| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$440.30 |
$629 |
3.5× |
| Acoustic Reflex Testing (92568) |
$110.60 |
$158 |
3.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$431.20 |
$616 |
2.0× |
| Airway Inhalation Treatment (94640) |
$72.10 |
$103 |
0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$81.20 |
$116 |
5.7× |
| Assessment of aphasia per hr (96105) |
$141.40 |
$202 |
1.5× |
| Assessment of tinnitus (92625) |
$364 |
$520 |
2.9× |
| Audiometry Air & Bone (92553) |
$440.30 |
$629 |
3.5× |
| Behavral qualit analys voice (92524) |
$174.30 |
$249 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$422.10 |
$603 |
1.1× |
| Canalith repositioning proc (95992) |
$133.70 |
$191 |
3.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$995.40 |
$1,422 |
4.7× |
| Cardiopulmonary exercise testing (94621) |
$193.20 |
$276 |
0.5× |
| Cardiopulmonary resuscitation (92950) |
$564.90 |
$807 |
2.6× |
| Cardioversion (92960) |
$857.50 |
$1,225 |
1.3× |
| Cardioversion elective internal (92961) |
$1,629.60 |
$2,328 |
2.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$38.50 |
$55 |
1.5× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$10,275.30 |
$14,679 |
3.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$10,275.30 |
$14,679 |
3.2× |
| Cbt 1st hour (94644) |
$103.60 |
$148 |
0.8× |
| Chemo Anti-Neopl Sq/Im (96401) |
$97.30 |
$139 |
1.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$97.30 |
$139 |
1.4× |
| Chemo IV infusion addl hr (96415) |
$137.20 |
$196 |
1.9× |
| Chemo IV push addl drug (96411) |
$277.20 |
$396 |
3.9× |
| Chemother Prolong Infuse W/Pump (96416) |
$714 |
$1,020 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$352.10 |
$503 |
4.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$679.70 |
$971 |
2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$288.40 |
$412 |
0.9× |
| Chest Wall Manipulation (94668) |
$65.10 |
$93 |
0.5× |
| Color/duplex Doppler, complete (93975) |
$827.40 |
$1,182 |
3.5× |
| Color/duplex Doppler, limited (93976) |
$155.40 |
$222 |
1.5× |
| Comprehensive Hearing Test (92557) |
$440.30 |
$629 |
3.5× |
| Conditioning Play Audiometry (92582) |
$440.30 |
$629 |
3.5× |
| Continuous Pulse Ox (94762) |
$217.70 |
$311 |
1.7× |
| Coronary Art/Grft Angio S&I (93455) |
$10,275.30 |
$14,679 |
3.2× |
| Coronary Artery Angio S&I (93454) |
$10,275.30 |
$14,679 |
3.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$401.10 |
$573 |
1.9× |
| Cpt initial (94667) |
$75.60 |
$108 |
0.6× |
Critical care first hour (99291)
range across 2 matching MRF lines |
$487.90–$1,516.20 |
$697–$2,166 |
varies |
| Debridement Open Wound 20 Sq Cm< (97597) |
$166.60 |
$238 |
0.8× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$508.20 |
$726 |
4.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$571.90 |
$817 |
1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$270.20 |
$386 |
2.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$382.90 |
$547 |
1.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$144.20 |
$206 |
1.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$408.10 |
$583 |
1.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$277.90 |
$397 |
2.7× |
| Duplex Scan Hemodialysis Access (93990) |
$140 |
$200 |
1.4× |
| Duplex up extrem art bilat (93930) |
$433.30 |
$619 |
1.8× |
| Duplex up extrem art unilat/ltd (93931) |
$285.60 |
$408 |
2.8× |
| Ear Protector Evaluation (92596) |
$162.40 |
$232 |
4.4× |
| ECG/monitoring and analysis (93271) |
$314.30 |
$449 |
3.3× |
| Echo Heart Xthoracic,Limited (93308) |
$536.90 |
$767 |
2.3× |
| Echo transesophageal (93312) |
$1,257.20 |
$1,796 |
2.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$536.20 |
$766 |
1.0× |
| Eeg 41-60 Minutes (95812) |
$340.20 |
$486 |
1.6× |
| EEG awake and asleep (95819) |
$475.30 |
$679 |
2.2× |
| EEG awake drowsy (95816) |
$475.30 |
$679 |
2.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$488.60 |
$698 |
2.3× |
| Eeg Sleep Only (95822) |
$408.80 |
$584 |
1.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$65.80 |
$94 |
4.5× |
| Electrocardiogram Tracing (93005) |
$192.50 |
$275 |
3.3× |
| Emergency Dept Visit Level 2 (99282) |
$269.50 |
$385 |
1.8× |
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines |
$254.10–$451.50 |
$363–$645 |
varies |
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines |
$427–$718.20 |
$610–$1,026 |
varies |
| Ep & ablate supravent arrhyt (93653) |
$40,562.20 |
$57,946 |
1.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$13,596.10 |
$19,423 |
1.8× |
