| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) |
$467.25 |
$623 |
1.6× |
| Ablate Heart Dysrhythm Focus (93650) |
$10,785.75 |
$14,381 |
1.5× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$150.75 |
$201 |
1.2× |
| Acoustic Reflex Testing (92568) |
$120.75 |
$161 |
3.4× |
| Actinotherapy Ultraviolet Light (96900) |
$114.75 |
$153 |
3.2× |
| Acupunct W/Stimul 15 Min (97813) |
$45.75 |
$61 |
1.7× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$45.75 |
$61 |
1.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$101.25 |
$135 |
2.6× |
| Advncd Care Plan 30 Min (99497) |
$143.25 |
$191 |
1.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$568.50 |
$758 |
2.8× |
| Aep neurodiagnostic i&r (92653) |
$1,471.50 |
$1,962 |
7.2× |
Aep threshold estimation mlt frequencies i&r (92652)
range across 2 matching MRF lines |
$867–$1,308 |
$1,156–$1,744 |
varies |
| Airway Inhalation Treatment (94640) |
$201.75 |
$269 |
1.0× |
| Airway resistance by oscillometry (94728) |
$425.25 |
$567 |
3.5× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$70.50 |
$94 |
2.0× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
$101.25 |
$135 |
3.7× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$331.50 |
$442 |
2.6× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$368.25 |
$491 |
2.9× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
$987 |
$1,316 |
8.1× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) |
$447 |
$596 |
3.7× |
| Analyze neurostim complex (95972) |
$1,450.50 |
$1,934 |
16.1× |
| Analyze neurostim no prog (95970) |
$714 |
$952 |
5.7× |
| Analyze Neurostim Simple (95971) |
$1,341 |
$1,788 |
14.9× |
| Analyze Pacemaker System (93724) |
$423 |
$564 |
1.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
$1,083 |
$1,444 |
3.1× |
| Ans parasymp & symp w/tilt (95924) |
$1,104.75 |
$1,473 |
5.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$105.75 |
$141 |
7.4× |
| Application Modality 1/> Areas Infrared (97026) |
$92.25 |
$123 |
13.8× |
| Application on-body injector (96377) |
$153 |
$204 |
3.5× |
| Arrhythmia Induction (93618) |
$5,598 |
$7,464 |
4.9× |
| Assessment of aphasia per hr (96105) |
$396.75 |
$529 |
4.1× |
| Audiometry Air & Bone (92553) |
$206.25 |
$275 |
1.7× |
| Auditory Function, 60 Min (92620) |
$877.50 |
$1,170 |
7.2× |
| Basic vestibular evaluation (92540) |
$1,435.50 |
$1,914 |
7.0× |
| Behavral qualit analys voice (92524) |
$298.50 |
$398 |
2.7× |
| Biofeedback training any modality (90901) |
$161.25 |
$215 |
3.9× |
| Bis Xtracell Fluid Analysis (93702) |
$147.75 |
$197 |
1.2× |
| Blink reflex test (95933) |
$441.75 |
$589 |
7.9× |
| Breath hydrogen/methane test (91065) |
$603 |
$804 |
3.0× |
| Brief Emotional/Behav Assmt (96127) |
$39.75 |
$53 |
1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$577.50 |
$770 |
1.6× |
| Bundle of his recording (93600) |
$5,625 |
$7,500 |
0.8× |
| C motor evoked uppr limbs (95928) |
$780 |
$1,040 |
1.0× |
| C motor evoked upr&lwr limbs (95939) |
$849.75 |
$1,133 |
1.0× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$455.25 |
$607 |
2.2× |
| Caloric Vstblr Test W/Rec (92537) |
$745.50 |
$994 |
6.1× |
| Canalith repositioning proc (95992) |
$119.25 |
$159 |
2.9× |
| Car seat/bed test 60 min (94780) |
$62.25 |
$83 |
1.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,096.50 |
$1,462 |
5.4× |
| Cardiopulmonary exercise testing (94621) |
$1,811.25 |
$2,415 |
5.1× |
| Cardiopulmonary resuscitation (92950) |
$1,155 |
$1,540 |
5.7× |
Cardioversion (92960)
range across 3 matching MRF lines |
$1,616.25–$2,469.75 |
$2,155–$3,293 |
varies |
| Cardioversion elective internal (92961) |
$2,132.25 |
$2,843 |
3.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$18,648 |
$24,864 |
6.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$17,645.25 |
$23,527 |
5.8× |
| Cbt 1st hour (94644) |
$307.50 |
$410 |
2.4× |
| Cervical & Ocular Vemp Testing W/I&R (92519) |
$1,181.25 |
