| Actinotherapy Ultraviolet Light (96900) |
— |
$87 |
— |
| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$31 |
— |
Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
— |
$115–$331 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$137 |
— |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
— |
$132 |
— |
| Analyze neurostim complex (95972) |
— |
$159 |
— |
Analyze neurostim no prog (95970) range across 3 matching MRF lines |
— |
$25–$54 |
— |
Analyze Neurostim Simple (95971) range across 3 matching MRF lines |
— |
$21–$138 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$106 |
— |
| Application on-body injector (96377) |
— |
$61 |
— |
| Assessment of aphasia per hr (96105) |
— |
$381 |
— |
| Behavral qualit analys voice (92524) |
— |
$362 |
— |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
— |
$151 |
— |
| Bfb training ea addl 15 min (90913) |
— |
$147 |
— |
| Biofeedback training any modality (90901) |
— |
$82 |
— |
Brief Emotional/Behav Assmt (96127) range across 3 matching MRF lines |
— |
$17–$30 |
— |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
— |
$34–$489 |
— |
| Car seat/bed test 60 min (94780) |
— |
$176 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$887 |
— |
Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
— |
$749–$952 |
— |
Cardioversion (92960) range across 3 matching MRF lines |
— |
$608–$2,301 |
— |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
— |
$6 |
— |
| Cbt 1st hour (94644) |
— |
$279 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$160 |
— |
Chemo Hormon Antineopl Sq/Im (96402) range across 5 matching MRF lines |
— |
$92–$309 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$285 |
— |
| Chemo IV push addl drug (96411) |
— |
$239 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$828 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$309 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$693 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$215 |
— |
| Chest Wall Manipulation (94668) |
— |
$82 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,094 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$845 |
— |
Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
— |
$129–$130 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$359 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$119 |
— |
| Continuous Pulse Ox (94762) |
— |
$363 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$877 |
— |
| Cpt initial (94667) |
— |
$129 |
— |
Critical care first hour (99291) range across 4 matching MRF lines |
— |
$502–$2,060 |
— |
Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
— |
$154–$1,151 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$901 |
— |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
— |
$499 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,209 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$727 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,198 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$893 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,423 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$725 |
— |
Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
— |
$88–$955 |
— |
| EEG awake and asleep (95819) |
— |
$727 |
— |
Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
— |
$29–$50 |
— |
Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
— |
$41–$219 |
— |
Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
— |
$162–$292 |
— |
Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
— |
$172–$586 |
— |
Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
— |
$272–$1,126 |
— |
Er level 1 (99281) range across 2 matching MRF lines |
— |
$46–$238 |
— |
Er level v (99285) range across 2 matching MRF lines |
— |
$395–$1,722 |
— |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
— |
$133 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
— |
$400 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$163 |
— |
| Evaluate Speech Production (92522) |
— |
$694 |
— |
| Evaluate Swallowing Function (92610) |
— |
$395 |
— |
| Evaluation of speech fluency (92521) |
— |
$399 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$590 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$590 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$321 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,152 |
— |
| Group Therapeutic Procedures (97150) |
— |
$82 |
— |
| Holter monitor recording (93225) |
— |
$321 |
— |
Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
— |
$51–$52 |
— |
Immunization administration (90471) range across 11 matching MRF lines |
— |
$31–$93 |
— |
| Inital newborn e/m (99460) |
— |
$212 |
— |
| Iontophoresis 15 min (97033) |
— |
$115 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$162 |
— |
IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
— |
$57–$132 |
— |
IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
— |
$323–$359 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$236 |
— |
IV infusion therapy prophylaxis/dx ea hour (96366) range across 6 matching MRF lines |
— |
$57–$175 |
— |
IV push initial (96374) range across 6 matching MRF lines |
— |
$85–$266 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$125 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$662 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$129 |
— |
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 8 matching MRF lines |
— |
$17–$99 |
— |
Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 8 matching MRF lines |
— |
$17–$99 |
— |
Methacholine challenge (94070) range across 2 matching MRF lines |
