| Airway inhalation treatment (94640) |
$245 |
$350 |
1.1× |
| Appl on-body injector for timed subq injection (96377) |
$122.50 |
$175 |
2.6× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$350 |
$500 |
3.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$770 |
$1,100 |
2.1× |
| Car seat/bed test 60 min (94780) |
$133 |
$190 |
3.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,400 |
$2,000 |
6.5× |
| Cardiopulmonary resuscitation (92950) |
$980 |
$1,400 |
4.5× |
| Cardioversion (92960) |
$1,750 |
$2,500 |
2.6× |
| Cardioversion internal (92961) |
$1,050 |
$1,500 |
1.6× |
| Caregiver training 1st 30 min (97550) |
$98 |
$140 |
1.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$45.50 |
$65 |
1.7× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$15,400 |
$22,000 |
4.7× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$16,800 |
$24,000 |
5.2× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
$18,900 |
$27,000 |
1.0× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$19,600 |
$28,000 |
6.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$18,550 |
$26,500 |
5.7× |
| Cbt 1st hour (94644) |
$255.50 |
$365 |
1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$140 |
$200 |
1.9× |
| Chemo IV push addl drug (96411) |
$315 |
$450 |
4.4× |
| Chemo Iv Push Sngl Drug (96409) |
$700 |
$1,000 |
2.1× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$682.50 |
$975 |
2.1× |
| Chemother, IV infusion, 1 hr (96413) |
$682.50 |
$975 |
2.1× |
| Chemother, IV infusion, ea add hr (96415) |
$210 |
$300 |
2.9× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$157.50 |
$225 |
2.2× |
| Chemotherapy, unspecified procedure (96549) |
$210 |
$300 |
4.5× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$560 |
$800 |
1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$350 |
$500 |
4.8× |
| Color/duplex Doppler, complete (93975) |
$1,120 |
$1,600 |
4.7× |
| Color/duplex Doppler, limited (93976) |
$161 |
$230 |
1.5× |
| Coronary artery angio s&i (93454) |
$12,600 |
$18,000 |
3.9× |
| Cpap initiation and management (94660) |
$427 |
$610 |
1.9× |
| Cpt initial (94667) |
$255.50 |
$365 |
1.9× |
| Critical care (99291) |
$4,550 |
$6,500 |
5.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$560 |
$800 |
2.8× |
| Demo &/or eval,pt use,aerosol device (94664) |
$427 |
$610 |
1.9× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$952 |
$1,360 |
4.0× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$525 |
$750 |
5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,540 |
$2,200 |
6.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$700 |
$1,000 |
6.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,400 |
$2,000 |
5.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$1,054.20 |
$1,506 |
10.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,260 |
$1,800 |
12.0× |
| Duplex hemodialysis access (93990) |
$371 |
$530 |
3.5× |
| Duplex scan extracranial art compl bi study (93880) |
$1,085 |
$1,550 |
4.5× |
| Echo Heart Xthoracic,Limited (93308) |
$560 |
$800 |
2.3× |
| Echo transesophageal (93312) |
$1,419.38 |
$2,027.68 |
2.6× |
| EKG (93005) |
$332.50 |
$475 |
5.6× |
| EKG rhythm strip (93041) |
$84 |
$120 |
1.4× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$1,715 |
$2,450 |
7.9× |
| Er level 1 (99281) |
$262.50 |
$375 |
3.1× |
| Er level ii (99282) |
$472.50 |
$675 |
3.1× |
| Er level iii (99283) |
$980 |
$1,400 |
3.6× |
| Er level IV (99284) |
$1,400 |
$2,000 |
3.3× |
| Er level v (99285) |
$2,100 |
$3,000 |
3.5× |
| Evaluation of speech fluency (92521) |
$280 |
$400 |
2.1× |
| Evaluation of speech sound production (92522) |
$367.50 |
$525 |
3.3× |
| Evaluation of swallowing function (92610) |
$402.50 |
$575 |
4.7× |
| Evaluation with prescription of speech-generating alternative (92607) |
$259 |
$370 |
2.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,400 |
$2,000 |
1.6× |
| Group Therapeutic Procedures (97150) |
$122.50 |
$175 |
6.8× |
| Immunization Admin (90471) |
$98 |
$140 |
1.4× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$122.50 |
$175 |
2.1× |
| IV infusion hydration each additional hour (96361) |
$140 |
$200 |
3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$490 |
$700 |
2.3× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$157.50 |
$225 |
2.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$490 |
$700 |
2.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$157.50 |
$225 |
3.3× |
| IV push initial (96374) |
$560 |
$800 |
2.6× |
| Manual therapy 15 min (97140) |
$129.50 |
$185 |
4.7× |
| Massage 15 min (97124) |
$98 |
$140 |
3.3× |
| Mechanical traction (97012) |
$91 |
$130 |
6.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$42 |
$60 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$54.60 |
$78 |
1.5× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$525 |
