| Airway Inhalation Treatment (94640) |
$270 |
$1,350 |
1.3× |
| Analyze neurostim complex (95972) |
$192.60 |
$963 |
2.1× |
| Analyze Neurostim Simple (95971) |
$153 |
$765 |
1.7× |
| Auditory Function, 60 Min (92620) |
$73.40 |
$367 |
0.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$259.20 |
$1,296 |
0.7× |
| C motor evoked uppr limbs (95928) |
$300 |
$1,500 |
0.4× |
| C motor evoked upr&lwr limbs (95939) |
$300 |
$1,500 |
0.4× |
| Car seat/bed test 60 min (94780) |
$165 |
$825 |
4.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$300 |
$1,500 |
1.5× |
| Cardiopulmonary resuscitation (92950) |
$276 |
$1,380 |
1.3× |
| Cardioversion (92960) |
$570 |
$2,850 |
0.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$4,094.20 |
$20,471 |
1.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,432.80 |
$17,164 |
1.1× |
| Cbt 1st hour (94644) |
$144 |
$720 |
1.1× |
| Chemo IV infusion addl hr (96415) |
$103.80 |
$519 |
1.5× |
| Chemotherapy Into Cns (96450) |
$360 |
$1,800 |
1.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$360 |
$1,800 |
1.1× |
| Chest Wall Manipulation (94668) |
$120 |
$600 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$529.80 |
$2,649 |
2.3× |
| Color/duplex Doppler, limited (93976) |
$348.60 |
$1,743 |
3.5× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) |
$178.20 |
$891 |
0.5× |
| Continuous Pulse Ox (94762) |
$91.80 |
$459 |
0.7× |
| Coronary Art/Grft Angio S&I (93455) |
$2,441.80 |
$12,209 |
0.8× |
| Coronary Artery Angio S&I (93454) |
$2,091.20 |
$10,456 |
0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$180 |
$900 |
0.9× |
| Cpt initial (94667) |
$108 |
$540 |
0.8× |
| Critical care first hour (99291) |
$1,102.20 |
$5,511 |
1.4× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$75 |
$375 |
0.2× |
Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$15–$210 |
$75–$1,050 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$751.20 |
$3,756 |
3.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$418.20 |
$2,091 |
4.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$280.80 |
$1,404 |
2.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$700.20 |
$3,501 |
3.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$445.20 |
$2,226 |
4.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$554.40 |
$2,772 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$361.20 |
$1,806 |
3.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$271.80 |
$1,359 |
1.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$128.60 |
$643 |
1.3× |
| Duplex Scan Hemodialysis Access (93990) |
$180 |
$900 |
1.8× |
| Duplex up extrem art bilat (93930) |
$799.80 |
$3,999 |
3.5× |
| Duplex up extrem art unilat/ltd (93931) |
$418.20 |
$2,091 |
4.2× |
| Echo Heart Xthoracic,Limited (93308) |
$285 |
$1,425 |
1.2× |
| Echo transesophageal (93312) |
$588 |
$2,940 |
1.1× |
| EEG awake and asleep (95819) |
$415.20 |
$2,076 |
2.0× |
| EKG signal averaged (93278) |
$94.80 |
$474 |
1.7× |
| Electrocardiogram Tracing (93005) |
$90 |
$450 |
1.6× |
| Emergency Dept Visit Level 2 (99282) |
$186 |
$930 |
1.3× |
| Emergency Dept Visit Level 3 (99283) |
$323.40 |
$1,617 |
1.2× |
| Emergency Dept Visit Level 4 (99284) |
$493.80 |
$2,469 |
1.2× |
| Er level 1 (99281) |
$35 |
$175 |
0.4× |
| Er level v (99285) |
$691.80 |
$3,459 |
1.2× |
| Evaluate pt use of inhaler (94664) |
$180 |
$900 |
0.9× |
| Extracranial Bilat Study (93880) |
$342 |
$1,710 |
1.5× |
| Extracranial Uni/Ltd Study (93882) |
$351.60 |
$1,758 |
3.5× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$4,745.40 |
$23,727 |
1.5× |
| Immunization administration (90471) |
$26.20 |
$131 |
0.4× |
| Insert/Place Heart Catheter (93503) |
$423 |
$2,115 |
0.3× |
| Intracranial Complete Study (93886) |
$300 |
$1,500 |
1.3× |
| Irrig Drug Delivery Device (96523) |
$60 |
$300 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$38.40 |
$192 |
0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$132.60 |
$663 |
0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$57 |
$285 |
0.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$38.40 |
$192 |
0.9× |
| IV push initial (96374) |
$78.20 |
$391 |
0.4× |
| L Hrt Art/Grft Angio (93459) |
$3,723.60 |
$18,618 |
1.2× |
| Laryngeal Function Studies (92520) |
$90 |
$450 |
0.7× |
| Lung Function Test (Mbc/Mvv) (94200) |
$72.60 |
$363 |
1.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$178.20 |
$891 |
0.9× |
| Mechanical chest wall oscillation per session (94669) |
$177.60 |
$888 |
