Visits & medical services prices at Strong Memorial Hospital
Rochester, NY · every code in this section with a posted price and a Medicare benchmark.
634 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) range across 2 matching MRF lines |
$120.59–$360.40 | — | varies |
| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) | $364.57 | — | 1.0× |
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$9,258.08–$18,874.25 | — | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 3 matching MRF lines |
$152.73–$474.30 | — | varies |
| Acoustic Reflex Testing (92568) | $44.34 | — | 1.0× |
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$70.02–$285.60 | — | varies |
| Actinotherapy Ultraviolet Light (96900) range across 2 matching MRF lines |
$44.34–$136.85 | — | varies |
| Acupunct W/Stimul 15 Min (97813) | $34.33 | — | 1.0× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $34.33 | — | 1.0× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) range across 3 matching MRF lines |
$210.68–$348.50 | — | varies |
| Adaptive behavior tx by protocol tech ea 15 min (97153) range across 3 matching MRF lines |
$120.59–$368.05 | — | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$48.24–$169.15 | — | varies |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$120.59–$542.30 | — | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 3 matching MRF lines |
$256.30–$593.30 | — | varies |
| Aep neurodiagnostic i&r (92653) range across 3 matching MRF lines |
$256.30–$1,028.50 | — | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 3 matching MRF lines |
$256.30–$1,055.70 | — | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$212.50–$259.92 | — | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$152.73–$1,274.15 | — | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 3 matching MRF lines |
$44.34–$147.90 | — | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 3 matching MRF lines |
$34.33–$96.90 | — | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$157.93–$538.90 | — | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 2 matching MRF lines |
$157.93–$538.90 | — | varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 2 matching MRF lines |
$152.73–$830.45 | — | varies |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $152.73 | — | 1.0× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$112.85–$588.20 | — | varies |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$157.93–$657.05 | — | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$112.85–$588.20 | — | varies |
| Analyze Pacemaker System (93724) range across 2 matching MRF lines |
$364.57–$1,311.55 | — | varies |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$239.97–$827.90 | — | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $442.93 | — | 1.0× |
| Ans parasymp & symp w/tilt (95924) range across 3 matching MRF lines |
$256.30–$1,630.30 | — | varies |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) range across 3 matching MRF lines |
$157.93–$538.90 | — | varies |
| Ant sgm imaging w/microscopy endothelial analy (92286) range across 3 matching MRF lines |
$157.93–$635.80 | — | varies |
| Appl modality 1+ areas lllt po pain reduction (97037) | $44.34 | — | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $40.80 | — | 2.8× |
| Application Modality 1/> Areas Infrared (97026) | $40.80 | — | 6.1× |
| Application on-body injector (96377) range across 2 matching MRF lines |
$55.58–$164.05 | — | varies |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$1,445.20–$5,291.25 | — | varies |
| Art pressure waveform analys (93050) | $34.33 | — | 1.0× |
| Assessment of aphasia per hr (96105) | $115.60 | — | 1.2× |
| Assessment of tinnitus (92625) range across 3 matching MRF lines |
$152.73–$474.30 | — | varies |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$120.59–$360.40 | — | varies |
| Audiometry Air & Bone (92553) range across 3 matching MRF lines |
$152.73–$474.30 | — | varies |
| Auditory Function, 60 Min (92620) range across 2 matching MRF lines |
$152.73–$474.30 | — | varies |
| Basic vestibular evaluation (92540) range across 3 matching MRF lines |
$256.30–$595.85 | — | varies |
| Behavior id assessment by phys/qhp ea 15 min (97151) range across 3 matching MRF lines |
$120.59–$385.05 | — | varies |
| Behavior id support assmt by 1 tech ea 15 min (97152) range across 3 matching MRF lines |
$120.59–$385.05 | — | varies |
| Behavral qualit analys voice (92524) | $559.30 | — | 5.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $175.95 | — | 2.1× |
| Bfb training ea addl 15 min (90913) | $98.60 | — | 3.0× |
| Bioimpedance Cv Analysis (93701) | $157.93 | — | 1.0× |
| Bis Xtracell Fluid Analysis (93702) range across 3 matching MRF lines |
$152.73–$992.80 | — | varies |
| Blink reflex test (95933) range across 3 matching MRF lines |
$70.02–$645.15 | — | varies |
| Breath hydrogen/methane test (91065) range across 3 matching MRF lines |
$256.30–$723.35 | — | varies |
| Breathing response to hypoxia (94450) range across 2 matching MRF lines |
$152.73–$1,274.15 | — | varies |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$44.34–$161.50 | — | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$442.93–$1,309.85 | — | varies |
| Bundle of his recording (93600) range across 2 matching MRF lines |
$9,258.08–$18,874.25 | — | varies |
| C motor evoked uppr limbs (95928) range across 3 matching MRF lines |
$1,019.31–$4,792.30 | — | varies |
| C motor evoked upr&lwr limbs (95939) range across 3 matching MRF lines |
$1,019.31–$4,971.65 | — | varies |
| Caloric vestibular test w/rec bi monothermal (92538) range across 3 matching MRF lines |
$256.30–$531.25 | — | varies |
| Caloric Vstblr Test W/Rec (92537) range across 3 matching MRF lines |
$152.73–$561.85 | — | varies |
| Canalith repositioning proc (95992) | $70.55 | — | 1.7× |
| Car seat/bed test 60 min (94780) | $44.34 | — | 1.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$256.30–$989.40 | — | varies |
| Cardiopulmonary exercise testing (94621) | $442.93 | — | 1.0× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$784.53–$2,704.70 | — | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$784.53–$2,623.10 | — | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $44.47 | — | 1.0× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 3 matching MRF lines |
$44.47–$158.95 | — | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $90.10 | — | 3.5× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$157.93–$538.90 | — | varies |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $157.93 | — | 1.0× |
