| Actinotherapy Ultraviolet Light (96900) |
$45.60 |
$76 |
1.4× |
| Airway Inhalation Treatment (94640) |
$195 |
$325 |
1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$27 |
$45 |
1.9× |
| Application on-body injector (96377) |
$66.72 |
$111.20 |
1.7× |
| Assessment of aphasia per hr (96105) |
$92.70 |
$154.50 |
1.0× |
| Behavral qualit analys voice (92524) |
$100.80 |
$168 |
0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$240 |
$400 |
0.7× |
| Car seat/bed test 60 min (94780) |
$43.80 |
$73 |
1.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$420 |
$700 |
2.3× |
| Cardiopulmonary resuscitation (92950) |
$382.20 |
$637 |
2.1× |
| Cardioversion (92960) |
$789.60 |
$1,316 |
1.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$34.20 |
$57 |
1.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$3,778.80 |
$6,298 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$3,778.80 |
$6,298 |
1.4× |
| Cbt 1st hour (94644) |
$126 |
$210 |
1.1× |
| Chemo Anti-Neopl Sq/Im (96401) |
$109.11 |
$181.85 |
1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$94.56 |
$157.60 |
1.5× |
| Chemo IV infusion addl hr (96415) |
$119.10 |
$198.50 |
1.9× |
| Chemo IV push addl drug (96411) |
$141.90 |
$236.50 |
2.3× |
| Chemother Prolong Infuse W/Pump (96416) |
$300 |
$500 |
1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$120 |
$200 |
1.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$357.99 |
$596.65 |
1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$248.55 |
$414.25 |
0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$264 |
$440 |
0.9× |
| Chest Wall Manipulation (94668) |
$155.40 |
$259 |
1.4× |
| Color/duplex Doppler, complete (93975) |
$245.40 |
$409 |
1.2× |
| Color/duplex Doppler, limited (93976) |
$144 |
$240 |
1.6× |
| Continuous Pulse Ox (94762) |
$145.80 |
$243 |
1.3× |
| Coronary Art/Grft Angio S&I (93455) |
$3,778.80 |
$6,298 |
1.4× |
| Coronary Artery Angio S&I (93454) |
$3,778.80 |
$6,298 |
1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$137.40 |
$229 |
0.7× |
| Cpt initial (94667) |
$155.40 |
$259 |
1.4× |
| Critical care first hour (99291) |
$1,260 |
$2,100 |
1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$3,411.46 |
$5,685.76 |
19.7× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$357.60 |
$596 |
3.2× |
| Dialysis One Evaluation (90945) |
$853.80 |
$1,423 |
2.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$245.40 |
$409 |
1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$245.40 |
$409 |
2.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$349.50 |
$582.50 |
1.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$220.50 |
$367.50 |
2.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$512.10 |
$853.50 |
2.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$256.20 |
$427 |
2.8× |
| Duplex up extrem art bilat (93930) |
$185.40 |
$309 |
0.9× |
| Duplex up extrem art unilat/ltd (93931) |
$185.40 |
$309 |
2.1× |
| ECG/monitoring and analysis (93271) |
$127.80 |
$213 |
1.6× |
| Echo Heart Xthoracic,Limited (93308) |
$178.50 |
$297.50 |
0.9× |
| Echo transesophageal (93312) |
$339.60 |
$566 |
0.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$642.60 |
$1,071 |
1.4× |
| EEG awake and asleep (95819) |
$311.70 |
$519.50 |
1.7× |
| EEG awake drowsy (95816) |
$323.40 |
$539 |
1.7× |
| EEG extended monitoring 61-119 minutes (95813) |
$382.20 |
$637 |
2.1× |
| Eeg Sleep Only (95822) |
$311.70 |
$519.50 |
1.7× |
| Electrical Stimulation Ea 15 Min (97032) |
$36.90 |
$61.50 |
2.5× |
| Electrocardiogram Tracing (93005) |
