| Admn Sarscov2 Vacc 1 Dose (90480) |
$88.20 |
$98 |
2.1× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$426.60 |
$474 |
1.9× |
| Airway Inhalation Treatment (94640) |
$367.20 |
$408 |
1.6× |
| Analyze neurostim no prog (95970) |
$278.10 |
$309 |
2.0× |
| Appl modality 1+ areas lllt po pain reduction (97037) |
$91.80 |
$102 |
2.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$61.27 |
$68.07 |
4.3× |
| Application on-body injector (96377) |
$169.20 |
$188 |
3.4× |
| Assessment of aphasia per hr (96105) |
$429.30 |
$477 |
4.4× |
| Behavral qualit analys voice (92524) |
$456.30 |
$507 |
4.2× |
| Bis Xtracell Fluid Analysis (93702) |
$288 |
$320 |
2.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$509.40 |
$566 |
1.3× |
| C motor evoked upr&lwr limbs (95939) |
$1,840.50 |
$2,045 |
2.0× |
| Canalith repositioning proc (95992) |
$121.50 |
$135 |
3.0× |
| Car seat/bed test 60 min (94780) |
$139.50 |
$155 |
3.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$554.40 |
$616 |
2.4× |
| Cardiopulmonary resuscitation (92950) |
$675 |
$750 |
3.0× |
| Cardioversion (92960) |
$1,260 |
$1,400 |
1.8× |
| Cbt 1st hour (94644) |
$414.90 |
$461 |
3.0× |
| Chemo Anti-Neopl Sq/Im (96401) |
$273.60 |
$304 |
3.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$246.60 |
$274 |
3.2× |
| Chemo IV infusion addl hr (96415) |
$450.90 |
$501 |
5.9× |
| Chemo IV push addl drug (96411) |
$377.10 |
$419 |
5.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$644.40 |
$716 |
8.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$919.80 |
$1,022 |
2.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$600.30 |
$667 |
1.7× |
| Chest Wall Manipulation (94668) |
$355.50 |
$395 |
2.5× |
| Color/duplex Doppler, complete (93975) |
$911.70 |
$1,013 |
3.6× |
| Color/duplex Doppler, limited (93976) |
$865.80 |
$962 |
7.9× |
| Continuous Pulse Ox (94762) |
$229.50 |
$255 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$777.60 |
$864 |
3.4× |
| Cpt initial (94667) |
$233.10 |
$259 |
1.7× |
| Critical care first hour (99291) |
$3,285.90 |
$3,651 |
3.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$333 |
$370 |
1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$691.20 |
$768 |
6.3× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$278.10 |
$309 |
2.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$983.70 |
$1,093 |
3.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$675 |
$750 |
6.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$911.70 |
$1,013 |
3.6× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$763.20 |
$848 |
6.9× |
| Duplex up extrem art unilat/ltd (93931) |
$445.50 |
$495 |
4.0× |
| Echo Congenital Complete (93303) |
$1,619.10 |
$1,799 |
2.8× |
| Echo Heart Xthoracic,Limited (93308) |
$594 |
$660 |
2.4× |
| Echo transesophageal (93312) |
$2,903.40 |
$3,226 |
5.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,070 |
$2,300 |
3.6× |
| Eeg 41-60 Minutes (95812) |
$1,476.90 |
$1,641 |
6.5× |
| EEG awake and asleep (95819) |
$972.90 |
$1,081 |
4.3× |
| EEG awake drowsy (95816) |
$816.30 |
$907 |
3.6× |
| EEG extended monitoring 61-119 minutes (95813) |
$2,919.60 |
$3,244 |
12.8× |
| Eeg Sleep Only (95822) |
$889.20 |
$988 |
3.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$239.40 |
$266 |
2.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$114.30 |
$127 |
2.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$54.71 |
$60.78 |
3.7× |
| Electrocardiogram Tracing (93005) |
$280.80 |
$312 |
4.5× |
| Emergency Dept Visit Level 2 (99282) |
$457.20 |
$508 |
2.8× |
| Emergency Dept Visit Level 3 (99283) |
$1,060.20 |
$1,178 |
3.7× |
| Emergency Dept Visit Level 4 (99284) |
$2,220.30 |
$2,467 |
5.0× |
| Er level 1 (99281) |
$240.30 |
$267 |
2.7× |
| Er level v (99285) |
$3,158.10 |
$3,509 |
5.0× |
| Evaluate Speech Production (92522) |
$369.90 |
$411 |
3.3× |
| Evaluate Swallowing Function (92610) |
$318.60 |
$354 |
3.8× |
| Extracranial Bilat Study (93880) |
$675 |
$750 |
2.7× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$351 |
$390 |
1.8× |
| Gi tract capsule endoscopy (91110) |
$1,647.90 |
$1,831 |
1.7× |
| Group Therapeutic Procedures (97150) |
$96.30 |
$107 |
5.3× |
| Immunization administration (90471) |
$130.50 |
$145 |
1.7× |
| Iontophoresis 15 min (97033) |
$83.70 |
$93 |
4.4× |
| Irrig Drug Delivery Device (96523) |
$174.60 |
$194 |
2.8× |
| IV infusion hydration each additional hour (96361) |
$194.40 |
$216 |
3.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$385.20 |
$428 |
1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$359.10 |
$399 |
4.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$265.50 |
$295 |
5.4× |
| IV push initial (96374) |
$385.20 |
