| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$158 |
— |
| Airway Inhalation Treatment (94640) |
— |
$2,816 |
— |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
— |
$417 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$86 |
— |
| Application on-body injector (96377) |
— |
$121 |
— |
| Assessment of aphasia per hr (96105) |
— |
$330 |
— |
| Behavral qualit analys voice (92524) |
— |
$234 |
— |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
— |
$231 |
— |
| Bfb training ea addl 15 min (90913) |
— |
$96 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$649 |
— |
| Canalith repositioning proc (95992) |
— |
$114 |
— |
| Car seat/bed test 60 min (94780) |
— |
$175 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$832 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$25,068 |
— |
| Cardioversion (92960) |
— |
$2,561.20 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$13,266.90 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$19,239.90 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$240 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$240 |
— |
| Chemo intralesional up to 7 (96405) |
— |
$252 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$353 |
— |
| Chemo IV push addl drug (96411) |
— |
$330 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$705 |
— |
| Chemotherapy Into Cns (96450) |
— |
$864 |
— |
| Chemotherapy Intracavitary (96440) |
— |
$525 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$243 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$705 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$428 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$328 |
— |
| Chest Wall Manipulation (94668) |
— |
$302 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$740 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$521 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$23,027.70 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$24,787.80 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$536 |
— |
| Cpt initial (94667) |
— |
$302 |
— |
Critical care first hour (99291)
range across 3 matching MRF lines |
— |
$954–$1,353 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$203 |
— |
| Dialysis One Evaluation (90945) |
— |
$542 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$661 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$309 |
— |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
— |
$618 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$642 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$341 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$975 |
— |
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines |
— |
$508–$975 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$366 |
— |
| Duplex up extrem art bilat (93930) |
— |
$642 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$341 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,095 |
— |
| Echo transesophageal (93312) |
— |
$1,444 |
— |
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines |
— |
$89–$97 |
— |
| Electrocardiogram Tracing (93005) |
— |
$131 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$268 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$497 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$811 |
— |
| Er level 1 (99281) |
— |
$185 |
— |
| Er level v (99285) |
— |
$5,974 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$470 |
— |
| Evaluate Speech Production (92522) |
— |
$227 |
— |
| Evaluate Swallowing Function (92610) |
— |
$223 |
— |
| Evaluation of speech fluency (92521) |
— |
$267 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$146 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$146 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$401 |
— |
| Extracranial Bilat Study (93880) |
— |
$848 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$5,406.77 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$7,649.53 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$6,263 |
— |
| Group Therapeutic Procedures (97150) |
— |
$144 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$14,049 |
— |
| Holter monitor recording (93225) |
— |
$346 |
— |
| Icd Device Interrogate (93289) |
— |
$121.44 |
— |
| Icd device progr eval dual (93283) |
— |
$187 |
— |
| Icd Device Progr Eval Mult (93284) |
— |
$143.44 |
— |
| Icm Device Eval (93290) |
— |
$74 |
— |
| Ilr Device Eval Progr (93285) |
— |
$232 |
— |
| Ilr Device Interrogate (93291) |
— |
$75 |
— |
| Immunization administration (90471) |
— |
$158 |
— |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) |
— |
$47 |
— |
| Interrog eval crtd sins bat modulj sys ip wo (93145) |
— |
$33 |
— |
Iontophoresis 15 min (97033)
range across 3 matching MRF lines |
— |
$100–$109 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$169 |
— |
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines |
— |
$124–$190 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$366 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$133 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$195 |
— |
IV push initial (96374)
range across 3 matching MRF lines |
— |
$151–$454 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$20,778.20 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$361 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$613 |
— |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
— |
$2,036 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$507 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$33 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$33 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$24 |
— |
| Methacholine challenge (94070) |
— |
$641 |
— |
| Motility study esophagus (91010) |
— |
