| Admn Sarscov2 Vacc 1 Dose (90480) |
$130 |
$130 |
2.6× |
| Advncd Care Plan 30 Min (99497) |
$92 |
$92 |
0.7× |
| Airway Inhalation Treatment (94640) |
$658 |
$658 |
2.4× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$74 |
$74 |
1.6× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$125 |
$125 |
0.5× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) |
$258 |
$258 |
1.6× |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
$180 |
$180 |
1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$53 |
$53 |
3.7× |
| Application Modality 1/> Areas Diathermy (97024) |
$48 |
$48 |
6.5× |
| Application Modality 1/> Areas Infrared (97026) |
$52 |
$52 |
7.8× |
| Application on-body injector (96377) |
$137 |
$137 |
2.3× |
| Assessment of aphasia per hr (96105) |
$270 |
$270 |
2.8× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$121 |
$121 |
1.0× |
| Behavral qualit analys voice (92524) |
$292 |
$292 |
2.7× |
| Breathing response to hypoxia (94450) |
$407 |
$407 |
2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$475 |
$475 |
1.0× |
| Canalith repositioning proc (95992) |
$145 |
$145 |
3.6× |
| Car seat/bed test 60 min (94780) |
$148 |
$148 |
3.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$549 |
$549 |
2.0× |
Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$188–$570 |
$188–$570 |
varies |
Cardioversion (92960) range across 6 matching MRF lines |
$415–$1,401 |
$415–$1,401 |
varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$7,887 |
$7,887 |
1.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$7,887 |
$7,887 |
1.9× |
| Cbt 1st hour (94644) |
$118 |
$118 |
0.7× |
| Chemo Anti-Neopl Sq/Im (96401) |
$182 |
$182 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$149 |
$149 |
1.7× |
| Chemo Ia Push (96420) |
$469 |
$469 |
1.1× |
| Chemo IV infusion addl hr (96415) |
$120 |
$120 |
1.3× |
| Chemo IV push addl drug (96411) |
$234 |
$234 |
2.6× |
| Chemother Prolong Infuse W/Pump (96416) |
$295 |
$295 |
0.7× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$527 |
$527 |
1.3× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
$1,872 |
$1,872 |
32.0× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$703 |
$703 |
1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$226 |
$226 |
2.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$536 |
$536 |
1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$404 |
$404 |
1.0× |
| Chest Wall Manipulation (94668) |
$35 |
$35 |
0.2× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$517 |
$517 |
1.1× |
| Color/duplex Doppler, complete (93975) |
$691 |
$691 |
2.3× |
| Color/duplex Doppler, limited (93976) |
$565 |
$565 |
4.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$87 |
$87 |
2.7× |
| Continuous Pulse Ox (94762) |
$123 |
$123 |
0.8× |
| Coronary Art/Grft Angio S&I (93455) |
$8,093 |
$8,093 |
2.0× |
| Coronary Artery Angio S&I (93454) |
$7,887 |
$7,887 |
1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$317 |
$317 |
1.2× |
| Cpt initial (94667) |
$58 |
$58 |
0.3× |
Critical care first hour (99291) range across 3 matching MRF lines |
$654–$1,994 |
$654–$1,994 |
varies |
Debridement Open Wound 20 Sq Cm< (97597) range across 11 matching MRF lines |
$70–$608 |
$70–$608 |
varies |
| Dialysis One Evaluation (90945) |
$1,030 |
$1,030 |
2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$673 |
$673 |
2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$673 |
$673 |
5.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$458 |
$458 |
3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$692 |
$692 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$341 |
$341 |
2.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$673 |
$673 |
2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$401 |
$401 |
3.1× |
| Duplex Scan Hemodialysis Access (93990) |
$506 |
$506 |
3.9× |
| Duplex up extrem art bilat (93930) |
$692 |
$692 |
2.3× |
| Duplex up extrem art unilat/ltd (93931) |
$341 |
$341 |
2.6× |
| ECG/monitoring and analysis (93271) |
$276 |
$276 |
2.3× |
| Echo Congenital Complete (93303) |
$1,648 |
