| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$59.40 |
$108 |
0.5× |
| Acoustic reflex testing (92568) |
$64.90 |
$118 |
1.7× |
| Actigraphy testing recording analysis i&r (95803) |
$151.25 |
$275 |
2.6× |
| Aep Neurodiagnostic I&R (92653) |
$129.80 |
$236 |
0.6× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$337.70 |
$614 |
1.6× |
| Airway inhalation treatment (94640) |
$47.85 |
$87 |
0.2× |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
$18.70 |
$34 |
0.6× |
| Analyze neurostim no prog (95970) |
$149.52 |
$271.85 |
1.1× |
| Anorectal manometry (91125) |
$628.65 |
$1,143 |
1.7× |
| Appl on-body injector for timed subq injection (96377) |
$19.80 |
$36 |
0.4× |
| Assessment of aphasia (96105) |
$155.65 |
$283 |
1.6× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$28.60 |
$52 |
0.8× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$155.65 |
$283 |
1.4× |
| Bfb training 1st 15 min (90912) |
$110 |
$200 |
1.3× |
| Bfb training ea addl 15 min (90913) |
$19.25 |
$35 |
0.6× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$149.60 |
$272 |
1.2× |
| Breath Hydrogen/Methane Test (91065) |
$183.30 |
$333.28 |
0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$347.60 |
$632 |
0.9× |
| Car seat/bed test 60 min (94780) |
$58.30 |
$106 |
1.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$347.60 |
$632 |
1.6× |
| Cardiopulmonary resuscitation (92950) |
$347.60 |
$632 |
1.6× |
| Cardioversion (92960) |
$583 |
$1,060 |
0.9× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$4,677.20 |
$8,504 |
1.4× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$4,677.20 |
$8,504 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$4,677.20 |
$8,504 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$4,677.20 |
$8,504 |
1.4× |
| Cbt 1st hour (94644) |
$137.50 |
$250 |
1.0× |
| Chemo Admin Peritoneal Cavity (96446) |
$211.46 |
$384.48 |
0.6× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$108.35 |
$197 |
1.5× |
| Chemo IV push addl drug (96411) |
$158.95 |
$289 |
2.2× |
| Chemo Iv Push Sngl Drug (96409) |
$195.25 |
$355 |
0.6× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$361.35 |
$657 |
1.1× |
| Chemother, IV infusion, 1 hr (96413) |
$390.50 |
$710 |
1.2× |
| Chemother, IV infusion, ea add hr (96415) |
$76.45 |
$139 |
1.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$108.35 |
$197 |
1.5× |
| Chemotherapy, unspecified procedure (96549) |
$44.20 |
$80.38 |
0.9× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$322.81 |
$586.92 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$116.60 |
$212 |
1.6× |
| Color/duplex Doppler, complete (93975) |
$357.50 |
$650 |
1.5× |
| Color/duplex Doppler, limited (93976) |
$357.50 |
$650 |
3.4× |
| Comprehensive Hearing Test (92557) |
$174.90 |
$318 |
1.4× |
| Computerized Ophthalmic Imaging Anterior Segment (92132) |
$68.42 |
$124.40 |
1.2× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$68.42 |
$124.40 |
1.2× |
| Conditioning Play Audiometry (92582) |
$141.35 |
$257 |
1.1× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$73.70 |
$134 |
1.2× |
| Continuous Glucose Monitoring (95250) |
$162.47 |
$295.40 |
1.2× |
| Corneal Topography (92025) |
$132.06 |
$240.10 |
2.2× |
| Coronary artery angio s&i (93454) |
$4,677.20 |
$8,504 |
1.4× |
| Cpap initiation and management (94660) |
$396.55 |
$721 |
1.8× |
| Cpt initial (94667) |
$57.20 |
$104 |
0.4× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$68.42 |
$124.40 |
1.2× |
| Critical care (99291) |
$2,218.76 |
$4,034.10 |
2.7× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$282.40 |
$513.45 |
1.4× |
| Demo &/or eval,pt use,aerosol device (94664) |
$52.80 |
$96 |
0.2× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$470.80 |
$856 |
1.1× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$261.25 |
$475 |
1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$144.65 |
$263 |
