| 1St psychiatric collab care mgmt 1st 70 mins (99492) |
$101.57 |
— |
1.1× |
| Ablation av node (93650) |
$8,332.10 |
— |
1.2× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$171.80 |
— |
1.5× |
| Acoustic reflex testing (92568) |
$43.10 |
— |
1.3× |
| Actigraphy testing recording analysis i&r (95803) |
$65.22 |
— |
1.2× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$26.89 |
— |
1.0× |
| Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) |
$26.89 |
— |
1.0× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) |
$176.42 |
— |
1.1× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) |
$101.57 |
— |
1.1× |
| Administration of prolonged chemotherapy into artery (96425) |
$364.21 |
— |
1.2× |
| Advance care planning first 30 mins (99497) |
$101.57 |
— |
1.1× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$341.93 |
— |
1.7× |
| Aep Neurodiagnostic I&R (92653) |
$341.93 |
— |
1.7× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$341.93 |
— |
1.7× |
| Airway inhalation treatment (94640) |
$223.33 |
$345 |
1.1× |
| Allergy skin tests (95028) |
$43.10 |
— |
1.3× |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
$26.89 |
— |
1.0× |
| Ambulatory Bp Analysis (93788) |
$141.54 |
— |
1.2× |
| Ambulatory Bp Recording (93786) |
$141.54 |
— |
1.2× |
| Analysis and programming of inner ear implant (younger than 7 years) (92601) |
$171.80 |
— |
1.5× |
| Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) |
$171.80 |
— |
1.5× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) |
$171.80 |
— |
1.5× |
| Analyze Neurostim Complex (95972) |
$100.79 |
$464 |
1.2× |
| Analyze neurostim no prog (95970) |
$141.54 |
$432.80 |
1.2× |
| Anlys gast neur w/o reprog (95981) |
$65.22 |
— |
1.2× |
| Anogenital exam, child (99170) |
$220.90 |
— |
1.2× |
| Appl modality 1+lllt po pain (97037) |
$43.10 |
— |
1.3× |
| Appl on-body injector for timed subq injection (96377) |
$50.66 |
— |
1.2× |
| Application of allergenic extract onto mucous membrane of nose with reaction analysis (95065) |
$43.10 |
— |
1.3× |
| Application of allergenic extract skin patch, exposure to ultraviolet light, and reaction analysis (95052) |
$65.22 |
— |
1.2× |
| Arrhythmia induction (93618) |
$1,333.02 |
— |
1.2× |
| Art pressure waveform analys (93050) |
$26.89 |
— |
1.0× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$101.57 |
— |
1.1× |
| Auditory Function, 60 Min (92620) |
$171.80 |
— |
1.5× |
| Basic vestibular evaluation (92540) |
$171.80 |
— |
0.9× |
| Behav assmt w/score & docd/stand instrument (96127) |
$43.10 |
— |
1.3× |
| Behavior id assessment by phys/qhp ea 15 min (97151) |
$101.57 |
— |
1.1× |
| Behavior id support assmt by 1 tech ea 15 min (97152) |
$101.57 |
— |
1.1× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$171.80 |
— |
1.5× |
| Blink reflex test (95933) |
$65.22 |
— |
1.2× |
| Breath Hydrogen/Methane Test (91065) |
$171.80 |
— |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$341.93 |
$1,450 |
1.0× |
| Bundle of his recording (93600) |
$8,332.10 |
— |
1.2× |
| C motor evoked uppr limbs (95928) |
$1,117.14 |
— |
1.4× |
| C motor evoked upr&lwr limbs (95939) |
$1,117.14 |
— |
1.4× |
| Caloric vestibular test w/rec bi bithermal (92537) |
$171.80 |
— |
1.5× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$171.80 |
— |
0.9× |
| Capsule endoscopy (91110) |
$1,029.48 |
— |
1.2× |
| Car seat/bed test 60 min (94780) |
$43.10 |
— |
1.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$341.93 |
— |
1.7× |
| Cardiopulmonary exercise testing (94621) |
$341.93 |
— |
1.0× |
| Cardiopulmonary resuscitation (92950) |
$341.93 |
$110 |
1.7× |
| Cardioversion (92960) |
$718.54 |
$2,240 |
1.2× |
| Cardioversion internal (92961) |
$718.54 |
— |
1.2× |
| Care mgmt svc bhvl hlth cond (99484) |
$32.71 |
— |
1.0× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$32.71 |
— |
1.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$3,531.77 |
— |
1.2× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$3,531.77 |
— |
1.2× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
$19,717.34 |
— |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$3,531.77 |
— |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,531.77 |
— |
1.2× |
| Cbt 1st hour (94644) |
$141.54 |
— |
1.2× |
| Cdp-sot 6 cond w/i&r mct&adt (92549) |
$141.54 |
— |
1.2× |
| Cervical & ocular vemp testing w/i&r (92519) |
$341.93 |
— |
1.7× |
| Cervical vemp testing w/i&r (92517) |
$171.80 |
— |
1.5× |
| Chemo Admin Peritoneal Cavity (96446) |
$364.21 |
— |
1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$78.14 |
— |
1.2× |
| Chemo inj subarach/intravent (96542) |
$364.21 |
— |
1.2× |
| Chemo IV push addl drug (96411) |
$78.14 |
— |
1.2× |
| Chemo Iv Push Sngl Drug (96409) |
$364.21 |
— |
1.2× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$364.21 |
— |
1.2× |
| Chemother, IV infusion, 1 hr (96413) |
$364.21 |
— |
1.2× |
| Chemother, IV infusion, ea add hr (96415) |
