| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$133 |
$266 |
1.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$249 |
$498 |
1.1× |
Aep threshold estimation mlt frequencies i&r (92652) range across 3 matching MRF lines |
$826–$2,316.50 |
$1,652–$4,633 |
varies |
| Airway Inhalation Treatment (94640) |
$120 |
$240 |
0.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
$1,782.50 |
$3,565 |
4.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$61 |
$122 |
4.2× |
| Application on-body injector (96377) |
$180.50 |
$361 |
3.6× |
| Assessment of aphasia per hr (96105) |
$535.50 |
$1,071 |
5.5× |
| Audiometry Air & Bone (92553) |
$348 |
$696 |
2.6× |
| Auditory Function, 60 Min (92620) |
$232.50 |
$465 |
1.7× |
| Behavral qualit analys voice (92524) |
$204 |
$408 |
1.9× |
| Bis Xtracell Fluid Analysis (93702) |
$215.50 |
$431 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$772 |
$1,544 |
2.0× |
| Canalith repositioning proc (95992) |
$133.50 |
$267 |
3.3× |
| Car seat/bed test 60 min (94780) |
$415 |
$830 |
10.5× |
Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$343–$623.50 |
$686–$1,247 |
varies |
| Cardiopulmonary exercise testing (94621) |
$1,484 |
$2,968 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$566 |
$1,132 |
2.5× |
| Cardioversion (92960) |
$2,253 |
$4,506 |
3.2× |
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 3 matching MRF lines |
$48–$50.50 |
$96–$101 |
varies |
| Cbt 1st hour (94644) |
$48 |
$96 |
0.3× |
| Chemo Admin Peritoneal Cavity (96446) |
$933 |
$1,866 |
2.7× |
| Chemo Anti-Neopl Sq/Im (96401) |
$289.50 |
$579 |
3.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$241.50 |
$483 |
3.2× |
| Chemo IV infusion addl hr (96415) |
$462.50 |
$925 |
6.1× |
| Chemo IV push addl drug (96411) |
$405.50 |
$811 |
5.3× |
| Chemother Prolong Infuse W/Pump (96416) |
$933 |
$1,866 |
2.7× |
| Chemotherapy Into Cns (96450) |
$620.50 |
$1,241 |
1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$362 |
$724 |
4.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$934.50 |
$1,869 |
2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$544 |
$1,088 |
1.6× |
| Chest Wall Manipulation (94668) |
$138 |
$276 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$669 |
$1,338 |
2.7× |
| Color/duplex Doppler, limited (93976) |
$432.50 |
$865 |
3.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$89 |
$178 |
2.8× |
| Comprehensive Hearing Test (92557) |
$347 |
$694 |
2.5× |
| Conditioning Play Audiometry (92582) |
$237.50 |
$475 |
1.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$504 |
$1,008 |
3.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$256.50 |
$513 |
4.1× |
| Continuous Pulse Ox (94762) |
$237 |
$474 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$410.50 |
$821 |
1.8× |
| Cpt initial (94667) |
$138 |
$276 |
1.0× |
| Critical care first hour (99291) |
$3,646 |
$7,292 |
4.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$172.50 |
$345 |
0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$430.50 |
$861 |
1.7× |
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$15–$430.50 |
$30–$861 |
varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$928 |
$1,856 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$577.50 |
$1,155 |
5.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$871.50 |
$1,743 |
3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$604.50 |
$1,209 |
5.5× |
| Duplex Scan Hemodialysis Access (93990) |
$260 |
$520 |
2.4× |
| Duplex up extrem art bilat (93930) |
$909.50 |
$1,819 |
3.6× |
| Duplex up extrem art unilat/ltd (93931) |
$590.50 |
$1,181 |
5.3× |
| ECG/monitoring and analysis (93271) |
$752.50 |
$1,505 |
7.5× |
| Echo Congenital Complete (93303) |
$920 |
$1,840 |
1.6× |
| Echo Heart Xthoracic,Limited (93308) |
$527 |
$1,054 |
2.1× |
| Echo r-t 2d w/probe placement only (93313) |
$956.50 |
$1,913 |
1.7× |
| Echo transesophageal (93312) |
$1,338.50 |
$2,677 |
2.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,713 |
$3,426 |
3.0× |
| Eeg 41-60 Minutes (95812) |
$824 |
$1,648 |
3.6× |
| EEG awake drowsy (95816) |
$685 |
$1,370 |
3.0× |
| EEG cerebral death evaluation (95824) |
$1,013.50 |
$2,027 |
2.6× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$370 |
