| Airway Inhalation Treatment (94640) |
$116 |
$145 |
0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$107.20 |
$134 |
7.5× |
| Application on-body injector (96377) |
$83.20 |
$104 |
1.7× |
| Assessment of aphasia per hr (96105) |
$400 |
$500 |
4.1× |
| Behavral qualit analys voice (92524) |
$477.60 |
$597 |
4.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$82.40 |
$103 |
1.0× |
| Bfb training ea addl 15 min (90913) |
$56.80 |
$71 |
1.7× |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines |
$412.80–$910.40 |
$516–$1,138 |
varies |
| Canalith repositioning proc (95992) |
$157.60 |
$197 |
3.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,341.60 |
$1,677 |
5.8× |
| Cardiopulmonary resuscitation (92950) |
$1,717.60 |
$2,147 |
7.4× |
Cardioversion (92960)
range across 2 matching MRF lines |
$2,041.60–$2,082.40 |
$2,552–$2,603 |
varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$56 |
$70 |
2.1× |
| Cbt 1st hour (94644) |
$216 |
$270 |
1.5× |
| Chemo Anti-Neopl Sq/Im (96401) |
$193.60 |
$242 |
2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$295.20 |
$369 |
3.8× |
| Chemo IV infusion addl hr (96415) |
$268 |
$335 |
3.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$639.20 |
$799 |
1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$365.60 |
$457 |
1.0× |
| Chest Wall Manipulation (94668) |
$136 |
$170 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$1,612.80 |
$2,016 |
6.3× |
| Color/duplex Doppler, limited (93976) |
$1,082.40 |
$1,353 |
9.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$144 |
$180 |
4.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$431.20 |
$539 |
3.0× |
| Continuous Pulse Ox (94762) |
$1,153.60 |
$1,442 |
8.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$516.80 |
$646 |
2.2× |
| Cpt initial (94667) |
$136 |
$170 |
1.0× |
| Critical care first hour (99291) |
$2,350.40 |
$2,938 |
2.7× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines |
$250.40–$439.20 |
$313–$549 |
varies |
| Developmental tst admin phys/qhp 1st hour (96112) |
$442.40 |
$553 |
3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,376 |
$1,720 |
5.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,649.60 |
$2,062 |
6.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$919.20 |
$1,149 |
8.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,452 |
$1,815 |
5.7× |
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines |
$1,316–$1,383.20 |
$1,645–$1,729 |
varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,533.60 |
$1,917 |
6.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$1,023.20 |
$1,279 |
9.1× |
| Duplex up extrem art bilat (93930) |
$2,008.80 |
$2,511 |
7.9× |
| Duplex up extrem art unilat/ltd (93931) |
$919.20 |
$1,149 |
8.2× |
| ECG/monitoring and analysis (93271) |
$613.60 |
$767 |
6.0× |
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines |
$896.80–$1,214.40 |
$1,121–$1,518 |
varies |
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines |
$2,863.20–$3,180 |
$3,579–$3,975 |
varies |
| EEG cont rec w/video by tech min 8 channels (95700) |
$956 |
$1,195 |
4.1× |
| Electrical Stimulation Ea 15 Min (97032) |
$115.20 |
$144 |
7.8× |
| Electrocardiogram Tracing (93005) |
$484 |
$605 |
7.7× |
| Emergency Dept Visit Level 2 (99282) |
$380 |
$475 |
2.3× |
| Emergency Dept Visit Level 3 (99283) |
$648 |
$810 |
2.2× |
| Emergency Dept Visit Level 4 (99284) |
$1,026.40 |
$1,283 |
2.3× |
| Ep & ablate supravent arrhyt (93653) |
$20,412.80 |
$25,516 |
0.7× |
| Ep & ablate ventric tachy (93654) |
$20,412.80 |
$25,516 |
0.7× |
| Er level 1 (99281) |
$183.20 |
$229 |
2.0× |
| Er level v (99285) |
$1,707.20 |
$2,134 |
2.7× |
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines |
$352–$373.60 |
