| Airway inhalation treatment (94640) |
$144.40 |
$169.88 |
0.7× |
| Application of heat wave therapy (97024) |
$18.70 |
$22 |
2.5× |
| Basic vestibular evaluation (92540) |
$153 |
$180 |
0.8× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$217.60 |
$256 |
2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$361.25 |
$425 |
1.1× |
| Canalith Repositioning (95992) |
$42.50 |
$50 |
1.0× |
| Capsule endoscopy (91110) |
$1,168.75 |
$1,375 |
1.4× |
| Cardiac Stress Tst,Tracing Only (93017) |
$616.25 |
$725 |
3.1× |
| Cardiopulmonary resuscitation (92950) |
$326.40 |
$384 |
1.6× |
| Cardioversion (92960) |
$223.55 |
$263 |
0.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$38.25 |
$45 |
0.6× |
| Chemo IV push addl drug (96411) |
$118.15 |
$139 |
1.8× |
| Chemo Iv Push Sngl Drug (96409) |
$144.50 |
$170 |
0.5× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$212.50 |
$250 |
0.7× |
| Chemother, IV infusion, 1 hr (96413) |
$280.50 |
$330 |
0.9× |
| Chemother, IV infusion, ea add hr (96415) |
$254.15 |
$299 |
3.8× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$59.50 |
$70 |
0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$38.25 |
$45 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$705.50 |
$830 |
3.2× |
| Cpap initiation and management (94660) |
$425 |
$500 |
2.1× |
| Cpt initial (94667) |
$122.40 |
$144 |
1.0× |
| Critical care (99291) |
$1,496 |
$1,760 |
2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$225.25 |
$265 |
1.2× |
| Demo &/or eval,pt use,aerosol device (94664) |
$204 |
$240 |
1.0× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$705.50 |
$830 |
3.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$705.50 |
$830 |
3.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$680 |
$800 |
7.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$680 |
$800 |
7.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$680 |
$800 |
7.1× |
| Duplex scan extracranial art compl bi study (93880) |
$705.50 |
$830 |
3.2× |
| Echo Heart Xthoracic,Limited (93308) |
$1,083.75 |
$1,275 |
4.9× |
| Echo transesophageal (93312) |
$1,083.75 |
$1,275 |
2.2× |
| EEG awake asleep (95819) |
$493 |
$580 |
2.5× |
| EEG awake drowsy (95816) |
$454.75 |
$535 |
2.3× |
| EKG (93005) |
$145.99 |
$171.75 |
2.7× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$467.50 |
$550 |
2.4× |
| Er level 1 (99281) |
$289 |
$340 |
3.7× |
| Er level ii (99282) |
$395.25 |
$465 |
2.8× |
| Er level iii (99283) |
$488.75 |
$575 |
1.9× |
| Er level IV (99284) |
$828.75 |
$975 |
2.2× |
| Er level v (99285) |
$1,179.38 |
$1,387.50 |
2.2× |
| Evaluation of speech fluency (92521) |
$217.60 |
$256 |
1.6× |
| Evaluation of speech sound production (92522) |
$217.60 |
$256 |
1.9× |
| Evaluation of swallowing function (92610) |
$217.60 |
$256 |
2.6× |
| External ECG rec>48hr<7d recording (93242) |
$250.75 |
$295 |
7.3× |
| External ECG rec>7d<15d recording (93246) |
$303.45 |
$357 |
8.8× |
| External Ecg Scanning Analysis Report (93226) |
$267.75 |
$315 |
4.9× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$446.25 |
$525 |
2.2× |
| Group Therapeutic Procedures (97150) |
$38.25 |
$45 |
2.1× |
| Holter Monitor Recording (93225) |
$272 |
$320 |
2.2× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$34 |
$40 |
0.9× |
| Immunization Admin (90471) |
$38.25 |
$45 |
0.6× |
| Injection intra arterial (96373) |
$63.75 |
$75 |
0.3× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$80.75 |
$95 |
1.5× |
| IV infusion hydration each additional hour (96361) |
$144.50 |
$170 |
3.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$161.50 |
$190 |
0.8× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$161.50 |
$190 |
2.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$144.50 |
$170 |
0.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$127.50 |
$150 |
3.0× |
| IV push initial (96374) |
$63.75 |
$75 |
0.3× |
| Manual therapy 15 min (97140) |
$77.35 |
$91 |
2.8× |
| Massage 15 min (97124) |
$64.82 |
$76.25 |
2.2× |
| Mechanical chest wall oscillation (94669) |
$204 |
$240 |
1.0× |
| Mechanical traction (97012) |
$55.25 |
$65 |
3.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$13.60 |
$16 |
0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$17.85 |
$21 |
0.5× |
| Motility study esophagus (91010) |
