| Actinotherapy Ultraviolet Light (96900) |
$98.50 |
$197 |
2.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$25 |
$50 |
0.7× |
| Airway Inhalation Treatment (94640) |
$79 |
$158 |
0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$26 |
$52 |
1.8× |
| Assessment of aphasia per hr (96105) |
$524 |
$1,048 |
5.4× |
| Behavral qualit analys voice (92524) |
$85.50 |
$171 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$403 |
$806 |
1.2× |
| Canalith repositioning proc (95992) |
$83 |
$166 |
2.0× |
| Car seat/bed test 60 min (94780) |
$33.50 |
$67 |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$355 |
$710 |
1.8× |
| Cardiopulmonary resuscitation (92950) |
$360.50 |
$721 |
1.8× |
| Cardioversion (92960) |
$1,495 |
$2,990 |
2.5× |
| Cbt 1st hour (94644) |
$120 |
$240 |
1.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$140.50 |
$281 |
2.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$86 |
$172 |
1.3× |
| Chemo Ia Push (96420) |
$217.50 |
$435 |
0.7× |
| Chemo IV infusion addl hr (96415) |
$80 |
$160 |
1.2× |
| Chemo IV push addl drug (96411) |
$125 |
$250 |
1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$74.50 |
$149 |
1.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$317.50 |
$635 |
1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$156.50 |
$313 |
0.5× |
| Chest Wall Manipulation (94668) |
$83 |
$166 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$549 |
$1,098 |
2.5× |
| Color/duplex Doppler, limited (93976) |
$262 |
$524 |
2.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$50 |
$100 |
1.6× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$76.50 |
$153 |
1.4× |
| Computerized Ophthalmic Imaging Retina (92134) |
$76.50 |
$153 |
1.4× |
| Continuous Pulse Ox (94762) |
$151.50 |
$303 |
1.3× |
| Corneal Topography (92025) |
$58.50 |
$117 |
1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$503.50 |
$1,007 |
2.5× |
| Cpt initial (94667) |
$153.50 |
$307 |
1.3× |
| Critical care first hour (99291) |
$1,036.50 |
$2,073 |
1.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$241.50 |
$483 |
1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$328 |
$656 |
1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$131.50 |
$263 |
1.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$688.50 |
$1,377 |
3.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$532 |
$1,064 |
5.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$698.50 |
$1,397 |
3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$532 |
$1,064 |
5.6× |
| Duplex up extrem art bilat (93930) |
$981 |
$1,962 |
4.5× |
| Duplex up extrem art unilat/ltd (93931) |
$410.50 |
$821 |
4.3× |
| ECG/monitoring and analysis (93271) |
$219.50 |
$439 |
2.5× |
| Echo Heart Xthoracic,Limited (93308) |
$456 |
$912 |
2.1× |
| Echo transesophageal (93312) |
$994.50 |
$1,989 |
2.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,080.50 |
$2,161 |
2.2× |
| Eeg 41-60 Minutes (95812) |
$338 |
$676 |
1.7× |
| EEG awake and asleep (95819) |
$478 |
$956 |
2.4× |
| EEG cerebral death evaluation (95824) |
$604.50 |
$1,209 |
1.8× |
| EEG extended monitoring 61-119 minutes (95813) |
$923.50 |
$1,847 |
4.7× |
| Electrical Stimulation Ea 15 Min (97032) |
$68.50 |
$137 |
4.7× |
| Electrocardiogram Tracing (93005) |
$83 |
$166 |
1.6× |
| Emergency Dept Visit Level 2 (99282) |
$215 |
$430 |
1.5× |
| Emergency Dept Visit Level 3 (99283) |
$314 |
$628 |
1.3× |
| Emergency Dept Visit Level 4 (99284) |
$544 |
$1,088 |
1.4× |
| Er level 1 (99281) |
$125.50 |
$251 |
1.6× |
| Er level v (99285) |
$843 |
$1,686 |
1.6× |
| Evaluate pt use of inhaler (94664) |
$235 |
$470 |
1.2× |
| Evaluate Speech Production (92522) |
$146 |
$292 |
1.3× |
| Evaluate Swallowing Function (92610) |
$137.50 |
$275 |
1.6× |
| Evaluation of speech fluency (92521) |
$179 |
$358 |
1.3× |
| Evoked Auditory Test,Limited (92587) |
$264.50 |
$529 |
1.4× |
| Exercise test for bronchospasm (94617) |
$54 |
$108 |
0.4× |
| External ECG rec>48hr<7d recording (93242) |
$62.50 |
$125 |
1.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$126.50 |
$253 |
1.0× |
| External ECG rec>7d<15d recording (93246) |
$79 |
$158 |
2.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$142 |
$284 |
1.2× |
| External Ecg Scanning Analysis Report (93226) |
$345.50 |
$691 |
6.5× |
| Extracranial Bilat Study (93880) |
$538 |
$1,076 |
2.5× |
| Fundus photography (92250) |
$114.50 |
$229 |
0.9× |
| Gonioscopy (92020) |
$114.50 |
$229 |
0.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$628.50 |
$1,257 |
1.0× |
| Holter monitor recording (93225) |
$154 |
$308 |
1.3× |
| Icd Device Interrogate (93289) |
$39 |
$78 |
1.2× |
| Icd device progr eval dual (93283) |
$56.50 |
$113 |
1.7× |
| Ilr Device Interrogate (93291) |
$33.50 |
$67 |
1.3× |
Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$13–$15 |
$26–$30 |
varies |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) |
$108 |
$216 |
2.0× |
Immunization administration (90471) range across 2 matching MRF lines |
$10.65–$12 |
$21.30–$24 |
varies |
| Iontophoresis 15 min (97033) |
$63 |
$126 |
3.3× |
| Irrig Drug Delivery Device (96523) |
$90.50 |
$181 |
1.7× |
| IV infusion hydration each additional hour (96361) |
$50 |
$100 |
1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$154 |
$308 |
0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$73 |
$146 |
1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$73 |
$146 |