$114.90 |
$191.50 |
2.3× |
| Emergency Dept Visit Level 2 (99282) |
$211.80 |
$353 |
1.6× |
| Emergency Dept Visit Level 3 (99283) |
$361.80 |
$603 |
1.5× |
| Emergency Dept Visit Level 4 (99284) |
$601.80 |
$1,003 |
1.7× |
| Er level 1 (99281) |
$121.80 |
$203 |
1.7× |
| Er level v (99285) |
$1,201.80 |
$2,003 |
2.3× |
| Evaluate pt use of inhaler (94664) |
$195 |
$325 |
1.0× |
| Evaluate Speech Production (92522) |
$100.80 |
$168 |
0.9× |
| Evaluate Swallowing Function (92610) |
$98.10 |
$163.50 |
1.2× |
| Evaluation of speech fluency (92521) |
$100.80 |
$168 |
0.8× |
| Exercise test for bronchospasm (94617) |
$148.80 |
$248 |
1.3× |
| External ECG rec>48hr<7d recording (93242) |
$94.80 |
$158 |
2.9× |
| External Ecg Scanning Analysis Report (93226) |
$115.50 |
$192.50 |
2.3× |
| Extracranial Bilat Study (93880) |
$370.20 |
$617 |
1.8× |
| Extracranial Uni/Ltd Study (93882) |
$122.70 |
$204.50 |
1.4× |
| Group Therapeutic Procedures (97150) |
$27.30 |
$45.50 |
1.5× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$3,778.80 |
$6,298 |
1.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$672 |
$1,120 |
1.1× |
| Holter monitor recording (93225) |
$119.10 |
$198.50 |
1.0× |
| Icd Device Interrogate (93289) |
$46.20 |
$77 |
1.4× |
| Immunization administration (90471) |
$85.80 |
$143 |
1.4× |
| Iontophoresis 15 min (97033) |
$46.20 |
$77 |
2.4× |
| Irrig Drug Delivery Device (96523) |
$69.14 |
$115.23 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$57.60 |
$96 |
1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$261 |
$435 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$85.80 |
$143 |
1.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$57.60 |
$96 |
1.4× |
| IV push initial (96374) |
$280.80 |
$468 |
1.5× |
| L Hrt Art/Grft Angio (93459) |
$3,778.80 |
$6,298 |
1.4× |
| Liver Elastography W/O Imag W/I&R (91200) |
$186 |
$310 |
1.7× |
| Motion Fluoroscopy/Swallow (92611) |
$187.50 |
$312.50 |
2.0× |
| Multiple Sleep Latency Test (95805) |
$1,077 |
$1,795 |
1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$373.80 |
$623 |
1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$373.80 |
$623 |
1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$180.60 |
$301 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$357 |
$595 |
1.0× |
| Neuromuscular Reeducation (97112) |
$34.50 |
$57.50 |
1.1× |
| Newborn resuscitation (99465) |
$751.20 |
$1,252 |
1.3× |
| Oral Function Therapy (92526) |
$153.60 |
$256 |
1.8× |
| Oral Speech Device Eval (92597) |
$100.80 |
$168 |
1.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$36 |
$60 |
0.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$36.90 |
$61.50 |
2.6× |
| Ot eval high complexity (97167) |
$165 |
$275 |
1.6× |
| Ot Eval Low Complex (97165) |
$114.90 |
$191.50 |
1.1× |
| Ot Eval Moderate Complexity (97166) |
$165 |
$275 |
1.6× |
| Ot manual therapy 15 min (97140) |
$36.30 |
$60.50 |
1.3× |
| Ot paraffin bath (97018) |
$21.90 |
$36.50 |
3.6× |
| Ot Re-Eval Est Plan Care (97168) |
$51.90 |
$86.50 |
0.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$177 |
$295 |
1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$89.70 |
$149.50 |
0.8× |
| Peripheral arterial disease rehab per session (93668) |
$71.40 |
$119 |
1.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$6,661.80 |
$11,103 |
1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$13,389 |
$22,315 |
1.3× |
| Phlebotomy therapeutic (99195) |
$134.34 |
$223.90 |
1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$102.60 |
$171 |
