| Ablate Heart Dysrhythm Focus (93650) |
$5,961.12 |
$12,419 |
0.7× |
| Actinotherapy Ultraviolet Light (96900) |
$48.96 |
$102 |
1.1× |
| Acupunct W/Stimul 15 Min (97813) |
$33.12 |
$69 |
1.0× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$31.68 |
$66 |
0.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$36.48 |
$76 |
0.8× |
| Aep neurodiagnostic i&r (92653) |
$496.32 |
$1,034 |
2.0× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$494.88 |
$1,031 |
2.0× |
| Airway Inhalation Treatment (94640) |
$640.80 |
$1,335 |
2.5× |
| Airway resistance by oscillometry (94728) |
$369.12 |
$769 |
2.5× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$152.64 |
$318 |
1.0× |
| Analyze neurostim complex (95972) |
$172.32 |
$359 |
1.6× |
| Analyze neurostim no prog (95970) |
$152.64 |
$318 |
1.0× |
| Analyze Neurostim Simple (95971) |
$172.32 |
$359 |
1.6× |
| Analyze Pacemaker System (93724) |
$448.32 |
$934 |
1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$17.76 |
$37 |
1.2× |
| Application Modality 1/> Areas Infrared (97026) |
$33.12 |
$69 |
5.0× |
| Arrhythmia Induction (93618) |
$1,881.60 |
$3,920 |
1.3× |
| Assessment of aphasia per hr (96105) |
$171.84 |
$358 |
1.8× |
| Behavral qualit analys voice (92524) |
$123.36 |
$257 |
1.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$210.24 |
$438 |
2.6× |
| Bfb training ea addl 15 min (90913) |
$210.24 |
$438 |
6.4× |
| Biofeedback training any modality (90901) |
$39.36 |
$82 |
1.0× |
| Brief Emotional/Behav Assmt (96127) |
$66.72 |
$139 |
1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$369.12 |
$769 |
0.9× |
| Bundle of his recording (93600) |
$10,233.12 |
$21,319 |
1.1× |
| C motor evoked uppr limbs (95928) |
$1,386.72 |
$2,889 |
1.4× |
| C motor evoked upr&lwr limbs (95939) |
$1,386.72 |
$2,889 |
1.4× |
| Canalith repositioning proc (95992) |
$36.96 |
$77 |
0.9× |
| Car seat/bed test 60 min (94780) |
$187.20 |
$390 |
4.3× |
| Cardiac Stress Tst,Tracing Only (93017) |
$406.56 |
$847 |
1.6× |
| Cardiopulmonary exercise testing (94621) |
$369.12 |
$769 |
0.9× |
| Cardiopulmonary resuscitation (92950) |
$506.88 |
$1,056 |
2.0× |
| Cardioversion (92960) |
$971.04 |
$2,023 |
1.3× |
| Cardioversion elective internal (92961) |
$1,047.84 |
$2,183 |
1.4× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
$40.32 |
$84 |
0.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$6,553.44 |
$13,653 |
1.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$6,553.44 |
$13,653 |
1.7× |
| Cbt 1st hour (94644) |
$152.64 |
$318 |
1.0× |
| Chemo Admin Peritoneal Cavity (96446) |
$876.48 |
$1,826 |
2.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$164.64 |
$343 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$164.64 |
$343 |
2.0× |
| Chemo Ia Push (96420) |
$876.48 |
$1,826 |
2.3× |
| Chemo IV infusion addl hr (96415) |
$164.64 |
$343 |
2.0× |
| Chemo IV push addl drug (96411) |
$164.64 |
$343 |
2.0× |
| Chemother Prolong Infuse W/Pump (96416) |
$876.48 |
$1,826 |
2.3× |
| Chemotherapy Into Cns (96450) |
$876.48 |
$1,826 |
2.3× |
| Chemotherapy Unspecified (96549) |
$142.08 |
$296 |
2.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$164.64 |
$343 |
2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$876.48 |
$1,826 |
2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$561.60 |
$1,170 |
1.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$561.60 |
$1,170 |
1.5× |
| Chest Wall Manipulation (94668) |
$111.36 |
$232 |
0.7× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) |
$2,295.36 |
$4,782 |
5.3× |
| Color/duplex Doppler, complete (93975) |
$630.24 |
$1,313 |
2.3× |
| Color/duplex Doppler, limited (93976) |
$630.24 |
$1,313 |
5.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$41.28 |
$86 |
1.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$96 |
$200 |
0.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$96 |
$200 |
1.4× |
| Continuous Pulse Ox (94762) |
$203.04 |
$423 |
1.4× |
| Coronary Art/Grft Angio S&I (93455) |
$6,174.72 |
$12,864 |
1.6× |