1.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$365.75 |
$665 |
1.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$227.15 |
$413 |
2.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$366.30 |
$666 |
1.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$232.65 |
$423 |
2.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$227.15 |
$413 |
2.2× |
| Duplex hemodialysis access (93990) |
$183.15 |
$333 |
1.7× |
| Duplex scan extracranial art compl bi study (93880) |
$357.50 |
$650 |
1.5× |
| Echo Heart Xthoracic,Limited (93308) |
$293.15 |
$533 |
1.2× |
| Echo transesophageal (93312) |
$927.85 |
$1,687 |
1.7× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$927.85 |
$1,687 |
1.7× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$711.15 |
$1,293 |
1.3× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$633.05 |
$1,151 |
1.2× |
| EEG awake asleep (95819) |
$294.25 |
$535 |
1.4× |
| EEG awake drowsy (95816) |
$294.25 |
$535 |
1.4× |
| EEG cerebral death evaluation (95824) |
$359.15 |
$653 |
1.0× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$380.60 |
$692 |
1.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$396 |
$720 |
1.8× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$673.75 |
$1,225 |
1.8× |
| EKG (93005) |
$70.95 |
$129 |
1.2× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$161.15 |
$293 |
1.7× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$51.15 |
$93 |
1.4× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$221.65 |
$403 |
2.3× |
| Electroconvulsive Therapy (90870) |
$723.25 |
$1,315 |
0.8× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$380.60 |
$692 |
1.8× |
| EMG cranial nerve bilat (95868) |
$129.80 |
$236 |
0.6× |
| EMG cranial nerve unilat (95867) |
$126.50 |
$230 |
0.6× |
| EMG four extremities (95864) |
$180.95 |
$329 |
1.4× |
| EMG one extremity (95860) |
$143.55 |
$261 |
1.1× |
| EMG thoracic paraspinal (95869) |
$151.25 |
$275 |
0.7× |
| EMG three extremities (95863) |
$168.30 |
$306 |
1.3× |
| EMG two extremities (95861) |
$161.70 |
$294 |
1.2× |
| Er level 1 (99281) |
$198.55 |
$361 |
2.4× |
| Er level ii (99282) |
$322.85 |
$587 |
2.1× |
| Er level iii (99283) |
$519.75 |
$945 |
1.9× |
| Er level IV (99284) |
$843.15 |
$1,533 |
2.0× |
| Er level v (99285) |
$1,199 |
$2,180 |
2.0× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$275 |
$500 |
3.9× |
| Evaluation of speech fluency (92521) |
$155.65 |
$283 |
1.2× |
| Evaluation of speech sound production (92522) |
$155.65 |
$283 |
1.4× |
| Evaluation of swallowing function (92610) |
$222.20 |
$404 |
2.6× |
| Evaluation with prescription of speech-generating alternative (92607) |
$275 |
$500 |
2.2× |
| Evoked Auditory Test,Comprehsv (92588) |
$175.45 |
$319 |
0.5× |
| Evoked auditory test,limited (92587) |
$100.10 |
$182 |
0.5× |
| Exam of visual field with extended testing (92083) |
$116.52 |
$211.85 |
0.9× |
| Exam of visual field with intermediate testing (92082) |
$90.67 |
$164.85 |
1.5× |
| Exam of visual field with limited testing (92081) |
$70.68 |
$128.50 |
1.2× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) |
$237.60 |
$432 |
1.2× |
| Excimer laser tx psoriasis >500 sq cm (96922) |
$458.15 |
$833 |
1.1× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) |
$237.60 |
$432 |
1.2× |
| Exhaled Air Analysis (94690) |
$41.80 |
$76 |
0.7× |
| External ECG rec>48hr<7d recording (93242) |
$46.20 |
$84 |
1.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$76.45 |
$139 |
0.6× |
| External ECG rec>7d<15d recording (93246) |
$76.45 |
$139 |
2.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$154 |
$280 |
1.2× |
| External Ecg Scanning Analysis Report (93226) |
$125.40 |
$228 |
2.1× |
| External ocular photography (92285) |
$89.10 |
$162 |
2.4× |
| Eye exam w anesth; complete (92018) |
$2,367.75 |
$4,305 |
1.0× |
| Eye exam, new patient,comprehesv (92004) |
$101.28 |
$184.15 |
0.8× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$266.75 |
