| Airway inhalation treatment (94640) |
— |
$625.50 |
— |
| Analyze Neurostim Complex (95972) |
— |
$386.25 |
— |
| Analyze neurostim no prog (95970) |
— |
$371.25 |
— |
| Canalith Repositioning (95992) |
— |
$110 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$720 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$774 |
— |
| Cardioversion (92960) |
— |
$1,405 |
— |
| Cardioversion internal (92961) |
— |
$1,312 |
— |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
— |
$6,465 |
— |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
— |
$6,465 |
— |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
— |
$38,306 |
— |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
— |
$6,465 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$6,465 |
— |
| Cbt 1st hour (94644) |
— |
$297 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$400 |
— |
| Coronary artery angio s&i (93454) |
— |
$6,465 |
— |
| Cpap initiation and management (94660) |
— |
$553 |
— |
| Cpt initial (94667) |
— |
$297 |
— |
| Critical care (99291) |
— |
$1,512 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$270.50 |
— |
| Demo &/or eval,pt use,aerosol device (94664) |
— |
$501 |
— |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
— |
$630.50 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
— |
$525 |
— |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
— |
$350 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
— |
$525 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
— |
$350 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$350 |
— |
| Duplex hemodialysis access (93990) |
— |
$305 |
— |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
— |
$285 |
— |
| Duplex scan extracranial art compl bi study (93880) |
— |
$526 |
— |
| Ear and throat examination (92502) |
— |
$1,187 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$690 |
— |
| Echo r-t 2d w/probe placement only (93313) |
— |
$1,235 |
— |
| Echo transesophageal (93312) |
— |
$1,092 |
— |
| Echo Transesophageal - Congenital Tee Complete (93315) |
— |
$1,151.50 |
— |
| Echo Transthoracic - Congenital Tte Complete (93303) |
— |
$1,235 |
— |
| Echo Transthoracic - Congenital Tte Limited (93304) |
— |
$1,235 |
— |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
— |
$386.25 |
— |
| Er level 1 (99281) |
— |
$190 |
— |
| Er level ii (99282) |
— |
$348 |
— |
| Er level iii (99283) |
— |
$608 |
— |
| Er level IV (99284) |
— |
$798 |
— |
| Er level v (99285) |
— |
$1,145 |
— |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
— |
$780 |
— |
| Ilr Device Eval Progr (93285) |
— |
$99 |
— |
| Injection intra arterial (96373) |
— |
$500 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$154 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$113.50 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$527.50 |
— |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$173.50 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$555 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$113.50 |
— |
| IV push initial (96374) |
— |
$527.50 |
— |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
— |
$1,053.75 |
— |
| Manual therapy 15 min (97140) |
— |
$65 |
— |
| Massage 15 min (97124) |
— |
$65 |
— |
| Mechanical traction (97012) |
— |
$50 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$66 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$75 |
— |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$250 |
— |
| Multiple sleep latency test (95805) |
— |
$2,500 |
— |
| Nasopharyngoscopy (92511) |
— |
$478 |
— |
| Neg press wnd tx </=50 sq cm (97607) |
— |
$870 |
— |
| Neg press wound tx >50 cm (97608) |
— |
$860.50 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$519 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$861 |
— |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
— |
$1,750 |
— |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
— |
$437.50 |
— |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$146 |
— |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$200 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$343 |
— |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
— |
$343 |
— |
| Paraffin bath (97018) |
— |
$50 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$2,500 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$22,478 |
— |
| Prq trluml coronary angioplasty one art/branch (92920) |
— |
$11,238 |
— |
| Pt Aquatic Therapy/Exercises (97113) |
— |
$50 |
— |
| Pt Electric Current Therapy (97033) |
— |
$65 |
— |
| Pt Electrical Stimulation (97032) |
— |
$50 |
— |
| Pt eval high complex 45 min (97163) |
— |
$200 |
— |
| Pt eval low complex 20 min (97161) |
— |
$200 |
— |
| Pt Gait Training Therapy (97116) |
— |
$50 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$50 |
— |
| Pt Physical Performance Test (97750) |
— |
$65 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$200 |
— |
| Pt re-evaluation (97164) |
— |
$200 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$50 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$65 |
— |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
— |
$6,465 |
— |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
— |
$6,465 |
— |
| R hrt art/grft angio (93457) |
— |
$6,465 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
— |
$6,597 |
— |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
— |
$6,465 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
— |
$6,597 |
— |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
— |
$891.25 |
— |
| Right heart cath (93451) |
— |
$6,465 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$50 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$297 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$65 |
— |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
— |
$900 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$872.50 |
— |
| Sleep study unattended (95806) |
— |
$900 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$900 |
— |
| Stress echo (93350) |
— |
$1,092 |
— |
| Stress Tte Complete (93351) |
— |
$1,092 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$206.25 |
— |
| Therapeutic Activities (97530) |
— |
$50 |
— |
| Tilt Table Eval (93660) |
— |
$1,157 |
— |
| Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21 (93316) |
— |
$1,235 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$1,562.50 |
— |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
— |
$988 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$104 |
— |
| Unlisted Cardiovascular Service/Procedure (93799) |
— |
$387 |
— |
| Unlisted pulmonary service/procedure (94799) |
— |
$233.50 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$550 |
— |
| Vasopneumatic device (97016) |
— |
$50 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$1,054 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,054 |
— |