| Airway Inhalation Treatment (94640) |
$111.15 |
$171 |
0.5× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$308.10 |
$474 |
1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$66.30 |
$102 |
4.6× |
| Application on-body injector (96377) |
$169.65 |
$261 |
3.6× |
| Behavral qualit analys voice (92524) |
$235.30 |
$362 |
2.1× |
| Bis Xtracell Fluid Analysis (93702) |
$323.05 |
$497 |
2.5× |
| Breath hydrogen/methane test (91065) |
$205.40 |
$316 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$538.20 |
$828 |
1.4× |
| Canalith repositioning proc (95992) |
$163.15 |
$251 |
4.0× |
| Car seat/bed test 60 min (94780) |
$104 |
$160 |
2.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$670.80 |
$1,032 |
3.1× |
| Cardiopulmonary resuscitation (92950) |
$1,179.10 |
$1,814 |
5.4× |
| Cardioversion (92960) |
$1,126.45 |
$1,733 |
1.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$43.55 |
$67 |
1.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$10,951.85 |
$16,849 |
3.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$9,386.65 |
$14,441 |
2.9× |
| Cbt 1st hour (94644) |
$324.35 |
$499 |
2.4× |
| Chemo Admin Peritoneal Cavity (96446) |
$718.25 |
$1,105 |
2.2× |
| Chemo Anti-Neopl Sq/Im (96401) |
$328.90 |
$506 |
4.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$142.35 |
$219 |
2.0× |
| Chemo IV infusion addl hr (96415) |
$392.60 |
$604 |
5.4× |
| Chemo IV push addl drug (96411) |
$167.05 |
$257 |
2.3× |
| Chemother Prolong Infuse W/Pump (96416) |
$468 |
$720 |
1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$193.70 |
$298 |
2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$443.30 |
$682 |
1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$349.70 |
$538 |
1.1× |
| Chest Wall Manipulation (94668) |
$62.40 |
$96 |
0.5× |
| Color/duplex Doppler, complete (93975) |
$534.30 |
$822 |
2.2× |
| Color/duplex Doppler, limited (93976) |
$349.70 |
$538 |
3.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$250.25 |
$385 |
1.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$121.55 |
$187 |
2.0× |
| Continuous Pulse Ox (94762) |
$275.60 |
$424 |
2.1× |
| Coronary Art/Grft Angio S&I (93455) |
$7,509.45 |
$11,553 |
2.3× |
| Coronary Artery Angio S&I (93454) |
$7,509.45 |
$11,553 |
2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$325.65 |
$501 |
1.5× |
| Cpt initial (94667) |
$111.15 |
$171 |
0.8× |
Critical care first hour (99291)
range across 3 matching MRF lines |
$2,109.90–$3,363.75 |
$3,246–$5,175 |
varies |
| Debridement Open Wound 20 Sq Cm< (97597) |
$460.85 |
$709 |
2.3× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$311.35 |
$479 |
2.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$619.45 |
$953 |
2.6× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$481.65 |
$741 |
4.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$587.60 |
$904 |
2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$572 |
$880 |
5.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$726.70 |
$1,118 |
3.0× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$530.40 |
$816 |
5.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$880.75 |
$1,355 |
3.7× |
| Duplex Scan Hemodialysis Access (93990) |
$320.45 |
$493 |
3.0× |
| Duplex up extrem art bilat (93930) |
$475.80 |
$732 |
2.0× |
| Duplex up extrem art unilat/ltd (93931) |
$261.95 |
$403 |
2.5× |
| Echo Congenital Complete (93303) |
$1,336.40 |
$2,056 |
2.4× |
| Echo Heart Xthoracic,Limited (93308) |
$485.55 |
$747 |
2.0× |
| Echo transesophageal (93312) |
$967.20 |
$1,488 |
1.8× |
| Eeg 41-60 Minutes (95812) |
$982.80 |
$1,512 |
4.5× |
| EEG awake and asleep (95819) |
$1,056.90 |
$1,626 |
4.9× |
| EEG awake drowsy (95816) |
$982.80 |
$1,512 |
4.5× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$479.05 |
$737 |
2.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,163.50 |
$1,790 |
5.3× |
| Eeg Sleep Only (95822) |
$982.80 |
$1,512 |
4.5× |
| Electrical Stimulation Ea 15 Min (97032) |
$112.45 |
$173 |
7.6× |
| Electrocardiogram Tracing (93005) |
$138.45 |
$213 |
2.3× |
| Emergency Dept Visit Level 2 (99282) |
$508.30 |
$782 |
3.3× |
| Emergency Dept Visit Level 3 (99283) |
$787.15 |
$1,211 |
2.9× |
| Emergency Dept Visit Level 4 (99284) |
$971.10 |
$1,494 |
2.3× |
| Er level 1 (99281) |
$276.90 |
$426 |
3.3× |
| Er level v (99285) |