$485 |
1.3× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$293.70 |
$534 |
1.3× |
| Flow volume loop (94375) |
$347.60 |
$632 |
1.6× |
| Fluorescein angiography (92235) |
$270.56 |
$491.92 |
1.3× |
| Fundus photography w/interpretation & report (92250) |
$112.67 |
$204.85 |
0.8× |
| Gi wireless capsule measure (91112) |
$1,478.40 |
$2,688 |
1.6× |
| Group Therapeutic Procedures (97150) |
$46.75 |
$85 |
2.6× |
| Health Behavior Assessment/Re-Assessment (96156) |
$102.85 |
$187 |
1.0× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
$35.75 |
$65 |
1.0× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$35.75 |
$65 |
1.0× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$169.95 |
$309 |
1.0× |
| Holter Monitor Recording (93225) |
$145.20 |
$264 |
1.1× |
| Hydrotherapy (97036) |
$64.35 |
$117 |
1.9× |
| Hypnotherapy (90880) |
$181.50 |
$330 |
1.8× |
| Icd Device Interrogate (93289) |
$47.85 |
$87 |
1.3× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$49.50 |
$90 |
1.2× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$31.76 |
$57.75 |
0.4× |
| Immunization Admin (90471) |
$31.76 |
$57.75 |
0.4× |
| Immunotherapy, 2+ Injections (95117) |
$50.60 |
$92 |
1.1× |
| Ingestion challenge test initial 120 minutes (95076) |
$304.70 |
$554 |
0.8× |
| Injection intra arterial (96373) |
$271.15 |
$493 |
1.3× |
| Ins swan ganz bedside (93503) |
$1,993.20 |
$3,624 |
1.3× |
| Internal eye photography (92286) |
$210.34 |
$382.42 |
1.6× |
| Interrogate subq defib (93261) |
$47.85 |
$87 |
1.3× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$102.85 |
$187 |
0.5× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$78.65 |
$143 |
1.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$58.33 |
$106.05 |
1.0× |
| IV infusion hydration each additional hour (96361) |
$38.69 |
$70.35 |
0.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$205.64 |
$373.90 |
1.0× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$82.50 |
$150 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$222.75 |
$405 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$38.69 |
$70.35 |
0.8× |
| IV push initial (96374) |
$174.41 |
$317.10 |
0.8× |
| Liver elastography w/o imag w/i&r (91200) |
$174.90 |
$318 |
1.4× |
| Low frequency non-thermal us (97610) |
$220 |
$400 |
1.1× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$279.32 |
$507.85 |
0.8× |
| Manual therapy 15 min (97140) |
$64.35 |
$117 |
2.3× |
| Massage 15 min (97124) |
$64.35 |
$117 |
2.2× |
| Mechanical chest wall oscillation (94669) |
$57.20 |
$104 |
0.3× |
| Mechanical traction (97012) |
$64.35 |
$117 |
4.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$39.27 |
$71.40 |
1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$39.82 |
$72.40 |
1.1× |
| Methacholine challenge (94070) |
$385.55 |
$701 |
1.0× |
| Mnt Group Ea 30 Min (97804) |
$16.75 |
$30.45 |
1.0× |
| Motility study esophagus (91010) |
$836 |
$1,520 |
2.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$234.30 |
$426 |
2.6× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$69.85 |
$127 |
0.2× |
| Multiple Family Group Psychotherapy (90849) |
$97.14 |
$176.62 |
0.5× |
| Multiple sleep latency test (95805) |
$1,447.05 |
$2,631 |
1.7× |
| Nasopharyngoscopy (92511) |
$102.85 |
$187 |
0.5× |
| Needle electromyography hemidiaphragm (95866) |
$69.85 |
$127 |
0.5× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$138.05 |
$251 |
1.0× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$176.55 |
$321 |
0.8× |
| Neg press wnd tx </=50 sq cm (97607) |
$181.91 |
$330.75 |
0.4× |
| Neg press wound tx >50 cm (97608) |
$181.91 |
$330.75 |
0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$83.16 |
$151.20 |
0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$141.49 |
$257.25 |
0.3× |
| Nerve conduction studies 13/> studies (95913) |
$386.65 |
$703 |
1.0× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$334.95 |
