| Ablate Heart Dysrhythm Focus (93650) |
$11,844 |
$14,805 |
1.4× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$140.80 |
$176 |
1.0× |
| Acoustic Reflex Testing (92568) |
$35.20 |
$44 |
0.8× |
| Actigraphy Testing Recording Analysis I&R (95803) |
$100.80 |
$126 |
1.5× |
| Actinotherapy Ultraviolet Light (96900) |
$40.80 |
$51 |
1.0× |
| Acupunct W/Stimul 15 Min (97813) |
$22.40 |
$28 |
0.7× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$22.40 |
$28 |
0.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$72 |
$90 |
1.6× |
Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$83.20–$136 |
$104–$170 |
varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$279.20 |
$349 |
1.2× |
| Aep neurodiagnostic i&r (92653) |
$279.20 |
$349 |
1.2× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$279.20 |
$349 |
1.2× |
| Airway Inhalation Treatment (94640) |
$161.60 |
$202 |
0.7× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$93.60 |
$117 |
0.6× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$84 |
$105 |
0.6× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
$140.80 |
$176 |
1.0× |
| Analyze neurostim complex (95972) |
$112 |
$140 |
1.1× |
Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$128–$211.20 |
$160–$264 |
varies |
| Analyze Neurostim Simple (95971) |
$116 |
$145 |
1.1× |
| Analyze Pacemaker System (93724) |
$435.20 |
$544 |
1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$88 |
$110 |
6.1× |
| Application on-body injector (96377) |
$253.60 |
$317 |
4.9× |
| Assessment of aphasia per hr (96105) |
$427.20 |
$534 |
4.4× |
| Assessment of tinnitus (92625) |
$140.80 |
$176 |
1.0× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$83.20 |
$104 |
0.7× |
| Audiometry Air & Bone (92553) |
$140.80 |
$176 |
1.0× |
| Auditory Function, 60 Min (92620) |
$140.80 |
$176 |
1.0× |
| Behavral qualit analys voice (92524) |
$331.20 |
$414 |
3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$279.20 |
$349 |
0.7× |
| Bundle of his recording (93600) |
$7,940.80 |
$9,926 |
0.9× |
| Canalith repositioning proc (95992) |
$143.60 |
$179.50 |
3.5× |
| Car seat/bed test 60 min (94780) |
$56.80 |
$71 |
1.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,078.40 |
$1,348 |
4.5× |
| Cardiopulmonary resuscitation (92950) |
$1,156 |
$1,445 |
4.8× |
| Cardioversion (92960) |
$587.20 |
$734 |
0.8× |
| Care mgmt services behavioral hlth cond 20 mins (99484) |
$27.20 |
$34 |
0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$14,434.80 |
$18,043.50 |
4.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$12,234.40 |
$15,293 |
3.4× |
| Cbt 1st hour (94644) |
$424 |
$530 |
2.9× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) |
$105.60 |
$132 |
0.7× |
| Chemo Anti-Neopl Sq/Im (96401) |
$141.60 |
$177 |
1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$92 |
$115 |
1.1× |
| Chemo Ia Push (96420) |
$657.60 |
$822 |
1.8× |
| Chemo IV infusion addl hr (96415) |
$361.60 |
$452 |
4.5× |
| Chemo IV push addl drug (96411) |
$362.40 |
$453 |
4.5× |
| Chemother Prolong Infuse W/Pump (96416) |
$1,018.40 |
$1,273 |
2.8× |
| Chemotherapy Into Cns (96450) |
$1,319.20 |
$1,649 |
3.6× |
| Chemotherapy Unspecified (96549) |
$72 |
$90 |
1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$494.40 |
$618 |
6.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$1,024 |
$1,280 |
2.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$784.80 |
$981 |
2.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$548 |
$685 |
1.5× |
| Chest Wall Manipulation (94668) |
$222.40 |
$278 |
1.5× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$83.20 |
$104 |
0.7× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$769.60 |
$962 |
1.9× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
