| Ablate Heart Dysrhythm Focus (93650) |
$6,526 |
$13,052 |
0.8× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$276 |
$552 |
2.0× |
| Acoustic Reflex Testing (92568) |
$87 |
$174 |
2.2× |
| Actinotherapy Ultraviolet Light (96900) |
$152 |
$304 |
3.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$40 |
$80 |
1.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$60 |
$120 |
1.4× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$325 |
$650 |
1.4× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$491.50 |
$983 |
2.1× |
| Airway Inhalation Treatment (94640) |
$143 |
$286 |
0.6× |
| Airway resistance by oscillometry (94728) |
$253 |
$506 |
1.8× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$112.50 |
$225 |
2.8× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
$134.50 |
$269 |
4.3× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
$253 |
$506 |
1.8× |
| Analyze neurostim complex (95972) |
$725 |
$1,450 |
7.1× |
| Analyze neurostim no prog (95970) |
$341.50 |
$683 |
2.4× |
| Analyze Neurostim Simple (95971) |
$625 |
$1,250 |
6.1× |
| Ans parasymp & symp w/tilt (95924) |
$243.50 |
$487 |
1.1× |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
$310 |
$620 |
2.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$67 |
$134 |
4.7× |
| Application on-body injector (96377) |
$131.50 |
$263 |
2.6× |
| Assessment of aphasia per hr (96105) |
$211 |
$422 |
2.2× |
| Audiometry Air & Bone (92553) |
$209.50 |
$419 |
1.5× |
| Basic vestibular evaluation (92540) |
$625 |
$1,250 |
2.7× |
| Behavral qualit analys voice (92524) |
$272 |
$544 |
2.5× |
| Bis Xtracell Fluid Analysis (93702) |
$232 |
$464 |
1.7× |
| Blink reflex test (95933) |
$279.50 |
$559 |
4.4× |
| Breath hydrogen/methane test (91065) |
$887.50 |
$1,775 |
3.8× |
| Brief Emotional/Behav Assmt (96127) |
$77.50 |
$155 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$541.50 |
$1,083 |
1.4× |
| C motor evoked uppr limbs (95928) |
$795.50 |
$1,591 |
0.9× |
| C motor evoked upr&lwr limbs (95939) |
$1,194.50 |
$2,389 |
1.3× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$410.50 |
$821 |
1.8× |
| Caloric Vstblr Test W/Rec (92537) |
$435 |
$870 |
3.2× |
| Canalith repositioning proc (95992) |
$147.50 |
$295 |
3.6× |
| Car seat/bed test 60 min (94780) |
$115 |
$230 |
2.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$875 |
$1,750 |
3.8× |
| Cardiopulmonary exercise testing (94621) |
$1,187.50 |
$2,375 |
3.0× |
| Cardiopulmonary resuscitation (92950) |
$687 |
$1,374 |
3.0× |
| Cardioversion (92960) |
$1,478 |
$2,956 |
2.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$85 |
$170 |
3.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$7,507.50 |
$15,015 |
2.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$9,231.50 |
$18,463 |
2.7× |
| Cbt 1st hour (94644) |
$174 |
$348 |
1.2× |
| Chemo Anti-Neopl Sq/Im (96401) |
$356.50 |
$713 |
4.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$290 |
$580 |
3.8× |
| Chemo intralesional up to 7 (96405) |
$306 |
$612 |
4.0× |
| Chemo IV infusion addl hr (96415) |
$421.50 |
$843 |
5.5× |
| Chemo IV push addl drug (96411) |
$325.50 |
$651 |
4.2× |
| Chemother Prolong Infuse W/Pump (96416) |
$984.50 |
$1,969 |
2.8× |
| Chemotherapy Into Cns (96450) |
$949 |
$1,898 |
2.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$476 |
$952 |
6.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$937.50 |
$1,875 |
2.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$466.50 |
$933 |
1.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$381.50 |
$763 |
1.1× |
| Chest Wall Manipulation (94668) |
$111 |
$222 |
0.8× |
| Cmptr ophth dx img ant segmt (92132) |
$186 |
$372 |
2.9× |
| Color/duplex Doppler, complete (93975) |
$1,211.50 |
$2,423 |
4.7× |
| Color/duplex Doppler, limited (93976) |
$667 |
$1,334 |
6.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$72 |
$144 |
2.2× |
| Comprehensive Hearing Test (92557) |
$254 |
$508 |
1.8× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$170 |
$340 |
