| 1St psychiatric collab care mgmt 1st 70 mins (99492) |
$101.57 |
— |
1.1× |
| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) |
$329.32 |
— |
1.2× |
| Ablate Heart Dysrhythm Focus (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× |
| Actinotherapy Ultraviolet Light (96900) |
$43.10 |
— |
1.3× |
| Acupunct W/Stimul 15 Min (97813) |
$26.89 |
— |
1.0× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$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× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$45.59 |
— |
1.2× |
| Advncd Care Plan 30 Min (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× |
| Airway resistance by oscillometry (94728) |
$171.80 |
— |
1.5× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$43.10 |
— |
1.3× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
$26.89 |
— |
1.0× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$141.54 |
— |
1.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$141.54 |
— |
1.2× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
$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× |
| Analyze Neurostim Simple (95971) |
$100.79 |
— |
1.2× |
| Analyze Pacemaker System (93724) |
$329.32 |
— |
1.2× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$220.90 |
— |
1.2× |
| Ans parasymp & symp w/tilt (95924) |
$341.93 |
— |
1.7× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) |
$141.54 |
— |
1.2× |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
$141.54 |
— |
1.2× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$43.10 |
— |
1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$150 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$89 |
— |
| Application on-body injector (96377) |
$50.66 |
— |
1.2× |
| Arrhythmia Induction (93618) |
$1,333.02 |
— |
1.2× |
| Art pressure waveform analys (93050) |
$26.89 |
— |
1.0× |
| Assessment of tinnitus (92625) |
$171.80 |
— |
1.5× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$101.57 |
— |
1.1× |
| Audiometry Air & Bone (92553) |
$171.80 |
— |
1.5× |
| Auditory Function, 60 Min (92620) |
$171.80 |
— |
1.5× |
| Basic vestibular evaluation (92540) |
$171.80 |
— |
0.9× |
| 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× |
| Bioimpedance Cv Analysis (93701) |
$141.54 |
— |
1.2× |
| Bis Xtracell Fluid Analysis (93702) |
$171.80 |
— |
1.5× |
| Blink reflex test (95933) |
$65.22 |
— |
1.2× |
| Breath hydrogen/methane test (91065) |
$171.80 |
— |
0.9× |
| Breathing response to hypoxia (94450) |
$171.80 |
— |
1.5× |
| Brief Emotional/Behav Assmt (96127) |
$43.10 |
— |
1.3× |
| 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 monothermal (92538) |
$171.80 |
— |
0.9× |
| Caloric Vstblr Test W/Rec (92537) |
$171.80 |
— |
1.5× |
| 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 elective internal (92961) |
$718.54 |
— |
1.2× |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
$32.71 |
— |
1.0× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$32.71 |
— |
1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$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 Conditions W/I&R W/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 Anti-Neopl Sq/Im (96401) |
$78.14 |
— |
1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$78.14 |
— |
1.2× |
| Chemo Ia Push (96420) |
$364.21 |
— |
1.2× |
| Chemo Intralesional Over 7 (96406) |
$231.35 |
— |
1.2× |
| Chemo intralesional up to 7 (96405) |
$78.14 |
— |
1.2× |
| Chemo IV infusion addl hr (96415) |
$78.14 |
— |
1.2× |
| Chemo IV push addl drug (96411) |
$78.14 |
— |
1.2× |
| Chemother Prolong Infuse W/Pump (96416) |
$364.21 |
— |
1.2× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$364.21 |
— |
1.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
$50.66 |
— |
1.2× |
| Chemotherapy Into Cns (96450) |
$364.21 |
— |
1.2× |
| Chemotherapy Intracavitary (96440) |
$364.21 |
— |
1.2× |
| Chemotherapy Unspecified (96549) |
$50.66 |
— |
1.2× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$364.21 |
— |
1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$78.14 |
— |
1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$364.21 |
— |
