| Acupunct W/Stimul 15 Min (97813) |
$28.84 |
$103 |
1.1× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$26.88 |
$96 |
1.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$109.20 |
$390 |
0.5× |
| Aep neurodiagnostic i&r (92653) |
$208.04 |
$743 |
1.0× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$208.04 |
$743 |
1.0× |
| Airway Inhalation Treatment (94640) |
$41.72 |
$149 |
0.2× |
| Airway resistance by oscillometry (94728) |
$41.44 |
$148 |
0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$18.20 |
$65 |
1.3× |
| Application on-body injector (96377) |
$40.88 |
$146 |
0.9× |
| Assessment of aphasia per hr (96105) |
$116.76 |
$417 |
1.2× |
| Behavral qualit analys voice (92524) |
$56 |
$200 |
0.5× |
| Biofeedback training any modality (90901) |
$23.52 |
$84 |
0.6× |
| Breath hydrogen/methane test (91065) |
$159.32 |
$569 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$98 |
$350 |
0.3× |
| Canalith repositioning proc (95992) |
$67.20 |
$240 |
1.6× |
| Car seat/bed test 60 min (94780) |
$58.80 |
$210 |
1.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$259.84 |
$928 |
1.3× |
| Cardiopulmonary resuscitation (92950) |
$262.08 |
$936 |
1.3× |
| Cardioversion (92960) |
$579.04 |
$2,068 |
0.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$19.32 |
$69 |
0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$2,768.08 |
$9,886 |
0.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$2,687.44 |
$9,598 |
0.9× |
| Cbt 1st hour (94644) |
$73.08 |
$261 |
0.6× |
| Chemo Admin Peritoneal Cavity (96446) |
$108.36 |
$387 |
0.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$49.28 |
$176 |
0.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$57.40 |
$205 |
0.8× |
| Chemo Ia Push (96420) |
$109.76 |
$392 |
0.4× |
| Chemo IV infusion addl hr (96415) |
$43.12 |
$154 |
0.6× |
| Chemo IV push addl drug (96411) |
$119 |
$425 |
1.8× |
| Chemother Prolong Infuse W/Pump (96416) |
$206.64 |
$738 |
0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$52.36 |
$187 |
0.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$168 |
$600 |
0.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$136.92 |
$489 |
0.4× |
| Chest Wall Manipulation (94668) |
$32.76 |
$117 |
0.3× |
| Color/duplex Doppler, complete (93975) |
$224.84 |
$803 |
1.0× |
| Color/duplex Doppler, limited (93976) |
$224.84 |
$803 |
2.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$133.84 |
$478 |
4.2× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) |
$665.84 |
$2,378 |
0.8× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) |
$320.32 |
$1,144 |
0.9× |
| Continuous Pulse Ox (94762) |
$62.72 |
$224 |
0.5× |
| Coronary Art/Grft Angio S&I (93455) |
$1,854.72 |
$6,624 |
0.6× |
| Coronary Artery Angio S&I (93454) |
$1,854.72 |
$6,624 |
0.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$148.40 |
$530 |
0.7× |
| Cpt initial (94667) |
$48.72 |
$174 |
0.4× |
| Critical care first hour (99291) |
$656.88 |
$2,346 |
0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$151.48 |
$541 |
0.8× |
Dialysis One Evaluation (90945)
range across 6 matching MRF lines |
$86.80–$701.96 |
$310–$2,507 |
varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$45.64 |
$163 |
0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$119.28 |
$426 |
0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$141.40 |
$505 |
1.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$162.40 |
$580 |
1.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$224.84 |
$803 |
1.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$141.40 |
$505 |
1.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$224.84 |
$803 |
1.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$141.40 |
$505 |
1.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$179.48 |