$1,648 |
2.4× |
| Echo Heart Xthoracic,Limited (93308) |
$747 |
$747 |
2.5× |
| Echo transesophageal (93312) |
$1,770 |
$1,770 |
2.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,770 |
$1,770 |
2.6× |
| Eeg 41-60 Minutes (95812) |
$712 |
$712 |
2.6× |
| EEG awake and asleep (95819) |
$525 |
$525 |
1.9× |
| EEG awake drowsy (95816) |
$525 |
$525 |
1.9× |
| EEG cerebral death evaluation (95824) |
$715 |
$715 |
1.5× |
| EEG extended monitoring 61-119 minutes (95813) |
$519 |
$519 |
1.9× |
| Eeg Sleep Only (95822) |
$640 |
$640 |
2.4× |
| Electrical Stimulation Ea 15 Min (97032) |
$53 |
$53 |
3.6× |
| Electrocardiogram Tracing (93005) |
$186 |
$186 |
2.5× |
| Electroconvulsive Therapy (90870) |
$1,205 |
$1,205 |
1.1× |
| Electrophysiology Evaluation (93642) |
$4,017 |
$4,017 |
2.6× |
Emergency Dept Visit Level 2 (99282) range across 10 matching MRF lines |
$57–$461 |
$57–$461 |
varies |
Emergency Dept Visit Level 3 (99283) range across 9 matching MRF lines |
$75–$646 |
$75–$646 |
varies |
Emergency Dept Visit Level 4 (99284) range across 9 matching MRF lines |
$167–$953 |
$167–$953 |
varies |
| Emg 3 Extremities (95863) |
$601 |
$601 |
3.7× |
Er level 1 (99281) range across 12 matching MRF lines |
$38–$191 |
$38–$191 |
varies |
Er level v (99285) range across 7 matching MRF lines |
$261–$1,465 |
$261–$1,465 |
varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$212 |
$212 |
1.3× |
| Evaluate pt use of inhaler (94664) |
$99 |
$99 |
0.4× |
| Evaluate Speech Production (92522) |
$302 |
$302 |
2.7× |
| Evaluate Swallowing Function (92610) |
$327 |
$327 |
3.9× |
| Evaluation of speech fluency (92521) |
$359 |
$359 |
2.7× |
| Exercise test for bronchospasm (94617) |
$314 |
$314 |
1.9× |
| External Ecg Scanning Analysis Report (93226) |
$292 |
$292 |
4.0× |
| Extracranial Bilat Study (93880) |
$538 |
$538 |
1.8× |
| Extracranial Uni/Ltd Study (93882) |
$254 |
$254 |
1.9× |
Eye Exam With Photos (92230) range across 2 matching MRF lines |
$97–$879 |
$97–$879 |
varies |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,183 |
$1,183 |
1.7× |
| Fluorescein angiography (92235) |
$420 |
$420 |
1.6× |
| Gastric motility studies (91020) |
$602 |
$602 |
1.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$823 |
$823 |
1.8× |
| Group Therapeutic Procedures (97150) |
$52 |
$52 |
2.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$7,887 |
$7,887 |
1.9× |
| Holter monitor recording (93225) |
$230 |
$230 |
1.4× |
| Icm Device Eval (93290) |
$70 |
$70 |
1.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$30 |
$30 |
0.3× |
| Immunization administration (90471) |
$159 |
$159 |
1.8× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$1,323 |
$1,323 |
2.8× |
| Insert/Place Heart Catheter (93503) |
$1,132 |
$1,132 |
0.6× |
Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$52.85–$53 |
$52.85–$53 |
varies |
| Irrig Drug Delivery Device (96523) |
$242 |
$242 |
3.3× |
| IV infusion hydration each additional hour (96361) |
$96 |
$96 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$322 |
$322 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$191 |
$191 |
2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$96 |
$96 |
1.6× |
| IV push initial (96374) |
$322 |
$322 |
1.2× |
| L Hrt Art/Grft Angio (93459) |
$7,887 |
$7,887 |
1.9× |
| Low frequency non-thermal us (97610) |
$54 |
$54 |
0.2× |
| Lung Function Test (Mbc/Mvv) (94200) |
$171 |
$171 |
2.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$308 |
$308 |
1.1× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) |
$239 |
$239 |
0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$95 |
$95 |
3.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$109 |
$109 |
3.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$51 |
$51 |
3.0× |
| Methacholine challenge (94070) |
$415 |
$415 |
0.9× |
| Motility study esophagus (91010) |
$610 |
$610 |
1.3× |
| Motion Fluoroscopy/Swallow (92611) |
$282 |
$282 |
3.1× |
| Multiple Family Group Psychotherapy (90849) |
$128 |
$128 |
0.6× |
| Multiple Sleep Latency Test (95805) |
$2,688 |