$78.14 |
— |
1.2× |
| Chemother,ia infusn tech,<1 hr (96422) |
$364.21 |
— |
1.2× |
| Chemother,Ia Push Technique (96420) |
$364.21 |
— |
1.2× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$78.14 |
— |
1.2× |
| Chemotherapy admn intraarterial infusion ea hr (96423) |
$50.66 |
— |
1.2× |
| Chemotherapy, unspecified procedure (96549) |
$50.66 |
— |
1.2× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$364.21 |
— |
1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$78.14 |
— |
1.2× |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
$364.21 |
— |
1.2× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) |
$27.78 |
— |
1.4× |
| Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) |
$27.78 |
— |
1.4× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions (98942) |
$27.78 |
— |
1.4× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$101.57 |
— |
1.1× |
| Circadian respiratry pattern rec 12-24 hr infant (94772) |
$582.62 |
— |
1.7× |
| Colon Motility 6 Hr Study (91117) |
$341.93 |
— |
1.7× |
| Color vision examination (92283) |
$65.22 |
— |
1.2× |
| Color/duplex Doppler, complete (93975) |
$265.42 |
— |
1.2× |
| Color/duplex Doppler, limited (93976) |
$116.77 |
— |
1.2× |
| Complx chron care coord w/o pt vst 1st hr per mo (99487) |
$176.42 |
— |
1.1× |
| Compre cptr mtn alys video taping 3d kinematics (96000) |
$582.62 |
— |
1.7× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) |
$1,117.14 |
— |
1.4× |
| Comprehensive Hearing Test (92557) |
$171.80 |
— |
1.5× |
| Computerized dynamic posturography (92548) |
$141.54 |
— |
1.2× |
| Computerized Ophthalmic Imaging Anterior Segment (92132) |
$65.22 |
— |
1.2× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$65.22 |
— |
1.2× |
| Conditioning Play Audiometry (92582) |
$171.80 |
— |
1.5× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$65.22 |
— |
1.2× |
| Contact lens fitting (92312) |
$141.54 |
— |
1.2× |
| Contact lens fitting (92311) |
$438.17 |
— |
1.1× |
| Continuous Glucose Monitoring (95250) |
$141.50 |
— |
1.2× |
| Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report… (92145) |
$65.22 |
— |
1.2× |
| Corneal Topography (92025) |
$65.22 |
— |
1.2× |
| Coronary artery angio s&i (93454) |
$3,531.77 |
— |
1.2× |
| Cortical mapping 1st hr (95961) |
$1,117.14 |
— |
1.4× |
| Cpap initiation and management (94660) |
$223.33 |
$454 |
1.1× |
| Cpt initial (94667) |
$141.54 |
$345 |
1.2× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$65.22 |
— |
1.2× |
| Cptrz oph img pst sg rta oct (92137) |
$341.93 |
— |
1.7× |
| Critical care (99291) |
$925.22 |
— |
1.2× |
| Ctr motor ep std transcrnl motor stimj lwr limbs (95929) |
$582.62 |
— |
1.7× |
| Dark adaptation exam w int & rep (92284) |
$438.17 |
— |
1.1× |
| Dbrdmt prmlg les w/pdt (96574) |
$218.18 |
— |
1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$218.18 |
— |
1.2× |
| Demo &/or eval,pt use,aerosol device (94664) |
$223.33 |
$345 |
1.1× |
| Dermatological procedure (96999) |
$218.18 |
— |
1.2× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$171.80 |
— |
1.5× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$467.57 |
— |
1.2× |
| Duodenal Motility Study (91022) |
$582.62 |
— |
1.7× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$265.42 |
$544 |
1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$116.77 |
— |
1.2× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$116.77 |
— |
1.2× |
| Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) |
$116.77 |
— |
1.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$265.42 |
$763 |
1.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$116.77 |
$544 |
1.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$265.42 |
$624 |
1.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$116.77 |
$480 |
1.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$116.77 |
$502 |
1.2× |
| Duplex hemodialysis access (93990) |
$116.77 |
— |
1.2× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$265.42 |
— |
1.2× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$116.77 |
— |
1.2× |
| Duplex scan extracranial art compl bi study (93880) |
$265.42 |
$825 |
1.2× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$171.80 |
— |
1.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$171.80 |
— |
1.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$171.80 |
— |
1.5× |
| Dyn surf EMG,walking/func act,1-12 mus (96002) |
$341.93 |
— |
1.7× |
| Ear and throat examination (92502) |
$559.18 |
— |
1.1× |
| Ear Protector Attenuation Measurements (92596) |
$43.10 |
— |
1.3× |
| Echo Heart Xthoracic,Limited (93308) |
$265.42 |
— |
1.2× |
| Echo r-t 2d w/probe placement only (93313) |
$602.06 |
— |
1.2× |
| Echo transesophageal (93312) |
$602.06 |
— |
1.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$602.06 |
— |
1.2× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$602.06 |
— |
1.2× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$602.06 |
— |
1.2× |