1.7× |
| IV push initial (96374) |
$110.50 |
$221 |
0.6× |
| Lung Function Test (Mbc/Mvv) (94200) |
$114.50 |
$229 |
2.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$24 |
$48 |
0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$29 |
$58 |
0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$28 |
$56 |
1.6× |
| Methacholine challenge (94070) |
$326.50 |
$653 |
1.0× |
| Motion Fluoroscopy/Swallow (92611) |
$142 |
$284 |
1.6× |
| Multiple Sleep Latency Test (95805) |
$1,712.50 |
$3,425 |
2.2× |
| Muscle Test 2 Limbs (95861) |
$254.50 |
$509 |
2.1× |
| Muscle Test One Limb (95860) |
$215.50 |
$431 |
1.8× |
| Nasopharyngoscopy (92511) |
$198.50 |
$397 |
1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$459 |
$918 |
1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$509 |
$1,018 |
1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$253 |
$506 |
1.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$447 |
$894 |
1.2× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$184 |
$368 |
0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$562.50 |
$1,125 |
1.7× |
| Nerve conduction studies 13 or more studies (95913) |
$562.50 |
$1,125 |
1.7× |
| Nerve conduction studies 5-6 studies (95909) |
$313 |
$626 |
1.6× |
| Nerve conduction studies 7-8 studies (95910) |
$313 |
$626 |
0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$562.50 |
$1,125 |
1.7× |
| Neuromuscular Reeducation (97112) |
$56 |
$112 |
1.7× |
| Newborn resuscitation (99465) |
$575.50 |
$1,151 |
1.0× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$120.50 |
$241 |
1.0× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$97 |
$194 |
0.8× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$77.50 |
$155 |
0.6× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$97 |
$194 |
0.8× |
| Oral Function Therapy (92526) |
$135.50 |
$271 |
1.6× |
| Oral Speech Device Eval (92597) |
$122 |
$244 |
1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$74 |
$148 |
1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$66.50 |
$133 |
1.4× |
| Ot manual therapy 15 min (97140) |
$60 |
$120 |
2.2× |
| Ot paraffin bath (97018) |
$21.50 |
$43 |
3.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$139 |
$278 |
1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$51.50 |
$103 |
0.4× |
| Plethysmography (94726) |
$209 |
$418 |
0.6× |
| Pm device eval in person (93288) |
$39 |
$78 |
1.2× |
| Pm device progr eval dual (93280) |
$50 |
$100 |
1.5× |
| Pm Device Progr Eval Sngl (93279) |
$50 |
$100 |
1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,966 |
$5,932 |
3.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$52 |
$104 |
1.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$40.50 |
$81 |
1.0× |
| Psychiatric diagnostic evaluation (90791) |
$235 |
$470 |
1.5× |
| Pt Eval High Complex (97163) |
$170 |
$340 |
1.7× |
| Pt eval low complex 20 min (97161) |
$96 |
$192 |
1.0× |
| Pt Eval Mod Complex (97162) |
$131.50 |
$263 |
1.3× |
| Pt gait training 15 min (97116) |
$56.50 |
$113 |
1.9× |
| Pt mechanical traction (97012) |
$32 |
$64 |
2.2× |
| Pt Re-Eval Est Plan Care (97164) |
$86 |
$172 |
1.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$31 |
$62 |
0.9× |
| Pulm function test by gas (94727) |
$151.50 |
$303 |
0.8× |
Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$172–$272 |
$344–$544 |
varies |
| Pulmonary Stress Testing (94618) |
$191 |
$382 |
1.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$322.50 |
$645 |
9.5× |
| Remote 30 Day Ecg Tech Supp (93229) |
$125.50 |
$251 |
0.4× |
| Respiratory flow volume loop (94375) |
$264.50 |
$529 |
1.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$83 |
$166 |
1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$241.50 |
$483 |
1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$256 |
$512 |
2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$66.50 |
$133 |
1.4× |
| Self Care Mngment Training (97535) |
$68.50 |
$137 |
2.1× |
| Speech sound lang comprehen (92523) |
$336.50 |
$673 |
1.5× |
| Spirometry (94010) |
$179.50 |
$359 |
0.9× |
| Ssep lower limbs (95926) |
$313 |
$626 |
1.6× |
| Standardized Cognitive Performance Testing (96125) |
$156 |
$312 |
1.5× |
| Stress Tte Only (93350) |
$455.50 |
$911 |
0.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$51 |
$102 |
1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$182 |
$364 |
1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$45.50 |
$91 |
0.7× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$263 |
$526 |
1.4× |
| Therapeutic Activities (97530) |
$56 |
$112 |
1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$25 |
$50 |
0.7× |
| Tte w/doppler, complete (93306) |
$1,314.50 |
$2,629 |
2.7× |
| Tte W/O Doppler Complete (93307) |
$456 |
$912 |
2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$142 |
$284 |
1.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$72 |
$144 |
3.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$110.50 |
$221 |
2.6× |
| Tympanometry (92567) |
$35 |
$70 |
1.0× |
| Upr/L Xtremity Art 2 Levels (93922) |
$222.50 |
$445 |
1.8× |
| Vent Mgmt Inpat Init Day (94002) |
$1,260 |
$2,520 |
2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$654 |
$1,308 |
1.2× |
| Visual Field Exam Extended (92083) |
$120 |
$240 |
1.0× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$92 |
$184 |
1.7× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$173.50 |
$347 |
5.1× |