| 1St psychiatric collab care mgmt 1st 70 mins (99492) |
$70.20 |
$108 |
0.6× |
| Ablate Heart Dysrhythm Focus (93650) |
$8,183.50 |
$12,590 |
1.0× |
| Acoustic Reflex Testing (92568) |
$31.85 |
$49 |
0.8× |
| Actigraphy Testing Recording Analysis I&R (95803) |
$204.10 |
$314 |
3.2× |
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines |
$13.08–$55.25 |
$20.13–$85 |
varies |
| Advncd Care Plan 30 Min (99497) |
$172.25 |
— |
1.6× |
| Aep neurodiagnostic i&r (92653) |
$527.15 |
$811 |
2.3× |
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines |
$325–$379.60 |
— |
varies |
| Analyze neurostim complex (95972) |
$92.30 |
$142 |
0.9× |
| Analyze neurostim no prog (95970) |
$33.15 |
$51 |
0.2× |
| Analyze Neurostim Simple (95971) |
$79.95 |
$123 |
0.8× |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
$325.65 |
$501 |
0.8× |
| 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) |
$100.10 |
$154 |
2.0× |
| Arrhythmia Induction (93618) |
$3,714.10 |
$5,714 |
2.8× |
| Assessment of aphasia per hr (96105) |
$245.05 |
$377 |
2.5× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$94.90 |
$146 |
0.9× |
| Audiometry Air & Bone (92553) |
$61.10 |
$94 |
0.4× |
| Basic vestibular evaluation (92540) |
$169.65 |
$261 |
0.7× |
| 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× |
| Blink reflex test (95933) |
$87.75 |
$135 |
1.4× |
| Breathing response to hypoxia (94450) |
$353.60 |
$544 |
2.5× |
| Brief Emotional/Behav Assmt (96127) |
$136.67 |
— |
3.4× |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines |
$540.15–$1,309.72 |
— |
varies |
C motor evoked uppr limbs (95928)
range across 2 matching MRF lines |
$32,123.06–$35,874.68 |
— |
varies |
| Caloric vestibular test w/rec bi monothermal (92538) |
$27.95 |
$43 |
0.1× |
| Caloric Vstblr Test W/Rec (92537) |
$118.30 |
$182 |
0.9× |
Canalith repositioning proc (95992)
range across 2 matching MRF lines |
$11.70–$100.75 |
$18–$155 |
varies |
| Car seat/bed test 60 min (94780) |
$235.95 |
$363 |
5.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$761.15 |
$1,171 |
3.3× |
| Cardiopulmonary exercise testing (94621) |
$681.85 |
$1,049 |
1.7× |
| Cardiopulmonary resuscitation (92950) |
$741.65 |
$1,141 |
3.2× |
| Cardioversion (92960) |
$2,087.44 |
— |
2.9× |
| Cardioversion elective internal (92961) |
$1,529.45 |
$2,353 |
2.1× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$139.35 |
— |
3.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$15,746.90 |
$24,226 |
4.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$16,889.36 |
— |
4.8× |
| Cbt 1st hour (94644) |
$154.05 |
$237 |
1.1× |
| Chemo Anti-Neopl Sq/Im (96401) |
$162.50 |
$250 |
2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$130 |
$200 |
1.7× |
| Chemo Intralesional Over 7 (96406) |
$391.95 |
$603 |
1.7× |
| Chemo intralesional up to 7 (96405) |
$128.70 |
$198 |
1.7× |
| Chemo IV infusion addl hr (96415) |
$172.25 |
$265 |
2.2× |
| Chemo IV push addl drug (96411) |
$281.45 |
$433 |
3.6× |
| Chemother Prolong Infuse W/Pump (96416) |
$713.05 |
$1,097 |
2.0× |
| Chemotherapy Into Cns (96450) |
$640.25 |
$985 |
1.8× |
| Chemotherapy Unspecified (96549) |
$205.40 |
$316 |
4.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$239.20 |
$368 |
3.1× |
| 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× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$255.45 |
$393 |
0.7× |
| Chest Wall Manipulation (94668) |
$22,945.21 |
— |
159.7× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$70.20 |
$108 |
0.6× |
| Cmptr ophth dx img ant segmt (92132) |
$44.85 |
$69 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$801.45 |
$1,233 |
3.1× |
| Color/duplex Doppler, limited (93976) |
$1,207.70 |
— |
10.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$78 |
$120 |
2.4× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$65 |
$100 |
0.3× |
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines |
$105.30–$118.30 |
$162–$182 |
varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$44.85 |
$69 |
0.7× |
| Computerized Ophthalmic Imaging Retina (92134) |
$44.85 |
$69 |
0.7× |
| Conditioning Play Audiometry (92582) |
$142.35 |
$219 |
1.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$94.25 |
$145 |
1.5× |
| Continuous Pulse Ox (94762) |
$188.50 |
$290 |
1.4× |
| Coronary Art/Grft Angio S&I (93455) |
