| Airway inhalation treatment (94640) |
$360 |
$600 |
1.6× |
| Appl on-body injector for timed subq injection (96377) |
$25.20 |
$42 |
0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$505.20 |
$842 |
1.3× |
| Canalith Repositioning (95992) |
$134.40 |
$224 |
3.3× |
| Capsule endoscopy (91110) |
$16,517.02 |
$27,528.36 |
18.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,109.40 |
$1,849 |
5.1× |
| Cardiopulmonary resuscitation (92950) |
$1,084.80 |
$1,808 |
5.0× |
| Cardioversion (92960) |
$959.40 |
$1,599 |
1.4× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$6,587.93 |
$10,979.89 |
2.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$9,286.80 |
$15,478 |
2.9× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$9,987.96 |
$16,646.60 |
3.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$11,624.01 |
$19,373.35 |
3.6× |
| Cbt 1st hour (94644) |
$261 |
$435 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$166.80 |
$278 |
2.3× |
| Chemo IV push addl drug (96411) |
$261.60 |
$436 |
3.6× |
| Chemo Iv Push Sngl Drug (96409) |
$291.60 |
$486 |
0.9× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$456.60 |
$761 |
1.4× |
| Chemother, IV infusion, 1 hr (96413) |
$613.20 |
$1,022 |
1.9× |
| Chemother, IV infusion, ea add hr (96415) |
$243 |
$405 |
3.4× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$214.20 |
$357 |
3.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$292.20 |
$487 |
4.0× |
| Color/duplex Doppler, complete (93975) |
$932.40 |
$1,554 |
3.9× |
| Coronary artery angio s&i (93454) |
$6,958.74 |
$11,597.90 |
2.1× |
| Cpap initiation and management (94660) |
$441.30 |
$735.50 |
2.0× |
| Cpt initial (94667) |
$112.20 |
$187 |
0.8× |
| Critical care (99291) |
$1,471.20 |
$2,452 |
1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$226.20 |
$377 |
1.1× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$891 |
$1,485 |
2.1× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$476.40 |
$794 |
2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$761.40 |
$1,269 |
7.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$820.20 |
$1,367 |
3.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$480.60 |
$801 |
4.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$743.40 |
$1,239 |
3.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$510 |
$850 |
4.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$769.80 |
$1,283 |
7.3× |
| Duplex hemodialysis access (93990) |
$451.80 |
$753 |
4.3× |
| Duplex scan extracranial art compl bi study (93880) |
$779.40 |
$1,299 |
3.3× |
| Echo Heart Xthoracic,Limited (93308) |
$605.10 |
$1,008.50 |
2.5× |
| Echo transesophageal (93312) |
$1,419 |
$2,365 |
2.6× |
| EEG awake asleep (95819) |
$733.80 |
$1,223 |
3.4× |
| EEG awake drowsy (95816) |
$670.80 |
$1,118 |
3.1× |
| EEG coma or sleep only (95822) |
$648.60 |
$1,081 |
3.0× |
| EKG (93005) |
$194.40 |
$324 |
3.3× |
| EKG rhythm strip (93041) |
$99 |
$165 |
1.7× |
| Er level 1 (99281) |
$216.60 |
$361 |
2.6× |
| Er level ii (99282) |
$376.20 |
$627 |
2.4× |
| Er level iii (99283) |
$645 |
$1,075 |
2.4× |
| Er level IV (99284) |
$1,044 |
$1,740 |
2.5× |
| Er level v (99285) |
$1,175.40 |
$1,959 |
2.0× |
| Esophgl balo distension dx std w/provocation (91040) |
$4,372.14 |
$7,286.90 |
11.7× |
| Evaluation of speech sound production (92522) |
$256.20 |
$427 |
2.3× |
| Evaluation of swallowing function (92610) |
$298.20 |
$497 |
3.5× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,712.60 |
$4,521 |
7.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$1,930.18 |
$3,216.96 |
8.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$2,814.61 |
$4,691.02 |
3.3× |
| Gi wireless capsule measure (91112) |
$4,309.34 |
$7,182.24 |
4.7× |
| Hemodialysis (90935) |
$1,080.60 |
$1,801 |
1.6× |
| Holter Monitor Recording (93225) |
$442.80 |
$738 |
3.3× |
| Immunization Admin (90471) |
$65.40 |
$109 |
0.9× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$90.30 |
$150.50 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$109.20 |
