| Airway Inhalation Treatment (94640) |
— |
$159 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$54 |
— |
| Application Modality 1/> Areas Diathermy (97024) |
— |
$27 |
— |
| Application Modality 1/> Areas Infrared (97026) |
— |
$28 |
— |
| Behavral qualit analys voice (92524) |
— |
$381 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$281 |
— |
| Canalith repositioning proc (95992) |
— |
$151 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$194 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$1,016 |
— |
| Cardioversion (92960) |
— |
$939 |
— |
| Cbt 1st hour (94644) |
— |
$179 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$560 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$248 |
— |
| Chemo Ia Push (96420) |
— |
$792 |
— |
| Chemo IV push addl drug (96411) |
— |
$473 |
— |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
— |
$604 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$95 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$1,034 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$846 |
— |
| Chest Wall Manipulation (94668) |
— |
$118 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$2,943 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$1,516 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$129 |
— |
| Continuous Pulse Ox (94762) |
— |
$100 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$368 |
— |
| Cpt initial (94667) |
— |
$108 |
— |
| Critical care first hour (99291) |
— |
$1,824 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines |
— |
$127–$254 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$1,772 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$1,823 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,034 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$517 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$962 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$481 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$2,993 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,034 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$517 |
— |
| ECG/monitoring and analysis (93271) |
— |
$3,375 |
— |
| Echo Heart Xthoracic,Limited (93308) |
— |
$609 |
— |
| Echo transesophageal (93312) |
— |
$1,682 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$81 |
— |
| Electrocardiogram Tracing (93005) |
— |
$178 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$398 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$601 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$918 |
— |
| Er level 1 (99281) |
— |
$173 |
— |
| Er level v (99285) |
— |
$1,057 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$71 |
— |
| Evaluate Speech Production (92522) |
— |
$390 |
— |
| Evaluate Swallowing Function (92610) |
— |
$288 |
— |
| Evaluation of speech fluency (92521) |
— |
$456 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$794 |
— |
| Extracranial Bilat Study (93880) |
— |
$847 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$424 |
— |
| Group Therapeutic Procedures (97150) |
— |
$73 |
— |
| Holter monitor recording (93225) |
— |
$563 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$88 |
— |
| Immunization administration (90471) |
— |
$88 |
— |
| Iontophoresis 15 min (97033) |
— |
$138 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$178 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$136 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$513 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$269 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$168 |
— |
| IV push initial (96374) |
— |
$506 |
— |
| Low frequency non-thermal us (97610) |
— |
$381 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$1,115 |
— |
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines |
— |
$48–$63 |
— |
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines |
— |
$48–$63 |
— |
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 3 matching MRF lines |
— |
$19–$38 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$1,601 |
— |
| Multiple Sleep Latency Test (95805) |
— |
$5,097 |
— |
| Nasopharyngoscopy (92511) |
— |
$250 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$701 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$701 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$112 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$190 |
— |
| Neuromuscular Reeducation (97112) |
— |
$155 |
— |
| Oral Function Therapy (92526) |
— |
$363 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$160 |
— |
| Ot eval high complexity (97167) |
— |
$332 |
— |
| Ot Eval Low Complex (97165) |
— |
$332 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$332 |
— |
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines |
— |
$114–$126 |
— |
| Ot paraffin bath (97018) |
— |
$47 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$140 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$219 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$218 |
— |
| Phlebotomy therapeutic (99195) |
— |
$131 |
— |
| Physical Performance Test (97750) |
— |
$140 |
— |
| Plethysmography (94726) |
— |
$244 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$3,389 |
— |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
— |
$152 |
— |
| Pt Eval High Complex (97163) |
— |
$342 |
— |
| Pt eval low complex 20 min (97161) |
— |
$342 |
— |
| Pt Eval Mod Complex (97162) |
— |
$342 |
— |
Pt gait training 15 min (97116)
range across 3 matching MRF lines |
— |
$120–$133 |
— |
| Pt mechanical traction (97012) |
— |
$68 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$233 |
— |
| Pulm function test by gas (94727) |
— |
$194 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$195 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$119 |
— |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines |
— |
$112–$383 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$507 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$210 |
— |
| Self Care Mngment Training (97535) |
— |
$147 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$123 |
— |
| Sleep study attended (95807) |
— |
$2,163 |
— |
| Sleep study unattended (95806) |
— |
$776 |
— |
| Slp Stdy Unatnd W/Anal (95801) |
— |
$1,117 |
— |
| Speech sound lang comprehen (92523) |
— |
$795 |
— |
| Spirometry (94010) |
— |
$167 |
— |
| Stress Tte Only (93350) |
— |
$1,406 |
— |
| Subcutaneous Infusion Each Additional Hour (96370) |
— |
$121 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$1,541 |
— |
| Temp transcutaneous pacing (92953) |
— |
$783 |
— |
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 4 matching MRF lines |
— |
$106–$116 |
— |
Ther Ivntj Ea Addl 15 Min (97130)
range across 4 matching MRF lines |
— |
$53–$68 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$113 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$439 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$225 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$621 |
— |
| Therapeutic Activities (97530) |
— |
$147 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$22 |
— |
| Tte w/doppler, complete (93306) |
— |
$1,110 |
— |
| Tte W/O Doppler Complete (93307) |
— |
$716 |
— |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
— |
$335 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$200 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$1,297 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$2,034 |
— |
| Vasopneumatic device (97016) |
— |
$81 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$803 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$581 |
— |
| Vital capacity, total (94150) |
— |
$105 |
— |
Wheelchair Mgmt Ea 15 Min (97542)
range across 3 matching MRF lines |
— |
$129–$133 |
— |
| Whirlpool Therapy (97022) |
— |
$99 |
— |