| Ablate Heart Dysrhythm Focus (93650) |
$4,631.50 |
$9,263 |
0.6× |
| Acoustic Reflex Testing (92568) |
$145.50 |
$291 |
4.0× |
| Actinotherapy Ultraviolet Light (96900) |
$137 |
$274 |
3.8× |
| Acupunct W/Stimul 15 Min (97813) |
$107.50 |
$215 |
3.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$91.50 |
$183 |
3.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$20 |
$40 |
0.5× |
| Advncd Care Plan 30 Min (99497) |
$107.50 |
$215 |
1.1× |
| Aep neurodiagnostic i&r (92653) |
$916.50 |
$1,833 |
4.4× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$916.50 |
$1,833 |
4.4× |
Airway Inhalation Treatment (94640)
range across 21 matching MRF lines |
$138–$158.50 |
$276–$317 |
varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$210 |
$420 |
1.6× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$572 |
$1,144 |
4.4× |
| Analyze neurostim complex (95972) |
$614 |
$1,228 |
6.6× |
| Analyze neurostim no prog (95970) |
$326 |
$652 |
2.5× |
| Analyze Neurostim Simple (95971) |
$433.50 |
$867 |
4.7× |
| Analyze Pacemaker System (93724) |
$643.50 |
$1,287 |
2.1× |
| Ans parasymp & symp w/tilt (95924) |
$188.50 |
$377 |
0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$90.50 |
$181 |
6.3× |
| Application Modality 1/> Areas Diathermy (97024) |
$59 |
$118 |
8.0× |
| Application Modality 1/> Areas Infrared (97026) |
$14 |
$28 |
2.1× |
| Application on-body injector (96377) |
$84 |
$168 |
1.8× |
| Arrhythmia Induction (93618) |
$2,251 |
$4,502 |
1.9× |
| Art pressure waveform analys (93050) |
$55 |
$110 |
1.9× |
| Assessment of aphasia per hr (96105) |
$152 |
$304 |
1.6× |
| Audiometry Air & Bone (92553) |
$198.50 |
$397 |
1.6× |
| Auditory Function, 60 Min (92620) |
$401 |
$802 |
3.2× |
| Basic vestibular evaluation (92540) |
$325 |
$650 |
1.5× |
| Behavral qualit analys voice (92524) |
$328.50 |
$657 |
3.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$87.50 |
$175 |
1.1× |
| Bfb training ea addl 15 min (90913) |
$87.50 |
$175 |
2.7× |
| Blink reflex test (95933) |
$251.50 |
$503 |
4.4× |
| Brief Emotional/Behav Assmt (96127) |
$31 |
$62 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$475 |
$950 |
1.3× |
Bundle of his recording (93600)
unusually low: confirm this is the full procedure |
$3,590 |
$7,180 |
0.5× |
| C motor evoked uppr limbs (95928) |
$859.50 |
$1,719 |
1.0× |
| C motor evoked upr&lwr limbs (95939) |
$1,429.50 |
$2,859 |
1.7× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$295.50 |
$591 |
1.4× |
| Caloric Vstblr Test W/Rec (92537) |
$295.50 |
$591 |
2.4× |
| Canalith repositioning proc (95992) |
$112.50 |
$225 |
2.8× |
| Car seat/bed test 60 min (94780) |
$47.50 |
$95 |
1.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$751 |
$1,502 |
3.6× |
| Cardiopulmonary exercise testing (94621) |
$1,534 |
$3,068 |
4.2× |
| Cardiopulmonary resuscitation (92950) |
$941.50 |
$1,883 |
4.5× |
| Cardioversion (92960) |
$1,200 |
$2,400 |
1.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$34 |
$68 |
1.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$14,745.50 |
$29,491 |
4.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$12,858 |
$25,716 |
4.1× |
| Cbt 1st hour (94644) |
$243 |
$486 |
1.9× |
| Chemo Anti-Neopl Sq/Im (96401) |
$283.50 |
$567 |
4.0× |
Chemo Hormon Antineopl Sq/Im (96402)
range across 5 matching MRF lines |
$196–$225.50 |
$392–$451 |
varies |
| Chemo Ia Push (96420) |
$374.50 |
$749 |
1.2× |
| Chemo intralesional up to 7 (96405) |
$98.50 |
$197 |
1.4× |
| Chemo IV infusion addl hr (96415) |
$252.50 |
$505 |
3.6× |
| Chemo IV push addl drug (96411) |
$269 |
$538 |
3.8× |
| Chemother Prolong Infuse W/Pump (96416) |
$1,215 |
$2,430 |
3.8× |
| Chemotherapy Into Cns (96450) |
$444 |
$888 |
1.4× |
| Chemotherapy Unspecified (96549) |
$395.50 |
$791 |
8.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$524.50 |
$1,049 |
7.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$737.50 |
$1,475 |
2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$448 |