| Coronary Artery Angio S&I (93454) |
$6,553.44 |
$13,653 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$924.96 |
$1,927 |
3.6× |
| Cpt initial (94667) |
$186.72 |
$389 |
1.2× |
Critical care first hour (99291)
range across 2 matching MRF lines |
$1,798.08–$2,376 |
$3,746–$4,950 |
varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$1,386.72 |
$2,889 |
3.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$300.96 |
$627 |
1.3× |
Dialysis One Evaluation (90945)
range across 2 matching MRF lines |
$1,028.64–$1,715.52 |
$2,143–$3,574 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$630.24 |
$1,313 |
2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$338.40 |
$705 |
2.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$630.24 |
$1,313 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$338.40 |
$705 |
2.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$630.24 |
$1,313 |
2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$338.40 |
$705 |
2.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$348.48 |
$726 |
1.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$409.92 |
$854 |
3.4× |
| Duplex Scan Hemodialysis Access (93990) |
$192.96 |
$402 |
1.6× |
| Duplex up extrem art bilat (93930) |
$630.24 |
$1,313 |
2.3× |
| Duplex up extrem art unilat/ltd (93931) |
$338.40 |
$705 |
2.8× |
| ECG/monitoring and analysis (93271) |
$190.08 |
$396 |
1.7× |
| Echo Congenital Complete (93303) |
$1,122.72 |
$2,339 |
1.8× |
| Echo Heart Xthoracic,Limited (93308) |
$591.36 |
$1,232 |
2.1× |
| Echo transesophageal (93312) |
$1,857.12 |
$3,869 |
2.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,749.60 |
$3,645 |
2.8× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) |
$62.40 |
$130 |
1.4× |
| Eeg 41-60 Minutes (95812) |
$513.60 |
$1,070 |
2.1× |
| EEG awake and asleep (95819) |
$706.08 |
$1,471 |
2.8× |
| EEG awake drowsy (95816) |
$577.92 |
$1,204 |
2.3× |
| EEG cerebral death evaluation (95824) |
$720.48 |
$1,501 |
1.7× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$1,528.32 |
$3,184 |
6.1× |
| EEG extended monitoring 61-119 minutes (95813) |
$706.08 |
$1,471 |
2.8× |
| Eeg Sleep Only (95822) |
$406.56 |
$847 |
1.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$1,027.20 |
$2,140 |
4.1× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$1,528.32 |
$3,184 |
6.1× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$1,528.32 |
$3,184 |
3.5× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$1,528.32 |
$3,184 |
3.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,528.32 |
$3,184 |
6.1× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$1,528.32 |
$3,184 |
3.5× |
| EKG signal averaged (93278) |
$100.80 |
$210 |
1.5× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$62.40 |
$130 |
0.6× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$193.44 |
$403 |
1.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$62.40 |
$130 |
1.4× |
| Electrical Stimulation Ea 15 Min (97032) |
$26.40 |
$55 |
1.8× |
| Electrocardiogram Tracing (93005) |
$100.80 |
$210 |
1.5× |
| Electrocochleography (92584) |
$203.04 |
$423 |
1.4× |
| Electroconvulsive Therapy (90870) |
$1,158.24 |
$2,413 |
1.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
$9,576 |
$19,950 |
1.1× |
| Electrophysiology Evaluation (93642) |
$1,510.08 |
$3,146 |
1.1× |
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines |
$289.44–$336 |
$603–$700 |
varies |
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines |
$548.64–$630.72 |
$1,143–$1,314 |
varies |
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines |
$865.92–$909.12 |
$1,804–$1,894 |
varies |
| Emg 3 Extremities (95863) |
$248.16 |
$517 |
1.7× |
| Emg 4 Extremities (95864) |
$248.16 |
$517 |
1.7× |
| Endomyocardial Biopsy (93505) |
$5,122.08 |
$10,671 |
1.4× |
| Ep & ablate supravent arrhyt (93653) |
$21,488.64 |
$44,768 |
0.7× |
| Ep & ablate ventric tachy (93654) |
$35,946.24 |
$74,888 |
1.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$9,576 |
$19,950 |
1.1× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$9,576 |
