| Ablate Heart Dysrhythm Focus (93650) |
— |
$12,611 |
— |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
— |
$347 |
— |
| Actigraphy Testing Recording Analysis I&R (95803) |
— |
$174 |
— |
| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$120 |
— |
| Aep neurodiagnostic i&r (92653) |
— |
$1,196 |
— |
| Aep threshold estimation mlt frequencies i&r (92652) |
— |
$1,216 |
— |
| Airway Inhalation Treatment (94640) |
— |
$469 |
— |
| Airway resistance by oscillometry (94728) |
— |
$416 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$352 |
— |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
— |
$499 |
— |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) |
— |
$402 |
— |
| Analyze neurostim complex (95972) |
— |
$498 |
— |
| Analyze neurostim no prog (95970) |
— |
$269 |
— |
| Analyze Neurostim Simple (95971) |
— |
$489 |
— |
| Analyze Pacemaker System (93724) |
— |
$751 |
— |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
— |
$1,972 |
— |
| Ans parasymp & symp w/tilt (95924) |
— |
$575 |
— |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
— |
$470 |
— |
| Appl modality 1+ areas lllt po pain reduction (97037) |
— |
$73 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$77 |
— |
| Application Modality 1/> Areas Diathermy (97024) |
— |
$45 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$30 |
— |
| Application on-body injector (96377) |
— |
$426 |
— |
| Arrhythmia Induction (93618) |
— |
$2,728 |
— |
| Assessment of aphasia per hr (96105) |
— |
$403 |
— |
| Assessment of tinnitus (92625) |
— |
$256 |
— |
| Audiometry Air & Bone (92553) |
— |
$445 |
— |
| Behavral qualit analys voice (92524) |
— |
$851 |
— |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
— |
$138 |
— |
| Bfb training ea addl 15 min (90913) |
— |
$96 |
— |
| Biofeedback training any modality (90901) |
— |
$118 |
— |
| Bioimpedance Cv Analysis (93701) |
— |
$261 |
— |
| Bis Xtracell Fluid Analysis (93702) |
— |
$633 |
— |
| Blink reflex test (95933) |
— |
$254 |
— |
| Breath hydrogen/methane test (91065) |
— |
$645 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$757 |
— |
| Bundle of his recording (93600) |
— |
$11,529 |
— |
| C motor evoked uppr limbs (95928) |
— |
$1,270 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$2,137 |
— |
| Canalith repositioning proc (95992) |
— |
$139 |
— |
| Car seat/bed test 60 min (94780) |
— |
$104 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$994 |
— |
| Cardiopulmonary exercise testing (94621) |
— |
$1,140 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,015 |
— |
| Cardioversion (92960) |
— |
$2,275 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$69 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$17,205 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$14,769 |
— |
| Cbt 1st hour (94644) |
— |
$280 |
— |
| Chemo Admin Peritoneal Cavity (96446) |
— |
$2,085 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$912 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$822 |
— |
| Chemo Ia Push (96420) |
— |
$811 |
— |
| Chemo Intralesional Over 7 (96406) |
— |
$599 |
— |
| Chemo intralesional up to 7 (96405) |
— |
$253 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$998 |
— |
| Chemo IV push addl drug (96411) |
— |
$635 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$2,142 |
— |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
— |
$1,120 |
— |
| Chemotherapy Into Cns (96450) |
— |
$1,197 |
— |
| Chemotherapy Intracavitary (96440) |
— |
$1,012 |
— |
Chemotherapy Unspecified (96549)
range across 2 matching MRF lines |
— |
$214–$724 |
— |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
— |
$1,151 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$1,151 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$1,680 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$939 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$1,916 |
— |
| Chest Wall Manipulation (94668) |
— |
$261 |
— |
| Cmptr ophth dx img ant segmt (92132) |
— |
$157 |
— |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
— |
$228 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,573 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$846 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$114 |
— |
| Comprehensive Hearing Test (92557) |
— |
$618 |
— |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
— |
$157 |
— |
| Computerized Ophthalmic Imaging Retina (92134) |
— |
$160 |
— |
| Conditioning Play Audiometry (92582) |
— |
$302 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$433 |
— |
| Continuous Pulse Ox (94762) |
— |
$330 |
— |
| Cornea hysteresis determin impulse stimj uni/bi (92145) |
— |
$88 |
— |
| Corneal Topography (92025) |
— |
$218 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$14,455 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$13,172 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$818 |
— |
| Cpt initial (94667) |
— |
$310 |
— |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
— |
$741 |
— |
| Critical care first hour (99291) |
— |
$4,473 |
— |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
— |
$1,251 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$624 |
— |
| Dialysis One Evaluation (90945) |
