| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$135 |
$270 |
1.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$253 |
$506 |
1.1× |
Aep threshold estimation mlt frequencies i&r (92652) range across 3 matching MRF lines |
$838–$2,350.50 |
$1,676–$4,701 |
varies |
| Airway Inhalation Treatment (94640) |
$122 |
$244 |
0.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
$1,809 |
$3,618 |
4.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$62 |
$124 |
4.3× |
| Application on-body injector (96377) |
$183 |
$366 |
3.7× |
| Assessment of aphasia per hr (96105) |
$543.50 |
$1,087 |
5.6× |
| Audiometry Air & Bone (92553) |
$353 |
$706 |
2.6× |
| Auditory Function, 60 Min (92620) |
$236 |
$472 |
1.7× |
| Behavral qualit analys voice (92524) |
$207 |
$414 |
1.9× |
| Bis Xtracell Fluid Analysis (93702) |
$218.50 |
$437 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$783.50 |
$1,567 |
2.0× |
| Canalith repositioning proc (95992) |
$135.50 |
$271 |
3.3× |
Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$348–$632.50 |
$696–$1,265 |
varies |
| Cardiopulmonary exercise testing (94621) |
$1,505.50 |
$3,011 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$574.50 |
$1,149 |
2.5× |
| Cardioversion (92960) |
$2,286 |
$4,572 |
3.3× |
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 3 matching MRF lines |
$49–$51.50 |
$98–$103 |
varies |
| Cbt 1st hour (94644) |
$49 |
$98 |
0.3× |
| Chemo Admin Peritoneal Cavity (96446) |
$946.50 |
$1,893 |
2.7× |
| Chemo Anti-Neopl Sq/Im (96401) |
$294 |
$588 |
3.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$245 |
$490 |
3.2× |
| Chemo IV infusion addl hr (96415) |
$469.50 |
$939 |
6.2× |
| Chemo IV push addl drug (96411) |
$411.50 |
$823 |
5.4× |
| Chemother Prolong Infuse W/Pump (96416) |
$946.50 |
$1,893 |
2.7× |
| Chemotherapy Into Cns (96450) |
$629.50 |
$1,259 |
1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$367.50 |
$735 |
4.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$948 |
$1,896 |
2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$552 |
$1,104 |
1.6× |
| Chest Wall Manipulation (94668) |
$140 |
$280 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$679 |
$1,358 |
2.7× |
| Color/duplex Doppler, limited (93976) |
$439 |
$878 |
4.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$90.50 |
$181 |
2.8× |
| Comprehensive Hearing Test (92557) |
$352 |
$704 |
2.6× |
| Conditioning Play Audiometry (92582) |
$241 |
$482 |
1.8× |
| Continuous Pulse Ox (94762) |
$240.50 |
$481 |
1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$416.50 |
$833 |
1.8× |
| Cpt initial (94667) |
$140 |
$280 |
1.0× |
| Critical care first hour (99291) |
$3,699.50 |
$7,399 |
4.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$175 |
$350 |
0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$436.50 |
$873 |
1.7× |
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$15–$436.50 |
$30–$873 |
varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$942 |
$1,884 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$586 |
$1,172 |
5.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$884.50 |
$1,769 |
3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$613.50 |
$1,227 |
5.5× |
| Duplex Scan Hemodialysis Access (93990) |
$264 |
$528 |
2.4× |
| Duplex up extrem art bilat (93930) |
$923 |
$1,846 |
3.7× |
| Duplex up extrem art unilat/ltd (93931) |
$599 |
$1,198 |
5.4× |
| ECG/monitoring and analysis (93271) |
$763.50 |
$1,527 |
7.6× |
| Echo Congenital Complete (93303) |
$933.50 |
$1,867 |
1.6× |
| Echo Heart Xthoracic,Limited (93308) |
$535 |
$1,070 |
2.1× |
| Echo r-t 2d w/probe placement only (93313) |
$970.50 |
$1,941 |
1.7× |
| Echo transesophageal (93312) |
$1,358 |
$2,716 |
2.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,738 |
$3,476 |
3.0× |
| Eeg 41-60 Minutes (95812) |
$836 |
$1,672 |
3.7× |
| EEG awake drowsy (95816) |
$695.50 |
$1,391 |
3.0× |
| EEG cerebral death evaluation (95824) |
$1,028.50 |
$2,057 |
2.6× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$375 |
$750 |
1.6× |
| EEG extended monitoring 61-119 minutes (95813) |
$915.50 |
$1,831 |
4.0× |
| Eeg Sleep Only (95822) |
$757.50 |
$1,515 |