$182 |
2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$389.40 |
$649 |
1.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$163.80 |
$273 |
2.3× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$307.20 |
$512 |
1.4× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$103.80 |
$173 |
2.2× |
| IV push initial (96374) |
$241.20 |
$402 |
1.1× |
| Manual therapy 15 min (97140) |
$85.80 |
$143 |
3.1× |
| Maximum voluntary ventilation (94200) |
$109.80 |
$183 |
1.9× |
| Mechanical chest wall oscillation (94669) |
$140.40 |
$234 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$38.40 |
$64 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$54.60 |
$91 |
1.5× |
| Motility study esophagus (91010) |
$1,435.80 |
$2,393 |
3.8× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$398.40 |
$664 |
4.4× |
| Multiple sleep latency test (95805) |
$2,103.60 |
$3,506 |
2.4× |
| Nasopharyngoscopy (92511) |
$3,101.95 |
$5,169.92 |
15.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$177 |
$295 |
0.9× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$343.80 |
$573 |
2.6× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$504 |
$840 |
2.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$136.20 |
$227 |
1.1× |
| Ot eval low complex 30 min (97165) |
$182.40 |
$304 |
1.8× |
| Ot eval mod complex 45 min (97166) |
$182.40 |
$304 |
1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$162 |
$270 |
1.3× |
| Plethysmography (94726) |
$414 |
$690 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,289.40 |
$7,149 |
5.0× |
| Prq card revasc chronic 1vsl (92943) |
$17,729.98 |
$29,549.96 |
1.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$29,746.67 |
$49,577.78 |
2.6× |
| Prq revasc byp graft 1 vsl (92937) |
$24,858.19 |
$41,430.32 |
2.1× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$11,765.24 |
$19,608.73 |
2.1× |
| Pt eval high complex 45 min (97163) |
$182.40 |
$304 |
1.9× |
| Pt eval low complex 20 min (97161) |
$182.40 |
$304 |
1.9× |
| Pt Gait Training Therapy (97116) |
$82.20 |
$137 |
2.8× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$88.20 |
$147 |
2.7× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$182.40 |
$304 |
1.9× |
| Pt re-evaluation (97164) |
$122.40 |
$204 |
1.8× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$98.40 |
$164 |
3.0× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$13,019.61 |
$21,699.35 |
4.0× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$11,114.72 |
$18,524.54 |
3.4× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$220.20 |
$367 |
5.9× |
| Right heart cath (93451) |
$7,086.64 |
$11,811.06 |
2.2× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$78.60 |
$131 |
0.6× |
| Sleep study attended (95807) |
$334.80 |
$558 |
0.9× |
| Sleep study unattended (95806) |
$476.40 |
$794 |
2.2× |
| Smoking cessation > 10 min (99407) |
$41.40 |
$69 |
1.1× |
| Speech sound lang comprehen (92523) |
$315.60 |
$526 |
1.4× |
| Standardized Cognitive Performance Testing (96125) |
$213.60 |
$356 |
2.1× |
| Stress echo (93350) |
$1,967.40 |
$3,279 |
3.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$65.40 |
$109 |
0.9× |
| Therapeutic Activities (97530) |
$85.20 |
$142 |
2.4× |
| Therapeutic phlebotomy (99195) |
$220.80 |
$368 |
1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$33.60 |
$56 |
0.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,617 |
$2,695 |
3.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$157.80 |
$263 |
2.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$174.60 |
$291 |
2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$186.60 |
$311 |
4.0× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$10,390.48 |
$17,317.47 |
80.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$973.20 |
$1,622 |
4.1× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$1,228.80 |
$2,048 |
2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$964.80 |
$1,608 |
1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$73.80 |
$123 |
2.4× |