| Ablate Heart Dysrhythm Focus (93650) |
— |
$9,815 |
— |
| Acoustic Reflex Testing (92568) |
— |
$238 |
— |
| Actigraphy Testing Recording Analysis I&R (95803) |
— |
$290 |
— |
| Actinotherapy Ultraviolet Light (96900) |
— |
$225 |
— |
| Acupunct W/Stimul 15 Min (97813) |
— |
$137 |
— |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
— |
$127 |
— |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
— |
$895 |
— |
| Aep neurodiagnostic i&r (92653) |
— |
$818 |
— |
| Aep threshold estimation mlt frequencies i&r (92652) |
— |
$1,418 |
— |
| Airway Inhalation Treatment (94640) |
— |
$547 |
— |
| Airway resistance by oscillometry (94728) |
— |
$443 |
— |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
— |
$97 |
— |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
— |
$98 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$276 |
— |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
— |
$276 |
— |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
— |
$891 |
— |
| Analyze neurostim complex (95972) |
— |
$394 |
— |
| Analyze neurostim no prog (95970) |
— |
$361 |
— |
| Analyze Neurostim Simple (95971) |
— |
$369 |
— |
| Analyze Pacemaker System (93724) |
— |
$1,218 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$261 |
— |
| Arrhythmia Induction (93618) |
— |
$5,550 |
— |
| Assessment of aphasia per hr (96105) |
— |
$692 |
— |
| Audiometry Air & Bone (92553) |
— |
$415 |
— |
| Auditory Function, 60 Min (92620) |
— |
$398 |
— |
| Behavral qualit analys voice (92524) |
— |
$920 |
— |
| Breath hydrogen/methane test (91065) |
— |
$1,950 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$1,561 |
— |
| Bundle of his recording (93600) |
— |
$9,307 |
— |
| C motor evoked uppr limbs (95928) |
— |
$1,993 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$2,170 |
— |
| Canalith repositioning proc (95992) |
— |
$225 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$2,438 |
— |
| Cardiopulmonary exercise testing (94621) |
— |
$2,438 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,416 |
— |
| Cardioversion (92960) |
— |
$2,964 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$78 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$38,781 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$22,500 |
— |
| Cbt 1st hour (94644) |
— |
$388 |
— |
| Cervical & Ocular Vemp Testing W/I&R (92519) |
— |
$1,000 |
— |
| Cervical Vemp Testing W/I&R (92517) |
— |
$389 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$774 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$543 |
— |
| Chemo Ia Push (96420) |
— |
$905 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$688 |
— |
| Chemo IV push addl drug (96411) |
— |
$874 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$2,333 |
— |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
— |
$1,425 |
— |
| Chemotherapy Into Cns (96450) |
— |
$1,890 |
— |
| Chemotherapy Unspecified (96549) |
— |
$370 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$1,083 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$2,243 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$1,478 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$708 |
— |
| Chest Wall Manipulation (94668) |
— |
$276 |
— |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
— |
$1,500 |
— |
| Cmptr ophth dx img ant segmt (92132) |
— |
$229 |
— |
| Colon Motility 6 Hr Study (91117) |
— |
$5,001 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,911 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$1,348 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$139 |
— |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) |
— |
$3,738 |
— |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) |
— |
$2,880 |
— |
| Comprehensive Hearing Test (92557) |
— |
$655 |
— |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
— |
$147 |
— |
| Computerized Ophthalmic Imaging Retina (92134) |
— |
$147 |
— |
| Conditioning Play Audiometry (92582) |
— |
$455 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$649 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$893 |
— |
| Continuous Pulse Ox (94762) |
— |
$525 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$10,300 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$600 |
— |
| Cpt initial (94667) |
— |
$291 |
— |
| Critical care first hour (99291) |
— |
$14,124 |
— |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
— |
$2,006 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$1,019 |
— |
| Developmental tst admin phys/qhp 1st hour (96112) |
— |
$688 |
— |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
— |
$776 |
— |
| Dialysis One Evaluation (90945) |
— |
$4,454 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
— |
$880 |
— |
| Duodenal motility study (91022) |
— |
$1,153 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,750 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$713 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,852 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$1,050 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,749 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,275 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$875 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,818 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$1,625 |
— |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
— |
$972 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
— |
$1,054 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
— |
$1,701 |
— |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) |
— |
$1,036 |
— |
| ECG/monitoring and analysis (93271) |
— |
$1,193 |
— |
| Echo Congenital Complete (93303) |
— |
$4,936 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,107 |
— |
| Echo transesophag montr cardiac pump functj (93318) |
— |
$3,016 |
— |
