| Acoustic Reflex Testing (92568) |
$43.80 |
$146 |
0.8× |
| Acupunct W/Stimul 15 Min (97813) |
$67.50 |
$225 |
1.7× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$62.70 |
$209 |
1.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$593.40 |
$1,978 |
1.9× |
| Aep neurodiagnostic i&r (92653) |
$430.50 |
$1,435 |
1.4× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$743.70 |
$2,479 |
2.4× |
Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$203.40–$247.80 |
$678–$826 |
varies |
| Airway resistance by oscillometry (94728) |
$363.90 |
$1,213 |
2.0× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$450.30 |
$1,501 |
2.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$82.50 |
$275 |
0.4× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
$312.30 |
$1,041 |
1.7× |
| Analyze neurostim no prog (95970) |
$124.80 |
$416 |
0.7× |
| Analyze Neurostim Simple (95971) |
$128.70 |
$429 |
1.0× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
$236.40 |
$788 |
0.8× |
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$50.70–$55.20 |
$169–$184 |
varies |
| Audiometry Air & Bone (92553) |
$105.90 |
$353 |
0.6× |
Auditory Function, 60 Min (92620) range across 2 matching MRF lines |
$248.40–$311.40 |
$828–$1,038 |
varies |
| Behavral qualit analys voice (92524) |
$350.40 |
$1,168 |
3.2× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$159.60 |
$532 |
1.9× |
| Bfb training ea addl 15 min (90913) |
$79.80 |
$266 |
2.4× |
| Breath hydrogen/methane test (91065) |
$156.30 |
$521 |
0.5× |
| Brief Emotional/Behav Assmt (96127) |
$50.70 |
$169 |
1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$489.60 |
$1,632 |
0.9× |
| Cardiac Stress Tst,Tracing Only (93017) |
$812.40 |
$2,708 |
2.7× |
| Cardiopulmonary exercise testing (94621) |
$1,035.30 |
$3,451 |
2.0× |
| Cardiopulmonary resuscitation (92950) |
$448.80 |
$1,496 |
1.5× |
| Cardioversion (92960) |
$777 |
$2,590 |
0.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$59.70 |
$199 |
2.3× |
| Cbt 1st hour (94644) |
$195 |
$650 |
1.0× |
| Chemo Admin Peritoneal Cavity (96446) |
$531.30 |
$1,771 |
1.1× |
| Chemo Anti-Neopl Sq/Im (96401) |
$129 |
$430 |
1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$50.70 |
$169 |
0.5× |
| Chemo Ia Push (96420) |
$129.60 |
$432 |
0.3× |
| Chemo intralesional up to 7 (96405) |
$99.30 |
$331 |
1.0× |
| Chemo IV infusion addl hr (96415) |
$204.60 |
$682 |
2.0× |
| Chemo IV push addl drug (96411) |
$258.60 |
$862 |
2.5× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$321 |
$1,070 |
0.7× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
$49.80 |
$166 |
0.8× |
| Chemotherapy Into Cns (96450) |
$1,044 |
$3,480 |
2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$291.30 |
$971 |
2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$476.10 |
$1,587 |
1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$275.10 |
$917 |
0.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$210.90 |
$703 |
0.5× |
Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$94.50–$185.40 |
$315–$618 |
varies |
| Cmptr ophth dx img ant segmt (92132) |
$70.20 |
$234 |
0.8× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
$129.90 |
$433 |
1.6× |
| Color/duplex Doppler, complete (93975) |
$960.30 |
$3,201 |
2.9× |
| Color/duplex Doppler, limited (93976) |
$695.40 |
$2,318 |
4.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$81.90 |
$273 |
2.6× |
| Comprehensive Hearing Test (92557) |
$186.90 |
$623 |
1.0× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$84.90 |
$283 |
1.0× |
| Computerized Ophthalmic Imaging Retina (92134) |
$64.50 |
$215 |
0.8× |
| Conditioning Play Audiometry (92582) |
$40.80 |
$136 |
0.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$135 |
$450 |
0.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
$60.60 |
$202 |
0.7× |
| Continuous Pulse Ox (94762) |
$161.70 |
$539 |
0.9× |
| Corneal Topography (92025) |
$26.40 |
$88 |
0.3× |
Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$982.50–$1,012.80 |
$3,275–$3,376 |
varies |
| Cpt initial (94667) |
$161.70 |
$539 |
0.9× |
| Critical care first hour (99291) |
$4,032 |
$13,440 |
