| Airway Inhalation Treatment (94640) |
$126.10 |
$194 |
0.6× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$139.75 |
$215 |
4.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$77.35 |
$119 |
5.4× |
| Application on-body injector (96377) |
$117 |
$180 |
2.6× |
| Assessment of aphasia per hr (96105) |
$103.35 |
$159 |
1.1× |
| Audiometry Air & Bone (92553) |
$98.80 |
$152 |
0.8× |
| Behavral qualit analys voice (92524) |
$188.50 |
$290 |
1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$493.35 |
$759 |
1.4× |
| Canalith repositioning proc (95992) |
$70.20 |
$108 |
1.7× |
| Car seat/bed test 60 min (94780) |
$137.80 |
$212 |
3.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$878.15 |
$1,351 |
4.3× |
| Cardiopulmonary exercise testing (94621) |
$1,927.25 |
$2,965 |
5.5× |
| Cardiopulmonary resuscitation (92950) |
$573.30 |
$882 |
2.8× |
| Cardioversion (92960) |
$772.20 |
$1,188 |
1.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$128.70 |
$198 |
4.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$11,247.60 |
$17,304 |
3.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$10,706.80 |
$16,472 |
3.5× |
| Cbt 1st hour (94644) |
$140.40 |
$216 |
1.1× |
| Chemo Admin Peritoneal Cavity (96446) |
$676.65 |
$1,041 |
2.2× |
| Chemo Anti-Neopl Sq/Im (96401) |
$195 |
$300 |
2.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$195 |
$300 |
2.9× |
| Chemo Ia Push (96420) |
$294.45 |
$453 |
0.9× |
| Chemo Intralesional Over 7 (96406) |
$438.10 |
$674 |
2.2× |
| Chemo intralesional up to 7 (96405) |
$217.75 |
$335 |
3.2× |
| Chemo IV infusion addl hr (96415) |
$187.85 |
$289 |
2.8× |
| Chemo IV push addl drug (96411) |
$260 |
$400 |
3.8× |
| Chemother Prolong Infuse W/Pump (96416) |
$647.40 |
$996 |
2.1× |
| Chemotherapy Into Cns (96450) |
$822.90 |
$1,266 |
2.6× |
| Chemotherapy Unspecified (96549) |
$578.50 |
$890 |
13.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$235.30 |
$362 |
3.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$566.80 |
$872 |
1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$295.10 |
$454 |
0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$266.50 |
$410 |
0.9× |
| Chest Wall Manipulation (94668) |
$161.85 |
$249 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$835.90 |
$1,286 |
3.7× |
| Color/duplex Doppler, limited (93976) |
$624 |
$960 |
6.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$100.75 |
$155 |
3.1× |
| Continuous Pulse Ox (94762) |
$239.20 |
$368 |
2.0× |
| Coronary Art/Grft Angio S&I (93455) |
$7,024.55 |
$10,807 |
2.3× |
| Coronary Artery Angio S&I (93454) |
$5,774.60 |
$8,884 |
1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$306.80 |
$472 |
1.5× |
| Cpt initial (94667) |
$161.85 |
$249 |
1.3× |
| Critical care first hour (99291) |
$2,055.95 |
$3,163 |
2.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$318.50 |
$490 |
0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$304.85 |
$469 |
1.6× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$339.30 |
$522 |
2.8× |
| Dialysis One Evaluation (90945) |
$410.15 |
$631 |
1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$716.95 |
$1,103 |
3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$358.80 |
$552 |
3.6× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$978.25 |
$1,505 |
9.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$975 |
$1,500 |
4.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$702 |
$1,080 |
7.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,265.55 |
$1,947 |
5.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$932.10 |
$1,434 |
9.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$825.50 |
$1,270 |
3.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$594.10 |
$914 |
6.0× |
| Duplex Scan Hemodialysis Access (93990) |
$430.30 |
$662 |
4.4× |
| Duplex up extrem art bilat (93930) |
$975 |
$1,500 |
4.3× |
| Duplex up extrem art unilat/ltd (93931) |
$702 |
$1,080 |