$609 |
1.5× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$571.45 |
$1,039 |
1.5× |
| Nerve conduction studies; 1-2 studies (95907) |
$59.40 |
$108 |
0.3× |
| Nerve conduction studies; 11-12 studies (95912) |
$571.45 |
$1,039 |
1.5× |
| Nerve conduction studies; 5-6 studies (95909) |
$347.60 |
$632 |
1.6× |
| Nerve conduction studies; 7-8 studies (95910) |
$334.95 |
$609 |
0.9× |
| Neurobehavioral Status Exam (96116) |
$177.92 |
$323.50 |
0.8× |
| Neuromuscular junction test (95937) |
$155.10 |
$282 |
1.2× |
| New patient problem focused exam of visual system (92002) |
$101.01 |
$183.65 |
0.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$180.40 |
$328 |
1.4× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$173.25 |
$315 |
0.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$170.50 |
$310 |
1.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$37.40 |
$68 |
1.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$54.45 |
$99 |
1.6× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$94.64 |
$172.08 |
0.7× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$94.64 |
$172.08 |
0.7× |
| Ophthalmic biometry (92136) |
$136.40 |
$248 |
1.0× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$60.50 |
$110 |
1.3× |
| Osteopathic manipulative tx 1-2 body regions (98925) |
$25.99 |
$47.25 |
1.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$45.62 |
$82.95 |
2.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$45.62 |
$82.95 |
2.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) |
$45.62 |
$82.95 |
2.1× |
| Osteopathic manipulative tx 9-10 body regions (98929) |
$45.62 |
$82.95 |
2.1× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$64.35 |
$117 |
2.0× |
| Ot Contrast Bath Ea 15 Min (97034) |
$64.35 |
$117 |
4.6× |
| Ot eval high complex 60 min (97167) |
$154.55 |
$281 |
1.5× |
| Ot eval low complex 30 min (97165) |
$126.50 |
$230 |
1.3× |
| Ot eval mod complex 45 min (97166) |
$137.50 |
$250 |
1.4× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$60.50 |
$110 |
1.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$60.50 |
$110 |
1.5× |
| Ot re-eval est plan care (97168) |
$85.80 |
$156 |
1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$156.20 |
$284 |
1.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$156.20 |
$284 |
1.2× |
| Paraffin bath (97018) |
$64.35 |
$117 |
10.7× |
| Patch/Application Test Specify Number Tests (95044) |
$46.75 |
$85 |
0.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$142.45 |
$259 |
0.6× |
| Percutaneous tests w/allergenic extracts (95004) |
$18.70 |
$34 |
0.0× |
| Peripheral arterial disease rehab per session (93668) |
$51.70 |
$94 |
0.9× |
| Photochemotx tar&uvb/petrolatum/uvb (96910) |
$73.15 |
$133 |
1.2× |
| Plethysmography (94726) |
$334.95 |
$609 |
0.9× |
| Pm device eval in person (93288) |
$45.10 |
$82 |
1.2× |
| Pm/Icd Remote Tech Serv (93296) |
$74.80 |
$136 |
2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,534.30 |
$6,426 |
4.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$50.60 |
$92 |
1.1× |
| Prepj& antigen allergen immunotherapy 1 insect (95145) |
$48.95 |
$89 |
1.0× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) |
$77.55 |
$141 |
1.7× |
| Prepj& antigen allergen immunotherapy 3 insect (95147) |
$77.55 |
$141 |
1.1× |
| Prepj& antigen allergen immunotherapy 4 insect (95148) |
$77.55 |
$141 |
1.1× |
| Prepj& Antigen Allergen Immunotherapy Whl Inse (95170) |
$48.95 |
$89 |
1.0× |
| Prepj& antigen prv allergen immunotherapy 1 do (95144) |
$48.95 |
$89 |
1.0× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$47.85 |
$87 |
1.3× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$47.85 |
$87 |
1.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$51.70 |
$94 |
1.1× |
| Programming of dual lead implantable defibrillator system (93283) |
$47.85 |
$87 |
1.3× |