$88 |
$110 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$1,348.80 |
$1,686 |
5.1× |
| Color/duplex Doppler, limited (93976) |
$1,228 |
$1,535 |
10.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$133.60 |
$167 |
4.2× |
| Comprehensive Hearing Test (92557) |
$140.80 |
$176 |
1.0× |
| Computerized dynamic posturography (92548) |
$116 |
$145 |
0.8× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$53.60 |
$67 |
0.8× |
| Computerized Ophthalmic Imaging Retina (92134) |
$53.60 |
$67 |
0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$532 |
$665 |
3.6× |
Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$53.60–$208 |
$67–$260 |
varies |
| Continuous Pulse Ox (94762) |
$558.40 |
$698 |
3.9× |
| Coronary Art/Grft Angio S&I (93455) |
$9,688.80 |
$12,111 |
2.7× |
| Coronary Artery Angio S&I (93454) |
$10,988.80 |
$13,736 |
3.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$1,315.20 |
$1,644 |
5.4× |
| Cpt initial (94667) |
$325.60 |
$407 |
2.2× |
| Critical care first hour (99291) |
$4,662.40 |
$5,828 |
5.1× |
Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$178.40–$640 |
$223–$800 |
varies |
Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$222.40–$400 |
$278–$500 |
varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$140.80 |
$176 |
1.0× |
Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$1,369.60–$1,830.40 |
$1,712–$2,288 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$448 |
$560 |
1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$804.80 |
$1,006 |
6.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,214.40 |
$1,518 |
4.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$176 |
$220 |
1.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,286.40 |
$1,608 |
4.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$132 |
$165 |
1.1× |
| Duplex Scan Hemodialysis Access (93990) |
$813.60 |
$1,017 |
7.0× |
| Duplex up extrem art bilat (93930) |
$1,088.80 |
$1,361 |
4.1× |
| Duplex up extrem art unilat/ltd (93931) |
$784.80 |
$981 |
6.7× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$140.80 |
$176 |
1.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$140.80 |
$176 |
1.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$140.80 |
$176 |
1.0× |
| Ear Protector Evaluation (92596) |
$35.20 |
$44 |
0.8× |
| Echo Congenital Complete (93303) |
$1,713.60 |
$2,142 |
2.8× |
| Echo Heart Xthoracic,Limited (93308) |
$1,168 |
$1,460 |
4.4× |
| Echo transesophageal (93312) |
$2,308 |
$2,885 |
3.8× |
| Eeg 41-60 Minutes (95812) |
$1,175.20 |
$1,469 |
4.9× |
| EEG awake and asleep (95819) |
$1,580 |
$1,975 |
6.6× |
| EEG awake drowsy (95816) |
$1,182.40 |
$1,478 |
4.9× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$320 |
$400 |
1.3× |
| EEG extended monitoring 61-119 minutes (95813) |
$615.20 |
$769 |
2.6× |
| Eeg Sleep Only (95822) |
$1,012 |
$1,265 |
4.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$320 |
$400 |
1.3× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$559.20 |
$699 |
2.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$486.40 |
$608 |
2.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$93.60 |
$117 |
0.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$104 |
$130 |
1.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$32.80 |
$41 |
0.8× |
| Electrical Stimulation Ea 15 Min (97032) |
$164.80 |
$206 |
11.2× |
| Electrocardiogram Tracing (93005) |
$48.80 |
$61 |
0.7× |
| Electrocochleography (92584) |
$140.80 |
$176 |
1.0× |
| Electroconvulsive Therapy (90870) |
$476 |
$595 |
0.5× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
$7,776 |
$9,720 |
0.9× |
| Electrophysiology Evaluation (93642) |
$5,467.20 |
$6,834 |
4.0× |
| Emergency Dept Visit Level 2 (99282) |
$615.20 |
$769 |