1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$364.21 |
— |
1.2× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$364.21 |
— |
1.2× |
| Chest Wall Manipulation (94668) |
$141.54 |
$345 |
1.2× |
| Chiropract manj 3-4 regions (98941) |
$27.78 |
— |
1.4× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) |
$27.78 |
— |
1.4× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) |
$27.78 |
— |
1.4× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$101.57 |
— |
1.1× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$582.62 |
— |
1.7× |
| Cmptr ophth dx img ant segmt (92132) |
$65.22 |
— |
1.2× |
| Colon Motility 6 Hr Study (91117) |
$341.93 |
— |
1.7× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
$65.22 |
— |
1.2× |
| Color/duplex Doppler, complete (93975) |
$265.42 |
— |
1.2× |
| Color/duplex Doppler, limited (93976) |
$116.77 |
— |
1.2× |
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines |
— |
$123–$246 |
— |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$176.42 |
— |
1.1× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) |
$1,117.14 |
— |
1.4× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) |
$582.62 |
— |
1.7× |
| Comprehensive Hearing Test (92557) |
$171.80 |
— |
1.5× |
| Computerized dynamic posturography (92548) |
$141.54 |
— |
1.2× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$65.22 |
— |
1.2× |
| Computerized Ophthalmic Imaging Retina (92134) |
$65.22 |
— |
1.2× |
| Conditioning Play Audiometry (92582) |
$171.80 |
— |
1.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$141.50 |
— |
1.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$65.22 |
— |
1.2× |
| Contact Lens Fit,Corneoscleral Lens (92313) |
$141.54 |
— |
1.2× |
| Continuous Pulse Ox (94762) |
$171.80 |
$316 |
1.5× |
| Cornea hysteresis determin impulse stimj uni/bi (92145) |
$65.22 |
— |
1.2× |
| Corneal Topography (92025) |
$65.22 |
— |
1.2× |
| Coronary Art/Grft Angio S&I (93455) |
$3,531.77 |
— |
1.2× |
| Coronary Artery Angio S&I (93454) |
$3,531.77 |
— |
1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$223.33 |
$454 |
1.1× |
| Cpt initial (94667) |
$141.54 |
$345 |
1.2× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$341.93 |
— |
1.7× |
| Critical care first hour (99291) |
$925.22 |
— |
1.2× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$582.62 |
— |
1.7× |
| Dark Adaptation Eye Exam (92284) |
$438.17 |
— |
1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$218.18 |
— |
1.2× |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) |
$218.18 |
— |
1.2× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$171.80 |
— |
1.5× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$171.80 |
— |
1.5× |
| Dialysis One Evaluation (90945) |
$467.57 |
— |
1.2× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$341.93 |
— |
1.0× |
| 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 lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines |
$265.42 |
$702–$824 |
1.2× |
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines |
$116.77 |
$441–$666 |
1.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$265.42 |
$760 |
1.2× |
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines |
$116.77 |
$421–$666 |
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 Hemodialysis Access (93990) |
$116.77 |
— |
1.2× |
| Duplex up extrem art bilat (93930) |
$265.42 |
$624 |
1.2× |
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines |
$116.77 |
$416–$544 |
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 walkg/funcjal actv 1-12 musc (96002) |
$341.93 |
— |
1.7× |
| Ear and throat examination (92502) |
$559.18 |
— |
1.1× |
| Ear Protector Evaluation (92596) |
$43.10 |
— |
1.3× |
| ECG/monitoring and analysis (93271) |
$100.79 |
— |
1.2× |
| Echo Congenital Complete (93303) |
$602.06 |
— |
1.2× |
| Echo Heart Xthoracic,Limited (93308) |
$265.42 |
— |
1.2× |
| Echo r-t 2d w/probe placement only (93313) |
$602.06 |
— |
1.2× |
| Echo transesophag congen probe plcmt only (93316) |
$602.06 |
— |
1.2× |
| Echo transesophag montr cardiac pump functj (93318) |
$602.06 |
— |
1.2× |
| Echo transesophageal (93312) |
$602.06 |
— |
