| Administration of prolonged chemotherapy into artery (96425) |
— |
$814 |
— |
| Aep Neurodiagnostic I&R (92653) |
— |
$1,027.88 |
— |
| Airway inhalation treatment (94640) |
— |
$194.76 |
— |
| Ambulatory Bp Analysis (93788) |
— |
$281.85 |
— |
| Appl on-body injector for timed subq injection (96377) |
— |
$94.75 |
— |
| Assessment of aphasia (96105) |
— |
$189.91 |
— |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
— |
$145 |
— |
| Behavioral and qualitative analysis of voice and resonance (92524) |
— |
$461.77 |
— |
| Bfb training 1st 15 min (90912) |
— |
$177.50 |
— |
| Bfb training ea addl 15 min (90913) |
— |
$257.52 |
— |
| Biofeedback training any modality (90901) |
— |
$177.50 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$575.47 |
— |
| Canalith Repositioning (95992) |
— |
$120.08 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$940.26 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$755.62 |
— |
| Cardioversion (92960) |
— |
$1,642.74 |
— |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
— |
$11,162.68 |
— |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
— |
$11,162.68 |
— |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
— |
$11,162.68 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$11,162.68 |
— |
| Cbt 1st hour (94644) |
— |
$530.13 |
— |
| Chemo Admin Peritoneal Cavity (96446) |
— |
$977 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$355.02 |
— |
| Chemo IV push addl drug (96411) |
— |
$502 |
— |
| Chemo Iv Push Sngl Drug (96409) |
— |
$561.32 |
— |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
— |
$734.04 |
— |
| Chemother, IV infusion, 1 hr (96413) |
— |
$875.57 |
— |
| Chemother, IV infusion, ea add hr (96415) |
— |
$158.32 |
— |
| Chemother,ia infusn tech,<1 hr (96422) |
— |
$522 |
— |
| Chemother,Ia Push Technique (96420) |
— |
$814 |
— |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
— |
$355.02 |
— |
| Chemotherapy admn intraarterial infusion ea hr (96423) |
— |
$102 |
— |
| Chemotherapy, unspecified procedure (96549) |
— |
$522 |
— |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
— |
$769.16 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$391 |
— |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
— |
$977 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$534.07 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$899.12 |
— |
| Continuous Glucose Monitoring (95250) |
— |
$549.32 |
— |
| Coronary artery angio s&i (93454) |
— |
$11,162.68 |
— |
| Cortical mapping 1st hr (95961) |
— |
$755.62 |
— |
| Cpap initiation and management (94660) |
— |
$659.66 |
— |
| Cpt initial (94667) |
— |
$160.72 |
— |
| Critical care (99291) |
— |
$1,127 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$441.27 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$6 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
— |
$891.10 |
— |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
— |
$522.94 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
— |
$496.31 |
— |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
— |
$515.37 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$518.82 |
— |
| Duplex scan extracranial art compl bi study (93880) |
— |
$888.45 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$867.22 |
— |
| Echo transesophageal (93312) |
— |
$2,294.93 |
— |
| EEG awake asleep (95819) |
— |
$1,079.23 |
— |
| EEG awake drowsy (95816) |
— |
$709.97 |
— |
| EEG cerebral death evaluation (95824) |
— |
$768.81 |
— |
| EEG coma or sleep only (95822) |
— |
$728.03 |
— |
| EEG cont rec w/video by tech min 8 channels (95700) |
— |
$1,656.14 |
— |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
— |
$728.03 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$1,656.14 |
— |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
— |
$3,311.18 |
— |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
— |
$3,311.18 |
— |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
— |
$1,656.14 |
— |
| EKG (93005) |
— |
$187.10 |
— |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
— |
$728.03 |
— |
| EMG cranial nerve bilat (95868) |
— |
$458.16 |
— |
| EMG two extremities (95861) |
— |
$321.43 |
— |
| Er level 1 (99281) |
— |
$215 |
— |
| Er level ii (99282) |
— |
$320 |
— |
| Er level iii (99283) |
— |
$480 |
— |
| Er level IV (99284) |
— |
$673 |
— |
| Er level v (99285) |
— |
$939 |
— |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
— |
$525.34 |
— |
| Evaluation of speech fluency (92521) |
— |
$461.77 |
— |
| Evaluation of speech sound production (92522) |
— |
$461.77 |
— |
| Evaluation of swallowing function (92610) |
— |
$274.66 |
— |
| Evaluation with prescription of speech-generating alternative (92607) |
— |
$417.38 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$725 |
— |
| Group Therapeutic Procedures (97150) |
— |
$63.57 |
— |
| Holter Monitor Recording (93225) |
— |
$1,103 |
— |
| Hydrotherapy (97036) |
— |
$187.64 |
— |
| Immunization Admin (90471) |
— |
$213.37 |
— |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
— |
$1,551.09 |
— |
| Injection intra arterial (96373) |
— |
$522 |
— |
| Intralesional Chemo Admin,8+ Lesn (96406) |
— |
$522 |
— |
| Intralesional Chemo Admin,<8 Lesn (96405) |
— |
$222 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
— |
$127.14 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$208.68 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$470.05 |
— |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
— |
$292.74 |
— |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
— |
$470 |
— |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
— |
$116.34 |
— |
| IV push initial (96374) |
— |
$470.10 |
— |
| Manual therapy 15 min (97140) |
— |
$149.58 |
— |
| Massage 15 min (97124) |
— |
$95.96 |
— |
| Maximum voluntary ventilation (94200) |
— |
$171.46 |
— |
| Mechanical traction (97012) |
— |
$271 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$52.78 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$86.10 |
— |
| Methacholine challenge (94070) |