| Echo transesophageal (93312) |
— |
$3,078 |
— |
| Echo Transesophageal - Congenital Tee Complete (93315) |
— |
$3,016 |
— |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
— |
$4,469 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$2,438 |
— |
| EEG awake and asleep (95819) |
— |
$3,376 |
— |
| EEG awake drowsy (95816) |
— |
$2,840 |
— |
| EEG cerebral death evaluation (95824) |
— |
$1,205 |
— |
| EEG cont rec w/video by tech min 8 channels (95700) |
— |
$840 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$2,729 |
— |
| Eeg Sleep Only (95822) |
— |
$1,792 |
— |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
— |
$788 |
— |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
— |
$630 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$210 |
— |
| Electrocardiogram Tracing (93005) |
— |
$985 |
— |
| Electrocochleography (92584) |
— |
$752 |
— |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
— |
$15,750 |
— |
| Electrophysiology Evaluation (93642) |
— |
$3,562 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$1,489 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$2,405 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$3,909 |
— |
| Emg 3 Extremities (95863) |
— |
$740 |
— |
| Emg 4 Extremities (95864) |
— |
$830 |
— |
| Endomyocardial Biopsy (93505) |
— |
$16,250 |
— |
| Ep & ablate supravent arrhyt (93653) |
— |
$67,950 |
— |
| Ep & ablate ventric tachy (93654) |
— |
$71,594 |
— |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
— |
$25,677 |
— |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
— |
$15,750 |
— |
| Ep Esophageal Recording Atria+Pacing (93616) |
— |
$5,550 |
— |
| Er level 1 (99281) |
— |
$716 |
— |
| Er level v (99285) |
— |
$6,405 |
— |
| Esoph Atrial Electrogram (93615) |
— |
$5,550 |
— |
| Esophageal Capsule Endoscopy (91111) |
— |
$9,722 |
— |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
— |
$2,188 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
— |
$676 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$320 |
— |
| Evaluate Speech Production (92522) |
— |
$922 |
— |
| Evaluate Swallowing Function (92610) |
— |
$731 |
— |
| Evaluation of speech fluency (92521) |
— |
$533 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$665 |
— |
| Excimer laser tx psoriasis 250-500 sq cm (96921) |
— |
$663 |
— |
| Excimer laser tx psoriasis >500 sq cm (96922) |
— |
$1,073 |
— |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) |
— |
$585 |
— |
| Exercise test for bronchospasm (94617) |
— |
$613 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$995 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$147 |
— |
| Extracranial Bilat Study (93880) |
— |
$2,750 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$1,236 |
— |
| Eye exam w anesth; complete (92018) |
— |
$2,850 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$2,084 |
— |
| Filtered Speech Test (92571) |
— |
$655 |
— |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
— |
$521 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$900 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
— |
$500 |
— |
| Full Field Electroretinography W/I&R (92273) |
— |
$665 |
— |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
— |
$2,175 |
— |
| Fundus photography (92250) |
— |
$292 |
— |
| Gastric motility studies (91020) |
— |
$2,044 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$1,540 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$1,540 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$3,351 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$3,553 |
— |
| Group Therapeutic Procedures (97150) |
— |
$198 |
— |
Health Behavior Assessment/Re-Assessment (96156)
range across 2 matching MRF lines |
— |
$434–$578 |
— |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
— |
$320 |
— |
| Health behavior ivntj group f2f 1st 30 min (96164) |
— |
$83 |
— |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
— |
$343 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$42,761 |
— |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
— |
$4,673 |
— |
| High altitude simulation test (94452) |
— |
$495 |
— |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
— |
$495 |
— |
| Holter monitor recording (93225) |
— |
$625 |
— |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) |
— |
$85 |
— |
| Icd Device Interrogate (93289) |
— |
$348 |
— |
| Icd device progr eval dual (93283) |
— |
$1,065 |
— |
| Icd Device Progr Eval Mult (93284) |
— |
$1,142 |
— |
| Ilr Device Eval Progr (93285) |
— |
$656 |
— |
| Ilr Device Interrogate (93291) |
— |
$221 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$251 |
— |
Img retina detcj/mntr ds poc auton a/r uni/bi (92229)
range across 2 matching MRF lines |
— |
$234–$351 |
— |
| Immunization administration (90471) |
— |
$251 |
— |
| Ingestion challenge test initial 120 minutes (95076) |
— |
$1,130 |
— |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
— |
$1,130 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$3,545 |
— |
| Intra-atrial pacing (93610) |
— |
$7,750 |
— |
| Intra-atrial recording (93602) |
— |
$7,750 |
— |
| Intracranial Complete Study (93886) |
— |
$1,920 |
— |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) |
— |
$100 |
— |
| Intraventricular pacing (93612) |
— |
$7,750 |
— |
| Iontophoresis 15 min (97033) |
— |
$226 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$670 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$310 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$590 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$425 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$356 |
— |
| IV push initial (96374) |
— |
$450 |
— |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
— |
$18,941 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$260 |