3.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$750 |
$1,500 |
7.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$499.50 |
$999 |
12.6× |
| Electrical Stimulation Ea 15 Min (97032) |
$90.50 |
$181 |
6.2× |
| Electrocardiogram Tracing (93005) |
$197 |
$394 |
3.2× |
| Emergency Dept Visit Level 2 (99282) |
$549 |
$1,098 |
3.4× |
| Emergency Dept Visit Level 3 (99283) |
$1,147.50 |
$2,295 |
4.0× |
| Emergency Dept Visit Level 4 (99284) |
$2,105 |
$4,210 |
4.8× |
| Er level 1 (99281) |
$323.50 |
$647 |
3.6× |
| Er level v (99285) |
$3,105 |
$6,210 |
4.9× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
$5,786 |
$11,572 |
14.7× |
| Evaluate pt use of inhaler (94664) |
$95 |
$190 |
0.4× |
| Evaluate Speech Production (92522) |
$283.50 |
$567 |
2.5× |
| Evaluate Swallowing Function (92610) |
$208 |
$416 |
2.5× |
| Evaluation of speech fluency (92521) |
$292.50 |
$585 |
2.2× |
| Evoked Auditory Test,Limited (92587) |
$367.50 |
$735 |
1.6× |
| Exercise test for bronchospasm (94617) |
$783.50 |
$1,567 |
5.6× |
| External Ecg Scanning Analysis Report (93226) |
$421 |
$842 |
6.7× |
| Extracranial Bilat Study (93880) |
$872.50 |
$1,745 |
3.5× |
Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$15–$582.50 |
$30–$1,165 |
varies |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$691 |
$1,382 |
1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$226.50 |
$453 |
1.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,394.50 |
$4,789 |
6.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,538 |
$3,076 |
1.7× |
| Group Therapeutic Procedures (97150) |
$80.50 |
$161 |
4.5× |
| Holter monitor recording (93225) |
$840 |
$1,680 |
6.0× |
| Immunization administration (90471) |
$80.50 |
$161 |
1.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$705 |
$1,410 |
1.8× |
| Intracranial Complete Study (93886) |
$1,132 |
$2,264 |
4.5× |
| Intracutaneous tests w/allergenic extracts (95024) |
$50 |
$100 |
0.8× |
| Iontophoresis 15 min (97033) |
$100.50 |
$201 |
5.3× |
| Irrig Drug Delivery Device (96523) |
$185 |
$370 |
3.0× |
| IV infusion hydration each additional hour (96361) |
$135.50 |
$271 |
2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$424.50 |
$849 |
1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$233.50 |
$467 |
3.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$174.50 |
$349 |
3.5× |
| IV push initial (96374) |
$276 |
$552 |
1.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$2,004 |
$4,008 |
8.8× |
| Mechanical chest wall oscillation per session (94669) |
$140 |
$280 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$33.50 |
$67 |
1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$33.50 |
$67 |
0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$33.50 |
$67 |
2.0× |
| Methacholine challenge (94070) |
$1,656.50 |
$3,313 |
4.2× |
| Motility study esophagus (91010) |
$2,729 |
$5,458 |
6.9× |
| Motion Fluoroscopy/Swallow (92611) |
$358.50 |
$717 |
3.9× |
| Multiple Sleep Latency Test (95805) |
$2,722 |
$5,444 |
3.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$412.50 |
$825 |
1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$547.50 |
$1,095 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$329 |
$658 |
1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$547.50 |
$1,095 |
1.3× |
| Neuromuscular Reeducation (97112) |
$86 |
$172 |
2.6× |
| Newborn resuscitation (99465) |
$942 |
$1,884 |
1.3× |
| Oral Function Therapy (92526) |
$219.50 |
$439 |
2.6× |
| Oral Speech Device Eval (92597) |
$268.50 |
$537 |
3.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$90.50 |
$181 |
1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$90.50 |
$181 |
2.0× |
Ot eval high complexity (97167) range across 2 matching MRF lines |
$227–$271 |
$454–$542 |
varies |
Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$158–$198 |
$316–$396 |
varies |
Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$182.50–$228.50 |
$365–$457 |
varies |
| Ot manual therapy 15 min (97140) |
$73 |
$146 |
2.6× |
| Ot paraffin bath (97018) |
$64.50 |
$129 |
10.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$90.50 |
$181 |
2.2× |
| Ot Re-Eval Est Plan Care (97168) |
$238 |
