ot manual therapy 15 min (97140) |
— |
$178 |
— |
Ot paraffin bath (97018)
range across 2 matching MRF lines |
— |
$156–$187 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$167 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$338 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$368 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$278 |
— |
| Patch/Application Test Specify Number Tests (95044) |
— |
$14 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$667 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$197 |
— |
| Phlebotomy therapeutic (99195) |
— |
$307 |
— |
| Physical Performance Test (97750) |
— |
$59 |
— |
| Plethysmography (94726) |
— |
$914 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$4,573 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$4,317 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$4,573 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$56 |
— |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) |
— |
$56 |
— |
| Prepj& antigen allergen immunotherapy 2 insect (95146) |
— |
$56 |
— |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) |
— |
$88 |
— |
| Prepj& antigen allergen immunotherapy 5 insect (95149) |
— |
$88 |
— |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
— |
$100 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$56 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$56 |
— |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) |
— |
$88 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$186 |
— |
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines |
— |
$186–$506 |
— |
| Pt Eval High Complex (97163) |
— |
$328 |
— |
| Pt eval low complex 20 min (97161) |
— |
$280 |
— |
| Pt Eval Mod Complex (97162) |
— |
$304 |
— |
| Pt gait training 15 min (97116) |
— |
$167 |
— |
| Pt mechanical traction (97012) |
— |
$196 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$263 |
— |
| Pulmonary service/procedure (94799) |
— |
$464 |
— |
| Pulmonary Stress Testing (94618) |
— |
$32 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$158 |
— |
| Rapid Desensitization Procedure Each Hour (95180) |
— |
$496 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$660 |
— |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
— |
$123 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$57 |
— |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines |
— |
$254–$575 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$152 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$459 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$188 |
— |
| Self Care Mngment Training (97535) |
— |
$170 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$1,304 |
— |
| Sleep study attended (95807) |
— |
$2,614 |
— |
| Sleep study unattended (95806) |
— |
$946 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$459 |
— |
| Somatosensory Testing (95938) |
— |
$2,006 |
— |
| Speech sound lang comprehen (92523) |
— |
$946 |
— |
Spirometry (94010)
range across 3 matching MRF lines |
— |
$69–$811 |
— |
| Ssep lower limbs (95926) |
— |
$1,206 |
— |
Stress Tte Only (93350)
range across 3 matching MRF lines |
— |
$2,979–$4,547 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$220 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$396 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines |
— |
$153–$368 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$484 |
— |
| Therapeutic Activities (97530) |
— |
$194 |
— |
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 4 matching MRF lines |
— |
$94–$172 |
— |
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 4 matching MRF lines |
— |
$69–$131 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$353 |
— |
Tte w/doppler, complete (93306)
range across 2 matching MRF lines |
— |
$467–$2,583 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$864 |
— |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines |
— |
$238–$397 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$73 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$307 |
— |
| Tympanometry (92567) |
— |
$85 |
— |
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines |
— |
$193–$853 |
— |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines |
— |
$293–$984 |
— |
| Vasopneumatic device (97016) |
— |
$261 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,796 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,658 |
— |
| Vital capacity, total (94150) |
— |
$148 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$160 |
— |
| Whirlpool Therapy (97022) |
— |
$176 |
— |