2.7× |
| Computerized Ophthalmic Imaging Retina (92134) |
$179 |
$358 |
2.8× |
| Conditioning Play Audiometry (92582) |
$245.50 |
$491 |
1.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$513.50 |
$1,027 |
3.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$210.50 |
$421 |
3.3× |
| Continuous Pulse Ox (94762) |
$135 |
$270 |
1.0× |
| Corneal Topography (92025) |
$140.50 |
$281 |
2.2× |
| Coronary Art/Grft Angio S&I (93455) |
$6,310.50 |
$12,621 |
1.8× |
| Coronary Artery Angio S&I (93454) |
$5,750.50 |
$11,501 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$446 |
$892 |
1.9× |
| Cpt initial (94667) |
$148.50 |
$297 |
1.0× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$467 |
$934 |
2.0× |
| Critical care first hour (99291) |
$2,487 |
$4,974 |
2.8× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$552.50 |
$1,105 |
1.4× |
| Dark Adaptation Eye Exam (92284) |
$490 |
$980 |
1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$311.50 |
$623 |
1.4× |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) |
$336 |
$672 |
1.6× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$253.50 |
$507 |
1.8× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$241 |
$482 |
1.7× |
| Dialysis One Evaluation (90945) |
$1,665 |
$3,330 |
3.7× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$443 |
$886 |
1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$735 |
$1,470 |
2.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$529.50 |
$1,059 |
4.7× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$723.50 |
$1,447 |
6.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$934.50 |
$1,869 |
3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$627 |
$1,254 |
5.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$925 |
$1,850 |
3.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$776 |
$1,552 |
6.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$592.50 |
$1,185 |
2.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$410 |
$820 |
3.7× |
| Duplex Scan Hemodialysis Access (93990) |
$512.50 |
$1,025 |
4.6× |
| Duplex up extrem art bilat (93930) |
$758 |
$1,516 |
3.0× |
| Duplex up extrem art unilat/ltd (93931) |
$538.50 |
$1,077 |
4.8× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$212.50 |
$425 |
1.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$246.50 |
$493 |
1.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$280.50 |
$561 |
2.0× |
| Echo Congenital Complete (93303) |
$1,446 |
$2,892 |
2.5× |
| Echo Heart Xthoracic,Limited (93308) |
$444.50 |
$889 |
1.7× |
| Echo transesophageal (93312) |
$1,527 |
$3,054 |
2.6× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,286.50 |
$2,573 |
2.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,750 |
$5,500 |
4.7× |
| Eeg 41-60 Minutes (95812) |
$946 |
$1,892 |
4.1× |
| EEG awake and asleep (95819) |
$747 |
$1,494 |
3.2× |
| EEG awake drowsy (95816) |
$676.50 |
$1,353 |
2.9× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$490 |
$980 |
2.1× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,480 |
$2,960 |
6.4× |
| Eeg Sleep Only (95822) |
$750 |
$1,500 |
3.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$324.50 |
$649 |
3.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$312.50 |
$625 |
3.1× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$202.50 |
$405 |
5.1× |
| Electrical Stimulation Ea 15 Min (97032) |
$69.50 |
$139 |
4.7× |
| Electrocardiogram Tracing (93005) |
$226.50 |
$453 |
3.6× |
| Electrocochleography (92584) |
$448.50 |
$897 |
3.3× |
| Electroconvulsive Therapy (90870) |
$788 |
$1,576 |
0.9× |
| Electrophysiology Evaluation (93642) |
$2,936.50 |
$5,873 |
2.3× |
| Emergency Dept Visit Level 2 (99282) |
$501.50 |
$1,003 |
3.0× |
| Emergency Dept Visit Level 3 (99283) |
$1,174.50 |
$2,349 |
4.0× |
| Emergency Dept Visit Level 4 (99284) |
$1,747.50 |
$3,495 |
3.9× |
| Emg 4 Extremities (95864) |
$425 |
$850 |
3.1× |
| Endomyocardial Biopsy (93505) |
$3,492 |
$6,984 |
1.0× |
| Ep & ablate supravent arrhyt (93653) |
