| Airway inhalation treatment (94640) |
— |
$50 |
— |
| Appl on-body injector for timed subq injection (96377) |
— |
$200 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$225 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
$311 |
$1,455 |
1.6× |
| Cardiopulmonary resuscitation (92950) |
$322 |
$482 |
1.7× |
| Cardioversion (92960) |
$504.57 |
$1,199 |
0.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$56.65 |
$130 |
0.9× |
| Chemo IV push addl drug (96411) |
$71.15 |
$130 |
1.1× |
| Chemo Iv Push Sngl Drug (96409) |
$185.09 |
$450 |
0.6× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$307.40 |
$700 |
1.1× |
| Chemother, IV infusion, 1 hr (96413) |
$297.43 |
$700 |
1.0× |
| Chemother, IV infusion, ea add hr (96415) |
$58.49 |
$130 |
0.9× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$56.65 |
$130 |
0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$58.49 |
$130 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$270 |
$325 |
1.3× |
| Cpap initiation and management (94660) |
$178.29 |
$600 |
0.9× |
| Cpt initial (94667) |
— |
$50 |
— |
| Critical care (99291) |
— |
$3,500 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
$155.96 |
$310 |
0.9× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$135.32 |
$675 |
1.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$128 |
$388.25 |
1.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$270 |
$500 |
1.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$126 |
$513.25 |
1.4× |
| EEG awake drowsy (95816) |
— |
$700 |
— |
| EKG (93005) |
$60 |
$161 |
1.2× |
| EKG rhythm strip (93041) |
$65 |
$72.50 |
1.3× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$311 |
$700 |
1.6× |
| Er level 1 (99281) |
$76.59 |
$345 |
1.0× |
| Er level ii (99282) |
$200 |
$525 |
1.5× |
| Er level iii (99283) |
$200 |
$700 |
0.8× |
| Er level IV (99284) |
$200 |
$1,125 |
0.5× |
| Er level v (99285) |
$200 |
$1,500 |
0.4× |
| Evoked auditory test,limited (92587) |
— |
$87 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$457.46 |
$567 |
0.6× |
| Hemodialysis (90935) |
$565.18 |
$1,732 |
0.9× |
| Holter Monitor Recording (93225) |
$132 |
$250 |
1.1× |
| Immunization Admin (90471) |
$70.81 |
$104 |
1.1× |
| Immunotherapy, 2+ Injections (95117) |
— |
$61 |
— |
| Injection intra arterial (96373) |
— |
$117 |
— |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$72.53 |
$135 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$37.30 |
$193.77 |
0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$182.29 |
$362.31 |
1.0× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$71.15 |
$246.16 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$197.75 |
$400.66 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$38.26 |
$123 |
0.9× |
| IV push initial (96374) |
$185.09 |
$214 |
1.0× |
| Low frequency non-thermal us (97610) |
— |
$120 |
— |
| Motility study esophagus (91010) |
$471.13 |
$625 |
1.4× |
| Multiple sleep latency test (95805) |
$870 |
$3,124 |
1.2× |
| Neg press wnd tx </=50 sq cm (97607) |
$307.93 |
$560 |
0.9× |
| Neg press wound tx >50 cm (97608) |
$321.88 |
$560 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$168.43 |
$330 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$307.93 |
$560 |
0.9× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$132 |
$210 |
1.1× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$151.18 |
$523.25 |
0.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$164 |
$200 |
1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,100 |
$4,100 |
1.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$61 |
— |
| Refill/maint, portable pump (96521) |
$207.72 |
$450 |
1.1× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$38.67 |
$675 |
1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$168.43 |
$310 |
1.0× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
— |
$40 |
— |
| Smoking cessation > 10 min (99407) |
— |
$50 |
— |
| Spirometry (94010) |
$164 |
$234 |
0.9× |
| Temp transcutaneous pacing (92953) |
— |
$424 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$56.65 |
$117 |
0.9× |
| Therapeutic phlebotomy (99195) |
$57.01 |
$176 |
0.5× |
| Tilt Table Eval (93660) |
$573 |
$900 |
1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$50 |
— |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$259.25 |
$750 |
1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$52.76 |
$143.46 |
1.3× |
| Unlisted pulmonary service/procedure (94799) |
$139.81 |
$75 |
1.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$435.22 |
$1,200 |
0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$425.21 |
$1,200 |
0.8× |
| Vital capacity total (94150) |
— |
$55 |
— |