7.1× |
| Echo Congenital Complete (93303) |
$1,608.10 |
$2,474 |
3.1× |
| Echo Heart Xthoracic,Limited (93308) |
$804.05 |
$1,237 |
3.6× |
| Echo r-t 2d w/probe placement only (93313) |
$1,134.25 |
$1,745 |
2.2× |
| Echo transesophageal (93312) |
$1,366.30 |
$2,102 |
2.6× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,608.10 |
$2,474 |
3.1× |
| EEG awake and asleep (95819) |
$494 |
$760 |
2.4× |
| EKG signal averaged (93278) |
$448.50 |
$690 |
8.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$87.75 |
$135 |
1.0× |
| Electrical Stimulation Ea 15 Min (97032) |
$86.45 |
$133 |
5.9× |
| Electrocardiogram Tracing (93005) |
$124.15 |
$191 |
2.2× |
| Emergency Dept Visit Level 2 (99282) |
$302.25 |
$465 |
2.1× |
| Emergency Dept Visit Level 3 (99283) |
$467.35 |
$719 |
1.8× |
| Emergency Dept Visit Level 4 (99284) |
$724.75 |
$1,115 |
1.8× |
| Endomyocardial Biopsy (93505) |
$6,069.70 |
$9,338 |
2.0× |
| Er level 1 (99281) |
$198.25 |
$305 |
2.5× |
| Er level v (99285) |
$1,206.40 |
$1,856 |
2.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$3,810.30 |
$5,862 |
10.8× |
| Evaluate pt use of inhaler (94664) |
$120.25 |
$185 |
0.6× |
| Evaluate Speech Production (92522) |
$180.70 |
$278 |
1.6× |
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines |
$221–$230.75 |
$340–$355 |
varies |
| Evaluation of speech fluency (92521) |
$222.30 |
$342 |
1.7× |
| Evoked Auditory Test,Limited (92587) |
$210.60 |
$324 |
1.0× |
| Exercise test for bronchospasm (94617) |
$388.70 |
$598 |
3.1× |
| External ECG rec>48hr<7d recording (93242) |
$510.90 |
$786 |
14.5× |
| External ECG rec>7d<15d recording (93246) |
$510.90 |
$786 |
14.5× |
| Extracranial Bilat Study (93880) |
$673.40 |
$1,036 |
3.0× |
| Extracranial Uni/Ltd Study (93882) |
$544.05 |
$837 |
5.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,608.10 |
$2,474 |
3.1× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$345.80 |
$532 |
1.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,597.05 |
$2,457 |
4.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$2,336.75 |
$3,595 |
11.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,597.05 |
$2,457 |
2.0× |
| Gi tract capsule endoscopy (91110) |
$1,630.20 |
$2,508 |
1.9× |
| Gi tract imaging intraluminal colon i&r (91113) |
$2,896.40 |
$4,456 |
3.3× |
| Group Therapeutic Procedures (97150) |
$102.05 |
$157 |
5.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$13,715.65 |
$21,101 |
4.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$1,043.25 |
$1,605 |
1.6× |
| High altitude simulation test (94452) |
$2,187.25 |
$3,365 |
17.4× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$850.20 |
$1,308 |
6.8× |
| Holter monitor recording (93225) |
$510.90 |
$786 |
4.1× |
| Immunization administration (90471) |
$88.40 |
$136 |
1.3× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$1,531.40 |
$2,356 |
4.3× |
| Insert/Place Heart Catheter (93503) |
$1,587.30 |
$2,442 |
1.1× |
| Interrogation vad in person (93750) |
$353.60 |
$544 |
3.9× |
| Intracranial Complete Study (93886) |
$576.55 |
$887 |
2.6× |
| Intracutaneous tests w/allergenic extracts (95024) |
$149.50 |
$230 |
2.7× |
| Iontophoresis 15 min (97033) |
$78 |
$120 |
4.1× |
| Irrig Drug Delivery Device (96523) |
$139.10 |
$214 |
2.5× |
| IV infusion hydration each additional hour (96361) |
$113.75 |
$175 |
2.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$354.25 |
$545 |
1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$192.40 |
$296 |
2.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$124.15 |
$191 |
2.8× |
| IV push initial (96374) |
$234 |
$360 |
1.2× |
| L Hrt Art/Grft Angio (93459) |
$13,147.55 |
$20,227 |
4.3× |
| Liver Elastography W/O Imag W/I&R (91200) |
$328.90 |
$506 |
2.7× |
| Low frequency non-thermal us (97610) |
$547.95 |
$843 |
2.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$523.25 |
$805 |
2.6× |
| Mechanical chest wall oscillation per session (94669) |