$6,395.35 |
$9,839 |
1.8× |
Coronary Artery Angio S&I (93454)
range across 2 matching MRF lines |
$9,622.57–$37,049.49 |
— |
varies |
| 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 3 matching MRF lines |
$3,513.90–$16,257.15 |
$5,406–$25,011 |
varies |
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929)
range across 2 matching MRF lines |
$47,817.96–$58,824.96 |
— |
varies |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
$141.70–$256.10 |
— |
varies |
Developmental tst admin phys/qhp 1st hour (96112)
range across 4 matching MRF lines |
$118.30–$276.25 |
$182–$425 |
varies |
Dialysis One Evaluation (90945)
range across 5 matching MRF lines |
$754.65–$768.95 |
$1,161–$1,183 |
varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$235.30 |
$362 |
0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$618.80 |
$952 |
2.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$482.30 |
$742 |
4.3× |
| 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 |
3.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$941.20 |
$1,448 |
3.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$609.70 |
$938 |
5.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$524.55 |
$807 |
2.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$253.50 |
$390 |
2.2× |
| Duplex Scan Hemodialysis Access (93990) |
$451.75 |
$695 |
4.0× |
| Duplex up extrem art bilat (93930) |
$563.55 |
$867 |
2.2× |
| Duplex up extrem art unilat/ltd (93931) |
$375.70 |
$578 |
3.3× |
| Echo Congenital Complete (93303) |
$1,375.40 |
$2,116 |
2.3× |
| Echo Heart Xthoracic,Limited (93308) |
$693.55 |
$1,067 |
2.7× |
| Echo r-t 2d w/probe placement only (93313) |
$1,287.65 |
$1,981 |
2.2× |
| Echo transesophageal (93312) |
$2,195.70 |
$3,378 |
3.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,037.75 |
$3,135 |
3.5× |
| Eeg 41-60 Minutes (95812) |
$909.35 |
$1,399 |
3.9× |
| EEG awake and asleep (95819) |
$1,008.15 |
$1,551 |
4.3× |
| EEG awake drowsy (95816) |
$1,008.15 |
— |
4.3× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$2,601.95 |
$4,003 |
11.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,170 |
$1,800 |
5.0× |
| Eeg Sleep Only (95822) |
$925.60 |
$1,424 |
4.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$2,601.95 |
$4,003 |
11.2× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$2,601.95 |
$4,003 |
11.2× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$1,783.60 |
$2,744 |
4.4× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$80.60 |
$124 |
0.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$92.30 |
$142 |
0.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$35.10 |
$54 |
0.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$63.70 |
$98 |
4.3× |
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines |
$165.10–$5,779.15 |
— |
varies |
| Electrophysiology Evaluation (93642) |
$2,983.50 |
$4,590 |
2.3× |
| Emergency Dept Visit Level 2 (99282) |
$430.79 |
— |
2.6× |
| Emergency Dept Visit Level 3 (99283) |
$1,144.36 |
— |
3.9× |
| Emergency Dept Visit Level 4 (99284) |
$2,518.81 |
— |
5.6× |
| Endomyocardial Biopsy (93505) |
$3,630.25 |
$5,585 |
1.1× |
| Ep & ablate supravent arrhyt (93653) |
$24,922.30 |
$38,342 |
0.9× |
| Ep & ablate ventric tachy (93654) |
$19,649.50 |
$30,230 |
0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$10,528.05 |
$16,197 |
1.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$7,819.50 |
$12,030 |
0.9× |
| Er level 1 (99281) |
$223.60 |
— |
2.5× |
| Er level v (99285) |
$4,168.90 |
— |
6.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$819.65 |
$1,261 |
2.0× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$262.60 |
$404 |
1.9× |
| Evaluate Speech Production (92522) |
$312.65 |
$481 |
2.8× |
| Evaluate Swallowing Function (92610) |
$338 |
$520 |
4.0× |
| Evaluation of speech fluency (92521) |
$312.65 |
$481 |
2.3× |
| External ECG rec>48hr<7d recording (93242) |
$215.80 |
— |
5.4× |
| External ECG rec>7d<15d recording (93246) |
$402.35 |
$619 |
10.0× |
| External Ecg Scanning Analysis Report (93226) |
$402.35 |
$619 |
6.3× |
| Extracranial Bilat Study (93880) |
$857.35 |
$1,319 |
3.3× |
| Extracranial Uni/Ltd Study (93882) |
$717.60 |
$1,104 |
6.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,021.80 |
$1,572 |
1.7× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$329.55 |
