| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$166.50 |
$222 |
1.3× |
| Actinotherapy Ultraviolet Light (96900) |
$114 |
$152 |
3.1× |
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines |
$120–$162.75 |
$160–$217 |
varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$344.25 |
$459 |
2.7× |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
$577.50 |
$770 |
1.6× |
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines |
$91.50–$95.25 |
$122–$127 |
varies |
| Application on-body injector (96377) |
$122.25 |
$163 |
2.7× |
| Assessment of aphasia per hr (96105) |
$227.25 |
$303 |
2.3× |
| Audiometry Air & Bone (92553) |
$150 |
$200 |
1.2× |
| Basic vestibular evaluation (92540) |
$425.25 |
$567 |
2.0× |
| Behavral qualit analys voice (92524) |
$278.25 |
$371 |
2.5× |
| Biofeedback training any modality (90901) |
$125.25 |
$167 |
3.0× |
| Blink reflex test (95933) |
$186.75 |
$249 |
3.3× |
| Brief Emotional/Behav Assmt (96127) |
$29.25 |
$39 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$584.25 |
$779 |
1.6× |
Canalith repositioning proc (95992)
range across 2 matching MRF lines |
$73.50–$207.75 |
$98–$277 |
varies |
| Car seat/bed test 60 min (94780) |
$105.75 |
$141 |
2.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$771.75 |
$1,029 |
3.7× |
| Cardiopulmonary resuscitation (92950) |
$876.75 |
$1,169 |
4.2× |
| Cardioversion (92960) |
$1,437 |
$1,916 |
2.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$22.50 |
$30 |
0.9× |
| Cbt 1st hour (94644) |
$340.50 |
$454 |
2.6× |
| Chemo Anti-Neopl Sq/Im (96401) |
$221.25 |
$295 |
3.2× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$212.25 |
$283 |
3.0× |
| Chemo IV infusion addl hr (96415) |
$155.25 |
$207 |
2.2× |
| Chemo IV push addl drug (96411) |
$99 |
$132 |
1.4× |
| Chemother Prolong Infuse W/Pump (96416) |
$714.75 |
$953 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$176.25 |
$235 |
2.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$630 |
$840 |
2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$615 |
$820 |
1.9× |
| Chest Wall Manipulation (94668) |
$154.50 |
$206 |
1.2× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$205.50 |
$274 |
2.1× |
| Cmptr ophth dx img ant segmt (92132) |
$50.25 |
$67 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$573 |
$764 |
2.5× |
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines |
$790.50–$1,132.50 |
$1,054–$1,510 |
varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$145.50 |
$194 |
4.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$233.25 |
$311 |
1.4× |
| Comprehensive Hearing Test (92557) |
$262.50 |
$350 |
2.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$78.75 |
$105 |
1.4× |
| Computerized Ophthalmic Imaging Retina (92134) |
$79.50 |
$106 |
1.4× |
| Conditioning Play Audiometry (92582) |
$177.75 |
$237 |
1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$300.75 |
$401 |
2.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$139.50 |
$186 |
2.4× |
| Continuous Pulse Ox (94762) |
$185.25 |
$247 |
1.5× |
| Corneal Topography (92025) |
$189 |
$252 |
3.3× |
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 5 matching MRF lines |
$171–$482.25 |
$228–$643 |
varies |
| Cpt initial (94667) |
$159 |
$212 |
1.2× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$105.75 |
$141 |
0.5× |
| Critical care first hour (99291) |
$1,755.75 |
$2,341 |
2.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$441.75 |
$589 |
2.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$235.50 |
$314 |
0.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$855.75 |
$1,141 |
8.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,255.50 |
$1,674 |
5.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$714 |
$952 |
7.0× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$287.25 |
$383 |
2.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$293.25 |
$391 |
2.3× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) |
$509.25 |
$679 |
2.4× |
| ECG/monitoring and analysis (93271) |
$773.25 |
$1,031 |
8.4× |
| Echo Congenital Complete (93303) |
$1,213.50 |
$1,618 |
2.3× |
| Echo Heart Xthoracic,Limited (93308) |
$578.25 |
$771 |