$740 |
1.6× |
| EEG extended monitoring 61-119 minutes (95813) |
$902 |
$1,804 |
3.9× |
| Eeg Sleep Only (95822) |
$746.50 |
$1,493 |
3.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$739 |
$1,478 |
7.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$492 |
$984 |
12.5× |
| Electrical Stimulation Ea 15 Min (97032) |
$89 |
$178 |
6.1× |
| Electrocardiogram Tracing (93005) |
$194 |
$388 |
3.1× |
| Emergency Dept Visit Level 2 (99282) |
$541 |
$1,082 |
3.3× |
| Emergency Dept Visit Level 3 (99283) |
$1,130.50 |
$2,261 |
3.9× |
| Emergency Dept Visit Level 4 (99284) |
$2,074.50 |
$4,149 |
4.7× |
| Er level 1 (99281) |
$319 |
$638 |
3.6× |
| Er level v (99285) |
$3,060 |
$6,120 |
4.9× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
$5,702.50 |
$11,405 |
14.4× |
| Evaluate pt use of inhaler (94664) |
$93.50 |
$187 |
0.4× |
| Evaluate Speech Production (92522) |
$279 |
$558 |
2.5× |
| Evaluate Swallowing Function (92610) |
$205 |
$410 |
2.4× |
| Evaluation of speech fluency (92521) |
$288.50 |
$577 |
2.2× |
| Evoked Auditory Test,Limited (92587) |
$362 |
$724 |
1.6× |
| Exercise test for bronchospasm (94617) |
$772 |
$1,544 |
5.5× |
| External Ecg Scanning Analysis Report (93226) |
$415 |
$830 |
6.6× |
| Extracranial Bilat Study (93880) |
$860 |
$1,720 |
3.4× |
Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$15–$574 |
$30–$1,148 |
varies |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$681 |
$1,362 |
1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$223 |
$446 |
1.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,359.50 |
$4,719 |
6.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,515.50 |
$3,031 |
1.7× |
| Group Therapeutic Procedures (97150) |
$79 |
$158 |
4.4× |
| Holter monitor recording (93225) |
$827.50 |
$1,655 |
5.9× |
| Immunization administration (90471) |
$79.50 |
$159 |
1.0× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$694.50 |
$1,389 |
1.8× |
| Intracranial Complete Study (93886) |
$1,115.50 |
$2,231 |
4.4× |
| Intracutaneous tests w/allergenic extracts (95024) |
$49 |
$98 |
0.8× |
| Iontophoresis 15 min (97033) |
$99 |
$198 |
5.2× |
| Irrig Drug Delivery Device (96523) |
$182.50 |
$365 |
2.9× |
| IV infusion hydration each additional hour (96361) |
$133.50 |
$267 |
2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$418.50 |
$837 |
1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$230 |
$460 |
3.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$172 |
$344 |
3.5× |
| IV push initial (96374) |
$272 |
$544 |
1.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,975 |
$3,950 |
8.6× |
| Mechanical chest wall oscillation per session (94669) |
$138 |
$276 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$33 |
$66 |
1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$33 |
$66 |
0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$33 |
$66 |
1.9× |
| Methacholine challenge (94070) |
$1,632.50 |
$3,265 |
4.1× |
| Motility study esophagus (91010) |
$2,689.50 |
$5,379 |
6.8× |
| Motion Fluoroscopy/Swallow (92611) |
$353 |
$706 |
3.9× |
| Multiple Sleep Latency Test (95805) |
$2,682.50 |
$5,365 |
3.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$406.50 |
$813 |
0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$539.50 |
$1,079 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$324 |
$648 |
1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$539.50 |
$1,079 |
1.3× |
| Neuromuscular Reeducation (97112) |
$85 |
$170 |
2.6× |
| Newborn resuscitation (99465) |
$928 |
$1,856 |
1.3× |
| Oral Function Therapy (92526) |
$216.50 |
$433 |
2.6× |
| Oral Speech Device Eval (92597) |
$264.50 |
$529 |
3.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$89 |
$178 |
1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$89 |
$178 |
1.9× |
Ot eval high complexity (97167) range across 2 matching MRF lines |
$224–$267.50 |
$448–$535 |
varies |
Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$156–$195 |
$312–$390 |
varies |
Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$179.50–$225.50 |
$359–$451 |
varies |
| Ot manual therapy 15 min (97140) |
$72 |
$144 |
2.6× |
| Ot paraffin bath (97018) |
$63.50 |
$127 |
10.6× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$89 |