| Ecog implanted brain npgt w/rec i&r <30 days (95836) |
$40.94 |
— |
1.2× |
| Ed special anterior segment photography with interpretation and report; with fluorescein angiography (92287) |
$141.54 |
— |
1.2× |
| EEG awake asleep (95819) |
$341.93 |
$546.50 |
1.7× |
| EEG awake drowsy (95816) |
$341.93 |
— |
1.7× |
| EEG cerebral death evaluation (95824) |
$582.62 |
$993 |
1.7× |
| EEG coma or sleep only (95822) |
$341.93 |
$332 |
1.7× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$171.80 |
— |
0.9× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$341.93 |
— |
1.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$341.93 |
— |
1.7× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$582.62 |
— |
1.7× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$582.62 |
— |
1.7× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$582.62 |
— |
1.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$341.93 |
— |
1.7× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$341.93 |
— |
1.7× |
| EKG (93005) |
$65.22 |
$156 |
1.2× |
| EKG rhythm strip (93041) |
$65.22 |
$24 |
1.2× |
| Ekg Signal Averaging (93278) |
$65.22 |
— |
1.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$100.79 |
— |
1.2× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$100.79 |
$327.96 |
1.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$40.94 |
$127.76 |
1.2× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$100.79 |
— |
1.2× |
| Electro-oculography w/i&r (92270) |
$141.54 |
— |
1.2× |
| Electrocardiogram (ECG) assessment of irregular heart beats (93025) |
$171.80 |
— |
1.5× |
| Electrocochleography (92584) |
$171.80 |
— |
1.5× |
| Electroconvulsive Therapy (90870) |
$582.62 |
— |
0.7× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$341.93 |
$534 |
1.7× |
| Electrogastrography, diagnostic, transcutaneous; UNSCHEDULED (91132) |
$341.93 |
— |
1.7× |
| EMG cranial nerve bilat (95868) |
$341.93 |
$115 |
1.7× |
| EMG cranial nerve unilat (95867) |
$341.93 |
$95 |
1.7× |
| EMG four extremities (95864) |
$171.80 |
$494 |
1.5× |
| EMG one extremity (95860) |
$141.54 |
$289 |
1.2× |
| EMG thoracic paraspinal (95869) |
$341.93 |
$153 |
1.7× |
| EMG three extremities (95863) |
$171.80 |
$36 |
1.5× |
| EMG two extremities (95861) |
$141.54 |
$152 |
1.2× |
| Endomyocardial biopsy (93505) |
$3,456.11 |
— |
1.2× |
| Ep & ablate supravent arrhyt (93653) |
$26,937.65 |
— |
1.1× |
| Ep & ablate ventric tachy (93654) |
$26,937.65 |
— |
1.1× |
| Ep Analyze Pacer Sys (93724) |
$329.32 |
— |
1.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$8,332.10 |
— |
1.2× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$8,332.10 |
— |
1.2× |
| Ep Electrophysiologic F/U Study (93624) |
$8,332.10 |
— |
1.2× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$1,333.02 |
— |
1.2× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$1,333.02 |
— |
1.2× |
| Ep Right Ventricular Recording (93603) |
$1,333.02 |
— |
1.2× |
| Er level 1 (99281) |
$96.68 |
— |
1.3× |
| Er level ii (99282) |
$173.89 |
— |
1.2× |
| Er level iii (99283) |
$304.04 |
— |
1.2× |
| Er level IV (99284) |
$467.57 |
— |
1.2× |
| Er level v (99285) |
$673.21 |
— |
1.2× |
| Ergonovine provocation test (93024) |
$438.17 |
— |
1.1× |
| Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) |
$582.62 |
— |
1.7× |
| Esophageal Capsule Endoscopy (91111) |
$1,029.48 |
— |
1.2× |
| Esophageal recording (93615) |
$1,333.02 |
— |
1.2× |
| Esophagus acid perfusion test esophagitis (91030) |
$582.62 |
— |
1.7× |
| Esophgl balo distension dx std w/provocation (91040) |
$582.62 |
— |
1.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$171.80 |
— |
1.5× |
| Evaluation of swallowing function (92610) |
— |
$270.28 |
— |
| Evoked Auditory Test,Comprehsv (92588) |
$341.93 |
— |
1.0× |
| Evoked auditory test,limited (92587) |
$341.93 |
— |
1.7× |
| Exam of visual field with extended testing (92083) |
$141.54 |
— |
1.2× |
| Exam of visual field with intermediate testing (92082) |
$65.22 |
— |
1.2× |
| Exam of visual field with limited testing (92081) |
$65.22 |
— |
1.2× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) |
$218.18 |
— |
1.2× |
| Excimer laser tx psoriasis >500 sq cm (96922) |
$438.71 |
— |
1.2× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) |
$218.18 |
— |
1.2× |
| Exercise tst brncspsm (94617) |
$141.54 |
— |
1.2× |
| Exhaled Air Analysis (94690) |
$65.22 |
— |
1.2× |
| Exhaled air analysis o2 (94680) |
$171.80 |
— |
1.5× |
| External ECG rec>48hr<7d recording (93242) |
$43.10 |
— |
1.3× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$141.54 |
— |
1.2× |
| External ECG rec>7d<15d recording (93246) |
$43.10 |
— |
1.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$141.54 |
— |
1.2× |
| External Ecg Scanning Analysis Report (93226) |
$65.22 |
$352 |
1.2× |
| External ocular photography (92285) |
$43.10 |
— |
1.3× |
| Eye allergy tests (95060) |
$141.54 |
— |
1.2× |
| Eye exam w anesth; complete (92018) |
