| Airway Inhalation Treatment (94640) |
$234 |
$360 |
1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$110.50 |
$170 |
7.7× |
| Application on-body injector (96377) |
$130 |
$200 |
2.8× |
| Behavral qualit analys voice (92524) |
$351 |
$540 |
3.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$763.75 |
$1,175 |
2.0× |
| Car seat/bed test 60 min (94780) |
$133.25 |
$205 |
3.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,407.25 |
$2,165 |
6.5× |
| Cardiopulmonary resuscitation (92950) |
$975 |
$1,500 |
4.5× |
Cardioversion (92960) range across 2 matching MRF lines |
$1,560–$1,755 |
$2,400–$2,700 |
varies |
| Cardioversion elective internal (92961) |
$1,196 |
$1,840 |
1.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$45.50 |
$70 |
1.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$20,800 |
$32,000 |
6.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$18,590 |
$28,600 |
5.7× |
| Cbt 1st hour (94644) |
$256.75 |
$395 |
1.9× |
| Chemo Anti-Neopl Sq/Im (96401) |
$250.25 |
$385 |
3.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$162.50 |
$250 |
2.2× |
| Chemo IV infusion addl hr (96415) |
$211.25 |
$325 |
2.9× |
| Chemo IV push addl drug (96411) |
$292.50 |
$450 |
4.0× |
| Chemother Prolong Infuse W/Pump (96416) |
$650 |
$1,000 |
2.0× |
| Chemotherapy Into Cns (96450) |
$598 |
$920 |
1.8× |
| Chemotherapy Unspecified (96549) |
$162.50 |
$250 |
3.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$325 |
$500 |
4.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$552.50 |
$850 |
1.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$390 |
$600 |
1.2× |
| Chest Wall Manipulation (94668) |
$240.50 |
$370 |
1.8× |
| Color/duplex Doppler, complete (93975) |
$1,192.75 |
$1,835 |
5.0× |
| Color/duplex Doppler, limited (93976) |
$188.50 |
$290 |
1.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$129.35 |
$199 |
4.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$286 |
$440 |
2.1× |
| Coronary Art/Grft Angio S&I (93455) |
$14,950 |
$23,000 |
4.6× |
| Coronary Artery Angio S&I (93454) |
$13,000 |
$20,000 |
4.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$542.75 |
$835 |
2.5× |
| Cpt initial (94667) |
$243.75 |
$375 |
1.8× |
| Critical care first hour (99291) |
$4,309.50 |
$6,630 |
5.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$568.75 |
$875 |
2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$981.50 |
$1,510 |
4.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$1,036.75 |
$1,595 |
9.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,540.50 |
$2,370 |
6.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$773.50 |
$1,190 |
7.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,673.75 |
$2,575 |
7.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,326 |
$2,040 |
12.6× |
| Duplex Scan Hemodialysis Access (93990) |
$412.75 |
$635 |
3.9× |
| Duplex up extrem art bilat (93930) |
$1,407.25 |
$2,165 |
5.9× |
| Duplex up extrem art unilat/ltd (93931) |
$1,072.50 |
$1,650 |
10.2× |
| Echo Heart Xthoracic,Limited (93308) |
$666.25 |
$1,025 |
2.8× |
| Echo transesophageal (93312) |
$1,560 |
$2,400 |
2.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,430 |
$2,200 |
2.6× |
| Eeg 41-60 Minutes (95812) |
$1,673.75 |
$2,575 |
7.7× |
| Electrical Stimulation Ea 15 Min (97032) |
$124.15 |
$191 |
8.4× |
| Electrocardiogram Tracing (93005) |
$334.75 |
$515 |
5.6× |
| Emergency Dept Visit Level 2 (99282) |
$552.50 |
$850 |
3.6× |
| Emergency Dept Visit Level 3 (99283) |
$1,053 |
$1,620 |
3.8× |
| Emergency Dept Visit Level 4 (99284) |
$1,300 |
$2,000 |
3.1× |
Er level 1 (99281) range across 2 matching MRF lines |
$292.50–$357.50 |
$450–$550 |
varies |
| Er level v (99285) |
$2,275 |
$3,500 |
3.8× |
| Evaluate pt use of inhaler (94664) |
$403 |
$620 |
1.8× |
| Evaluate Speech Production (92522) |
$367.25 |
$565 |
3.3× |
| Evaluate Swallowing Function (92610) |
$383.50 |
$590 |
4.5× |
| Evaluation of speech fluency (92521) |
$279.50 |
$430 |
2.1× |
| Extracranial Bilat Study (93880) |
$1,124.50 |
$1,730 |
4.7× |
| Extracranial Uni/Ltd Study (93882) |
$650 |
$1,000 |
6.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,475.50 |
$2,270 |
1.7× |
Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$116.35–$117 |
$179–$180 |
varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$23,400 |
$36,000 |
7.2× |
| Icd device progr eval dual (93283) |
$282.75 |
$435 |
7.5× |
Immunization administration (90471) range across 7 matching MRF lines |
$39–$105.30 |
$60–$162 |
varies |
| Irrig Drug Delivery Device (96523) |
$113.75 |
$175 |
1.9× |
| IV infusion hydration each additional hour (96361) |
$130 |
$200 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$455 |
$700 |
2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$162.50 |
$250 |
2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$146.25 |
$225 |
3.1× |
| IV push initial (96374) |
$520 |
$800 |
2.4× |
| L Hrt Art/Grft Angio (93459) |
$20,150 |
$31,000 |
6.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$50.05 |
$77 |
1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$56.55 |
$87 |
1.5× |
| Motion Fluoroscopy/Swallow (92611) |