1.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$602.06 |
— |
1.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$602.06 |
— |
1.2× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) |
$40.94 |
— |
1.2× |
| Eeg 41-60 Minutes (95812) |
$341.93 |
$534 |
1.7× |
EEG awake and asleep (95819)
range across 2 matching MRF lines |
$341.93 |
$358–$735 |
1.7× |
| EEG awake drowsy (95816) |
$341.93 |
— |
1.7× |
| EEG cerebral death evaluation (95824) |
$582.62 |
$993 |
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 Sleep Only (95822) |
$341.93 |
$332 |
1.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$341.93 |
— |
1.7× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$341.93 |
— |
1.7× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$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 wo vid ea 12-26hr unmntr (95708) |
$582.62 |
— |
1.7× |
| EKG signal averaged (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× |
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines |
— |
$168–$319 |
— |
| Electro-Oculography (92270) |
$141.54 |
— |
1.2× |
Electrocardiogram Tracing (93005)
range across 18 matching MRF lines |
$65.22 |
$52–$3,500 |
1.2× |
| Electrocochleography (92584) |
$171.80 |
— |
1.5× |
| Electroconvulsive Therapy (90870) |
$582.62 |
— |
0.7× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) |
$341.93 |
— |
1.7× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) |
$141.54 |
— |
1.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
$8,332.10 |
— |
1.2× |
| Electrophysiology Evaluation (93642) |
$1,333.02 |
— |
1.2× |
| Emergency Dept Visit Level 2 (99282) |
$173.89 |
— |
1.2× |
| Emergency Dept Visit Level 3 (99283) |
$304.04 |
— |
1.2× |
| Emergency Dept Visit Level 4 (99284) |
$467.57 |
— |
1.2× |
| Emg 3 Extremities (95863) |
$171.80 |
$36 |
1.5× |
| Emg 4 Extremities (95864) |
$171.80 |
$494 |
1.5× |
| 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 Compre Electrophysiologic Arrhythmia Induction (93620) |
$8,332.10 |
— |
1.2× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$8,332.10 |
— |
1.2× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$1,333.02 |
— |
1.2× |
| Er level 1 (99281) |
$96.68 |
— |
1.3× |
| Er level v (99285) |
$673.21 |
— |
1.2× |
| Ergonovine provocation test (93024) |
$438.17 |
— |
1.1× |
| Esoph Atrial Electrogram (93615) |
$1,333.02 |
— |
1.2× |
| Esophageal Capsule Endoscopy (91111) |
$1,029.48 |
— |
1.2× |
| Esophagus acid perfusion test esophagitis (91030) |
$582.62 |
— |
1.7× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
$582.62 |
— |
1.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$582.62 |
— |
1.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$171.80 |
— |
1.5× |
| Evaluate pt use of inhaler (94664) |
$223.33 |
$345 |
1.1× |
| Evaluate Swallowing Function (92610) |
— |
$270.28 |
— |
| Evoked Auditory Test,Limited (92587) |
$341.93 |
— |
1.7× |
| 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 test for bronchospasm (94617) |
$141.54 |
— |
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× |
| Extracranial Bilat Study (93880) |
$265.42 |
$825 |
1.2× |
| Extracranial Uni/Ltd Study (93882) |
$116.77 |
$378 |
1.2× |
| 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 With Photos (92230) |
$582.62 |
— |
1.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$602.06 |
— |
1.2× |
| Facial nerve function studies (92516) |
$341.93 |
— |
1.7× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) |
$32.71 |
— |
1.0× |
| Filtered Speech Test (92571) |
$43.10 |
— |
1.3× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) |
$43.10 |
— |
1.3× |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) |
$43.10 |
— |
1.3× |
| Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) |
$65.22 |
— |
1.2× |
| Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) |
$65.22 |
— |
1.2× |
| Fluorescein angiography (92235) |
$341.93 |
— |
1.7× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) |
$341.93 |
— |
1.7× |
| Full Field Electroretinography W/I&R (92273) |
$341.93 |
— |
1.7× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$1,117.14 |
— |
1.4× |