$641 |
0.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$97.72 |
$349 |
1.0× |
| Duplex Scan Hemodialysis Access (93990) |
$141.40 |
$505 |
1.4× |
| Duplex up extrem art bilat (93930) |
$224.84 |
$803 |
1.0× |
| Duplex up extrem art unilat/ltd (93931) |
$141.40 |
$505 |
1.4× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$114.80 |
$410 |
1.0× |
| ECG/monitoring and analysis (93271) |
$27.16 |
$97 |
0.3× |
| Echo Congenital Complete (93303) |
$260.96 |
$932 |
0.5× |
| Echo transesophageal (93312) |
$451.08 |
$1,611 |
0.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$566.44 |
$2,023 |
1.1× |
| Eeg 41-60 Minutes (95812) |
$212.52 |
$759 |
1.0× |
| EEG awake and asleep (95819) |
$279.16 |
$997 |
1.4× |
| EEG awake drowsy (95816) |
$129.64 |
$463 |
0.6× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$194.88 |
$696 |
1.0× |
| EEG extended monitoring 61-119 minutes (95813) |
$181.44 |
$648 |
0.9× |
| Eeg Sleep Only (95822) |
$120.96 |
$432 |
0.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$194.88 |
$696 |
1.0× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$194.88 |
$696 |
1.0× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$374.08 |
$1,336 |
1.1× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$374.08 |
$1,336 |
1.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$194.88 |
$696 |
1.0× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$374.08 |
$1,336 |
1.1× |
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines |
$27.72–$36.96 |
$99–$132 |
varies |
| Emergency Dept Visit Level 2 (99282) |
$122.08 |
$436 |
0.8× |
| Emergency Dept Visit Level 3 (99283) |
$194.88 |
$696 |
0.8× |
| Emergency Dept Visit Level 4 (99284) |
$311.64 |
$1,113 |
0.8× |
| Er level 1 (99281) |
$72.52 |
$259 |
0.9× |
| Er level v (99285) |
$461.44 |
$1,648 |
0.8× |
| Evaluate pt use of inhaler (94664) |
$24.64 |
$88 |
0.1× |
| Evaluate Speech Production (92522) |
$53.48 |
$191 |
0.5× |
| Evaluate Swallowing Function (92610) |
$51.80 |
$185 |
0.6× |
| Evaluation of speech fluency (92521) |
$65.80 |
$235 |
0.5× |
| External Ecg Scanning Analysis Report (93226) |
$97.72 |
$349 |
1.8× |
| Extracranial Bilat Study (93880) |
$224.84 |
$803 |
1.0× |
| Extracranial Uni/Ltd Study (93882) |
$224.84 |
$803 |
2.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$149.24 |
$533 |
0.3× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
$241.92 |
$864 |
1.6× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$199.64 |
$713 |
1.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$474.04 |
$1,693 |
0.6× |
| Gi tract capsule endoscopy (91110) |
$525.56 |
$1,877 |
0.6× |
| Group Therapeutic Procedures (97150) |
$17.64 |
$63 |
1.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$1,351.28 |
$4,826 |
0.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$470.40 |
$1,680 |
0.7× |
| Holter monitor recording (93225) |
$97.72 |
$349 |
0.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$33.60 |
$120 |
0.5× |
| Insert/Place Heart Catheter (93503) |
$1,688.96 |
$6,032 |
1.1× |
| Iontophoresis 15 min (97033) |
$49.84 |
$178 |
2.6× |
| Irrig Drug Delivery Device (96523) |
$60.76 |
$217 |
1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$111.16 |
$397 |
0.6× |
| L Hrt Art/Grft Angio (93459) |
$3,061.52 |
$10,934 |
1.0× |
| Liver Elastography W/O Imag W/I&R (91200) |
$103.88 |
$371 |
0.9× |
| Lung Function Test (Mbc/Mvv) (94200) |
$62.72 |
$224 |
1.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$84 |
$300 |
0.4× |
| Mechanical chest wall oscillation per session (94669) |
$119.28 |
$426 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$18.76 |
$67 |
0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$21.84 |
$78 |
0.6× |
| Methacholine challenge (94070) |
$126 |
$450 |
0.4× |