$476 |
3.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$250 |
$500 |
1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$234 |
$468 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$250 |
$500 |
4.0× |
| Phlebotomy therapeutic (99195) |
$423 |
$846 |
3.0× |
| Physical Performance Test (97750) |
$70.50 |
$141 |
2.1× |
| Plethysmography (94726) |
$977.50 |
$1,955 |
2.5× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,971.50–$3,398.50 |
$5,943–$6,797 |
varies |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,248.50 |
$6,497 |
3.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,398.50 |
$6,797 |
3.7× |
| Pt Eval High Complex (97163) |
$255.50 |
$511 |
2.6× |
| Pt eval low complex 20 min (97161) |
$157 |
$314 |
1.6× |
| Pt Eval Mod Complex (97162) |
$215 |
$430 |
2.2× |
| Pt gait training 15 min (97116) |
$80.50 |
$161 |
2.8× |
| Pt mechanical traction (97012) |
$76.50 |
$153 |
5.3× |
| Pt Re-Eval Est Plan Care (97164) |
$142.50 |
$285 |
2.1× |
| Pulm function test by gas (94727) |
$1,222 |
$2,444 |
5.3× |
| Pulmonary service/procedure (94799) |
$163.50 |
$327 |
1.2× |
| Pulmonary Stress Testing (94618) |
$135 |
$270 |
1.0× |
| Pure Tone Audiometry Air (92552) |
$248.50 |
$497 |
1.8× |
| Remote 30 Day Ecg Rev/Report (93270) |
$248 |
$496 |
6.3× |
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 5 matching MRF lines |
$37.50–$158.50 |
$75–$317 |
varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$309.50 |
$619 |
1.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$364.50 |
$729 |
3.0× |
| Select picture audiometry (92583) |
$172.50 |
$345 |
2.8× |
| Self Care Mngment Training (97535) |
$79.50 |
$159 |
2.5× |
| Sensory Integration Ea 15 Min (97533) |
$90.50 |
$181 |
1.5× |
| Slp caregiver training 1st 30 min (97550) |
$97.50 |
$195 |
1.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$729 |
$1,458 |
3.2× |
| Speech Audiometry Complete (92556) |
$198 |
$396 |
3.2× |
| Speech audiometry threshold (92555) |
$134.50 |
$269 |
2.2× |
| Speech sound lang comprehen (92523) |
$260 |
$520 |
1.1× |
| Spirometry (94010) |
$422.50 |
$845 |
1.8× |
| Standardized Cognitive Performance Testing (96125) |
$364.50 |
$729 |
3.5× |
| Surfactant Admin Thru Tube (94610) |
$114.50 |
$229 |
0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$98.50 |
$197 |
4.4× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$98.50 |
$197 |
4.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$88.50 |
$177 |
2.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$47 |
$94 |
1.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$254.50 |
$509 |
2.5× |
Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$122–$140 |
$244–$280 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$488 |
$976 |
2.2× |
| Therapeutic Activities (97530) |
$81.50 |
$163 |
2.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$589.50 |
$1,179 |
5.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$907.50 |
$1,815 |
8.2× |
| Tte w/doppler, complete (93306) |
$1,677.50 |
$3,355 |
2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$217.50 |
$435 |
2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$106.50 |
$213 |
2.1× |
| Tympanometry (92567) |
$144 |
$288 |
3.6× |
| Tympanometry and reflex threshold measurements (92550) |
$353 |
$706 |
1.5× |
Unlisted noninvasive vascular diagnostic study (93998) range across 4 matching MRF lines |
$813–$1,350.50 |
$1,626–$2,701 |
varies |
| Unlisted otorhinolaryngological service (92700) |
$395 |
$790 |
12.9× |
Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$15–$579 |
$30–$1,158 |
varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$874 |
$1,748 |
3.8× |
| Veeg 2-12 hr unmonitored (95711) |
$1,542 |
$3,084 |
6.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,082 |
$4,164 |
5.3× |
| Vent Mgmt Inpat Init Day (94002) |
$672.50 |
$1,345 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$672.50 |
$1,345 |
1.0× |
| Visual reinforcement audiometry (vra) (92579) |
$278.50 |
$557 |
1.2× |
| Vital capacity, total (94150) |
$114.50 |
$229 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$80.50 |
$161 |
2.6× |
| Whirlpool Therapy (97022) |
$76.50 |
$153 |
4.9× |