3.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$197.40 |
$658 |
0.7× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$217.50 |
$725 |
1.2× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
$381.60 |
$1,272 |
2.1× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$137.10 |
$457 |
0.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$780 |
$2,600 |
2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$602.70 |
$2,009 |
4.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$848.70 |
$2,829 |
2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$701.40 |
$2,338 |
4.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$848.70 |
$2,829 |
2.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$550.20 |
$1,834 |
3.7× |
| Duplex up extrem art bilat (93930) |
$779.10 |
$2,597 |
2.3× |
| Duplex up extrem art unilat/ltd (93931) |
$709.80 |
$2,366 |
4.8× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$193.20 |
$644 |
1.1× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$324.90 |
$1,083 |
1.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$390.90 |
$1,303 |
2.2× |
| Echo Congenital Complete (93303) |
$1,164.60 |
$3,882 |
1.5× |
| Echo Heart Xthoracic,Limited (93308) |
$832.20 |
$2,774 |
2.5× |
| Echo transesophageal (93312) |
$2,313.60 |
$7,712 |
3.0× |
| Eeg 41-60 Minutes (95812) |
$641.40 |
$2,138 |
2.1× |
| EEG awake and asleep (95819) |
$699 |
$2,330 |
2.3× |
| EEG awake drowsy (95816) |
$680.40 |
$2,268 |
2.2× |
| EEG cerebral death evaluation (95824) |
$374.70 |
$1,249 |
0.7× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$298.50 |
$995 |
1.0× |
| EEG extended monitoring 61-119 minutes (95813) |
$997.80 |
$3,326 |
3.3× |
| Eeg Sleep Only (95822) |
$498.60 |
$1,662 |
1.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$856.80 |
$2,856 |
2.8× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$580.80 |
$1,936 |
1.9× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$1,366.50 |
$4,555 |
2.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$1,366.50 |
$4,555 |
2.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$786 |
$2,620 |
2.6× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$1,571.40 |
$5,238 |
3.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$100.80 |
$336 |
0.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$45.60 |
$152 |
0.9× |
Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$92.70–$95.70 |
$309–$319 |
varies |
| Electrocardiogram Tracing (93005) |
$132.60 |
$442 |
1.6× |
| Emergency Dept Visit Level 2 (99282) |
$498.30 |
$1,661 |
2.3× |
| Emergency Dept Visit Level 3 (99283) |
$974.40 |
$3,248 |
2.5× |
| Emergency Dept Visit Level 4 (99284) |
$1,623.90 |
$5,413 |
2.8× |
| Emg 3 Extremities (95863) |
$208.50 |
$695 |
1.1× |
| Er level 1 (99281) |
$285.60 |
$952 |
2.4× |
| Er level v (99285) |
$2,754.90 |
$9,183 |
3.3× |
Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$186.30–$214.20 |
$621–$714 |
varies |
Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$280.50–$306 |
$935–$1,020 |
varies |
| Evaluate Speech Production (92522) |
$467.10 |
$1,557 |
4.2× |
| Evaluate Swallowing Function (92610) |
$354.90 |
$1,183 |
4.2× |
| Evaluation of speech fluency (92521) |
$467.10 |
$1,557 |
3.5× |
| Evoked Auditory Test,Limited (92587) |
$123.90 |
$413 |
0.4× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) |
$222.30 |
$741 |
0.8× |
| Excimer laser tx psoriasis >500 sq cm (96922) |
$406.20 |
$1,354 |
0.7× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) |
$127.80 |
$426 |
0.5× |
| Exercise test for bronchospasm (94617) |
$1,026.60 |
$3,422 |
5.5× |
| External ECG rec>48hr<7d recording (93242) |
$270.60 |
$902 |
5.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$821.70 |
$2,739 |
4.4× |
| External ECG rec>7d<15d recording (93246) |
$270.60 |
$902 |
5.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$945 |
$3,150 |
5.0× |
| External Ecg Scanning Analysis Report (93226) |
$296.70 |
$989 |
3.6× |
| Extracranial Bilat Study (93880) |
$578.70 |
$1,929 |
1.7× |
| Extracranial Uni/Ltd Study (93882) |
$504.30 |
$1,681 |
3.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$392.40 |