$896 |
1.4× |
| Chest Wall Manipulation (94668) |
$99 |
$198 |
0.8× |
| Chiropract manj 3-4 regions (98941) |
$55 |
$110 |
2.6× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) |
$45 |
$90 |
2.1× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) |
$93.50 |
$187 |
4.4× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$91 |
$182 |
0.9× |
| Cmptr ophth dx img ant segmt (92132) |
$243 |
$486 |
4.2× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
$96 |
$192 |
1.7× |
| Color/duplex Doppler, complete (93975) |
$1,137.50 |
$2,275 |
4.9× |
| Color/duplex Doppler, limited (93976) |
$903.50 |
$1,807 |
8.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$89 |
$178 |
2.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$103 |
$206 |
0.6× |
| Comprehensive Hearing Test (92557) |
$354 |
$708 |
2.8× |
| Computerized dynamic posturography (92548) |
$251.50 |
$503 |
1.9× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$93 |
$186 |
1.6× |
| Computerized Ophthalmic Imaging Retina (92134) |
$93 |
$186 |
1.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$443.50 |
$887 |
3.4× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$198 |
$396 |
3.4× |
| Contact Lens Fit,Corneoscleral Lens (92313) |
$165.50 |
$331 |
1.3× |
| Continuous Pulse Ox (94762) |
$344 |
$688 |
2.7× |
| Corneal Topography (92025) |
$190 |
$380 |
3.3× |
| Coronary Art/Grft Angio S&I (93455) |
$6,412.50 |
$12,825 |
2.0× |
| Coronary Artery Angio S&I (93454) |
$6,412.50 |
$12,825 |
2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$507.50 |
$1,015 |
2.4× |
| Cpt initial (94667) |
$149 |
$298 |
1.1× |
| Critical care first hour (99291) |
$2,661 |
$5,322 |
3.3× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$859.50 |
$1,719 |
2.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$338 |
$676 |
1.7× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$238 |
$476 |
1.9× |
| Dialysis One Evaluation (90945) |
$514 |
$1,028 |
1.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$287.50 |
$575 |
0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$699.50 |
$1,399 |
3.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$464 |
$928 |
4.5× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$1,035 |
$2,070 |
10.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,106.50 |
$2,213 |
4.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$738 |
$1,476 |
7.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,082 |
$2,164 |
4.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$738 |
$1,476 |
7.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$328 |
$656 |
1.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$158 |
$316 |
1.5× |
| Duplex Scan Hemodialysis Access (93990) |
$420.50 |
$841 |
4.1× |
| Duplex up extrem art bilat (93930) |
$1,104.50 |
$2,209 |
4.7× |
| Duplex up extrem art unilat/ltd (93931) |
$738 |
$1,476 |
7.2× |
| ECG/monitoring and analysis (93271) |
$389 |
$778 |
4.2× |
| Echo Congenital Complete (93303) |
$1,489.50 |
$2,979 |
2.8× |
| Echo Heart Xthoracic,Limited (93308) |
$595.50 |
$1,191 |
2.6× |
| Echo r-t 2d w/probe placement only (93313) |
$1,661.50 |
$3,323 |
3.1× |
| Echo transesophag congen probe plcmt only (93316) |
$1,661.50 |
$3,323 |
3.1× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,792.50 |
$3,585 |
3.4× |
| Echo transesophageal (93312) |
$1,849.50 |
$3,699 |
3.5× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,104 |
$2,208 |
2.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$910 |
$1,820 |
1.7× |
| Eeg 41-60 Minutes (95812) |
$286.50 |
$573 |
1.4× |
| EEG awake and asleep (95819) |
$747.50 |
$1,495 |
3.5× |
| EEG awake drowsy (95816) |
$537 |
$1,074 |
2.5× |
| EEG cerebral death evaluation (95824) |
$402 |
$804 |
1.1× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$2,592 |
$5,184 |
12.3× |
| EEG extended monitoring 61-119 minutes (95813) |
$325 |
$650 |
1.5× |
| Eeg Sleep Only (95822) |
$1,119.50 |
$2,239 |