$2,688 |
2.5× |
| Muscle Test 2 Limbs (95861) |
$515 |
$515 |
3.1× |
| Muscle Test One Limb (95860) |
$428 |
$428 |
2.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$105 |
$105 |
0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$1,236 |
$1,236 |
2.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$1,236 |
$1,236 |
2.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$632 |
$632 |
2.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$1,007 |
$1,007 |
2.0× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$644 |
$644 |
1.4× |
| Nerve conduction studies 13 or more studies (95913) |
$644 |
$644 |
1.4× |
| Nerve conduction studies 7-8 studies (95910) |
$356 |
$356 |
0.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$644 |
$644 |
1.4× |
| Neurobehavioral Status Exam (96116) |
$370 |
$370 |
1.4× |
| Neuromuscular Reeducation (97112) |
$98 |
$98 |
3.0× |
| Newborn resuscitation (99465) |
$830 |
$830 |
1.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$637 |
$637 |
1.4× |
| Oral Function Therapy (92526) |
$282 |
$282 |
3.4× |
| Oral Speech Device Eval (92597) |
$290 |
$290 |
4.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$141 |
$141 |
2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$112 |
$112 |
2.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$50 |
$50 |
1.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$51 |
$51 |
1.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$65 |
$65 |
2.4× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$76 |
$76 |
2.8× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$86 |
$86 |
3.2× |
| Ot Contrast Bath Ea 15 Min (97034) |
$68 |
$68 |
4.8× |
| Ot eval high complexity (97167) |
$279 |
$279 |
2.8× |
| Ot Eval Low Complex (97165) |
$229 |
$229 |
2.3× |
| Ot Eval Moderate Complexity (97166) |
$254 |
$254 |
2.5× |
| Ot manual therapy 15 min (97140) |
$89 |
$89 |
3.2× |
| Ot paraffin bath (97018) |
$53 |
$53 |
8.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$96 |
$96 |
2.4× |
| Ot Re-Eval Est Plan Care (97168) |
$151 |
$151 |
2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$227 |
$227 |
1.4× |
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 3 matching MRF lines |
$70–$182 |
$70–$182 |
varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$74 |
$74 |
0.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$11,976 |
$11,976 |
1.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$18,190 |
$18,190 |
1.3× |
Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$57–$242 |
$57–$242 |
varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$204 |
$204 |
2.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$204 |
$204 |
2.8× |
| Physical Performance Test (97750) |
$30 |
$30 |
0.9× |
| Plethysmography (94726) |
$659 |
$659 |
1.4× |
| Pm device eval in person (93288) |
$105 |
$105 |
2.3× |
| Pm device progr eval dual (93280) |
$101 |
$101 |
2.2× |
| Pm/Icd Remote Tech Serv (93296) |
$102 |
$102 |
2.2× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,016–$2,688 |
$2,016–$2,688 |
varies |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,689 |
$1,689 |
1.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,796 |
$1,796 |
1.7× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$2,688 |
$2,688 |
2.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$64 |
$64 |
1.1× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$68 |
$68 |
1.2× |
| Prq Card Angio/Athrect 1 Art (92924) |
$22,836 |
$22,836 |
1.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$18,190 |
$18,190 |
1.3× |
| Prq Card Stent/Ath/Angio (92933) |
$18,190 |
$18,190 |
0.8× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$18,190 |
$18,190 |
1.3× |
| Psych diag eval w/med srvcs (90792) |
$382 |
$382 |
1.7× |
| Psychiatric diagnostic evaluation (90791) |
$367 |
$367 |
1.7× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$479 |
$479 |
0.9× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$154 |
$154 |
0.9× |
| Pt Eval High Complex (97163) |
$286 |
$286 |
2.9× |
| Pt eval low complex 20 min (97161) |
$236 |