$1,575 |
5.8× |
| Cervical Vemp Testing W/I&R (92517) |
$867 |
$1,156 |
7.1× |
| Chemo Admin Peritoneal Cavity (96446) |
$852 |
$1,136 |
2.7× |
| Chemo Anti-Neopl Sq/Im (96401) |
$687.75 |
$917 |
10.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$687.75 |
$917 |
10.1× |
| Chemo Ia Push (96420) |
$540.75 |
$721 |
1.7× |
| Chemo Intralesional Over 7 (96406) |
$246.75 |
$329 |
1.2× |
| Chemo intralesional up to 7 (96405) |
$83.25 |
$111 |
1.2× |
| Chemo IV infusion addl hr (96415) |
$492.75 |
$657 |
7.2× |
| Chemo IV push addl drug (96411) |
$899.25 |
$1,199 |
13.2× |
| Chemother Prolong Infuse W/Pump (96416) |
$899.25 |
$1,199 |
2.9× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$388.50 |
$518 |
1.2× |
| Chemotherapy Into Cns (96450) |
$1,299 |
$1,732 |
4.2× |
| Chemotherapy Unspecified (96549) |
$72 |
$96 |
1.6× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$560.25 |
$747 |
1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$1,020 |
$1,360 |
15.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$877.50 |
$1,170 |
2.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$910.50 |
$1,214 |
2.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$798.75 |
$1,065 |
2.6× |
| Chest Wall Manipulation (94668) |
$191.25 |
$255 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$1,687.50 |
$2,250 |
7.5× |
| Color/duplex Doppler, limited (93976) |
$1,046.25 |
$1,395 |
10.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$121.50 |
$162 |
3.8× |
| Comprehensive Hearing Test (92557) |
$190.50 |
$254 |
1.6× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$130.50 |
$174 |
2.3× |
| Computerized Ophthalmic Imaging Retina (92134) |
$105 |
$140 |
1.9× |
| Conditioning Play Audiometry (92582) |
$147.75 |
$197 |
1.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$1,062 |
$1,416 |
8.4× |
| Continuous Pulse Ox (94762) |
$376.50 |
$502 |
3.1× |
| Coronary Art/Grft Angio S&I (93455) |
$9,162 |
$12,216 |
3.0× |
| Coronary Artery Angio S&I (93454) |
$12,229.50 |
$16,306 |
4.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$624.75 |
$833 |
3.0× |
| Cpt initial (94667) |
$282 |
$376 |
2.2× |
| Critical care first hour (99291) |
$3,025.50 |
$4,034 |
3.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$480.75 |
$641 |
1.4× |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
$440.25–$488.25 |
$587–$651 |
varies |
| Developmental tst admin phys/qhp 1st hour (96112) |
$439.50 |
$586 |
3.6× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$678 |
$904 |
5.6× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$668.25 |
$891 |
1.9× |
| Duodenal motility study (91022) |
$1,729.50 |
$2,306 |
4.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,227.75 |
$1,637 |
5.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$1,205.25 |
$1,607 |
12.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$1,034.25 |
$1,379 |
10.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,346.25 |
$1,795 |
6.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,322.25 |
$1,763 |
13.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,653.75 |
$2,205 |
7.3× |
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines |
$1,153.50–$1,461.75 |
$1,538–$1,949 |
varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$657.75 |
$877 |
2.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$124.50 |
$166 |
1.3× |
| Duplex Scan Hemodialysis Access (93990) |
$806.25 |
$1,075 |
8.2× |
| Duplex up extrem art bilat (93930) |
$1,146.75 |
$1,529 |
5.1× |
| Duplex up extrem art unilat/ltd (93931) |
$979.50 |
$1,306 |
9.9× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$183 |
$244 |
1.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$306.75 |
$409 |
2.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$686.25 |
$915 |
5.6× |
| Ear and throat examination (92502) |
$1,512.75 |
$2,017 |
3.0× |
| ECG/monitoring and analysis (93271) |
$897 |
$1,196 |
10.0× |
| Echo Congenital Complete (93303) |