3.6× |
| Emergency Dept Visit Level 3 (99283) |
$1,144.80 |
$1,431 |
3.8× |
| Emergency Dept Visit Level 4 (99284) |
$1,937.60 |
$2,422 |
4.2× |
| Emg 3 Extremities (95863) |
$192 |
$240 |
1.3× |
| Emg 4 Extremities (95864) |
$135.20 |
$169 |
0.9× |
| Ep & ablate supravent arrhyt (93653) |
$61,512 |
$76,890 |
2.1× |
| Ep & ablate ventric tachy (93654) |
$59,500 |
$74,375 |
2.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$14,289.60 |
$17,862 |
1.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$12,013.60 |
$15,017 |
1.4× |
| Er level 1 (99281) |
$364 |
$455 |
3.9× |
| Er level v (99285) |
$3,283.20 |
$4,104 |
4.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$3,256 |
$4,070 |
7.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$140.80 |
$176 |
1.0× |
| Evaluate pt use of inhaler (94664) |
$188 |
$235 |
0.8× |
| Evaluate Speech Production (92522) |
$298.40 |
$373 |
2.7× |
| Evaluate Swallowing Function (92610) |
$551.60 |
$689.50 |
6.5× |
| Evaluation of speech fluency (92521) |
$157.60 |
$197 |
1.2× |
| Evoked Auditory Test,Limited (92587) |
$820.80 |
$1,026 |
3.4× |
| External ECG rec>48hr<7d recording (93242) |
$59.20 |
$74 |
1.4× |
| External ECG rec>7d<15d recording (93246) |
$97.60 |
$122 |
2.3× |
| External Ecg Scanning Analysis Report (93226) |
$105.60 |
$132 |
1.6× |
| Extracranial Bilat Study (93880) |
$1,111.20 |
$1,389 |
4.2× |
| Extracranial Uni/Ltd Study (93882) |
$833.60 |
$1,042 |
7.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,492 |
$1,865 |
2.5× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$326.40 |
$408 |
1.6× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$315.20 |
$394 |
1.4× |
| Fundus photography (92250) |
$64 |
$80 |
0.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,438.40 |
$3,048 |
5.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$2,634.40 |
$3,293 |
10.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,936.80 |
$2,421 |
2.0× |
| Gi tract capsule endoscopy (91110) |
$840.80 |
$1,051 |
0.8× |
| Group Therapeutic Procedures (97150) |
$179.20 |
$224 |
9.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$14,896.80 |
$18,621 |
4.1× |
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$627.20–$2,688 |
$784–$3,360 |
varies |
| Holter monitor recording (93225) |
$84 |
$105 |
0.6× |
| Hypnotherapy (90880) |
$83.20 |
$104 |
0.7× |
| Icd Device Interrogate (93289) |
$33.60 |
$42 |
0.8× |
| Icd device progr eval dual (93283) |
$33.60 |
$42 |
0.8× |
| Icd Device Progr Eval Mult (93284) |
$33.60 |
$42 |
0.8× |
| Icm Device Eval (93290) |
$92.80 |
$116 |
2.2× |
| Ilr Device Eval Progr (93285) |
$33.60 |
$42 |
0.8× |
| Ilr Device Interrogate (93291) |
$85.60 |
$107 |
2.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$72 |
$90 |
0.9× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) |
$28.80 |
$36 |
0.4× |
Immunization administration (90471) range across 2 matching MRF lines |
$52.80–$126.40 |
$66–$158 |
varies |
| Ingestion challenge test initial 120 minutes (95076) |
$476 |
$595 |
1.1× |
| Interrogate Subq Defib (93261) |
$92 |
$115 |
2.2× |
| Intracutaneous tests w/allergenic extracts (95024) |
$53.60 |
$67 |
0.8× |
| Iontophoresis 15 min (97033) |
$99.20 |
$124 |
5.2× |
Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$210.40–$218.40 |
$263–$273 |
varies |
IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$48–$272.80 |
$60–$341 |
varies |
IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$165.60–$797.60 |
$207–$997 |
varies |
IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$64–$336 |
$80–$420 |
varies |
IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$60–$358.40 |
$75–$448 |
varies |
IV push initial (96374) range across 2 matching MRF lines |
$232–$477.60 |
$290–$597 |