5.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$2,592 |
$5,184 |
12.3× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$2,592 |
$5,184 |
12.3× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$2,592 |
$5,184 |
7.1× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$2,592 |
$5,184 |
7.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$2,592 |
$5,184 |
12.3× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$2,592 |
$5,184 |
7.1× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$85 |
$170 |
0.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$264.50 |
$529 |
2.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$85 |
$170 |
2.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$87 |
$174 |
5.9× |
| Electrocardiogram Tracing (93005) |
$226.50 |
$453 |
3.9× |
| Electroconvulsive Therapy (90870) |
$794.50 |
$1,589 |
0.9× |
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure |
$3,420 |
$6,840 |
0.4× |
| Electrophysiology Evaluation (93642) |
$966.50 |
$1,933 |
0.8× |
| Emergency Dept Visit Level 2 (99282) |
$248.50 |
$497 |
1.7× |
| Emergency Dept Visit Level 3 (99283) |
$491 |
$982 |
1.8× |
| Emergency Dept Visit Level 4 (99284) |
$909.50 |
$1,819 |
2.2× |
| Emg 3 Extremities (95863) |
$283.50 |
$567 |
2.3× |
| Emg 4 Extremities (95864) |
$283.50 |
$567 |
2.3× |
| Endomyocardial Biopsy (93505) |
$2,173 |
$4,346 |
0.7× |
| Ep & ablate supravent arrhyt (93653) |
$16,895.50 |
$33,791 |
0.7× |
| Ep & ablate ventric tachy (93654) |
$19,489.50 |
$38,979 |
0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$7,784 |
$15,568 |
1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$4,671 |
$9,342 |
0.6× |
| Er level 1 (99281) |
$130 |
$260 |
1.6× |
| Er level v (99285) |
$1,433.50 |
$2,867 |
2.5× |
| Ergonovine provocation test (93024) |
$276 |
$552 |
0.6× |
| Evaluate pt use of inhaler (94664) |
$308 |
$616 |
1.4× |
| Evaluate Speech Production (92522) |
$328.50 |
$657 |
2.9× |
| Evaluate Swallowing Function (92610) |
$299.50 |
$599 |
3.5× |
| Evaluation of speech fluency (92521) |
$328.50 |
$657 |
2.5× |
| Evoked Auditory Test,Limited (92587) |
$244 |
$488 |
1.2× |
| Exercise test for bronchospasm (94617) |
$348 |
$696 |
2.7× |
| External ECG rec>48hr<7d recording (93242) |
$294.50 |
$589 |
8.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$489 |
$978 |
3.8× |
| External ECG rec>7d<15d recording (93246) |
$294.50 |
$589 |
8.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$489 |
$978 |
3.8× |
| External Ecg Scanning Analysis Report (93226) |
$300.50 |
$601 |
5.2× |
| Extracranial Bilat Study (93880) |
$853.50 |
$1,707 |
3.7× |
| Extracranial Uni/Ltd Study (93882) |
$535 |
$1,070 |
5.2× |
| Eye Exam With Photos (92230) |
$592.50 |
$1,185 |
1.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$888 |
$1,776 |
1.7× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) |
$383.50 |
$767 |
2.5× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$348.50 |
$697 |
1.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$471 |
$942 |
2.1× |
| Fluorescein angiography (92235) |
$336.50 |
$673 |
1.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$671.50 |
$1,343 |
0.8× |
| Fundus photography (92250) |
$163.50 |
$327 |
1.3× |
| Gi tract capsule endoscopy (91110) |
$2,481 |
$4,962 |
2.8× |
| Gonioscopy (92020) |
$76 |
$152 |
0.6× |
| Group Therapeutic Procedures (97150) |
$84 |
$168 |
4.7× |
| Health Behavior Assessment/Re-Assessment (96156) |
$100.50 |
$201 |
1.0× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$35.50 |
$71 |
1.0× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$35.50 |
$71 |
1.0× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$100.50 |
$201 |
0.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$15,668 |
$31,336 |
5.0× |
| High altitude simulation test (94452) |
$299 |
$598 |
2.3× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$348 |
$696 |
2.7× |
Holter monitor recording (93225)
range across 3 matching MRF lines |
$209–$915.50 |