$1,475.25 |
$1,967 |
2.9× |
| Echo Heart Xthoracic,Limited (93308) |
$900 |
$1,200 |
4.0× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,165.50 |
$1,554 |
2.3× |
| Echo transesophageal (93312) |
$2,472.75 |
$3,297 |
4.8× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$2,101.50 |
$2,802 |
4.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,007 |
$2,676 |
3.9× |
| Eeg 41-60 Minutes (95812) |
$1,081.50 |
$1,442 |
5.3× |
| EEG awake and asleep (95819) |
$1,283.25 |
$1,711 |
6.3× |
| EEG awake drowsy (95816) |
$1,053.75 |
$1,405 |
5.2× |
| EEG cerebral death evaluation (95824) |
$1,605.75 |
$2,141 |
4.5× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$843.75 |
$1,125 |
4.1× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,440.75 |
$1,921 |
7.1× |
| Eeg Sleep Only (95822) |
$1,283.25 |
$1,711 |
6.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$364.50 |
$486 |
1.8× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$2,025 |
$2,700 |
9.9× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$2,361.75 |
$3,149 |
6.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$4,050 |
$5,400 |
11.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,181.25 |
$1,575 |
5.8× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$364.50 |
$486 |
1.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$990.75 |
$1,321 |
11.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$1,124.25 |
$1,499 |
12.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$1,058.25 |
$1,411 |
30.0× |
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines |
$133.50–$136.50 |
$178–$182 |
varies |
| Electrocardiogram Tracing (93005) |
$305.25 |
$407 |
5.5× |
| Electrocochleography (92584) |
$1,213.50 |
$1,618 |
10.0× |
| Electroconvulsive Therapy (90870) |
$1,831.50 |
$2,442 |
2.3× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
$12,042.75 |
$16,057 |
1.6× |
| Electrophysiology Evaluation (93642) |
$4,681.50 |
$6,242 |
4.1× |
| Emergency Dept Visit Level 2 (99282) |
$420.75 |
$561 |
2.9× |
| Emergency Dept Visit Level 3 (99283) |
$802.50 |
$1,070 |
3.1× |
| Emergency Dept Visit Level 4 (99284) |
$1,096.50 |
$1,462 |
2.8× |
| Emg 3 Extremities (95863) |
$913.50 |
$1,218 |
7.5× |
| Emg 4 Extremities (95864) |
$1,110 |
$1,480 |
9.1× |
| Endomyocardial Biopsy (93505) |
$7,788.75 |
$10,385 |
2.6× |
| Ep & ablate supravent arrhyt (93653) |
$24,376.50 |
$32,502 |
1.0× |
| Ep & ablate ventric tachy (93654) |
$50,569.50 |
$67,426 |
2.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$14,145.75 |
$18,861 |
1.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$7,058.25 |
$9,411 |
1.0× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$6,891 |
$9,188 |
6.0× |
| Er level 1 (99281) |
$256.50 |
$342 |
3.2× |
Er level v (99285)
range across 4 matching MRF lines |
$2,028.75–$8,014.50 |
$2,705–$10,686 |
varies |
| Esoph Atrial Electrogram (93615) |
$6,403.50 |
$8,538 |
5.6× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
$622.50 |
$830 |
1.8× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,479.75 |
$1,973 |
4.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$222.75 |
$297 |
1.8× |
| Evaluate pt use of inhaler (94664) |
$208.50 |
$278 |
1.0× |
| Evaluate Speech Production (92522) |
$279.75 |
$373 |
2.5× |
| Evaluate Swallowing Function (92610) |
$334.50 |
$446 |
3.9× |
| Evaluation of speech fluency (92521) |
$329.25 |
$439 |
2.5× |
| Evoked Auditory Test,Limited (92587) |
$234 |
$312 |
1.1× |
Exercise test for bronchospasm (94617)
range across 2 matching MRF lines |
$101.25–$484.50 |
$135–$646 |
varies |
| External ECG rec>48hr<7d recording (93242) |
$238.50 |
$318 |
6.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$238.50 |
$318 |
1.9× |
| External ECG rec>7d<15d recording (93246) |
$238.50 |
$318 |
6.7× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$238.50 |
$318 |
1.9× |
| External Ecg Scanning Analysis Report (93226) |
$814.50 |
$1,086 |
