| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$169.20 |
$235 |
1.2× |
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines |
$190.80–$244.80 |
$265–$340 |
varies |
| Airway resistance by oscillometry (94728) |
$287.28 |
$399 |
2.1× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
$379.44 |
$527 |
2.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$182.88 |
$254 |
12.7× |
| Application Modality 1/> Areas Diathermy (97024) |
$139.68 |
$194 |
19.0× |
| Audiometry Air & Bone (92553) |
$267.12 |
$371 |
1.9× |
| Basic vestibular evaluation (92540) |
$726.48 |
$1,009 |
3.1× |
| Behavral qualit analys voice (92524) |
$187.92 |
$261 |
1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$708.48 |
$984 |
1.8× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$406.08 |
$564 |
1.8× |
| Caloric Vstblr Test W/Rec (92537) |
$406.08 |
$564 |
2.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,567.44 |
$2,177 |
6.8× |
| Cardiopulmonary resuscitation (92950) |
$614.88 |
$854 |
2.7× |
| Cardioversion (92960) |
$989.28 |
$1,374 |
1.4× |
| Cbt 1st hour (94644) |
$282.24 |
$392 |
2.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$145.44 |
$202 |
1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$123.12 |
$171 |
1.6× |
| Chemo IV infusion addl hr (96415) |
$90.72 |
$126 |
1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$806.40 |
$1,120 |
2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$384.48 |
$534 |
1.1× |
| Chest Wall Manipulation (94668) |
$138.96 |
$193 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$623.52 |
$866 |
2.4× |
| Color/duplex Doppler, limited (93976) |
$1,000.08 |
$1,389 |
8.9× |
Comprehensive Hearing Test (92557)
range across 3 matching MRF lines |
$28.80–$329.04 |
$40–$457 |
varies |
| Conditioning Play Audiometry (92582) |
$169.20 |
$235 |
1.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$293.76 |
$408 |
2.1× |
| Continuous Pulse Ox (94762) |
$528.48 |
$734 |
3.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$324.72 |
$451 |
1.4× |
| Cpt initial (94667) |
$138.96 |
$193 |
1.0× |
| Critical care first hour (99291) |
$2,072.16 |
$2,878 |
2.3× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$424.08 |
$589 |
2.0× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$321.12 |
$446 |
2.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$336.24 |
$467 |
0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,272.96 |
$1,768 |
5.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$300.96 |
$418 |
2.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$2,143.44 |
$2,977 |
8.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$1,556.64 |
$2,162 |
13.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$2,143.44 |
$2,977 |
8.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,295.28 |
$1,799 |
11.6× |
| Duplex up extrem art bilat (93930) |
$2,427.84 |
$3,372 |
9.5× |
| Duplex up extrem art unilat/ltd (93931) |
$1,260.72 |
$1,751 |
11.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$328.32 |
$456 |
2.4× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$386.64 |
$537 |
2.8× |
| ECG/monitoring and analysis (93271) |
$657.36 |
$913 |
6.5× |
| Echo Heart Xthoracic,Limited (93308) |
$336.96 |
$468 |
1.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,361.52 |
$1,891 |
2.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$182.88 |
$254 |
12.4× |
| Electrocardiogram Tracing (93005) |
$344.16 |
$478 |
5.4× |
| Emergency Dept Visit Level 2 (99282) |
$578.88 |
$804 |
3.5× |
| Emergency Dept Visit Level 3 (99283) |
$849.60 |
$1,180 |
2.9× |
| Emergency Dept Visit Level 4 (99284) |
$1,298.88 |
$1,804 |
2.9× |
| Er level 1 (99281) |
$388.08 |
$539 |
4.3× |
| Er level v (99285) |
$1,874.88 |
$2,604 |
2.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$288 |
$400 |
2.1× |
| Evaluate pt use of inhaler (94664) |
$190.80 |
$265 |
0.8× |
| Evaluate Swallowing Function (92610) |
$187.92 |
$261 |
2.2× |
Evaluation of speech fluency (92521)
range across 2 matching MRF lines |
$185.04–$395.28 |
$257–$549 |
varies |
| Evoked Auditory Test,Limited (92587) |
$336.24 |
$467 |
1.5× |
| External Ecg Scanning Analysis Report (93226) |
$684.72 |
$951 |
10.8× |
| Extracranial Bilat Study (93880) |
$1,164.24 |
$1,617 |
4.6× |
| Holter monitor recording (93225) |
$737.28 |
$1,024 |
5.2× |
| Immunization administration (90471) |
$66.96 |
$93 |
0.9× |
| Iontophoresis 15 min (97033) |
$254.16 |
$353 |
13.3× |
| Irrig Drug Delivery Device (96523) |
$110.16 |
$153 |
1.7× |
| IV infusion hydration each additional hour (96361) |
$64.08 |
$89 |
1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$385.20 |
$535 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$137.52 |