| Cervical & Ocular Vemp Testing W/I&R (92519) range across 2 matching MRF lines |
$256.30–$899.30 | — | varies |
| Cervical Vemp Testing W/I&R (92517) range across 2 matching MRF lines |
$152.73–$474.30 | — | varies |
| Chemo Admin Peritoneal Cavity (96446) range across 2 matching MRF lines |
$392.07–$1,496 | — | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$85.46–$367.20 | — | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$85.46–$367.20 | — | varies |
| Chemo Ia Push (96420) range across 2 matching MRF lines |
$392.07–$1,496 | — | varies |
| Chemo Intralesional Over 7 (96406) range across 3 matching MRF lines |
$252.48–$1,227.40 | — | varies |
| Chemo intralesional up to 7 (96405) range across 3 matching MRF lines |
$85.46–$464.95 | — | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$85.46–$408.85 | — | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$85.46–$300.90 | — | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$392.07–$1,496 | — | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) range across 2 matching MRF lines |
$392.07–$980.90 | — | varies |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) range across 2 matching MRF lines |
$55.58–$209.10 | — | varies |
| Chemotherapy Into Cns (96450) range across 3 matching MRF lines |
$392.07–$1,944.80 | — | varies |
| Chemotherapy Intracavitary (96440) | $392.07 | — | 1.0× |
| Chemotherapy Unspecified (96549) | $55.58 | — | 1.0× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) range across 2 matching MRF lines |
$392.07–$1,496 | — | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$85.46–$298.35 | — | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$392.07–$1,496 | — | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$392.07–$980.90 | — | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$392.07–$1,197.65 | — | varies |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$157.93–$538.90 | — | varies |
| Chiropract manj 3-4 regions (98941) | $25.63 | — | 1.0× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $25.63 | — | 1.0× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $25.63 | — | 1.0× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 3 matching MRF lines |
$120.59–$442 | — | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 2 matching MRF lines |
$442.93–$2,344.30 | — | varies |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$70.02–$269.45 | — | varies |
| Colon Motility 6 Hr Study (91117) range across 2 matching MRF lines |
$256.30–$1,165.35 | — | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 3 matching MRF lines |
$70.02–$385.05 | — | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$283.22–$1,106.70 | — | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$124.09–$1,104.15 | — | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $84.15 | — | 2.6× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 3 matching MRF lines |
$210.68–$619.65 | — | varies |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) range across 2 matching MRF lines |
$1,019.31–$4,430.20 | — | varies |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) range across 2 matching MRF lines |
$442.93–$2,172.60 | — | varies |
| Comprehensive Hearing Test (92557) range across 8 matching MRF lines |
$152.73–$830.45 | — | varies |
| Computerized dynamic posturography (92548) range across 3 matching MRF lines |
$157.93–$414.80 | — | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$70.02–$358.70 | — | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 3 matching MRF lines |
$70.02–$526.15 | — | varies |
| Conditioning Play Audiometry (92582) range across 3 matching MRF lines |
$152.73–$474.30 | — | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$158.03–$595 | — | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$70.02–$269.45 | — | varies |
| Contact Lens Fit,Corneoscleral Lens (92313) range across 3 matching MRF lines |
$157.93–$699.55 | — | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$152.73–$672.35 | — | varies |
| Cornea hysteresis determin impulse stimj uni/bi (92145) | $70.02 | — | 1.0× |
| Corneal Topography (92025) range across 2 matching MRF lines |
$70.02–$269.45 | — | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$212.50–$259.92 | — | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$157.93–$538.90 | — | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) range across 2 matching MRF lines |
$256.30–$1,164.50 | — | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$980.48–$3,530.90 | — | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 3 matching MRF lines |
$442.93–$2,705.55 | — | varies |
| Dark Adaptation Eye Exam (92284) | $530.25 | — | 1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$238.15–$1,031.90 | — | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) range across 2 matching MRF lines |
$238.15–$863.60 | — | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 3 matching MRF lines |
$152.73–$1,777.35 | — | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 5 matching MRF lines |
$152.73–$830.45 | — | varies |
| Dialysis One Evaluation (90945) | $495.28 | — | 1.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 4 matching MRF lines |
$442.93–$899.30 | — | varies |
| Duodenal motility study (91022) range across 2 matching MRF lines |
$442.93–$2,344.30 | — | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$283.22–$1,106.70 | — | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$124.09–$566.10 | — | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$124.09–$525.30 | — | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$283.22–$1,106.70 | — | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$124.09–$684.25 | — | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$283.22–$1,106.70 | — | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$124.09–$791.35 | — | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$283.22–$1,106.70 | — | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$124.09–$525.30 | — | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$124.09–$684.25 | — | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$283.22–$1,106.70 | — | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$124.09–$684.25 | — | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) range across 2 matching MRF lines |
