| Ablation av node (93650) |
$5,600 |
$14,000 |
0.8× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$140 |
$350 |
1.2× |
| Acoustic reflex testing (92568) |
$30 |
$75 |
0.9× |
| Actigraphy testing recording analysis i&r (95803) |
$56.80 |
$142 |
1.1× |
| Administration of prolonged chemotherapy into artery (96425) |
$325.60 |
$814 |
1.1× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$140 |
$350 |
0.7× |
| Aep Neurodiagnostic I&R (92653) |
$240 |
$600 |
1.2× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$240 |
$600 |
1.2× |
| Airway inhalation treatment (94640) |
$192 |
$480 |
1.0× |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
$25.20 |
$63 |
1.0× |
| Ambulatory Bp Analysis (93788) |
$100 |
$250 |
0.8× |
| Ambulatory Bp Recording (93786) |
$100 |
$250 |
0.8× |
| Analysis and programming of inner ear implant (younger than 7 years) (92601) |
$140 |
$350 |
1.2× |
| Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) |
$140 |
$350 |
1.2× |
| Analyze Neurostim Complex (95972) |
$80 |
$200 |
0.9× |
| Analyze neurostim no prog (95970) |
$100 |
$250 |
0.8× |
| Anlys gast neur w/o reprog (95981) |
$100 |
$250 |
1.9× |
| Anogenital exam, child (99170) |
$160 |
$400 |
0.9× |
| Appl on-body injector for timed subq injection (96377) |
$40 |
$100 |
0.9× |
| Application of allergenic extract skin patch, exposure to ultraviolet light, and reaction analysis (95052) |
$50 |
$125 |
0.9× |
| Application of heat wave therapy (97024) |
$6.40 |
$16 |
0.9× |
| Arrhythmia induction (93618) |
$1,000 |
$2,500 |
0.9× |
| Assessment of aphasia (96105) |
$92.80 |
$232 |
1.0× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$36 |
$90 |
1.0× |
| Auditory Function, 60 Min (92620) |
$140 |
$350 |
1.2× |
| Basic vestibular evaluation (92540) |
$140 |
$350 |
0.7× |
| Behav assmt w/score & docd/stand instrument (96127) |
$30 |
$75 |
0.9× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$104 |
$260 |
0.9× |
| Bfb training 1st 15 min (90912) |
$74.40 |
$186 |
0.9× |
| Bfb training ea addl 15 min (90913) |
$30 |
$75 |
0.9× |
| Biofeedback training any modality (90901) |
$37.20 |
$93 |
0.9× |
| Blink reflex test (95933) |
$50 |
$125 |
0.9× |
| Breath Hydrogen/Methane Test (91065) |
$140 |
$350 |
0.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$240 |
$600 |
0.7× |
| Bundle of his recording (93600) |
$4,800 |
$12,000 |
0.7× |
| C motor evoked uppr limbs (95928) |
$800 |
$2,000 |
1.0× |
| C motor evoked upr&lwr limbs (95939) |
$940 |
$2,350 |
1.2× |
| Caloric vestibular test w/rec bi bithermal (92537) |
$140 |
$350 |
1.2× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$140 |
$350 |
0.7× |
| Canalith Repositioning (95992) |
$41.20 |
$103 |
1.0× |
| Capsule endoscopy (91110) |
$800 |
$2,000 |
1.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$270 |
$675 |
1.4× |
| Cardiopulmonary exercise testing (94621) |
$270 |
$675 |
0.8× |
| Cardiopulmonary resuscitation (92950) |
$270 |
$675 |
1.4× |
| Cardioversion (92960) |
$536.40 |
$1,341 |
0.9× |
| Cardioversion internal (92961) |
$536.40 |
$1,341 |
0.9× |
| Caregiver training 1st 30 min (97550) |
$49.20 |
$123 |
0.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$22.80 |
$57 |
0.9× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$2,880 |
$7,200 |
1.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$2,880 |
$7,200 |
1.0× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
$14,780 |
$36,950 |
0.9× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$2,880 |
$7,200 |
1.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$2,880 |
$7,200 |
1.0× |
| Cbt 1st hour (94644) |
$100 |
$250 |
0.8× |
| Cervical & ocular vemp testing w/i&r (92519) |
$270 |
$675 |
1.4× |