$191 |
1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$100.08 |
$139 |
2.0× |
| IV push initial (96374) |
$198 |
$275 |
0.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$961.20 |
$1,335 |
4.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$28.08 |
$39 |
0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$28.80 |
$40 |
0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$54 |
$75 |
3.2× |
| Methacholine challenge (94070) |
$485.28 |
$674 |
1.2× |
| Motion Fluoroscopy/Swallow (92611) |
$403.92 |
$561 |
4.4× |
| Neurobehavioral Status Exam (96116) |
$349.20 |
$485 |
1.5× |
| Neuromuscular Reeducation (97112) |
$165.60 |
$230 |
5.1× |
| Oral Function Therapy (92526) |
$103.68 |
$144 |
1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$156.96 |
$218 |
3.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$69.84 |
$97 |
3.0× |
| Ot eval high complexity (97167) |
$520.56 |
$723 |
5.2× |
| Ot Eval Low Complex (97165) |
$257.76 |
$358 |
2.6× |
| Ot Eval Moderate Complexity (97166) |
$316.80 |
$440 |
3.2× |
| Ot manual therapy 15 min (97140) |
$147.60 |
$205 |
5.3× |
| Ot paraffin bath (97018) |
$126.72 |
$176 |
21.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$156.96 |
$218 |
3.9× |
| Ot Re-Eval Est Plan Care (97168) |
$150.48 |
$209 |
2.2× |
| Ot rom hand (95852) |
$29.52 |
$41 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$154.80 |
$215 |
1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$136.08 |
$189 |
1.0× |
| Peripheral arterial disease rehab per session (93668) |
$114.48 |
$159 |
1.8× |
| Phlebotomy therapeutic (99195) |
$159.84 |
$222 |
1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$166.32 |
$231 |
2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$166.32 |
$231 |
2.6× |
| Physical Performance Test (97750) |
$154.08 |
$214 |
4.6× |
| Plethysmography (94726) |
$720 |
$1,000 |
1.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,944.96 |
$6,868 |
5.4× |
| Positional nystagmus test (92542) |
$272.16 |
$378 |
1.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$49.68 |
$69 |
1.0× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
$59.76 |
$83 |
1.2× |
| Pt Eval High Complex (97163) |
$520.56 |
$723 |
5.3× |
| Pt eval low complex 20 min (97161) |
$223.92 |
$311 |
2.3× |
| Pt Eval Mod Complex (97162) |
$286.56 |
$398 |
2.9× |
| Pt gait training 15 min (97116) |
$149.04 |
$207 |
5.1× |
| Pt mechanical traction (97012) |
$156.24 |
$217 |
10.9× |
| Pt Re-Eval Est Plan Care (97164) |
$150.48 |
$209 |
2.2× |
| Pulmonary service/procedure (94799) |
$324 |
$450 |
2.3× |
| Pulmonary Stress Testing (94618) |
$289.44 |
$402 |
2.0× |
| Pure Tone Audiometry Air (92552) |
$138.96 |
$193 |
1.0× |
| Remote 30 Day Ecg Rev/Report (93270) |
$557.28 |
$774 |
13.9× |
| Respiratory flow volume loop (94375) |
$541.44 |
$752 |
2.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$264.96 |
$368 |
4.2× |
| Select picture audiometry (92583) |
$104.40 |
$145 |
1.7× |
| Self Care Mngment Training (97535) |
$101.52 |
$141 |
3.1× |
| Sensory Integration Ea 15 Min (97533) |
$110.88 |
$154 |
1.8× |
| Sleep study unattended (95806) |
$1,020.96 |
$1,418 |
4.4× |
| Speech Audiometry Complete (92556) |
$136.80 |
$190 |
2.2× |
| Speech audiometry threshold (92555) |
$76.32 |
$106 |
1.2× |
| Speech sound lang comprehen (92523) |
$203.76 |
$283 |
0.9× |
| Spirometry (94010) |
$285.84 |
$397 |
1.2× |
| Stress Tte Only (93350) |
$1,464.48 |
$2,034 |
2.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$82.08 |
$114 |
3.7× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$82.08 |
$114 |
3.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$194.40 |
$270 |
5.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$162.72 |
$226 |
5.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$66.96 |
$93 |
0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$596.88 |
$829 |
2.6× |
| Therapeutic Activities (97530) |
$135.36 |
$188 |
3.9× |
| Tte w/doppler, complete (93306) |
$1,431.36 |
$1,988 |
2.4× |
| Tte W/O Doppler Complete (93307) |
$452.16 |
$628 |
1.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$110.16 |
$153 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$100.08 |
$139 |
2.0× |
| Tympanometry (92567) |
$136.80 |
$190 |
3.4× |
| Tympanometry and reflex threshold measurements (92550) |
$169.20 |
$235 |
0.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$611.28 |
$849 |
4.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$1,368.72 |
$1,901 |
5.9× |
| Vasopneumatic device (97016) |
$162.72 |
$226 |
13.5× |
| Visual reinforcement audiometry (vra) (92579) |
$178.56 |
$248 |
0.8× |
| Vital capacity, total (94150) |
$169.20 |
$235 |
1.2× |