| Er level 1 (99281) |
$191.80 |
$274 |
2.3× |
| Er level v (99285) |
$1,125.60 |
$1,608 |
1.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,575 |
$2,250 |
4.3× |
| Evaluate pt use of inhaler (94664) |
$62.30 |
$89 |
0.3× |
| Evaluate Speech Production (92522) |
$102.90 |
$147 |
0.9× |
| Evaluate Swallowing Function (92610) |
$223.30 |
$319 |
2.6× |
| Evaluation of speech fluency (92521) |
$92.40 |
$132 |
0.7× |
| Evoked Auditory Test,Limited (92587) |
$534.10 |
$763 |
2.5× |
| Exercise test for bronchospasm (94617) |
$352.10 |
$503 |
2.7× |
| External ECG rec>48hr<7d recording (93242) |
$211.40 |
$302 |
5.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$211.40 |
$302 |
1.6× |
| External ECG rec>7d<15d recording (93246) |
$211.40 |
$302 |
5.7× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$211.40 |
$302 |
1.6× |
| External Ecg Scanning Analysis Report (93226) |
$229.60 |
$328 |
3.9× |
| Extracranial Bilat Study (93880) |
$639.10 |
$913 |
2.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,244.60 |
$1,778 |
3.4× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$2,819.60 |
$4,028 |
13.2× |
| Group Therapeutic Procedures (97150) |
$86.80 |
$124 |
4.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$1,175.30 |
$1,679 |
1.7× |
| Holter monitor recording (93225) |
$211.40 |
$302 |
1.6× |
| Immunization administration (90471) |
$86.80 |
$124 |
1.2× |
| Interrogate Subq Defib (93261) |
$151.20 |
$216 |
4.1× |
| Iontophoresis 15 min (97033) |
$108.50 |
$155 |
5.7× |
| Irrig Drug Delivery Device (96523) |
$88.20 |
$126 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$152.60 |
$218 |
3.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$415.10 |
$593 |
2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$394.80 |
$564 |
5.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$94.50 |
$135 |
2.0× |
| IV push initial (96374) |
$196 |
$280 |
0.9× |
| L Hrt Art/Grft Angio (93459) |
$9,967.30 |
$14,239 |
3.1× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$12,720.40 |
$18,172 |
4.0× |
| Liver Elastography W/O Imag W/I&R (91200) |
$413 |
$590 |
3.2× |
| Lung Function Test (Mbc/Mvv) (94200) |
$112 |
$160 |
1.9× |
| Mechanical chest wall oscillation per session (94669) |
$597.80 |
$854 |
2.8× |
| Methacholine challenge (94070) |
$884.80 |
$1,264 |
2.4× |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) |
$32.90 |
$47 |
1.6× |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) |
$9.10 |
$13 |
1.7× |
| Motility study esophagus (91010) |
$1,575 |
$2,250 |
4.3× |
| Motion Fluoroscopy/Swallow (92611) |
$77.70 |
$111 |
0.8× |
| Multiple Sleep Latency Test (95805) |
$2,878.40 |
$4,112 |
3.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$236.60 |
$338 |
0.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$273 |
$390 |
0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$213.50 |
$305 |
1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$235.90 |
$337 |
0.6× |
| Neurobehavioral Status Exam (96116) |
$672 |
$960 |
3.1× |
| Neuromuscular Reeducation (97112) |
$110.60 |
$158 |
3.4× |
| Newborn resuscitation (99465) |
$387.80 |
$554 |
0.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$46.20 |
$66 |
1.8× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$67.20 |
$96 |
1.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$23.80 |
$34 |
1.7× |
| Oral Function Therapy (92526) |
$72.80 |
$104 |
0.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$48.30 |
$69 |
1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$102.20 |
$146 |
2.2× |
| Ot eval high complexity (97167) |
$372.40 |
$532 |
3.7× |
| Ot Eval Low Complex (97165) |
$281.40 |
$402 |
2.8× |
| Ot Eval Moderate Complexity (97166) |
$324.10 |
$463 |
3.2× |
| Ot manual therapy 15 min (97140) |
$70 |
$100 |
2.5× |
| Ot paraffin bath (97018) |
$60.20 |
$86 |
10.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$122.50 |
$175 |
3.0× |
| Ot Re-Eval Est Plan Care (97168) |
$92.40 |
$132 |
1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$315.70 |
$451 |
2.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$214.20 |
$306 |
1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$171.50 |
$245 |
0.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$14,641.20 |
$20,916 |
2.6× |
| Phlebotomy therapeutic (99195) |
$240.10 |
$343 |
1.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$223.30 |
$319 |
3.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$190.40 |
$272 |
3.3× |
| Physical Performance Test (97750) |
$56 |
$80 |
1.7× |