| Cervical vemp testing w/i&r (92517) |
$140 |
$350 |
1.2× |
| Chemo Admin Peritoneal Cavity (96446) |
$325.60 |
$814 |
1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$64 |
$160 |
1.0× |
| Chemo inj subarach/intravent (96542) |
$200 |
$500 |
0.7× |
| Chemo IV push addl drug (96411) |
$120 |
$300 |
1.8× |
| Chemo Iv Push Sngl Drug (96409) |
$209.20 |
$523 |
0.7× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$325.60 |
$814 |
1.1× |
| Chemother, IV infusion, 1 hr (96413) |
$325.60 |
$814 |
1.1× |
| Chemother, IV infusion, ea add hr (96415) |
$64 |
$160 |
1.0× |
| Chemother,ia infusn tech,<1 hr (96422) |
$200 |
$500 |
0.7× |
| Chemother,Ia Push Technique (96420) |
$325.60 |
$814 |
1.1× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$120 |
$300 |
1.8× |
| Chemotherapy admn intraarterial infusion ea hr (96423) |
$40 |
$100 |
0.9× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$325.60 |
$814 |
1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$64 |
$160 |
1.0× |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
$325.60 |
$814 |
1.1× |
| Circadian respiratry pattern rec 12-24 hr infant (94772) |
$400 |
$1,000 |
1.2× |
| Colon Motility 6 Hr Study (91117) |
$240 |
$600 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$260 |
$650 |
1.2× |
| Color/duplex Doppler, limited (93976) |
$394.40 |
$986 |
4.2× |
| Comprehensive Hearing Test (92557) |
$140 |
$350 |
1.2× |
| Computerized dynamic posturography (92548) |
$100 |
$250 |
0.8× |
| Computerized Ophthalmic Imaging Anterior Segment (92132) |
$50 |
$125 |
0.9× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$50 |
$125 |
0.9× |
| Conditioning Play Audiometry (92582) |
$152.80 |
$382 |
1.3× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$58.40 |
$146 |
1.1× |
| Continuous Glucose Monitoring (95250) |
$120 |
$300 |
1.0× |
| Coronary artery angio s&i (93454) |
$2,880 |
$7,200 |
1.0× |
| Cortical mapping 1st hr (95961) |
$800 |
$2,000 |
1.0× |
| Cpap initiation and management (94660) |
$192 |
$480 |
1.0× |
| Cpt initial (94667) |
$116 |
$290 |
1.0× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$50 |
$125 |
0.9× |
| Critical care (99291) |
$2,063.60 |
$5,159 |
2.8× |
| Ctr motor ep std transcrnl motor stimj lwr limbs (95929) |
$400 |
$1,000 |
1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$160 |
$400 |
0.9× |
| Demo &/or eval,pt use,aerosol device (94664) |
$192 |
$480 |
1.0× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$371.60 |
$929 |
1.0× |
| Duodenal Motility Study (91022) |
$400 |
$1,000 |
1.2× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$260 |
$650 |
1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$398.80 |
$997 |
4.2× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$390 |
$975 |
4.1× |
| Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) |
$390 |
$975 |
4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$478.80 |
$1,197 |
2.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$398.80 |
$997 |
4.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$478.80 |
$1,197 |
2.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$398.80 |
$997 |
4.2× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$390 |
$975 |
4.1× |
| Duplex hemodialysis access (93990) |
$398.80 |
$997 |
4.2× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$236 |
$590 |
1.1× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$390 |
$975 |
4.1× |
| Duplex scan extracranial art compl bi study (93880) |
$260 |
$650 |
1.2× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
$148.80 |
$372 |
1.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$140 |
$350 |
1.2× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$140 |
$350 |
1.2× |
| Echo Heart Xthoracic,Limited (93308) |
