| 1St psychiatric collab care mgmt 1st 70 mins (99492) |
— |
$432 |
— |
Admn Sarscov2 Vacc 1 Dose (90480)
range across 3 matching MRF lines |
— |
$55–$57 |
— |
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines |
— |
$185–$256 |
— |
Airway Inhalation Treatment (94640)
range across 10 matching MRF lines |
— |
$65–$193 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$145 |
— |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
— |
$116 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$78 |
— |
| Application Modality 1/> Areas Diathermy (97024) |
— |
$58 |
— |
Application Modality 1/> Areas Infrared (97026)
range across 3 matching MRF lines |
— |
$42–$55 |
— |
| Application on-body injector (96377) |
— |
$76 |
— |
| Assessment of aphasia per hr (96105) |
— |
$278 |
— |
| Assmt & care planning pt w/cognitive impairment (99483) |
— |
$638 |
— |
| Behavral qualit analys voice (92524) |
— |
$416 |
— |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 5 matching MRF lines |
— |
$44–$352 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$356 |
— |
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines |
— |
$488–$1,910 |
— |
Cardioversion (92960)
range across 3 matching MRF lines |
— |
$983–$1,649 |
— |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
— |
$183 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$181 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$116 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$156 |
— |
| Chemo IV push addl drug (96411) |
— |
$225 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$476 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$258 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$502 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$358 |
— |
| Chest Wall Manipulation (94668) |
— |
$69 |
— |
| Chron Care Mgmt Srvc 20 Min (99490) |
— |
$123 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,071 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$529 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$92 |
— |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
— |
$328 |
— |
| Comprehensive Hearing Test (92557) |
— |
$138 |
— |
| Conditioning Play Audiometry (92582) |
— |
$180 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$277 |
— |
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines |
— |
$188–$193 |
— |
| Cpt initial (94667) |
— |
$70 |
— |
Critical care first hour (99291)
range across 3 matching MRF lines |
— |
$879–$1,865 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines |
— |
$224–$271 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$954 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$605 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,836 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,309 |
— |
| Duplex up extrem art bilat (93930) |
— |
$803 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$465 |
— |
Ear and throat examination (92502)
range across 2 matching MRF lines |
— |
$410–$629 |
— |
Echo Heart Xthoracic,Limited (93308)
range across 7 matching MRF lines |
— |
$408–$671 |
— |
Echo transesophageal (93312)
range across 5 matching MRF lines |
— |
$431–$724 |
— |
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines |
— |
$131–$1,003 |
— |
EEG awake and asleep (95819)
range across 2 matching MRF lines |
— |
$132–$887 |
— |
EEG awake drowsy (95816)
range across 2 matching MRF lines |
— |
$164–$784 |
— |
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines |
— |
$254–$1,215 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$72 |
— |
| Electrocardiogram Tracing (93005) |
— |
$170 |
— |
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines |
— |
$299–$311 |
— |
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines |
— |
$452–$466 |
— |
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines |
— |
$671–$691 |
— |
| Emg 3 Extremities (95863) |
— |
$394 |
— |
| Emg 4 Extremities (95864) |
— |
$615 |
— |
Er level 1 (99281)
range across 2 matching MRF lines |
— |
$222–$231 |
— |
Er level v (99285)
range across 2 matching MRF lines |
— |
$1,404–$1,624 |
— |
Esophageal Capsule Endoscopy (91111)
range across 2 matching MRF lines |
— |
$2,257–$3,010 |
— |
Esophgl Balo Distension Dx Std W/Provocation (91040)
range across 2 matching MRF lines |
— |
$1,357–$1,809 |
— |
Esophgl funcj g-esop rflx impd eltrd prolng (91038)
range across 2 matching MRF lines |
— |
$1,025–$1,367 |
— |
| Evaluate Speech Production (92522) |
— |
$416 |
— |
| Evaluate Swallowing Function (92610) |
— |
$267 |
— |
| Evaluation of speech fluency (92521) |
— |
$416 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$172 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$65 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$65 |
— |
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines |
— |
$316–$555 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,612 |
— |
| Fundus photography (92250) |
— |
$94 |
— |
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037)
range across 2 matching MRF lines |
— |
$411–$548 |
— |
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines |
— |
$915–$1,218 |
— |
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines |
— |
$2,257–$2,511 |
— |
| Group Therapeutic Procedures (97150) |
— |
$46 |
— |
| Holter monitor recording (93225) |
— |
$353 |
— |
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines |
— |
$56–$60 |
— |
Immunization administration (90471)
range across 3 matching MRF lines |
— |
$55–$57 |
— |
Inital newborn e/m (99460)
range across 2 matching MRF lines |
— |
$212–$306 |
— |
| Iontophoresis 15 min (97033) |
— |
$72 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$178 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$78 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$249 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$181 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$148 |
— |
IV push initial (96374)
range across 3 matching MRF lines |
— |
$212–$213 |
— |
Low frequency non-thermal us (97610)
range across 3 matching MRF lines |
— |
$139–$155 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$573 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$45 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$45 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$29 |
— |
Methacholine challenge (94070)
range across 4 matching MRF lines |
— |
$66–$384 |
— |
Motility study esophagus (91010)
range across 2 matching MRF lines |
— |
$401–$529 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$372 |
— |