| Programming of single lead implantable defibrillator system (93282) |
$47.85 |
$87 |
1.3× |
| Prq card revasc chronic 1vsl (92943) |
$12,654.95 |
$23,009 |
1.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$12,654.95 |
$23,009 |
1.1× |
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure |
$8,092.15 |
$14,713 |
0.4× |
| Prq revasc byp graft 1 vsl (92937) |
$8,092.15 |
$14,713 |
0.7× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$10,159.60 |
$18,472 |
0.9× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$6,362.95 |
$11,569 |
1.1× |
| Psych diag eval w/med srvcs (90792) |
$146.11 |
$265.65 |
0.8× |
| Psychiatric diagnostic evaluation (90791) |
$146.11 |
$265.65 |
0.8× |
| Psycl tst eval phys/qhp 1st (96130) |
$191.40 |
$348 |
0.9× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$23.65 |
$43 |
0.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$23.65 |
$43 |
0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$23.65 |
$43 |
0.2× |
| Psytx crisis initial 60 min (90839) |
$151.80 |
$276 |
0.9× |
| Pt Aquatic Therapy/Exercises (97113) |
$64.35 |
$117 |
1.7× |
| Pt Electric Current Therapy (97033) |
$64.35 |
$117 |
3.4× |
| Pt Electrical Stimulation (97032) |
$108.90 |
$198 |
7.4× |
| Pt eval high complex 45 min (97163) |
$154.55 |
$281 |
1.6× |
| Pt eval low complex 20 min (97161) |
$126.50 |
$230 |
1.3× |
| Pt Gait Training Therapy (97116) |
$64.35 |
$117 |
2.2× |
| Pt Infrared Therapy (97026) |
$64.35 |
$117 |
9.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$64.35 |
$117 |
2.0× |
| Pt Physical Performance Test (97750) |
$60.50 |
$110 |
1.8× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$137.50 |
$250 |
1.4× |
| Pt re-evaluation (97164) |
$85.80 |
$156 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$64.35 |
$117 |
2.0× |
| Pt Ultrasound Therapy (97035) |
$64.35 |
$117 |
4.5× |
| Pt Whirlpool Therapy (97022) |
$64.35 |
$117 |
4.1× |
| Pulm function test by gas (94727) |
$166.65 |
$303 |
0.8× |
| Pulmonary stress testing (94618) |
$147.40 |
$268 |
1.1× |
| Pure Tone Audiometry Air & Bone (92553) |
$153.74 |
$279.52 |
1.2× |
| Pure Tone Audiometry, Air (92552) |
$100.65 |
$183 |
0.8× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$4,677.20 |
$8,504 |
1.4× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$4,677.20 |
$8,504 |
1.4× |
| R hrt art/grft angio (93457) |
$4,677.20 |
$8,504 |
1.4× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$4,677.20 |
$8,504 |
1.4× |
| Rapid Desensitization Procedure Each Hour (95180) |
$174.90 |
$318 |
0.4× |
| Refill/Maint Pump/Resvr Syst (96522) |
$191.47 |
$348.12 |
0.9× |
| Refill/maint, portable pump (96521) |
$279.32 |
$507.85 |
1.3× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$319 |
$580 |
1.5× |
| Repet tms tx subseq motr threshld w/deliv & mn (90869) |
$319 |
$580 |
1.5× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$309.74 |
$563.15 |
1.0× |
| Right heart cath (93451) |
$4,677.20 |
$8,504 |
1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$142.76 |
$259.55 |
0.7× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$60.50 |
$110 |
2.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$40.70 |
$74 |
0.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$59.95 |
$109 |
1.3× |
| Sc Ther Infusion Reset Pump (96371) |
$82.50 |
$150 |
1.1× |
| Self-meas bp pt educaj/traing & dev calibration (99473) |
$30.25 |
$55 |
1.0× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$118.25 |
$215 |
2.0× |
| Sensory Integration Ea 15 Min (97533) |
$64.35 |
$117 |
1.1× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$282.70 |
$514 |
1.3× |
| Short-latency somatosens ep std upr limbs (95925) |
$487.30 |
$886 |
2.3× |
| Sleep study unattended (95806) |
$229.35 |
$417 |
1.1× |
| Smoking cessation > 10 min (99407) |
$17.05 |
$31 |
0.5× |
| Speech Audiometry Threshold (92555) |
$63.64 |
$115.70 |
1.1× |
| Speech Audiometry, Complete (92556) |
$63.64 |
$115.70 |