$236 |
$590 |
1.1× |
| Echo r-t 2d w/probe placement only (93313) |
$520 |
$1,300 |
1.1× |
| Echo transesophageal (93312) |
$520 |
$1,300 |
1.1× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$520 |
$1,300 |
1.1× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$520 |
$1,300 |
1.1× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$520 |
$1,300 |
1.1× |
| EEG awake asleep (95819) |
$270 |
$675 |
1.4× |
| EEG awake drowsy (95816) |
$270 |
$675 |
1.4× |
| EEG cerebral death evaluation (95824) |
$400 |
$1,000 |
1.2× |
| EEG coma or sleep only (95822) |
$270 |
$675 |
1.4× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$240 |
$600 |
1.2× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$299.20 |
$748 |
1.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$240 |
$600 |
1.2× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$400 |
$1,000 |
1.2× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$400 |
$1,000 |
1.2× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$500 |
$1,250 |
1.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$240 |
$600 |
1.2× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$240 |
$600 |
1.2× |
| EKG (93005) |
$64.40 |
$161 |
1.2× |
| Ekg Signal Averaging (93278) |
$50 |
$125 |
0.9× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$104 |
$260 |
1.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$38 |
$95 |
1.1× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$80 |
$200 |
0.9× |
| Electrocardiogram (ECG) assessment of irregular heart beats (93025) |
$140 |
$350 |
1.2× |
| Electrocochleography (92584) |
$140 |
$350 |
1.2× |
| Electroconvulsive Therapy (90870) |
$650 |
$1,625 |
0.8× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$270 |
$675 |
1.4× |
| Electrogastrography, diagnostic, transcutaneous; UNSCHEDULED (91132) |
$240 |
$600 |
1.2× |
| EMG cranial nerve bilat (95868) |
$240 |
$600 |
1.2× |
| EMG cranial nerve unilat (95867) |
$240 |
$600 |
1.2× |
| EMG four extremities (95864) |
$142.80 |
$357 |
1.2× |
| EMG one extremity (95860) |
$100 |
$250 |
0.8× |
| EMG thoracic paraspinal (95869) |
$140 |
$350 |
0.7× |
| EMG three extremities (95863) |
$140 |
$350 |
1.2× |
| EMG two extremities (95861) |
$236 |
$590 |
2.0× |
| Endomyocardial biopsy (93505) |
$2,400 |
$6,000 |
0.8× |
| Ep & ablate supravent arrhyt (93653) |
$18,000 |
$45,000 |
0.8× |
| Ep & ablate ventric tachy (93654) |
$18,000 |
$45,000 |
0.8× |
| Ep Analyze Pacer Sys (93724) |
$270 |
$675 |
1.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$6,208 |
$15,520 |
0.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$8,035.20 |
$20,088 |
1.1× |
| Ep Electrophysiologic F/U Study (93624) |
$4,800 |
$12,000 |
0.7× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$1,000 |
$2,500 |
0.9× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$1,000 |
$2,500 |
0.9× |
| Ep Right Ventricular Recording (93603) |
$1,000 |
$2,500 |
0.9× |
| Er level 1 (99281) |
$196.40 |
$491 |
2.6× |
| Er level ii (99282) |
$376 |
$940 |
2.7× |
| Er level iii (99283) |
$860 |
$2,150 |
3.5× |
| Er level IV (99284) |
$1,817.60 |
$4,544 |
4.8× |
| Er level v (99285) |
$2,014.40 |
$5,036 |
3.7× |
| Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) |
$500 |
$1,250 |
1.5× |
| Esophageal Capsule Endoscopy (91111) |
$720 |
$1,800 |
0.9× |
| Esophageal recording (93615) |
$761.60 |
$1,904 |
0.7× |
| Esophagus acid perfusion test esophagitis (91030) |
$400 |
$1,000 |
1.2× |
| Esophgl balo distension dx std w/provocation (91040) |
$400 |
$1,000 |
1.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$140 |
$350 |
1.2× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$68.80 |
$172 |
1.0× |
| Evaluation of speech fluency (92521) |