| Fundus photography (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 tract capsule endoscopy (91110) |
$1,029.48 |
— |
1.2× |
| Gi tract imaging intraluminal colon i&r (91113) |
$1,001.10 |
— |
1.2× |
| Gi wireless capsule measure (91112) |
$1,029.48 |
— |
1.2× |
| Gonioscopy (92020) |
$141.54 |
— |
1.2× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) |
$32.71 |
— |
1.0× |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) |
$32.71 |
— |
1.0× |
| 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× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$3,531.77 |
— |
1.2× |
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 3 matching MRF lines |
$768.32 |
$450–$8,944 |
1.2× |
| High altitude simulation test (94452) |
$141.54 |
— |
1.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$141.54 |
— |
1.2× |
| Holter monitor recording (93225) |
$141.54 |
$200 |
1.2× |
| Hypnotherapy (90880) |
$101.57 |
— |
1.1× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) |
$43.10 |
— |
1.3× |
| Icd Device Interrogate (93289) |
$40.94 |
— |
1.2× |
| Icd device progr eval dual (93283) |
$40.94 |
— |
1.2× |
| Icd Device Progr Eval Mult (93284) |
$40.94 |
— |
1.2× |
| Icm Device Eval (93290) |
$40.94 |
— |
1.2× |
| Ilr Device Eval Progr (93285) |
$40.94 |
— |
1.2× |
| Ilr Device Interrogate (93291) |
$26.89 |
— |
1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$78.14 |
— |
1.2× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) |
$65.22 |
— |
1.2× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) |
$65.22 |
— |
1.2× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
$43.10 |
— |
1.3× |
| Immunization administration (90471) |
$78.14 |
— |
1.2× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
$341.93 |
— |
1.7× |
| Ingestion challenge test initial 120 minutes (95076) |
$582.62 |
— |
1.7× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$582.62 |
— |
1.7× |
| Inital newborn e/m (99460) |
$141.50 |
— |
1.2× |
| Insert/Place Heart Catheter (93503) |
$1,705.75 |
— |
1.2× |
| 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 vad in person (93750) |
$100.79 |
— |
1.2× |
| Interrogation without programming ipnss (93153) |
$100.79 |
— |
1.2× |
| Intra-atrial pacing (93610) |
$8,332.10 |
— |
1.2× |
| Intra-atrial recording (93602) |
$8,332.10 |
— |
1.2× |
Intracranial Complete Study (93886)
range across 2 matching MRF lines |
$265.42 |
$163–$1,023 |
1.2× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) |
$26.89 |
— |
1.0× |
| Intracutaneous tests w/allergenic extracts (95024) |
$65.22 |
— |
1.2× |
| Intraventricular pacing (93612) |
$8,332.10 |
— |
1.2× |
| Io anal gast n-stim subsq (95981) |
$65.22 |
— |
1.2× |
| Io ga n-stim subsq w/reprog (95982) |
$40.94 |
— |
1.2× |
| Iontophoresis 15 min (97033) |
— |
$80 |
— |
| Irrig Drug Delivery Device (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)
range across 965 matching MRF lines |
$231.35 |
$11–$24,342 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$78.14 |
$240 |
1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$50.66 |
$150 |
1.2× |
| IV push initial (96374) |
$231.35 |
$700 |
1.2× |
| L Hrt Art/Grft Angio (93459) |
$3,531.77 |
— |
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 test (92562) |
$341.93 |
— |
1.7× |
| Low frequency non-thermal us (97610) |
$218.18 |
— |
1.2× |
| Lung Function Test (Mbc/Mvv) (94200) |
$65.22 |
— |
1.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$171.80 |
— |
0.9× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) |
$1,117.14 |
— |
1.4× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) |
$1,117.14 |
— |
1.4× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
$341.93 |
— |
1.7× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) |
$582.62 |
$450 |
1.7× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) |
$171.80 |
— |
1.5× |
| Mechanical chest wall oscillation per session (94669) |
$223.33 |
— |
1.1× |
| 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× |
| Microvolt T-Wave Assess (93025) |
$171.80 |
— |
1.5× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) |
$141.54 |
— |
1.2× |
| Motility study esophagus (91010) |
$582.62 |