varies |
| L Hrt Art/Grft Angio (93459) |
$12,335.60 |
$15,419.50 |
3.4× |
| Loudness balance test (92562) |
$279.20 |
$349 |
1.2× |
| Low frequency non-thermal us (97610) |
$173.60 |
$217 |
0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$860 |
$1,075 |
3.6× |
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$51.20–$87.20 |
$64–$109 |
varies |
Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$61.60–$97.60 |
$77–$122 |
varies |
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$27.20–$61.60 |
$34–$77 |
varies |
| Methacholine challenge (94070) |
$279.20 |
$349 |
0.7× |
| Motility study esophagus (91010) |
$2,120 |
$2,650 |
5.1× |
| Motion Fluoroscopy/Swallow (92611) |
$448 |
$560 |
4.9× |
| Multiple Family Group Psychotherapy (90849) |
$144 |
$180 |
0.7× |
| Multiple Sleep Latency Test (95805) |
$3,284.40 |
$4,105.50 |
3.4× |
| Muscle Test 2 Limbs (95861) |
$160 |
$200 |
1.1× |
| Muscle Test One Limb (95860) |
$136 |
$170 |
0.9× |
| Narcosynthesis (90865) |
$144 |
$180 |
0.7× |
Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$155.20–$487.20 |
$194–$609 |
varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$1,351.20 |
$1,689 |
3.0× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$178.40–$503.20 |
$223–$629 |
varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$358.40 |
$448 |
0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$145.60 |
$182 |
0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$476 |
$595 |
1.1× |
| Nerve conduction studies 13 or more studies (95913) |
$476 |
$595 |
1.1× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$279.20 |
$349 |
1.2× |
| Nerve conduction studies 5-6 studies (95909) |
$279.20 |
$349 |
1.2× |
| Nerve conduction studies 7-8 studies (95910) |
$279.20 |
$349 |
0.7× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$476 |
$595 |
1.1× |
Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$279.20–$507.20 |
$349–$634 |
varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$146.40 |
$183 |
1.0× |
| Neuromuscular Reeducation (97112) |
$123.20 |
$154 |
3.8× |
| Newborn resuscitation (99465) |
$896.80 |
$1,121 |
1.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$64.80 |
$81 |
2.6× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$101.60 |
$127 |
2.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$36.80 |
$46 |
2.7× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$476 |
$595 |
1.1× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$114.40 |
$143 |
0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$114.40 |
$143 |
0.8× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$114.40 |
$143 |
0.8× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$114.40 |
$143 |
0.8× |
| Optokinetic Nystagmus Test (92544) |
$140.80 |
$176 |
1.0× |
| Oral Function Therapy (92526) |
$330.40 |
$413 |
3.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$120.80 |
$151 |
2.4× |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$116.80–$120 |
$146–$150 |
varies |
| Oscillating Tracking Test (92545) |
$279.20 |
$349 |
1.2× |
Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$23.20–$65.60 |
$29–$82 |
varies |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$23.20 |
$29 |
1.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$25.60 |
$32 |
1.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$30.40 |
$38 |
1.3× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$32 |
$40 |
1.3× |
| Ot eval high complexity (97167) |
$341.60 |
$427 |
3.4× |
| Ot Eval Low Complex (97165) |
$320 |
$400 |
3.2× |
| Ot Eval Moderate Complexity (97166) |
$336 |
$420 |
3.3× |
| Ot manual therapy 15 min (97140) |
$112 |
$140 |
4.0× |
| Ot paraffin bath (97018) |
$94.40 |
$118 |
15.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$129.60 |