14.6× |
| Extracranial Bilat Study (93880) |
$2,294.25 |
$3,059 |
10.2× |
| Extracranial Uni/Ltd Study (93882) |
$127.50 |
$170 |
1.3× |
| Eye exam w anesth; complete (92018) |
$1,767 |
$2,356 |
0.8× |
| Eye exam w anesth; limited (92019) |
$1,767 |
$2,356 |
0.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,250.25 |
$1,667 |
2.4× |
| Filtered Speech Test (92571) |
$237 |
$316 |
6.7× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$662.25 |
$883 |
3.3× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$1,605.75 |
$2,141 |
2.0× |
| Fundus photography (92250) |
$202.50 |
$270 |
1.6× |
| Gastric motility studies (91020) |
$1,688.25 |
$2,251 |
4.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,451.25 |
$1,935 |
4.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$1,190.25 |
$1,587 |
5.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,475.25 |
$1,967 |
1.8× |
| Gi tract capsule endoscopy (91110) |
$2,864.25 |
$3,819 |
3.3× |
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines |
$96.75–$219.75 |
$129–$293 |
varies |
| Health Behavior Assessment/Re-Assessment (96156) |
$144.75 |
$193 |
1.5× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$115.50 |
$154 |
3.3× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$117 |
$156 |
3.3× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$115.50 |
$154 |
0.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$19,599.75 |
$26,133 |
6.4× |
| High altitude simulation test (94452) |
$351 |
$468 |
2.8× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$422.25 |
$563 |
3.4× |
| Holter monitor recording (93225) |
$672 |
$896 |
5.3× |
| Icd Device Interrogate (93289) |
$510 |
$680 |
14.4× |
| Icd device progr eval dual (93283) |
$431.25 |
$575 |
12.2× |
| Icd Device Progr Eval Mult (93284) |
$492.75 |
$657 |
14.0× |
| Icm Device Eval (93290) |
$112.50 |
$150 |
3.2× |
| Ilr Device Eval Progr (93285) |
$291.75 |
$389 |
8.3× |
| Ilr Device Interrogate (93291) |
$301.50 |
$402 |
11.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$56.25 |
$75 |
0.8× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) |
$71.25 |
$95 |
1.3× |
| Immunization administration (90471) |
$33.75 |
$45 |
0.5× |
| Ingestion challenge test initial 120 minutes (95076) |
$657 |
$876 |
1.9× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$1,038 |
$1,384 |
2.9× |
| Insert/Place Heart Catheter (93503) |
$8,662.50 |
$11,550 |
5.8× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) |
$182.25 |
$243 |
1.5× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) |
$182.25 |
$243 |
1.5× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
$108 |
$144 |
1.2× |
| Interrog&prgrmg ipnss during polysomnography (93152) |
$351 |
$468 |
1.2× |
| Interrogate Subq Defib (93261) |
$483.75 |
$645 |
13.7× |
| Interrogation eval in person wr defibrillator (93292) |
$170.25 |
$227 |
4.8× |
| Interrogation vad in person (93750) |
$499.50 |
$666 |
5.6× |
| Interrogation without programming ipnss (93153) |
$108 |
$144 |
1.2× |
| Intra-atrial pacing (93610) |
$5,625 |
$7,500 |
0.8× |
| Intra-atrial recording (93602) |
$5,625 |
$7,500 |
0.8× |
| Intracranial Complete Study (93886) |
$1,552.50 |
$2,070 |
6.9× |
| Intracutaneous tests w/allergenic extracts (95024) |
$118.50 |
$158 |
2.1× |
| Intraventricular pacing (93612) |
$7,275 |
$9,700 |
1.0× |
| Iontophoresis 15 min (97033) |
$133.50 |
$178 |
7.0× |
| Irrig Drug Delivery Device (96523) |
$166.50 |
$222 |
3.0× |
| IV infusion hydration each additional hour (96361) |
$658.50 |
$878 |
14.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$725.25 |
$967 |
3.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$666 |
$888 |
9.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$611.25 |
$815 |
13.8× |
| IV push initial (96374) |
$680.25 |
$907 |
3.4× |
| L Hrt Art/Grft Angio (93459) |
$19,185 |
$25,580 |
6.3× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$7,495.50 |
$9,994 |
2.4× |