$152.73–$506.60 | — | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 5 matching MRF lines |
$152.73–$830.45 | — | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 2 matching MRF lines |
$152.73–$830.45 | — | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) range across 2 matching MRF lines |
$256.30–$672.35 | — | varies |
| Ear and throat examination (92502) | $640.17 | — | 1.0× |
| Ear Protector Evaluation (92596) | $44.34 | — | 1.0× |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$112.85–$374.85 | — | varies |
| Echo Congenital Complete (93303) range across 4 matching MRF lines |
$648.59–$2,498.15 | — | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$283.22–$1,230.80 | — | varies |
| Echo r-t 2d w/probe placement only (93313) | $648.59 | — | 1.0× |
| Echo transesophag congen probe plcmt only (93316) | $648.59 | — | 1.0× |
| Echo transesophag montr cardiac pump functj (93318) range across 3 matching MRF lines |
$648.59–$2,391.90 | — | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$648.59–$2,391.90 | — | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$648.59–$2,391.90 | — | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $648.59 | — | 1.0× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) range across 3 matching MRF lines |
$44.30–$617.95 | — | varies |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$256.30–$1,213.80 | — | varies |
| EEG awake and asleep (95819) range across 5 matching MRF lines |
$256.30–$1,185.75 | — | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$256.30–$1,213.80 | — | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$442.93–$1,821.55 | — | varies |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$256.30–$989.40 | — | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$256.30–$1,548.70 | — | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$256.30–$1,185.75 | — | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) range across 3 matching MRF lines |
$256.30–$1,363.40 | — | varies |
| EEG w/o vid 2-12hr cont mntr (95707) | $256.30 | — | 1.0× |
| EEG w/o vid ea 12-26hr intmt (95709) | $442.93 | — | 1.0× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $442.93 | — | 1.0× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $256.30 | — | 1.0× |
| EEG wo vid ea 12-26hr unmntr (95708) range across 3 matching MRF lines |
$442.93–$2,354.50 | — | varies |
| EKG signal averaged (93278) range across 2 matching MRF lines |
$70.02–$363.80 | — | varies |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) range across 3 matching MRF lines |
$112.85–$577.15 | — | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 3 matching MRF lines |
$112.85–$698.70 | — | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 3 matching MRF lines |
$44.30–$334.05 | — | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$46.75–$51.85 | — | varies |
| Electro-Oculography (92270) range across 3 matching MRF lines |
$157.93–$538.90 | — | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$70.02–$208.25 | — | varies |
| Electrocochleography (92584) | $152.73 | — | 1.0× |
| Electroconvulsive Therapy (90870) range across 3 matching MRF lines |
$1,019.31–$2,055.30 | — | varies |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $256.30 | — | 1.0× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $157.93 | — | 1.0× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) range across 2 matching MRF lines |
$9,258.08–$18,874.25 | — | varies |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$1,445.20–$5,291.25 | — | varies |
| Emergency Dept Visit Level 2 (99282) range across 6 matching MRF lines |
$182.25–$1,108.40 | — | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$324.02–$1,951.60 | — | varies |
| Emergency Dept Visit Level 4 (99284) range across 5 matching MRF lines |
$495.28–$3,065.10 | — | varies |
| Emg 3 Extremities (95863) range across 3 matching MRF lines |
$152.73–$1,627.75 | — | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$152.73–$1,657.50 | — | varies |
| Endomyocardial Biopsy (93505) range across 2 matching MRF lines |
$3,747.88–$11,248.90 | — | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$31,025.23–$61,116.70 | — | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$31,025.23–$61,116.70 | — | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$9,258.08–$18,874.25 | — | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 2 matching MRF lines |
$9,258.08–$18,874.25 | — | varies |
| Ep Esophageal Recording Atria+Pacing (93616) range across 2 matching MRF lines |
$1,445.20–$5,291.25 | — | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$100.09–$611.15 | — | varies |
| Er level v (99285) range across 8 matching MRF lines |
$706.89–$4,399.60 | — | varies |
| Ergonovine provocation test (93024) | $530.25 | — | 1.0× |
| Esoph Atrial Electrogram (93615) | $1,445.20 | — | 1.0× |
| Esophageal Capsule Endoscopy (91111) range across 2 matching MRF lines |
$1,076.58–$3,818.20 | — | varies |
| Esophagus acid perfusion test esophagitis (91030) range across 2 matching MRF lines |
$442.93–$2,344.30 | — | varies |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 2 matching MRF lines |
$442.93–$2,156.45 | — | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 3 matching MRF lines |
$442.93–$2,582.30 | — | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$152.73–$474.30 | — | varies |
| Evaluate pt use of inhaler (94664) range across 10 matching MRF lines |
$212.50–$300.90 | — | varies |
| Evaluate Speech Production (92522) | $403.75 | — | 3.6× |
| Evaluate Swallowing Function (92610) | $403.75 | — | 4.8× |
| Evaluation of speech fluency (92521) range across 4 matching MRF lines |
$357.85–$692.75 | — | varies |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$256.30–$899.30 | — | varies |
| Excimer laser tx psoriasis 250-500 sq cm (96921) range across 3 matching MRF lines |
$238.15–$1,187.45 | — | varies |
| Excimer laser tx psoriasis >500 sq cm (96922) | $482.53 | — | 1.0× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) range across 3 matching MRF lines |
$238.15–$1,025.10 | — | varies |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$157.93–$538.90 | — | varies |
| Exhaled Air Analysis O2 (94680) | $152.73 | — | 1.0× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$44.34–$212.50 | — | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$157.93–$430.10 | — | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$44.34–$142.80 | — | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$157.93–$455.60 | — | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$70.02–$419.05 | — | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$283.22–$1,106.70 | — | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$124.09–$918 | — | varies |