$1,175.85 |
$1,809 |
2.0× |
| Evaluate pt use of inhaler (94664) |
$195 |
$300 |
0.9× |
| Evaluate Speech Production (92522) |
$235.30 |
$362 |
2.1× |
| Evaluate Swallowing Function (92610) |
$241.15 |
$371 |
2.8× |
| Evaluation of speech fluency (92521) |
$235.30 |
$362 |
1.8× |
| External ECG rec>48hr<7d recording (93242) |
$187.85 |
$289 |
5.0× |
| External ECG rec>7d<15d recording (93246) |
$305.50 |
$470 |
8.1× |
| External Ecg Scanning Analysis Report (93226) |
$334.10 |
$514 |
5.6× |
| Extracranial Bilat Study (93880) |
$854.75 |
$1,315 |
3.6× |
| Extracranial Uni/Ltd Study (93882) |
$608.40 |
$936 |
5.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,240.85 |
$1,909 |
2.3× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$534.30 |
$822 |
2.7× |
| Group Therapeutic Procedures (97150) |
$211.90 |
$326 |
11.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$9,547.85 |
$14,689 |
2.9× |
| Holter monitor recording (93225) |
$187.85 |
$289 |
1.4× |
| Immunization administration (90471) |
$70.85 |
$109 |
1.0× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$590.85 |
$909 |
1.6× |
| Iontophoresis 15 min (97033) |
$112.45 |
$173 |
5.9× |
| Irrig Drug Delivery Device (96523) |
$137.15 |
$211 |
2.3× |
| IV infusion hydration each additional hour (96361) |
$178.10 |
$274 |
3.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$345.80 |
$532 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$79.95 |
$123 |
1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$178.10 |
$274 |
3.8× |
| IV push initial (96374) |
$179.40 |
$276 |
0.8× |
| L Hrt Art/Grft Angio (93459) |
$10,169.90 |
$15,646 |
3.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$627.90 |
$966 |
2.9× |
| Mechanical chest wall oscillation per session (94669) |
$121.55 |
$187 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$34.45 |
$53 |
1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$34.45 |
$53 |
0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$24.05 |
$37 |
1.4× |
| Methacholine challenge (94070) |
$750.75 |
$1,155 |
2.0× |
| Motion Fluoroscopy/Swallow (92611) |
$235.30 |
$362 |
2.6× |
| Multiple Sleep Latency Test (95805) |
$2,051.40 |
$3,156 |
2.4× |
| Muscle Test 2 Limbs (95861) |
$437.45 |
$673 |
3.3× |
| Muscle Test Nonparaspinal (95870) |
$208.65 |
$321 |
1.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$431.60 |
$664 |
2.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$750.75 |
$1,155 |
1.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$761.15 |
$1,171 |
1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$354.90 |
$546 |
1.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$529.75 |
$815 |
1.3× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$464.10 |
$714 |
2.1× |
| Nerve conduction studies 13 or more studies (95913) |
$1,259.70 |
$1,938 |
3.4× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$596.70 |
$918 |
2.7× |
| Nerve conduction studies 5-6 studies (95909) |
$663 |
$1,020 |
3.0× |
| Nerve conduction studies 7-8 studies (95910) |
$861.90 |
$1,326 |
2.3× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$994.50 |
$1,530 |
2.6× |
| Neuromuscular Reeducation (97112) |
$83.20 |
$128 |
2.5× |
| Newborn resuscitation (99465) |
$1,415.05 |
$2,177 |
2.1× |
| Oral Function Therapy (92526) |
$154.05 |
$237 |
1.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$83.20 |
$128 |
1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$83.20 |
$128 |
1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$38.35 |
$59 |
1.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$100.75 |
$155 |
7.2× |
| Ot eval high complexity (97167) |
$284.05 |
$437 |
2.8× |
| Ot Eval Low Complex (97165) |
$210.60 |
$324 |
2.1× |
| Ot Eval Moderate Complexity (97166) |
$246.35 |
$379 |
2.5× |
| Ot manual therapy 15 min (97140) |
$97.50 |
$150 |
3.5× |
| Ot paraffin bath (97018) |
$70.85 |
$109 |
11.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$143 |
$220 |
3.5× |
| Ot Re-Eval Est Plan Care (97168) |
$157.95 |
$243 |
2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$180.70 |
$278 |
1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$164.45 |
$253 |
1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$325.65 |
$501 |
1.5× |
| Peripheral arterial disease rehab per session (93668) |
$122.85 |