| Laryngeal Function Studies (92520) |
$414.75 |
$553 |
3.3× |
| Liver Elastography W/O Imag W/I&R (91200) |
$574.50 |
$766 |
4.7× |
| Lung Function Test (Mbc/Mvv) (94200) |
$480.75 |
$641 |
8.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,385.25 |
$1,847 |
6.8× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
$1,968.75 |
$2,625 |
1.5× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) |
$1,005.75 |
$1,341 |
8.3× |
| Mechanical chest wall oscillation per session (94669) |
$243 |
$324 |
1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$62.25 |
$83 |
2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$62.25 |
$83 |
1.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$62.25 |
$83 |
3.7× |
| Methacholine challenge (94070) |
$1,518.75 |
$2,025 |
4.3× |
| Microvolt T-Wave Assess (93025) |
$1,341 |
$1,788 |
11.0× |
| Motility study esophagus (91010) |
$1,331.25 |
$1,775 |
3.8× |
| Motion Fluoroscopy/Swallow (92611) |
$522.75 |
$697 |
5.7× |
Multiple Family Group Psychotherapy (90849)
range across 4 matching MRF lines |
$332.25–$378.75 |
$443–$505 |
varies |
| Multiple Sleep Latency Test (95805) |
$2,754.75 |
$3,673 |
3.4× |
| Muscle Test 2 Limbs (95861) |
$687.75 |
$917 |
5.5× |
| Muscle Test Hemidiaphragm (95866) |
$735 |
$980 |
6.0× |
| Muscle Test Nonparaspinal (95870) |
$339.75 |
$453 |
2.7× |
| Muscle Test One Limb (95860) |
$362.25 |
$483 |
2.9× |
| Nasopharyngoscopy (92511) |
$255 |
$340 |
1.4× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$768 |
$1,024 |
3.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$751.50 |
$1,002 |
3.7× |
| Needle electromyography larynx (95865) |
$768 |
$1,024 |
6.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$397.50 |
$530 |
1.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$750 |
$1,000 |
3.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$507.75 |
$677 |
1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$822.75 |
$1,097 |
2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$326.25 |
$435 |
1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$424.50 |
$566 |
1.1× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$744 |
$992 |
3.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$3,196.50 |
$4,262 |
9.1× |
| Nerve conduction studies 13 or more studies (95913) |
$4,359 |
$5,812 |
12.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$1,488 |
$1,984 |
7.3× |
| Nerve conduction studies 5-6 studies (95909) |
$1,732.50 |
$2,310 |
8.5× |
| Nerve conduction studies 7-8 studies (95910) |
$2,094.75 |
$2,793 |
5.9× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$2,634 |
$3,512 |
7.5× |
| Neurobehavioral Status Exam (96116) |
$336 |
$448 |
1.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$441.75 |
$589 |
3.6× |
| Neuromuscular Reeducation (97112) |
$123.75 |
$165 |
3.8× |
| Newborn resuscitation (99465) |
$641.25 |
$855 |
1.0× |
| Nitric oxide expired gas determination (95012) |
$153.75 |
$205 |
4.4× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$316.50 |
$422 |
0.9× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$337.50 |
$450 |
1.0× |
| Ocular Vemp Testing W/I&R (92518) |
$632.25 |
$843 |
5.2× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$186 |
$248 |
1.5× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$214.50 |
$286 |
1.7× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$161.25 |
$215 |
1.3× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$136.50 |
$182 |
1.1× |
| Optokinetic Nystagmus Test (92544) |
$295.50 |
$394 |
2.4× |
| Oral Function Therapy (92526) |
$451.50 |
$602 |
5.4× |
| Oral Speech Device Eval (92597) |
$472.50 |
$630 |
6.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$122.25 |
$163 |
2.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$115.50 |
$154 |
2.5× |
| Oscillating Tracking Test (92545) |
$291.75 |
$389 |
1.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$79.50 |
$106 |
