| Cardiopulmonary resuscitation (92950) |
$678 |
$904 |
3.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$765 |
$1,020 |
3.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$678 |
$904 |
7.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$947.25 |
$1,263 |
4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$505.50 |
$674 |
5.3× |
| Electrocardiogram Tracing (93005) |
$93 |
$124 |
1.7× |
| Extracranial Bilat Study (93880) |
$801.75 |
$1,069 |
3.7× |
Intracranial Complete Study (93886) range across 3 matching MRF lines |
$1,036.50–$11,160 |
$1,382–$14,880 |
varies |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$153 |
$204 |
2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$93.75 |
$125 |
2.2× |
| Multiple Sleep Latency Test (95805) |
$2,715 |
$3,620 |
3.5× |
| Muscle Test 2 Limbs (95861) |
$2,181.75 |
$2,909 |
18.1× |
| Muscle Test Nonparaspinal (95870) |
$2,435.25 |
$3,247 |
20.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$2,435.25 |
$3,247 |
12.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$2,435.25 |
$3,247 |
12.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$2,435.25 |
$3,247 |
12.5× |
| Ot eval high complexity (97167) |
$187.50 |
$250 |
1.9× |
| Ot Eval Low Complex (97165) |
$187.50 |
$250 |
1.9× |
| Ot Eval Moderate Complexity (97166) |
$187.50 |
$250 |
1.9× |
| Ot Re-Eval Est Plan Care (97168) |
$131.25 |
$175 |
1.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,349.50 |
$4,466 |
4.3× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,272.25 |
$4,363 |
4.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,349.50 |
$4,466 |
4.3× |
| Pt Eval High Complex (97163) |
$193.50 |
$258 |
2.0× |
| Pt eval low complex 20 min (97161) |
$193.50 |
$258 |
2.0× |
| Pt Eval Mod Complex (97162) |
$193.50 |
$258 |
2.0× |
| Pt Re-Eval Est Plan Care (97164) |
$131.25 |
$175 |
1.9× |
| Somatosensory Testing (95938) |
$2,181.75 |
$2,909 |
2.8× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$153 |
$204 |
3.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$478.50 |
$638 |
2.5× |
Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$225–$311.25 |
$300–$415 |
varies |
| Ther/Proph/Diag Iv Inf Init (96365) |
$541.50 |
$722 |
2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$153 |
$204 |
3.6× |
| Upr/L Xtremity Art 2 Levels (93922) |
$231 |
$308 |
1.9× |
| Vent Mgmt Inpat Init Day (94002) |
$833.25 |
$1,111 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$833.25 |
$1,111 |
1.5× |