$162 |
3.2× |
| Ot Re-Eval Est Plan Care (97168) |
$356 |
$445 |
5.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$496 |
$620 |
3.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$336.80 |
$421 |
2.3× |
| Patch/Application Test Specify Number Tests (95044) |
$11.20 |
$14 |
0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$561.60 |
$702 |
2.3× |
| Percutaneous tests w/allergenic extracts (95004) |
$28 |
$35 |
0.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$14,700 |
$18,375 |
2.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$23,807.20 |
$29,759 |
1.9× |
| Phlebotomy therapeutic (99195) |
$464 |
$580 |
3.1× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) |
$170.40 |
$213 |
2.6× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$198.40 |
$248 |
3.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$142.40 |
$178 |
2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$164.80 |
$206 |
2.5× |
| Physical Performance Test (97750) |
$108 |
$135 |
3.2× |
| Plethysmography (94726) |
$640.80 |
$801 |
1.5× |
Pm device eval in person (93288) range across 2 matching MRF lines |
$33.60–$97.60 |
$42–$122 |
varies |
| Pm device progr eval dual (93280) |
$33.60 |
$42 |
0.8× |
| Pm device progr eval multi (93281) |
$33.60 |
$42 |
0.8× |
| Pm Device Progr Eval Sngl (93279) |
$48 |
$60 |
1.2× |
| Pm/Icd Remote Tech Serv (93296) |
$40 |
$50 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,304 |
$5,380 |
4.5× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,719.20 |
$2,149 |
1.8× |
| Positional nystagmus test (92542) |
$116 |
$145 |
0.8× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$113.60 |
$142 |
2.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$33.60 |
$42 |
0.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$41.60 |
$52 |
0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$41.60 |
$52 |
0.8× |
| Prq Card Angio/Athrect 1 Art (92924) |
$24,487.20 |
$30,609 |
1.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$28,160 |
$35,200 |
2.2× |
| Prq Card Stent/Ath/Angio (92933) |
$20,220 |
$25,275 |
1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$23,252.80 |
$29,066 |
1.8× |
Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$192–$381.60 |
$240–$477 |
varies |
| Psychiatric diagnostic evaluation (90791) |
$192 |
$240 |
1.0× |
| Psychoanalysis (90845) |
$144 |
$180 |
0.7× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$279.20 |
$349 |
1.2× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$358.40 |
$448 |
0.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$116 |
$145 |
0.8× |
| Psytx Crisis Initial 60 Min (90839) |
$144 |
$180 |
0.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$62.40 |
$78 |
1.7× |
| Pt Eval High Complex (97163) |
$341.60 |
$427 |
3.5× |
| Pt eval low complex 20 min (97161) |
$296.40 |
$370.50 |
3.0× |
| Pt Eval Mod Complex (97162) |
$310.80 |
$388.50 |
3.2× |
| Pt gait training 15 min (97116) |
$101.60 |
$127 |
3.5× |
| Pt mechanical traction (97012) |
$88 |
$110 |
6.1× |
| Pt Re-Eval Est Plan Care (97164) |
$345.60 |
$432 |
5.1× |
| Pulm function test by gas (94727) |
$140.80 |
$176 |
0.6× |
| Pulmonary Stress Testing (94618) |
$116 |
$145 |
0.8× |
| Pure Tone Audiometry Air (92552) |
$116 |
$145 |
0.8× |
| R Hrt Art/Grft Angio (93457) |
$14,775.20 |
$18,469 |
4.1× |
| R hrt coronary artery angio (93456) |
$14,388.80 |
$17,986 |
4.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$11,124.80 |
$13,906 |
3.1× |
| Rapid Desensitization Procedure Each Hour (95180) |
$591.20 |
$739 |
1.2× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$58.40 |
$73 |
1.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$125.60 |
$157 |
3.0× |
| Remote 30 Day Ecg Rev/Report (93270) |