$24,440 |
$48,880 |
0.9× |
| Ep & ablate ventric tachy (93654) |
$25,125 |
$50,250 |
0.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$10,385.50 |
$20,771 |
1.2× |
| Er level 1 (99281) |
$257.50 |
$515 |
2.8× |
| Er level v (99285) |
$2,148.50 |
$4,297 |
3.4× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) |
$3,515 |
$7,030 |
8.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$287.50 |
$575 |
2.1× |
| Evaluate pt use of inhaler (94664) |
$212 |
$424 |
0.9× |
| Evaluate Speech Production (92522) |
$270 |
$540 |
2.4× |
| Evaluate Swallowing Function (92610) |
$319 |
$638 |
3.8× |
| Evaluation of speech fluency (92521) |
$295 |
$590 |
2.2× |
| Evoked Auditory Test,Limited (92587) |
$325 |
$650 |
1.4× |
| Exercise test for bronchospasm (94617) |
$300 |
$600 |
2.1× |
| External ECG rec>48hr<7d recording (93242) |
$448.50 |
$897 |
11.2× |
| External ECG rec>7d<15d recording (93246) |
$450 |
$900 |
11.2× |
| Extracranial Bilat Study (93880) |
$1,149 |
$2,298 |
4.5× |
| Extracranial Uni/Ltd Study (93882) |
$481.50 |
$963 |
4.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$860 |
$1,720 |
1.5× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$387.50 |
$775 |
1.9× |
| Fluorescein angiography (92235) |
$502.50 |
$1,005 |
2.2× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) |
$489.50 |
$979 |
2.1× |
| Full Field Electroretinography W/I&R (92273) |
$432 |
$864 |
1.9× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$795.50 |
$1,591 |
0.9× |
| Fundus photography (92250) |
$289 |
$578 |
2.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,197.50 |
$2,395 |
3.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,314 |
$2,628 |
1.4× |
| Gi tract capsule endoscopy (91110) |
$2,369 |
$4,738 |
2.4× |
| Group Therapeutic Procedures (97150) |
$74 |
$148 |
4.1× |
| Health Behavior Assessment/Re-Assessment (96156) |
$142.50 |
$285 |
1.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$78 |
$156 |
1.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$169.50 |
$339 |
0.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$8,278 |
$16,556 |
2.4× |
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines |
$842.50–$1,250 |
$1,685–$2,500 |
varies |
| High altitude simulation test (94452) |
$205.50 |
$411 |
1.4× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$255 |
$510 |
1.8× |
| Holter monitor recording (93225) |
$581 |
$1,162 |
4.1× |
| Icd Device Interrogate (93289) |
$325 |
$650 |
8.1× |
| Icd device progr eval dual (93283) |
$480.50 |
$961 |
12.0× |
| Icd Device Progr Eval Mult (93284) |
$515 |
$1,030 |
12.9× |
| Ilr Device Eval Progr (93285) |
$194 |
$388 |
4.9× |
| Ilr Device Interrogate (93291) |
$301 |
$602 |
9.7× |
| Immunization administration (90471) |
$74.50 |
$149 |
1.0× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
$388.50 |
$777 |
1.7× |
| Ingestion challenge test initial 120 minutes (95076) |
$605 |
$1,210 |
1.5× |
| Insert/Place Heart Catheter (93503) |
$1,214.50 |
$2,429 |
0.7× |
| Interrogate Subq Defib (93261) |
$140 |
$280 |
3.5× |
| Interrogation vad in person (93750) |
$201.50 |
$403 |
2.0× |
| Intracranial Complete Study (93886) |
$672 |
$1,344 |
2.6× |
| Intracutaneous tests w/allergenic extracts (95024) |
$119.50 |
$239 |
1.9× |
| Irrig Drug Delivery Device (96523) |
$187 |
$374 |
3.0× |
| IV infusion hydration each additional hour (96361) |
$222.50 |
$445 |
4.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$331.50 |
$663 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$339 |
$678 |
4.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$272.50 |
$545 |
5.4× |
| IV push initial (96374) |
$264 |
$528 |
1.2× |
| L Hrt Art/Grft Angio (93459) |
$9,717.50 |
$19,435 |
2.8× |
| Liver Elastography W/O Imag W/I&R (91200) |
$279 |
$558 |
2.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$799 |
$1,598 |
3.5× |
| Mechanical chest wall oscillation per session (94669) |
$159 |
$318 |
0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$42.50 |