$2,561.70 |
— |
1.2× |
| Eye exam w anesth; limited (92019) |
$2,561.70 |
— |
1.2× |
| Eye exam, new patient,comprehesv (92004) |
$141.50 |
— |
1.2× |
| Eye service or procedure (92499) |
$26.89 |
— |
1.0× |
| Facial nerve function studies (92516) |
$341.93 |
— |
1.7× |
| Fam adapt bhv tx gdn phy/qhp (97156) |
$32.71 |
— |
1.0× |
| Filtered Speech Test (92571) |
$43.10 |
— |
1.3× |
| Fitting of monofocal spectacles where natural lens is absent (92352) |
$65.22 |
— |
1.2× |
| Fitting of multifocal spectacles where natural lens is absent (92353) |
$65.22 |
— |
1.2× |
| Fitting of spectacle mounted low vision aid; single element system (92354) |
$43.10 |
— |
1.3× |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system (92355) |
$43.10 |
— |
1.3× |
| Flow volume loop (94375) |
$341.93 |
— |
1.7× |
| Fluorescein angiography (92235) |
$341.93 |
— |
1.7× |
| Fluorescein angioscopy (92230) |
$582.62 |
— |
1.7× |
| Fluorescein&icg angrph multiframe img i&r uni/bi (92242) |
$341.93 |
— |
1.7× |
| Full field erg w/i&r (92273) |
$341.93 |
— |
1.7× |
| Fundus photography w/interpretation & report (92250) |
$141.54 |
— |
1.2× |
| Gastric motility studies (91020) |
$582.62 |
— |
1.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$582.62 |
— |
1.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$341.93 |
$900 |
1.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$582.62 |
— |
0.7× |
| Gi wireless capsule measure (91112) |
$1,029.48 |
— |
1.2× |
| Gonioscopy (92020) |
$141.54 |
— |
1.2× |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) |
$32.71 |
— |
1.0× |
| Grp adapt bhv tx by tech (97154) |
$32.71 |
— |
1.0× |
| Hast w/report (94452) |
$141.54 |
— |
1.2× |
| Health Behavior Assessment/Re-Assessment (96156) |
$101.57 |
— |
1.1× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$32.71 |
— |
1.0× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$32.71 |
— |
1.0× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$176.42 |
— |
1.1× |
| Hemodialysis (90935) |
$768.32 |
$2,084 |
1.2× |
| High altitude simulation test (94453) |
$141.54 |
— |
1.2× |
| Holter Monitor Recording (93225) |
$141.54 |
$200 |
1.2× |
| Hypnotherapy (90880) |
$101.57 |
— |
1.1× |
| Hypoxia Response Curve (94450) |
$171.80 |
— |
1.5× |
| Icd Device Interrogate (93289) |
$40.94 |
— |
1.2× |
| Ilr Device Eval Progr (93285) |
$40.94 |
— |
1.2× |
| Imaging of colon using capsule endoscope, with interpretation and report (91113) |
$1,001.10 |
— |
1.2× |
| Img retina detcj/mntr ds poc auto a/r uni/bi (92229) |
$65.22 |
— |
1.2× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$43.10 |
— |
1.3× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$45.59 |
— |
1.2× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$78.14 |
— |
1.2× |
| Immunization Admin (90471) |
$78.14 |
— |
1.2× |
| Immunotherapy, 2+ Injections (95117) |
$50.66 |
— |
1.2× |
| Indocyanine-green angiography (92240) |
$341.93 |
— |
1.7× |
| Ingestion challenge test initial 120 minutes (95076) |
$582.62 |
— |
1.7× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$582.62 |
— |
1.7× |
| Inital newborn e/m (99460) |
$141.50 |
— |
1.2× |
| Initial normal newborn care, same day discharge (99463) |
$141.50 |
— |
1.2× |
| Initial set-up and programming by a physician or other qualified health care professional of wearable… (93745) |
$329.32 |
— |
1.2× |
| Injection intra arterial (96373) |
$231.35 |
— |
1.2× |
| Injection of hypnotic drug for psychiatric diagnosis or therapy (90865) |
$176.42 |
— |
1.1× |
| Ins swan ganz bedside (93503) |
$1,705.75 |
— |
1.2× |
| Insertion of catheter for assessment of heart blood vessel function at various temperatures (93740) |
$171.80 |
— |
1.5× |
| Internal eye photography (92286) |
$141.54 |
— |
1.2× |
| Interrog dev eval icpms phys/qhp in person (93290) |
$40.94 |
— |
1.2× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$26.89 |
— |
1.0× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
$100.79 |
— |
1.2× |
| Interrog&prgrmg ipnss during polysomnography (93152) |
$329.32 |
— |
1.2× |
| Interrogate subq defib (93261) |
$40.94 |
— |
1.2× |
| Interrogation eval in person wr defibrillator (93292) |
$40.94 |
— |
1.2× |
| Interrogation of vad (93750) |
$100.79 |
— |
1.2× |
| Interrogation without programming ipnss (93153) |
$100.79 |
— |
1.2× |
| Intra Atrial Recording (93602) |
$8,332.10 |
— |
1.2× |
| Intra-atrial pacing (93610) |
$8,332.10 |
— |
1.2× |
| Intracutaneous tests w/allergenic xtrcs airborne (95027) |
$26.89 |
— |
1.0× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$231.35 |
— |
1.2× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$78.14 |
— |
1.2× |
| Intraventricular pacing (93612) |
$8,332.10 |
— |
1.2× |
| Io ga n-stim subsq w/reprog (95982) |
$40.94 |
— |
1.2× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$65.22 |
— |
1.2× |
| Ischemic limb exercise test (95875) |
$171.80 |
$159 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$50.66 |