$425 |
$500 |
1.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$297.50 |
$350 |
3.3× |
| Multiple sleep latency test (95805) |
$3,230 |
$3,800 |
4.1× |
| Nasopharyngoscopy (92511) |
$977.50 |
$1,150 |
5.3× |
| Neg press wnd tx </=50 sq cm (97607) |
$131.32 |
$154.50 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$306 |
$360 |
1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$178.92 |
$210.50 |
0.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$705.50 |
$830 |
5.8× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$705.50 |
$830 |
3.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$255 |
$300 |
2.2× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$63.75 |
$75 |
1.4× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$76.50 |
$90 |
2.4× |
| Ot Contrast Bath Ea 15 Min (97034) |
$51 |
$60 |
3.6× |
| Ot eval high complex 60 min (97167) |
$208.25 |
$245 |
2.1× |
| Ot eval low complex 30 min (97165) |
$165.75 |
$195 |
1.6× |
| Ot eval mod complex 45 min (97166) |
$182.75 |
$215 |
1.8× |
| Ot Range Motion Measure,Each Extrem (95851) |
$28.05 |
$33 |
1.1× |
| Ot re-eval est plan care (97168) |
$102 |
$120 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$123.25 |
$145 |
1.0× |
| Paraffin bath (97018) |
$34 |
$40 |
5.7× |
| Peripheral arterial disease rehab per session (93668) |
$63.75 |
$75 |
1.2× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$61.20 |
$72 |
1.1× |
| Plethysmography (94726) |
$425 |
$500 |
1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,298 |
$3,880 |
4.2× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$40.80 |
$48 |
1.5× |
| Pt Aquatic Therapy/Exercises (97113) |
$76.50 |
$90 |
2.1× |
| Pt Electric Current Therapy (97033) |
$55.25 |
$65 |
2.9× |
| Pt Electrical Stimulation (97032) |
$48.88 |
$57.50 |
3.3× |
| Pt eval high complex 45 min (97163) |
$208.25 |
$245 |
2.1× |
| Pt eval low complex 20 min (97161) |
$148.75 |
$175 |
1.5× |
| Pt Gait Training Therapy (97116) |
$68 |
$80 |
2.3× |
| Pt Infrared Therapy (97026) |
$20.40 |
$24 |
3.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$78.62 |
$92.50 |
2.4× |
| Pt Physical Performance Test (97750) |
$80.75 |
$95 |
2.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$182.75 |
$215 |
1.9× |
| Pt re-evaluation (97164) |
$110.50 |
$130 |
1.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$51 |
$60 |
1.6× |
| Pt Ultrasound Therapy (97035) |
$42.50 |
$50 |
3.0× |
| Pt Whirlpool Therapy (97022) |
$48.88 |
$57.50 |
3.1× |
| Pulm function test by gas (94727) |
$157.25 |
$185 |
0.8× |
| Pulmonary stress testing (94618) |
$122.40 |
$144 |
1.0× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$193.38 |
$227.50 |
5.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$170 |
$200 |
0.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$122.40 |
$144 |
1.0× |
| Sensory Integration Ea 15 Min (97533) |
$80.75 |
$95 |
1.3× |
| Sleep study unattended (95806) |
$297.50 |
$350 |
1.5× |
| Speech sound lang comprehen (92523) |
$217.60 |
$256 |
1.0× |
| Spirometry (94010) |
$335.75 |
$395 |
1.7× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$161.50 |
$190 |
3.8× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$76.50 |
$90 |
3.4× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$76.50 |
$90 |
3.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$60.35 |
$71 |
0.9× |
| Therapeutic Activities (97530) |
$76.50 |
$90 |
2.2× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,422.50 |
$2,850 |
4.8× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,083.75 |
$1,275 |
4.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$163.20 |
$192 |
2.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$127.50 |
$150 |
1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$63.75 |
$75 |
1.5× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$888.25 |
$1,045 |
7.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$705.50 |
$830 |
3.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$680 |
$800 |
7.1× |
| Vasopneumatic device (97016) |
$51 |
$60 |
4.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$446.25 |
$525 |
0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$446.25 |
$525 |
0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$44.62 |
$52.50 |
1.4× |