— |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) |
— |
$665 |
— |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) |
— |
$1,130 |
— |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) |
— |
$341 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$660 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$74 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$88 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$57 |
— |
| Methacholine challenge (94070) |
— |
$1,450 |
— |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) |
— |
$732 |
— |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) |
— |
$184 |
— |
| Motility study esophagus (91010) |
— |
$1,472 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$1,623 |
— |
| Multifocal Electroretinography W/I&R (92274) |
— |
$609 |
— |
| Multiple Family Group Psychotherapy (90849) |
— |
$443 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$6,338 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$527 |
— |
| Muscle Test Hemidiaphragm (95866) |
— |
$505 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$276 |
— |
| Muscle Test One Limb (95860) |
— |
$499 |
— |
| Nasopharyngoscopy (92511) |
— |
$481 |
— |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
— |
$686 |
— |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
— |
$665 |
— |
| Needle electromyography larynx (95865) |
— |
$567 |
— |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
— |
$757 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$1,175 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$1,222 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$425 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$764 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$806 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$4,095 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$4,940 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$1,253 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$1,605 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$2,031 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$2,960 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$965 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$907 |
— |
| Neuromuscular Reeducation (97112) |
— |
$455 |
— |
| Nitric oxide expired gas determination (95012) |
— |
$157 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$1,130 |
— |
| Ocular Vemp Testing W/I&R (92518) |
— |
$404 |
— |
| Oral Function Therapy (92526) |
— |
$708 |
— |
| Oral Speech Device Eval (92597) |
— |
$652 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$361 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$350 |
— |
| Ot eval high complexity (97167) |
— |
$1,222 |
— |
| Ot Eval Low Complex (97165) |
— |
$742 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$947 |
— |
| Ot manual therapy 15 min (97140) |
— |
$312 |
— |
| Ot paraffin bath (97018) |
— |
$158 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$227 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$561 |
— |
| Ot rom hand (95852) |
— |
$180 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$707 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$442 |
— |
| Patch/Application Test Specify Number Tests (95044) |
— |
$224 |
— |
| Pediatric apnea monitor analyses computer (94776) |
— |
$533 |
— |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) |
— |
$533 |
— |
| Penile Vascular Study,Ltd or F/U (93981) |
— |
$1,000 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$801 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$195 |
— |
| Perq transcath closure pda (93582) |
— |
$18,148 |
— |
| Phlebotomy therapeutic (99195) |
— |
$693 |
— |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
— |
$608 |
— |
| Physical Performance Test (97750) |
— |
$312 |
— |
| Plethysmography (94726) |
— |
$1,068 |
— |
| Pm device eval in person (93288) |
— |
$344 |
— |
| Pm device progr eval dual (93280) |
— |
$930 |
— |
| Pm device progr eval multi (93281) |
— |
$945 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$671 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$998 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$11,954 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$10,176 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$10,685 |
— |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
— |
$3,600 |
— |
| Positional nystagmus test (92542) |
— |
$323 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$113 |
— |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
— |
$750 |
— |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
— |
$311 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$99 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$106 |
— |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
— |
$78,000 |
— |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
— |
$22,750 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$590 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$572 |
— |
| Psychological tst eval svc phys/qhp first hour (96130) |
— |
$910 |
— |
| Psycl/Nrpsyc Tst Auto Result (96146) |
— |
$53 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$659 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$467 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$578 |
— |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
— |
$158 |
— |
| Pt Eval High Complex (97163) |
— |
$1,222 |
— |
| Pt eval low complex 20 min (97161) |
— |
$742 |
— |
| Pt Eval Mod Complex (97162) |
— |
$947 |
— |
| Pt gait training 15 min (97116) |
— |
$237 |
— |
| Pt group caregiver training (97552) |
— |
$44 |
— |
| Pt mechanical traction (97012) |
— |
$80 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$561 |
— |
| Pulm function test by gas (94727) |
— |
$408 |
— |
| Pulmonary Stress Testing (94618) |