$507 |
1.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$1,828.45 |
$2,813 |
2.0× |
| Fundus photography (92250) |
$97.50 |
$150 |
0.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$235.30 |
$362 |
1.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$4,391.76 |
— |
4.7× |
| Health Behavior Assessment/Re-Assessment (96156) |
$70.20 |
$108 |
0.6× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$22.75 |
$35 |
0.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$22.75 |
$35 |
0.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$121.55 |
$187 |
0.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$10,390.90 |
$15,986 |
3.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$874.25 |
$1,345 |
1.2× |
| High altitude simulation test (94452) |
$169.65 |
$261 |
1.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$154.05 |
$237 |
1.1× |
| Holter monitor recording (93225) |
$402.35 |
$619 |
2.8× |
| Icd Device Interrogate (93289) |
$94.25 |
$145 |
2.3× |
| Icd device progr eval dual (93283) |
$112.45 |
$173 |
2.8× |
| Icd Device Progr Eval Mult (93284) |
$81.90 |
$126 |
2.0× |
| Icm Device Eval (93290) |
$61.75 |
$95 |
1.5× |
| Ilr Device Eval Progr (93285) |
$59.80 |
$92 |
1.5× |
| Ilr Device Interrogate (93291) |
$41.60 |
$64 |
1.3× |
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines |
$13.08–$53.95 |
$20.13–$83 |
varies |
Immunization administration (90471)
range across 2 matching MRF lines |
$53.95–$117.25 |
— |
varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$1,842.07 |
— |
4.6× |
| Insert/Place Heart Catheter (93503) |
$3,573.05 |
$5,497 |
2.1× |
| Interrogate Subq Defib (93261) |
$61.10 |
$94 |
1.5× |
| Interrogation vad in person (93750) |
$69.55 |
$107 |
0.7× |
| Intra-atrial recording (93602) |
$5,675.80 |
$8,732 |
0.7× |
| Intracranial Complete Study (93886) |
$744.25 |
$1,145 |
2.9× |
| 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) |
$15,071.68 |
— |
298.1× |
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines |
$2,308.80–$11,395.96 |
— |
varies |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$26,165.94 |
— |
336.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$10,773.78 |
— |
213.1× |
| IV push initial (96374) |
$1,106.43 |
— |
4.8× |
| L Hrt Art/Grft Angio (93459) |
$13,455.65 |
$20,701 |
3.8× |
| Laryngeal Function Studies (92520) |
$247.65 |
$381 |
1.7× |
| Liver Elastography W/O Imag W/I&R (91200) |
$287.95 |
$443 |
2.1× |
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines |
$744.25–$1,099.15 |
— |
varies |
| 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 |
— |
1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$76.70 |
— |
2.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$27.95 |
$43 |
1.6× |
| Methacholine challenge (94070) |
$791.70 |
$1,218 |
2.0× |
Motility study esophagus (91010)
range across 2 matching MRF lines |
$401.05–$1,070.55 |
$617–$1,647 |
varies |
| Motion Fluoroscopy/Swallow (92611) |
$295.75 |
$455 |
3.2× |
| Multiple Sleep Latency Test (95805) |
$1,860.95 |
$2,863 |
2.0× |
| Muscle Test 2 Limbs (95861) |
$48,263.81 |
— |
336.0× |
| Muscle Test Hemidiaphragm (95866) |
$155.35 |
$239 |
1.1× |
| Muscle Test Nonparaspinal (95870) |
$97.50 |
$150 |
0.7× |
| Muscle Test One Limb (95860) |
$137.80 |
$212 |
1.0× |
| Nasopharyngoscopy (92511) |
$332.15 |
— |
1.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$618.80 |
$952 |
2.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$235.30 |
$362 |
1.0× |
| 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× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$118.30 |
$182 |
0.5× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$401.05 |
$617 |
1.0× |
| Nerve conduction studies 13 or more studies (95913) |
$226.85 |
$349 |
0.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$99.45 |
$153 |
0.4× |
| Nerve conduction studies 5-6 studies (95909) |
$120.25 |
$185 |
0.5× |
| Nerve conduction studies 7-8 studies (95910) |
$157.30 |
$242 |
0.4× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$182 |
$280 |
0.5× |
| Neurobehavioral Status Exam (96116) |
$237.25 |
$365 |
1.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$141.70 |
$218 |
1.0× |
| Neuromuscular Reeducation (97112) |
$70.20 |
$108 |
2.1× |
| Nitric oxide expired gas determination (95012) |