$19,950 |
1.1× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$1,881.60 |
$3,920 |
1.3× |
Er level 1 (99281)
range across 3 matching MRF lines |
$159.84–$216 |
$333–$450 |
varies |
| Er level v (99285) |
$1,272 |
$2,650 |
1.8× |
| Esoph Atrial Electrogram (93615) |
$1,881.60 |
$3,920 |
1.3× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$800.64 |
$1,668 |
1.9× |
| Evaluate pt use of inhaler (94664) |
$314.88 |
$656 |
1.2× |
| Evaluate Speech Production (92522) |
$128.16 |
$267 |
1.1× |
| Evaluate Swallowing Function (92610) |
$100.80 |
$210 |
1.2× |
| Evaluation of speech fluency (92521) |
$153.60 |
$320 |
1.2× |
| Evoked Auditory Test,Limited (92587) |
$363.36 |
$757 |
1.5× |
| Exercise test for bronchospasm (94617) |
$152.64 |
$318 |
1.0× |
| External ECG rec>48hr<7d recording (93242) |
$163.20 |
$340 |
3.8× |
| External ECG rec>7d<15d recording (93246) |
$168.48 |
$351 |
3.9× |
| External Ecg Scanning Analysis Report (93226) |
$168.48 |
$351 |
2.5× |
| Extracranial Bilat Study (93880) |
$556.80 |
$1,160 |
2.0× |
| Extracranial Uni/Ltd Study (93882) |
$300 |
$625 |
2.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,122.72 |
$2,339 |
1.8× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$120.48 |
$251 |
0.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$1,525.44 |
$3,178 |
1.5× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$800.64 |
$1,668 |
1.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$452.16 |
$942 |
1.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$800.64 |
$1,668 |
0.8× |
| Gi tract capsule endoscopy (91110) |
$1,249.44 |
$2,603 |
1.2× |
| Group Therapeutic Procedures (97150) |
$23.52 |
$49 |
1.3× |
Health Behavior Assessment/Re-Assessment (96156)
range across 2 matching MRF lines |
$72–$74.40 |
$150–$155 |
varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$74.40 |
$155 |
1.7× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$74.40 |
$155 |
1.7× |
Health behavior ivntj indiv f2f 1st 30 min (96158)
range across 2 matching MRF lines |
$72–$74.40 |
$150–$155 |
varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$6,174.72 |
$12,864 |
1.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$992.16 |
$2,067 |
1.2× |
| Holter monitor recording (93225) |
$168.48 |
$351 |
1.1× |
| Icd Device Interrogate (93289) |
$55.68 |
$116 |
1.3× |
| Icd device progr eval dual (93283) |
$60.96 |
$127 |
1.4× |
| Icd Device Progr Eval Mult (93284) |
$60.96 |
$127 |
1.4× |
| Icm Device Eval (93290) |
$55.68 |
$116 |
1.3× |
| Ilr Device Eval Progr (93285) |
$60.96 |
$127 |
1.4× |
| Ilr Device Interrogate (93291) |
$40.32 |
$84 |
1.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$56.64 |
$118 |
0.7× |
| Immunization administration (90471) |
$56.64 |
$118 |
0.7× |
| Insert/Place Heart Catheter (93503) |
$1,899.36 |
$3,957 |
1.0× |
| Interrogate Subq Defib (93261) |
$76.32 |
$159 |
1.8× |
| Interrogation vad in person (93750) |
$184.32 |
$384 |
1.7× |
| Intra-atrial pacing (93610) |
$10,233.12 |
$21,319 |
1.1× |
| Intra-atrial recording (93602) |
$10,233.12 |
$21,319 |
1.1× |
| Intracranial Complete Study (93886) |
$556.80 |
$1,160 |
2.0× |
| Intraventricular pacing (93612) |
$10,233.12 |
$21,319 |
1.1× |
| Iontophoresis 15 min (97033) |
$36.96 |
$77 |
1.9× |
| Irrig Drug Delivery Device (96523) |
$178.56 |
$372 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$45.12 |
$94 |
0.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$234.24 |
$488 |
1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$69.12 |
$144 |
0.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$45.12 |
$94 |
0.8× |
| IV push initial (96374) |
$234.24 |
$488 |
1.0× |
| L Hrt Art/Grft Angio (93459) |
$6,174.72 |
$12,864 |
1.6× |
| Liver Elastography W/O Imag W/I&R (91200) |
$126.24 |
$263 |
0.8× |
| Low frequency non-thermal us (97610) |
$245.76 |
$512 |
1.1× |
| Lung Function Test (Mbc/Mvv) (94200) |
$159.84 |
$333 |
2.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$203.04 |
$423 |
0.8× |
