Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$142.10–$6,452.60 |
$203–$9,218 |
varies |
| Airway Inhalation Treatment (94640) |
$543.90 |
$777 |
2.1× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$464.10 |
$663 |
2.9× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$464.10 |
$663 |
2.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$47.60 |
$68 |
3.3× |
| Application on-body injector (96377) |
$119.70 |
$171 |
2.1× |
| Behavral qualit analys voice (92524) |
$305.20 |
$436 |
2.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$793.10 |
$1,133 |
1.8× |
| Canalith repositioning proc (95992) |
$132.30 |
$189 |
3.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$793.10 |
$1,133 |
3.1× |
Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$793.10–$863.10 |
$1,133–$1,233 |
varies |
| Cardioversion (92960) |
$1,683.50 |
$2,405 |
2.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$4,258.80 |
$6,084 |
1.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$4,258.80 |
$6,084 |
1.1× |
| Cbt 1st hour (94644) |
$338.10 |
$483 |
2.1× |
| Chemo Admin Peritoneal Cavity (96446) |
$942.20 |
$1,346 |
2.4× |
| Chemo Anti-Neopl Sq/Im (96401) |
$185.50 |
$265 |
2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$185.50 |
$265 |
2.1× |
| Chemo IV infusion addl hr (96415) |
$185.50 |
$265 |
2.1× |
| Chemo IV push addl drug (96411) |
$185.50 |
$265 |
2.1× |
| Chemother Prolong Infuse W/Pump (96416) |
$955.50 |
$1,365 |
2.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$185.50 |
$265 |
2.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$955.50 |
$1,365 |
2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$607.60 |
$868 |
1.5× |
| Chest Wall Manipulation (94668) |
$313.60 |
$448 |
2.0× |
| Cmptr ophth dx img ant segmt (92132) |
$167.30 |
$239 |
2.4× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
$198.10 |
$283 |
2.8× |
| Color/duplex Doppler, complete (93975) |
$689.50 |
$985 |
2.4× |
| Color/duplex Doppler, limited (93976) |
$342.30 |
$489 |
2.7× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$167.30 |
$239 |
2.4× |
| Computerized Ophthalmic Imaging Retina (92134) |
$167.30 |
$239 |
2.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$356.30 |
$509 |
2.2× |
| Corneal Topography (92025) |
$166.60 |
$238 |
2.4× |
| Coronary Art/Grft Angio S&I (93455) |
$4,258.80 |
$6,084 |
1.1× |
| Coronary Artery Angio S&I (93454) |
$4,258.80 |
$6,084 |
1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$563.50 |
$805 |
2.1× |
| Cpt initial (94667) |
$331.80 |
$474 |
2.1× |
| Critical care first hour (99291) |
$2,257.50 |
$3,225 |
2.3× |
Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$541.10–$611.10 |
$773–$873 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$689.50 |
$985 |
2.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$326.20 |
$466 |
2.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$689.50 |
$985 |
2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$326.20 |
$466 |
2.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$689.50 |
$985 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$326.20 |
$466 |
2.6× |
| Duplex Scan Hemodialysis Access (93990) |
$326.20 |
$466 |
2.6× |
| Duplex up extrem art bilat (93930) |
$689.50 |
$985 |
2.4× |
| Duplex up extrem art unilat/ltd (93931) |
$326.20 |
$466 |
2.6× |
| ECG/monitoring and analysis (93271) |
$301 |
$430 |
2.6× |
| Echo Congenital Complete (93303) |
$1,447.60 |
$2,068 |
2.2× |
| Echo Heart Xthoracic,Limited (93308) |
$689.50 |
$985 |
2.4× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,447.60 |
$2,068 |
2.2× |
| Echo transesophageal (93312) |