$85 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$48.50 |
$97 |
1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$36 |
$72 |
2.1× |
| Methacholine challenge (94070) |
$809 |
$1,618 |
2.0× |
| Motility study esophagus (91010) |
$1,244 |
$2,488 |
3.1× |
| Motion Fluoroscopy/Swallow (92611) |
$342 |
$684 |
3.7× |
| Multifocal Electroretinography W/I&R (92274) |
$295 |
$590 |
2.1× |
| Multiple Sleep Latency Test (95805) |
$2,430 |
$4,860 |
2.6× |
| Muscle Test 2 Limbs (95861) |
$368 |
$736 |
2.6× |
| Muscle Test Nonparaspinal (95870) |
$159.50 |
$319 |
1.1× |
| Muscle Test One Limb (95860) |
$355.50 |
$711 |
2.5× |
| Nasopharyngoscopy (92511) |
$345.50 |
$691 |
1.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$357.50 |
$715 |
1.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$450 |
$900 |
1.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$557 |
$1,114 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$279 |
$558 |
1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$442 |
$884 |
1.0× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$342.50 |
$685 |
1.5× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,317.50 |
$2,635 |
3.3× |
| Nerve conduction studies 13 or more studies (95913) |
$1,452 |
$2,904 |
3.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$616.50 |
$1,233 |
2.7× |
| Nerve conduction studies 5-6 studies (95909) |
$750 |
$1,500 |
3.2× |
| Nerve conduction studies 7-8 studies (95910) |
$843.50 |
$1,687 |
2.1× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,223 |
$2,446 |
3.1× |
| Neurobehavioral Status Exam (96116) |
$501.50 |
$1,003 |
2.2× |
| Neuromuscular Reeducation (97112) |
$72 |
$144 |
2.2× |
| Newborn resuscitation (99465) |
$825 |
$1,650 |
1.2× |
| Nitric oxide expired gas determination (95012) |
$156.50 |
$313 |
3.9× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$419 |
$838 |
1.0× |
| Optokinetic Nystagmus Test (92544) |
$253 |
$506 |
1.8× |
| Oral Function Therapy (92526) |
$272 |
$544 |
3.2× |
| Oral Speech Device Eval (92597) |
$319 |
$638 |
4.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$85.50 |
$171 |
1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$78.50 |
$157 |
1.7× |
| Oscillating Tracking Test (92545) |
$314.50 |
$629 |
1.4× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$44.50 |
$89 |
1.9× |
| Ot eval high complexity (97167) |
$243.50 |
$487 |
2.4× |
| Ot Eval Low Complex (97165) |
$183 |
$366 |
1.8× |
| Ot Eval Moderate Complexity (97166) |
$221.50 |
$443 |
2.2× |
| Ot manual therapy 15 min (97140) |
$89 |
$178 |
3.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$78 |
$156 |
1.9× |
| Ot Re-Eval Est Plan Care (97168) |
$117.50 |
$235 |
1.7× |
| Patch/Application Test Specify Number Tests (95044) |
$60 |
$120 |
0.1× |
| Pdt dstr prmlg les phys/qhp (96573) |
$311.50 |
$623 |
1.4× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$281.50 |
$563 |
1.3× |
| Penile Vascular Study,Ltd or F/U (93981) |
$218 |
$436 |
1.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$291 |
$582 |
1.2× |
| Percutaneous tests w/allergenic extracts (95004) |
$45 |
$90 |
0.0× |
| Perq transcath closure pda (93582) |
$14,039 |
$28,078 |
0.7× |
| Perq Transcath Cls Aortic (93591) |
$17,424 |
$34,848 |
0.9× |
| Perq Transcath Cls Mitral (93590) |
$21,101.50 |
$42,203 |
1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$7,471 |
$14,942 |
1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$9,752.50 |
$19,505 |
0.8× |
| Phlebotomy therapeutic (99195) |
$230.50 |
$461 |
1.6× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$202.50 |
$405 |
3.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$170.50 |
$341 |
2.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$136 |
$272 |
2.2× |
| Physical Performance Test (97750) |
$80.50 |
$161 |
2.4× |
| Plethysmography (94726) |
$469.50 |
$939 |
1.2× |
| Pm device eval in person (93288) |
$306 |
$612 |
7.7× |
| Pm device progr eval dual (93280) |
$244 |
$488 |
6.1× |
| Pm device progr eval multi (93281) |
$248 |