— |
$905 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
— |
$957 |
— |
| Duodenal motility study (91022) |
— |
$1,733 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,268 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$777 |
— |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
— |
$483 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,659 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$846 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,452 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$926 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
— |
$1,149 |
— |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
— |
$726 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$831 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,149 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$827 |
— |
| Echo Congenital Complete (93303) |
— |
$1,635 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$991 |
— |
| Echo r-t 2d w/probe placement only (93313) |
— |
$977 |
— |
| Echo transesophageal (93312) |
— |
$2,186 |
— |
| Echo Transesophageal - Congenital Tee Complete (93315) |
— |
$2,216 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$1,015 |
— |
| EEG awake and asleep (95819) |
— |
$1,519 |
— |
| EEG awake drowsy (95816) |
— |
$1,265 |
— |
| EEG cerebral death evaluation (95824) |
— |
$1,387 |
— |
| EEG cont rec w/video by tech min 8 channels (95700) |
— |
$730 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$1,342 |
— |
| Eeg Sleep Only (95822) |
— |
$1,172 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$546 |
— |
| EEG wo vid ea 12-26hr unmntr (95708) |
— |
$1,451 |
— |
| EKG signal averaged (93278) |
— |
$496 |
— |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
— |
$230 |
— |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
— |
$445 |
— |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
— |
$317 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$104 |
— |
| Electro-Oculography (92270) |
— |
$324 |
— |
| Electrocardiogram Tracing (93005) |
— |
$162 |
— |
| Electroconvulsive Therapy (90870) |
— |
$1,668 |
— |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
— |
$11,529 |
— |
| Electrophysiology Evaluation (93642) |
— |
$3,000 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$775 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$1,414 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$2,303 |
— |
| Emg 3 Extremities (95863) |
— |
$634 |
— |
| Emg 4 Extremities (95864) |
— |
$828 |
— |
| Endomyocardial Biopsy (93505) |
— |
$6,038 |
— |
| Ep & ablate supravent arrhyt (93653) |
— |
$38,632 |
— |
| Ep & ablate ventric tachy (93654) |
— |
$41,406 |
— |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
— |
$15,007 |
— |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
— |
$11,529 |
— |
| Ep Esophageal Recording Atria+Pacing (93616) |
— |
$2,759 |
— |
| Er level 1 (99281) |
— |
$419 |
— |
| Er level v (99285) |
— |
$3,403 |
— |
| Esoph Atrial Electrogram (93615) |
— |
$2,508 |
— |
| Esophageal Capsule Endoscopy (91111) |
— |
$2,929 |
— |
| Esophagus acid perfusion test esophagitis (91030) |
— |
$1,210 |
— |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
— |
$1,300 |
— |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
— |
$1,529 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$325 |
— |
| Evaluate Speech Production (92522) |
— |
$294 |
— |
| Evaluate Swallowing Function (92610) |
— |
$393 |
— |
| Evaluation of speech fluency (92521) |
— |
$350 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$785 |
— |
| Exercise test for bronchospasm (94617) |
— |
$371 |
— |
| Exhaled Air Analysis O2 (94680) |
— |
$498 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$121 |
— |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
— |
$276 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$161 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$556 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$679 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,248 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$681 |
— |
| Eye Exam With Photos (92230) |
— |
$687 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$1,414 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$996 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
— |
$664 |
— |
| Fluorescein angiography (92235) |
— |
$764 |
— |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) |
— |
$954 |
— |
| Full Field Electroretinography W/I&R (92273) |
— |
$752 |
— |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
— |
$4,224 |
— |
| Fundus photography (92250) |
— |
$282 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$1,402 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$815 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$1,639 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$2,460 |
— |
| Gi wireless capsule measure (91112) |
— |
$3,801 |
— |
| Gonioscopy (92020) |
— |
$198 |
— |
| Group Therapeutic Procedures (97150) |
— |
$88 |
— |
| Health Behavior Assessment/Re-Assessment (96156) |
— |
$218 |
— |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
— |
$78 |
— |
| Health behavior ivntj group f2f 1st 30 min (96164) |
— |
$58 |