$1,447.60 |
$2,068 |
2.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,447.60 |
$2,068 |
2.2× |
| Eeg 41-60 Minutes (95812) |
$1,515.50 |
$2,165 |
5.9× |
| EEG awake and asleep (95819) |
$1,515.50 |
$2,165 |
5.9× |
| EEG awake drowsy (95816) |
$1,515.50 |
$2,165 |
5.9× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,515.50 |
$2,165 |
5.9× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$1,225 |
$1,750 |
4.7× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$793.10 |
$1,133 |
3.1× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$1,462.30 |
$2,089 |
3.3× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$2,620.10 |
$3,743 |
5.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$48.30 |
$69 |
3.3× |
| Electrocardiogram Tracing (93005) |
$166.60 |
$238 |
2.4× |
| Emergency Dept Visit Level 2 (99282) |
$706.30 |
$1,009 |
3.8× |
| Emergency Dept Visit Level 3 (99283) |
$987 |
$1,410 |
3.0× |
| Emergency Dept Visit Level 4 (99284) |
$1,274.70 |
$1,821 |
2.5× |
| Emg 3 Extremities (95863) |
$417.90 |
$597 |
2.7× |
| Emg 4 Extremities (95864) |
$417.90 |
$597 |
2.7× |
| Er level 1 (99281) |
$641.20 |
$916 |
6.3× |
| Er level v (99285) |
$1,619.10 |
$2,313 |
2.3× |
| Evaluate pt use of inhaler (94664) |
$543.90 |
$777 |
2.1× |
| Evaluate Speech Production (92522) |
$294 |
$420 |
2.6× |
| Evaluate Swallowing Function (92610) |
$494.90 |
$707 |
5.8× |
| Evaluation of speech fluency (92521) |
$363.30 |
$519 |
2.7× |
| External ECG rec>48hr<7d recording (93242) |
$124.60 |
$178 |
2.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$220.50 |
$315 |
1.4× |
| External ECG rec>7d<15d recording (93246) |
$220.50 |
$315 |
4.9× |
| External Ecg Scanning Analysis Report (93226) |
$338.10 |
$483 |
4.8× |
| Extracranial Bilat Study (93880) |
$689.50 |
$985 |
2.4× |
Extracranial Uni/Ltd Study (93882) range across 6 matching MRF lines |
$326.20–$652.40 |
$466–$932 |
varies |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,447.60 |
$2,068 |
2.2× |
| Fluorescein angiography (92235) |
$793.10 |
$1,133 |
3.1× |
| Fundus photography (92250) |
$338.10 |
$483 |
2.1× |
| Gonioscopy (92020) |
$337.40 |
$482 |
2.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$4,258.80 |
$6,084 |
1.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$1,961.40 |
$2,802 |
2.4× |
| Holter monitor recording (93225) |
$338.10 |
$483 |
2.1× |
| Icd Device Interrogate (93289) |
$111.30 |
$159 |
2.5× |
| Icd device progr eval dual (93283) |
$111.30 |
$159 |
2.5× |
| Icd Device Progr Eval Mult (93284) |
$111.30 |
$159 |
2.5× |
| Icm Device Eval (93290) |
$111.30 |
$159 |
2.5× |
| Ilr Device Eval Progr (93285) |
$111.30 |
$159 |
2.5× |
| Ilr Device Interrogate (93291) |
$74.20 |
$106 |
2.1× |
Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$16.31–$185.50 |
$23.29–$265 |
varies |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) |
$101.50 |
$145 |
1.4× |
Immunization administration (90471) range across 9 matching MRF lines |
$16.31–$185.50 |
$23.29–$265 |
varies |
| Insert/Place Heart Catheter (93503) |
$1,786.40 |
$2,552 |
0.9× |
| Interrogation vad in person (93750) |
$301 |
$430 |
2.6× |
| Iontophoresis 15 min (97033) |
$67.20 |
$96 |
3.5× |
| Irrig Drug Delivery Device (96523) |
$166.60 |
$238 |
2.4× |
| IV infusion hydration each additional hour (96361) |
$119.70 |
$171 |
2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$585.20 |
$836 |
2.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$185.50 |
$265 |
2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$119.70 |
$171 |
2.1× |
| IV push initial (96374) |
$564.20 |
$806 |
2.2× |
