| Aep neurodiagnostic i&r (92653) |
$137 |
$274 |
0.7× |
| Airway Inhalation Treatment (94640) |
$240.50 |
$481 |
1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$25 |
$50 |
1.7× |
| Assessment of aphasia per hr (96105) |
$152 |
$304 |
1.6× |
| Behavral qualit analys voice (92524) |
$162.50 |
$325 |
1.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$60 |
$120 |
0.7× |
| Biofeedback training any modality (90901) |
$32.50 |
$65 |
0.8× |
| Bioimpedance Cv Analysis (93701) |
$175.38 |
$350.75 |
1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$325 |
$650 |
1.0× |
| Canalith repositioning proc (95992) |
$50 |
$100 |
1.2× |
| Car seat/bed test 60 min (94780) |
$27.50 |
$55 |
0.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$251 |
$502 |
1.3× |
| Cardiopulmonary exercise testing (94621) |
$345 |
$690 |
1.1× |
| Cardiopulmonary resuscitation (92950) |
$330.50 |
$661 |
1.7× |
| Cardioversion (92960) |
$546 |
$1,092 |
0.9× |
| Chemo IV infusion addl hr (96415) |
$40.25 |
$80.50 |
0.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$418.60 |
$837.20 |
1.4× |
| Chest Wall Manipulation (94668) |
$81 |
$162 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$529.20 |
$1,058.40 |
2.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$25 |
$50 |
0.8× |
| Continuous Pulse Ox (94762) |
$190.50 |
$381 |
1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$341 |
$682 |
1.8× |
| Cpt initial (94667) |
$111 |
$222 |
1.0× |
| Critical care first hour (99291) |
$933.80 |
$1,867.60 |
1.3× |
Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$34.50–$334.50 |
$69–$669 |
varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$463.05 |
$926.10 |
2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$330.75 |
$661.50 |
3.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$496.13 |
$992.25 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$396.90 |
$793.80 |
4.3× |
| Duplex up extrem art bilat (93930) |
$463.05 |
$926.10 |
2.2× |
| Duplex up extrem art unilat/ltd (93931) |
$330.75 |
$661.50 |
3.6× |
| Echo Heart Xthoracic,Limited (93308) |
$350 |
$700 |
1.7× |
| Echo transesophageal (93312) |
$600 |
$1,200 |
1.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$461.50 |
$923 |
1.0× |
| Eeg 41-60 Minutes (95812) |
$425.50 |
$851 |
2.2× |
| EEG awake and asleep (95819) |
$425.50 |
$851 |
2.2× |
| EEG awake drowsy (95816) |
$425.50 |
$851 |
2.2× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$434.70 |
$869.40 |
2.3× |
| EEG extended monitoring 61-119 minutes (95813) |
$425.50 |
$851 |
2.2× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$434.70 |
$869.40 |
1.3× |
| Electrical Stimulation Ea 15 Min (97032) |
$25 |
$50 |
1.7× |
| Electrocardiogram Tracing (93005) |
$132.25 |
$264.50 |
2.6× |
| Emergency Dept Visit Level 2 (99282) |
$150.08 |
$300.15 |
1.1× |
| Emergency Dept Visit Level 3 (99283) |
$200.10 |
$400.20 |
0.8× |
| Emergency Dept Visit Level 4 (99284) |
$383.53 |
$767.05 |
1.0× |
| Er level 1 (99281) |
$100.05 |
$200.10 |
1.4× |
| Er level v (99285) |
$533.60 |
$1,067.20 |
1.0× |
| Evaluate pt use of inhaler (94664) |
$240.50 |
$481 |
1.3× |
| Evaluate Speech Production (92522) |
$155.50 |
$311 |
1.4× |
| Evaluate Swallowing Function (92610) |
$103.50 |
$207 |
1.2× |
| Evaluation of speech fluency (92521) |
$192 |
$384 |
1.4× |
| Exhaled Air Analysis O2 (94680) |
$182 |
$364 |
1.6× |
| External ECG rec>48hr<7d recording (93242) |
$83.38 |
$166.75 |
2.5× |
| External ECG rec>7d<15d recording (93246) |
$83.38 |
$166.75 |
2.5× |
| Extracranial Bilat Study (93880) |
$250 |
$500 |
1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$92.50 |
$185 |
0.5× |
| Group Therapeutic Procedures (97150) |
$27.50 |
$55 |
1.5× |
| Health Behavior Assessment/Re-Assessment (96156) |
$128 |
$256 |
1.4× |
| Holter monitor recording (93225) |
$98.33 |
$196.65 |
0.8× |
| Immunization administration (90471) |
$78.20 |
$156.40 |
1.2× |
| Iontophoresis 15 min (97033) |
$25 |
$50 |
1.3× |
| IV infusion hydration each additional hour (96361) |
$36.80 |
$73.60 |
0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$295.55 |
$591.10 |
1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$36.80 |
$73.60 |
0.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$36.80 |
$73.60 |
0.9× |
| IV push initial (96374) |
$110.98 |
$221.95 |
0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$480 |
$960 |
2.5× |
| Mechanical chest wall oscillation per session (94669) |
$232.50 |
$465 |
1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$41 |
$82 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$48.50 |
$97 |
1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$22.50 |
$45 |
1.3× |
| Methacholine challenge (94070) |
$530.50 |
$1,061 |
1.6× |
| Motion Fluoroscopy/Swallow (92611) |
$103.50 |
$207 |
1.1× |
| Multiple Sleep Latency Test (95805) |
$1,207.50 |
$2,415 |
1.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$362 |
$724 |
1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$362 |
$724 |