$418–$1,831 |
varies |
| Icd Device Interrogate (93289) |
$238.50 |
$477 |
6.6× |
| Icd device progr eval dual (93283) |
$233.50 |
$467 |
6.4× |
| Icd Device Progr Eval Mult (93284) |
$233.50 |
$467 |
6.4× |
| Icm Device Eval (93290) |
$94.50 |
$189 |
2.6× |
| Ilr Device Eval Progr (93285) |
$224 |
$448 |
6.2× |
| Ilr Device Interrogate (93291) |
$316 |
$632 |
11.2× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) |
$81 |
$162 |
1.4× |
| Immunization administration (90471) |
$48 |
$96 |
0.7× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$990.50 |
$1,981 |
2.7× |
| Insert/Place Heart Catheter (93503) |
$1,619 |
$3,238 |
1.1× |
| Interrogate Subq Defib (93261) |
$63.50 |
$127 |
1.7× |
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure |
$3,590 |
$7,180 |
0.5× |
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure |
$3,590 |
$7,180 |
0.5× |
| Intracranial Complete Study (93886) |
$900.50 |
$1,801 |
3.9× |
| Iontophoresis 15 min (97033) |
$69 |
$138 |
3.6× |
| Irrig Drug Delivery Device (96523) |
$85 |
$170 |
1.5× |
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines |
$161.50–$185.50 |
$323–$371 |
varies |
| IV infusion hydration initial 31 min-1 hour (96360) |
$336 |
$672 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$185.50 |
$371 |
2.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$202 |
$404 |
4.4× |
| IV push initial (96374) |
$271 |
$542 |
1.3× |
| L Hrt Art/Grft Angio (93459) |
$13,782 |
$27,564 |
4.4× |
| Laryngeal Function Studies (92520) |
$259 |
$518 |
2.0× |
| Low frequency non-thermal us (97610) |
$508.50 |
$1,017 |
2.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$929 |
$1,858 |
4.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$26 |
$52 |
0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$26 |
$52 |
0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$29.50 |
$59 |
1.7× |
| Methacholine challenge (94070) |
$765.50 |
$1,531 |
2.1× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) |
$165.50 |
$331 |
1.3× |
| Motility study esophagus (91010) |
$553.50 |
$1,107 |
1.5× |
| Motion Fluoroscopy/Swallow (92611) |
$303 |
$606 |
3.3× |
| Multiple Sleep Latency Test (95805) |
$1,468 |
$2,936 |
1.8× |
| Muscle Test 2 Limbs (95861) |
$246.50 |
$493 |
1.9× |
| Muscle Test Nonparaspinal (95870) |
$184.50 |
$369 |
1.4× |
| Muscle Test One Limb (95860) |
$308 |
$616 |
2.4× |
| Nasopharyngoscopy (92511) |
$250.50 |
$501 |
1.3× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$448.50 |
$897 |
2.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$283.50 |
$567 |
1.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$147 |
$294 |
0.7× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$283.50 |
$567 |
1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$684 |
$1,368 |
1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$684 |
$1,368 |
1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$374 |
$748 |
1.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$684 |
$1,368 |
1.7× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$292 |
$584 |
1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$722 |
$1,444 |
2.0× |
| Nerve conduction studies 13 or more studies (95913) |
$865.50 |
$1,731 |
2.4× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$351.50 |
$703 |
1.7× |
| Nerve conduction studies 5-6 studies (95909) |
$419 |
$838 |
2.0× |
| Nerve conduction studies 7-8 studies (95910) |
$476 |
$952 |
1.3× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$602.50 |
$1,205 |
1.7× |
| Neurobehavioral Status Exam (96116) |
$389.50 |
$779 |
1.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$430.50 |
$861 |
3.4× |
| Neuromuscular Reeducation (97112) |
$109 |
$218 |
3.3× |
| Newborn resuscitation (99465) |
$396 |
$792 |
0.6× |
| Nitric oxide expired gas determination (95012) |
$146 |
$292 |
4.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$305.50 |
$611 |
0.8× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$409.50 |