| Motion Fluoroscopy/Swallow (92611) |
$73.08 |
$261 |
0.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$112.56 |
$402 |
0.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$112.56 |
$402 |
0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$92.12 |
$329 |
0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$151.48 |
$541 |
0.4× |
| Neuromuscular Reeducation (97112) |
$40.04 |
$143 |
1.2× |
| Newborn resuscitation (99465) |
$359.52 |
$1,284 |
0.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$15.40 |
$55 |
0.6× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$23.80 |
$85 |
0.7× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$7.84 |
$28 |
0.6× |
| Oral Function Therapy (92526) |
$27.16 |
$97 |
0.3× |
| Oral Speech Device Eval (92597) |
$86.80 |
$310 |
1.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$40.60 |
$145 |
0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$27.44 |
$98 |
0.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$19.04 |
$68 |
0.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$104.44 |
$373 |
7.4× |
| Ot eval high complexity (97167) |
$131.88 |
$471 |
1.3× |
| Ot Eval Low Complex (97165) |
$114.52 |
$409 |
1.1× |
| Ot Eval Moderate Complexity (97166) |
$126.28 |
$451 |
1.3× |
| Ot paraffin bath (97018) |
$29.96 |
$107 |
5.0× |
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines |
$78.68–$86.24 |
$281–$308 |
varies |
| Ot Re-Eval Est Plan Care (97168) |
$86.24 |
$308 |
1.3× |
| Penile Vascular Study,Ltd or F/U (93981) |
$162.40 |
$580 |
1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$115.08 |
$411 |
0.6× |
| Perq Transcath Cls Aortic (93591) |
$11,377.52 |
$40,634 |
0.7× |
| Perq Transcath Cls Mitral (93590) |
$11,377.52 |
$40,634 |
0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$4,787.44 |
$17,098 |
0.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$7,271.32 |
$25,969 |
0.7× |
| Phlebotomy therapeutic (99195) |
$148.68 |
$531 |
1.2× |
| Physical Performance Test (97750) |
$104.44 |
$373 |
3.1× |
| Plethysmography (94726) |
$32.20 |
$115 |
0.1× |
| Pm/Icd Remote Tech Serv (93296) |
$26.04 |
$93 |
0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,147.72 |
$4,099 |
1.4× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$419.72 |
$1,499 |
0.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$419.72 |
$1,499 |
0.5× |
| Prq Card Angio/Athrect 1 Art (92924) |
$9,128.84 |
$32,603 |
0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$7,271.32 |
$25,969 |
0.7× |
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure |
$7,271.32 |
$25,969 |
0.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$7,271.32 |
$25,969 |
0.7× |
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure |
$2,816.24 |
$10,058 |
0.3× |
| Pt Eval High Complex (97163) |
$131.88 |
$471 |
1.3× |
| Pt eval low complex 20 min (97161) |
$114.52 |
$409 |
1.2× |
| Pt Eval Mod Complex (97162) |
$126.28 |
$451 |
1.3× |
| Pt gait training 15 min (97116) |
$42.56 |
$152 |
1.5× |
| Pt group caregiver training (97552) |
$16.24 |
$58 |
0.7× |
| Pt mechanical traction (97012) |
$23.24 |
$83 |
1.6× |
| Pt Re-Eval Est Plan Care (97164) |
$86.24 |
$308 |
1.3× |
| Pulm function test by gas (94727) |
$66.36 |
$237 |
0.3× |
Pulmonary service/procedure (94799)
range across 4 matching MRF lines |
$31.64–$148.40 |
$113–$530 |
varies |
| Pulmonary Stress Testing (94618) |
$127.12 |
$454 |
1.0× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) |
$7 |
$25 |
0.3× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) |
$4.20 |
$15 |
0.3× |
| R Hrt Art/Grft Angio (93457) |
$5,863.48 |
$20,941 |
1.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$3,209.08 |
$11,461 |
1.1× |
| R hrt coronary artery angio (93456) |
$1,854.72 |
$6,624 |