$113.10 |
$174 |
2.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$261.95 |
$403 |
0.7× |
| 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× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$26.65 |
$41 |
1.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$62.40 |
$96 |
2.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$35.75 |
$55 |
1.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$37.05 |
$57 |
1.6× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$19.50 |
$30 |
0.8× |
| 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× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$151.45 |
$233 |
1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$280.15 |
$431 |
1.2× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) |
$12,434.50 |
$19,130 |
0.6× |
| Perq Transcath Cls Aortic (93591) |
$16,680.95 |
$25,663 |
0.8× |
| Perq Transcath Cls Mitral (93590) |
$12,076.35 |
$18,579 |
0.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$8,920.60 |
$13,724 |
1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$11,029.20 |
$16,968 |
0.9× |
| Phlebotomy therapeutic (99195) |
$199.55 |
$307 |
1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$129.35 |
$199 |
2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$128.05 |
$197 |
2.0× |
Physical Performance Test (97750)
range across 6 matching MRF lines |
$63.70–$67.60 |
$98–$104 |
varies |
Plethysmography (94726)
range across 2 matching MRF lines |
$540.15–$1,309.72 |
— |
varies |
| Pm device eval in person (93288) |
$236.60 |
— |
5.9× |
| Pm device progr eval dual (93280) |
$70.20 |
$108 |
1.7× |
| Pm device progr eval multi (93281) |
$61.10 |
$94 |
1.5× |
| Pm Device Progr Eval Sngl (93279) |
$87.75 |
$135 |
2.2× |
| Pm/Icd Remote Tech Serv (93296) |
$104.65 |
$161 |
2.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,029 |
$4,660 |
3.3× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,029 |
$4,660 |
3.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,240.25 |
$4,985 |
3.5× |
| Positional nystagmus test (92542) |
$469.95 |
— |
3.3× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$128.05 |
$197 |
3.2× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$70.20 |
$108 |
0.6× |
| Prq Card Angio/Athrect 1 Art (92924) |
$10,452.65 |
$16,081 |
0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$12,013.95 |
$18,483 |
1.0× |
| Prq Card Stent/Ath/Angio (92933) |
$13,538.85 |
$20,829 |
0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$12,013.95 |
$18,483 |
1.0× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$13,858.65 |
$21,321 |
0.7× |
| Prq trl rvs ch occ ant&rtrgr (92945) |
$16,204.50 |
$24,930 |
1.3× |
| Psych diag eval w/med srvcs (90792) |
$96.85 |
$149 |
0.5× |
| Psychiatric diagnostic evaluation (90791) |
$125.45 |
$193 |
0.7× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$261.95 |
$403 |
1.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$252.85 |
$389 |
1.8× |
| Psytx Crisis Initial 60 Min (90839) |
$327.60 |
$504 |
1.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$90.35 |
$139 |
2.4× |
| 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× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$22.75 |
$35 |
0.6× |
| Pulm function test by gas (94727) |
$259.35 |
$399 |
1.1× |
| Pulmonary service/procedure (94799) |
$241.15 |
$371 |
1.7× |
| Pulmonary Stress Testing (94618) |
$199.55 |
— |
1.4× |
| Pure Tone Audiometry Air (92552) |
$63.70 |
$98 |
0.4× |
| R Hrt Art/Grft Angio (93457) |
$8,765.25 |
$13,485 |
2.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$5,183.10 |
$7,974 |
1.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$5,183.10 |
$7,974 |
1.5× |
| R hrt coronary artery angio (93456) |
$5,261.75 |
$8,095 |
1.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$9,278.75 |
$14,275 |
2.7× |
Rectal sensation tone&compliance study (91124)
range across 2 matching MRF lines |
$172.90–$668.20 |
$266–$1,028 |
varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$464.10 |
$714 |
1.3× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$68.25 |
$105 |
1.7× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$144.95 |
$223 |
3.6× |
| Remote 30 Day Ecg Rev/Report (93270) |
$601.25 |
$925 |
14.9× |
| Respiratory flow volume loop (94375) |
$40.95 |
$63 |
0.2× |
| Right Heart Cath (93451) |
$5,107.70 |
$7,858 |