$819 |
1.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$202.50 |
$405 |
1.6× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$171 |
$342 |
1.3× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$152.50 |
$305 |
1.2× |
| Optokinetic Nystagmus Test (92544) |
$325 |
$650 |
2.6× |
| Oral Function Therapy (92526) |
$259.50 |
$519 |
3.1× |
Oral Speech Device Eval (92597)
range across 2 matching MRF lines |
$169.50–$454 |
$339–$908 |
varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$131 |
$262 |
2.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$102.50 |
$205 |
2.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$74 |
$148 |
3.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$74 |
$148 |
3.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$56 |
$112 |
2.7× |
| Ot Contrast Bath Ea 15 Min (97034) |
$50.50 |
$101 |
3.6× |
| Ot eval high complexity (97167) |
$289.50 |
$579 |
2.9× |
| Ot Eval Low Complex (97165) |
$216 |
$432 |
2.1× |
| Ot Eval Moderate Complexity (97166) |
$263.50 |
$527 |
2.6× |
| Ot manual therapy 15 min (97140) |
$88 |
$176 |
3.2× |
| Ot paraffin bath (97018) |
$66.50 |
$133 |
11.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$136.50 |
$273 |
3.4× |
| Ot Re-Eval Est Plan Care (97168) |
$136.50 |
$273 |
2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$140.50 |
$281 |
1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$140.50 |
$281 |
1.1× |
| Oxygen Uptake Rest Indirect (94690) |
$208 |
$416 |
3.6× |
| Patch/Application Test Specify Number Tests (95044) |
$589 |
$1,178 |
0.7× |
| Penile Vascular Study,Ltd or F/U (93981) |
$575 |
$1,150 |
5.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$210 |
$420 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$85 |
$170 |
1.5× |
| Perq transcath closure pda (93582) |
$13,795 |
$27,590 |
0.8× |
| Perq Transcath Cls Mitral (93590) |
$30,045 |
$60,090 |
1.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$9,402.50 |
$18,805 |
1.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$7,924.50 |
$15,849 |
0.7× |
| Phlebotomy therapeutic (99195) |
$392 |
$784 |
3.0× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$137 |
$274 |
2.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$105 |
$210 |
1.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$105 |
$210 |
1.8× |
| Physical Performance Test (97750) |
$75 |
$150 |
2.2× |
| Plethysmography (94726) |
$430 |
$860 |
1.2× |
| Pm device eval in person (93288) |
$122 |
$244 |
3.4× |
| Pm device progr eval dual (93280) |
$389 |
$778 |
10.7× |
| Pm device progr eval multi (93281) |
$389 |
$778 |
10.7× |
| Pm Device Progr Eval Sngl (93279) |
$389 |
$778 |
10.7× |
| Pm/Icd Remote Tech Serv (93296) |
$181.50 |
$363 |
5.0× |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines |
$1,024.50–$2,954 |
$2,049–$5,908 |
varies |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
$165.50 |
$331 |
0.4× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) |
$165.50 |
$331 |
1.3× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) |
$165.50 |
$331 |
1.3× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) |
$107.50 |
$215 |
3.0× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$63.50 |
$127 |
1.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$233.50 |
$467 |
6.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$24.50 |
$49 |
0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$35 |
$70 |
0.8× |
| Prq Card Angio/Athrect 1 Art (92924) |
$8,736.50 |
$17,473 |
0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$7,924.50 |
$15,849 |
0.7× |
| Prq Card Stent/Ath/Angio (92933) |
$12,217 |
$24,434 |
0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$7,924.50 |
$15,849 |
0.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$13,795 |
$27,590 |
0.8× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$7,506.50 |
$15,013 |
0.7× |
| Psych diag eval w/med srvcs (90792) |
$333.50 |
$667 |
1.9× |