$150 |
1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$231.35 |
$47 |
1.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$78.14 |
$240 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$231.35 |
$700 |
1.2× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$50.66 |
$150 |
1.2× |
| IV push initial (96374) |
$231.35 |
$700 |
1.2× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$3,531.77 |
— |
1.2× |
| Laryngeal Function Studies (92520) |
$141.54 |
— |
1.2× |
| Liver elastography w/o imag w/i&r (91200) |
$171.80 |
— |
1.5× |
| Loudness balance binaural/monaural (92562) |
$341.93 |
— |
1.7× |
| Low frequency non-thermal us (97610) |
$218.18 |
— |
1.2× |
| Magnetoencephalography spon brain activity (95965) |
$1,117.14 |
— |
1.4× |
| Magnetoencephalograpy evoked fields 1 modality (95966) |
$1,117.14 |
— |
1.4× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$364.21 |
— |
1.2× |
| Manual therapy 15 min (97140) |
— |
$158.50 |
— |
| Maximum voluntary ventilation (94200) |
$65.22 |
— |
1.2× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
$341.93 |
— |
1.7× |
| Meas Spiromtrc Forcd Expiratory Flo Infant&/2 Y (94011) |
$171.80 |
— |
1.5× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) |
$582.62 |
$450 |
1.7× |
| Measurement of heart blood flow and respiration (93701) |
$141.54 |
— |
1.2× |
| Mechanical chest wall oscillation (94669) |
$223.33 |
— |
1.1× |
| Mechanical traction (97012) |
— |
$106 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$107 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$125 |
— |
| Methacholine challenge (94070) |
$341.93 |
— |
1.0× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation SCHEDULED (92325) |
$141.54 |
— |
1.2× |
| Motility study esophagus (91010) |
$582.62 |
$1,625 |
1.7× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$349.60 |
— |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$438.17 |
— |
1.1× |
| Mult fam adapt bhv tx gdn (97157) |
$32.71 |
— |
1.0× |
| Multifocal erg w/i&r (92274) |
$171.80 |
— |
1.5× |
| Multiple Family Group Psychotherapy (90849) |
$176.42 |
— |
1.1× |
| Multiple sleep latency test (95805) |
$582.62 |
$3,247 |
0.7× |
| Nasal function studies (92512) |
$341.93 |
— |
1.7× |
| Nasopharyngoscopy (92511) |
$213.18 |
— |
1.2× |
| Needle electromyography hemidiaphragm (95866) |
$171.80 |
— |
1.5× |
| Needle electromyography larynx (95865) |
$141.54 |
— |
1.2× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$141.54 |
— |
1.2× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$171.80 |
— |
0.9× |
| Needle oculography 1/ xoc musc 1/both eye w/i&r (92265) |
$65.22 |
— |
1.2× |
| Neg press wnd tx </=50 sq cm (97607) |
$438.71 |
— |
1.2× |
| Neg press wound tx >50 cm (97608) |
$438.71 |
— |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$218.18 |
— |
1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$438.71 |
— |
1.2× |
| Nerve conduction studies 13/> studies (95913) |
$582.62 |
— |
1.7× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$341.93 |
— |
1.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$582.62 |
— |
1.7× |
| Nerve conduction studies; 1-2 studies (95907) |
$171.80 |
— |
0.9× |
| Nerve conduction studies; 11-12 studies (95912) |
$582.62 |
— |
1.7× |
| Nerve conduction studies; 5-6 studies (95909) |
$341.93 |
— |
1.7× |
| Nerve conduction studies; 7-8 studies (95910) |
$341.93 |
— |
1.0× |
| Neurobehavioral Status Exam (96116) |
$341.93 |
— |
1.7× |
| Neurological procedure unlisted (95999) |
$171.80 |
$298 |
1.5× |
| Neuromuscular junction test (95937) |
$171.80 |
— |
1.5× |
| New patient problem focused exam of visual system (92002) |
$141.50 |
— |
1.2× |
| Newborn resuscitation (99465) |
$718.54 |
— |
1.2× |
| Nitric oxide expired gas determination (95012) |
$43.10 |
— |
1.3× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$141.54 |
$412 |
1.2× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$171.80 |
$412 |
0.9× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$171.80 |
$316 |
1.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$582.62 |
— |
1.7× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) |
$341.93 |
— |
1.0× |
| Ocular vemp testing w/i&r (92518) |
$171.80 |
— |
1.5× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$141.50 |
— |
1.2× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$141.50 |
— |
1.2× |
| Ophthalmic biometry (92136) |
$141.54 |
— |
1.2× |
| Ophthalmoscopy/dynamometry (92260) |
$43.10 |
— |
1.3× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$65.22 |
— |
1.2× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$65.22 |
— |
1.2× |
| Orthoptic training under supervision of phys/qhp (92066) |
$65.22 |
— |
1.2× |
| Oscillating Tracking Test (92545) |
$341.93 |
— |
1.7× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$27.78 |
— |
1.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$27.78 |
— |