1.0× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$37.50–$174.50 |
$75–$349 |
varies |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$40.50–$247 |
$81–$494 |
varies |
| Nerve Conduction Studies 1-2 Studies (95907) |
$137.50 |
$275 |
0.7× |
Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$313.50–$530 |
$627–$1,060 |
varies |
Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$363.50–$680 |
$727–$1,360 |
varies |
| Nerve Conduction Studies 3-4 Studies (95908) |
$173.50 |
$347 |
0.9× |
Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$207.50–$305 |
$415–$610 |
varies |
Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$273.50–$380 |
$547–$760 |
varies |
Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$328–$455 |
$656–$910 |
varies |
| Neuromuscular Reeducation (97112) |
$25 |
$50 |
0.8× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$345 |
$690 |
1.1× |
| Oral Function Therapy (92526) |
$84 |
$168 |
1.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$75 |
$150 |
1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$70.50 |
$141 |
1.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$25 |
$50 |
1.8× |
| Ot eval high complexity (97167) |
$130 |
$260 |
1.3× |
| Ot Eval Low Complex (97165) |
$114 |
$228 |
1.1× |
| Ot Eval Moderate Complexity (97166) |
$120 |
$240 |
1.2× |
| Ot manual therapy 15 min (97140) |
$27.50 |
$55 |
1.0× |
| Ot paraffin bath (97018) |
$22.50 |
$45 |
3.7× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$60.50 |
$121 |
1.5× |
| Ot Re-Eval Est Plan Care (97168) |
$79.50 |
$159 |
1.2× |
| Ot rom hand (95852) |
$20 |
$40 |
0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$156 |
$312 |
1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$156 |
$312 |
1.4× |
| Oxygen Uptake Rest Indirect (94690) |
$72.50 |
$145 |
1.4× |
| Phlebotomy therapeutic (99195) |
$41 |
$82 |
0.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$84 |
$168 |
1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,207.50 |
$2,415 |
1.6× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$616 |
$1,232 |
0.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$616 |
$1,232 |
0.8× |
| Psychiatric diagnostic evaluation (90791) |
$174.50 |
$349 |
1.1× |
| Psytx Crisis Initial 60 Min (90839) |
$145.50 |
$291 |
0.9× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$30 |
$60 |
0.8× |
| Pt Eval High Complex (97163) |
$135 |
$270 |
1.4× |
| Pt eval low complex 20 min (97161) |
$117.50 |
$235 |
1.2× |
| Pt Eval Mod Complex (97162) |
$122.50 |
$245 |
1.3× |
| Pt gait training 15 min (97116) |
$25 |
$50 |
0.9× |
| Pt mechanical traction (97012) |
$25 |
$50 |
1.7× |
| Pt Re-Eval Est Plan Care (97164) |
$79.50 |
$159 |
1.2× |
| Pulm function test by gas (94727) |
$96.50 |
$193 |
0.5× |
| Pulmonary service/procedure (94799) |
$62.50 |
$125 |
0.6× |
| Pulmonary Stress Testing (94618) |
$150 |
$300 |
1.3× |
| Remote 30 Day Ecg Rev/Report (93270) |
$58.65 |
$117.30 |
1.8× |
| Remote 30 Day Ecg Tech Supp (93229) |
$615.83 |
$1,231.65 |
1.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$92 |
$184 |
1.8× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$112.50–$174.50 |
$225–$349 |
varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$20 |
$40 |
0.8× |
| Self Care Mngment Training (97535) |
$25 |
$50 |
0.8× |
| Sensory Integration Ea 15 Min (97533) |
$25 |
$50 |
0.4× |
| Sleep study unattended (95806) |
$1,207.50 |
$2,415 |
6.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$1,207.50 |
$2,415 |
6.4× |
| Speech sound lang comprehen (92523) |
$323.50 |
$647 |
1.4× |
| Spirometry (94010) |
$182 |
$364 |
1.0× |
| Standardized Cognitive Performance Testing (96125) |
$179 |
$358 |
1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$35.50 |
$71 |
1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$34.50 |
$69 |
1.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$40 |
$80 |
1.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$25 |
$50 |
0.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$84 |
$168 |
0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$74.18 |
$148.35 |
1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$295.55 |
$591.10 |
1.6× |
| Therapeutic Activities (97530) |
$25 |
$50 |
0.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$50 |
$100 |
1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$40.50 |
$81 |
1.2× |
| Tte w/doppler, complete (93306) |
$750 |
$1,500 |
1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$84 |
$168 |
1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$110.98 |
$221.95 |
2.7× |
Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$123.50–$240 |
$247–$480 |
varies |
Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$192.50–$194.50 |
$385–$389 |
varies |
| Vasopneumatic device (97016) |
$30 |
$60 |
2.5× |
| Vent Mgmt Inpat Init Day (94002) |
$341 |
$682 |
0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$341 |
$682 |
0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$25 |
$50 |
0.8× |
| Whirlpool Therapy (97022) |
$37.50 |
$75 |
2.4× |