| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$95 |
— |
| Airway Inhalation Treatment (94640) |
— |
$459 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$402 |
— |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
— |
$402 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$106 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$105 |
— |
| Application on-body injector (96377) |
— |
$114 |
— |
| Assessment of aphasia per hr (96105) |
— |
$427 |
— |
| Basic vestibular evaluation (92540) |
— |
$344 |
— |
| Behavral qualit analys voice (92524) |
— |
$293 |
— |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
— |
$290 |
— |
| Bfb training ea addl 15 min (90913) |
— |
$145 |
— |
| Biofeedback training any modality (90901) |
— |
$290 |
— |
| Breath hydrogen/methane test (91065) |
— |
$1,029 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$495 |
— |
Caloric vestibular test w/rec bi monothermal (92538)
range across 2 matching MRF lines |
— |
$469–$496 |
— |
Caloric Vstblr Test W/Rec (92537)
range across 3 matching MRF lines |
— |
$524–$536 |
— |
| Canalith repositioning proc (95992) |
— |
$215 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,075 |
— |
Cardiopulmonary resuscitation (92950)
range across 7 matching MRF lines |
— |
$1,183–$2,679 |
— |
| Cardioversion (92960) |
— |
$2,129 |
— |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
— |
$11,810 |
— |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
— |
$11,796 |
— |
| Cbt 1st hour (94644) |
— |
$254 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$313 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$261 |
— |
| Chemo Ia Push (96420) |
— |
$635 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$424 |
— |
| Chemo IV push addl drug (96411) |
— |
$239 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$848 |
— |
| Chemotherapy Into Cns (96450) |
— |
$1,653 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$259 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$700 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$407 |
— |
| Chest Wall Manipulation (94668) |
— |
$254 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,026 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$959 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$215 |
— |
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines |
— |
$275–$390 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$335 |
— |
| Continuous Pulse Ox (94762) |
— |
$315 |
— |
| Coronary Art/Grft Angio S&I (93455) |
— |
$14,383 |
— |
| Coronary Artery Angio S&I (93454) |
— |
$10,338 |
— |
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 6 matching MRF lines |
— |
$785–$1,069 |
— |
| Cpt initial (94667) |
— |
$255 |
— |
| Critical care first hour (99291) |
— |
$2,485 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$757 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$597 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$597 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,440 |
— |
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines |
— |
$683–$1,025 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$959 |
— |
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines |
— |
$311–$597 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$597 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,344 |
— |
Duplex up extrem art unilat/ltd (93931)
range across 3 matching MRF lines |
— |
$982–$1,473 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$1,531 |
— |
| Echo transesophageal (93312) |
— |
$2,128 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$1,222 |
— |
| EEG awake and asleep (95819) |
— |
$688 |
— |
| EEG awake drowsy (95816) |
— |
$688 |
— |
| EEG cerebral death evaluation (95824) |
— |
$943 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$1,222 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$685 |
— |
| EEG w/o vid ea 12-26hr intmt (95709) |
— |
$1,222 |
— |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
— |
$685 |
— |
| EEG wo vid ea 12-26hr unmntr (95708) |
— |
$1,222 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$105 |
— |
| Electrocardiogram Tracing (93005) |
— |
$237 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$455 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$752 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$1,325 |
— |
| Er level 1 (99281) |
— |
$223 |
— |
| Er level v (99285) |
— |
$1,795 |
— |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
— |
$1,716 |
— |
| Evaluate Speech Production (92522) |
— |
$293 |
— |
| Evaluate Swallowing Function (92610) |
— |
$340 |
— |
| Evaluation of speech fluency (92521) |
— |
$293 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$933 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$933 |
— |
External Ecg Scanning Analysis Report (93226)
range across 4 matching MRF lines |
— |
$633–$738 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,042 |
— |
Extracranial Uni/Ltd Study (93882)
range across 3 matching MRF lines |
— |
$959–$999 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$396 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$1,716 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$1,716 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$1,717 |
— |
| Group Therapeutic Procedures (97150) |
— |
$215 |
— |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
— |
$12,502 |
— |
| Holter monitor recording (93225) |
— |
$560 |
— |
| Immunization administration (90471) |
— |
$95 |
— |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
— |
$3,039 |
— |
| Insert/Place Heart Catheter (93503) |
— |
$3,745 |
— |
| Iontophoresis 15 min (97033) |
— |
$105 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$369 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$424 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$497 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$259 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$424 |
— |
| IV push initial (96374) |
— |
$397 |
— |
| L Hrt Art/Grft Angio (93459) |
— |
$12,758 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$602 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$358 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$159 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$159 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$158 |