— |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
— |
$263 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$18,946 |
— |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
— |
$1,724 |
— |
| High altitude simulation test (94452) |
— |
$399 |
— |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
— |
$321 |
— |
| Holter monitor recording (93225) |
— |
$556 |
— |
| Hubbard tank 15 min (97036) |
— |
$146 |
— |
| Icd Device Interrogate (93289) |
— |
$142 |
— |
| Icd device progr eval dual (93283) |
— |
$196 |
— |
| Icd Device Progr Eval Mult (93284) |
— |
$210 |
— |
| Icm Device Eval (93290) |
— |
$100 |
— |
| Ilr Device Eval Progr (93285) |
— |
$138 |
— |
| Ilr Device Interrogate (93291) |
— |
$107 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$156 |
— |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) |
— |
$276 |
— |
| Immunization administration (90471) |
— |
$156 |
— |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
— |
$822 |
— |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
— |
$1,124 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$2,894 |
— |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
— |
$264 |
— |
| Interrog&prgrmg ipnss during polysomnography (93152) |
— |
$816 |
— |
| Interrogate Subq Defib (93261) |
— |
$142 |
— |
| Interrogation eval in person wr defibrillator (93292) |
— |
$155 |
— |
| Interrogation without programming ipnss (93153) |
— |
$212 |
— |
| Intra-atrial pacing (93610) |
— |
$13,559 |
— |
| Intra-atrial recording (93602) |
— |
$13,559 |
— |
| Intracranial Complete Study (93886) |
— |
$1,283 |
— |
| Intraventricular pacing (93612) |
— |
$11,529 |
— |
| Iontophoresis 15 min (97033) |
— |
$103 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$545 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$116 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$591 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$193 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$125 |
— |
| IV push initial (96374) |
— |
$591 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$15,561 |
— |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
— |
$6,828 |
— |
| Laryngeal Function Studies (92520) |
— |
$518 |
— |
| Liver Elastography W/O Imag W/I&R (91200) |
— |
$371 |
— |
| Low frequency non-thermal us (97610) |
— |
$416 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$1,134 |
— |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
— |
$3,890 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$325 |
— |
| Methacholine challenge (94070) |
— |
$1,076 |
— |
| Microvolt T-Wave Assess (93025) |
— |
$710 |
— |
| Motility study esophagus (91010) |
— |
$1,495 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$513 |
— |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
— |
$694 |
— |
| Multifocal Electroretinography W/I&R (92274) |
— |
$418 |
— |
| Multiple Family Group Psychotherapy (90849) |
— |
$263 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$3,370 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$514 |
— |
| Muscle Test Hemidiaphragm (95866) |
— |
$516 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$323 |
— |
| Muscle Test One Limb (95860) |
— |
$433 |
— |
| Nasal function studies (92512) |
— |
$617 |
— |
| Nasopharyngoscopy (92511) |
— |
$734 |
— |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
— |
$689 |
— |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
— |
$564 |
— |
| Needle electromyography larynx (95865) |
— |
$409 |
— |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
— |
$438 |
— |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
— |
$950 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$895 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$1,048 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$364 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$813 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$580 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$1,374 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$1,597 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$727 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$879 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$1,117 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$1,245 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$446 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$506 |
— |
| Neuromuscular Reeducation (97112) |
— |
$155 |
— |
| Newborn resuscitation (99465) |
— |
$1,306 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$553 |
— |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
— |
$588 |
— |
| Oculoelectromyography (92265) |
— |
$166 |
— |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
— |
$276 |
— |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
— |
$321 |
— |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
— |
$297 |
— |
| Ophth medical xm&eval intermediate estab pt (92012) |
— |
$278 |
— |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
— |
$291 |
— |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
— |
$132 |
— |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
— |
$134 |
— |
| Oral Function Therapy (92526) |
— |
$346 |
— |
| Oral Speech Device Eval (92597) |