$1,625 |
1.7× |
| Motion Fluoroscopy/Swallow (92611) |
— |
$349.60 |
— |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$438.17 |
— |
1.1× |
| Multifocal Electroretinography W/I&R (92274) |
$171.80 |
— |
1.5× |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) |
$32.71 |
— |
1.0× |
| Multiple Family Group Psychotherapy (90849) |
$176.42 |
— |
1.1× |
| Multiple Sleep Latency Test (95805) |
$582.62 |
$3,247 |
0.7× |
| Muscle Test 2 Limbs (95861) |
$141.54 |
$152 |
1.2× |
| Muscle Test Hemidiaphragm (95866) |
$171.80 |
— |
1.5× |
| Muscle Test Nonparaspinal (95870) |
$141.54 |
— |
1.2× |
| Muscle Test One Limb (95860) |
$141.54 |
$289 |
1.2× |
| Narcosynthesis (90865) |
$176.42 |
— |
1.1× |
| Nasal function studies (92512) |
$341.93 |
— |
1.7× |
| Nasopharyngoscopy (92511) |
$213.18 |
— |
1.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$341.93 |
$115 |
1.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$341.93 |
$95 |
1.7× |
| Needle electromyography larynx (95865) |
$141.54 |
— |
1.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$341.93 |
$153 |
1.7× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$171.80 |
— |
0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$438.71 |
— |
1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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 1-2 Studies (95907) |
$171.80 |
— |
0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$582.62 |
— |
1.7× |
| Nerve conduction studies 13 or more studies (95913) |
$582.62 |
— |
1.7× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$341.93 |
— |
1.7× |
| Nerve conduction studies 5-6 studies (95909) |
$341.93 |
— |
1.7× |
| Nerve conduction studies 7-8 studies (95910) |
$341.93 |
— |
1.0× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$582.62 |
— |
1.7× |
| Neurobehavioral Status Exam (96116) |
$341.93 |
— |
1.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$171.80 |
— |
1.5× |
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines |
— |
$132–$264 |
— |
| Newborn resuscitation (99465) |
$718.54 |
— |
1.2× |
| Nitric oxide expired gas determination (95012) |
$43.10 |
— |
1.3× |
| Nose Allergy Test (95065) |
$43.10 |
— |
1.3× |
| 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× |
| Oculoelectromyography (92265) |
$65.22 |
— |
1.2× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$141.54 |
— |
1.2× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$141.50 |
— |
1.2× |
| 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× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$141.50 |
— |
1.2× |
| Ophthalmodynamometry (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× |
| Optokinetic Nystagmus Test (92544) |
$171.80 |
— |
1.5× |
| 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 eval high complexity (97167) |
— |
$375 |
— |
| Ot Eval Low Complex (97165) |
— |
$375 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$375 |
— |
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines |
— |
$106–$211 |
— |
| 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× |
| Oxygen Uptake Rest Indirect (94690) |
$65.22 |
— |
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× |
| Penile Vascular Study,Ltd or F/U (93981) |
$116.77 |
— |
1.2× |
| 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 Aortic (93591) |
$19,717.34 |
— |
1.2× |
| Perq Transcath Cls Mitral (93590) |
$19,717.34 |
— |
1.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$6,260.54 |
— |
1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$12,452.50 |
— |
1.2× |
| Phlebotomy therapeutic (99195) |
$141.54 |
— |
1.2× |
| Photo patch test(s) (95052) |
$65.22 |
— |
1.2× |
| Photo Tests (95056) |
$141.54 |
— |
1.2× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) |
$438.71 |
— |
1.2× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) |
$65.22 |
— |
1.2× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$65.22 |
— |
1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$65.22 |
— |
1.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry 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× |
| 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 5 insect (95149) |