2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$102.60 |
$171 |
2.0× |
| Physical Performance Test (97750) |
$36 |
$60 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,689 |
$2,815 |
2.3× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,200 |
$2,000 |
1.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$13,559.40 |
$22,599 |
1.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$13,559.40 |
$22,599 |
1.4× |
| Psychiatric diagnostic evaluation (90791) |
$150 |
$250 |
1.0× |
| Pt Eval High Complex (97163) |
$151.80 |
$253 |
1.6× |
| Pt eval low complex 20 min (97161) |
$114.90 |
$191.50 |
1.2× |
| Pt Eval Mod Complex (97162) |
$151.80 |
$253 |
1.6× |
| Pt gait training 15 min (97116) |
$29.10 |
$48.50 |
1.0× |
| Pt group caregiver training (97552) |
$15 |
$25 |
0.7× |
| Pt mechanical traction (97012) |
$27 |
$45 |
1.9× |
| Pt Re-Eval Est Plan Care (97164) |
$51.90 |
$86.50 |
0.8× |
| Pulm function test by gas (94727) |
$169.20 |
$282 |
0.9× |
| Pulmonary service/procedure (94799) |
$186 |
$310 |
1.7× |
| Pulmonary Stress Testing (94618) |
$159 |
$265 |
1.4× |
| R hrt coronary artery angio (93456) |
$3,778.80 |
$6,298 |
1.4× |
| Remote 30 Day Ecg Rev/Report (93270) |
$56.40 |
$94 |
1.8× |
| Respiratory flow volume loop (94375) |
$300 |
$500 |
1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$173.70 |
$289.50 |
3.4× |
| Right Heart Cath (93451) |
$3,966 |
$6,610 |
1.4× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines |
$254.40–$508.80 |
$424–$848 |
varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$237 |
$395 |
1.9× |
| Self Care Mngment Training (97535) |
$36 |
$60 |
1.1× |
| Sensory Integration Ea 15 Min (97533) |
$82.80 |
$138 |
1.4× |
| Sleep study attended (95807) |
$636.60 |
$1,061 |
2.0× |
| Slp caregiver training 1st 30 min (97550) |
$64.20 |
$107 |
1.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$182.40 |
$304 |
1.0× |
| Speech sound lang comprehen (92523) |
$354.60 |
$591 |
1.6× |
| Spirometry (94010) |
$119.40 |
$199 |
0.6× |
| Standardized Cognitive Performance Testing (96125) |
$92.70 |
$154.50 |
0.9× |
| Stress Tte Only (93350) |
$642.60 |
$1,071 |
1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$105 |
$175 |
4.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$45 |
$75 |
2.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$35.40 |
$59 |
1.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$27 |
$45 |
0.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$199.80 |
$333 |
1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$54 |
$90 |
0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$261 |
$435 |
1.4× |
| Therapeutic Activities (97530) |
$34.50 |
$57.50 |
1.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$805.20 |
$1,342 |
2.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$30 |
$50 |
0.9× |
| Tte w/doppler, complete (93306) |
$964.20 |
$1,607 |
2.0× |
| Tte W/O Doppler Complete (93307) |
$298.20 |
$497 |
1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$66.60 |
$111 |
0.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$33 |
$55 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$51.30 |
$85.50 |
1.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$133.20 |
$222 |
1.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$186 |
$310 |
1.0× |
| Vent Mgmt Inpat Init Day (94002) |
$720 |
$1,200 |
1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$553.20 |
$922 |
1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$44.40 |
$74 |
1.4× |
| Whirlpool Therapy (97022) |
$29.40 |
$49 |
1.9× |