| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$144 |
$180 |
0.7× |
| Airway Inhalation Treatment (94640) |
$151.20 |
$189 |
0.7× |
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines |
$88.80–$94.40 |
$111–$118 |
varies |
| Application Modality 1/> Areas Infrared (97026) |
$76 |
$95 |
11.4× |
| Behavral qualit analys voice (92524) |
$359.20 |
$449 |
3.3× |
| Biofeedback training any modality (90901) |
$171.20 |
$214 |
4.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$496.80 |
$621 |
1.3× |
| Canalith repositioning proc (95992) |
$238.40 |
$298 |
5.9× |
| Car seat/bed test 60 min (94780) |
$88.80 |
$111 |
2.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,092 |
$1,365 |
5.0× |
| Cardiopulmonary resuscitation (92950) |
$899.20 |
$1,124 |
4.1× |
| Cardioversion (92960) |
$1,666.40 |
$2,083 |
2.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$60 |
$75 |
2.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$16,595.20 |
$20,744 |
5.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$15,180.80 |
$18,976 |
4.6× |
| Cbt 1st hour (94644) |
$387.20 |
$484 |
2.8× |
| Chemo Anti-Neopl Sq/Im (96401) |
$220 |
$275 |
3.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$212.80 |
$266 |
2.9× |
| Chemo IV infusion addl hr (96415) |
$299.20 |
$374 |
4.1× |
| Chemo IV push addl drug (96411) |
$322.40 |
$403 |
4.4× |
| Chemother Prolong Infuse W/Pump (96416) |
$783.20 |
$979 |
2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$337.60 |
$422 |
4.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$720 |
$900 |
2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$369.60 |
$462 |
1.1× |
| Chest Wall Manipulation (94668) |
$142.40 |
$178 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$1,623.20 |
$2,029 |
6.7× |
| Color/duplex Doppler, limited (93976) |
$958.40 |
$1,198 |
9.0× |
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines |
$116–$136.80 |
$145–$171 |
varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$412.80 |
$516 |
3.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$172.80 |
$216 |
2.9× |
| Continuous Pulse Ox (94762) |
$357.60 |
$447 |
2.7× |
| Coronary Art/Grft Angio S&I (93455) |
$11,132 |
$13,915 |
3.4× |
| Coronary Artery Angio S&I (93454) |
$10,640.80 |
$13,301 |
3.2× |
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 5 matching MRF lines |
$224–$708.80 |
$280–$886 |
varies |
| Cpt initial (94667) |
$253.60 |
$317 |
1.9× |
| Critical care first hour (99291) |
$2,851.20 |
$3,564 |
3.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$437.60 |
$547 |
2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,316 |
$1,645 |
5.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$864.80 |
$1,081 |
8.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$786.40 |
$983 |
7.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,419.20 |
$1,774 |
5.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,066.40 |
$1,333 |
10.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,285.60 |
$1,607 |
5.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$973.60 |
$1,217 |
9.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$874.40 |
$1,093 |
3.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$536 |
$670 |
5.0× |
| Duplex Scan Hemodialysis Access (93990) |
$701.60 |
$877 |
6.6× |
| Duplex up extrem art bilat (93930) |
$1,183.20 |
$1,479 |
4.9× |
| Duplex up extrem art unilat/ltd (93931) |
$928.80 |
$1,161 |
8.7× |
| Echo Congenital Complete (93303) |
$1,857.60 |
$2,322 |
3.3× |
| Echo Heart Xthoracic,Limited (93308) |
$841.60 |
$1,052 |
3.5× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,902.40 |
$2,378 |
3.4× |
| Echo transesophageal (93312) |
$2,676 |
$3,345 |
4.8× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,780.80 |
$2,226 |
3.2× |
| Eeg 41-60 Minutes (95812) |
$1,290.40 |
$1,613 |
5.8× |
| EEG awake and asleep (95819) |
$1,308.80 |
$1,636 |
5.9× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,541.60 |
$1,927 |
7.0× |
| EKG signal averaged (93278) |
$569.60 |
$712 |
9.5× |
| Electrical Stimulation Ea 15 Min (97032) |
$106.40 |
$133 |
7.2× |
| Electrocardiogram Tracing (93005) |
$228 |
$285 |
3.8× |
| Emergency Dept Visit Level 2 (99282) |
$510.40 |
$638 |
3.3× |
| Emergency Dept Visit Level 3 (99283) |
$712 |
$890 |
2.6× |
| Emergency Dept Visit Level 4 (99284) |
$984.80 |
$1,231 |
2.3× |
| Endomyocardial Biopsy (93505) |
$1,616 |
$2,020 |
0.5× |
