| Aep neurodiagnostic i&r (92653) |
$527.15 |
$811 |
2.2× |
| Airway Inhalation Treatment (94640) |
$114.40 |
$176 |
0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$52 |
$80 |
3.6× |
| Application Modality 1/> Areas Infrared (97026) |
$59.80 |
$92 |
9.0× |
| Application on-body injector (96377) |
$94.25 |
$145 |
1.8× |
| Assessment of aphasia per hr (96105) |
$245.05 |
$377 |
2.5× |
| Behavral qualit analys voice (92524) |
$312.65 |
$481 |
2.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$84.50 |
$130 |
1.0× |
| Bfb training ea addl 15 min (90913) |
$84.50 |
$130 |
2.6× |
| Biofeedback training any modality (90901) |
$91.65 |
$141 |
2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$572 |
$880 |
1.4× |
| Canalith repositioning proc (95992) |
$100.75 |
$155 |
2.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$718.25 |
$1,105 |
3.0× |
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines |
$375.70–$741.65 |
$578–$1,141 |
varies |
Cardioversion (92960)
range across 2 matching MRF lines |
$354.90–$1,484.60 |
$546–$2,284 |
varies |
| Cardioversion elective internal (92961) |
$1,529.45 |
$2,353 |
2.1× |
| Cbt 1st hour (94644) |
$154.05 |
$237 |
1.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$162.50 |
$250 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$130 |
$200 |
1.6× |
| Chemo IV infusion addl hr (96415) |
$172.25 |
$265 |
2.2× |
| Chemo IV push addl drug (96411) |
$281.45 |
$433 |
3.5× |
| Chemother Prolong Infuse W/Pump (96416) |
$713.05 |
$1,097 |
1.9× |
| Chemotherapy Unspecified (96549) |
$205.40 |
$316 |
3.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$239.20 |
$368 |
3.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$679.90 |
$1,046 |
1.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$403 |
$620 |
1.1× |
| Chest Wall Manipulation (94668) |
$141.70 |
$218 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$801.45 |
$1,233 |
3.0× |
| Color/duplex Doppler, limited (93976) |
$779.35 |
$1,199 |
6.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$78 |
$120 |
2.4× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$24.70 |
$38 |
0.4× |
| Computerized Ophthalmic Imaging Retina (92134) |
$25.35 |
$39 |
0.4× |
| Corneal Topography (92025) |
$27.95 |
$43 |
0.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$596.70 |
$918 |
2.5× |
| Cpt initial (94667) |
$173.55 |
$267 |
1.2× |
Critical care first hour (99291)
range across 4 matching MRF lines |
$583.70–$3,692.65 |
$898–$5,681 |
varies |
| Debridement Open Wound 20 Sq Cm< (97597) |
$685.75 |
— |
3.1× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$276.25 |
$425 |
1.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$618.80 |
$952 |
2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$482.30 |
$742 |
4.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$651.30 |
$1,002 |
2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$434.20 |
$668 |
3.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$941.20 |
$1,448 |
3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$609.70 |
$938 |
5.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$253.50 |
$390 |
2.2× |
| Duplex up extrem art bilat (93930) |
$563.55 |
$867 |
2.1× |
| Duplex up extrem art unilat/ltd (93931) |
$375.70 |
$578 |
3.2× |
| Echo Congenital Complete (93303) |
$1,375.40 |
$2,116 |
2.3× |
| Echo Heart Xthoracic,Limited (93308) |
$693.55 |
$1,067 |
2.6× |
| Echo transesophageal (93312) |
$2,195.70 |
$3,378 |
3.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,037.75 |
$3,135 |
3.4× |
| Eeg Sleep Only (95822) |
$925.60 |
$1,424 |
3.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$63.70 |
$98 |
4.3× |
| Electrocardiogram Tracing (93005) |
$363.35 |
— |
5.5× |
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines |
$497.25–$542.10 |
— |
varies |
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines |
$980.20–$1,040.65 |
— |
varies |