0.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$2,922.36 |
$10,437 |
1.0× |
| Refill/Maint Portable Pump (96521) |
$132.72 |
$474 |
0.7× |
| Refill/Maint Pump/Resvr Syst (96522) |
$133.56 |
$477 |
0.7× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$28 |
$100 |
0.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$28 |
$100 |
0.8× |
| Respiratory flow volume loop (94375) |
$68.32 |
$244 |
0.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$34.44 |
$123 |
0.6× |
| Right Heart Cath (93451) |
$1,854.72 |
$6,624 |
0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$90.72 |
$324 |
0.5× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$104.44 |
$373 |
4.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$107.52 |
$384 |
0.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$41.16 |
$147 |
0.9× |
Self Care Mngment Training (97535)
range across 3 matching MRF lines |
$24.08–$38.64 |
$86–$138 |
varies |
| Sensory Integration Ea 15 Min (97533) |
$104.44 |
$373 |
1.7× |
| Slp caregiver training 1st 30 min (97550) |
$38.92 |
$139 |
0.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$133 |
$475 |
0.7× |
| Speech sound lang comprehen (92523) |
$111.16 |
$397 |
0.5× |
| Spirometry (94010) |
$60.20 |
$215 |
0.3× |
| Standardized Cognitive Performance Testing (96125) |
$125.16 |
$447 |
1.2× |
| Stress Tte Only (93350) |
$584.08 |
$2,086 |
1.1× |
| Surfactant Admin Thru Tube (94610) |
$124.88 |
$446 |
0.6× |
| Temp transcutaneous pacing (92953) |
$218.68 |
$781 |
0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$18.48 |
$66 |
0.8× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$17.64 |
$63 |
0.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$78.68 |
$281 |
2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$38.64 |
$138 |
1.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$85.68 |
$306 |
0.8× |
| Therapeutic Activities (97530) |
$30.52 |
$109 |
0.9× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$377.44 |
$1,348 |
1.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$18.48 |
$66 |
0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$18.48 |
$66 |
0.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$210.56 |
$752 |
2.1× |
| Tte W/O Doppler Complete (93307) |
$307.16 |
$1,097 |
1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$61.04 |
$218 |
0.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$334.60 |
$1,195 |
13.9× |
Unlisted cardiovascular service/procedure (93799)
range across 11 matching MRF lines |
$190.96–$8,092.56 |
$682–$28,902 |
varies |
Unlisted Diagnostic Gastroenterology Procedure (91299)
range across 2 matching MRF lines |
$99.96–$112 |
$357–$400 |
varies |
| Unlisted noninvasive vascular diagnostic study (93998) |
$210.56 |
$752 |
7.8× |
| Unlisted Special Dermatological Service/Px (96999) |
$129.36 |
$462 |
0.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$81.48 |
$291 |
0.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$156.52 |
$559 |
0.8× |
| Vasopneumatic device (97016) |
$86.24 |
$308 |
7.2× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$374.08 |
$1,336 |
1.1× |
| Veeg 2-12 hr intmt mntr (95712) |
$194.88 |
$696 |
0.6× |
| Veeg 2-12 hr unmonitored (95711) |
$194.88 |
$696 |
1.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$374.08 |
$1,336 |
1.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$374.08 |
$1,336 |
1.1× |
| Veeg ea 12-26hr cont mntr (95716) |
$700 |
$2,500 |
0.9× |
| Vent Mgmt Inpat Init Day (94002) |
$363.72 |
$1,299 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$363.72 |
$1,299 |
0.6× |
| Vital capacity, total (94150) |
$44.24 |
$158 |
0.4× |
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines |
$33.32–$41.44 |
$119–$148 |
varies |
| Whirlpool Therapy (97022) |
$47.60 |
$170 |
3.0× |