| Mechanical chest wall oscillation per session (94669) |
$314.88 |
$656 |
1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$52.32 |
$109 |
1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$62.40 |
$130 |
1.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$52.80 |
$110 |
3.1× |
| Methacholine challenge (94070) |
$369.12 |
$769 |
0.9× |
| Motility study esophagus (91010) |
$653.76 |
$1,362 |
1.5× |
| Motion Fluoroscopy/Swallow (92611) |
$120.48 |
$251 |
1.3× |
| Multiple Family Group Psychotherapy (90849) |
$389.28 |
$811 |
1.9× |
| Multiple Sleep Latency Test (95805) |
$1,946.40 |
$4,055 |
2.0× |
| Muscle Test 2 Limbs (95861) |
$186.72 |
$389 |
1.2× |
| Muscle Test Nonparaspinal (95870) |
$186.72 |
$389 |
1.2× |
| Muscle Test One Limb (95860) |
$186.72 |
$389 |
1.2× |
| Nasopharyngoscopy (92511) |
$232.80 |
$485 |
1.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$248.16 |
$517 |
1.0× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$248.16 |
$517 |
1.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$564.96 |
$1,177 |
1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$607.20 |
$1,265 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$300.96 |
$627 |
1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$564.96 |
$1,177 |
1.2× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$203.04 |
$423 |
0.8× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$653.76 |
$1,362 |
1.5× |
| Nerve conduction studies 13 or more studies (95913) |
$653.76 |
$1,362 |
1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$369.12 |
$769 |
1.5× |
| Nerve conduction studies 5-6 studies (95909) |
$369.12 |
$769 |
1.5× |
| Nerve conduction studies 7-8 studies (95910) |
$369.12 |
$769 |
0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$653.76 |
$1,362 |
1.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$203.04 |
$423 |
1.4× |
| Neuromuscular Reeducation (97112) |
$46.08 |
$96 |
1.4× |
| Newborn resuscitation (99465) |
$742.56 |
$1,547 |
1.0× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$369.12 |
$769 |
0.9× |
| Oral Function Therapy (92526) |
$120.48 |
$251 |
1.4× |
| Oral Speech Device Eval (92597) |
$108.96 |
$227 |
1.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$45.12 |
$94 |
0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$51.84 |
$108 |
1.1× |
| Ot eval high complexity (97167) |
$151.20 |
$315 |
1.5× |
| Ot Eval Low Complex (97165) |
$114.72 |
$239 |
1.1× |
| Ot Eval Moderate Complexity (97166) |
$132 |
$275 |
1.3× |
| Ot manual therapy 15 min (97140) |
$40.32 |
$84 |
1.5× |
| Ot paraffin bath (97018) |
$13.44 |
$28 |
2.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$45.12 |
$94 |
1.1× |
| Ot Re-Eval Est Plan Care (97168) |
$72 |
$150 |
1.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$181.92 |
$379 |
1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$181.92 |
$379 |
1.2× |
| Oxygen Uptake Rest Indirect (94690) |
$48.96 |
$102 |
0.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$314.88 |
$656 |
1.2× |
| Peripheral arterial disease rehab per session (93668) |
$266.40 |
$555 |
3.9× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) |
$31,931.04 |
$66,523 |
1.5× |
| Perq transcath closure pda (93582) |
$17,883.84 |
$37,258 |
0.8× |
| Perq Transcath Cls Aortic (93591) |
$31,647.36 |
$65,932 |
1.5× |
| Perq Transcath Cls Mitral (93590) |
$31,647.36 |
$65,932 |
1.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$10,733.28 |
$22,361 |
1.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$12,538.08 |
$26,121 |
0.9× |
| Phlebotomy therapeutic (99195) |
$186.72 |
$389 |
1.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$257.28 |
$536 |
3.8× |
| Physical Performance Test (97750) |
$45.12 |
$94 |
1.3× |
| Plethysmography (94726) |
$369.12 |
$769 |
0.9× |
| Pm device eval in person (93288) |
$55.68 |
$116 |
1.3× |
| Pm device progr eval dual (93280) |
$60.96 |
$127 |
1.4× |
| Pm device progr eval multi (93281) |
$60.96 |
$127 |
1.4× |
| Pm Device Progr Eval Sngl (93279) |
$60.96 |
$127 |
