| Airway inhalation treatment (94640) |
$222 |
$370 |
1.0× |
| Appl on-body injector for timed subq injection (96377) |
$99.36 |
$165.60 |
2.0× |
| Assessment of aphasia (96105) |
$312 |
$520 |
3.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$283.80 |
$473 |
2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$540.60 |
$901 |
1.4× |
| C motor evoked upr&lwr limbs (95939) |
$965.40 |
$1,609 |
1.1× |
| Canalith Repositioning (95992) |
$98.32 |
$163.86 |
2.4× |
| Capsule endoscopy (91110) |
$2,072.86 |
$3,454.76 |
2.2× |
| Car seat/bed test 60 min (94780) |
$78.90 |
$131.49 |
2.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,043.40 |
$1,739 |
4.7× |
| Cardiopulmonary exercise testing (94621) |
$376.20 |
$627 |
1.0× |
| Cardiopulmonary resuscitation (92950) |
$1,014.60 |
$1,691 |
4.5× |
| Cardioversion (92960) |
$1,487.40 |
$2,479 |
2.2× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$13,405.20 |
$22,342 |
4.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$13,491 |
$22,485 |
4.0× |
| Cbt 1st hour (94644) |
$251.28 |
$418.79 |
1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$94.68 |
$157.80 |
1.3× |
| Chemo IV push addl drug (96411) |
$170.34 |
$283.90 |
2.3× |
| Chemo Iv Push Sngl Drug (96409) |
$321.78 |
$536.30 |
0.9× |
| Chemother, IV infusion, 1 hr (96413) |
$416.40 |
$694 |
1.2× |
| Chemother, IV infusion, ea add hr (96415) |
$94.68 |
$157.80 |
1.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$170.34 |
$283.90 |
2.3× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$1,165.20 |
$1,942 |
3.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$94.68 |
$157.80 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$553.20 |
$922 |
2.2× |
| Color/duplex Doppler, limited (93976) |
$369 |
$615 |
3.4× |
| Cpap initiation and management (94660) |
$559.20 |
$932 |
2.5× |
| Cpt initial (94667) |
$178.20 |
$297 |
1.3× |
| Critical care (99291) |
$3,172.80 |
$5,288 |
3.7× |
| Ctr motor ep std transcrnl motor stimj lwr limbs (95929) |
$499.20 |
$832 |
1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$410.97 |
$684.95 |
2.0× |
| Demo &/or eval,pt use,aerosol device (94664) |
$306.98 |
$511.63 |
1.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$690.72 |
$1,151.20 |
2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$493.20 |
$822 |
4.5× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$314.25 |
$523.75 |
2.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,050.24 |
$1,750.40 |
4.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$738.36 |
$1,230.60 |
6.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$907.14 |
$1,511.90 |
3.7× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$669.06 |
$1,115.10 |
6.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$577.01 |
$961.68 |
5.3× |
| Duplex hemodialysis access (93990) |
$645.84 |
$1,076.40 |
5.9× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$939.60 |
$1,566 |
3.8× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$600 |
$1,000 |
5.5× |
| Duplex scan extracranial art compl bi study (93880) |
$1,200.30 |
$2,000.50 |
4.8× |
| Echo Heart Xthoracic,Limited (93308) |
$684.60 |
$1,141 |
2.8× |
| Echo transesophageal (93312) |
$1,932.60 |
$3,221 |
3.4× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,085.23 |
$1,808.71 |
1.9× |
| EEG awake asleep (95819) |
$1,138.80 |
$1,898 |
5.1× |
| EEG awake drowsy (95816) |
$1,077.60 |
$1,796 |
4.8× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$1,475.40 |
$2,459 |
6.6× |
| EKG (93005) |
$262.20 |
$437 |
4.3× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$357.99 |
$596.64 |
3.6× |
| EMG two extremities (95861) |
$383.40 |
$639 |
2.8× |
| Er level 1 (99281) |
$229.20 |
$382 |
2.6× |
| Er level ii (99282) |
$426.60 |
$711 |
2.7× |
| Er level iii (99283) |