— |
$64–$841 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$308 |
— |
Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
— |
$215–$2,109 |
— |
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
— |
$219–$527 |
— |
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 5 matching MRF lines |
— |
$91–$527 |
— |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
— |
$158–$423 |
— |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
— |
$154–$589 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$359 |
— |
| Neuromuscular Reeducation (97112) |
— |
$139 |
— |
| Newborn resuscitation (99465) |
— |
$324 |
— |
| Oral Function Therapy (92526) |
— |
$397 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$87 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$145 |
— |
Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
— |
$16–$77 |
— |
Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
— |
$16–$109 |
— |
Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
— |
$16–$131 |
— |
Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
— |
$16–$156 |
— |
Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
— |
$16–$186 |
— |
| Ot eval high complexity (97167) |
— |
$249 |
— |
| Ot Eval Low Complex (97165) |
— |
$243 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$278 |
— |
| Ot manual therapy 15 min (97140) |
— |
$131 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$85 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$112 |
— |
| Ot rom hand (95852) |
— |
$98 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$342 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$277 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$161 |
— |
| Phlebotomy therapeutic (99195) |
— |
$225 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$237 |
— |
| Physical Performance Test (97750) |
— |
$102 |
— |
Plethysmography (94726) range across 2 matching MRF lines |
— |
$27–$256 |
— |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
— |
$486–$3,899 |
— |
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 4 matching MRF lines |
— |
$27–$37 |
— |
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 4 matching MRF lines |
— |
$29–$30 |
— |
Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
— |
$28–$183 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$174 |
— |
| Pt Eval High Complex (97163) |
— |
$265 |
— |
| Pt eval low complex 20 min (97161) |
— |
$218 |
— |
| Pt Eval Mod Complex (97162) |
— |
$244 |
— |
| Pt gait training 15 min (97116) |
— |
$122 |
— |
| Pt mechanical traction (97012) |
— |
$92 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$144 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
— |
$5 |
— |
| Pulmonary service/procedure (94799) |
— |
$52 |
— |
| Pulmonary Stress Testing (94618) |
— |
$310 |
— |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) |
— |
$47 |
— |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) |
— |
$72 |
— |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) |
— |
$26 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$260 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$307 |
— |
| Remote 30 Day Ecg Tech Supp (93229) |
— |
$451 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$241 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$98 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$359 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$185 |
— |
| Same day nb discharge (99463) |
— |
$246 |
— |
| Self Care Mngment Training (97535) |
— |
$133 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$138 |
— |
Sleep study unattended (95806) range across 2 matching MRF lines |
— |
$139–$709 |
— |
| Speech sound lang comprehen (92523) |
— |
$561 |
— |
Spirometry (94010) range across 2 matching MRF lines |
— |
$25–$207 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$537 |
— |
Stress Tte Only (93350) range across 3 matching MRF lines |
— |
$221–$1,842 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,591 |
— |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
— |
$138–$223 |
— |
Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
— |
$138–$223 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$151 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$248 |
— |
Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
— |
$51–$135 |
— |
Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
— |
$323–$457 |
— |
| Therapeutic Activities (97530) |
— |
$131 |
— |
Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
— |
$65–$67 |
— |
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
— |
$32–$37 |
— |
Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
— |
$26–$385 |
— |
Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
— |
$26–$544 |
— |
Tte w/doppler, complete (93306) range across 2 matching MRF lines |
— |
$233–$2,249 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$401 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$195 |
— |
Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
— |
$85–$161 |
— |
| Tympanometry (92567) |
— |
$41 |
— |
Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
— |
$44–$549 |
— |
Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
— |
$67–$658 |
— |
| Vasopneumatic device (97016) |
— |
$85 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,019 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$875 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$99 |
— |
| Whirlpool Therapy (97022) |
— |
$97 |
— |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
— |
$375 |
— |