— |
$630 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$301 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$203 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$91 |
— |
| Ot eval high complexity (97167) |
— |
$439 |
— |
| Ot Eval Low Complex (97165) |
— |
$363 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$426 |
— |
| Ot manual therapy 15 min (97140) |
— |
$186 |
— |
| Ot paraffin bath (97018) |
— |
$54 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$170 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$238 |
— |
| Ot rom hand (95852) |
— |
$102 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$347 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$290 |
— |
| Oxygen Uptake Rest Indirect (94690) |
— |
$237 |
— |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
— |
$749 |
— |
| Penile Vascular Study,Ltd or F/U (93981) |
— |
$481 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$519 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$174 |
— |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) |
— |
$36,125 |
— |
| Perq transcath closure pda (93582) |
— |
$27,094 |
— |
| Perq Transcath Cls Aortic (93591) |
— |
$27,094 |
— |
| Perq Transcath Cls Mitral (93590) |
— |
$27,094 |
— |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
— |
$8,835 |
— |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
— |
$26,850 |
— |
| Phlebotomy therapeutic (99195) |
— |
$674 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$188 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$187 |
— |
| Physical Performance Test (97750) |
— |
$85 |
— |
| Plethysmography (94726) |
— |
$553 |
— |
| Pm device eval in person (93288) |
— |
$137 |
— |
| Pm device progr eval dual (93280) |
— |
$179 |
— |
| Pm device progr eval multi (93281) |
— |
$180 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$143 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$155 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$5,417 |
— |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
— |
$913 |
— |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
— |
$169 |
— |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
— |
$154 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$70 |
— |
| Prq Card Angio/Athrect 1 Art (92924) |
— |
$18,549 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$18,827 |
— |
| Prq Card Stent/Ath/Angio (92933) |
— |
$27,094 |
— |
| Prq Revasc Byp Graft 1 Vsl (92937) |
— |
$19,163 |
— |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
— |
$36,776 |
— |
| Prq trl rvs ch occ ant&rtrgr (92945) |
— |
$29,535 |
— |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
— |
$17,063 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$398 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$344 |
— |
| Psychological tst eval svc phys/qhp first hour (96130) |
— |
$335 |
— |
| Psycl/Nrpsyc Tst Auto Result (96146) |
— |
$82 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$661 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$264 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$377 |
— |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
— |
$95 |
— |
| Pt Eval High Complex (97163) |
— |
$446 |
— |
| Pt eval low complex 20 min (97161) |
— |
$347 |
— |
| Pt Eval Mod Complex (97162) |
— |
$409 |
— |
| Pt gait training 15 min (97116) |
— |
$143 |
— |
| Pt group caregiver training (97552) |
— |
$62 |
— |
| Pt mechanical traction (97012) |
— |
$107 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$238 |
— |
| Pulm function test by gas (94727) |
— |
$430 |
— |
Pulmonary service/procedure (94799)
range across 2 matching MRF lines |
— |
$52–$128 |
— |
| Pulmonary Stress Testing (94618) |
— |
$411 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$363 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$17,417 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
— |
$7,748 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
— |
$4,792 |
— |
| R hrt coronary artery angio (93456) |
— |
$16,154 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
— |
$8,386 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
— |
$6,469 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$13,125 |
— |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
— |
$723 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$909 |
— |
| Refill/Maint Pump/Resvr Syst (96522) |
— |
$1,290 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$108 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$182 |
— |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
— |
$170 |
— |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
— |
$396 |
— |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) |
— |
$136 |
— |
| Rem Mntr Wrls P-Art Prs Snr (93264) |
— |
$89 |
— |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
— |
$119 |
— |
| Rem ther mntr dev sply resp (98976) |
— |
$120 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$398 |
— |
| Remote 30 Day Ecg Tech Supp (93229) |
— |
$2,095 |
— |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
— |
$307 |
— |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
— |
$75 |
— |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
— |