2.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,729.50 |
$2,306 |
3.3× |
| Eeg 41-60 Minutes (95812) |
$1,038.75 |
$1,385 |
5.0× |
| EEG awake and asleep (95819) |
$1,000.50 |
$1,334 |
4.8× |
| EEG awake drowsy (95816) |
$1,085.25 |
$1,447 |
5.2× |
| EEG cerebral death evaluation (95824) |
$523.50 |
$698 |
1.4× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,233.75 |
$1,645 |
5.9× |
| Eeg Sleep Only (95822) |
$894 |
$1,192 |
4.3× |
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines |
$81.75–$120.75 |
$109–$161 |
varies |
| Electrocardiogram Tracing (93005) |
$237.75 |
$317 |
4.1× |
| Emergency Dept Visit Level 2 (99282) |
$350.25 |
$467 |
2.3× |
| Emergency Dept Visit Level 3 (99283) |
$517.50 |
$690 |
2.0× |
| Emergency Dept Visit Level 4 (99284) |
$795.75 |
$1,061 |
2.0× |
| Emg 3 Extremities (95863) |
$453 |
$604 |
3.6× |
| Emg 4 Extremities (95864) |
$505.50 |
$674 |
4.0× |
| Er level 1 (99281) |
$239.25 |
$319 |
2.9× |
| Er level v (99285) |
$1,657.50 |
$2,210 |
2.9× |
| Evaluate pt use of inhaler (94664) |
$157.50 |
$210 |
0.7× |
| Evaluate Speech Production (92522) |
$324.75 |
$433 |
2.9× |
| Evaluate Swallowing Function (92610) |
$361.50 |
$482 |
4.3× |
| Evaluation of speech fluency (92521) |
$398.25 |
$531 |
3.0× |
| Evoked Auditory Test,Limited (92587) |
$168 |
$224 |
0.8× |
| External ECG rec>48hr<7d recording (93242) |
$344.25 |
$459 |
9.5× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$511.50 |
$682 |
4.0× |
| External ECG rec>7d<15d recording (93246) |
$137.25 |
$183 |
3.8× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$277.50 |
$370 |
2.1× |
| External Ecg Scanning Analysis Report (93226) |
$396.75 |
$529 |
6.9× |
| Extracranial Bilat Study (93880) |
$1,101.75 |
$1,469 |
4.8× |
| Extracranial Uni/Ltd Study (93882) |
$549 |
$732 |
5.4× |
| Eye exam w anesth; limited (92019) |
$3,639.75 |
$4,853 |
1.6× |
| Eye Exam With Photos (92230) |
$306.75 |
$409 |
0.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$993 |
$1,324 |
1.9× |
| Fluorescein angiography (92235) |
$165.75 |
$221 |
0.8× |
| Fundus photography (92250) |
$61.50 |
$82 |
0.5× |
| Gi tract capsule endoscopy (91110) |
$1,758 |
$2,344 |
2.0× |
| Gonioscopy (92020) |
$42 |
$56 |
0.3× |
| Holter monitor recording (93225) |
$396.75 |
$529 |
3.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$15 |
$20 |
0.2× |
| Immunization administration (90471) |
$15 |
$20 |
0.2× |
| Inital newborn e/m (99460) |
$85.50 |
$114 |
0.7× |
| Iontophoresis 15 min (97033) |
$96.75 |
$129 |
5.1× |
| Irrig Drug Delivery Device (96523) |
$177.75 |
$237 |
3.1× |
| IV infusion hydration each additional hour (96361) |
$111 |
$148 |
2.4× |
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines |
$324–$468 |
$432–$624 |
varies |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$285 |
$380 |
4.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$128.25 |
$171 |
2.8× |
| IV push initial (96374) |
$193.50 |
$258 |
0.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$462 |
$616 |
2.2× |
| Mechanical chest wall oscillation per session (94669) |
$248.25 |
$331 |
1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$59.25 |
$79 |
1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$63 |
$84 |
1.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$33 |
$44 |
1.9× |
| Motion Fluoroscopy/Swallow (92611) |
$566.25 |
$755 |
6.2× |
| Multiple Sleep Latency Test (95805) |
$3,639.75 |
$4,853 |
4.4× |
| Muscle Test 2 Limbs (95861) |
$348.75 |
$465 |
2.7× |
| Muscle Test Hemidiaphragm (95866) |
$436.50 |
$582 |
3.5× |
| Muscle Test Nonparaspinal (95870) |
$186.75 |
$249 |
1.4× |
| Muscle Test One Limb (95860) |
$342.75 |
$457 |
2.7× |
| Nasopharyngoscopy (92511) |
$441.75 |
$589 |
2.3× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$509.25 |
$679 |
2.4× |
| Needle electromyography larynx (95865) |
$342.75 |
$457 |
2.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$323.25 |
$431 |
1.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$436.50 |
$582 |
2.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$558 |
$744 |
1.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$880.50 |
$1,174 |