$496 |
6.2× |
| Pm Device Progr Eval Sngl (93279) |
$210.50 |
$421 |
5.3× |
| Pm/Icd Remote Tech Serv (93296) |
$287.50 |
$575 |
7.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,547.50 |
$7,095 |
3.9× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,632 |
$5,264 |
2.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,910 |
$5,820 |
3.2× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$63.50 |
$127 |
1.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$150 |
$300 |
3.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$437 |
$874 |
10.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$94 |
$188 |
1.9× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$117.50 |
$235 |
2.3× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) |
$96.50 |
$193 |
1.3× |
| Prq Card Angio/Athrect 1 Art (92924) |
$10,416 |
$20,832 |
0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$9,752.50 |
$19,505 |
0.8× |
| Prq Card Stent/Ath/Angio (92933) |
$14,059 |
$28,118 |
0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$9,752.50 |
$19,505 |
0.8× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$14,179.50 |
$28,359 |
0.7× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$8,866 |
$17,732 |
0.7× |
| Psych diag eval w/med srvcs (90792) |
$342.50 |
$685 |
1.8× |
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines |
$45–$317.50 |
$90–$635 |
varies |
| Psychological tst eval svc phys/qhp first hour (96130) |
$342.50 |
$685 |
1.5× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$312 |
$624 |
0.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$215.50 |
$431 |
1.5× |
| Psytx Crisis Initial 60 Min (90839) |
$469 |
$938 |
2.5× |
| Pt Eval High Complex (97163) |
$243.50 |
$487 |
2.5× |
| Pt eval low complex 20 min (97161) |
$183 |
$366 |
1.9× |
| Pt Eval Mod Complex (97162) |
$221.50 |
$443 |
2.3× |
| Pt gait training 15 min (97116) |
$72 |
$144 |
2.5× |
| Pt group caregiver training (97552) |
$85 |
$170 |
3.9× |
| Pt mechanical traction (97012) |
$73 |
$146 |
5.1× |
| Pt Re-Eval Est Plan Care (97164) |
$117.50 |
$235 |
1.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$49.50 |
$99 |
1.2× |
| Pulm function test by gas (94727) |
$333 |
$666 |
1.4× |
Pulmonary service/procedure (94799)
range across 2 matching MRF lines |
$188–$225.50 |
$376–$451 |
varies |
| Pulmonary Stress Testing (94618) |
$325 |
$650 |
2.3× |
| Pure Tone Audiometry Air (92552) |
$129.50 |
$259 |
0.9× |
| R Hrt Art/Grft Angio (93457) |
$9,614 |
$19,228 |
2.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$6,529 |
$13,058 |
1.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$5,250 |
$10,500 |
1.5× |
| R hrt coronary artery angio (93456) |
$7,975 |
$15,950 |
2.3× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$7,406 |
$14,812 |
2.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$6,125 |
$12,250 |
1.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$6,912.50 |
$13,825 |
2.0× |
| Refill/Maint Portable Pump (96521) |
$287 |
$574 |
1.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$184.50 |
$369 |
4.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$314.50 |
$629 |
7.9× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$419.50 |
$839 |
1.8× |
| Respiratory flow volume loop (94375) |
$275.50 |
$551 |
1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$108.50 |
$217 |
1.7× |
| Right Heart Cath (93451) |
$6,562.50 |
$13,125 |
1.9× |
| Right ventricular recording (93603) |
$1,250 |
$2,500 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$207.50 |
$415 |
1.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$187 |
$374 |
1.5× |
| Select picture audiometry (92583) |
$103.50 |
$207 |
1.6× |
| Self Care Mngment Training (97535) |
$72 |
$144 |
2.2× |
| Short-latency somatosens ep std upr limbs (95925) |
$587 |
$1,174 |
2.5× |
| Sleep study unattended (95806) |
$674 |
$1,348 |
2.9× |
| Slp caregiver training 1st 30 min (97550) |
$170 |
$340 |
3.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$576.50 |
$1,153 |