— |
$350 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$276 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
— |
$17,796 |
— |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
— |
$19,000 |
— |
| R hrt coronary artery angio (93456) |
— |
$24,517 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
— |
$25,314 |
— |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
— |
$23,750 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$36,905 |
— |
| Rapid Desensitization Procedure Each Hour (95180) |
— |
$849 |
— |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
— |
$708 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$900 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$1,523 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$1,268 |
— |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
— |
$344 |
— |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
— |
$276 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$529 |
— |
| Remote 30 Day Ecg Tech Supp (93229) |
— |
$8,156 |
— |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
— |
$871 |
— |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) |
— |
$1,400 |
— |
| Respiratory flow volume loop (94375) |
— |
$1,061 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$135 |
— |
| Right Heart Cath (93451) |
— |
$17,344 |
— |
| Right ventricular recording (93603) |
— |
$7,125 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$425 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$188 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$1,130 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$329 |
— |
| Select picture audiometry (92583) |
— |
$164 |
— |
| Self Care Mngment Training (97535) |
— |
$189 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$189 |
— |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
— |
$1,857 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$1,843 |
— |
| Sleep study attended (95807) |
— |
$3,400 |
— |
| Sleep study unattended (95806) |
— |
$1,213 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$162 |
— |
| Slp Stdy Unatnd W/Anal (95801) |
— |
$769 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$1,400 |
— |
| Somatosensory Testing (95938) |
— |
$1,984 |
— |
| Speech Audiometry Complete (92556) |
— |
$269 |
— |
| Speech audiometry threshold (92555) |
— |
$158 |
— |
| Speech sound lang comprehen (92523) |
— |
$1,141 |
— |
| Spin/Brain Pump Refil & Main (95991) |
— |
$630 |
— |
| Spirometry (94010) |
— |
$504 |
— |
| Spontaneous Nystagmus Test (92541) |
— |
$276 |
— |
| Ssep lower limbs (95926) |
— |
$1,417 |
— |
| Staggered Spondaic Word Test (92572) |
— |
$655 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$770 |
— |
| Stenger Test, Pure Tone (92565) |
— |
$128 |
— |
| Stress Tte Only (93350) |
— |
$4,266 |
— |
| Subcutaneous Infusion Each Additional Hour (96370) |
— |
$225 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$1,500 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$434 |
— |
| Synthetic Sentence Identification Test (92576) |
— |
$135 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,396 |
— |
| Tensilon Test (95857) |
— |
$665 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$630 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$611 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$200 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$233 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$673 |
— |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
— |
$286 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$368 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$350 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$1,063 |
— |
| Therap repetitive tms tx subseq delivery & mng (90868) |
— |
$914 |
— |
| Therapeutic Activities (97530) |
— |
$413 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$2,322 |
— |
| Transcath Closure of Asd (93580) |
— |
$75,027 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$958 |
— |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
— |
$580 |
— |
| Tte w/doppler, complete (93306) |
— |
$5,281 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$2,500 |
— |
| Tx atrial fib pulm vein isol (93656) |
— |
$40,082 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$920 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$280 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$303 |
— |
| Tympanometry (92567) |
— |
$209 |
— |
| Tympanometry and reflex threshold measurements (92550) |
— |
$334 |
— |
| Unlisted cardiovascular service/procedure (93799) |
— |
$2,300 |
— |
| Unlisted noninvasive vascular diagnostic study (93998) |
— |
$1,000 |
— |
Unlisted otorhinolaryngological service (92700)
range across 4 matching MRF lines |
— |
$400–$720 |
— |
| Valvuloplasty aortic valve (92986) |
— |
$31,840 |
— |
| Valvuloplasty mitral valve (92987) |
— |
$32,813 |
— |
| Valvuloplasty pulmonary valve (92990) |
— |
$21,022 |
— |
| Vasopneumatic device (97016) |
— |
$124 |
— |
| Veeg 2-12 Hr Cont Mntr (95713) |
— |
$2,166 |
— |
| Veeg 2-12 hr intmt mntr (95712) |
— |
$2,063 |
— |
| Veeg 2-12 hr unmonitored (95711) |
— |
$1,826 |
— |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
— |
$5,079 |
— |
| Veeg Ea 12-26 Hr Unmntr (95714) |
— |
$2,274 |
— |
| Veeg ea 12-26hr cont mntr (95716) |
— |
$5,531 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$4,469 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$2,641 |
— |
| Visual Evoked Potential Test (95930) |
— |
$2,250 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$514 |
— |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
— |
$2,250 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$162 |
— |
| Whirlpool Therapy (97022) |
— |
$188 |
— |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
— |
$293 |
— |