$161.85 |
$249 |
0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$29.90 |
$46 |
0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$29.90 |
$46 |
0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$34.45 |
$53 |
2.0× |
| Methacholine challenge (94070) |
$1,857.70 |
$2,858 |
5.3× |
| Motility study esophagus (91010) |
$1,106.30 |
$1,702 |
3.1× |
| Motion Fluoroscopy/Swallow (92611) |
$265.85 |
$409 |
2.9× |
| Multiple Sleep Latency Test (95805) |
$2,889.90 |
$4,446 |
3.6× |
| Muscle Test Nonparaspinal (95870) |
$678.60 |
$1,044 |
5.4× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$1,625 |
$2,500 |
8.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$1,253.85 |
$1,929 |
6.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$280.80 |
$432 |
0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$284.05 |
$437 |
0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$247 |
$380 |
1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$284.05 |
$437 |
0.7× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$297.05 |
$457 |
1.5× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$531.70 |
$818 |
1.5× |
| Nerve conduction studies 13 or more studies (95913) |
$525.20 |
$808 |
1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$439.40 |
$676 |
2.2× |
| Nerve conduction studies 5-6 studies (95909) |
$577.85 |
$889 |
2.8× |
| Nerve conduction studies 7-8 studies (95910) |
$556.40 |
$856 |
1.6× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$598 |
$920 |
1.7× |
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines |
$96.72–$96.85 |
$148.80–$149 |
varies |
| Newborn resuscitation (99465) |
$357.50 |
$550 |
0.6× |
Oral Function Therapy (92526)
range across 2 matching MRF lines |
$144.95–$162.50 |
$223–$250 |
varies |
Oral Speech Device Eval (92597)
range across 2 matching MRF lines |
$89.70–$171.60 |
$138–$264 |
varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$116.35 |
$179 |
2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$141.70 |
$218 |
3.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$380.90 |
$586 |
18.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$380.90 |
$586 |
18.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$476.45 |
$733 |
23.3× |
| Ot Contrast Bath Ea 15 Min (97034) |
$135.85 |
$209 |
9.7× |
| Ot eval high complexity (97167) |
$249.60 |
$384 |
2.5× |
| Ot Eval Low Complex (97165) |
$187.20 |
$288 |
1.9× |
| Ot Eval Moderate Complexity (97166) |
$218.40 |
$336 |
2.2× |
| Ot manual therapy 15 min (97140) |
$85.15 |
$131 |
3.1× |
| Ot paraffin bath (97018) |
$70.20 |
$108 |
11.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$81.25 |
$125 |
2.0× |
| Ot Re-Eval Est Plan Care (97168) |
$96.85 |
$149 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$122.20 |
$188 |
1.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$122.20 |
$188 |
1.0× |
| Oxygen Uptake Rest Indirect (94690) |
$388.70 |
$598 |
7.0× |
| Penile Vascular Study,Ltd or F/U (93981) |
$543.40 |
$836 |
5.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$817.70 |
$1,258 |
3.9× |
| Peripheral arterial disease rehab per session (93668) |
$98.80 |
$152 |
1.8× |
| Phlebotomy therapeutic (99195) |
$160.55 |
$247 |
1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$143 |
$220 |
2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$143 |
$220 |
2.6× |
| Physical Performance Test (97750) |
$92.95 |
$143 |
2.8× |
| Plethysmography (94726) |
$379.60 |
$584 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,498.30 |
$5,382 |
4.3× |
| Positional nystagmus test (92542) |
$86.45 |
$133 |
0.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$59.80 |
$92 |
1.6× |
| Pt Eval High Complex (97163) |
$213.85 |
$329 |
2.2× |
| Pt eval low complex 20 min (97161) |
$163.80 |
$252 |
1.7× |
| Pt Eval Mod Complex (97162) |
$191.10 |
$294 |
2.0× |
| Pt gait training 15 min (97116) |
$68.90 |
$106 |
2.4× |