$440–$467 |
varies |
| Evaluate pt use of inhaler (94664) |
$116 |
$145 |
0.5× |
| Evaluate Speech Production (92522) |
$391.20 |
$489 |
3.5× |
| Evaluate Swallowing Function (92610) |
$412.80 |
$516 |
4.9× |
| Evaluation of speech fluency (92521) |
$483.20 |
$604 |
3.6× |
| Evoked Auditory Test,Limited (92587) |
$261.60 |
$327 |
1.1× |
| External ECG rec>48hr<7d recording (93242) |
$216.80 |
$271 |
5.4× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$613.60 |
$767 |
4.3× |
| External ECG rec>7d<15d recording (93246) |
$360.80 |
$451 |
9.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$613.60 |
$767 |
4.3× |
| External Ecg Scanning Analysis Report (93226) |
$613.60 |
$767 |
9.7× |
| Extracranial Bilat Study (93880) |
$1,932.80 |
$2,416 |
7.6× |
| Extracranial Uni/Ltd Study (93882) |
$1,167.20 |
$1,459 |
10.4× |
| Group Therapeutic Procedures (97150) |
$52.80 |
$66 |
2.9× |
| Holter monitor recording (93225) |
$613.60 |
$767 |
4.3× |
Immunization administration (90471)
range across 2 matching MRF lines |
$121.60–$128 |
$152–$160 |
varies |
| Iontophoresis 15 min (97033) |
$115.20 |
$144 |
6.1× |
| Irrig Drug Delivery Device (96523) |
$224.80 |
$281 |
3.6× |
| IV infusion hydration each additional hour (96361) |
$272.80 |
$341 |
5.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$572.80 |
$716 |
2.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$305.60 |
$382 |
4.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$279.20 |
$349 |
5.6× |
| IV push initial (96374) |
$329.60 |
$412 |
1.4× |
| Low frequency non-thermal us (97610) |
$371.20 |
$464 |
1.7× |
| Lung Function Test (Mbc/Mvv) (94200) |
$129.60 |
$162 |
2.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$2,569.60 |
$3,212 |
11.1× |
| Mechanical chest wall oscillation per session (94669) |
$165.60 |
$207 |
0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$72 |
$90 |
2.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$83.20 |
$104 |
2.3× |
| Methacholine challenge (94070) |
$910.40 |
$1,138 |
2.3× |
| Motion Fluoroscopy/Swallow (92611) |
$547.20 |
$684 |
6.0× |
| Multiple Sleep Latency Test (95805) |
$9,016 |
$11,270 |
9.8× |
| Nasopharyngoscopy (92511) |
$584.80 |
$731 |
2.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$574.40 |
$718 |
1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$596 |
$745 |
1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$292.80 |
$366 |
1.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$502.40 |
$628 |
1.2× |
| Neuromuscular Reeducation (97112) |
$144 |
$180 |
4.4× |
Oral Function Therapy (92526)
range across 2 matching MRF lines |
$144–$288 |
$180–$360 |
varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$144 |
$180 |
2.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$140 |
$175 |
3.0× |
| Ot eval high complexity (97167) |
$371.20 |
$464 |
3.7× |
| Ot Eval Low Complex (97165) |
$308.80 |
$386 |
3.1× |
| Ot Eval Moderate Complexity (97166) |
$329.60 |
$412 |
3.3× |
| Ot manual therapy 15 min (97140) |
$140 |
$175 |
5.1× |
| Ot paraffin bath (97018) |
$70.40 |
$88 |
11.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$164 |
$205 |
4.1× |
| Ot Re-Eval Est Plan Care (97168) |
$214.40 |
$268 |
3.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$249.60 |
$312 |
1.8× |
| Percutaneous tests w/allergenic extracts (95004) |
$52.80 |
$66 |
0.1× |
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines |
$284–$420 |
$355–$525 |
varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$387.20 |
$484 |
6.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$387.20 |
$484 |
6.1× |
| Physical Performance Test (97750) |
$141.60 |
$177 |
4.2× |
| Plethysmography (94726) |
$835.20 |
$1,044 |
2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,394.40 |