3.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$88.50 |
$118 |
4.3× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$108.75 |
$145 |
5.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$118.50 |
$158 |
5.8× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$220.50 |
$294 |
10.8× |
| Ot eval high complexity (97167) |
$297 |
$396 |
3.0× |
| Ot Eval Low Complex (97165) |
$297 |
$396 |
3.0× |
| Ot Eval Moderate Complexity (97166) |
$297 |
$396 |
3.0× |
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines |
$131.25–$138.75 |
$175–$185 |
varies |
| Ot paraffin bath (97018) |
$79.50 |
$106 |
13.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$90.75 |
$121 |
2.2× |
| Ot Re-Eval Est Plan Care (97168) |
$177 |
$236 |
2.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$268.50 |
$358 |
2.2× |
| Oxygen Uptake Rest Indirect (94690) |
$490.50 |
$654 |
8.8× |
| Patch/Application Test Specify Number Tests (95044) |
$780 |
$1,040 |
1.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$305.25 |
$407 |
1.6× |
| Penile Vascular Study,Ltd or F/U (93981) |
$759 |
$1,012 |
7.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$392.25 |
$523 |
1.9× |
| Percutaneous tests w/allergenic extracts (95004) |
$97.50 |
$130 |
0.1× |
| Peripheral arterial disease rehab per session (93668) |
$184.50 |
$246 |
3.3× |
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
unusually low: confirm this is the full procedure |
$6,903 |
$9,204 |
0.4× |
| Perq transcath closure pda (93582) |
$14,352.75 |
$19,137 |
0.8× |
| Perq Transcath Cls Aortic (93591) |
$16,362 |
$21,816 |
0.9× |
| Perq Transcath Cls Mitral (93590) |
$18,478.50 |
$24,638 |
1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$9,413.25 |
$12,551 |
1.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$32,826.75 |
$43,769 |
3.0× |
| Phlebotomy therapeutic (99195) |
$357 |
$476 |
2.8× |
| Photo patch test(s) (95052) |
$93 |
$124 |
1.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$134.25 |
$179 |
2.4× |
| Physical Performance Test (97750) |
$138.75 |
$185 |
4.1× |
| Plethysmography (94726) |
$513.75 |
$685 |
1.5× |
| Pm device eval in person (93288) |
$189 |
$252 |
5.4× |
| Pm device progr eval dual (93280) |
$261 |
$348 |
7.4× |
| Pm device progr eval multi (93281) |
$272.25 |
$363 |
7.7× |
| Pm Device Progr Eval Sngl (93279) |
$168.75 |
$225 |
4.8× |
| Pm/Icd Remote Tech Serv (93296) |
$181.50 |
$242 |
5.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$8,076.75 |
$10,769 |
9.9× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$8,068.50 |
$10,758 |
9.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$9,178.50 |
$12,238 |
11.3× |
| Positional nystagmus test (92542) |
$543.75 |
$725 |
4.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$60.75 |
$81 |
1.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$483.75 |
$645 |
13.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$278.25 |
$371 |
7.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$42.75 |
$57 |
1.0× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$44.25 |
$59 |
1.0× |
| Prq Card Angio/Athrect 1 Art (92924) |
$10,055.25 |
$13,407 |
0.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$15,042.75 |
$20,057 |
1.4× |
| Prq Card Stent/Ath/Angio (92933) |
$29,319 |
$39,092 |
1.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$29,319 |
$39,092 |
2.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$15,782.25 |
$21,043 |
0.9× |
| Prq trl rvs ch occ ant&rtrgr (92945) |
$32,826.75 |
$43,769 |
3.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$8,869.50 |
$11,826 |
0.8× |
| Psych diag eval w/med srvcs (90792) |
$394.50 |
$526 |
2.3× |
| Psychiatric diagnostic evaluation (90791) |
$394.50 |
$526 |
2.3× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$243 |
$324 |
1.2× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$210.75 |
$281 |
0.5× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$304.50 |
$406 |
2.4× |