| Er level 1 (99281) |
$309.60 |
$387 |
3.6× |
| Er level v (99285) |
$1,569.60 |
$1,962 |
2.6× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$2,243.20 |
$2,804 |
5.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$332 |
$415 |
2.5× |
| Evaluate pt use of inhaler (94664) |
$142.40 |
$178 |
0.6× |
| Evaluate Speech Production (92522) |
$341.60 |
$427 |
3.1× |
| Evaluate Swallowing Function (92610) |
$409.60 |
$512 |
4.8× |
| Evaluation of speech fluency (92521) |
$366.40 |
$458 |
2.7× |
| Exercise test for bronchospasm (94617) |
$497.60 |
$622 |
3.7× |
| External Ecg Scanning Analysis Report (93226) |
$723.20 |
$904 |
12.0× |
| Extracranial Bilat Study (93880) |
$1,155.20 |
$1,444 |
4.7× |
| Extracranial Uni/Ltd Study (93882) |
$773.60 |
$967 |
7.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,304.80 |
$1,631 |
2.3× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$420 |
$525 |
2.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,360.80 |
$2,951 |
6.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$2,321.60 |
$2,902 |
2.6× |
| Group Therapeutic Procedures (97150) |
$115.20 |
$144 |
6.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$17,390.40 |
$21,738 |
5.3× |
| Holter monitor recording (93225) |
$472 |
$590 |
3.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$33.60 |
$42 |
0.5× |
Immunization administration (90471)
range across 12 matching MRF lines |
$15.75–$82.40 |
$19.68–$103 |
varies |
| Insert/Place Heart Catheter (93503) |
$3,176.80 |
$3,971 |
2.0× |
| Intracranial Complete Study (93886) |
$1,158.40 |
$1,448 |
4.8× |
| Iontophoresis 15 min (97033) |
$113.60 |
$142 |
6.0× |
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines |
$138.40–$167.20 |
$173–$209 |
varies |
| IV infusion hydration each additional hour (96361) |
$146.40 |
$183 |
3.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$461.60 |
$577 |
2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$208 |
$260 |
2.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$161.60 |
$202 |
3.4× |
IV push initial (96374)
range across 4 matching MRF lines |
$20–$368 |
$25–$460 |
varies |
| L Hrt Art/Grft Angio (93459) |
$14,168.80 |
$17,711 |
4.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$1,099.20 |
$1,374 |
5.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$46.40 |
$58 |
1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$46.40 |
$58 |
1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$33.60 |
$42 |
2.0× |
Methacholine challenge (94070)
range across 2 matching MRF lines |
$1,023.20–$1,025.60 |
$1,279–$1,282 |
varies |
| Motility study esophagus (91010) |
$1,673.60 |
$2,092 |
4.4× |
| Motion Fluoroscopy/Swallow (92611) |
$428 |
$535 |
4.7× |
| Multiple Sleep Latency Test (95805) |
$3,174.40 |
$3,968 |
3.6× |
| Nasopharyngoscopy (92511) |
$308.80 |
$386 |
1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$695.20 |
$869 |
1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$712.80 |
$891 |
1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$372 |
$465 |
1.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$499.20 |
$624 |
1.2× |
| Neuromuscular Reeducation (97112) |
$120 |
$150 |
3.7× |
| Oral Function Therapy (92526) |
$258.40 |
$323 |
3.1× |
| Oral Speech Device Eval (92597) |
$308.80 |
$386 |
4.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$127.20 |
$159 |
2.5× |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines |
$134.40–$326.40 |
$168–$408 |
varies |
| Ot Contrast Bath Ea 15 Min (97034) |
$132 |
$165 |
9.4× |
| Ot eval high complexity (97167) |
$365.60 |
$457 |
3.6× |
| Ot Eval Low Complex (97165) |
$256.80 |
$321 |
2.6× |
| Ot Eval Moderate Complexity (97166) |
$267.20 |
$334 |
2.7× |
| Ot manual therapy 15 min (97140) |
$120 |
$150 |
4.3× |
| Ot paraffin bath (97018) |
$89.60 |
$112 |
14.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$263.20 |
$329 |
6.5× |
| Ot Re-Eval Est Plan Care (97168) |
$208 |
$260 |
3.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$252.80 |
$316 |
1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$240.80 |
$301 |
1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$330.40 |
$413 |
1.5× |
| Peripheral arterial disease rehab per session (93668) |
$120 |
$150 |
2.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$14,864.80 |
$18,581 |
2.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$25,256.80 |
$31,571 |
2.1× |