$46.40 |
$58 |
1.1× |
| Respiratory flow volume loop (94375) |
$279.20 |
$349 |
1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$50.40 |
$63 |
0.8× |
| Right Heart Cath (93451) |
$9,497.60 |
$11,872 |
2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$431.20 |
$539 |
1.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$615.20 |
$769 |
5.0× |
| Self Care Mngment Training (97535) |
$116 |
$145 |
3.6× |
| Sensory Integration Ea 15 Min (97533) |
$139.20 |
$174 |
2.3× |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
$140.80 |
$176 |
1.0× |
| Sleep study attended (95807) |
$716.80 |
$896 |
1.7× |
| Sleep study unattended (95806) |
$758.40 |
$948 |
3.2× |
| Speech Audiometry Complete (92556) |
$53.60 |
$67 |
0.8× |
| Speech audiometry threshold (92555) |
$53.60 |
$67 |
0.8× |
| Speech sound lang comprehen (92523) |
$477.60 |
$597 |
2.1× |
Spirometry (94010) range across 2 matching MRF lines |
$141.60–$179.20 |
$177–$224 |
varies |
| Spontaneous Nystagmus Test (92541) |
$116 |
$145 |
0.8× |
| Staggered Spondaic Word Test (92572) |
$140.80 |
$176 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$344 |
$430 |
3.3× |
| Stenger Test Speech (92577) |
$476 |
$595 |
1.1× |
| Stenger Test, Pure Tone (92565) |
$53.60 |
$67 |
0.8× |
| Stress Tte Only (93350) |
$2,076.80 |
$2,596 |
3.4× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$134.40 |
$168 |
1.7× |
| Surfactant Admin Thru Tube (94610) |
$323.20 |
$404 |
1.3× |
| Synthetic Sentence Identification Test (92576) |
$35.20 |
$44 |
0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$64 |
$80 |
2.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$64 |
$80 |
3.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$64 |
$80 |
1.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$100 |
$125 |
3.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$344 |
$430 |
3.4× |
| Ther/Proph/Diag Inj Ia (96373) |
$402.40 |
$503 |
1.7× |
Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$77.60–$204 |
$97–$255 |
varies |
Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$185.60–$656 |
$232–$820 |
varies |
| Therapeutic Activities (97530) |
$131.20 |
$164 |
3.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$1,900.80 |
$2,376 |
4.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$27.20 |
$34 |
0.7× |
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$28–$72.80 |
$35–$91 |
varies |
| Trans Care Mgmt 14 Day Disch (99495) |
$114.40 |
$143 |
0.8× |
| Trans Care Mgmt 7 Day Disch (99496) |
$114.40 |
$143 |
0.8× |
| Transcath Closure of Asd (93580) |
$29,964.80 |
$37,456 |
1.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$98.40 |
$123 |
2.4× |
| Tte w/doppler, complete (93306) |
$2,756 |
$3,445 |
4.5× |
| Tx atrial fib pulm vein isol (93656) |
$58,648 |
$73,310 |
2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$278.40 |
$348 |
3.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$143.20 |
$179 |
6.0× |
Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$56–$227.20 |
$70–$284 |
varies |
| Tympanometry (92567) |
$35.20 |
$44 |
0.8× |
| Tympanometry and reflex threshold measurements (92550) |
$128.80 |
$161 |
0.5× |
| Upr/L Xtremity Art 2 Levels (93922) |
$628 |
$785 |
4.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$799.20 |
$999 |
3.3× |
| Vent Mgmt Inpat Init Day (94002) |
$2,880 |
$3,600 |
4.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$2,619.20 |
$3,274 |
3.8× |
| Visual Field Exam Extended (92083) |
$116 |
$145 |
0.8× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$53.60 |
$67 |
0.8× |
| Vital capacity, total (94150) |
$293.60 |
$367 |
2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$124.80 |
$156 |
4.0× |
| Whirlpool Therapy (97022) |
$92.80 |
$116 |
5.9× |