1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,946.40 |
$4,055 |
2.0× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,946.40 |
$4,055 |
2.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,946.40 |
$4,055 |
2.0× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$1,946.40 |
$4,055 |
2.0× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$76.32 |
$159 |
1.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$60.96 |
$127 |
1.4× |
| Prq Card Angio/Athrect 1 Art (92924) |
$11,542.08 |
$24,046 |
0.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$21,287.52 |
$44,349 |
1.6× |
| Prq Card Stent/Ath/Angio (92933) |
$15,108 |
$31,475 |
0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$21,287.52 |
$44,349 |
1.6× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$13,961.28 |
$29,086 |
0.7× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$21,287.52 |
$44,349 |
1.6× |
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines |
$199.20–$205.44 |
$415–$428 |
varies |
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines |
$199.20–$205.44 |
$415–$428 |
varies |
| Psychological tst eval svc phys/qhp first hour (96130) |
$219.36 |
$457 |
0.9× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$146.40 |
$305 |
4.4× |
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines |
$386.88–$440.16 |
$806–$917 |
varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$48 |
$100 |
1.3× |
| Pt Eval High Complex (97163) |
$132.96 |
$277 |
1.4× |
| Pt eval low complex 20 min (97161) |
$100.32 |
$209 |
1.0× |
| Pt Eval Mod Complex (97162) |
$115.68 |
$241 |
1.2× |
| Pt gait training 15 min (97116) |
$38.88 |
$81 |
1.3× |
| Pt mechanical traction (97012) |
$21.60 |
$45 |
1.5× |
| Pt Re-Eval Est Plan Care (97164) |
$56.64 |
$118 |
0.8× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$41.76 |
$87 |
1.0× |
| Pulm function test by gas (94727) |
$203.04 |
$423 |
0.8× |
| Pulmonary service/procedure (94799) |
$257.28 |
$536 |
1.7× |
| Pulmonary Stress Testing (94618) |
$152.64 |
$318 |
1.0× |
| Pure Tone Audiometry Air (92552) |
$152.64 |
$318 |
1.0× |
| R Hrt Art/Grft Angio (93457) |
$6,174.72 |
$12,864 |
1.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$6,174.72 |
$12,864 |
1.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$6,174.72 |
$12,864 |
1.6× |
| R hrt coronary artery angio (93456) |
$6,174.72 |
$12,864 |
1.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$6,174.72 |
$12,864 |
1.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$694.56 |
$1,447 |
1.8× |
| Refill/Maint Portable Pump (96521) |
$561.60 |
$1,170 |
2.3× |
| Refill/Maint Pump/Resvr Syst (96522) |
$561.60 |
$1,170 |
2.3× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$55.68 |
$116 |
1.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$55.68 |
$116 |
1.3× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$87.36 |
$182 |
2.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
$87.36 |
$182 |
0.6× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) |
$201.60 |
$420 |
4.7× |
| Rem ther mntr dev sply resp (98976) |
$201.60 |
$420 |
4.7× |
| Remote 30 Day Ecg Rev/Report (93270) |
$60.96 |
$127 |
1.4× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$201.60 |
$420 |
1.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$74.40 |
$155 |
1.8× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$74.40 |
$155 |
1.4× |
| Respiratory flow volume loop (94375) |
$369.12 |
$769 |
1.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$100.80 |
$210 |
1.5× |
| Right Heart Cath (93451) |
$6,553.44 |
$13,653 |
1.7× |
| Right ventricular recording (93603) |
$1,881.60 |
$3,920 |
1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$300.96 |
$627 |
1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$176.64 |
$368 |
1.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$74.88 |
$156 |
1.6× |
| Self Care Mngment Training (97535) |
$48 |
$100 |
1.5× |
| Sensory Integration Ea 15 Min (97533) |
$39.84 |
$83 |
0.7× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$203.04 |
$423 |