$1,308 |
0.5× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$333.60 |
$1,112 |
1.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$403.50 |
$1,345 |
1.8× |
| Fundus photography (92250) |
$173.10 |
$577 |
0.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,050.30 |
$3,501 |
0.9× |
| Gi tract capsule endoscopy (91110) |
$2,090.40 |
$6,968 |
1.6× |
| Gi tract imaging intraluminal colon i&r (91113) |
$1,052.70 |
$3,509 |
0.8× |
| Gonioscopy (92020) |
$119.10 |
$397 |
0.6× |
| Group Therapeutic Procedures (97150) |
$63 |
$210 |
3.5× |
| Health Behavior Assessment/Re-Assessment (96156) |
$94.50 |
$315 |
0.7× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$33 |
$110 |
0.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$30 |
$100 |
0.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$94.50 |
$315 |
0.4× |
| High altitude simulation test (94452) |
$1,125.60 |
$3,752 |
6.0× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$685.20 |
$2,284 |
3.6× |
| Holter monitor recording (93225) |
$270 |
$900 |
1.4× |
| Icd Device Interrogate (93289) |
$60.90 |
$203 |
1.2× |
| Icd device progr eval dual (93283) |
$179.40 |
$598 |
3.4× |
| Icd Device Progr Eval Mult (93284) |
$190.20 |
$634 |
3.6× |
| Icm Device Eval (93290) |
$27.60 |
$92 |
0.5× |
| Ilr Device Eval Progr (93285) |
$95.10 |
$317 |
1.8× |
| Ilr Device Interrogate (93291) |
$80.10 |
$267 |
2.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$54.90 |
$183 |
0.5× |
| Immunization administration (90471) |
$57.90 |
$193 |
0.6× |
| Ingestion challenge test initial 120 minutes (95076) |
$520.20 |
$1,734 |
1.0× |
| Interrogate Subq Defib (93261) |
$52.20 |
$174 |
1.0× |
| Intracranial Complete Study (93886) |
$580.80 |
$1,936 |
1.7× |
| Iontophoresis 15 min (97033) |
$13.20 |
$44 |
0.7× |
| IV infusion hydration each additional hour (96361) |
$195.30 |
$651 |
3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$347.70 |
$1,159 |
1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$211.20 |
$704 |
2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$199.80 |
$666 |
3.0× |
| IV push initial (96374) |
$248.70 |
$829 |
0.8× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$4,278 |
$14,260 |
0.9× |
| Lung Function Test (Mbc/Mvv) (94200) |
$74.70 |
$249 |
0.9× |
| Mechanical chest wall oscillation per session (94669) |
$141 |
$470 |
0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$44.10 |
$147 |
1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$51.90 |
$173 |
1.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$43.50 |
$145 |
2.6× |
| Motion Fluoroscopy/Swallow (92611) |
$422.40 |
$1,408 |
4.6× |
| Multiple Family Group Psychotherapy (90849) |
$215.40 |
$718 |
0.9× |
| Muscle Test 2 Limbs (95861) |
$177.30 |
$591 |
0.9× |
| Muscle Test One Limb (95860) |
$131.40 |
$438 |
0.7× |
Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$114.60–$213.60 |
$382–$712 |
varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$76.20 |
$254 |
0.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$226.20 |
$754 |
0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$223.50 |
$745 |
0.7× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,347 |
$4,490 |
2.6× |
| Nerve conduction studies 13 or more studies (95913) |
$1,419.90 |
$4,733 |
2.7× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$395.40 |
$1,318 |
1.3× |
| Nerve conduction studies 5-6 studies (95909) |
$578.40 |
$1,928 |
1.9× |
| Nerve conduction studies 7-8 studies (95910) |
$995.10 |
$3,317 |
1.9× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,274.40 |
$4,248 |
2.4× |
| Neurobehavioral Status Exam (96116) |
$194.70 |
$649 |
0.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$125.40 |
$418 |
0.7× |
| Neuromuscular Reeducation (97112) |
$121.80 |
$406 |
3.7× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$18.30 |
$61 |
0.7× |
Nonphysician Telephone Assessment 21-30 Min (98968) range across 4 matching MRF lines |
$28.20–$30.60 |
$94–$102 |
varies |
Nonphysician Telephone Assessment 5-10 Min (98966) range across 4 matching MRF lines |
$10.50–$11.40 |
$35–$38 |
varies |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$237.90 |