| Eye Allergy Tests (95060) | $157.93 | — | 1.0× |
| Eye exam w anesth; complete (92018) range across 2 matching MRF lines |
$2,822.04–$9,463.05 | — | varies |
| Eye exam w anesth; limited (92019) | $2,822.04 | — | 1.0× |
| Eye Exam With Photos (92230) | $442.93 | — | 1.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$648.59–$2,324.75 | — | varies |
| Facial nerve function studies (92516) range across 4 matching MRF lines |
$256.30–$964.75 | — | varies |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) range across 3 matching MRF lines |
$44.47–$130.90 | — | varies |
| Filtered Speech Test (92571) | $44.34 | — | 1.0× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) | $44.34 | — | 1.0× |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) | $44.34 | — | 1.0× |
| Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) | $70.02 | — | 1.0× |
| Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) | $70.02 | — | 1.0× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $82.45 | — | 0.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $682.55 | — | 3.4× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $851.70 | — | 3.7× |
| Fluorescein angiography (92235) range across 3 matching MRF lines |
$256.30–$1,448.40 | — | varies |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) range across 3 matching MRF lines |
$256.30–$1,524.90 | — | varies |
| Full Field Electroretinography W/I&R (92273) range across 3 matching MRF lines |
$256.30–$1,820.70 | — | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 3 matching MRF lines |
$1,019.31–$3,961.85 | — | varies |
| Fundus photography (92250) range across 3 matching MRF lines |
$157.93–$644.30 | — | varies |
| Gastric motility studies (91020) range across 2 matching MRF lines |
$442.93–$2,344.30 | — | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$442.93–$2,344.30 | — | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 3 matching MRF lines |
$256.30–$1,411.85 | — | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$1,019.31–$2,746.35 | — | varies |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$1,076.58–$4,300.15 | — | varies |
| Gi tract imaging intraluminal colon i&r (91113) | $1,103.85 | — | 1.0× |
| Gi wireless capsule measure (91112) | $1,076.58 | — | 1.0× |
| Gonioscopy (92020) range across 2 matching MRF lines |
$157.93–$538.90 | — | varies |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) range across 3 matching MRF lines |
$44.47–$127.50 | — | varies |
| Group Therapeutic Procedures (97150) range across 6 matching MRF lines |
$79.90–$301.75 | — | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) range across 3 matching MRF lines |
$44.47–$124.10 | — | varies |
| Health Behavior Assessment/Re-Assessment (96156) range across 3 matching MRF lines |
$120.59–$538.90 | — | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 3 matching MRF lines |
$44.47–$235.45 | — | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$44.47–$119 | — | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 3 matching MRF lines |
$210.68–$447.10 | — | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$814.64–$2,502.40 | — | varies |
| High altitude simulation test (94452) | $157.93 | — | 1.0× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $157.93 | — | 1.0× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$157.93–$419.05 | — | varies |
| Hypnotherapy (90880) range across 2 matching MRF lines |
$120.59–$347.65 | — | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) range across 2 matching MRF lines |
$44.34–$114.75 | — | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Ilr Device Interrogate (93291) | $34.33 | — | 1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$85.46–$298.35 | — | varies |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $70.02 | — | 1.0× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) range across 2 matching MRF lines |
$70.02–$167.45 | — | varies |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $44.34 | — | 1.0× |
| Immunization administration (90471) range across 3 matching MRF lines |
$16.67–$298.35 | — | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) range across 3 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$356.15–$442.93 | — | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$442.93–$1,655.80 | — | varies |
| Inital newborn e/m (99460) | $158.03 | — | 1.0× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$1,868.50–$5,540.30 | — | varies |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $152.73 | — | 1.0× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $152.73 | — | 1.0× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $112.85 | — | 1.0× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $364.57 | — | 1.0× |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Interrogation eval in person wr defibrillator (93292) | $44.30 | — | 1.0× |
| Interrogation vad in person (93750) range across 3 matching MRF lines |
$112.85–$604.35 | — | varies |
| Interrogation without programming ipnss (93153) | $112.85 | — | 1.0× |
| Intra-atrial pacing (93610) range across 2 matching MRF lines |
$9,258.08–$18,874.25 | — | varies |
| Intra-atrial recording (93602) range across 2 matching MRF lines |
$9,258.08–$18,874.25 | — | varies |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$283.22–$1,106.70 | — | varies |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $34.33 | — | 1.0× |
| Intracutaneous tests w/allergenic extracts (95024) range across 3 matching MRF lines |
$70.02–$202.30 | — | varies |
| Intraventricular pacing (93612) range across 2 matching MRF lines |
$9,258.08–$18,874.25 | — | varies |
| Io anal gast n-stim subsq (95981) | $70.02 | — | 1.0× |
| Io ga n-stim subsq w/reprog (95982) | $44.30 | — | 1.0× |
| Iontophoresis 15 min (97033) | $77.35 | — | 4.1× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$70.02–$226.95 | — | varies |
| Ischemic limb exercise test (95875) | $152.73 | — | 1.0× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$55.58–$160.65 | — | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$252.48–$817.70 | — | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$85.46–$249.05 | — | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$55.58–$183.60 | — | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$252.48–$827.90 | — | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) range across 2 matching MRF lines |
