| Airway inhalation treatment (94640) |
$246.89 |
— |
1.2× |
| Analyze Neurostim Complex (95972) |
$112.05 |
— |
1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$363.33 |
— |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$363.33 |
— |
1.7× |
| Cardiopulmonary exercise testing (94621) |
$363.33 |
— |
1.0× |
| Cardiopulmonary resuscitation (92950) |
$363.33 |
— |
1.7× |
| Color/duplex Doppler, complete (93975) |
$283.64 |
— |
1.2× |
| Comprehensive Hearing Test (92557) |
$180.81 |
— |
1.5× |
| Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report… (92145) |
$70.80 |
— |
1.2× |
| Cpap initiation and management (94660) |
$246.89 |
— |
1.2× |
| Cpt initial (94667) |
$147.87 |
— |
1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$231.74 |
— |
1.2× |
| Demo &/or eval,pt use,aerosol device (94664) |
$246.89 |
— |
1.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$283.64 |
— |
1.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$127.26 |
— |
1.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$127.26 |
— |
1.3× |
| Duplex scan extracranial art compl bi study (93880) |
$283.64 |
— |
1.2× |
| Ear and throat examination (92502) |
$636.89 |
— |
1.2× |
| Echo Heart Xthoracic,Limited (93308) |
$283.64 |
— |
1.2× |
| Echo transesophageal (93312) |
$638.59 |
— |
1.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$638.59 |
— |
1.2× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$638.59 |
— |
1.2× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$638.59 |
— |
1.2× |
| EKG (93005) |
$70.80 |
— |
1.2× |
| EKG rhythm strip (93041) |
$70.80 |
— |
1.2× |
| Ekg Signal Averaging (93278) |
$70.80 |
— |
1.2× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$112.05 |
— |
1.2× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$112.05 |
— |
1.2× |
| Electrocardiogram (ECG) assessment of irregular heart beats (93025) |
$180.81 |
— |
1.5× |
| EMG one extremity (95860) |
$147.87 |
— |
1.2× |
| Er level 1 (99281) |
$102.77 |
— |
1.3× |
| Er level ii (99282) |
$189.32 |
— |
1.3× |
| Er level iii (99283) |
$330.27 |
— |
1.3× |
| Er level IV (99284) |
$512.69 |
— |
1.3× |
| Er level v (99285) |
$743.51 |
— |
1.3× |
| Ergonovine provocation test (93024) |
$461.21 |
— |
1.1× |
| Exhaled Air Analysis (94690) |
$70.80 |
— |
1.2× |
| Exhaled air analysis o2 (94680) |
$180.81 |
— |
1.5× |
| Eye exam w anesth; complete (92018) |
$2,704.95 |
— |
1.2× |
| Eye exam w anesth; limited (92019) |
$2,704.95 |
— |
1.2× |
| Flow volume loop (94375) |
$363.33 |
— |
1.7× |
| Hast w/report (94452) |
$147.87 |
— |
1.2× |
| High altitude simulation test (94453) |
$147.87 |
— |
1.2× |
| Hypoxia Response Curve (94450) |
$180.81 |
— |
1.5× |
| Immunization Admin (90471) |
$81.54 |
— |
1.2× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$70.80 |
— |
1.2× |
| IV infusion hydration each additional hour (96361) |
$54.99 |
— |
1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$248.11 |
— |
1.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$81.54 |
— |
1.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$248.11 |
— |
1.2× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$54.99 |
— |
1.2× |
| IV push initial (96374) |
$248.11 |
— |
1.2× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$392.02 |
— |
1.2× |
| Maximum voluntary ventilation (94200) |
$70.80 |
— |
1.2× |
| Methacholine challenge (94070) |
$363.33 |
— |
1.0× |
| Multiple sleep latency test (95805) |
$620.43 |
— |
0.8× |
| Nasopharyngoscopy (92511) |
$229.29 |
— |
1.2× |
| Neg press wnd tx </=50 sq cm (97607) |
$461.57 |
— |
1.2× |
| Neg press wound tx >50 cm (97608) |
$461.57 |
— |
1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$231.74 |
— |
1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$461.57 |
— |
1.2× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$147.87 |
— |
1.2× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$180.81 |
— |
0.9× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$180.81 |
— |
1.5× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) |
$363.33 |
— |
1.0× |
| Ophthalmic biometry (92136) |
$147.87 |
— |
1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$246.89 |
— |
1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,210.26 |
— |
1.5× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,210.26 |
— |
1.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,210.26 |
— |
1.5× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,210.26 |
— |
1.5× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$43.65 |
— |
1.2× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$342.85 |
— |
1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$231.74 |
— |
1.2× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$147.87 |
— |
1.2× |
| Sleep study attended (95807) |
$620.43 |
— |
1.7× |
| Sleep study unattended (95806) |
$180.81 |
— |
0.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$180.81 |
— |
0.9× |
| Spirometry (94010) |
$180.81 |
— |
0.9× |
| Stress echo (93350) |
$638.59 |
— |
1.2× |
| Ther/prop/diag inj/inf proc (96379) |
$54.99 |
— |
1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$81.54 |
— |
1.2× |
| Trans Care Mgmt 14 Day Disch (99495) |
$153.02 |
— |
1.2× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$283.64 |
— |
1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$54.99 |
— |
1.2× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$638.59 |
— |
1.2× |
| Unlisted pulmonary service/procedure (94799) |
$180.81 |
— |
1.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$283.64 |
— |
1.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$725.39 |
— |
1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$725.39 |
— |
1.2× |
| Vital capacity total (94150) |
$180.81 |
— |
1.5× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$112.05 |
— |
1.2× |