1.4× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$27.78 |
— |
1.4× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$27.78 |
— |
1.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$27.78 |
— |
1.4× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$184.50 |
— |
| Ot eval high complex 60 min (97167) |
— |
$375 |
— |
| Ot eval low complex 30 min (97165) |
— |
$375 |
— |
| Ot eval mod complex 45 min (97166) |
— |
$375 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$138.25 |
— |
1.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$138.25 |
— |
1.2× |
| Patch/Application Test Specify Number Tests (95044) |
$1,117.14 |
— |
1.4× |
| Patient-initiated spirometric recording (94015) |
$341.93 |
— |
1.7× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) |
$438.17 |
— |
1.1× |
| Pdt dstr prmlg les phys/qhp (96573) |
$218.18 |
— |
1.2× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$218.18 |
— |
1.2× |
| Pediatric apnea monitor analyses computer (94776) |
$171.80 |
— |
1.5× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) |
$171.80 |
— |
1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$223.33 |
— |
1.1× |
| Percutaneous tests w/allergenic extracts (95004) |
$1,117.14 |
— |
1.4× |
| Peripheral arterial disease rehab per session (93668) |
$65.22 |
— |
1.2× |
| Perq transcath closure pda (93582) |
$19,717.34 |
— |
1.2× |
| Perq Transcath Cls Mitral (93590) |
$19,717.34 |
— |
1.2× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$19,717.34 |
— |
1.2× |
| Photochemotherapy uv-a or b (96913) |
$438.71 |
— |
1.2× |
| Photochemotx psoralens&ultraviolet puva (96912) |
$65.22 |
— |
1.2× |
| Photochemotx tar&uvb/petrolatum/uvb (96910) |
$65.22 |
— |
1.2× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$65.22 |
— |
1.2× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$65.22 |
— |
1.2× |
| Plethysmography (94726) |
$341.93 |
— |
1.0× |
| Pm device eval in person (93288) |
$40.94 |
— |
1.2× |
| Pm device progr eval dual (93280) |
$40.94 |
— |
1.2× |
| Pm device progr eval multi (93281) |
$40.94 |
— |
1.2× |
| Pm device progr eval sngl (93279) |
$40.94 |
— |
1.2× |
| Pm/Icd Remote Tech Serv (93296) |
$40.94 |
— |
1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,117.14 |
$3,247 |
1.4× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,117.14 |
— |
1.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,117.14 |
— |
1.4× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,117.14 |
— |
1.4× |
| Positional Nystagmus Test (92542) |
$141.54 |
— |
1.2× |
| Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) |
$32.71 |
— |
1.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$50.66 |
— |
1.2× |
| Prepj& antigen allergen immunotherapy 1 insect (95145) |
$50.66 |
— |
1.2× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) |
$50.66 |
— |
1.2× |
| Prepj& antigen allergen immunotherapy 3 insect (95147) |
$78.14 |
— |
1.2× |
| Prepj& antigen allergen immunotherapy 4 insect (95148) |
$78.14 |
— |
1.2× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) |
$78.14 |
— |
1.2× |
| Prepj& Antigen Allergen Immunotherapy Whl Inse (95170) |
$50.66 |
— |
1.2× |
| Prepj& antigen prv allergen immunotherapy 1 do (95144) |
$50.66 |
— |
1.2× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) |
$141.54 |
— |
1.2× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) |
$141.54 |
— |
1.2× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) |
$141.54 |
— |
1.2× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) |
$43.10 |
— |
1.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$40.94 |
— |
1.2× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$40.94 |
— |
1.2× |
| Principal care mgmt svc 1st 30 staff cal mo (99426) |
$101.57 |
— |
1.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$50.66 |
— |
1.2× |
| Programming of dual lead implantable defibrillator system (93283) |
$40.94 |
— |
1.2× |
| Programming of single lead implantable defibrillator system (93282) |
$40.94 |
— |
1.2× |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) SCHEDULED (92358) |
$65.22 |
— |
1.2× |
| Prq balloon valvuloplasty aortic valve (92986) |
$6,260.54 |
— |
1.2× |
| Prq Balloon Valvuloplasty Mitral Valve (92987) |
$12,452.50 |
— |
1.2× |
| Prq card revasc chronic 1vsl (92943) |
$12,452.50 |
— |
1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$12,452.50 |
— |
1.2× |
| Prq Card Stent/Ath/Angio (92933) |
$19,717.34 |
— |
1.2× |
| Prq revasc byp graft 1 vsl (92937) |
$12,452.50 |
— |
1.2× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$19,717.34 |
— |
1.2× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$12,452.50 |
— |
1.2× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$6,260.54 |
— |
1.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$12,452.50 |
— |
1.2× |
| Psych diag eval w/med srvcs (90792) |
$176.42 |
— |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$176.42 |
— |
1.1× |
| Psychoanalysis (90845) |
$176.42 |
— |
1.1× |