$3,848.12–$12,653.95 | — | varies |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$157.93–$380.80 | — | varies |
| Liver Elastography W/O Imag W/I&R (91200) range across 3 matching MRF lines |
$152.73–$712.30 | — | varies |
| Loudness balance test (92562) | $256.30 | — | 1.0× |
| Low frequency non-thermal us (97610) | $238.15 | — | 1.0× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$70.02–$468.35 | — | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $1,019.31 | — | 1.0× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $1,019.31 | — | 1.0× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) range across 2 matching MRF lines |
$1,685.22–$6,165.05 | — | varies |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) range across 2 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) range across 2 matching MRF lines |
$442.93–$2,344.30 | — | varies |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $152.73 | — | 1.0× |
| Mechanical chest wall oscillation per session (94669) | $259.92 | — | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $56.95 | — | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $56.95 | — | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $128.35 | — | 7.5× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$442.93–$1,274.15 | — | varies |
| Microvolt T-Wave Assess (93025) | $152.73 | — | 1.0× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $157.93 | — | 1.0× |
| Motility study esophagus (91010) range across 3 matching MRF lines |
$442.93–$2,624.80 | — | varies |
| Motion Fluoroscopy/Swallow (92611) | $462.40 | — | 5.1× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 3 matching MRF lines |
$530.25–$1,399.95 | — | varies |
| Multifocal Electroretinography W/I&R (92274) range across 3 matching MRF lines |
$152.73–$1,037.85 | — | varies |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) range across 2 matching MRF lines |
$44.47–$119 | — | varies |
| Multiple Family Group Psychotherapy (90849) range across 3 matching MRF lines |
$169.15–$213.35 | — | varies |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$1,019.31–$4,396.20 | — | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$157.93–$915.45 | — | varies |
| Muscle Test Hemidiaphragm (95866) range across 3 matching MRF lines |
$152.73–$980.05 | — | varies |
| Muscle Test Nonparaspinal (95870) range across 3 matching MRF lines |
$157.93–$806.65 | — | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$157.93–$1,165.35 | — | varies |
| Narcosynthesis (90865) | $210.68 | — | 1.0× |
| Nasal function studies (92512) | $256.30 | — | 1.0× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$236.93–$559.30 | — | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 3 matching MRF lines |
$256.30–$1,562.30 | — | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 3 matching MRF lines |
$256.30–$1,486.65 | — | varies |
| Needle electromyography larynx (95865) | $157.93 | — | 1.0× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 3 matching MRF lines |
$256.30–$806.65 | — | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 3 matching MRF lines |
$256.30–$1,870.85 | — | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $482.53 | — | 1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$482.53–$1,665.15 | — | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$238.15–$959.65 | — | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$482.53–$1,781.60 | — | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$256.30–$999.60 | — | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$442.93–$4,245.75 | — | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$442.93–$4,970.80 | — | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$256.30–$1,684.70 | — | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$256.30–$2,121.60 | — | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$442.93–$2,829.65 | — | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$442.93–$3,542.80 | — | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$256.30–$1,610.75 | — | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$152.73–$1,077.80 | — | varies |
| Neuromuscular Reeducation (97112) | $90.10 | — | 2.8× |
| Newborn resuscitation (99465) | $784.53 | — | 1.0× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$44.34–$161.50 | — | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$80–$85 | $160–$170 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$30–$35 | $60–$70 | varies |
| Nose Allergy Test (95065) | $44.34 | — | 1.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 3 matching MRF lines |
$442.93–$1,700.85 | — | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$442.93–$1,274.15 | — | varies |
| Ocular Vemp Testing W/I&R (92518) range across 2 matching MRF lines |
$152.73–$474.30 | — | varies |
| Oculoelectromyography (92265) range across 3 matching MRF lines |
$70.02–$425.85 | — | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$157.93–$538.90 | — | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$158.03–$571.20 | — | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$158.03–$571.20 | — | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$158.03–$571.20 | — | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 3 matching MRF lines |
$52.49–$571.20 | — | varies |
| Ophthalmodynamometry (92260) range across 3 matching MRF lines |
$44.34–$254.15 | — | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) range across 2 matching MRF lines |
$70.02–$269.45 | — | varies |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) range across 2 matching MRF lines |
$70.02–$269.45 | — | varies |
| Optokinetic Nystagmus Test (92544) range across 2 matching MRF lines |
$152.73–$474.30 | — | varies |
| Oral Function Therapy (92526) | $114.75 | — | 1.4× |
| Oral Speech Device Eval (92597) range across 5 matching MRF lines |
$116.45–$403.75 | — | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$130.05–$184.45 | — | varies |
| Orthoptic training under supervision of phys/qhp (92066) | $70.02 | — | 1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $99.45 | — | 2.2× |
| Oscillating Tracking Test (92545) range across 3 matching MRF lines |
