| Airway Inhalation Treatment (94640) |
— |
$132 |
— |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
— |
$45 |
— |
| Allg tstg perq & ic venoms immed react w/i&r (95017) |
— |
$19 |
— |
| Analyze Neurostim Simple (95971) |
— |
$182 |
— |
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines |
— |
$67–$78 |
— |
| Assessment of aphasia per hr (96105) |
— |
$343 |
— |
| Assmt & care planning pt w/cognitive impairment (99483) |
— |
$511 |
— |
| Behavral qualit analys voice (92524) |
— |
$226 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$443 |
— |
| Canalith repositioning proc (95992) |
— |
$191 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$721 |
— |
Cardiopulmonary resuscitation (92950)
range across 5 matching MRF lines |
— |
$125–$678 |
— |
| Cardioversion (92960) |
— |
$1,088 |
— |
| Cbt 1st hour (94644) |
— |
$311 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$174 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$167 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$372 |
— |
| Chemo IV push addl drug (96411) |
— |
$246 |
— |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
— |
$240 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$125 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$862 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$411 |
— |
| Chest Wall Manipulation (94668) |
— |
$188 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,063 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$1,063 |
— |
| Comprehensive Hearing Test (92557) |
— |
$147 |
— |
| Conditioning Play Audiometry (92582) |
— |
$398 |
— |
Continuous Pulse Ox (94762)
range across 2 matching MRF lines |
— |
$512–$538 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$478 |
— |
| Cpt initial (94667) |
— |
$188 |
— |
Critical care first hour (99291)
range across 2 matching MRF lines |
— |
$1,806–$1,808 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines |
— |
$292–$386 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$764 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$764 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,063 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$1,063 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,063 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$1,058 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,063 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$1,063 |
— |
| Ear and throat examination (92502) |
— |
$307 |
— |
| ECG/monitoring and analysis (93271) |
— |
$475 |
— |
| Echo Congenital Complete (93303) |
— |
$1,278 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,274 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$732 |
— |
| EEG awake and asleep (95819) |
— |
$620 |
— |
| EEG awake drowsy (95816) |
— |
$688 |
— |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
— |
$139 |
— |
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 2 matching MRF lines |
— |
$97–$275 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$97 |
— |
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines |
— |
$240–$303 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$469 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$721 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$1,230 |
— |
| Emg 3 Extremities (95863) |
— |
$401 |
— |
| Emg 4 Extremities (95864) |
— |
$426 |
— |
| Er level 1 (99281) |
— |
$302 |
— |
| Er level v (99285) |
— |
$1,910 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$132 |
— |
| Evaluate Speech Production (92522) |
— |
$257 |
— |
| Evaluate Swallowing Function (92610) |
— |
$384 |
— |
| Evaluation of speech fluency (92521) |
— |
$257 |
— |
Evoked Auditory Test,Limited (92587)
range across 2 matching MRF lines |
— |
$249–$274 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$459 |
— |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
— |
$455 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$417 |
— |
| External ECG rec>7d<15d scanning alys w/report (93247) |
— |
$412 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$412 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,063 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$1,278 |
— |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
— |
$223 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$384 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
— |
$318 |
— |
| Holter monitor recording (93225) |
— |
$417 |
— |
Immunization administration (90471)
range across 2 matching MRF lines |
— |
$35–$40 |
— |
| Ingestion challenge test initial 120 minutes (95076) |
— |
$365 |
— |
| Intracutaneous tests w/allergenic extracts (95024) |
— |
$20 |
— |
| Iontophoresis 15 min (97033) |
— |
$89 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$184 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$237 |
— |
IV infusion hydration initial 31 min-1 hour (96360)
range across 5 matching MRF lines |
— |
$246–$298 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$298 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$298 |
— |
| IV push initial (96374) |
— |
$167 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$56 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$54 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$348 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$2,212 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$353 |
— |
| Muscle Test One Limb (95860) |
— |
$312 |
— |
| Nasopharyngoscopy (92511) |
— |
$2,419 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$998 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$486 |
— |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines |
— |
$344–$361 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$663 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$233 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$1,514 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$459 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$684 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$908 |
— |
| Neuromuscular Reeducation (97112) |
— |
$132 |
— |
| Nitric oxide expired gas determination (95012) |
— |
$63 |
— |
| Oral Function Therapy (92526) |
— |
$248 |
— |
| Oral Speech Device Eval (92597) |
— |
$228 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$134 |
— |
| Ot eval high complexity (97167) |
— |
$338 |
— |
| Ot Eval Low Complex (97165) |
— |
$338 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$338 |
— |
| Ot manual therapy 15 min (97140) |
— |
$122 |
— |
| Ot paraffin bath (97018) |
— |
$67 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$182 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$286 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$159 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$332 |
— |
| Percutaneous tests w/allergenic extracts (95004) |
— |
$18 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$76 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$693 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$693 |
— |
| Physical Performance Test (97750) |
— |
$95 |
— |
| Plethysmography (94726) |
— |
$740 |
— |
| Pm device eval in person (93288) |
— |
$85 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$2,212 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$2,212 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$2,212 |
— |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
— |
$27 |
— |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
— |
$84 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$44 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$49 |
— |
| Pt Eval High Complex (97163) |
— |
$270 |
— |
| Pt eval low complex 20 min (97161) |
— |
$270 |
— |
| Pt Eval Mod Complex (97162) |
— |
$270 |
— |
| Pt gait training 15 min (97116) |
— |
$112 |
— |
| Pt mechanical traction (97012) |
— |
$88 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$181 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$85 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$183 |
— |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
— |
$57 |
— |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
— |
$26 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$320 |
— |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
— |
$26 |
— |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
— |
$40 |
— |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
— |
$61 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$119 |
— |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines |
— |
$294–$309 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$60 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$192 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$81 |
— |
| Self Care Mngment Training (97535) |
— |
$128 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$296 |
— |
| Speech sound lang comprehen (92523) |
— |
$433 |
— |
Spin/Brain Pump Refil & Main (95991)
range across 2 matching MRF lines |
— |
$515–$625 |
— |
| Spirometry (94010) |
— |
$665 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$240 |
— |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines |
— |
$110–$111 |
— |
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines |
— |
$110–$160 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$110 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$168 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$167 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$459 |
— |
| Therapeutic Activities (97530) |
— |
$134 |
— |
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines |
— |
$44–$46 |
— |
| Tte w/doppler, complete (93306) |
— |
$3,387 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,274 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$206 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$102 |
— |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines |
— |
$72–$167 |
— |
| Tympanometry (92567) |
— |
$57 |
— |
| Vasopneumatic device (97016) |
— |
$197 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$2,547 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,899 |
— |
| Vital capacity, total (94150) |
— |
$243 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$116 |
— |
Whirlpool Therapy (97022)
range across 6 matching MRF lines |
— |
$72–$74 |
— |