$126 |
$315 |
0.9× |
| Evaluation of speech sound production (92522) |
$105.60 |
$264 |
0.9× |
| Evaluation of swallowing function (92610) |
$80 |
$200 |
0.9× |
| Evaluation with prescription of speech-generating alternative (92607) |
$116.40 |
$291 |
1.0× |
| Evoked Auditory Test,Comprehsv (92588) |
$299.20 |
$748 |
0.9× |
| Evoked auditory test,limited (92587) |
$299.20 |
$748 |
1.5× |
| Exam of visual field with extended testing (92083) |
$100 |
$250 |
0.8× |
| Exam of visual field with intermediate testing (92082) |
$50 |
$125 |
0.9× |
| Exam of visual field with limited testing (92081) |
$56.80 |
$142 |
1.1× |
| Exercise tst brncspsm (94617) |
$116 |
$290 |
1.0× |
| Exhaled Air Analysis (94690) |
$50 |
$125 |
0.9× |
| External ECG rec>48hr<7d recording (93242) |
$56.80 |
$142 |
1.7× |
| External ECG rec>7d<15d recording (93246) |
$50 |
$125 |
1.5× |
| External Ecg Scanning Analysis Report (93226) |
$100 |
$250 |
1.9× |
| Eye exam, new patient,comprehesv (92004) |
$116 |
$290 |
1.0× |
| Facial nerve function studies (92516) |
$240 |
$600 |
1.2× |
| Filtered Speech Test (92571) |
$30 |
$75 |
0.9× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$173.60 |
$434 |
0.9× |
| Flow volume loop (94375) |
$299.20 |
$748 |
1.5× |
| Gastric motility studies (91020) |
$400 |
$1,000 |
1.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$400 |
$1,000 |
1.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$240 |
$600 |
1.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$400 |
$1,000 |
0.5× |
| Gi wireless capsule measure (91112) |
$720 |
$1,800 |
0.9× |
| Group Therapeutic Procedures (97150) |
$16.80 |
$42 |
0.9× |
| Hemodialysis (90935) |
$654.40 |
$1,636 |
1.1× |
| Holter Monitor Recording (93225) |
$116 |
$290 |
1.0× |
| Hypnotherapy (90880) |
$126.40 |
$316 |
1.4× |
| Icd Device Interrogate (93289) |
$38 |
$95 |
1.1× |
| Ilr Device Eval Progr (93285) |
$38 |
$95 |
1.1× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$40 |
$100 |
1.1× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$64 |
$160 |
1.0× |
| Immunization Admin (90471) |
$64 |
$160 |
1.0× |
| Immunotherapy, 2+ Injections (95117) |
$40 |
$100 |
0.9× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$400 |
$1,000 |
1.2× |
| Injection intra arterial (96373) |
$200 |
$500 |
1.0× |
| Injection of hypnotic drug for psychiatric diagnosis or therapy (90865) |
$126.40 |
$316 |
0.8× |
| Ins swan ganz bedside (93503) |
$1,200 |
$3,000 |
0.8× |
| Insertion of catheter for assessment of heart blood vessel function at various temperatures (93740) |
$140 |
$350 |
1.2× |
| Interrog dev eval icpms phys/qhp in person (93290) |
$38 |
$95 |
1.1× |
| Interrogate subq defib (93261) |
$38 |
$95 |
1.1× |
| Interrogation eval in person wr defibrillator (93292) |
$38 |
$95 |
1.1× |
| Interrogation of vad (93750) |
$80 |
$200 |
0.9× |
| Intra Atrial Recording (93602) |
$4,800 |
$12,000 |
0.7× |
| Intra-atrial pacing (93610) |
$4,800 |
$12,000 |
0.7× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$200 |
$500 |
1.0× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$64 |
$160 |
1.0× |
| Intraventricular pacing (93612) |
$4,800 |
$12,000 |
0.7× |
| Io ga n-stim subsq w/reprog (95982) |
$38 |
$95 |
1.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$56.80 |
$142 |
1.1× |
| IV infusion hydration each additional hour (96361) |
$40 |
$100 |
0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$211.20 |
$528 |
1.1× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$64 |
$160 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$200 |
$500 |
1.0× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$40 |
$100 |
0.9× |
| IV push initial (96374) |
$200 |
$500 |