2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$204.75 |
$273 |
1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$383.25 |
$511 |
1.0× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$436.50 |
$582 |
2.1× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,612.50 |
$2,150 |
4.4× |
| Nerve conduction studies 13 or more studies (95913) |
$1,383.75 |
$1,845 |
3.8× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$711 |
$948 |
3.4× |
| Nerve conduction studies 5-6 studies (95909) |
$927 |
$1,236 |
4.4× |
| Nerve conduction studies 7-8 studies (95910) |
$900 |
$1,200 |
2.5× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,343.25 |
$1,791 |
3.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$402 |
$536 |
3.2× |
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines |
$122.25–$150 |
$163–$200 |
varies |
| Newborn resuscitation (99465) |
$664.50 |
$886 |
1.0× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$111 |
$148 |
8.1× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$485.25 |
$647 |
1.3× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$101.25 |
$135 |
0.8× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$141 |
$188 |
1.1× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$118.50 |
$158 |
0.9× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$74.25 |
$99 |
0.6× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$103.50 |
$138 |
0.8× |
| Oral Function Therapy (92526) |
$246.75 |
$329 |
2.9× |
| Oral Speech Device Eval (92597) |
$529.50 |
$706 |
7.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$145.50 |
$194 |
2.9× |
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines |
$138.75–$151.50 |
$185–$202 |
varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$60 |
$80 |
2.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$71.25 |
$95 |
3.4× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$72.75 |
$97 |
3.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$48.75 |
$65 |
2.3× |
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines |
$57–$58.50 |
$76–$78 |
varies |
| Ot eval high complexity (97167) |
$344.25 |
$459 |
3.4× |
| Ot Eval Low Complex (97165) |
$177.75 |
$237 |
1.8× |
| Ot Eval Moderate Complexity (97166) |
$267 |
$356 |
2.7× |
| Ot manual therapy 15 min (97140) |
$107.25 |
$143 |
3.9× |
| Ot paraffin bath (97018) |
$67.50 |
$90 |
11.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$92.25 |
$123 |
2.3× |
| Ot Re-Eval Est Plan Care (97168) |
$154.50 |
$206 |
2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$256.50 |
$342 |
2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$171 |
$228 |
1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$338.25 |
$451 |
1.6× |
| Percutaneous tests w/allergenic extracts (95004) |
$35.25 |
$47 |
0.0× |
| Peripheral arterial disease rehab per session (93668) |
$151.50 |
$202 |
2.6× |
| Phlebotomy therapeutic (99195) |
$243 |
$324 |
1.9× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$216.75 |
$289 |
3.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$135 |
$180 |
2.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$138.75 |
$185 |
2.4× |
| Physical Performance Test (97750) |
$73.50 |
$98 |
2.2× |
| Plethysmography (94726) |
$573.75 |
$765 |
1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,205.25 |
$5,607 |
5.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$36.75 |
$49 |
0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$66.75 |
$89 |
1.5× |
| Psych diag eval w/med srvcs (90792) |
$379.50 |
$506 |
2.2× |
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines |
$72.75–$89.25 |
$97–$119 |
varies |
| Psytx Crisis Initial 60 Min (90839) |
$429 |
$572 |
2.5× |
| Pt Eval High Complex (97163) |
$363.75 |
$485 |
3.7× |
| Pt eval low complex 20 min (97161) |
$247.50 |
$330 |
2.5× |
| Pt Eval Mod Complex (97162) |
$308.25 |
$411 |
3.1× |
| Pt gait training 15 min (97116) |
$129 |
$172 |
4.4× |
| Pt group caregiver training (97552) |
$9 |
$12 |
0.4× |
| Pt mechanical traction (97012) |
$105.75 |
$141 |
7.4× |
| Pt Re-Eval Est Plan Care (97164) |
$153.75 |
$205 |
2.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$63 |
$84 |
1.7× |
| Pulmonary service/procedure (94799) |