$5,567.65 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$297 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$2,581 |
— |
| Nasopharyngoscopy (92511) |
— |
$204 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$710 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$918 |
— |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines |
— |
$384–$403 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$13,902 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$212 |
— |
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines |
— |
$107–$121 |
— |
| Oral Function Therapy (92526) |
— |
$140 |
— |
| Oral Speech Device Eval (92597) |
— |
$206 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$96 |
— |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines |
— |
$113–$121 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$90 |
— |
| Ot eval high complexity (97167) |
— |
$342 |
— |
| Ot Eval Low Complex (97165) |
— |
$195 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$254 |
— |
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines |
— |
$114–$121 |
— |
| Ot paraffin bath (97018) |
— |
$80 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$110 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$157 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$217 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$217 |
— |
| Penile Vascular Study,Ltd or F/U (93981) |
— |
$268 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$193 |
— |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
— |
$41,501.30 |
— |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
— |
$14,613 |
— |
| Phlebotomy therapeutic (99195) |
— |
$404 |
— |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
— |
$198 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$268 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$268 |
— |
| Physical Performance Test (97750) |
— |
$180 |
— |
| Plethysmography (94726) |
— |
$439 |
— |
| Pm device eval in person (93288) |
— |
$111.33 |
— |
| Pm device progr eval dual (93280) |
— |
$118.69 |
— |
| Pm device progr eval multi (93281) |
— |
$207.83 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$130.95 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$151.43 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$5,093 |
— |
| Positional nystagmus test (92542) |
— |
$166 |
— |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
— |
$451.94 |
— |
| Prq Card Angio/Athrect 1 Art (92924) |
— |
$29,748 |
— |
| Prq Card Stent/Ath/Angio (92933) |
— |
$45,102 |
— |
| Prq Revasc Byp Graft 1 Vsl (92937) |
— |
$14,613 |
— |
| Prq trl rvs ch occ ant&rtrgr (92945) |
— |
$758 |
— |
| Pt Eval High Complex (97163) |
— |
$342 |
— |
| Pt eval low complex 20 min (97161) |
— |
$174 |
— |
| Pt Eval Mod Complex (97162) |
— |
$254 |
— |
| Pt gait training 15 min (97116) |
— |
$107 |
— |
| Pt mechanical traction (97012) |
— |
$73 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$157 |
— |
| Pulm function test by gas (94727) |
— |
$439 |
— |
| Pulmonary Stress Testing (94618) |
— |
$202 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$44,152.40 |
— |
| R hrt coronary artery angio (93456) |
— |
$38,606.40 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$11,698 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$457 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$66 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$101 |
— |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
— |
$163 |
— |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) |
— |
$57 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$143 |
— |
| Right Heart Cath (93451) |
— |
$9,377 |
— |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines |
— |
$235–$410 |
— |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) |
— |
$48 |
— |
| Rtm dev sply data respir sys 2-15 days in 30d pd (98984) |
— |
$57 |
— |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) |
— |
$14 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$306 |
— |
| Self Care Mngment Training (97535) |
— |
$105 |
— |
| Sleep study unattended (95806) |
— |
$522 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$522 |
— |
| Speech sound lang comprehen (92523) |
— |
$469 |
— |
| Spirometry (94010) |
— |
$439 |
— |
| Stress Tte Only (93350) |
— |
$2,584.67 |
— |
| Temp transcutaneous pacing (92953) |
— |
$5 |
— |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines |
— |
$66–$72 |
— |
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines |
— |
$64–$69 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$139 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$267 |
— |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
— |
$42 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$121 |
— |
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines |
— |
$366–$430 |
— |
Therapeutic Activities (97530)
range across 4 matching MRF lines |
— |
$100–$116 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$75 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$72 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,895 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$124 |
— |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines |
— |
$151–$156 |
— |
| Tympanometry (92567) |
— |
$107 |
— |
| Unlisted cardiovascular service/procedure (93799) |
— |
$21,555.60 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$300 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$480 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$1,014 |
— |
| Vital capacity, total (94150) |
— |
$439 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$105 |
— |
Whirlpool Therapy (97022)
range across 3 matching MRF lines |
— |
$80–$97 |
— |