1.0× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) |
$2,961.60 |
$7,404 |
1.0× |
| Liver elastography w/o imag w/i&r (91200) |
$140 |
$350 |
1.2× |
| Low frequency non-thermal us (97610) |
$183.60 |
$459 |
1.0× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$325.60 |
$814 |
1.1× |
| Manual therapy 15 min (97140) |
$25.60 |
$64 |
0.9× |
| Massage 15 min (97124) |
$27.60 |
$69 |
0.9× |
| Maximum voluntary ventilation (94200) |
$56.80 |
$142 |
1.1× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) |
$400 |
$1,000 |
1.2× |
| Measurement of heart blood flow and respiration (93701) |
$100 |
$250 |
0.8× |
| Mechanical chest wall oscillation (94669) |
$192 |
$480 |
1.0× |
| Mechanical traction (97012) |
$14 |
$35 |
1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$14 |
$35 |
0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$24.80 |
$62 |
0.7× |
| Methacholine challenge (94070) |
$270 |
$675 |
0.8× |
| Mnt Group Ea 30 Min (97804) |
$16 |
$40 |
0.9× |
| Motility study esophagus (91010) |
$400 |
$1,000 |
1.2× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$85.60 |
$214 |
0.9× |
| Multiple sleep latency test (95805) |
$462.60 |
$1,156.50 |
0.6× |
| Nasopharyngoscopy (92511) |
$168 |
$420 |
0.9× |
| Needle electromyography hemidiaphragm (95866) |
$140 |
$350 |
1.2× |
| Needle electromyography larynx (95865) |
$100 |
$250 |
0.8× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$100 |
$250 |
0.8× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$140 |
$350 |
0.7× |
| Neg press wnd tx </=50 sq cm (97607) |
$340 |
$850 |
0.9× |
| Neg press wound tx >50 cm (97608) |
$340 |
$850 |
0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$183.60 |
$459 |
1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$353.20 |
$883 |
1.0× |
| Nerve conduction studies 13/> studies (95913) |
$400 |
$1,000 |
1.2× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$299.20 |
$748 |
1.5× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$500 |
$1,250 |
1.5× |
| Nerve conduction studies; 1-2 studies (95907) |
$140 |
$350 |
0.7× |
| Nerve conduction studies; 11-12 studies (95912) |
$500 |
$1,250 |
1.5× |
| Nerve conduction studies; 5-6 studies (95909) |
$240 |
$600 |
1.2× |
| Nerve conduction studies; 7-8 studies (95910) |
$240 |
$600 |
0.7× |
| Neuromuscular junction test (95937) |
$140 |
$350 |
1.2× |
| New patient problem focused exam of visual system (92002) |
$116 |
$290 |
1.0× |
| Newborn resuscitation (99465) |
$600 |
$1,500 |
1.0× |
| Nitric oxide expired gas determination (95012) |
$30 |
$75 |
0.9× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$116 |
$290 |
1.0× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$140 |
$350 |
0.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$152.80 |
$382 |
1.3× |
| Ocular vemp testing w/i&r (92518) |
$140 |
$350 |
1.2× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$116 |
$290 |
1.0× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$116 |
$290 |
1.0× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$44.40 |
$111 |
1.0× |
| Oscillating Tracking Test (92545) |
$240 |
$600 |
1.2× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$30 |
$75 |
0.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$14 |
$35 |
1.0× |
| Ot eval high complex 60 min (97167) |
$95.20 |
$238 |
0.9× |
| Ot eval low complex 30 min (97165) |
$95.20 |
$238 |
0.9× |
| Ot eval mod complex 45 min (97166) |
$95.20 |
$238 |
0.9× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$49.20 |
$123 |
1.0× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$38.40 |
$96 |
1.0× |
| Ot Range Motion Measure,Each Extrem (95851) |
$18.80 |
$47 |
0.7× |
| Ot re-eval est plan care (97168) |
$64.80 |
$162 |