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines |
$2,129.40–$10,936.67 |
— |
varies |
| Er level 1 (99281) |
$183.30 |
— |
2.0× |
Er level v (99285)
range across 4 matching MRF lines |
$4,548.02–$10,936.67 |
— |
varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$262.60 |
$404 |
1.8× |
| Evaluate Speech Production (92522) |
$312.65 |
$481 |
2.8× |
| Evaluate Swallowing Function (92610) |
$319.15 |
$491 |
3.8× |
| Evaluation of speech fluency (92521) |
$312.65 |
$481 |
2.3× |
| External ECG rec>48hr<7d recording (93242) |
$402.35 |
$619 |
9.7× |
| External ECG rec>7d<15d recording (93246) |
$402.35 |
$619 |
9.7× |
| External Ecg Scanning Analysis Report (93226) |
$402.35 |
$619 |
6.1× |
| Extracranial Bilat Study (93880) |
$779.35 |
$1,199 |
2.9× |
| Extracranial Uni/Ltd Study (93882) |
$717.60 |
$1,104 |
6.2× |
| Eye exam w anesth; complete (92018) |
$110.50 |
$170 |
0.0× |
| Eye exam w anesth; limited (92019) |
$56.55 |
$87 |
0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,021.80 |
$1,572 |
1.7× |
| Gonioscopy (92020) |
$22.10 |
$34 |
0.1× |
| Holter monitor recording (93225) |
$402.35 |
$619 |
2.7× |
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines |
$14.27–$29.25 |
$21.96–$45 |
varies |
Immunization administration (90471)
range across 2 matching MRF lines |
$14.27–$61.10 |
$21.96–$94 |
varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$812.50 |
$1,250 |
2.0× |
| Inital newborn e/m (99460) |
$135.20 |
$208 |
0.9× |
| Iontophoresis 15 min (97033) |
$67.60 |
$104 |
3.6× |
| Irrig Drug Delivery Device (96523) |
$149.50 |
$230 |
2.3× |
| IV infusion hydration each additional hour (96361) |
$11,282.34 |
— |
216.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$1,154.40 |
— |
4.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$18,574.92 |
— |
232.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$7,682.54 |
— |
147.6× |
| IV push initial (96374) |
$496.73 |
— |
2.1× |
| Laryngeal Function Studies (92520) |
$247.65 |
$381 |
1.7× |
| Lung Function Test (Mbc/Mvv) (94200) |
$157.30 |
$242 |
2.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$427.05 |
$657 |
1.8× |
| Mechanical chest wall oscillation per session (94669) |
$160.55 |
$247 |
0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$32.50 |
$50 |
1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$38.35 |
$59 |
1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$19.50 |
$30 |
1.1× |
| Methacholine challenge (94070) |
$791.70 |
$1,218 |
1.9× |
| Motion Fluoroscopy/Swallow (92611) |
$295.75 |
$455 |
3.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$408.20 |
$628 |
0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$532.35 |
$819 |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$148.20 |
$228 |
0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$271.05 |
$417 |
0.6× |
| Neuromuscular Reeducation (97112) |
$70.20 |
$108 |
2.1× |
| Newborn resuscitation (99465) |
$352.95 |
$543 |
0.5× |
| Nitric oxide expired gas determination (95012) |
$113.10 |
$174 |
2.7× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$66.30 |
$102 |
0.4× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$118.30 |
$182 |
0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$99.45 |
$153 |
0.7× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$70.20 |
$108 |
0.5× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$67.60 |
$104 |
0.5× |
| Oral Function Therapy (92526) |
$238.55 |
$367 |
2.8× |
| Oral Speech Device Eval (92597) |
$247.65 |
$381 |
3.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$73.45 |
$113 |
1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$73.45 |
$113 |
1.6× |
| Ot Contrast Bath Ea 15 Min (97034) |
$48.75 |
$75 |
3.5× |
| Ot eval high complexity (97167) |
$204.10 |
$314 |
2.0× |
| Ot Eval Low Complex (97165) |
$172.25 |
$265 |
1.7× |
| Ot Eval Moderate Complexity (97166) |
$187.85 |
$289 |
1.9× |
| Ot manual therapy 15 min (97140) |