$816.60 |
$1,361 |
2.9× |
| Er level IV (99284) |
$1,092 |
$1,820 |
2.5× |
| Er level v (99285) |
$1,734 |
$2,890 |
2.8× |
| Evaluation of speech fluency (92521) |
$244.20 |
$407 |
1.8× |
| Evaluation of speech sound production (92522) |
$283.80 |
$473 |
2.5× |
| Evaluation of swallowing function (92610) |
$271.80 |
$453 |
3.2× |
| Evaluation with prescription of speech-generating alternative (92607) |
$363 |
$605 |
3.0× |
| Evoked Auditory Test,Comprehsv (92588) |
$289.20 |
$482 |
0.7× |
| External ECG rec>48hr<7d recording (93242) |
$269.40 |
$449 |
6.9× |
| External ECG rec>7d<15d recording (93246) |
$269.40 |
$449 |
6.9× |
| External Ecg Scanning Analysis Report (93226) |
$292.50 |
$487.50 |
4.8× |
| Hemodialysis (90935) |
$1,137.93 |
$1,896.55 |
1.6× |
| Holter Monitor Recording (93225) |
$396 |
$660 |
2.9× |
| Icd Device Interrogate (93289) |
$135.60 |
$226 |
3.5× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$766.02 |
$1,276.70 |
2.0× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$75 |
$125 |
2.5× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$102.96 |
$171.60 |
1.7× |
| IV infusion hydration each additional hour (96361) |
$133.80 |
$223 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$393.60 |
$656 |
1.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$160.80 |
$268 |
2.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$436.80 |
$728 |
2.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$139.20 |
$232 |
2.9× |
| IV push initial (96374) |
$240.60 |
$401 |
1.1× |
| Manual therapy 15 min (97140) |
$98.70 |
$164.50 |
3.6× |
| Massage 15 min (97124) |
$77.28 |
$128.80 |
2.6× |
| Maximum voluntary ventilation (94200) |
$93.42 |
$155.70 |
1.5× |
| Mechanical chest wall oscillation (94669) |
$419.58 |
$699.30 |
1.8× |
| Mechanical traction (97012) |
$76.56 |
$127.60 |
5.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$39 |
$65 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$47.40 |
$79 |
1.3× |
| Methacholine challenge (94070) |
$669.60 |
$1,116 |
1.7× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$406.20 |
$677 |
4.4× |
| Neg press wnd tx </=50 sq cm (97607) |
$496.20 |
$827 |
1.2× |
| Neg press wound tx >50 cm (97608) |
$843.42 |
$1,405.70 |
2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$331.80 |
$553 |
1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$385.80 |
$643 |
0.9× |
| Nerve conduction studies 13/> studies (95913) |
$609 |
$1,015 |
1.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$276.66 |
$461.10 |
1.2× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,157.72 |
$1,929.54 |
3.0× |
| Nerve conduction studies; 1-2 studies (95907) |
$234 |
$390 |
1.0× |
| Nerve conduction studies; 11-12 studies (95912) |
$540.60 |
$901 |
1.4× |
| Nerve conduction studies; 5-6 studies (95909) |
$711.11 |
$1,185.18 |
3.2× |
| Nerve conduction studies; 7-8 studies (95910) |
$1,124.72 |
$1,874.54 |
2.9× |
| Neuromuscular junction test (95937) |
$231 |
$385 |
1.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$477 |
$795 |
3.6× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$99 |
$165 |
2.1× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$76.80 |
$128 |
2.4× |
| Ot eval high complex 60 min (97167) |
$236.40 |
$394 |
2.4× |
| Ot eval low complex 30 min (97165) |
$163.80 |
$273 |
1.6× |
| Ot eval mod complex 45 min (97166) |
$202.20 |
$337 |
2.0× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$79.80 |
$133 |
1.6× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$84.12 |
$140.20 |
2.1× |
| Ot re-eval est plan care (97168) |
$133.20 |
$222 |
1.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$252 |
$420 |
1.9× |
| Paraffin bath (97018) |
$57.96 |
$96.60 |
9.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$278.40 |