— |
$1,366 |
— |
| Mnt Group Ea 30 Min (97804) |
— |
$39.74 |
— |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
— |
$274.66 |
— |
| Multiple sleep latency test (95805) |
— |
$3,310.31 |
— |
| Neg press wnd tx </=50 sq cm (97607) |
— |
$979.90 |
— |
| Neg press wound tx >50 cm (97608) |
— |
$979.90 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$293.28 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$441.37 |
— |
| Nerve conduction studies 13/> studies (95913) |
— |
$337.03 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$182.31 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$337.03 |
— |
| Nerve conduction studies; 1-2 studies (95907) |
— |
$182.31 |
— |
| Nerve conduction studies; 11-12 studies (95912) |
— |
$337.03 |
— |
| Nerve conduction studies; 5-6 studies (95909) |
— |
$182.31 |
— |
| Nerve conduction studies; 7-8 studies (95910) |
— |
$182.31 |
— |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
— |
$381.68 |
— |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
— |
$425.51 |
— |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
— |
$243.47 |
— |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
— |
$121.14 |
— |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$115.66 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$61.17 |
— |
| Ot eval high complex 60 min (97167) |
— |
$393.40 |
— |
| Ot eval low complex 30 min (97165) |
— |
$393.40 |
— |
| Ot eval mod complex 45 min (97166) |
— |
$393.40 |
— |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
— |
$117.54 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$116.35 |
— |
| Ot Range Motion Measure,Each Extrem (95851) |
— |
$47.98 |
— |
| Ot re-eval est plan care (97168) |
— |
$190.70 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$275.73 |
— |
| Paraffin bath (97018) |
— |
$91.16 |
— |
| Phy/qhp op pulm rhb w/mntr (94626) |
— |
$125.94 |
— |
| Phy/qhp op pulm rhb w/o mntr (94625) |
— |
$125.94 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$3,834.43 |
— |
| Prq card revasc chronic 1vsl (92943) |
— |
$25,110.34 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$25,861.88 |
— |
| Prq revasc byp graft 1 vsl (92937) |
— |
$25,110.34 |
— |
| Prq trluml coronary angioplasty one art/branch (92920) |
— |
$16,532.33 |
— |
| Pt Aquatic Therapy/Exercises (97113) |
— |
$172.72 |
— |
| Pt Electric Current Therapy (97033) |
— |
$165.26 |
— |
| Pt Electrical Stimulation (97032) |
— |
$153.36 |
— |
| Pt eval high complex 45 min (97163) |
— |
$255.47 |
— |
| Pt eval low complex 20 min (97161) |
— |
$255.47 |
— |
| Pt Gait Training Therapy (97116) |
— |
$81.56 |
— |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
— |
$130.72 |
— |
| Pt Physical Performance Test (97750) |
— |
$123.54 |
— |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
— |
$255.47 |
— |
| Pt re-evaluation (97164) |
— |
$206.30 |
— |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
— |
$147.51 |
— |
| Pt Ultrasound Therapy (97035) |
— |
$92.36 |
— |
| Pt Whirlpool Therapy (97022) |
— |
$197.90 |
— |
| Pulm function test by gas (94727) |
— |
$239.88 |
— |
| Pulmonary stress testing (94618) |
— |
$265.06 |
— |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
— |
$11,162.68 |
— |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
— |
$11,162.68 |
— |
| R hrt art/grft angio (93457) |
— |
$11,162.68 |
— |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
— |
$11,162.68 |
— |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
— |
$285.45 |
— |
| Right heart cath (93451) |
— |
$11,162.68 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$293.84 |
— |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
— |
$29.99 |
— |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$284 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$105.54 |
— |
| Sc Ther Infusion Reset Pump (96371) |
— |
$158 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$110.35 |
— |
| Short-latency somatosens ep std lwr limbs (95926) |
— |
$755.62 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$755.62 |
— |
| Sleep study unattended (95806) |
— |
$1,365 |
— |
| Somatosensory testing (95938) |
— |
$776 |
— |
| Speech sound lang comprehen (92523) |
— |
$461.51 |
— |
| Spirometry (94010) |
— |
$584.10 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$252.27 |
— |
| Stress echo (93350) |
— |
$940.26 |
— |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
— |
$102 |
— |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
— |
$522 |
— |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
— |
$82.98 |
— |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
— |
$80.63 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$272.26 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$342 |
— |
| Therapeutic Activities (97530) |
— |
$131.93 |
— |
| Therapeutic phlebotomy (99195) |
— |
$122 |
— |
| Tilt Table Eval (93660) |
— |
$1,279.74 |
— |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
— |
$971.50 |
— |
| Transcranial Doppler Limited (93888) |
— |
$837.18 |
— |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
— |
$2,604.65 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$223.08 |
— |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
— |
$117.54 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$116.34 |
— |
| Ultraviolet Light Therapy (96900) |
— |
$150.77 |
— |
| Vasc Duplex Extrem Venous,Bilat (93970) |
— |
$918.68 |
— |
| Vasc Duplex Scan Extracranial,Limited (93882) |
— |
$873.16 |
— |
| Veeg by tech 2-12 hours unmonitored (95711) |
— |
$1,656.14 |
— |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
— |
$1,656.14 |
— |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
— |
$3,311.18 |
— |
| Veeg Ea 12-26 Hr Unmntr (95714) |
— |
$3,311.18 |
— |
| Ventilation assist & mgmt inpatient 1st day (94002) |
— |
$2,728 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$1,769.09 |
— |
| Visual Evoked Potential Test (95930) |
— |
$1,231.77 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$64.77 |
— |