| Airway Inhalation Treatment (94640) |
— |
$829.03 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$284.09 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$339.91 |
— |
| Assessment of aphasia per hr (96105) |
— |
$543.28 |
— |
| Behavral qualit analys voice (92524) |
— |
$951.94 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$1,473.55 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$4,304.27 |
— |
| Cardiopulmonary exercise testing (94621) |
— |
$4,585 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,661.23 |
— |
| Cardioversion (92960) |
— |
$4,504.02 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$24,332.76 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$30,919.42 |
— |
| Cbt 1st hour (94644) |
— |
$498.37 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$599.72 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$945.30 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$1,392.16 |
— |
| Chest Wall Manipulation (94668) |
— |
$338.97 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$204.38 |
— |
| Continuous Pulse Ox (94762) |
— |
$632.93 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$24,358.97 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$25,060.02 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$1,935.34 |
— |
| Cpt initial (94667) |
— |
$498.37 |
— |
| Critical care first hour (99291) |
— |
$64,402.20 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
— |
$1,397.53–$2,708.16 |
— |
| Dialysis One Evaluation (90945) |
— |
$3,392.27 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,412.05 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$998.43 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$634.62 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$3,096.61 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,787.50 |
— |
| Duplex up extrem art bilat (93930) |
— |
$998.43 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$634.62 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,126.37 |
— |
| Echo transesophageal (93312) |
— |
$6,488.89 |
— |
| EEG awake drowsy (95816) |
— |
$3,234.45 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$370.51 |
— |
| Electrocardiogram Tracing (93005) |
— |
$423.61 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$1,106.38 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$1,735.99 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$2,804.22 |
— |
| Er level 1 (99281) |
— |
$510.04 |
— |
| Er level v (99285) |
— |
$4,164.74 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$829.03 |
— |
| Evaluate Speech Production (92522) |
— |
$951.94 |
— |
| Evaluate Swallowing Function (92610) |
— |
$370.51 |
— |
| Evaluation of speech fluency (92521) |
— |
$951.94 |
— |
| Extracranial Bilat Study (93880) |
— |
$4,051.81 |
— |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
— |
$180.84 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$183.93 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
— |
$274.59 |
— |
| Group Therapeutic Procedures (97150) |
— |
$169.49 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$37,456.62 |
— |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
— |
$2,754.38 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$175.16 |
— |
| Immunization administration (90471) |
— |
$120.19 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$15,538.16 |
— |
| Iontophoresis 15 min (97033) |
— |
$322.33 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$237.60 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$508.34 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$895.47 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$265.80 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$508.34 |
— |
| IV push initial (96374) |
— |
$895.47 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$1,044.98 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$1,116.39 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$8,934.15 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$1,355.15 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$825.84 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$1,762.48 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$1,326.01 |
— |
| Neuromuscular Reeducation (97112) |
— |
$184.40 |
— |
| Newborn resuscitation (99465) |
— |
$1,906.17 |
— |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
— |
$1,076.19 |
— |
| Oral Function Therapy (92526) |
— |
$790.76 |
— |
| Oral Speech Device Eval (92597) |
— |
$518.43 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$247.59 |
— |
| Orthoptic training under supervision of phys/qhp (92066) |
— |
$237.94 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$328.97 |
— |
| Ot eval high complexity (97167) |
— |
$468.50 |
— |
| Ot Eval Low Complex (97165) |
— |
$468.50 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$468.50 |
— |
| Ot manual therapy 15 min (97140) |
— |
$302.39 |
— |
| Ot paraffin bath (97018) |
— |
$149.50 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$328.97 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$310.68 |
— |
| Ot rom hand (95852) |
— |
$117.96 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$549.88 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$226.50 |
— |
| Phlebotomy therapeutic (99195) |
— |
$667.85 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$599.72 |
— |
| Physical Performance Test (97750) |
— |
$327.32 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$10,253.14 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$77,079.88 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$642.68 |
— |
| Pt Eval High Complex (97163) |
— |
$436.95 |
— |
| Pt eval low complex 20 min (97161) |
— |
$436.95 |
— |
| Pt Eval Mod Complex (97162) |
— |
$436.95 |
— |
| Pt gait training 15 min (97116) |
— |
$191.04 |
— |
| Pt mechanical traction (97012) |
— |
$320.67 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$290.72 |
— |
| Pulm function test by gas (94727) |
— |
$632.93 |
— |
| Pulmonary service/procedure (94799) |
— |
$1,237.94 |
— |
| Pulmonary Stress Testing (94618) |
— |
$759.22 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$26,394.85 |
— |
| R hrt coronary artery angio (93456) |
— |
$28,636.11 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$1,624.73 |
— |
| Right Heart Cath (93451) |
— |
$15,501.08 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$1,512.62 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$202.71 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$647.87 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$259.16 |
— |
| Self Care Mngment Training (97535) |
— |
$189.45 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$215.95 |
— |
| Sleep study unattended (95806) |
— |
$1,008.40 |
— |
| Speech sound lang comprehen (92523) |
— |
$993.48 |
— |
| Spirometry (94010) |
— |
$632.93 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$734.29 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$631.53 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,940.37 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$294.10 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$294.10 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$179.47 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$518.43 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$895.47 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$265.80 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$11,129.97 |
— |
| Therapeutic Activities (97530) |
— |
$197.75 |
— |
| Tte w/doppler, complete (93306) |
— |
$34,598.29 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$2,241.07 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$747.55 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$729.34 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$752.59 |
— |
| Unlisted cardiovascular service/procedure (93799) |
— |
$83,416.41 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$1,214.37 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$1,965.27 |
— |
| Vasopneumatic device (97016) |
— |
$98.07 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$3,209.54 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$2,113.12 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$204.38 |
— |
| Whirlpool Therapy (97022) |
— |
$192.71 |
— |