$256.30–$997.05 | — | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$25.63–$127.50 | — | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$25.63–$127.50 | — | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$25.63–$127.50 | — | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$25.63–$128.35 | — | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
$25.63–$413.95 | — | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $84.15 | — | 6.0× |
| Ot eval high complexity (97167) | $392.70 | — | 3.9× |
| Ot Eval Low Complex (97165) | $288.15 | — | 2.9× |
| Ot Eval Moderate Complexity (97166) | $329.80 | — | 3.3× |
| Ot manual therapy 15 min (97140) | $84.15 | — | 3.0× |
| Ot paraffin bath (97018) | $21.25 | — | 3.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $93.50 | — | 2.3× |
| Ot Re-Eval Est Plan Care (97168) | $149.60 | — | 2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$153.01–$472.60 | — | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$153.01–$472.60 | — | varies |
| Oxygen Uptake Rest Indirect (94690) | $70.02 | — | 1.0× |
| Patch/Application Test Specify Number Tests (95044) | $1,019.31 | — | 1.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $60 | $120 | 2.4× |
| Patient-initiated spirometric recording (94015) range across 2 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $530.25 | — | 1.0× |
| Pdt dstr prmlg les phys/qhp (96573) range across 2 matching MRF lines |
$238.15–$863.60 | — | varies |
| Pdt dstr prmlg les skn illum/activj per day (96567) range across 3 matching MRF lines |
$238.15–$1,152.60 | — | varies |
| Pediatric apnea monitor analyses computer (94776) | $152.73 | — | 1.0× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) | $152.73 | — | 1.0× |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$124.09–$904.40 | — | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$212.50–$259.92 | — | varies |
| Percutaneous tests w/allergenic extracts (95004) | $1,019.31 | — | 1.0× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$70.02–$226.95 | — | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines |
$21,759.37–$37,347.30 | — | varies |
| Perq transcath closure pda (93582) range across 2 matching MRF lines |
$21,759.37–$38,302.70 | — | varies |
| Perq Transcath Cls Aortic (93591) range across 2 matching MRF lines |
$21,759.37–$38,302.70 | — | varies |
| Perq Transcath Cls Mitral (93590) range across 2 matching MRF lines |
$21,759.37–$38,302.70 | — | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$6,755.80–$17,059.50 | — | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$13,702.77–$29,572.35 | — | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$157.93–$455.60 | — | varies |
| Photo patch test(s) (95052) | $70.02 | — | 1.0× |
| Photo Tests (95056) | $157.93 | — | 1.0× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) range across 3 matching MRF lines |
$482.53–$1,671.95 | — | varies |
| Photochemotx Psoralens&Ultraviolet Puva (96912) range across 3 matching MRF lines |
$70.02–$407.15 | — | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) range across 3 matching MRF lines |
$70.02–$439.45 | — | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$70.02–$231.20 | — | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$70.02–$231.20 | — | varies |
| Physical Performance Test (97750) | $90.10 | — | 2.7× |
| Plethysmography (94726) range across 2 matching MRF lines |
$442.93–$1,274.15 | — | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$1,019.31–$4,561.95 | — | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 3 matching MRF lines |
$1,019.31–$5,474.85 | — | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$1,019.31–$4,350.30 | — | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$1,019.31–$3,728.95 | — | varies |
| Positional nystagmus test (92542) range across 3 matching MRF lines |
$157.93–$478.55 | — | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 3 matching MRF lines |
$55.58–$222.70 | — | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 3 matching MRF lines |
$55.58–$255 | — | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) range across 3 matching MRF lines |
$55.58–$290.70 | — | varies |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) range across 3 matching MRF lines |
$85.46–$404.60 | — | varies |
| Prepj& antigen allergen immunotherapy 5 insect (95149) range across 3 matching MRF lines |
$85.46–$488.75 | — | varies |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) range across 2 matching MRF lines |
$530.25–$1,258 | — | varies |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) | $157.93 | — | 1.0× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) | $157.93 | — | 1.0× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) | $44.34 | — | 1.0× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $120.59 | — | 1.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$55.58–$192.95 | — | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$55.58–$192.95 | — | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 3 matching MRF lines |
$85.46–$442 | — | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $55.58 | — | 1.0× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $55.58 | — | 1.0× |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) Facility (92358) | $70.02 | — | 1.0× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$13,702.77–$29,572.35 | — | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$13,702.77–$29,572.35 | — | varies |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$21,759.37–$38,302.70 | — | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$13,702.77–$29,572.35 | — | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 2 matching MRF lines |
$21,759.37–$38,302.70 | — | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) range across 2 matching MRF lines |
$13,702.77–$31,498.45 | — | varies |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) range across 2 matching MRF lines |
$13,702.77–$29,572.35 | — | varies |
| Psych diag eval w/med srvcs (90792) range across 4 matching MRF lines |
$210.68–$742.05 | — | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$210.68–$674.90 | — | varies |
| Psychoanalysis (90845) | $210.68 | — | 1.0× |
| Psychological tst eval svc phys/qhp first hour (96130) range across 3 matching MRF lines |
$256.30–$1,455.20 | — | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) range across 3 matching MRF lines |
$34.33–$124.95 | — | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 3 matching MRF lines |