$464 |
1.2× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$140.76 |
$234.60 |
2.3× |
| Plethysmography (94726) |
$481.80 |
$803 |
1.2× |
| Pm device eval in person (93288) |
$82.20 |
$137 |
2.1× |
| Pm device progr eval dual (93280) |
$117.60 |
$196 |
3.0× |
| Pm device progr eval sngl (93279) |
$77.40 |
$129 |
2.0× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,052.17 |
$5,086.95 |
3.4× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$130.20 |
$217 |
3.4× |
| Programming of dual lead implantable defibrillator system (93283) |
$116.40 |
$194 |
3.0× |
| Programming of single lead implantable defibrillator system (93282) |
$99 |
$165 |
2.6× |
| Pt Aquatic Therapy/Exercises (97113) |
$116.40 |
$194 |
3.1× |
| Pt Electric Current Therapy (97033) |
$87.90 |
$146.50 |
4.6× |
| Pt Electrical Stimulation (97032) |
$88.80 |
$148 |
6.0× |
| Pt eval high complex 45 min (97163) |
$223.20 |
$372 |
2.3× |
| Pt eval low complex 20 min (97161) |
$134.40 |
$224 |
1.4× |
| Pt Gait Training Therapy (97116) |
$93 |
$155 |
3.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$91.20 |
$152 |
2.8× |
| Pt Physical Performance Test (97750) |
$89.40 |
$149 |
2.7× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$174 |
$290 |
1.8× |
| Pt re-evaluation (97164) |
$122.40 |
$204 |
1.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$90.60 |
$151 |
2.8× |
| Pt Ultrasound Therapy (97035) |
$82.80 |
$138 |
5.8× |
| Pt Whirlpool Therapy (97022) |
$102.30 |
$170.50 |
6.5× |
| Pulm function test by gas (94727) |
$352.20 |
$587 |
1.6× |
| Pulmonary stress testing (94618) |
$182.57 |
$304.28 |
1.3× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$12,108.45 |
$20,180.75 |
3.6× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$16,571.40 |
$27,619 |
4.9× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$14,589.30 |
$24,315.50 |
4.3× |
| Refill/maint, portable pump (96521) |
$360.30 |
$600.50 |
1.6× |
| Right heart cath (93451) |
$7,069.80 |
$11,783 |
2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$193.50 |
$322.50 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$123 |
$205 |
0.9× |
| Sensory Integration Ea 15 Min (97533) |
$76.20 |
$127 |
1.3× |
| Sleep study unattended (95806) |
$469.38 |
$782.30 |
2.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$469.38 |
$782.30 |
2.1× |
| Somatosensory testing (95938) |
$648.60 |
$1,081 |
0.7× |
| Speech sound lang comprehen (92523) |
$295.20 |
$492 |
1.3× |
| Spirometry (94010) |
$291 |
$485 |
1.3× |
| Standardized Cognitive Performance Testing (96125) |
$247.20 |
$412 |
2.4× |
| Stress echo (93350) |
$1,366.20 |
$2,277 |
2.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$95.70 |
$159.50 |
4.3× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$96.51 |
$160.85 |
4.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$127.80 |
$213 |
1.7× |
| Therapeutic Activities (97530) |
$97.80 |
$163 |
2.8× |
| Therapeutic phlebotomy (99195) |
$194.40 |
$324 |
1.4× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,182.98 |
$3,638.30 |
3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$226.80 |
$378 |
3.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$237 |
$395 |
2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$147.60 |
$246 |
3.0× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,269.75 |
$2,116.25 |
5.1× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$688.86 |
$1,148.10 |
6.3× |
| Vasopneumatic device (97016) |
$106.20 |
$177 |
8.8× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,917.60 |
$3,196 |
3.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,711.11 |
$2,851.85 |
2.7× |
| Vital capacity total (94150) |
$196.80 |
$328 |
1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$86.40 |
$144 |
2.8× |