0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$139.20 |
$348 |
1.2× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$118.40 |
$296 |
1.0× |
| Paraffin bath (97018) |
$5.20 |
$13 |
0.9× |
| Patch/Application Test Specify Number Tests (95044) |
$800 |
$1,047 |
1.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$192 |
$480 |
1.0× |
| Percutaneous tests w/allergenic extracts (95004) |
$43.20 |
$108 |
0.1× |
| Peripheral arterial disease rehab per session (93668) |
$50 |
$125 |
0.9× |
| Perq transcath closure pda (93582) |
$16,402.40 |
$41,006 |
1.0× |
| Perq Transcath Cls Mitral (93590) |
$14,780 |
$36,950 |
0.9× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$14,780 |
$36,950 |
0.9× |
| Photochemotx tar&uvb/petrolatum/uvb (96910) |
$50 |
$125 |
0.9× |
| Plethysmography (94726) |
$240 |
$600 |
0.7× |
| Pm device eval in person (93288) |
$38 |
$95 |
1.1× |
| Pm device progr eval dual (93280) |
$38 |
$95 |
1.1× |
| Pm device progr eval multi (93281) |
$38 |
$95 |
1.1× |
| Pm device progr eval sngl (93279) |
$38 |
$95 |
1.1× |
| Pm/Icd Remote Tech Serv (93296) |
$38 |
$95 |
1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,509.20 |
$3,773 |
1.9× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$940 |
$2,350 |
1.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$800 |
$2,000 |
1.0× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) |
$800 |
$2,000 |
1.0× |
| Positional Nystagmus Test (92542) |
$100 |
$250 |
0.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$40 |
$100 |
0.9× |
| Prepj& antigen allergen immunotherapy 1 insect (95145) |
$40 |
$100 |
0.9× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$38 |
$95 |
1.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$40 |
$100 |
0.9× |
| Programming of dual lead implantable defibrillator system (93283) |
$38 |
$95 |
1.1× |
| Programming of single lead implantable defibrillator system (93282) |
$38 |
$95 |
1.1× |
| Prq balloon valvuloplasty aortic valve (92986) |
$4,400 |
$11,000 |
0.9× |
| Prq Balloon Valvuloplasty Mitral Valve (92987) |
$8,000 |
$20,000 |
0.8× |
| Prq card revasc chronic 1vsl (92943) |
$9,752.40 |
$24,381 |
0.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$9,752.40 |
$24,381 |
0.9× |
| Prq Card Stent/Ath/Angio (92933) |
$14,780 |
$36,950 |
0.9× |
| Prq revasc byp graft 1 vsl (92937) |
$9,752.40 |
$24,381 |
0.9× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$14,000 |
$35,000 |
0.8× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$8,000 |
$20,000 |
0.8× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$4,400 |
$11,000 |
0.9× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$9,752.40 |
$24,381 |
0.9× |
| Psych diag eval w/med srvcs (90792) |
$126.40 |
$316 |
0.8× |
| Psychiatric diagnostic evaluation (90791) |
$136 |
$340 |
0.8× |
| Psychoanalysis (90845) |
$126.40 |
$316 |
0.8× |
| Psytx crisis initial 60 min (90839) |
$126.40 |
$316 |
0.8× |
| Pt Electric Current Therapy (97033) |
$18.80 |
$47 |
1.0× |
| Pt Electrical Stimulation (97032) |
$14 |
$35 |
1.0× |
| Pt eval high complex 45 min (97163) |
$94.40 |
$236 |
1.0× |
| Pt eval low complex 20 min (97161) |
$94.40 |
$236 |
1.0× |
| Pt Gait Training Therapy (97116) |
$28 |
$70 |
1.0× |
| Pt group caregiver training (97552) |
$19.60 |
$49 |
0.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$32 |
$80 |
1.0× |
| Pt Physical Performance Test (97750) |
$31.20 |
$78 |
0.9× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$94.40 |
$236 |
1.0× |
| Pt re-evaluation (97164) |
$64.80 |
$162 |
1.0× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$30.80 |
$77 |
1.0× |
| Pt Ultrasound Therapy (97035) |
$14 |
$35 |
1.0× |
| Pt Whirlpool Therapy (97022) |
$16 |
$40 |
1.0× |
| Pulm Funct Test Oscillometry (94728) |