0.8× |
| Short-latency somatosens ep std upr limbs (95925) |
$369.12 |
$769 |
1.5× |
| Sleep study attended (95807) |
$917.28 |
$1,911 |
2.1× |
| Sleep study unattended (95806) |
$285.60 |
$595 |
1.1× |
| Somatosensory Testing (95938) |
$653.76 |
$1,362 |
0.7× |
| Speech sound lang comprehen (92523) |
$269.76 |
$562 |
1.2× |
| Spirometry (94010) |
$203.04 |
$423 |
0.8× |
| Ssep lower limbs (95926) |
$369.12 |
$769 |
1.5× |
| Standardized Cognitive Performance Testing (96125) |
$163.68 |
$341 |
1.6× |
| Stress Tte Only (93350) |
$1,122.72 |
$2,339 |
1.8× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$45.12 |
$94 |
0.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$234.24 |
$488 |
1.0× |
| Subq Infusion Additional Pump Infusion Site (96371) |
$64.80 |
$135 |
0.8× |
| Surfactant Admin Thru Tube (94610) |
$266.40 |
$555 |
1.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$126.24 |
$263 |
1.0× |
| Temp transcutaneous pacing (92953) |
$933.60 |
$1,945 |
1.2× |
| Tensilon Test (95857) |
$382.08 |
$796 |
1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$36.48 |
$76 |
1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$36.48 |
$76 |
1.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$47.52 |
$99 |
1.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$155.52 |
$324 |
1.5× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$45.12 |
$94 |
0.8× |
| Ther/Proph/Diag Inj Ia (96373) |
$234.24 |
$488 |
1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$69.12 |
$144 |
0.8× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$234.24 |
$488 |
1.0× |
| Therapeutic Activities (97530) |
$48 |
$100 |
1.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$677.28 |
$1,411 |
1.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$48 |
$100 |
1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$41.76 |
$87 |
1.0× |
| Transcath Closure of Asd (93580) |
$11,211.36 |
$23,357 |
0.5× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$233.76 |
$487 |
1.9× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$300 |
$625 |
2.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$55.68 |
$116 |
1.3× |
| Tte w/doppler, complete (93306) |
$1,192.32 |
$2,484 |
1.9× |
| Tte W/O Doppler Complete (93307) |
$1,122.72 |
$2,339 |
4.1× |
| Tx atrial fib pulm vein isol (93656) |
$21,488.64 |
$44,768 |
0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$109.44 |
$228 |
1.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$33.12 |
$69 |
1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$45.12 |
$94 |
0.8× |
| Tympanometry (92567) |
$60.96 |
$127 |
1.4× |
Unlisted cardiovascular service/procedure (93799)
range across 5 matching MRF lines |
$1,503.36–$12,925.44 |
$3,132–$26,928 |
varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$203.04 |
$423 |
1.4× |
| Upr/L Xtremity Art 2 Levels (93922) |
$76.32 |
$159 |
0.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$203.04 |
$423 |
0.8× |
| Valvuloplasty aortic valve (92986) |
$10,505.76 |
$21,887 |
1.6× |
| Valvuloplasty mitral valve (92987) |
$21,287.52 |
$44,349 |
1.6× |
| Valvuloplasty pulmonary valve (92990) |
$21,287.52 |
$44,349 |
1.6× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,229.28 |
$2,561 |
2.8× |
| Veeg 2-12 hr intmt mntr (95712) |
$1,528.32 |
$3,184 |
3.5× |
| Veeg 2-12 hr unmonitored (95711) |
$1,116.96 |
$2,327 |
4.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,528.32 |
$3,184 |
3.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,861.92 |
$3,879 |
4.3× |
| Veeg ea 12-26hr cont mntr (95716) |
$2,048.16 |
$4,267 |
2.1× |
| Vent Mgmt Inpat Init Day (94002) |
$1,110.24 |
$2,313 |
1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,110.24 |
$2,313 |
1.6× |
| Visual Evoked Potential Test (95930) |
$203.04 |
$423 |
0.8× |
| Vital capacity, total (94150) |
$203.04 |
$423 |
1.4× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$1,528.32 |
$3,184 |
1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$62.88 |
$131 |
2.0× |
| Whirlpool Therapy (97022) |
$32.64 |
$68 |
2.1× |