1.1× |
| Speech group therapy (92508) |
$116.60 |
$212 |
4.8× |
| Speech sound lang comprehen (92523) |
$207.08 |
$376.50 |
0.9× |
| Spirometry (94010) |
$167.20 |
$304 |
0.8× |
| Standardized Cognitive Performance Testing (96125) |
$89.10 |
$162 |
0.9× |
| Stenger Test, Pure Tone (92565) |
$100.65 |
$183 |
1.7× |
| Stenger Test, Speech (92577) |
$419.65 |
$763 |
1.1× |
| Stress echo (93350) |
$1,481.15 |
$2,693 |
2.7× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$53.35 |
$97 |
1.1× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$271.15 |
$493 |
1.3× |
| Temp transcutaneous pacing (92953) |
$268.95 |
$489 |
0.4× |
| Tensilon test (95857) |
$114.88 |
$208.88 |
0.5× |
| Test for allergy using allergenic extract injected into skin (95024) |
$66.55 |
$121 |
1.1× |
| Test for allergy using combination of methods with drug or biological (95018) |
$18.70 |
$34 |
0.5× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$33.55 |
$61 |
1.5× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$31.90 |
$58 |
1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$155.65 |
$283 |
1.5× |
| Ther/prop/diag inj/inf proc (96379) |
$50.60 |
$92 |
1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$38.69 |
$70.35 |
0.5× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$347.60 |
$632 |
1.6× |
| Therapeutic Activities (97530) |
$64.35 |
$117 |
1.8× |
| Therapeutic phlebotomy (99195) |
$70.95 |
$129 |
0.5× |
| Tilt Table Eval (93660) |
$688.60 |
$1,252 |
1.8× |
| Tinnitus assessment (92625) |
$217.25 |
$395 |
1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$17.05 |
$31 |
0.5× |
| Tone Decay Test (92563) |
$64.90 |
$118 |
1.7× |
| Trans Care Mgmt 14 Day Disch (99495) |
$138.05 |
$251 |
1.0× |
| Trans Care Mgmt 7 Day Disch (99496) |
$138.05 |
$251 |
1.0× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$711.15 |
$1,293 |
1.3× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$349.80 |
$636 |
1.5× |
| Tx atrial fib pulm vein isol (93656) |
$38,685.35 |
$70,337 |
1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$138.05 |
$251 |
1.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$151.25 |
$275 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$79.40 |
$144.38 |
1.7× |
| Tympanometry (92567) |
$63.64 |
$115.70 |
1.7× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$102.18 |
$185.78 |
0.5× |
| Ultraviolet Light Therapy (96900) |
$44.55 |
$81 |
1.2× |
| Ultraviolet Therapy (97028) |
$64.35 |
$117 |
7.7× |
| Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) |
$38.50 |
$70 |
1.3× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$28.60 |
$52 |
1.0× |
| Unlisted otorhinolaryngological service (92700) |
$43.45 |
$79 |
1.5× |
| Unlisted pulmonary service/procedure (94799) |
$69.30 |
$126 |
0.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$365.75 |
$665 |
1.5× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$144.65 |
$263 |
1.4× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$173.25 |
$315 |
0.8× |
| Vasopneumatic device (97016) |
$64.35 |
$117 |
5.4× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$330.55 |
$601 |
1.5× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$634.15 |
$1,153 |
1.7× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$330.55 |
$601 |
0.9× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$1,186.90 |
$2,158 |
1.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$634.15 |
$1,153 |
1.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$634.15 |
$1,153 |
1.7× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$749.65 |
$1,363 |
1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$749.65 |
$1,363 |
1.2× |
| Visual Evoked Potential Test (95930) |
$339.35 |
$617 |
1.6× |
| Visual reinforcement audiometry (vra) (92579) |
$141.35 |
$257 |
0.7× |
| Vital capacity total (94150) |
$65.84 |
$119.70 |
0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$58.85 |
$107 |
1.9× |