| Psycl tst eval phys/qhp 1st (96130) |
$341.93 |
— |
1.7× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$26.89 |
— |
1.0× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$438.17 |
— |
1.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$141.54 |
— |
1.2× |
| Psytx crisis initial 60 min (90839) |
$176.42 |
— |
1.1× |
| Pt Electric Current Therapy (97033) |
— |
$80 |
— |
| Pt Electrical Stimulation (97032) |
— |
$243.50 |
— |
| Pt eval low complex 20 min (97161) |
— |
$95 |
— |
| Pt Gait Training Therapy (97116) |
— |
$211.50 |
— |
| Pt Infrared Therapy (97026) |
— |
$89 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$198 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$95 |
— |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
— |
$126 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$150 |
— |
| Pt-focused hlth risk assmt (96160) |
$32.71 |
— |
1.0× |
| Pulm Funct Test Oscillometry (94728) |
$171.80 |
— |
1.5× |
| Pulm function test by gas (94727) |
$171.80 |
$790 |
0.9× |
| Pulmonary stress testing (94618) |
$141.54 |
$610 |
1.2× |
| Pure Tone Audiometry Air & Bone (92553) |
$171.80 |
— |
1.5× |
| Pure Tone Audiometry, Air (92552) |
$141.54 |
— |
1.2× |
| Quan puplmtry phy/qhp uni/bi (95919) |
$141.54 |
— |
1.2× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$3,531.77 |
— |
1.2× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$3,531.77 |
— |
1.2× |
| R hrt art/grft angio (93457) |
$3,531.77 |
— |
1.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$3,531.77 |
— |
1.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$3,531.77 |
— |
1.2× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$3,531.77 |
— |
1.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$3,531.77 |
— |
1.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$3,531.77 |
— |
1.2× |
| Rapid Desensitization Procedure Each Hour (95180) |
$438.17 |
— |
1.1× |
| Recording interpretation of stomach electrical (91133) |
$141.54 |
— |
1.2× |
| Refill/Maint Pump/Resvr Syst (96522) |
$231.35 |
— |
1.2× |
| Refill/maint, portable pump (96521) |
$231.35 |
— |
1.2× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$40.94 |
— |
1.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$40.94 |
— |
1.2× |
| Rem mntr physiol param 1st dev supply ea 30 days (99454) |
$40.94 |
— |
1.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$141.50 |
— |
1.2× |
| Rem ther mntr dev sply cbt (98978) |
$40.94 |
— |
1.2× |
| Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) |
$40.94 |
— |
1.2× |
| Rem ther mntr dev supply w/rec respir sys ea 30d (98976) |
$40.94 |
— |
1.2× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$40.94 |
— |
1.2× |
| Remote dx retinal imaging (92227) |
$65.22 |
— |
1.2× |
| Remote Mntr Wireless P-Art Prs Snr Up to 30 D (93264) |
$40.94 |
— |
1.2× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$141.50 |
— |
1.2× |
| Repair and refitting of spectacle prosthesis for patient absent a natural lens (92371) |
$65.22 |
— |
1.2× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$341.93 |
— |
1.7× |
| Repet tms tx subseq motr threshld w/deliv & mn (90869) |
$341.93 |
— |
1.7× |
| Replace contact lens (92326) |
$65.22 |
— |
1.2× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$324.13 |
— |
1.2× |
| Right heart cath (93451) |
$3,531.77 |
— |
1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$218.18 |
— |
1.2× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$141.54 |
$345 |
1.2× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
$582.62 |
— |
1.7× |
| Sbsq psychiatric collab care mgmt 1st 60 mins (99493) |
$101.57 |
— |
1.1× |
| Sc Ther Infusion Reset Pump (96371) |
$78.14 |
— |
1.2× |
| Select picture audiometry (92583) |
$65.22 |
— |
1.2× |
| Self-meas bp pt educaj/traing & dev calibration (99473) |
$26.89 |
— |
1.0× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$65.22 |
— |
1.2× |
| Short-latency somatosens ep std lwr limbs (95926) |
$341.93 |
— |
1.7× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$341.93 |
— |
1.7× |
| Short-latency somatosens ep std upr limbs (95925) |
$341.93 |
— |
1.7× |
| Sinusoidal Rotational Test (92546) |
$171.80 |
— |
1.5× |
| Sleep study attended (95807) |
$582.62 |
$1,766 |
1.7× |
| Sleep study unattended (95806) |
$171.80 |
— |
0.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$171.80 |
$493 |
0.9× |
| Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) |
$65.22 |
— |
1.2× |
| Smoking cessation > 10 min (99407) |
$32.71 |
— |
1.0× |
| Somatosensory testing (95938) |
$582.62 |
— |
0.7× |
| Speech Audiometry Threshold (92555) |
$65.22 |
— |
1.2× |
| Speech Audiometry, Complete (92556) |
$65.22 |
— |
1.2× |
| Spirometry (94010) |
$171.80 |
$800 |
0.9× |
| Spontaneous Nystagmus Test (92541) |
$141.54 |
— |
1.2× |
| Staggered Spondaic Word Test (92572) |
$171.80 |
— |
1.5× |
| Stenger Test, Pure Tone (92565) |
$65.22 |
— |
1.2× |
| Stenger Test, Speech (92577) |
$582.62 |
