| Airway Inhalation Treatment (94640) |
$219.70 |
$338 |
1.0× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$286.65 |
$441 |
1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$90.35 |
$139 |
6.3× |
| Application on-body injector (96377) |
$143.65 |
$221 |
3.0× |
| Behavral qualit analys voice (92524) |
$228.15 |
$351 |
2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$1,078.35 |
$1,659 |
2.8× |
| Canalith repositioning proc (95992) |
$175.50 |
$270 |
4.3× |
| Car seat/bed test 60 min (94780) |
$86.45 |
$133 |
2.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$830.70 |
$1,278 |
3.7× |
| Cardiopulmonary resuscitation (92950) |
$1,248.65 |
$1,921 |
5.6× |
| Cardioversion (92960) |
$1,422.85 |
$2,189 |
2.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$66.30 |
$102 |
2.5× |
| Cbt 1st hour (94644) |
$303.55 |
$467 |
2.2× |
| Chemo Admin Peritoneal Cavity (96446) |
$664.95 |
$1,023 |
2.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$285.35 |
$439 |
3.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$354.90 |
$546 |
4.8× |
| Chemo IV infusion addl hr (96415) |
$277.55 |
$427 |
3.8× |
| Chemo IV push addl drug (96411) |
$171.60 |
$264 |
2.3× |
| Chemother Prolong Infuse W/Pump (96416) |
$459.55 |
$707 |
1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$198.25 |
$305 |
2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$980.85 |
$1,509 |
2.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$323.05 |
$497 |
1.0× |
| Chest Wall Manipulation (94668) |
$159.90 |
$246 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$1,300.65 |
$2,001 |
5.3× |
| Color/duplex Doppler, limited (93976) |
$632.45 |
$973 |
5.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$252.20 |
$388 |
1.8× |
| Continuous Pulse Ox (94762) |
$949.65 |
$1,461 |
7.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$552.50 |
$850 |
2.5× |
| Cpt initial (94667) |
$224.25 |
$345 |
1.6× |
Critical care first hour (99291)
range across 3 matching MRF lines |
$4,753.45–$7,130.50 |
$7,313–$10,970 |
varies |
| Debridement Open Wound 20 Sq Cm< (97597) |
$399.75 |
$615 |
1.9× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$417.95 |
$643 |
3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$938.60 |
$1,444 |
3.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,172.60 |
$1,804 |
4.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$921.70 |
$1,418 |
8.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,300.65 |
$2,001 |
5.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$921.70 |
$1,418 |
8.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$1,300.65 |
$2,001 |
5.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$886.60 |
$1,364 |
8.3× |
| Duplex Scan Hemodialysis Access (93990) |
$425.10 |
$654 |
4.0× |
| Duplex up extrem art bilat (93930) |
$1,172.60 |
$1,804 |
4.8× |
| Duplex up extrem art unilat/ltd (93931) |
$921.70 |
$1,418 |
8.6× |
| Echo Heart Xthoracic,Limited (93308) |
$759.20 |
$1,168 |
3.1× |
| Echo transesophageal (93312) |
$2,011.10 |
$3,094 |
3.6× |
| EEG awake and asleep (95819) |
$1,370.20 |
$2,108 |
6.2× |
| EEG awake drowsy (95816) |
$1,287 |
$1,980 |
5.8× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,287 |
$1,980 |
5.8× |
| Electrical Stimulation Ea 15 Min (97032) |
$111.80 |
$172 |
7.6× |
| Electrocardiogram Tracing (93005) |
$194.35 |
$299 |
3.2× |
| Emergency Dept Visit Level 2 (99282) |
$388.70 |
$598 |
2.5× |
| Emergency Dept Visit Level 3 (99283) |
$749.45 |
$1,153 |
2.7× |
| Emergency Dept Visit Level 4 (99284) |
$1,121.90 |
$1,726 |
2.6× |
| Er level 1 (99281) |
$264.55 |
$407 |
3.1× |
| Er level v (99285) |
$2,585.05 |
$3,977 |
4.2× |
| Evaluate pt use of inhaler (94664) |
$225.55 |
$347 |
1.0× |
| Evaluate Speech Production (92522) |
$231.40 |
$356 |
2.1× |
| Evaluate Swallowing Function (92610) |
$275.60 |
$424 |
3.2× |
| Evaluation of speech fluency (92521) |
$271.70 |
$418 |
2.0× |
| External ECG rec>48hr<7d recording (93242) |
$390 |
$600 |
10.2× |
| External ECG rec>7d<15d recording (93246) |
$673.40 |
$1,036 |
17.6× |
| External Ecg Scanning Analysis Report (93226) |
$762.45 |
$1,173 |
12.6× |
| Extracranial Bilat Study (93880) |
$640.25 |
$985 |
2.6× |
| Extracranial Uni/Ltd Study (93882) |
$614.90 |
$946 |
5.7× |
| Group Therapeutic Procedures (97150) |
$99.45 |
$153 |
5.5× |
| Holter monitor recording (93225) |
$298.35 |
$459 |
2.2× |
| Immunization administration (90471) |
$208 |
$320 |
2.8× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$709.15 |
$1,091 |
1.9× |
| Inital newborn e/m (99460) |
$1,118 |
$1,720 |
8.2× |
| Iontophoresis 15 min (97033) |
$150.15 |
$231 |
7.9× |
| Irrig Drug Delivery Device (96523) |
$247.65 |
$381 |
4.1× |
| IV infusion hydration each additional hour (96361) |
$138.45 |
$213 |
2.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$271.05 |
$417 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$226.85 |
$349 |
3.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$138.45 |
$213 |
2.9× |
| IV push initial (96374) |
$165.75 |
$255 |
0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$846.95 |