— |
| Methacholine challenge (94070) |
— |
$880 |
— |
| Motility study esophagus (91010) |
— |
$3,938 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$381 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$3,384 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$1,348 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$1,348 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$757 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$1,348 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$754 |
— |
| Neuromuscular Reeducation (97112) |
— |
$215 |
— |
| Newborn resuscitation (99465) |
— |
$2,679 |
— |
| Nitric oxide expired gas determination (95012) |
— |
$254 |
— |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
— |
$15 |
— |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
— |
$22 |
— |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
— |
$8 |
— |
| Oral Function Therapy (92526) |
— |
$257 |
— |
| Oral Speech Device Eval (92597) |
— |
$329 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$215 |
— |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 28 matching MRF lines |
— |
$216–$1,969 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$105 |
— |
| Ot eval high complexity (97167) |
— |
$301 |
— |
| Ot Eval Low Complex (97165) |
— |
$256 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$278 |
— |
| Ot manual therapy 15 min (97140) |
— |
$216 |
— |
| Ot paraffin bath (97018) |
— |
$105 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$215 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$246 |
— |
| Ot rom hand (95852) |
— |
$15 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$438 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$438 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$398 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$458 |
— |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
— |
$19,589 |
— |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
— |
$21,523 |
— |
| Phlebotomy therapeutic (99195) |
— |
$516 |
— |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
— |
$306 |
— |
Physical Performance Test (97750)
range across 7 matching MRF lines |
— |
$102–$215 |
— |
| Plethysmography (94726) |
— |
$536 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$133 |
— |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines |
— |
$1,556–$4,230 |
— |
| Prq Card Angio/Athrect 1 Art (92924) |
— |
$23,188 |
— |
| Prq Card Stent W/Angio 1 Vsl (92928) |
— |
$23,188 |
— |
| Prq Card Stent/Ath/Angio (92933) |
— |
$30,894 |
— |
| Prq Revasc Byp Graft 1 Vsl (92937) |
— |
$23,188 |
— |
| Psychiatric diagnostic evaluation (90791) |
— |
$173 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$29 |
— |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
— |
$273 |
— |
| Pt Eval High Complex (97163) |
— |
$301 |
— |
| Pt eval low complex 20 min (97161) |
— |
$273 |
— |
| Pt Eval Mod Complex (97162) |
— |
$278 |
— |
| Pt gait training 15 min (97116) |
— |
$115 |
— |
| Pt mechanical traction (97012) |
— |
$105 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$273 |
— |
| Pulm function test by gas (94727) |
— |
$254 |
— |
| Pulmonary Stress Testing (94618) |
— |
$286 |
— |
| R Hrt Art/Grft Angio (93457) |
— |
$10,338 |
— |
| R hrt coronary artery angio (93456) |
— |
$10,338 |
— |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
— |
$10,338 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$311 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$325 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$116 |
— |
| Right Heart Cath (93451) |
— |
$10,338 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$1,348 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$21 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$272 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$127 |
— |
| Self Care Mngment Training (97535) |
— |
$123 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$215 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$754 |
— |
| Sleep study attended (95807) |
— |
$3,286 |
— |
Sleep study unattended (95806)
range across 3 matching MRF lines |
— |
$669–$752 |
— |
| Speech sound lang comprehen (92523) |
— |
$293 |
— |
| Spin/Brain Pump Refil & Main (95991) |
— |
$479 |
— |
| Spirometry (94010) |
— |
$257 |
— |
| Ssep lower limbs (95926) |
— |
$754 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$427 |
— |
| Stress Tte Only (93350) |
— |
$2,131 |
— |
| Surfactant Admin Thru Tube (94610) |
— |
$254 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$215 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$107 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$216 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$105 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$236 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$130 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$518 |
— |
| Therapeutic Activities (97530) |
— |
$215 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$2,337 |
— |
Tte w/doppler, complete (93306)
range across 5 matching MRF lines |
— |
$2,002–$3,241 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$1,531 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$255 |
— |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
— |
$209 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$184 |
— |
| Unlisted Psychiatric Service/Procedure (90899) |
— |
$1,909 |
— |
Upr/L Xtremity Art 2 Levels (93922)
range across 11 matching MRF lines |
— |
$311–$602 |
— |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 5 matching MRF lines |
— |
$458–$843 |
— |
| Vasopneumatic device (97016) |
— |
$105 |
— |
| Veeg 2-12 Hr Cont Mntr (95713) |
— |
$1,029 |
— |
| Veeg 2-12 hr intmt mntr (95712) |
— |
$685 |
— |
| Veeg 2-12 hr unmonitored (95711) |
— |
$685 |
— |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
— |
$1,222 |
— |
| Veeg Ea 12-26 Hr Unmntr (95714) |
— |
$1,222 |
— |
| Veeg ea 12-26hr cont mntr (95716) |
— |
$1,925 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$3,923 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$3,923 |
— |
| Visual Evoked Potential Test (95930) |
— |
$820 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$215 |
— |
| Whirlpool Therapy (97022) |
— |
$105 |
— |