| L Hrt Art/Grft Angio (93459) |
$4,258.80 |
$6,084 |
1.1× |
| Lung Function Test (Mbc/Mvv) (94200) |
$196 |
$280 |
2.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$607.60 |
$868 |
2.3× |
| Mechanical chest wall oscillation per session (94669) |
$541.10 |
$773 |
2.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$77 |
$110 |
2.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$91 |
$130 |
2.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$42.70 |
$61 |
2.5× |
| Motion Fluoroscopy/Swallow (92611) |
$494.90 |
$707 |
5.4× |
| Muscle Test 2 Limbs (95861) |
$338.10 |
$483 |
2.1× |
| Muscle Test One Limb (95860) |
$336 |
$480 |
2.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$417.90 |
$597 |
1.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$1,007.30 |
$1,439 |
2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$538.30 |
$769 |
2.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$962.50 |
$1,375 |
2.0× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$417.90 |
$597 |
1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,462.30 |
$2,089 |
3.3× |
| Nerve conduction studies 13 or more studies (95913) |
$1,462.30 |
$2,089 |
3.3× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$793.10 |
$1,133 |
3.1× |
| Nerve conduction studies 5-6 studies (95909) |
$793.10 |
$1,133 |
3.1× |
| Nerve conduction studies 7-8 studies (95910) |
$793.10 |
$1,133 |
1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,462.30 |
$2,089 |
3.3× |
| Neurobehavioral Status Exam (96116) |
$793.10 |
$1,133 |
3.1× |
| Neuromuscular Reeducation (97112) |
$114.80 |
$164 |
3.5× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$338.10 |
$483 |
2.1× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$32.90 |
$47 |
0.2× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$32.90 |
$47 |
0.2× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$32.90 |
$47 |
0.2× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$32.90 |
$47 |
0.2× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$167.30 |
$239 |
2.4× |
| Oral Function Therapy (92526) |
$298.20 |
$426 |
3.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$166.60 |
$238 |
3.6× |
| Ot eval high complexity (97167) |
$269.50 |
$385 |
2.7× |
| Ot Eval Low Complex (97165) |
$270.20 |
$386 |
2.7× |
| Ot Eval Moderate Complexity (97166) |
$269.50 |
$385 |
2.7× |
| Ot manual therapy 15 min (97140) |
$90.30 |
$129 |
3.3× |
| Ot paraffin bath (97018) |
$22.40 |
$32 |
3.7× |
| Ot Re-Eval Est Plan Care (97168) |
$216.30 |
$309 |
3.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$347.90 |
$497 |
2.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$347.90 |
$497 |
2.3× |
| Penile Vascular Study,Ltd or F/U (93981) |
$342.30 |
$489 |
2.7× |
| Perq Transcath Cls Aortic (93591) |
$33,282.90 |
$47,547 |
1.5× |
| Perq Transcath Cls Mitral (93590) |
$33,282.90 |
$47,547 |
1.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$12,144.30 |
$17,349 |
1.8× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$19,997.60 |
$28,568 |
1.4× |
| Phlebotomy therapeutic (99195) |
$338.10 |
$483 |
2.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$131.60 |
$188 |
1.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$131.60 |
$188 |
1.9× |
| Plethysmography (94726) |
$779.10 |
$1,113 |
1.7× |
| Pm device eval in person (93288) |
$111.30 |
$159 |
2.5× |
| Pm device progr eval dual (93280) |
$111.30 |
$159 |
2.5× |
| Pm device progr eval multi (93281) |
$111.30 |
$159 |
2.5× |
| Pm Device Progr Eval Sngl (93279) |
$111.30 |
$159 |
2.5× |
| Pm/Icd Remote Tech Serv (93296) |
$111.30 |
$159 |