| Psychiatric diagnostic evaluation (90791) |
$312 |
$624 |
1.8× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$305.50 |
$611 |
1.5× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$18.50 |
$37 |
0.7× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$238 |
$476 |
0.5× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$73.50 |
$147 |
0.6× |
| Pt Eval High Complex (97163) |
$289.50 |
$579 |
3.0× |
| Pt eval low complex 20 min (97161) |
$216 |
$432 |
2.2× |
| Pt Eval Mod Complex (97162) |
$263.50 |
$527 |
2.7× |
| Pt gait training 15 min (97116) |
$89 |
$178 |
3.1× |
| Pt group caregiver training (97552) |
$15 |
$30 |
0.7× |
| Pt mechanical traction (97012) |
$75 |
$150 |
5.2× |
| Pt Re-Eval Est Plan Care (97164) |
$123.50 |
$247 |
1.8× |
| Pulm function test by gas (94727) |
$202 |
$404 |
1.0× |
Pulmonary service/procedure (94799)
range across 6 matching MRF lines |
$245.50–$325 |
$491–$650 |
varies |
| Pulmonary Stress Testing (94618) |
$348 |
$696 |
2.7× |
| Pure Tone Audiometry Air (92552) |
$138 |
$276 |
1.1× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) |
$37.50 |
$75 |
1.6× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) |
$50 |
$100 |
1.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) |
$25 |
$50 |
2.0× |
| R Hrt Art/Grft Angio (93457) |
$15,179.50 |
$30,359 |
4.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$6,933.50 |
$13,867 |
2.2× |
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593)
range across 2 matching MRF lines |
$6,933.50–$12,217 |
$13,867–$24,434 |
varies |
| R hrt coronary artery angio (93456) |
$14,255 |
$28,510 |
4.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$12,512 |
$25,024 |
4.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$12,512 |
$25,024 |
4.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$14,745.50 |
$29,491 |
4.7× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$194.50 |
$389 |
0.6× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$75 |
$150 |
2.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$75 |
$150 |
2.1× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$146 |
$292 |
4.0× |
| Remote 30 Day Ecg Rev/Report (93270) |
$180.50 |
$361 |
5.0× |
| Remote 30 Day Ecg Tech Supp (93229) |
$195 |
$390 |
0.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$81 |
$162 |
0.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$107 |
$214 |
2.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$131.50 |
$263 |
2.4× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$494.50 |
$989 |
2.3× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) |
$469 |
$938 |
2.2× |
| Replacement of contact lens (92326) |
$107.50 |
$215 |
1.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$77 |
$154 |
1.3× |
| Right Heart Cath (93451) |
$7,846 |
$15,692 |
2.5× |
| Right ventricular recording (93603) |
$2,361.50 |
$4,723 |
2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$374 |
$748 |
1.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$442.50 |
$885 |
3.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$165.50 |
$331 |
3.5× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) |
$107.50 |
$215 |
0.8× |
| Select picture audiometry (92583) |
$146.50 |
$293 |
2.5× |
| Self Care Mngment Training (97535) |
$89 |
$178 |
2.7× |
| Sensory Integration Ea 15 Min (97533) |
$89 |
$178 |
1.5× |
| Short-latency somatosens ep std upr limbs (95925) |
$716 |
$1,432 |
3.4× |
| Sleep study attended (95807) |
$1,169 |
$2,338 |
3.2× |
| Sleep study unattended (95806) |
$507 |
$1,014 |
2.4× |
| Slp caregiver training 1st 30 min (97550) |
$63 |
$126 |
1.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$483 |
$966 |
2.3× |
| Somatosensory Testing (95938) |
$1,429.50 |
$2,859 |
1.7× |
| Speech sound lang comprehen (92523) |
$328.50 |
$657 |
1.5× |
| Spin/Brain Pump Refil & Main (95991) |
$262 |
$524 |
0.9× |
| Spirometry (94010) |
$326 |
$652 |
1.5× |
| Spontaneous Nystagmus Test (92541) |
$251.50 |
$503 |
1.9× |
