| Airway inhalation treatment (94640) |
$108.68 |
$144.90 |
0.5× |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
$34.28 |
$45.70 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
$113.78 |
$151.70 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$79.65 |
$106.20 |
— |
| Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) |
$95.62 |
$127.50 |
— |
| Behavioral & qualit analysis voice and resonance (92524) |
$258.15 |
$344.20 |
— |
| Cardioversion elective external (92960) |
$822.45 |
$1,096.60 |
1.2× |
| Chemo anti-neopl sq/im (96401) |
$179.40 |
$239.20 |
2.4× |
| Chemo hormon antineopl sq/im (96402) |
$78.07 |
$104.10 |
1.1× |
| Chemo IV infus each addl seq (96417) |
$157.05 |
$209.40 |
2.1× |
| Chemo IV infusion addl hr (96415) |
$68.55 |
$91.40 |
0.9× |
| Chemo IV push addl drug (96411) |
$135.60 |
$180.80 |
1.8× |
| Chemother prolong infuse w/pump (96416) |
$316.42 |
$421.90 |
0.9× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$322.73 |
$430.30 |
1.0× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$248.70 |
$331.60 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$350.10 |
$466.80 |
1.4× |
| Color/duplex Doppler, limited (93976) |
$421.80 |
$562.40 |
3.9× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$78.53 |
$104.70 |
— |
| Cpr (92950) |
$1,038 |
$1,384 |
4.7× |
| Critical care ill/injured patient init 30-74 min (99291) |
$1,494.98 |
$1,993.30 |
1.8× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
$610.05 |
$813.40 |
2.5× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$339.60 |
$452.80 |
3.2× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$564 |
$752 |
2.3× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$382.50 |
$510 |
3.6× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$679.42 |
$905.90 |
2.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$685.80 |
$914.40 |
6.4× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$657.22 |
$876.30 |
2.7× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$397.95 |
$530.60 |
3.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$657.22 |
$876.30 |
2.7× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$397.95 |
$530.60 |
3.7× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$1,240.12 |
$1,653.50 |
5.1× |
| EKG 12 lead tracing only (93005) |
$212.62 |
$283.50 |
3.5× |
| Emergency department visit high mdm (99285) |
$1,507.28 |
$2,009.70 |
2.5× |
| Emergency department visit low mdm (99283) |
$615.79 |
$821.05 |
2.2× |
| Emergency department visit may not req phys/qhp (99281) |
$236.77 |
$315.70 |
2.7× |
| Emergency department visit moderate mdm (99284) |
$1,055.25 |
$1,407 |
2.5× |
| Emergency department visit straightforward mdm (99282) |
$369.30 |
$492.40 |
2.4× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$200.85 |
$267.80 |
— |
| Evaluation of speech fluency (92521) |
$312.45 |
$416.60 |
— |
| Evaluation of speech sound production articulate (92522) |
$262.20 |
$349.60 |
— |
| External ECG rec>48hr<7d recording (93242) |
$91.12 |
$121.50 |
2.4× |
| External ECG rec>7d<15d recording (93246) |
$91.12 |
$121.50 |
2.4× |
| External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data… (93229) |
$253.35 |
$337.80 |
0.7× |
| Fluidotherapy (97022) |
$103.57 |
$138.10 |
— |
| Hot/cold pack (97010) |
$31.88 |
$42.50 |
— |
| Im adm intransl/oral 1 vaccine (90473) |
$39.08 |
$52.10 |
0.5× |
| Immunization administration (90471) |
$43.65 |
$58.20 |
0.6× |
| Infrared therapy (97026) |
$60.30 |
$80.40 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$154.12 |
$205.50 |
3.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$174.15 |
$232.20 |
0.8× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$102.38 |
$136.50 |
1.7× |
| IV infusion hydration each additional hour (96361) |
$93.45 |
$124.60 |
2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$320.25 |
$427 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$160.73 |
$214.30 |
2.2× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$360.98 |
$481.30 |
1.7× |
| IV tx, each additional hour (96366) |
$128.55 |
$171.40 |
2.7× |
| Lwr xtr vasc stdy bilat (93924) |
$650.03 |
$866.70 |
2.9× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$215.92 |
$287.90 |
— |
| Non-invasive physiologic study extremity 3 levels (93923) |
$297.38 |
$396.50 |
1.3× |
| Occupational therapy eval high complex 60 mins (97167) |
$209.62 |
$279.50 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$209.62 |
$279.50 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$209.62 |
$279.50 |
— |
| Oral function therapy (92526) |
$200.10 |
$266.80 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$128.62 |
$171.50 |
— |
| Ot manual therapy ea 15 min (97140) |
$100.20 |
$133.60 |
— |
| Ot neuromuscular re-education (97112) |
$107.02 |
$142.70 |
— |
| Ot paraffin bath (97018) |
$87.68 |
$116.90 |
— |
| OT Therapeutic Activities Charges (97530) |
$110.40 |
$147.20 |
— |
| Ot wheelchair management (97542) |
$74.78 |
$99.70 |
— |
| Phlebotomy therapeutic (99195) |
$66.15 |
$88.20 |
0.5× |
| Physical therapy evaluation high complex 45 mins (97163) |
$209.62 |
$279.50 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$209.62 |
$279.50 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$209.62 |
$279.50 |
— |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$98.02 |
$130.70 |
— |
| Pt gait training 15 min (97116) |
$100.20 |
$133.60 |
— |
| Pt physical performance test (97750) |
$138.90 |
$185.20 |
— |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$101.32 |
$135.10 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$117.22 |
$156.30 |
— |
| Speech sound lang comprehen (92523) |
$898.80 |
$1,198.40 |
— |
| Standardized cognitive performance testing (96125) |
$243.82 |
$325.10 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$25.65 |
$34.20 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
$87.68 |
$116.90 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$40.58 |
$54.10 |
0.6× |
| Tte f-up or lmtd (93308) |
$723.60 |
$964.80 |
3.0× |
| Tte w/doppler complete (93306) |
$1,240.12 |
$1,653.50 |
2.2× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$421.05 |
$561.40 |
— |
| Upr/l xtremity art 2 levels (93922) |
$191.32 |
$255.10 |
1.4× |