2.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$111.30 |
$159 |
2.5× |
| Prq Card Angio/Athrect 1 Art (92924) |
$19,997.60 |
$28,568 |
1.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$19,997.60 |
$28,568 |
1.4× |
| Prq Card Stent/Ath/Angio (92933) |
$33,282.90 |
$47,547 |
1.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$19,997.60 |
$28,568 |
1.4× |
| Psytx Crisis Initial 60 Min (90839) |
$247.10 |
$353 |
1.2× |
| Pt Eval High Complex (97163) |
$259.70 |
$371 |
2.7× |
| Pt eval low complex 20 min (97161) |
$259.70 |
$371 |
2.7× |
| Pt Eval Mod Complex (97162) |
$259.70 |
$371 |
2.7× |
| Pt gait training 15 min (97116) |
$98 |
$140 |
3.4× |
| Pt mechanical traction (97012) |
$48.30 |
$69 |
3.4× |
| Pt Re-Eval Est Plan Care (97164) |
$210.70 |
$301 |
3.1× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$74.90 |
$107 |
1.7× |
| Pulm function test by gas (94727) |
$417.90 |
$597 |
1.6× |
| Pulmonary service/procedure (94799) |
$417.90 |
$597 |
2.7× |
| Pulmonary Stress Testing (94618) |
$338.10 |
$483 |
2.1× |
| Pure Tone Audiometry Air (92552) |
$329 |
$470 |
2.1× |
| R Hrt Art/Grft Angio (93457) |
$4,258.80 |
$6,084 |
1.1× |
| R hrt coronary artery angio (93456) |
$4,258.80 |
$6,084 |
1.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$4,258.80 |
$6,084 |
1.1× |
| Refill/Maint Portable Pump (96521) |
$607.60 |
$868 |
2.4× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$234.50 |
$335 |
5.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$111.30 |
$159 |
2.5× |
| Remote 30 Day Ecg Rev/Report (93270) |
$111.30 |
$159 |
2.5× |
| Respiratory flow volume loop (94375) |
$778.40 |
$1,112 |
3.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$166.60 |
$238 |
2.4× |
| Right Heart Cath (93451) |
$4,258.80 |
$6,084 |
1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$538.30 |
$769 |
2.2× |
| Self Care Mngment Training (97535) |
$110.60 |
$158 |
3.4× |
| Sensory Integration Ea 15 Min (97533) |
$162.40 |
$232 |
2.7× |
| Speech sound lang comprehen (92523) |
$612.50 |
$875 |
2.7× |
| Spirometry (94010) |
$417.90 |
$597 |
1.6× |
| Stress Tte Only (93350) |
$1,447.60 |
$2,068 |
2.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$126 |
$180 |
3.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$98 |
$140 |
3.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$185.50 |
$265 |
2.1× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$607.60 |
$868 |
2.4× |
| Therapeutic Activities (97530) |
$130.20 |
$186 |
3.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$78.40 |
$112 |
1.7× |
| Tte w/doppler, complete (93306) |
$1,447.60 |
$2,068 |
2.2× |
| Tte W/O Doppler Complete (93307) |
$727.30 |
$1,039 |
2.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$213.50 |
$305 |
2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$119.70 |
$171 |
2.1× |
| Tympanometry (92567) |
$101.50 |
$145 |
2.3× |
| Unlisted cardiovascular service/procedure (93799) |
$417.90 |
$597 |
2.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$338.10 |
$483 |
2.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$417.90 |
$597 |
1.6× |
| Vent Mgmt Inpat Init Day (94002) |
$1,460.20 |
$2,086 |
2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,460.20 |
$2,086 |
2.0× |
| Visual Field Exam Extended (92083) |
$72.80 |
$104 |
0.5× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$52.50 |
$75 |
0.7× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$166.60 |
$238 |
2.4× |
| Vital capacity, total (94150) |
$417.90 |
$597 |
2.7× |
| Whirlpool Therapy (97022) |
$60.20 |
$86 |
3.8× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$167.30 |
$239 |
3.7× |