| Psytx Crisis Initial 60 Min (90839) |
$567 |
$756 |
3.4× |
| Pt Eval High Complex (97163) |
$238.50 |
$318 |
2.4× |
| Pt eval low complex 20 min (97161) |
$238.50 |
$318 |
2.4× |
| Pt Eval Mod Complex (97162) |
$238.50 |
$318 |
2.4× |
| Pt gait training 15 min (97116) |
$121.50 |
$162 |
4.2× |
| Pt mechanical traction (97012) |
$131.25 |
$175 |
9.1× |
| Pt Re-Eval Est Plan Care (97164) |
$157.50 |
$210 |
2.3× |
| Pulm function test by gas (94727) |
$534 |
$712 |
2.6× |
Pulmonary service/procedure (94799)
range across 5 matching MRF lines |
$267.75–$313.50 |
$357–$418 |
varies |
| Pulmonary Stress Testing (94618) |
$654 |
$872 |
5.2× |
| Pure Tone Audiometry Air (92552) |
$106.50 |
$142 |
0.8× |
| R Hrt Art/Grft Angio (93457) |
$22,504.50 |
$30,006 |
7.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$7,495.50 |
$9,994 |
2.4× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$7,495.50 |
$9,994 |
2.4× |
| R hrt coronary artery angio (93456) |
$21,639.75 |
$28,853 |
7.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$7,495.50 |
$9,994 |
2.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$7,495.50 |
$9,994 |
2.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$15,558 |
$20,744 |
5.1× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$618 |
$824 |
2.0× |
| Refill/Maint Pump/Resvr Syst (96522) |
$630 |
$840 |
3.1× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$109.50 |
$146 |
3.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$109.50 |
$146 |
3.1× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$84 |
$112 |
2.4× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$295.50 |
$394 |
2.3× |
| Remote 30 Day Ecg Rev/Report (93270) |
$541.50 |
$722 |
15.3× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$472.50 |
$630 |
2.3× |
| Respiratory flow volume loop (94375) |
$364.50 |
$486 |
1.8× |
| Right Heart Cath (93451) |
$8,787 |
$11,716 |
2.9× |
| Right ventricular recording (93603) |
$3,039.75 |
$4,053 |
2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$262.50 |
$350 |
1.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$196.50 |
$262 |
7.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$498 |
$664 |
4.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$230.25 |
$307 |
4.8× |
| Select picture audiometry (92583) |
$67.50 |
$90 |
1.2× |
| Self Care Mngment Training (97535) |
$122.25 |
$163 |
3.8× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$109.50 |
$146 |
2.0× |
| Sensory Integration Ea 15 Min (97533) |
$120 |
$160 |
2.0× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$1,130.25 |
$1,507 |
5.5× |
| Short-latency somatosens ep std upr limbs (95925) |
$1,692 |
$2,256 |
8.3× |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
$183 |
$244 |
1.5× |
| Sleep study attended (95807) |
$404.25 |
$539 |
1.1× |
| Sleep study unattended (95806) |
$684 |
$912 |
3.3× |
| Somatosensory Testing (95938) |
$2,091.75 |
$2,789 |
2.6× |
| Speech Audiometry Complete (92556) |
$104.25 |
$139 |
1.9× |
| Speech audiometry threshold (92555) |
$104.25 |
$139 |
1.9× |
| Speech sound lang comprehen (92523) |
$369.75 |
$493 |
1.6× |
| Spin/Brain Pump Refil & Main (95991) |
$352.50 |
$470 |
1.2× |
| Spirometry (94010) |
$420 |
$560 |
2.1× |
| Spontaneous Nystagmus Test (92541) |
$295.50 |
$394 |
2.3× |
| Ssep lower limbs (95926) |
$1,692 |
$2,256 |
8.3× |
| Staggered Spondaic Word Test (92572) |
$474.75 |
$633 |
3.9× |
| Standardized Cognitive Performance Testing (96125) |
$336.75 |
$449 |
3.3× |
| Stenger Test Speech (92577) |
$404.25 |
$539 |
1.1× |
| Stenger Test, Pure Tone (92565) |
$171.75 |
$229 |
3.1× |
| Stress Tte Only (93350) |
$1,949.25 |
$2,599 |
3.8× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$199.50 |
$266 |
4.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$279 |
$372 |
1.4× |
| Surfactant Admin Thru Tube (94610) |
$256.50 |
$342 |
1.2× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$1,061.25 |
$1,415 |