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines |
$176–$252.80 |
$220–$316 |
varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$200 |
$250 |
3.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$206.40 |
$258 |
3.4× |
Physical Performance Test (97750)
range across 10 matching MRF lines |
$72–$2,172 |
$90–$2,715 |
varies |
| Plethysmography (94726) |
$506.40 |
$633 |
1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,254.40 |
$5,318 |
4.8× |
| Prq Card Angio/Athrect 1 Art (92924) |
$14,518.40 |
$18,148 |
1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$18,580.80 |
$23,226 |
1.6× |
| Prq Card Stent/Ath/Angio (92933) |
$22,252.80 |
$27,816 |
1.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$21,621.60 |
$27,027 |
1.8× |
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
unusually low: confirm this is the full procedure |
$5,341.60 |
$6,677 |
0.5× |
| Pt Eval High Complex (97163) |
$352 |
$440 |
3.6× |
| Pt eval low complex 20 min (97161) |
$199.20 |
$249 |
2.0× |
| Pt Eval Mod Complex (97162) |
$243.20 |
$304 |
2.5× |
| Pt gait training 15 min (97116) |
$109.60 |
$137 |
3.8× |
| Pt group caregiver training (97552) |
$51.20 |
$64 |
2.3× |
| Pt Re-Eval Est Plan Care (97164) |
$208 |
$260 |
3.1× |
| Pulm function test by gas (94727) |
$129.60 |
$162 |
0.6× |
| Pulmonary service/procedure (94799) |
$207.20 |
$259 |
1.6× |
| Pulmonary Stress Testing (94618) |
$241.60 |
$302 |
1.8× |
| R Hrt Art/Grft Angio (93457) |
$15,844.80 |
$19,806 |
4.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$9,907.20 |
$12,384 |
3.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$9,907.20 |
$12,384 |
3.0× |
| R hrt coronary artery angio (93456) |
$14,424.80 |
$18,031 |
4.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$12,718.40 |
$15,898 |
3.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$13,004 |
$16,255 |
3.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$13,384.80 |
$16,731 |
4.0× |
| Remote 30 Day Ecg Rev/Report (93270) |
$310.40 |
$388 |
8.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$136.80 |
$171 |
2.3× |
| Right Heart Cath (93451) |
$8,684.80 |
$10,856 |
2.6× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines |
$205.60–$337.60 |
$257–$422 |
varies |
| Self Care Mngment Training (97535) |
$120 |
$150 |
3.7× |
| Sensory Integration Ea 15 Min (97533) |
$120 |
$150 |
2.0× |
| Slp caregiver training 1st 30 min (97550) |
$125.60 |
$157 |
2.4× |
| Speech sound lang comprehen (92523) |
$431.20 |
$539 |
1.9× |
| Spirometry (94010) |
$273.60 |
$342 |
1.2× |
| Standardized Cognitive Performance Testing (96125) |
$310.40 |
$388 |
3.0× |
| Stress Tte Only (93350) |
$1,927.20 |
$2,409 |
3.5× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$90.40 |
$113 |
1.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$357.60 |
$447 |
1.6× |
| Temp transcutaneous pacing (92953) |
$751.20 |
$939 |
1.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$94.40 |
$118 |
3.2× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$118.40 |
$148 |
2.5× |
| Ther/Proph/Diag Inj Ia (96373) |
$173.60 |
$217 |
0.8× |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines |
$20–$126.40 |
$25–$158 |
varies |
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines |
$449.60–$491.20 |
$562–$614 |
varies |
| Therapeutic Activities (97530) |
$125.60 |
$157 |
3.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$2,017.60 |
$2,522 |
5.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$38.40 |
$48 |
1.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$696.80 |
$871 |
6.5× |
| Tte w/doppler, complete (93306) |
$2,229.60 |
$2,787 |
4.0× |
| Tte W/O Doppler Complete (93307) |
$1,255.20 |
$1,569 |
5.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$314.40 |
$393 |
4.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$221.60 |
$277 |
9.2× |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines |
$20–$153.60 |
$25–$192 |
varies |
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines |
$1,027.20–$1,594.40 |
$1,284–$1,993 |
varies |
| Upr/L Xtremity Art 2 Levels (93922) |
$530.40 |
$663 |
3.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$948.80 |
$1,186 |
4.3× |
| Vent Mgmt Inpat Init Day (94002) |
$1,486.40 |
$1,858 |
2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,361.60 |
$1,702 |
2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$126.40 |
$158 |
4.1× |
| Whirlpool Therapy (97022) |
$110.40 |
$138 |
7.0× |