| Pt group caregiver training (97552) |
$65 |
$100 |
2.9× |
| Pt mechanical traction (97012) |
$73.45 |
$113 |
5.1× |
| Pt Re-Eval Est Plan Care (97164) |
$91 |
$140 |
1.3× |
| Pulm function test by gas (94727) |
$267.15 |
$411 |
1.3× |
| Pulmonary Stress Testing (94618) |
$198.90 |
$306 |
1.6× |
| Pure Tone Audiometry Air (92552) |
$80.60 |
$124 |
0.6× |
| R Hrt Art/Grft Angio (93457) |
$7,906.60 |
$12,164 |
2.6× |
| R hrt coronary artery angio (93456) |
$7,764.90 |
$11,946 |
2.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$1,623.05 |
$2,497 |
5.2× |
| Refill/Maint Portable Pump (96521) |
$206.05 |
$317 |
1.0× |
| Refill/Maint Pump/Resvr Syst (96522) |
$234 |
$360 |
1.2× |
| Remote 30 Day Ecg Rev/Report (93270) |
$324.35 |
$499 |
9.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$159.25 |
$245 |
2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$230.10 |
$354 |
1.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$375.05 |
$577 |
3.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$187.85 |
$289 |
3.9× |
| Self Care Mngment Training (97535) |
$90.35 |
$139 |
2.8× |
| Sensory Integration Ea 15 Min (97533) |
$78.65 |
$121 |
1.3× |
| Short-latency somatosens ep std upr limbs (95925) |
$1,303.25 |
$2,005 |
6.4× |
| Sleep study unattended (95806) |
$306.80 |
$472 |
1.5× |
| Slp caregiver training 1st 30 min (97550) |
$257.40 |
$396 |
4.9× |
| Somatosensory Testing (95938) |
$2,557.75 |
$3,935 |
3.1× |
| Speech sound lang comprehen (92523) |
$290.55 |
$447 |
1.3× |
| Spin/Brain Pump Refil & Main (95991) |
$2,590.25 |
$3,985 |
8.9× |
| Spirometry (94010) |
$226.20 |
$348 |
1.1× |
| Spontaneous Nystagmus Test (92541) |
$86.45 |
$133 |
0.7× |
| Ssep lower limbs (95926) |
$1,253.85 |
$1,929 |
6.1× |
| Standardized Cognitive Performance Testing (96125) |
$340.60 |
$524 |
3.3× |
| Stress Tte Only (93350) |
$1,573 |
$2,420 |
3.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$289.25 |
$445 |
1.4× |
| Surfactant Admin Thru Tube (94610) |
$126.10 |
$194 |
0.6× |
| Temp transcutaneous pacing (92953) |
$351 |
$540 |
0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$131.30 |
$202 |
5.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$52 |
$80 |
2.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$96.20 |
$148 |
2.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$65 |
$100 |
2.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$221 |
$340 |
2.2× |
| Ther/Proph/Diag Inj Ia (96373) |
$156 |
$240 |
0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$107.90 |
$166 |
1.6× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$424.45 |
$653 |
2.1× |
| Therapeutic Activities (97530) |
$87.10 |
$134 |
2.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$717.60 |
$1,104 |
2.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$34.45 |
$53 |
1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$34.45 |
$53 |
1.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$515.45 |
$793 |
5.2× |
| Tte w/doppler, complete (93306) |
$1,608.10 |
$2,474 |
3.1× |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines |
$152.75–$162.50 |
$235–$250 |
varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$104 |
$160 |
4.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$127.40 |
$196 |
2.9× |
| Unlisted cardiovascular service/procedure (93799) |
$4,081.35 |
$6,279 |
33.5× |
| Upr/L Xtremity Art 2 Levels (93922) |
$341.90 |
$526 |
2.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$468.65 |
$721 |
2.3× |
| Vasopneumatic device (97016) |
$100.75 |
$155 |
8.4× |
| Vent Mgmt Inpat Init Day (94002) |
$666.25 |
$1,025 |
1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$611.65 |
$941 |
1.0× |
| Visual Evoked Potential Test (95930) |
$559 |
$860 |
2.7× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$70.85 |
$109 |
2.3× |
| Whirlpool Therapy (97022) |
$82.55 |
$127 |
5.3× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$388.70 |
$598 |
7.0× |