$5,493 |
4.8× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$3,819.20 |
$4,774 |
4.2× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$180 |
$225 |
1.7× |
| Psychiatric diagnostic evaluation (90791) |
$338.40 |
$423 |
1.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$328.80 |
$411 |
0.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$120.80 |
$151 |
3.2× |
| Pt Eval High Complex (97163) |
$371.20 |
$464 |
3.8× |
| Pt eval low complex 20 min (97161) |
$308.80 |
$386 |
3.2× |
| Pt Eval Mod Complex (97162) |
$329.60 |
$412 |
3.4× |
| Pt gait training 15 min (97116) |
$140 |
$175 |
4.8× |
| Pt group caregiver training (97552) |
$46.40 |
$58 |
2.1× |
| Pt mechanical traction (97012) |
$107.20 |
$134 |
7.5× |
| Pt Re-Eval Est Plan Care (97164) |
$214.40 |
$268 |
3.2× |
| Pt ultraviolet (97028) |
$36.80 |
$46 |
4.4× |
| Pulmonary Stress Testing (94618) |
$487.20 |
$609 |
3.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$973.60 |
$1,217 |
2.8× |
| Refill/Maint Portable Pump (96521) |
$794.40 |
$993 |
3.5× |
| Refill/Maint Pump/Resvr Syst (96522) |
$835.20 |
$1,044 |
3.7× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$90.40 |
$113 |
2.3× |
| Rem ther mntr dev sply resp (98976) |
$90.40 |
$113 |
2.3× |
| Remote 30 Day Ecg Rev/Report (93270) |
$216.80 |
$271 |
5.4× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$313.60 |
$392 |
2.2× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines |
$230.40–$296 |
$288–$370 |
varies |
| Self Care Mngment Training (97535) |
$140 |
$175 |
4.3× |
| Sensory Integration Ea 15 Min (97533) |
$144 |
$180 |
2.4× |
Sleep study unattended (95806)
range across 2 matching MRF lines |
$892.80–$1,000.80 |
$1,116–$1,251 |
varies |
| Slp caregiver training 1st 30 min (97550) |
$112 |
$140 |
2.1× |
| Slp Stdy Unatnd W/Anal (95801) |
$107.20 |
$134 |
1.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$939.20 |
$1,174 |
4.1× |
| Speech sound lang comprehen (92523) |
$541.60 |
$677 |
2.4× |
| Spirometry (94010) |
$541.60 |
$677 |
2.3× |
| Standardized Cognitive Performance Testing (96125) |
$373.60 |
$467 |
3.6× |
| Stress Tte Only (93350) |
$3,452 |
$4,315 |
5.9× |
| Temp transcutaneous pacing (92953) |
$1,616.80 |
$2,021 |
2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$144 |
$180 |
6.4× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$144 |
$180 |
6.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$144 |
$180 |
3.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$382.40 |
$478 |
3.7× |
| Ther/Proph/Diag Inj Ia (96373) |
$249.60 |
$312 |
1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$201.60 |
$252 |
2.6× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$667.20 |
$834 |
2.9× |
| Therapeutic Activities (97530) |
$140 |
$175 |
4.0× |
Tte w/doppler, complete (93306)
range across 3 matching MRF lines |
$2,819.20–$3,931.20 |
$3,524–$4,914 |
varies |
| Tx atrial fib pulm vein isol (93656) |
$20,412.80 |
$25,516 |
0.7× |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines |
$111.20–$342.40 |
$139–$428 |
varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$172.80 |
$216 |
7.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$294.40 |
$368 |
5.9× |
| Upr/L Xtremity Art 2 Levels (93922) |
$1,605.60 |
$2,007 |
11.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$2,524.80 |
$3,156 |
10.9× |
| Vasopneumatic device (97016) |
$70.40 |
$88 |
5.9× |
| Vent Mgmt Inpat Init Day (94002) |
$1,258.40 |
$1,573 |
1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,020 |
$1,275 |
1.5× |
| Vital capacity, total (94150) |
$184.80 |
$231 |
1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$144 |
$180 |
4.6× |
| Whirlpool Therapy (97022) |
$83.20 |
$104 |
5.3× |