$530.25–$1,403.35 | — | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 3 matching MRF lines |
$157.93–$636.65 | — | varies |
| Psytx Crisis Initial 60 Min (90839) range across 5 matching MRF lines |
$210.68–$688.50 | — | varies |
| Pt Eval High Complex (97163) | $311.10 | — | 3.2× |
| Pt eval low complex 20 min (97161) | $227.80 | — | 2.3× |
| Pt Eval Mod Complex (97162) | $269.45 | — | 2.8× |
| Pt gait training 15 min (97116) | $90.10 | — | 3.1× |
| Pt group caregiver training (97552) | $39.10 | — | 1.8× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$40.80–$84.15 | — | varies |
| Pt Re-Eval Est Plan Care (97164) | $126.65 | — | 1.9× |
| Pt ultraviolet (97028) | $34.85 | — | 4.2× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 3 matching MRF lines |
$44.47–$158.95 | — | varies |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$256.30–$1,308.15 | — | varies |
| Pulmonary service/procedure (94799) range across 11 matching MRF lines |
$152.73–$1,176.40 | — | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$157.93–$645.15 | — | varies |
| Pure Tone Audiometry Air (92552) range across 4 matching MRF lines |
$24.32–$380.80 | — | varies |
| Quan puplmtry phy/qhp uni/bi (95919) | $157.93 | — | 1.0× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) range across 2 matching MRF lines |
$3,848.12–$12,653.95 | — | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) range across 2 matching MRF lines |
$3,848.12–$12,653.95 | — | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) range across 2 matching MRF lines |
$3,848.12–$12,653.95 | — | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 2 matching MRF lines |
$3,848.12–$12,653.95 | — | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$530.25–$1,699.15 | — | varies |
| Rectal sensation tone&compliance study (91124) | $256.30 | — | 1.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$392.07–$1,263.10 | — | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$252.48–$827.90 | — | varies |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$252.48–$872.10 | — | varies |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$44.30–$178.50 | — | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $44.30 | — | 1.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $158.03 | — | 1.0× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $44.30 | — | 1.0× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $44.30 | — | 1.0× |
| Rem Ther Mntr Dev Sply Cbt (98978) | $44.30 | — | 1.0× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $44.30 | — | 1.0× |
| Rem ther mntr dev sply resp (98976) | $44.30 | — | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$44.30–$139.40 | — | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $442.93 | — | 1.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $158.03 | — | 1.0× |
| Repair and refitting spectacles; spectacle prosthesis for aphakia Facility (92371) | $70.02 | — | 1.0× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) range across 2 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) range across 2 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Replacement of contact lens (92326) | $70.02 | — | 1.0× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $70.02 | — | 1.0× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,848.12–$12,353.05 | — | varies |
| Right ventricular recording (93603) range across 2 matching MRF lines |
$1,445.20–$5,291.25 | — | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$238.15–$904.40 | — | varies |
| Rtm dev sply data cbt 2-15 days in 30 d pd (98986) | $44.30 | — | 1.0× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $44.30 | — | 1.0× |
| Rtm dev sply data respir sys 2-15 days in 30d pd (98984) | $44.30 | — | 1.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$320.45–$362.10 | — | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $116.45 | — | 2.4× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) range across 2 matching MRF lines |
$157.93–$538.90 | — | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) range across 3 matching MRF lines |
$442.93–$1,821.55 | — | varies |
| Same day nb discharge (99463) | $158.03 | — | 1.0× |
| Sbsq Psyc Collab Care Mgmt (99493) range across 3 matching MRF lines |
$120.59–$360.40 | — | varies |
| Select picture audiometry (92583) range across 3 matching MRF lines |
$70.02–$189.55 | — | varies |
| Self Care Mngment Training (97535) | $96.05 | — | 3.0× |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $34.33 | — | 1.0× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 2 matching MRF lines |
$70.02–$269.45 | — | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 3 matching MRF lines |
$256.30–$1,399.95 | — | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 3 matching MRF lines |
$256.30–$2,216.80 | — | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 3 matching MRF lines |
$152.73–$601.80 | — | varies |
| Sleep study attended (95807) | $442.93 | — | 1.0× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$256.30–$913.75 | — | varies |
| Slp caregiver training 1st 30 min (97550) | $166.60 | — | 3.2× |
| Slp Stdy Unatnd W/Anal (95801) | $70.02 | — | 1.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 3 matching MRF lines |
$256.30–$851.70 | — | varies |
| Somatosensory Testing (95938) range across 3 matching MRF lines |
$1,019.31–$2,558.50 | — | varies |
| Speech Audiometry Complete (92556) range across 3 matching MRF lines |
$70.02–$189.55 | — | varies |
| Speech audiometry threshold (92555) range across 3 matching MRF lines |
$70.02–$114.75 | — | varies |
| Speech sound lang comprehen (92523) | $403.75 | — | 1.8× |
| Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines |
$364.35–$1,263.95 | — | varies |
| Spirometry (94010) range across 5 matching MRF lines |
$38.81–$739.50 | — | varies |
| Spontaneous Nystagmus Test (92541) range across 3 matching MRF lines |
$157.93–$478.55 | — | varies |
| Ssep lower limbs (95926) range across 3 matching MRF lines |
$256.30–$2,130.10 | — | varies |
| Staggered Spondaic Word Test (92572) | $152.73 | — | 1.0× |
| Standardized Cognitive Performance Testing (96125) | $209.10 | — | 2.0× |
| Stenger Test Speech (92577) range across 2 matching MRF lines |
$442.93–$1,655.80 | — | varies |
| Stenger Test, Pure Tone (92565) range across 3 matching MRF lines |
$70.02–$201.45 | — | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$648.59–$2,324.75 | — | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$55.58–$160.65 | — | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$252.48–$817.70 | — | varies |