$793 |
0.5× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$248.40 |
$828 |
0.5× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$113.40 |
$378 |
0.6× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$89.70 |
$299 |
0.5× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$126.60 |
$422 |
0.7× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$58.80 |
$196 |
0.3× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$82.20 |
$274 |
0.4× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$59.10 |
$197 |
0.7× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$67.80 |
$226 |
0.8× |
| Oral Function Therapy (92526) |
$249 |
$830 |
3.0× |
| Oral Speech Device Eval (92597) |
$298.50 |
$995 |
4.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$48.90 |
$163 |
1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$105 |
$350 |
2.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$32.10 |
$107 |
1.1× |
| Ot eval high complexity (97167) |
$238.50 |
$795 |
2.4× |
| Ot Eval Low Complex (97165) |
$150.90 |
$503 |
1.5× |
| Ot Eval Moderate Complexity (97166) |
$194.70 |
$649 |
1.9× |
| Ot manual therapy 15 min (97140) |
$96.60 |
$322 |
3.5× |
| Ot paraffin bath (97018) |
$63 |
$210 |
10.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$67.20 |
$224 |
1.7× |
| Ot Re-Eval Est Plan Care (97168) |
$201.30 |
$671 |
2.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$135.60 |
$452 |
0.4× |
| Percutaneous tests w/allergenic extracts (95004) |
$37.50 |
$125 |
0.0× |
| Phlebotomy therapeutic (99195) |
$133.80 |
$446 |
0.7× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) |
$651.60 |
$2,172 |
1.1× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) |
$173.70 |
$579 |
2.1× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$169.20 |
$564 |
2.0× |
| Physical Performance Test (97750) |
$56.40 |
$188 |
1.7× |
| Plethysmography (94726) |
$322.20 |
$1,074 |
0.6× |
| Pm device eval in person (93288) |
$148.50 |
$495 |
2.8× |
| Pm device progr eval dual (93280) |
$93.90 |
$313 |
1.8× |
| Pm Device Progr Eval Sngl (93279) |
$210.30 |
$701 |
4.0× |
| Pm/Icd Remote Tech Serv (93296) |
$21.30 |
$71 |
0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$2,364 |
$7,880 |
1.9× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,311.20 |
$7,704 |
1.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$2,314.20 |
$7,714 |
1.9× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$41.70 |
$139 |
0.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$257.10 |
$857 |
4.9× |
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) unusually low: confirm this is the full procedure |
$8,649.30 |
$28,831 |
0.3× |
| Psych diag eval w/med srvcs (90792) |
$153.60 |
$512 |
0.6× |
| Psychiatric diagnostic evaluation (90791) |
$179.10 |
$597 |
0.7× |
| Psychological tst eval svc phys/qhp first hour (96130) |
$237.90 |
$793 |
0.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$213.30 |
$711 |
0.3× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$207 |
$690 |
1.1× |
| Psytx Crisis Initial 60 Min (90839) |
$346.80 |
$1,156 |
1.4× |
| Pt Eval High Complex (97163) |
$180.90 |
$603 |
1.8× |
Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$139.20–$150.90 |
$464–$503 |
varies |
Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$169.50–$194.70 |
$565–$649 |
varies |
| Pt gait training 15 min (97116) |
$78.60 |
$262 |
2.7× |
| Pt group caregiver training (97552) |
$44.40 |
$148 |
2.0× |
| Pt Re-Eval Est Plan Care (97164) |
$201.30 |
$671 |
3.0× |
| Pulm function test by gas (94727) |
$354.60 |
$1,182 |
1.2× |
Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$125.70–$195 |
$419–$650 |
varies |
| Pulmonary Stress Testing (94618) |
$759 |
$2,530 |
4.0× |
| Pure Tone Audiometry Air (92552) |
$113.10 |
$377 |
0.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$4,278 |
$14,260 |
0.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$4,278 |
$14,260 |
0.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$4,278 |
$14,260 |
0.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$4,278 |
$14,260 |
0.9× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$305.10 |