| Plethysmography (94726) |
$98.70 |
$141 |
0.3× |
| Pm/Icd Remote Tech Serv (93296) |
$140 |
$200 |
3.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,106.60 |
$4,438 |
3.7× |
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines |
$3,115–$4,692.80 |
$4,450–$6,704 |
varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$4,592 |
$6,560 |
5.4× |
| Pt Eval High Complex (97163) |
$320.60 |
$458 |
3.3× |
| Pt eval low complex 20 min (97161) |
$241.50 |
$345 |
2.5× |
| Pt Eval Mod Complex (97162) |
$278.60 |
$398 |
2.8× |
| Pt gait training 15 min (97116) |
$60.20 |
$86 |
2.1× |
| Pt group caregiver training (97552) |
$33.60 |
$48 |
1.5× |
| Pt mechanical traction (97012) |
$58.10 |
$83 |
4.0× |
| Pt Re-Eval Est Plan Care (97164) |
$60.90 |
$87 |
0.9× |
| Pulm function test by gas (94727) |
$220.50 |
$315 |
1.0× |
| Pulmonary service/procedure (94799) |
$216.30 |
$309 |
1.7× |
| Pulmonary Stress Testing (94618) |
$352.10 |
$503 |
2.7× |
| Pure Tone Audiometry Air (92552) |
$440.30 |
$629 |
3.3× |
| R hrt coronary artery angio (93456) |
$10,275.30 |
$14,679 |
3.2× |
| Refill/Maint Portable Pump (96521) |
$158.20 |
$226 |
0.8× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$81.90 |
$117 |
2.2× |
| Remote 30 Day Ecg Rev/Report (93270) |
$95.20 |
$136 |
2.6× |
| Respiratory flow volume loop (94375) |
$602.70 |
$861 |
2.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$12.60 |
$18 |
0.2× |
| Right Heart Cath (93451) |
$9,967.30 |
$14,239 |
3.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$109.20 |
$156 |
0.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$92.40 |
$132 |
0.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$122.50 |
$175 |
2.6× |
| Select picture audiometry (92583) |
$162.40 |
$232 |
2.8× |
| Self Care Mngment Training (97535) |
$77 |
$110 |
2.4× |
| Sensory Integration Ea 15 Min (97533) |
$94.50 |
$135 |
1.6× |
| Slp caregiver training 1st 30 min (97550) |
$82.60 |
$118 |
1.6× |
| Speech Audiometry Complete (92556) |
$162.40 |
$232 |
2.8× |
| Speech audiometry threshold (92555) |
$686 |
$980 |
11.7× |
| Speech sound lang comprehen (92523) |
$222.60 |
$318 |
1.0× |
| Spirometry (94010) |
$199.50 |
$285 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$233.80 |
$334 |
2.3× |
| Stenger Test Speech (92577) |
$727.30 |
$1,039 |
2.0× |
| Stenger Test, Pure Tone (92565) |
$162.40 |
$232 |
2.8× |
| Stress Tte Only (93350) |
$1,772.40 |
$2,532 |
3.3× |
| Surfactant Admin Thru Tube (94610) |
$177.10 |
$253 |
0.8× |
| Temp transcutaneous pacing (92953) |
$896.70 |
$1,281 |
1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$261.80 |
$374 |
11.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$130.20 |
$186 |
6.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$98 |
$140 |
2.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$77 |
$110 |
2.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$92.40 |
$132 |
0.9× |
| Ther/Proph/Diag Inj Ia (96373) |
$91 |
$130 |
0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$65.10 |
$93 |
0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$415.10 |
$593 |
2.0× |
| Therapeutic Activities (97530) |
$80.50 |
$115 |
2.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$87.50 |
$125 |
2.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$75.60 |
$108 |
2.0× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$181.30 |
$259 |
4.9× |
| Tte w/doppler, complete (93306) |
$1,373.40 |
$1,962 |
2.5× |
| Tte W/O Doppler Complete (93307) |
$1,630.30 |
$2,329 |
6.9× |
| Tx atrial fib pulm vein isol (93656) |
$40,562.20 |
$57,946 |
1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$124.60 |
$178 |
1.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$90.30 |
$129 |
3.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$149.80 |
$214 |
3.2× |
| Tympanometry (92567) |
$162.40 |
$232 |
4.4× |
| Tympanometry and reflex threshold measurements (92550) |
$440.30 |
$629 |
2.1× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$2,819.60 |
$4,028 |
22.1× |
| Upr/L Xtremity Art 2 Levels (93922) |
$219.10 |
$313 |
1.7× |
| Vasopneumatic device (97016) |
$84 |
$120 |
7.0× |
| Vent Mgmt Inpat Init Day (94002) |
$1,096.90 |
$1,567 |
1.8× |
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines |
$760.20–$1,073.80 |
$1,086–$1,534 |
varies |
| Visual reinforcement audiometry (vra) (92579) |
$440.30 |
$629 |
2.1× |
| Vital capacity, total (94150) |
$74.20 |
$106 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$47.60 |
$68 |
1.5× |
| Whirlpool Therapy (97022) |
$60.90 |
$87 |
3.9× |