| Subq Infusion Additional Pump Infusion Site (96371) range across 2 matching MRF lines |
$85.46–$249.05 | — | varies |
| Surfactant Admin Thru Tube (94610) | $259.92 | — | 1.0× |
| Synthetic Sentence Identification Test (92576) | $44.34 | — | 1.0× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $124.09 | — | 1.0× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$784.53–$2,619.70 | — | varies |
| Temperature Gradient Studies (93740) | $152.73 | — | 1.0× |
| Tensilon Test (95857) range across 2 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Test to assess hearing loss using different tone pitches (92575) | $44.34 | — | 1.0× |
| Testing Autonomic Nervous System Function (95923) range across 3 matching MRF lines |
$157.93–$988.55 | — | varies |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $112.85 | — | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $51 | — | 2.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $48.45 | — | 2.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $103.70 | — | 2.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $84.15 | — | 2.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 4 matching MRF lines |
$172.55–$229.50 | — | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $55.58 | — | 1.0× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$252.48–$827.90 | — | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$85.46–$295.80 | — | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$252.48–$817.70 | — | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) range across 2 matching MRF lines |
$256.30–$1,274.15 | — | varies |
| Therapeutic Activities (97530) | $90.95 | — | 2.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$442.93–$2,344.30 | — | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$44.47–$165.75 | — | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$44.47–$154.70 | — | varies |
| Tone Decay Test (92563) | $44.34 | — | 1.0× |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$158.03–$923.95 | — | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$158.03–$1,065.90 | — | varies |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$21,759.37–$38,302.70 | — | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) range across 2 matching MRF lines |
$124.09–$501.50 | — | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$124.09–$642.60 | — | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$44.30–$211.65 | — | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) range across 2 matching MRF lines |
$152.73–$672.35 | — | varies |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $157.93 | — | 1.0× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$648.59–$2,525.35 | — | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$283.22–$1,106.70 | — | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$31,025.23–$61,116.70 | — | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 12 matching MRF lines |
$90.10–$368.90 | — | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $49.30 | — | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$55.58–$162.35 | — | varies |
| Tympanometry (92567) range across 3 matching MRF lines |
$44.34–$133.45 | — | varies |
| Tympanometry and reflex threshold measurements (92550) range across 3 matching MRF lines |
$256.30–$474.30 | — | varies |
| Unlis neurological/neuromuscular dx px (95999) range across 5 matching MRF lines |
$152.73–$1,176.40 | — | varies |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $34.33 | — | 1.0× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$152.73–$672.35 | — | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 2 matching MRF lines |
$152.73–$672.35 | — | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $34.33 | — | 1.0× |
| Unlisted ophthalmological service/procedure (92499) | $34.33 | — | 1.0× |
| Unlisted otorhinolaryngological service (92700) range across 2 matching MRF lines |
$34.33–$94.35 | — | varies |
| Unlisted Psychiatric Service/Procedure (90899) range across 2 matching MRF lines |
$44.47–$889.10 | — | varies |
| Unlisted Special Dermatological Service/Px (96999) | $238.15 | — | 1.0× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$157.93–$538.90 | — | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$256.30–$736.95 | — | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$6,755.80–$17,059.50 | — | varies |
| Valvuloplasty mitral valve (92987) range across 2 matching MRF lines |
$13,702.77–$29,572.35 | — | varies |
| Valvuloplasty pulmonary valve (92990) range across 2 matching MRF lines |
$13,702.77–$29,572.35 | — | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$62.90–$66.30 | — | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $442.93 | — | 1.0× |
| Veeg 2-12 hr intmt mntr (95712) | $442.93 | — | 1.0× |
| Veeg 2-12 hr unmonitored (95711) range across 2 matching MRF lines |
$256.30–$989.40 | — | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $442.93 | — | 1.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 2 matching MRF lines |
$442.93–$1,821.55 | — | varies |
| Veeg ea 12-26hr cont mntr (95716) | $1,019.31 | — | 1.0× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$733.31–$2,325.60 | — | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$733.31–$2,325.60 | — | varies |
| Visual Evoked Potential Test (95930) range across 3 matching MRF lines |
$256.30–$1,879.35 | — | varies |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$157.93–$538.90 | — | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 2 matching MRF lines |
$70.02–$269.45 | — | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$70.02–$429.25 | — | varies |
| Visual reinforcement audiometry (vra) (92579) range across 11 matching MRF lines |
$256.30–$830.45 | — | varies |
| Vital capacity, total (94150) range across 4 matching MRF lines |
$152.73–$672.35 | — | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) range across 2 matching MRF lines |
$1,019.31–$3,439.95 | — | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $84.15 | — | 2.7× |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$52.70–$197.20 | — | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) range across 2 matching MRF lines |
$70.02–$245.65 | — | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 3 matching MRF lines |
$44.34–$385.05 | — | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.