0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$21 |
$105 |
0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$40.20 |
$201 |
1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$21 |
$105 |
1.2× |
| Muscle Test 2 Limbs (95861) |
$180 |
$900 |
1.4× |
| Muscle Test Nonparaspinal (95870) |
$75 |
$375 |
0.6× |
| Nasopharyngoscopy (92511) |
$180 |
$900 |
0.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$300 |
$1,500 |
1.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$150 |
$750 |
0.7× |
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$360 |
$45–$1,800 |
0.9× |
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$360 |
$50–$1,800 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$202.80 |
$1,014 |
1.1× |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$360 |
$55–$1,800 |
0.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$120 |
$600 |
1.0× |
| Newborn resuscitation (99465) |
$528 |
$2,640 |
0.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$132.60 |
$663 |
1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$132.60 |
$663 |
1.1× |
| Penile Vascular Study,Ltd or F/U (93981) |
$280.80 |
$1,404 |
2.8× |
| Peripheral arterial disease rehab per session (93668) |
$60 |
$300 |
1.1× |
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) unusually low: confirm this is the full procedure |
$6,300 |
$31,500 |
0.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$4,150 |
$20,750 |
0.8× |
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) unusually low: confirm this is the full procedure |
$4,797.40 |
$23,987 |
0.4× |
| Phlebotomy therapeutic (99195) |
$54.60 |
$273 |
0.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$66 |
$330 |
1.2× |
| Plethysmography (94726) |
$180 |
$900 |
0.5× |
| Prq Card Angio/Athrect 1 Art (92924) |
$8,390 |
$41,950 |
0.8× |
Prq Card Stent W/Angio 1 Vsl (92928) unusually low: confirm this is the full procedure |
$4,622 |
$23,110 |
0.4× |
Prq Card Stent/Ath/Angio (92933) unusually low: confirm this is the full procedure |
$6,500 |
$32,500 |
0.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$6,340 |
$31,700 |
0.6× |
| Psych diag eval w/med srvcs (90792) |
$249.60 |
$1,248 |
1.5× |
| Pulm function test by gas (94727) |
$125.40 |
$627 |
0.6× |
| Pulmonary service/procedure (94799) |
$44.20 |
$221 |
0.4× |
| Pulmonary Stress Testing (94618) |
$120 |
$600 |
0.9× |
| R Hrt Art/Grft Angio (93457) |
$4,073.40 |
$20,367 |
1.3× |
| R hrt coronary artery angio (93456) |
$3,598.20 |
$17,991 |
1.2× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$3,452.20 |
$17,261 |
1.1× |
| Respiratory flow volume loop (94375) |
$180 |
$900 |
0.9× |
| Right Heart Cath (93451) |
$2,328.40 |
$11,642 |
0.8× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$27–$210 |
$135–$1,050 |
varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$300 |
$1,500 |
1.5× |
| Short-latency somatosens ep std upr limbs (95925) |
$300 |
$1,500 |
1.5× |
| Somatosensory Testing (95938) |
$300 |
$1,500 |
0.4× |
| Speech sound lang comprehen (92523) |
$231 |
$1,155 |
1.0× |
| Spirometry (94010) |
$120 |
$600 |
0.6× |
| Ssep lower limbs (95926) |
$180 |
$900 |
0.9× |
| Stress Tte Only (93350) |
$652.80 |
$3,264 |
1.2× |
| Temp transcutaneous pacing (92953) |
$265.40 |
$1,327 |
0.4× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$30 |
$150 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$64.80 |
$324 |
0.9× |
Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$132.60–$196.20 |
$663–$981 |
varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$616.20 |
$3,081 |
1.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$48 |
$240 |
1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$45 |
$225 |
1.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$300 |
$1,500 |
3.0× |
| Tte w/doppler, complete (93306) |
$825 |
$4,125 |
1.6× |
| Tte W/O Doppler Complete (93307) |
$315 |
$1,575 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$46.20 |
$231 |
1.0× |
| Unlisted cardiovascular service/procedure (93799) |
$44.20 |
$221 |
0.4× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$37.20 |
$186 |
1.3× |
| Unlisted Special Dermatological Service/Px (96999) |
$70 |
$350 |
0.4× |
| Upr/L Xtremity Art 2 Levels (93922) |
$152.40 |
$762 |
1.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$156 |
$780 |
0.8× |
| Vent Mgmt Inpat Init Day (94002) |
$399.60 |
$1,998 |
0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$267 |
$1,335 |
0.5× |
| Vital capacity, total (94150) |
$40.20 |
$201 |
0.3× |