$189 |
2.1× |
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
unusually low: confirm this is the full procedure |
$8,257.60 |
$12,704 |
0.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$11,282.05 |
$17,357 |
2.0× |
| Phlebotomy therapeutic (99195) |
$203.45 |
$313 |
1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$149.50 |
$230 |
2.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$149.50 |
$230 |
2.5× |
| Physical Performance Test (97750) |
$76.05 |
$117 |
2.3× |
| Plethysmography (94726) |
$856.05 |
$1,317 |
2.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,681.60 |
$5,664 |
4.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$22,170.85 |
$34,109 |
1.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$19,767.80 |
$30,412 |
1.7× |
| Pt Eval High Complex (97163) |
$284.05 |
$437 |
2.9× |
| Pt eval low complex 20 min (97161) |
$210.60 |
$324 |
2.2× |
| Pt Eval Mod Complex (97162) |
$246.35 |
$379 |
2.5× |
| Pt gait training 15 min (97116) |
$83.20 |
$128 |
2.9× |
| Pt mechanical traction (97012) |
$83.20 |
$128 |
5.8× |
| Pt Re-Eval Est Plan Care (97164) |
$157.95 |
$243 |
2.3× |
| Pulm function test by gas (94727) |
$268.45 |
$413 |
1.2× |
| Pulmonary service/procedure (94799) |
$268.45 |
$413 |
2.1× |
| Pulmonary Stress Testing (94618) |
$618.15 |
$951 |
4.6× |
| R Hrt Art/Grft Angio (93457) |
$17,810.65 |
$27,401 |
5.5× |
| R hrt coronary artery angio (93456) |
$15,018.90 |
$23,106 |
4.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$9,386.65 |
$14,441 |
2.9× |
| Refill/Maint Portable Pump (96521) |
$462.15 |
$711 |
2.2× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$55.25 |
$85 |
1.5× |
| Rem ther mntr dev sply resp (98976) |
$55.25 |
$85 |
1.5× |
| Remote 30 Day Ecg Rev/Report (93270) |
$381.55 |
$587 |
10.1× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$174.20 |
$268 |
1.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$44.85 |
$69 |
1.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$44.85 |
$69 |
0.8× |
| Right Heart Cath (93451) |
$7,509.45 |
$11,553 |
2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$315.25 |
$485 |
1.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$235.30 |
$362 |
1.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$119.60 |
$184 |
2.5× |
| Self Care Mngment Training (97535) |
$85.15 |
$131 |
2.6× |
| Sensory Integration Ea 15 Min (97533) |
$83.20 |
$128 |
1.4× |
| Sleep study attended (95807) |
$1,485.25 |
$2,285 |
3.9× |
| Sleep study unattended (95806) |
$624 |
$960 |
2.9× |
| Slp caregiver training 1st 30 min (97550) |
$85.15 |
$131 |
1.6× |
| Speech sound lang comprehen (92523) |
$429 |
$660 |
1.9× |
| Spirometry (94010) |
$268.45 |
$413 |
1.2× |
| Stress Tte Only (93350) |
$807.95 |
$1,243 |
1.5× |
| Temp transcutaneous pacing (92953) |
$883.35 |
$1,359 |
1.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$83.20 |
$128 |
2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$83.20 |
$128 |
2.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$176.15 |
$271 |
1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$250.25 |
$385 |
3.4× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$345.15 |
$531 |
1.6× |
| Therapeutic Activities (97530) |
$115.05 |
$177 |
3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$47.45 |
$73 |
1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$47.45 |
$73 |
1.3× |
| Tte w/doppler, complete (93306) |
$1,411.80 |
$2,172 |
2.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$222.30 |
$342 |
2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$116.35 |
$179 |
2.5× |
| Unlisted cardiovascular service/procedure (93799) |
$2,772.25 |
$4,265 |
21.4× |
| Upr/L Xtremity Art 2 Levels (93922) |
$325 |
$500 |
2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$627.90 |
$966 |
2.9× |
| Vasopneumatic device (97016) |
$83.20 |
$128 |
6.9× |
| Veeg 2-12 hr unmonitored (95711) |
$1,686.10 |
$2,594 |
7.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,377.05 |
$3,657 |
6.3× |
| Vent Mgmt Inpat Init Day (94002) |
$548.60 |
$844 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$419.25 |
$645 |
0.7× |
| Vital capacity, total (94150) |
$213.85 |
$329 |
1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$125.45 |
$193 |
4.0× |
| Whirlpool Therapy (97022) |
$74.10 |
$114 |
4.7× |