$61.75 |
$95 |
2.2× |
| Ot paraffin bath (97018) |
$66.30 |
$102 |
11.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$73.45 |
$113 |
1.8× |
| Ot Re-Eval Est Plan Care (97168) |
$172.25 |
$265 |
2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$155.35 |
$239 |
1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$280.15 |
$431 |
1.2× |
| Phlebotomy therapeutic (99195) |
$199.55 |
$307 |
1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$129.35 |
$199 |
2.0× |
Physical Performance Test (97750)
range across 5 matching MRF lines |
$63.70–$67.60 |
$98–$104 |
varies |
| Plethysmography (94726) |
$447.20 |
$688 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,029 |
$4,660 |
3.2× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,029 |
$4,660 |
3.2× |
| Pt Eval High Complex (97163) |
$204.10 |
$314 |
2.1× |
| Pt eval low complex 20 min (97161) |
$172.25 |
$265 |
1.8× |
| Pt Eval Mod Complex (97162) |
$187.85 |
$289 |
1.9× |
| Pt gait training 15 min (97116) |
$68.25 |
$105 |
2.3× |
| Pt mechanical traction (97012) |
$61.75 |
$95 |
4.3× |
| Pt Re-Eval Est Plan Care (97164) |
$172.25 |
$265 |
2.6× |
| Pulm function test by gas (94727) |
$259.35 |
$399 |
1.1× |
| Pulmonary service/procedure (94799) |
$241.15 |
$371 |
1.7× |
| Pulmonary Stress Testing (94618) |
$319.15 |
$491 |
2.2× |
| Respiratory flow volume loop (94375) |
$38.35 |
$59 |
0.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$202.80 |
— |
0.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$314.60 |
$484 |
2.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$154.05 |
$237 |
3.2× |
| Self Care Mngment Training (97535) |
$67.60 |
$104 |
2.1× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$42.90 |
$66 |
0.7× |
| Sensory Integration Ea 15 Min (97533) |
$58.50 |
$90 |
1.0× |
| Sleep study unattended (95806) |
$504.40 |
$776 |
2.1× |
| Speech sound lang comprehen (92523) |
$312.65 |
$481 |
1.4× |
| Spirometry (94010) |
$418.60 |
$644 |
1.7× |
| Standardized Cognitive Performance Testing (96125) |
$245.70 |
$378 |
2.4× |
| Stress Tte Only (93350) |
$1,336.40 |
$2,056 |
2.2× |
| Surfactant Admin Thru Tube (94610) |
$323.05 |
$497 |
1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$67.60 |
$104 |
3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$67.60 |
$104 |
3.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$70.20 |
$108 |
1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$67.60 |
$104 |
2.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$245.05 |
$377 |
2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$5,929.85 |
— |
74.1× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$6,471.72 |
— |
27.4× |
Therapeutic Activities (97530)
range across 4 matching MRF lines |
$66.30–$70.20 |
$102–$108 |
varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$20.80 |
$32 |
0.5× |
| Tte w/doppler, complete (93306) |
$1,714.70 |
$2,638 |
2.8× |
| Tte W/O Doppler Complete (93307) |
$812.50 |
$1,250 |
3.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$252.85 |
$389 |
3.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$12,208.82 |
— |
234.6× |
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines |
$217.10–$250.25 |
$334–$385 |
varies |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines |
$299.65–$321.75 |
$461–$495 |
varies |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,783.60 |
$2,744 |
4.3× |
| Vent Mgmt Inpat Init Day (94002) |
$1,760.20 |
$2,708 |
2.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,558.70 |
$2,398 |
2.3× |
| Visual Field Exam Extended (92083) |
$60.45 |
$93 |
0.4× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$46.80 |
$72 |
0.7× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$31.85 |
$49 |
0.5× |
| Vital capacity, total (94150) |
$698.75 |
— |
4.9× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$65 |
$100 |
2.1× |
| Whirlpool Therapy (97022) |
$74.10 |
$114 |
4.7× |