$95 |
— |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
— |
$635 |
— |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) |
— |
$604 |
— |
| Respiratory flow volume loop (94375) |
— |
$491 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$166 |
— |
| Right Heart Cath (93451) |
— |
$11,122 |
— |
| Right ventricular recording (93603) |
— |
$3,148 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$383 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$136 |
— |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) |
— |
$119 |
— |
| Rtm dev sply data respir sys 2-15 days in 30d pd (98984) |
— |
$120 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$422 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$152 |
— |
| Select picture audiometry (92583) |
— |
$142 |
— |
| Self Care Mngment Training (97535) |
— |
$216 |
— |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
— |
$242 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$261 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$1,565 |
— |
| Sleep study attended (95807) |
— |
$1,300 |
— |
| Sleep study unattended (95806) |
— |
$448 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$149 |
— |
| Somatosensory Testing (95938) |
— |
$2,166 |
— |
| Speech Audiometry Complete (92556) |
— |
$216 |
— |
| Speech audiometry threshold (92555) |
— |
$119 |
— |
| Speech sound lang comprehen (92523) |
— |
$599 |
— |
| Spin/Brain Pump Refil & Main (95991) |
— |
$784 |
— |
| Spirometry (94010) |
— |
$422 |
— |
| Ssep lower limbs (95926) |
— |
$945 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$329 |
— |
| Stenger Test Speech (92577) |
— |
$904 |
— |
| Stenger Test, Pure Tone (92565) |
— |
$88 |
— |
| Stress Tte Only (93350) |
— |
$1,783 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$332 |
— |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
— |
$1,210 |
— |
| Testing Autonomic Nervous System Function (95923) |
— |
$591 |
— |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) |
— |
$264 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$116 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$107 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$170 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$117 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$319 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$527 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$256 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$591 |
— |
| Therap repetitive tms tx subseq delivery & mng (90868) |
— |
$546 |
— |
| Therapeutic Activities (97530) |
— |
$243 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$2,801 |
— |
| Transcath Closure of Asd (93580) |
— |
$27,094 |
— |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
— |
$1,128 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$734 |
— |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
— |
$155 |
— |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) |
— |
$489 |
— |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) |
— |
$473 |
— |
| Tte w/doppler, complete (93306) |
— |
$2,444 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,444 |
— |
| Tx atrial fib pulm vein isol (93656) |
— |
$41,823 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$420 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$125 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$125 |
— |
| Tympanometry (92567) |
— |
$239 |
— |
| Tympanometry and reflex threshold measurements (92550) |
— |
$403 |
— |
| Unlis neurological/neuromuscular dx px (95999) |
— |
$321 |
— |
Unlisted cardiovascular service/procedure (93799)
range across 16 matching MRF lines |
— |
$318–$53,928 |
— |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
— |
$252 |
— |
| Unlisted Psychiatric Service/Procedure (90899) |
— |
$741 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$659 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$905 |
— |
| Valvuloplasty aortic valve (92986) |
— |
$12,505 |
— |
| Valvuloplasty mitral valve (92987) |
— |
$17,063 |
— |
| Valvuloplasty pulmonary valve (92990) |
— |
$17,063 |
— |
| Vasopneumatic device (97016) |
— |
$89 |
— |
| Veeg 2-12 Hr Cont Mntr (95713) |
— |
$1,733 |
— |
| Veeg 2-12 hr intmt mntr (95712) |
— |
$1,614 |
— |
| Veeg 2-12 hr unmonitored (95711) |
— |
$1,006 |
— |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
— |
$3,714 |
— |
| Veeg Ea 12-26 Hr Unmntr (95714) |
— |
$2,041 |
— |
| Veeg ea 12-26hr cont mntr (95716) |
— |
$4,224 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$3,045 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$2,533 |
— |
| Visual Evoked Potential Test (95930) |
— |
$1,015 |
— |
| Visual Field Exam Extended (92083) |
— |
$290 |
— |
| Visual field xm uni/bi w/interp intermed exam (92082) |
— |
$249 |
— |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
— |
$198 |
— |
| Vital capacity, total (94150) |
— |
$252 |
— |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
— |
$2,137 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$141 |
— |
| Whirlpool Therapy (97022) |
— |
$123 |
— |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
— |
$191 |
— |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
— |
$209 |
— |