— |
1.7× |
| Stress echo (93350) |
$602.06 |
— |
1.2× |
| Stress Tte Complete (93351) |
$602.06 |
— |
1.2× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$50.66 |
— |
1.2× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$231.35 |
— |
1.2× |
| Surfactant Admin Thru Tube (94610) |
$223.33 |
— |
1.1× |
| Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) |
$116.77 |
— |
1.2× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$116.77 |
— |
1.2× |
| Temp transcutaneous pacing (92953) |
$718.54 |
— |
1.2× |
| Tensilon test (95857) |
$341.93 |
— |
1.7× |
| Test for abnormal eye movement using a moving target with recording (92544) |
$171.80 |
— |
1.5× |
| Test for allergy using allergenic extract injected into skin (95024) |
$65.22 |
— |
1.2× |
| Test for allergy using combination of methods with drug or biological (95018) |
$43.10 |
— |
1.3× |
| Test photosensitivity (95056) |
$141.54 |
— |
1.2× |
| Test to assess hearing loss using different tone pitches (92575) |
$43.10 |
— |
1.3× |
| Test to assess hearing loss using grammatically incorrect sentences (92576) |
$43.10 |
— |
1.3× |
| Testing of autonomic (sympathetic) nervous system function (95923) |
$141.54 |
— |
1.2× |
| Testing of autonomic nervous system function heart rate (95921) |
$171.80 |
— |
1.5× |
| Ther activation impl phrenic nrv stimulator sys (93150) |
$100.79 |
— |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
— |
$136.50 |
— |
| Ther/prop/diag inj/inf proc (96379) |
$50.66 |
— |
1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$78.14 |
$240 |
1.2× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$341.93 |
— |
1.7× |
| Therapeutic Activities (97530) |
— |
$200.50 |
— |
| Therapeutic phlebotomy (99195) |
$141.54 |
— |
1.2× |
| Tilt Table Eval (93660) |
$582.62 |
— |
1.7× |
| Tinnitus assessment (92625) |
$171.80 |
— |
1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$32.71 |
— |
1.0× |
| Tone Decay Test (92563) |
$43.10 |
— |
1.3× |
| Trans Care Mgmt 14 Day Disch (99495) |
$141.50 |
— |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$141.50 |
— |
1.2× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$265.42 |
$593 |
1.2× |
| Transcranial Doppler Limited (93888) |
$116.77 |
$648 |
1.2× |
| Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21 (93316) |
$602.06 |
— |
1.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$40.94 |
— |
1.2× |
| Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) |
$341.93 |
— |
1.7× |
| Tstg Ans Funcj Vasomotor Adrenergic Innervaj (95922) |
$141.54 |
— |
1.2× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$602.06 |
$1,092 |
1.2× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$265.42 |
— |
1.2× |
| Tx atrial fib pulm vein isol (93656) |
$26,937.65 |
— |
1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$50.66 |
$150 |
1.2× |
| Tympanometry (92567) |
$43.10 |
— |
1.3× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$171.80 |
— |
0.9× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$602.06 |
— |
1.2× |
| Ultraviolet Light Therapy (96900) |
$43.10 |
— |
1.3× |
| Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) |
$26.89 |
— |
1.0× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$171.80 |
— |
1.5× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$171.80 |
— |
1.5× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$26.89 |
— |
1.0× |
| Unlisted otorhinolaryngological service (92700) |
$26.89 |
— |
1.0× |
| Unlisted pulmonary service/procedure (94799) |
$171.80 |
$490 |
1.5× |
| Valvuloplasty pulmonary valve (92990) |
$12,452.50 |
— |
1.2× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$265.42 |
$760 |
1.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$116.77 |
$378 |
1.2× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$171.80 |
— |
0.9× |
| Vasopneumatic device (97016) |
— |
$77 |
— |
| Veeg by tech 2-12 hours unmonitored (95711) |
$341.93 |
— |
1.7× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$582.62 |
— |
1.7× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$341.93 |
— |
1.0× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$1,117.14 |
— |
1.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$582.62 |
— |
1.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$582.62 |
— |
1.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$725.92 |
— |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$725.92 |
— |
1.3× |
| Visual Evoked Potential Test (95930) |
$341.93 |
$1,722 |
1.7× |
| Visual reinforcement audiometry (vra) (92579) |
$171.80 |
— |
0.9× |
| Vital capacity total (94150) |
$171.80 |
— |
1.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$1,117.14 |
— |
1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$111 |
— |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$65.22 |
— |
1.2× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$341.93 |
— |
1.0× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$100.79 |
— |
1.2× |