$236 |
2.4× |
| Pt Eval Mod Complex (97162) |
$261 |
$261 |
2.7× |
| Pt gait training 15 min (97116) |
$84 |
$84 |
2.9× |
| Pt mechanical traction (97012) |
$53 |
$53 |
3.7× |
| Pt Re-Eval Est Plan Care (97164) |
$158 |
$158 |
2.3× |
| Pt ultraviolet (97028) |
$37 |
$37 |
4.4× |
| Pulm function test by gas (94727) |
$281 |
$281 |
1.0× |
Pulmonary service/procedure (94799) range across 6 matching MRF lines |
$31–$251 |
$31–$251 |
varies |
| Pulmonary Stress Testing (94618) |
$314 |
$314 |
1.9× |
| Pure Tone Audiometry Air (92552) |
$184 |
$184 |
1.1× |
| R Hrt Art/Grft Angio (93457) |
$10,579 |
$10,579 |
2.6× |
| R hrt coronary artery angio (93456) |
$7,887 |
$7,887 |
1.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$7,454 |
$7,454 |
1.8× |
| Refill/Maint Portable Pump (96521) |
$289 |
$289 |
1.1× |
| Refill/Maint Pump/Resvr Syst (96522) |
$246 |
$246 |
0.9× |
| Remote 30 Day Ecg Rev/Report (93270) |
$482 |
$482 |
10.3× |
| Respiratory flow volume loop (94375) |
$96 |
$96 |
0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$88 |
$88 |
1.2× |
| Right Heart Cath (93451) |
$8,098 |
$8,098 |
2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$442 |
$442 |
1.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$336 |
$336 |
2.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$143 |
$143 |
3.0× |
| Self Care Mngment Training (97535) |
$102 |
$102 |
3.1× |
| Sensory Integration Ea 15 Min (97533) |
$87 |
$87 |
1.4× |
| Sleep study attended (95807) |
$1,468 |
$1,468 |
3.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$540 |
$540 |
2.0× |
| Speech sound lang comprehen (92523) |
$640 |
$640 |
2.8× |
| Spirometry (94010) |
$297 |
$297 |
1.1× |
| Standardized Cognitive Performance Testing (96125) |
$381 |
$381 |
3.7× |
| Stress Tte Only (93350) |
$1,138 |
$1,138 |
1.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$383 |
$383 |
1.4× |
| Temp transcutaneous pacing (92953) |
$399 |
$399 |
0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$96 |
$96 |
4.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$98 |
$98 |
2.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$77 |
$77 |
2.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$266 |
$266 |
2.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$30 |
$30 |
0.5× |
| Ther/Proph/Diag Inj Ia (96373) |
$117 |
$117 |
0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$131 |
$131 |
1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$517 |
$517 |
1.9× |
| Therapeutic Activities (97530) |
$102 |
$102 |
2.9× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$668 |
$668 |
1.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$93 |
$93 |
2.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$52 |
$52 |
1.1× |
| Trans Care Mgmt 14 Day Disch (99495) |
$156 |
$156 |
0.9× |
| Trans Care Mgmt 7 Day Disch (99496) |
$156 |
$156 |
0.9× |
| Tte w/doppler, complete (93306) |
$1,272 |
$1,272 |
1.9× |
| Tte W/O Doppler Complete (93307) |
$1,272 |
$1,272 |
4.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$260 |
$260 |
3.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$71 |
$71 |
3.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$96 |
$96 |
1.6× |
| Tympanometry (92567) |
$52 |
$52 |
1.1× |
Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$38–$216 |
$38–$216 |
varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$355 |
$355 |
2.2× |
| Unlisted Psychiatric Service/Procedure (90899) |
$142 |
$142 |
3.0× |
| Upr/L Xtremity Art 2 Levels (93922) |
$230 |
$230 |
1.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$362 |
$362 |
1.3× |
| Vasopneumatic device (97016) |
$70 |
$70 |
5.8× |
| Veeg ea 12-26hr cont mntr (95716) |
$3,572 |
$3,572 |
3.3× |
| Vent Mgmt Inpat Init Day (94002) |
$655 |
$655 |
0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$437 |
$437 |
0.6× |
| Vital capacity, total (94150) |
$281 |
$281 |
1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$90 |
$90 |
2.9× |
| Whirlpool Therapy (97022) |
$69 |
$69 |
4.4× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$90 |
$90 |
1.9× |