$1,303 |
3.8× |
| Mechanical chest wall oscillation per session (94669) |
$141.05 |
$217 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$39.65 |
$61 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$39.65 |
$61 |
1.1× |
| Methacholine challenge (94070) |
$835.90 |
$1,286 |
2.2× |
| Motion Fluoroscopy/Swallow (92611) |
$441.35 |
$679 |
4.8× |
| Multiple Sleep Latency Test (95805) |
$3,413.15 |
$5,251 |
3.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$674.70 |
$1,038 |
1.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$685.10 |
$1,054 |
1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$318.50 |
$490 |
1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$476.45 |
$733 |
1.1× |
| Neuromuscular Reeducation (97112) |
$146.90 |
$226 |
4.5× |
| Newborn resuscitation (99465) |
$1,656.20 |
$2,548 |
2.4× |
| Oral Function Therapy (92526) |
$216.45 |
$333 |
2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$112.45 |
$173 |
2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$133.25 |
$205 |
2.9× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$31.85 |
$49 |
1.4× |
| Ot eval high complexity (97167) |
$359.45 |
$553 |
3.6× |
| Ot Eval Low Complex (97165) |
$293.15 |
$451 |
2.9× |
| Ot Eval Moderate Complexity (97166) |
$326.95 |
$503 |
3.3× |
| Ot manual therapy 15 min (97140) |
$126.75 |
$195 |
4.6× |
| Ot paraffin bath (97018) |
$69.55 |
$107 |
11.6× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$133.25 |
$205 |
3.3× |
| Ot Re-Eval Est Plan Care (97168) |
$174.20 |
$268 |
2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$165.10 |
$254 |
1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$150.15 |
$231 |
1.1× |
| Peripheral arterial disease rehab per session (93668) |
$120.25 |
$185 |
2.0× |
| Phlebotomy therapeutic (99195) |
$270.40 |
$416 |
2.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$137.80 |
$212 |
2.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$137.80 |
$212 |
2.3× |
| Physical Performance Test (97750) |
$124.80 |
$192 |
3.7× |
| Plethysmography (94726) |
$861.25 |
$1,325 |
2.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$6,184.75 |
$9,515 |
7.0× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,976.35 |
$4,579 |
3.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,976.35 |
$4,579 |
3.4× |
| Pt Eval High Complex (97163) |
$359.45 |
$553 |
3.7× |
| Pt eval low complex 20 min (97161) |
$293.15 |
$451 |
3.0× |
| Pt Eval Mod Complex (97162) |
$326.95 |
$503 |
3.3× |
| Pt gait training 15 min (97116) |
$120.25 |
$185 |
4.1× |
| Pt mechanical traction (97012) |
$111.80 |
$172 |
7.8× |
| Pt Re-Eval Est Plan Care (97164) |
$174.20 |
$268 |
2.6× |
| Pulmonary service/procedure (94799) |
$226.85 |
$349 |
1.7× |
| Pulmonary Stress Testing (94618) |
$347.10 |
$534 |
2.5× |
| Refill/Maint Portable Pump (96521) |
$427.70 |
$658 |
2.0× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$57.20 |
$88 |
1.5× |
| Rem ther mntr dev sply resp (98976) |
$57.20 |
$88 |
1.5× |
| Remote 30 Day Ecg Rev/Report (93270) |
$325.65 |
$501 |
8.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$180.05 |
$277 |
1.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$45.50 |
$70 |
1.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$45.50 |
$70 |
0.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$317.85 |
$489 |
1.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$432.90 |
$666 |
3.5× |
| Self Care Mngment Training (97535) |
$132.60 |
$204 |
4.1× |
| Sleep study attended (95807) |
$1,374.75 |
$2,115 |
3.6× |
| Sleep study unattended (95806) |
$631.15 |
$971 |
2.8× |
| Slp caregiver training 1st 30 min (97550) |
$132.60 |
$204 |
2.5× |
| Speech sound lang comprehen (92523) |
$473.20 |
$728 |
2.1× |
| Spirometry (94010) |
$226.85 |
$349 |
1.0× |
| Stress Tte Only (93350) |
$923 |
$1,420 |
1.6× |
| Temp transcutaneous pacing (92953) |
$875.55 |
$1,347 |
1.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$111.80 |
$172 |
3.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$83.85 |
$129 |
2.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$209.30 |
$322 |
2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$143.65 |
$221 |
1.9× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$459.55 |
$707 |
2.1× |
| Therapeutic Activities (97530) |
$136.50 |
$210 |
3.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$57.85 |
$89 |
1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$50.05 |
$77 |
1.3× |
| Tte w/doppler, complete (93306) |
$2,252.25 |
$3,465 |
4.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$248.30 |
$382 |
3.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$132.60 |
$204 |
2.8× |
| Upr/L Xtremity Art 2 Levels (93922) |
$453.05 |
$697 |
3.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$733.20 |
$1,128 |
3.3× |
| Vasopneumatic device (97016) |
$146.90 |
$226 |
12.2× |
| Vent Mgmt Inpat Init Day (94002) |
$735.80 |
$1,132 |
1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$460.20 |
$708 |
0.7× |
| Vital capacity, total (94150) |
$242.45 |
$373 |
1.8× |
| Whirlpool Therapy (97022) |
$111.80 |
$172 |
7.1× |