| Airway Inhalation Treatment (94640) |
$246.89 |
— |
1.2× |
| Analyze neurostim complex (95972) |
$112.05 |
— |
1.2× |
| Analyze Neurostim Simple (95971) |
$112.05 |
— |
1.2× |
| Breathing response to hypoxia (94450) |
$180.81 |
— |
1.5× |
| 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× |
| Chest Wall Manipulation (94668) |
$147.87 |
— |
1.2× |
| Color/duplex Doppler, complete (93975) |
$283.64 |
— |
1.2× |
| Comprehensive Hearing Test (92557) |
$180.81 |
— |
1.5× |
| Continuous Pulse Ox (94762) |
$180.81 |
— |
1.5× |
| Cornea hysteresis determin impulse stimj uni/bi (92145) |
$70.80 |
— |
1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$246.89 |
— |
1.2× |
| Cpt initial (94667) |
$147.87 |
— |
1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$231.74 |
— |
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 Complete Bilateral Study (93970) |
$283.64 |
— |
1.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$127.26 |
— |
1.3× |
| Ear and throat examination (92502) |
$636.89 |
— |
1.2× |
| ECG/monitoring and analysis (93271) |
$112.05 |
— |
1.2× |
| Echo Congenital Complete (93303) |
$638.59 |
— |
1.2× |
| Echo Heart Xthoracic,Limited (93308) |
$283.64 |
— |
1.2× |
| Echo transesophag montr cardiac pump functj (93318) |
$638.59 |
— |
1.2× |
| Echo transesophageal (93312) |
$638.59 |
— |
1.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$638.59 |
— |
1.2× |
| EKG signal averaged (93278) |
$70.80 |
— |
1.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$112.05 |
— |
1.2× |
| Electrocardiogram Tracing (93005) |
$70.80 |
— |
1.2× |
| Emergency Dept Visit Level 2 (99282) |
$189.32 |
— |
1.3× |
| Emergency Dept Visit Level 3 (99283) |
$330.27 |
— |
1.3× |
| Emergency Dept Visit Level 4 (99284) |
$512.69 |
— |
1.3× |
| Er level 1 (99281) |
$102.77 |
— |
1.3× |
| Er level v (99285) |
$743.51 |
— |
1.3× |
| Ergonovine provocation test (93024) |
$461.21 |
— |
1.1× |
| Evaluate pt use of inhaler (94664) |
$246.89 |
— |
1.2× |
| Exhaled Air Analysis O2 (94680) |
$180.81 |
— |
1.5× |
| Extracranial Bilat Study (93880) |
$283.64 |
— |
1.2× |
| Eye exam w anesth; complete (92018) |
$2,704.95 |
— |
1.2× |
| Eye exam w anesth; limited (92019) |
$2,704.95 |
— |
1.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$638.59 |
— |
1.2× |
| High altitude simulation test (94452) |
$147.87 |
— |
1.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$147.87 |
— |
1.2× |
| Immunization administration (90471) |
$81.54 |
— |
1.2× |
| Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) |
$81.54 |
— |
1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$54.99 |
— |
1.2× |
| IV push initial (96374) |
$248.11 |
— |
1.2× |
| Lung Function Test (Mbc/Mvv) (94200) |
$70.80 |
— |
1.2× |
| Methacholine challenge (94070) |
$363.33 |
— |
1.0× |
| Microvolt T-Wave Assess (93025) |
$180.81 |
— |
1.5× |
| Multiple Sleep Latency Test (95805) |
$620.43 |
— |
0.8× |
| Muscle Test One Limb (95860) |
$147.87 |
— |
1.2× |
| Nasopharyngoscopy (92511) |
$229.29 |
— |
1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$461.57 |
— |
1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$363.33 |
— |
1.0× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$147.87 |
— |
1.2× |
| Oxygen Uptake Rest Indirect (94690) |
$70.80 |
— |
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× |
| Pulmonary service/procedure (94799) |
$180.81 |
— |
1.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$392.02 |
— |
1.2× |
| Remote 30 Day Ecg Rev/Report (93270) |
$43.65 |
— |
1.2× |
| Respiratory flow volume loop (94375) |
$363.33 |
— |
1.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$70.80 |
— |
1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$231.74 |
— |
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× |
| Spin/Brain Pump Refil & Main (95991) |
$342.85 |
— |
1.2× |
| Spirometry (94010) |
$180.81 |
— |
0.9× |
| Stress Tte Only (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× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$248.11 |
— |
1.2× |
| Trans Care Mgmt 14 Day Disch (99495) |
$153.02 |
— |
1.2× |
| Tte W/O Doppler Complete (93307) |
$283.64 |
— |
1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$54.99 |
— |
1.2× |
| Upr/L Xtremity Art 2 Levels (93922) |
$147.87 |
— |
1.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$180.81 |
— |
0.9× |
| Vent Mgmt Inpat Init 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× |