$321 |
$428 |
2.6× |
| Pure Tone Audiometry Air (92552) |
$80.25 |
$107 |
0.6× |
| Rectal sensation tone&compliance study (91124) |
$577.50 |
$770 |
2.8× |
| Remote 30 Day Ecg Rev/Report (93270) |
$407.25 |
$543 |
11.2× |
| Remote 30 Day Ecg Tech Supp (93229) |
$741 |
$988 |
2.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$187.50 |
$250 |
3.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$158.25 |
$211 |
0.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$663 |
$884 |
5.4× |
Self Care Mngment Training (97535)
range across 2 matching MRF lines |
$103.50–$117.75 |
$138–$157 |
varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$138.75 |
$185 |
2.4× |
| Sensory Integration Ea 15 Min (97533) |
$163.50 |
$218 |
2.7× |
| Short-latency somatosens ep std upr limbs (95925) |
$218.25 |
$291 |
1.0× |
| Sleep study unattended (95806) |
$741.75 |
$989 |
3.5× |
| Slp caregiver training 1st 30 min (97550) |
$42 |
$56 |
0.8× |
| Slp Stdy Unatnd W/Anal (95801) |
$212.25 |
$283 |
3.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$1,867.50 |
$2,490 |
8.9× |
| Speech Audiometry Complete (92556) |
$139.50 |
$186 |
2.4× |
| Speech audiometry threshold (92555) |
$61.50 |
$82 |
1.1× |
| Speech sound lang comprehen (92523) |
$504.75 |
$673 |
2.2× |
| Spirometry (94010) |
$293.25 |
$391 |
1.4× |
| Ssep lower limbs (95926) |
$218.25 |
$291 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$423.75 |
$565 |
4.1× |
| Stenger Test, Pure Tone (92565) |
$109.50 |
$146 |
1.9× |
| Stress Tte Only (93350) |
$1,018.50 |
$1,358 |
1.9× |
| Temp transcutaneous pacing (92953) |
$357.75 |
$477 |
0.6× |
| Testing Autonomic Nervous System Function (95923) |
$217.50 |
$290 |
1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$127.50 |
$170 |
5.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$127.50 |
$170 |
6.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$11.25 |
$15 |
0.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$228 |
$304 |
2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$97.50 |
$130 |
1.4× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$329.25 |
$439 |
1.6× |
Therapeutic Activities (97530)
range across 2 matching MRF lines |
$114.75–$143.25 |
$153–$191 |
varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$63 |
$84 |
1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$63 |
$84 |
1.7× |
| Tone Decay Test (92563) |
$72.75 |
$97 |
2.0× |
| Trans Care Mgmt 14 Day Disch (99495) |
$142.50 |
$190 |
1.1× |
| Trans Care Mgmt 7 Day Disch (99496) |
$174.75 |
$233 |
1.4× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) |
$403.50 |
$538 |
3.2× |
| Tte w/doppler, complete (93306) |
$1,777.50 |
$2,370 |
3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$281.25 |
$375 |
3.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$45 |
$60 |
1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$107.25 |
$143 |
2.4× |
| Tympanometry (92567) |
$105.75 |
$141 |
2.9× |
Tympanometry and reflex threshold measurements (92550)
range across 2 matching MRF lines |
$45–$143.25 |
$60–$191 |
varies |
| Unlis neurological/neuromuscular dx px (95999) |
$94.50 |
$126 |
0.8× |
Unlisted otorhinolaryngological service (92700)
range across 2 matching MRF lines |
$51–$52.50 |
$68–$70 |
varies |
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines |
$171.75–$283.50 |
$229–$378 |
varies |
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines |
$351–$353.25 |
$468–$471 |
varies |
| Vent Mgmt Inpat Init Day (94002) |
$809.25 |
$1,079 |
1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$584.25 |
$779 |
1.0× |
| Visual Evoked Potential Test (95930) |
$437.25 |
$583 |
2.1× |
| Visual Field Exam Extended (92083) |
$133.50 |
$178 |
1.0× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$58.50 |
$78 |
1.0× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$71.25 |
$95 |
1.2× |
| Visual reinforcement audiometry (vra) (92579) |
$125.25 |
$167 |
0.6× |
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines |
$82.50–$107.25 |
$110–$143 |
varies |
| Whirlpool Therapy (97022) |
$83.25 |
$111 |
5.3× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$33.75 |
$45 |
0.9× |