2.5× |
| Somatosensory Testing (95938) |
$608 |
$1,216 |
0.7× |
| Speech Audiometry Complete (92556) |
$102.50 |
$205 |
1.6× |
| Speech audiometry threshold (92555) |
$103.50 |
$207 |
1.6× |
| Speech sound lang comprehen (92523) |
$288 |
$576 |
1.3× |
| Spirometry (94010) |
$317 |
$634 |
1.4× |
| Spontaneous Nystagmus Test (92541) |
$172.50 |
$345 |
1.2× |
| Ssep lower limbs (95926) |
$521 |
$1,042 |
2.3× |
| Standardized Cognitive Performance Testing (96125) |
$208.50 |
$417 |
2.0× |
| Stenger Test, Pure Tone (92565) |
$89 |
$178 |
1.4× |
| Stress Tte Only (93350) |
$859 |
$1,718 |
1.5× |
| Surfactant Admin Thru Tube (94610) |
$232 |
$464 |
1.0× |
| Temp transcutaneous pacing (92953) |
$965 |
$1,930 |
1.4× |
| Testing Autonomic Nervous System Function (95923) |
$288 |
$576 |
2.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$72 |
$144 |
3.2× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$69 |
$138 |
3.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$62.50 |
$125 |
2.1× |
| Ther/Proph/Diag Inj Ia (96373) |
$329.50 |
$659 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$116.50 |
$233 |
1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$475 |
$950 |
2.1× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$506.50 |
$1,013 |
2.2× |
| Therapeutic Activities (97530) |
$72 |
$144 |
2.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$2,058.50 |
$4,117 |
5.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$50 |
$100 |
1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$43.50 |
$87 |
1.1× |
| Trans Care Mgmt 14 Day Disch (99495) |
$120.50 |
$241 |
0.8× |
| Trans Care Mgmt 7 Day Disch (99496) |
$143 |
$286 |
1.0× |
| Transcath Closure of Asd (93580) |
$15,625 |
$31,250 |
0.8× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$531 |
$1,062 |
4.7× |
| Tte w/doppler, complete (93306) |
$2,000 |
$4,000 |
3.4× |
| Tte W/O Doppler Complete (93307) |
$851.50 |
$1,703 |
3.3× |
| Tx atrial fib pulm vein isol (93656) |
$25,125 |
$50,250 |
0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$257 |
$514 |
3.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$184 |
$368 |
7.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$188.50 |
$377 |
3.8× |
| Tympanometry (92567) |
$140 |
$280 |
3.5× |
| Tympanometry and reflex threshold measurements (92550) |
$218.50 |
$437 |
0.9× |
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines |
$256–$19,552 |
$512–$39,104 |
varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$1,477.50 |
$2,955 |
10.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$391 |
$782 |
2.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$584.50 |
$1,169 |
2.5× |
| Valvuloplasty aortic valve (92986) |
$4,655 |
$9,310 |
0.8× |
| Valvuloplasty mitral valve (92987) |
$9,948.50 |
$19,897 |
0.8× |
| Valvuloplasty pulmonary valve (92990) |
$8,954.50 |
$17,909 |
0.7× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,900 |
$3,800 |
4.8× |
| Veeg 2-12 hr intmt mntr (95712) |
$1,750 |
$3,500 |
4.4× |
| Veeg 2-12 hr unmonitored (95711) |
$1,425 |
$2,850 |
6.2× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,687.50 |
$3,375 |
4.2× |
| Veeg ea 12-26hr cont mntr (95716) |
$2,103 |
$4,206 |
2.3× |
| Vent Mgmt Inpat Init Day (94002) |
$744 |
$1,488 |
1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$886.50 |
$1,773 |
1.3× |
| Visual Evoked Potential Test (95930) |
$608 |
$1,216 |
2.6× |
| Visual Field Exam Extended (92083) |
$215 |
$430 |
1.5× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$179.50 |
$359 |
2.8× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$136 |
$272 |
2.2× |
| Visual reinforcement audiometry (vra) (92579) |
$221.50 |
$443 |
1.0× |
| Vital capacity, total (94150) |
$171 |
$342 |
1.2× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$1,061 |
$2,122 |
1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$63 |
$126 |
2.0× |
| Whirlpool Therapy (97022) |
$57.50 |
$115 |
3.7× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$185 |
$370 |
4.6× |