$750 |
5.7× |
| Multiple sleep latency test (95805) |
$3,394.30 |
$4,849 |
3.9× |
| Neg press wnd tx </=50 sq cm (97607) |
$595 |
$850 |
1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$350 |
$500 |
1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$455 |
$650 |
1.1× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$490 |
$700 |
3.7× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$595 |
$850 |
2.7× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$101.50 |
$145 |
2.2× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$136.50 |
$195 |
4.3× |
| Ot eval high complex 60 min (97167) |
$315 |
$450 |
3.1× |
| Ot eval low complex 30 min (97165) |
$210 |
$300 |
2.1× |
| Ot eval mod complex 45 min (97166) |
$210 |
$300 |
2.1× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$112 |
$160 |
2.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$87.50 |
$125 |
2.2× |
| Ot re-eval est plan care (97168) |
$147 |
$210 |
2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$297.50 |
$425 |
2.3× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$210 |
$300 |
1.6× |
| Peripheral arterial disease rehab per session (93668) |
$101.50 |
$145 |
1.7× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$150.50 |
$215 |
2.5× |
| Plethysmography (94726) |
$504 |
$720 |
1.3× |
| Pm device progr eval dual (93280) |
$105 |
$150 |
2.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$6,790 |
$9,700 |
7.9× |
| Programming of dual lead implantable defibrillator system (93283) |
$280 |
$400 |
7.5× |
| Prq card revasc chronic 1vsl (92943) |
$15,400 |
$22,000 |
1.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$18,200 |
$26,000 |
1.6× |
| Prq revasc byp graft 1 vsl (92937) |
$17,500 |
$25,000 |
1.5× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$18,900 |
$27,000 |
1.6× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$10,500 |
$15,000 |
1.8× |
| Pt Aquatic Therapy/Exercises (97113) |
$77 |
$110 |
2.1× |
| Pt Electrical Stimulation (97032) |
$129.50 |
$185 |
8.8× |
| Pt eval high complex 45 min (97163) |
$329 |
$470 |
3.4× |
| Pt eval low complex 20 min (97161) |
$210 |
$300 |
2.1× |
| Pt Gait Training Therapy (97116) |
$126 |
$180 |
4.3× |
| Pt group caregiver training (97552) |
$35 |
$50 |
1.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$147 |
$210 |
4.5× |
| Pt Physical Performance Test (97750) |
$70 |
$100 |
2.1× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$210 |
$300 |
2.1× |
| Pt re-evaluation (97164) |
$143.50 |
$205 |
2.1× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$168 |
$240 |
5.2× |
| Pt Ultrasound Therapy (97035) |
$115.50 |
$165 |
8.0× |
| Pulmonary stress testing (94618) |
$290.50 |
$415 |
2.2× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$14,000 |
$20,000 |
4.3× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$21,000 |
$30,000 |
6.4× |
| R hrt art/grft angio (93457) |
$18,900 |
$27,000 |
5.8× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$22,400 |
$32,000 |
6.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$16,800 |
$24,000 |
5.2× |
| Refill/maint, portable pump (96521) |
$420 |
$600 |
2.0× |
| Right heart cath (93451) |
$8,400 |
$12,000 |
2.6× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$255.50 |
$365 |
1.9× |
| Speech sound lang comprehen (92523) |
$476 |
$680 |
2.1× |
| Spirometry (94010) |
$560 |
$800 |
2.6× |
| Standardized Cognitive Performance Testing (96125) |
$210 |
$300 |
2.0× |
| Stress echo (93350) |
$1,470 |
$2,100 |
2.7× |
| Stress Tte Complete (93351) |
$1,260 |
$1,800 |
2.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$126 |
$180 |
5.6× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$126 |
$180 |
6.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$210 |
$300 |
2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$157.50 |
$225 |
2.2× |
| Therapeutic Activities (97530) |
$140 |
$200 |
4.0× |
| Therapeutic phlebotomy (99195) |
$140 |
$200 |
1.0× |
| Tilt Table Eval (93660) |
$2,100 |
$3,000 |
5.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$108.50 |
$155 |
2.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,520 |
$3,600 |
4.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$262.50 |
$375 |
3.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$175 |
$250 |
2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$140 |
$200 |
3.0× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$315 |
$450 |
2.4× |
| Unlisted pulmonary service/procedure (94799) |
$315 |
$450 |
2.4× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,610 |
$2,300 |
6.7× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$770 |
$1,100 |
7.3× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,260 |
$1,800 |
2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,260 |
$1,800 |
2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$105 |
$150 |
3.4× |