| Multiple Family Group Psychotherapy (90849) |
— |
$168 |
— |
Muscle Test 2 Limbs (95861)
range across 2 matching MRF lines |
— |
$178–$358 |
— |
Muscle Test One Limb (95860)
range across 2 matching MRF lines |
— |
$88–$245 |
— |
Nasopharyngoscopy (92511)
range across 2 matching MRF lines |
— |
$331–$522 |
— |
| Needle electromyography larynx (95865) |
— |
$2,767 |
— |
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines |
— |
$505–$520 |
— |
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines |
— |
$304–$626 |
— |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines |
— |
$136–$313 |
— |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines |
— |
$266–$273 |
— |
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines |
— |
$67–$133 |
— |
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines |
— |
$510–$734 |
— |
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines |
— |
$80–$162 |
— |
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines |
— |
$132–$262 |
— |
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines |
— |
$295–$588 |
— |
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines |
— |
$178–$357 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$416 |
— |
| Neuromuscular Reeducation (97112) |
— |
$92 |
— |
| Newborn resuscitation (99465) |
— |
$486 |
— |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
— |
$83 |
— |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
— |
$111 |
— |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
— |
$43 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$262 |
— |
| Oral Function Therapy (92526) |
— |
$267 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$199 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$173 |
— |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
— |
$81 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$58 |
— |
| Ot eval high complexity (97167) |
— |
$241 |
— |
| Ot Eval Low Complex (97165) |
— |
$222 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$212 |
— |
| Ot manual therapy 15 min (97140) |
— |
$92 |
— |
| Ot paraffin bath (97018) |
— |
$67 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$80 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$168 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$210 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$573 |
— |
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines |
— |
$193–$199 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$161 |
— |
| Physical Performance Test (97750) |
— |
$171 |
— |
| Plethysmography (94726) |
— |
$289 |
— |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines |
— |
$597–$3,743 |
— |
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines |
— |
$44–$47 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$49 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$359 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$113 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$239 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$200 |
— |
| Pt Eval High Complex (97163) |
— |
$220 |
— |
| Pt eval low complex 20 min (97161) |
— |
$199 |
— |
| Pt Eval Mod Complex (97162) |
— |
$210 |
— |
| Pt gait training 15 min (97116) |
— |
$85 |
— |
| Pt mechanical traction (97012) |
— |
$31 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$184 |
— |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
— |
$32 |
— |
| Pulm function test by gas (94727) |
— |
$220 |
— |
| Pulmonary service/procedure (94799) |
— |
$34 |
— |
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines |
— |
$248–$252 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$115 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$509 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$92 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$111 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$24 |
— |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines |
— |
$75–$123 |
— |
| Sbsq Psyc Collab Care Mgmt (99493) |
— |
$378 |
— |
| Self Care Mngment Training (97535) |
— |
$79 |
— |
| Sleep study unattended (95806) |
— |
$802 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$171 |
— |
| Slp Stdy Unatnd W/Anal (95801) |
— |
$603 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$792 |
— |
| Speech Audiometry Complete (92556) |
— |
$139 |
— |
| Speech sound lang comprehen (92523) |
— |
$416 |
— |
Spirometry (94010)
range across 5 matching MRF lines |
— |
$136–$226 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$187 |
— |
| Stenger Test, Pure Tone (92565) |
— |
$53 |
— |
Stress Tte Only (93350)
range across 6 matching MRF lines |
— |
$755–$770 |
— |
| Subcutaneous Infusion Each Additional Hour (96370) |
— |
$94 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$628 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$402 |
— |
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines |
— |
$36–$570 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$96 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$79 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$90 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$72 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 6 matching MRF lines |
— |
$84–$87 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$312 |
— |
| Therapeutic Activities (97530) |
— |
$90 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$99 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$48 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$564 |
— |
| Trans Care Mgmt 7 Day Disch (99496) |
— |
$639 |
— |
Tte w/doppler, complete (93306)
range across 3 matching MRF lines |
— |
$860–$2,512 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$448 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$156 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$247 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$148 |
— |
| Tympanometry (92567) |
— |
$59 |
— |
| Unlisted otorhinolaryngological service (92700) |
— |
$133 |
— |
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines |
— |
$391–$803 |
— |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines |
— |
$402–$570 |
— |
Vasopneumatic device (97016)
range across 2 matching MRF lines |
— |
$82–$87 |
— |
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines |
— |
$490–$500 |
— |
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines |
— |
$205–$208 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$180 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$80 |
— |
| Whirlpool Therapy (97022) |
— |
$106 |
— |