$178 |
2.2× |
| Ot Re-Eval Est Plan Care (97168) |
$234.50 |
$469 |
3.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$246.50 |
$493 |
1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$230.50 |
$461 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$246.50 |
$493 |
3.9× |
| Phlebotomy therapeutic (99195) |
$417 |
$834 |
3.0× |
| Physical Performance Test (97750) |
$69.50 |
$139 |
2.1× |
| Plethysmography (94726) |
$963.50 |
$1,927 |
2.4× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,928.50–$3,349.50 |
$5,857–$6,699 |
varies |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,201.50 |
$6,403 |
3.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,349.50 |
$6,699 |
3.7× |
| Pt Eval High Complex (97163) |
$251.50 |
$503 |
2.6× |
| Pt eval low complex 20 min (97161) |
$155 |
$310 |
1.6× |
| Pt Eval Mod Complex (97162) |
$212 |
$424 |
2.2× |
| Pt gait training 15 min (97116) |
$79.50 |
$159 |
2.7× |
| Pt mechanical traction (97012) |
$75.50 |
$151 |
5.3× |
| Pt Re-Eval Est Plan Care (97164) |
$140.50 |
$281 |
2.1× |
| Pulm function test by gas (94727) |
$1,204 |
$2,408 |
5.3× |
| Pulmonary service/procedure (94799) |
$161 |
$322 |
1.2× |
| Pulmonary Stress Testing (94618) |
$133 |
$266 |
0.9× |
| Pure Tone Audiometry Air (92552) |
$245 |
$490 |
1.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$244.50 |
$489 |
6.2× |
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 5 matching MRF lines |
$37–$156.50 |
$74–$313 |
varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$305 |
$610 |
1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$359.50 |
$719 |
2.9× |
| Select picture audiometry (92583) |
$170 |
$340 |
2.7× |
| Self Care Mngment Training (97535) |
$78 |
$156 |
2.4× |
| Sensory Integration Ea 15 Min (97533) |
$89 |
$178 |
1.5× |
| Slp caregiver training 1st 30 min (97550) |
$96.50 |
$193 |
1.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$718.50 |
$1,437 |
3.1× |
| Speech Audiometry Complete (92556) |
$195 |
$390 |
3.1× |
| Speech audiometry threshold (92555) |
$132.50 |
$265 |
2.1× |
| Speech sound lang comprehen (92523) |
$256.50 |
$513 |
1.1× |
| Spirometry (94010) |
$416.50 |
$833 |
1.8× |
| Standardized Cognitive Performance Testing (96125) |
$359.50 |
$719 |
3.5× |
| Surfactant Admin Thru Tube (94610) |
$113 |
$226 |
0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$97 |
$194 |
4.3× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$97 |
$194 |
4.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$87 |
$174 |
2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$46 |
$92 |
1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$250.50 |
$501 |
2.4× |
Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$122–$138 |
$244–$276 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$481 |
$962 |
2.1× |
| Therapeutic Activities (97530) |
$80.50 |
$161 |
2.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$581 |
$1,162 |
5.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$894.50 |
$1,789 |
8.1× |
| Tte w/doppler, complete (93306) |
$1,653.50 |
$3,307 |
2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$214.50 |
$429 |
2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$105 |
$210 |
2.1× |
| Tympanometry (92567) |
$142 |
$284 |
3.6× |
| Tympanometry and reflex threshold measurements (92550) |
$348 |
$696 |
1.5× |
Unlisted noninvasive vascular diagnostic study (93998) range across 4 matching MRF lines |
$801.50–$1,331 |
$1,603–$2,662 |
varies |
| Unlisted otorhinolaryngological service (92700) |
$389.50 |
$779 |
12.7× |
Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$15–$571 |
$30–$1,142 |
varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$861.50 |
$1,723 |
3.8× |
| Veeg 2-12 hr unmonitored (95711) |
$1,519.50 |
$3,039 |
6.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,052 |
$4,104 |
5.2× |
| Vent Mgmt Inpat Init Day (94002) |
$663 |
$1,326 |
1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$663 |
$1,326 |
1.0× |
| Visual reinforcement audiometry (vra) (92579) |
$274.50 |
$549 |
1.2× |
| Vital capacity, total (94150) |
$113 |
$226 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$79 |
$158 |
2.5× |
| Whirlpool Therapy (97022) |
$75.50 |
$151 |
4.8× |