1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$202.80 |
$312 |
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× |
| Sbsq Psyc Collab Care Mgmt (99493) |
$70.20 |
$108 |
0.6× |
| Self Care Mngment Training (97535) |
$67.60 |
$104 |
2.1× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$76.70 |
$118 |
1.2× |
| Sensory Integration Ea 15 Min (97533) |
$58.50 |
$90 |
1.0× |
| Short-latency somatosens ep std upr limbs (95925) |
$732.55 |
$1,127 |
3.1× |
| Sleep study unattended (95806) |
$504.40 |
$776 |
2.2× |
| Slp caregiver training 1st 30 min (97550) |
$59.80 |
$92 |
1.1× |
Somatosensory Testing (95938)
range across 2 matching MRF lines |
$32,123.06–$33,674.52 |
— |
varies |
| Speech Audiometry Complete (92556) |
$44.85 |
$69 |
0.7× |
| Speech audiometry threshold (92555) |
$48.10 |
$74 |
0.8× |
| Speech sound lang comprehen (92523) |
$312.65 |
$481 |
1.4× |
Spirometry (94010)
range across 3 matching MRF lines |
$681.85–$1,100.45 |
— |
varies |
| Spontaneous Nystagmus Test (92541) |
$469.95 |
— |
3.3× |
Ssep lower limbs (95926)
range across 2 matching MRF lines |
$48,263.81–$51,949.92 |
— |
varies |
| Standardized Cognitive Performance Testing (96125) |
$245.70 |
$378 |
2.4× |
| Stress Tte Only (93350) |
$1,336.40 |
$2,056 |
2.3× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$35.10 |
$54 |
0.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$314.60 |
$484 |
1.4× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$124.15 |
$191 |
1.6× |
| Surfactant Admin Thru Tube (94610) |
$323.05 |
$497 |
1.4× |
| Temp transcutaneous pacing (92953) |
$1,233.70 |
$1,898 |
1.7× |
| 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/Prop/Diag Inj/Inf Proc (96379) |
$205.40 |
$316 |
4.1× |
| Ther/Proph/Diag Inj Ia (96373) |
$159.25 |
$245 |
0.7× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines |
$175.50–$221.65 |
— |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$3,051.98 |
— |
13.3× |
| Therapeutic Activities (97530) |
$70.20 |
$108 |
2.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$1,684.80 |
$2,592 |
4.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$124.80 |
— |
3.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$20.80 |
$32 |
0.5× |
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines |
$150.80–$190.45 |
— |
varies |
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines |
$150.80–$190.45 |
— |
varies |
| Transcath Closure of Asd (93580) |
$15,244.45 |
$23,453 |
0.8× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$575.25 |
$885 |
5.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$48.75 |
$75 |
1.2× |
| Tte w/doppler, complete (93306) |
$1,817.40 |
$2,796 |
3.1× |
| Tte W/O Doppler Complete (93307) |
$812.50 |
$1,250 |
3.2× |
| Tx atrial fib pulm vein isol (93656) |
$22,430.85 |
$34,509 |
0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$252.85 |
$389 |
3.3× |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines |
$15,988.31–$19,982.95 |
— |
varies |
| Tympanometry (92567) |
$29.90 |
$46 |
0.7× |
| Tympanometry and reflex threshold measurements (92550) |
$118.30 |
$182 |
0.5× |
Unlisted cardiovascular service/procedure (93799)
range across 8 matching MRF lines |
$473.85–$7,264.40 |
$729–$11,176 |
varies |
Unlisted otorhinolaryngological service (92700)
range across 2 matching MRF lines |
$22.75–$53.30 |
$35–$82 |
varies |
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines |
$217.10–$250.25 |
$334–$385 |
varies |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines |
$299.65–$321.75 |
$461–$495 |
varies |
| Valvuloplasty aortic valve (92986) |
$10,387.65 |
$15,981 |
1.7× |
| Valvuloplasty mitral valve (92987) |
$12,814.75 |
$19,715 |
1.0× |
| Vasopneumatic device (97016) |
$55.25 |
$85 |
4.6× |
| Veeg 2-12 hr unmonitored (95711) |
$2,601.95 |
$4,003 |
11.2× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,783.60 |
$2,744 |
4.4× |
| 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 Evoked Potential Test (95930) |
$1,025.70 |
$1,578 |
4.4× |
| Visual Field Exam Extended (92083) |
$97.50 |
$150 |
0.7× |
| Vital capacity, total (94150) |
$134.55 |
$207 |
1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$65 |
$100 |
2.1× |
| Whirlpool Therapy (97022) |
$74.10 |
$114 |
4.7× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$42.90 |
$66 |
1.1× |