$526.50 |
$810 |
5.8× |
| Multiple Sleep Latency Test (95805) |
$3,510 |
$5,400 |
4.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$585 |
$900 |
1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$386.75 |
$595 |
1.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$471.25 |
$725 |
1.2× |
Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$136.50–$146.25 |
$210–$225 |
varies |
| Oral Function Therapy (92526) |
$221 |
$340 |
2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$112.45 |
$173 |
2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$107.25 |
$165 |
2.3× |
| Ot eval high complexity (97167) |
$299 |
$460 |
3.0× |
| Ot Eval Low Complex (97165) |
$227.50 |
$350 |
2.3× |
| Ot Eval Moderate Complexity (97166) |
$250.25 |
$385 |
2.5× |
| Ot manual therapy 15 min (97140) |
$130 |
$200 |
4.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$89.70 |
$138 |
2.2× |
| Ot Re-Eval Est Plan Care (97168) |
$162.50 |
$250 |
2.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$315.25 |
$485 |
2.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$227.50 |
$350 |
1.8× |
| Peripheral arterial disease rehab per session (93668) |
$125.45 |
$193 |
2.1× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) |
$24,700 |
$38,000 |
1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$10,855 |
$16,700 |
1.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$15,795 |
$24,300 |
1.4× |
| Phlebotomy therapeutic (99195) |
$169 |
$260 |
1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$175.50 |
$270 |
3.0× |
Physical Performance Test (97750) range across 3 matching MRF lines |
$81.25–$89.70 |
$125–$138 |
varies |
| Plethysmography (94726) |
$526.50 |
$810 |
1.4× |
| Pm device progr eval dual (93280) |
$114.40 |
$176 |
3.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$6,630 |
$10,200 |
7.7× |
| Prq Card Angio/Athrect 1 Art (92924) |
$18,720 |
$28,800 |
1.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$17,875 |
$27,500 |
1.5× |
| Prq Card Stent/Ath/Angio (92933) |
$12,610 |
$19,400 |
0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$18,070 |
$27,800 |
1.6× |
| Pt Eval High Complex (97163) |
$308.75 |
$475 |
3.2× |
| Pt eval low complex 20 min (97161) |
$214.50 |
$330 |
2.2× |
| Pt Eval Mod Complex (97162) |
$234 |
$360 |
2.4× |
| Pt gait training 15 min (97116) |
$120.25 |
$185 |
4.1× |
| Pt group caregiver training (97552) |
$35.75 |
$55 |
1.6× |
| Pt mechanical traction (97012) |
$91 |
$140 |
6.3× |
| Pt Re-Eval Est Plan Care (97164) |
$162.50 |
$250 |
2.4× |
| Pulmonary service/procedure (94799) |
$302.25 |
$465 |
2.3× |
| Pulmonary Stress Testing (94618) |
$299 |
$460 |
2.2× |
| R Hrt Art/Grft Angio (93457) |
$18,720 |
$28,800 |
5.7× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$4,290 |
$6,600 |
1.3× |
| R hrt coronary artery angio (93456) |
$16,770 |
$25,800 |
5.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$16,575 |
$25,500 |
5.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$14,365 |
$22,100 |
4.4× |
| Refill/Maint Portable Pump (96521) |
$422.50 |
$650 |
2.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$93.60 |
$144 |
1.6× |
| Right Heart Cath (93451) |
$8,710 |
$13,400 |
2.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$315.25 |
$485 |
2.6× |
| Self Care Mngment Training (97535) |
$159.25 |
$245 |
4.9× |
| Slp caregiver training 1st 30 min (97550) |
$105.30 |
$162 |
2.0× |
| Speech sound lang comprehen (92523) |
$455 |
$700 |
2.0× |
| Spirometry (94010) |
$562.25 |
$865 |
2.6× |
| Standardized Cognitive Performance Testing (96125) |
$247 |
$380 |
2.4× |
| Stress Tte Only (93350) |
$1,543.75 |
$2,375 |
2.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$119.60 |
$184 |
5.3× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$119.60 |
$184 |
5.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$104 |
$160 |
2.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$94.25 |
$145 |
3.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$247 |
$380 |
2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$146.25 |
$225 |
2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$455 |
$700 |
2.1× |
| Therapeutic Activities (97530) |
$146.25 |
$225 |
4.2× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$2,245.75 |
$3,455 |
6.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$97.50 |
$150 |
2.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$116.35 |
$179 |
3.1× |
| Transcath Closure of Asd (93580) |
$19,630 |
$30,200 |
1.1× |
| Tte w/doppler, complete (93306) |
$2,544.75 |
$3,915 |
4.6× |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 7 matching MRF lines |
$227.50–$331.50 |
$350–$510 |
varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$487.50 |
$750 |
10.4× |
| Unlisted cardiovascular service/procedure (93799) |
$598 |
$920 |
4.6× |
| Upr/L Xtremity Art 2 Levels (93922) |
$650 |
$1,000 |
4.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$780 |
$1,200 |
3.6× |
| Vent Mgmt Inpat Init Day (94002) |
$1,264.25 |
$1,945 |
2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,264.25 |
$1,945 |
2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$99.45 |
$153 |
3.2× |