$428 |
1.7× |
| Mechanical chest wall oscillation per session (94669) |
$619.20 |
$688 |
2.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$36.90 |
$41 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$37.80 |
$42 |
1.0× |
| Motion Fluoroscopy/Swallow (92611) |
$322.20 |
$358 |
3.5× |
| Muscle Test 2 Limbs (95861) |
$458.10 |
$509 |
3.3× |
| Nasopharyngoscopy (92511) |
$452.70 |
$503 |
2.1× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$226.45–$226.80 |
$251.61–$252 |
varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$444.60 |
$494 |
1.0× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$408.60 |
$454 |
1.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$408.60 |
$454 |
3.0× |
| Neuromuscular Reeducation (97112) |
$116.10 |
$129 |
3.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$70.20 |
$78 |
2.8× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$104.40 |
$116 |
3.0× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$37.80 |
$42 |
2.8× |
| Oral Function Therapy (92526) |
$244.80 |
$272 |
2.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$101.70 |
$113 |
2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$100.80 |
$112 |
2.2× |
| Ot eval high complexity (97167) |
$322.73 |
$358.58 |
3.2× |
| Ot Eval Low Complex (97165) |
$176.40 |
$196 |
1.8× |
| Ot Eval Moderate Complexity (97166) |
$266.40 |
$296 |
2.6× |
Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$86.43–$94.09 |
$96.03–$104.54 |
varies |
| Ot Re-Eval Est Plan Care (97168) |
$90 |
$100 |
1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$219.60 |
$244 |
1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$217.80 |
$242 |
1.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$646.20 |
$718 |
2.8× |
| Peripheral arterial disease rehab per session (93668) |
$156.60 |
$174 |
2.5× |
| Phlebotomy therapeutic (99195) |
$281.70 |
$313 |
2.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$289.80 |
$322 |
4.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$214.20 |
$238 |
3.4× |
| Physical Performance Test (97750) |
$104.40 |
$116 |
3.1× |
| Plethysmography (94726) |
$389.70 |
$433 |
1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$5,447.70 |
$6,053 |
6.0× |
| Pt Eval High Complex (97163) |
$322.73 |
$358.58 |
3.3× |
| Pt eval low complex 20 min (97161) |
$176.40 |
$196 |
1.8× |
| Pt Eval Mod Complex (97162) |
$266.40 |
$296 |
2.7× |
| Pt gait training 15 min (97116) |
$84.60 |
$94 |
2.9× |
| Pt mechanical traction (97012) |
$49.23 |
$54.69 |
3.4× |
| Pt Re-Eval Est Plan Care (97164) |
$90 |
$100 |
1.3× |
| Pulmonary service/procedure (94799) |
$380.28 |
$422.53 |
2.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$558 |
$620 |
1.6× |
| Refill/Maint Portable Pump (96521) |
$664.20 |
$738 |
3.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$243 |
$270 |
1.1× |
| Self Care Mngment Training (97535) |
$100.80 |
$112 |
3.1× |
| Sensory Integration Ea 15 Min (97533) |
$101.70 |
$113 |
1.7× |
| Sleep study unattended (95806) |
$480.60 |
$534 |
2.1× |
| Slp caregiver training 1st 30 min (97550) |
$100.80 |
$112 |
1.9× |
| Somatosensory Testing (95938) |
$1,426.50 |
$1,585 |
1.6× |
| Speech sound lang comprehen (92523) |
$524.70 |
$583 |
2.3× |
| Spin/Brain Pump Refil & Main (95991) |
$333 |
$370 |
1.0× |
| Spirometry (94010) |
$252 |
$280 |
1.1× |
| Standardized Cognitive Performance Testing (96125) |
$456.30 |
$507 |
4.4× |
| Stress Tte Only (93350) |
$1,843.20 |
$2,048 |
3.2× |
| Surfactant Admin Thru Tube (94610) |
$478.80 |
$532 |
2.1× |
| Temp transcutaneous pacing (92953) |
$1,183.50 |
$1,315 |
1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$90.90 |
$101 |
4.1× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$90 |
$100 |
4.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$128.70 |
$143 |
1.7× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$532.80 |
$592 |
2.4× |
| Therapeutic Activities (97530) |
$100.80 |
$112 |
2.9× |
| Tte w/doppler, complete (93306) |
$2,105.10 |
$2,339 |
3.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$242.10 |
$269 |
3.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$83.70 |
$93 |
3.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$194.40 |
$216 |
3.9× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$539.70 |
$599.66 |
4.0× |
| Vasopneumatic device (97016) |
$61.27 |
$68.07 |
5.1× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,463.40 |
$1,626 |
3.7× |
| Vent Mgmt Inpat Init Day (94002) |
$2,546.10 |
$2,829 |
3.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,260 |
$1,400 |
1.9× |
| Vital capacity, total (94150) |
$453.60 |
$504 |
3.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$101.70 |
$113 |
3.3× |