| Ssep lower limbs (95926) |
$716 |
$1,432 |
3.4× |
| Standardized Cognitive Performance Testing (96125) |
$281 |
$562 |
2.7× |
| Stress Tte Only (93350) |
$1,279.50 |
$2,559 |
2.4× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$107 |
$214 |
2.3× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$366 |
$732 |
1.8× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$201 |
$402 |
2.9× |
| Surfactant Admin Thru Tube (94610) |
$259 |
$518 |
1.2× |
| Temp transcutaneous pacing (92953) |
$499.50 |
$999 |
0.8× |
| Testing Autonomic Nervous System Function (95923) |
$382.50 |
$765 |
2.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$89 |
$178 |
4.0× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$89 |
$178 |
4.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$80.50 |
$161 |
2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$79 |
$158 |
2.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$331 |
$662 |
3.2× |
| Ther/Proph/Diag Inj Ia (96373) |
$313 |
$626 |
1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$93.50 |
$187 |
1.3× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$365 |
$730 |
1.8× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$494.50 |
$989 |
2.3× |
| Therapeutic Activities (97530) |
$102.50 |
$205 |
2.9× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$754.50 |
$1,509 |
2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$53.50 |
$107 |
1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$46.50 |
$93 |
1.3× |
| Transcath Closure of Asd (93580) |
$13,795 |
$27,590 |
0.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$478 |
$956 |
4.7× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$145.50 |
$291 |
4.0× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) |
$326 |
$652 |
2.5× |
Tte w/doppler, complete (93306)
range across 4 matching MRF lines |
$1,726–$2,476.50 |
$3,452–$4,953 |
varies |
| Tte W/O Doppler Complete (93307) |
$865 |
$1,730 |
3.7× |
| Tx atrial fib pulm vein isol (93656) |
$16,895.50 |
$33,791 |
0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$260.50 |
$521 |
3.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$138.50 |
$277 |
5.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$220.50 |
$441 |
4.8× |
| Tympanometry (92567) |
$46.50 |
$93 |
1.3× |
| Unlisted cardiovascular service/procedure (93799) |
$193 |
$386 |
1.5× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$389.50 |
$779 |
3.1× |
| Upr/L Xtremity Art 2 Levels (93922) |
$360 |
$720 |
2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$750 |
$1,500 |
3.6× |
| Valvuloplasty aortic valve (92986) |
$6,018.50 |
$12,037 |
1.1× |
| Valvuloplasty mitral valve (92987) |
$6,931.50 |
$13,863 |
0.6× |
| Valvuloplasty pulmonary valve (92990) |
$9,716.50 |
$19,433 |
0.9× |
| Vasopneumatic device (97016) |
$71 |
$142 |
5.9× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$2,592 |
$5,184 |
7.1× |
| Veeg 2-12 hr intmt mntr (95712) |
$2,592 |
$5,184 |
7.1× |
| Veeg 2-12 hr unmonitored (95711) |
$2,592 |
$5,184 |
12.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,592 |
$5,184 |
7.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,592 |
$5,184 |
7.1× |
| Veeg ea 12-26hr cont mntr (95716) |
$2,592 |
$5,184 |
3.1× |
Vent Mgmt Inpat Init Day (94002)
range across 3 matching MRF lines |
$1,296.50–$1,650 |
$2,593–$3,300 |
varies |
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines |
$1,107.50–$1,450 |
$2,215–$2,900 |
varies |
| Visual Evoked Potential Test (95930) |
$377 |
$754 |
1.8× |
| Visual Field Exam Extended (92083) |
$163 |
$326 |
1.3× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$167.50 |
$335 |
2.9× |
| Vital capacity, total (94150) |
$178 |
$356 |
1.4× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$571.50 |
$1,143 |
0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$89 |
$178 |
2.9× |
| Whirlpool Therapy (97022) |
$63 |
$126 |
4.0× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$100.50 |
$201 |
2.8× |