$1,017 |
0.7× |
| Refill/Maint Pump/Resvr Syst (96522) |
$241.50 |
$805 |
0.8× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$41.10 |
$137 |
0.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$82.80 |
$276 |
0.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$417.30 |
$1,391 |
3.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$54.60 |
$182 |
1.1× |
| Select picture audiometry (92583) |
$40.20 |
$134 |
0.5× |
| Self Care Mngment Training (97535) |
$81.90 |
$273 |
2.5× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$47.10 |
$157 |
0.6× |
Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$67.20–$71.10 |
$224–$237 |
varies |
| Slp caregiver training 1st 30 min (97550) |
$119.40 |
$398 |
2.3× |
| Slp Stdy Unatnd W/Anal (95801) |
$65.40 |
$218 |
0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$172.20 |
$574 |
0.6× |
| Speech Audiometry Complete (92556) |
$177 |
$590 |
2.1× |
| Speech audiometry threshold (92555) |
$79.50 |
$265 |
1.0× |
| Speech sound lang comprehen (92523) |
$842.40 |
$2,808 |
3.7× |
| Spin/Brain Pump Refil & Main (95991) |
$344.10 |
$1,147 |
0.8× |
| Spirometry (94010) |
$212.70 |
$709 |
0.7× |
| Standardized Cognitive Performance Testing (96125) |
$125.70 |
$419 |
1.2× |
| Stenger Test, Pure Tone (92565) |
$52.80 |
$176 |
0.6× |
| Stress Tte Only (93350) |
$1,125 |
$3,750 |
1.5× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$128.40 |
$428 |
1.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$467.10 |
$1,557 |
1.6× |
| Surfactant Admin Thru Tube (94610) |
$211.50 |
$705 |
0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$58.80 |
$196 |
2.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$24.90 |
$83 |
1.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$70.80 |
$236 |
2.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$288 |
$960 |
2.8× |
| Ther/Prop/Diag Inj/Inf Proc (96379) |
$134.40 |
$448 |
2.0× |
| Ther/Proph/Diag Inj Ia (96373) |
$180.60 |
$602 |
0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$113.40 |
$378 |
1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$347.70 |
$1,159 |
1.2× |
| Therapeutic Activities (97530) |
$81.90 |
$273 |
2.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$536.70 |
$1,789 |
1.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$397.20 |
$1,324 |
2.7× |
| Tte w/doppler, complete (93306) |
$1,722.30 |
$5,741 |
2.2× |
| Tte W/O Doppler Complete (93307) |
$1,312.50 |
$4,375 |
3.9× |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$141–$176.70 |
$470–$589 |
varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$68.10 |
$227 |
2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$163.20 |
$544 |
2.5× |
| Tympanometry (92567) |
$64.50 |
$215 |
1.2× |
| Tympanometry and reflex threshold measurements (92550) |
$172.50 |
$575 |
0.6× |
| Unlisted cardiovascular service/procedure (93799) |
$154.50 |
$515 |
0.9× |
Unlisted otorhinolaryngological service (92700) range across 5 matching MRF lines |
$92.70–$116.40 |
$309–$388 |
varies |
| Vasopneumatic device (97016) |
$63.30 |
$211 |
5.3× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$1,826.40 |
$6,088 |
3.5× |
| Veeg 2-12 hr intmt mntr (95712) |
$1,692.30 |
$5,641 |
3.2× |
| Veeg 2-12 hr unmonitored (95711) |
$298.50 |
$995 |
1.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$3,384.30 |
$11,281 |
6.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,713 |
$5,710 |
3.3× |
| Veeg ea 12-26hr cont mntr (95716) |
$3,652.50 |
$12,175 |
3.0× |
| Vent Mgmt Inpat Init Day (94002) |
$1,985.40 |
$6,618 |
2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$746.10 |
$2,487 |
0.9× |
| Visual Field Exam Extended (92083) |
$142.20 |
$474 |
0.8× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$96.90 |
$323 |
1.2× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$76.20 |
$254 |
0.9× |
| Visual reinforcement audiometry (vra) (92579) |
$35.10 |
$117 |
0.1× |
| Vital capacity, total (94150) |
$108.30 |
$361 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$99 |
$330 |
3.2× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$160.50 |
$535 |
3.0× |