$78.14 |
— |
1.2× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
$438.17 |
— |
1.1× |
| 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× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$40.94 |
— |
1.2× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$101.57 |
— |
1.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$50.66 |
— |
1.2× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$50.66 |
— |
1.2× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) |
$78.14 |
— |
1.2× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) |
$50.66 |
— |
1.2× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) |
$50.66 |
— |
1.2× |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) Facility (92358) |
$65.22 |
— |
1.2× |
| Prq Card Angio/Athrect 1 Art (92924) |
$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 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× |
| Psychological tst eval svc phys/qhp first hour (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 eval low complex 20 min (97161) |
— |
$95 |
— |
| Pt Eval Mod Complex (97162) |
— |
$95 |
— |
Pt gait training 15 min (97116)
range across 2 matching MRF lines |
— |
$146–$277 |
— |
| Pt mechanical traction (97012) |
— |
$106 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$32.71 |
— |
1.0× |
| Pulm function test by gas (94727) |
$171.80 |
$790 |
0.9× |
| Pulmonary service/procedure (94799) |
$171.80 |
$490 |
1.5× |
| Pulmonary Stress Testing (94618) |
$141.54 |
$610 |
1.2× |
| Pure Tone Audiometry Air (92552) |
$141.54 |
— |
1.2× |
| Quan puplmtry phy/qhp uni/bi (95919) |
$141.54 |
— |
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 hrt coronary artery angio (93456) |
$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× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$3,531.77 |
— |
1.2× |
| Rapid Desensitization Procedure Each Hour (95180) |
$438.17 |
— |
1.1× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$364.21 |
— |
1.2× |
| Refill/Maint Portable Pump (96521) |
$231.35 |
— |
1.2× |
| Refill/Maint Pump/Resvr Syst (96522) |
$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 d (99454) |
$40.94 |
— |
1.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$141.50 |
— |
1.2× |
| Rem Mntr Wrls P-Art Prs Snr (93264) |
$40.94 |
— |
1.2× |
| Rem Ther Mntr Dev Sply Cbt (98978) |
$40.94 |
— |
1.2× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$40.94 |
— |
1.2× |
| Rem ther mntr dev sply resp (98976) |
$40.94 |
— |
1.2× |
| Remote 30 Day Ecg Rev/Report (93270) |
$40.94 |
— |
1.2× |
| Remote 30 Day Ecg Tech Supp (93229) |
$341.93 |
— |
1.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$141.50 |
— |
1.2× |
| Repair and refitting spectacles; spectacle prosthesis for aphakia Facility (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 & Mngt (90869) |
$341.93 |
— |
1.7× |
| Replacement of contact lens (92326) |
$65.22 |
— |
1.2× |
| Respiratory flow volume loop (94375) |
$341.93 |
— |
1.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$65.22 |
$24 |
1.2× |
| Right Heart Cath (93451) |
$3,531.77 |
— |
1.2× |
| Right ventricular recording (93603) |
$1,333.02 |
— |
1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$218.18 |
— |
1.2× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) |
$141.54 |
— |
1.2× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
$582.62 |
— |
1.7× |
| Same day nb discharge (99463) |
$141.50 |
— |
1.2× |
| Sbsq Psyc Collab Care Mgmt (99493) |
$101.57 |
— |
1.1× |
| Select picture audiometry (92583) |
$65.22 |
— |
1.2× |
Self Care Mngment Training (97535)
range across 3 matching MRF lines |
— |
$118–$252 |
— |
| 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 Trnk/Head (95927) |
$341.93 |
— |
1.7× |
| Short-latency somatosens ep std upr limbs (95925) |
$341.93 |
— |
1.7× |
| Sinusoidal Vertical Axis Rotational Testing (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/Anal (95801) |
$65.22 |
— |
1.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$171.80 |
$493 |
0.9× |
| Somatosensory Testing (95938) |
$582.62 |
— |
0.7× |
| Speech Audiometry Complete (92556) |
$65.22 |
— |
1.2× |