10.7× |
| Temp transcutaneous pacing (92953) |
$940.50 |
$1,254 |
1.5× |
| Testing Autonomic Nervous System Function (95923) |
$880.50 |
$1,174 |
7.0× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) |
$108 |
$144 |
1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$98.25 |
$131 |
4.4× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$98.25 |
$131 |
4.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$140.25 |
$187 |
3.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$120.75 |
$161 |
4.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$365.25 |
$487 |
3.6× |
| Ther/Proph/Diag Inj Ia (96373) |
$295.50 |
$394 |
1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$154.50 |
$206 |
2.3× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$771 |
$1,028 |
3.8× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$472.50 |
$630 |
2.3× |
Therapeutic Activities (97530)
range across 4 matching MRF lines |
$132.75–$243.75 |
$177–$325 |
varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$2,126.25 |
$2,835 |
6.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$174.75 |
$233 |
4.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$125.25 |
$167 |
3.5× |
| Trans Care Mgmt 14 Day Disch (99495) |
$166.50 |
$222 |
1.3× |
| Transcath Closure of Asd (93580) |
$23,139.75 |
$30,853 |
1.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$1,459.50 |
$1,946 |
14.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$906 |
$1,208 |
9.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$222.75 |
$297 |
6.3× |
| Tte w/doppler, complete (93306) |
$1,899 |
$2,532 |
3.7× |
| Tte W/O Doppler Complete (93307) |
$1,305 |
$1,740 |
5.8× |
| Tx atrial fib pulm vein isol (93656) |
$29,199.75 |
$38,933 |
1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$324.75 |
$433 |
4.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$129.75 |
$173 |
5.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$680.25 |
$907 |
15.4× |
| Tympanometry (92567) |
$99.75 |
$133 |
2.8× |
| Tympanometry and reflex threshold measurements (92550) |
$150.75 |
$201 |
0.7× |
| Unlisted cardiovascular service/procedure (93799) |
$19,347 |
$25,796 |
158.9× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$2,470.50 |
$3,294 |
20.3× |
Unlisted otorhinolaryngological service (92700)
range across 2 matching MRF lines |
$117–$582 |
$156–$776 |
varies |
| Upr/L Xtremity Art 2 Levels (93922) |
$864.75 |
$1,153 |
6.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,047.75 |
$1,397 |
5.1× |
| Valvuloplasty aortic valve (92986) |
$9,321.75 |
$12,429 |
1.7× |
| Valvuloplasty mitral valve (92987) |
$9,472.50 |
$12,630 |
0.9× |
| Valvuloplasty pulmonary valve (92990) |
$14,701.50 |
$19,602 |
1.3× |
| Vasopneumatic device (97016) |
$123.75 |
$165 |
10.3× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$2,361.75 |
$3,149 |
6.7× |
| Veeg 2-12 hr intmt mntr (95712) |
$1,329 |
$1,772 |
3.8× |
| Veeg 2-12 hr unmonitored (95711) |
$756.75 |
$1,009 |
3.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,699.25 |
$3,599 |
7.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,588.50 |
$2,118 |
4.5× |
| Veeg ea 12-26hr cont mntr (95716) |
$4,640.25 |
$6,187 |
5.7× |
| Vent Mgmt Inpat Init Day (94002) |
$1,749 |
$2,332 |
3.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,864.50 |
$2,486 |
3.2× |
| Visual Evoked Potential Test (95930) |
$1,685.25 |
$2,247 |
8.2× |
| Visual Field Exam Extended (92083) |
$162.75 |
$217 |
1.3× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$97.50 |
$130 |
1.7× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$96.75 |
$129 |
1.7× |
| Visual reinforcement audiometry (vra) (92579) |
$215.25 |
$287 |
1.1× |
| Vital capacity, total (94150) |
$216 |
$288 |
1.8× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$2,440.50 |
$3,254 |
3.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$88.50 |
$118 |
2.8× |
| Whirlpool Therapy (97022) |
$139.50 |
$186 |
8.9× |