| Speech audiometry threshold (92555) |
$65.22 |
— |
1.2× |
| Spin/Brain Pump Refil & Main (95991) |
$324.13 |
— |
1.2× |
| Spirometry (94010) |
$171.80 |
$800 |
0.9× |
| Spontaneous Nystagmus Test (92541) |
$141.54 |
— |
1.2× |
| Ssep lower limbs (95926) |
$341.93 |
— |
1.7× |
| Staggered Spondaic Word Test (92572) |
$171.80 |
— |
1.5× |
| Stenger Test Speech (92577) |
$582.62 |
— |
1.7× |
| Stenger Test, Pure Tone (92565) |
$65.22 |
— |
1.2× |
| Stress Tte Only (93350) |
$602.06 |
— |
1.2× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$50.66 |
— |
1.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$231.35 |
— |
1.2× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$78.14 |
— |
1.2× |
| Surfactant Admin Thru Tube (94610) |
$223.33 |
— |
1.1× |
| Synthetic Sentence Identification Test (92576) |
$43.10 |
— |
1.3× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$116.77 |
— |
1.2× |
| Temp transcutaneous pacing (92953) |
$718.54 |
— |
1.2× |
| Temperature Gradient Studies (93740) |
$171.80 |
— |
1.5× |
| Tensilon Test (95857) |
$341.93 |
— |
1.7× |
| Test to assess hearing loss using different tone pitches (92575) |
$43.10 |
— |
1.3× |
| Testing Autonomic Nervous System Function (95923) |
$141.54 |
— |
1.2× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) |
$100.79 |
— |
1.2× |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines |
— |
$91–$182 |
— |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$50.66 |
— |
1.2× |
| Ther/Proph/Diag Inj Ia (96373) |
$231.35 |
— |
1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$78.14 |
$240 |
1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$231.35 |
$700 |
1.2× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$341.93 |
— |
1.7× |
Therapeutic Activities (97530)
range across 2 matching MRF lines |
— |
$138–$263 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$582.62 |
— |
1.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$32.71 |
— |
1.0× |
| 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× |
| Transcath Closure of Asd (93580) |
$19,717.34 |
— |
1.2× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$116.77 |
— |
1.2× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$116.77 |
$648 |
1.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$40.94 |
— |
1.2× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) |
$171.80 |
— |
1.5× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) |
$141.54 |
— |
1.2× |
| Tte w/doppler, complete (93306) |
$602.06 |
$1,092 |
1.2× |
| Tte W/O Doppler Complete (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× |
| Unlis neurological/neuromuscular dx px (95999) |
$171.80 |
$298 |
1.5× |
| Unlisted allergy/clinical immunologic srvc/px (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 ophthalmological service/procedure (92499) |
$26.89 |
— |
1.0× |
| Unlisted otorhinolaryngological service (92700) |
$26.89 |
— |
1.0× |
| Unlisted Psychiatric Service/Procedure (90899) |
$32.71 |
— |
1.0× |
| Unlisted Special Dermatological Service/Px (96999) |
$218.18 |
— |
1.2× |
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines |
$141.54 |
$352–$1,038 |
1.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$171.80 |
$412 |
0.9× |
| Valvuloplasty aortic valve (92986) |
$6,260.54 |
— |
1.2× |
| Valvuloplasty mitral valve (92987) |
$12,452.50 |
— |
1.2× |
| Valvuloplasty pulmonary valve (92990) |
$12,452.50 |
— |
1.2× |
| Vasopneumatic device (97016) |
— |
$77 |
— |
| Veeg 2-12 Hr Cont Mntr (95713) |
$582.62 |
— |
1.7× |
| Veeg 2-12 hr intmt mntr (95712) |
$341.93 |
— |
1.0× |
| Veeg 2-12 hr unmonitored (95711) |
$341.93 |
— |
1.7× |
| 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× |
| Veeg ea 12-26hr cont mntr (95716) |
$1,117.14 |
— |
1.4× |
| Vent Mgmt Inpat Init 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 Field Exam Extended (92083) |
$141.54 |
— |
1.2× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$65.22 |
— |
1.2× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$65.22 |
— |
1.2× |
| 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 Ocular Photog W/I&R Docmt Medical Progre (92285) |
$43.10 |
— |
1.3× |