$240 |
$600 |
2.1× |
| Pulm function test by gas (94727) |
$140 |
$350 |
0.7× |
| Pulmonary stress testing (94618) |
$116 |
$290 |
1.0× |
| Pure Tone Audiometry Air & Bone (92553) |
$140 |
$350 |
1.2× |
| Pure Tone Audiometry, Air (92552) |
$116 |
$290 |
1.0× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$2,880 |
$7,200 |
1.0× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$2,880 |
$7,200 |
1.0× |
| R hrt art/grft angio (93457) |
$2,880 |
$7,200 |
1.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$2,961.60 |
$7,404 |
1.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$2,961.60 |
$7,404 |
1.0× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$2,880 |
$7,200 |
1.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$2,961.60 |
$7,404 |
1.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$2,961.60 |
$7,404 |
1.0× |
| Rapid Desensitization Procedure Each Hour (95180) |
$260 |
$650 |
0.6× |
| Recording interpretation of stomach electrical (91133) |
$100 |
$250 |
0.8× |
| Refill/Maint Pump/Resvr Syst (96522) |
$200 |
$500 |
1.0× |
| Refill/maint, portable pump (96521) |
$200 |
$500 |
1.0× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$38 |
$95 |
1.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$38 |
$95 |
1.1× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$38 |
$95 |
1.1× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$264 |
$660 |
1.0× |
| Right heart cath (93451) |
$2,880 |
$7,200 |
1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$160 |
$400 |
0.9× |
| Rom meas&reprt hand w/wo comparison normal sid (95852) |
$16 |
$40 |
0.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$116 |
$290 |
1.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$45.60 |
$114 |
1.0× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
$400 |
$1,000 |
1.2× |
| Sc Ther Infusion Reset Pump (96371) |
$64 |
$160 |
1.0× |
| Select picture audiometry (92583) |
$56.80 |
$142 |
1.1× |
| Sensory Integration Ea 15 Min (97533) |
$58 |
$145 |
1.0× |
| Short-latency somatosens ep std lwr limbs (95926) |
$240 |
$600 |
1.2× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$265.60 |
$664 |
1.4× |
| Short-latency somatosens ep std upr limbs (95925) |
$240 |
$600 |
1.2× |
| Sinusoidal Rotational Test (92546) |
$140 |
$350 |
1.2× |
| Sleep study attended (95807) |
$400 |
$1,000 |
1.2× |
| Sleep study unattended (95806) |
$280 |
$700 |
1.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$140 |
$350 |
0.7× |
| Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) |
$100 |
$250 |
1.9× |
| Smoking cessation > 10 min (99407) |
$26.80 |
$67 |
0.8× |
| Somatosensory testing (95938) |
$500 |
$1,250 |
0.6× |
| Speech Audiometry Threshold (92555) |
$34.80 |
$87 |
0.7× |
| Speech Audiometry, Complete (92556) |
$56.80 |
$142 |
1.1× |
| Speech group therapy (92508) |
$22 |
$55 |
0.9× |
| Speech sound lang comprehen (92523) |
$215.20 |
$538 |
1.0× |
| Spirometry (94010) |
$140 |
$350 |
0.7× |
| Spontaneous Nystagmus Test (92541) |
$100 |
$250 |
0.8× |
| Staggered Spondaic Word Test (92572) |
$140 |
$350 |
1.2× |
| Standardized Cognitive Performance Testing (96125) |
$98 |
$245 |
1.0× |
| Stenger Test, Pure Tone (92565) |
$30 |
$75 |
0.6× |
| Stenger Test, Speech (92577) |
$400 |
$1,000 |
1.2× |
| Stress echo (93350) |
$625.40 |
$1,563.50 |
1.3× |
| Stress Tte Complete (93351) |
$520 |
$1,300 |
1.1× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$40 |
$100 |
0.9× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$204.60 |
$511.50 |
1.1× |
| Surfactant Admin Thru Tube (94610) |
$192 |
$480 |
1.0× |
| Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) |
$390 |
$975 |
4.1× |
| Temp transcutaneous pacing (92953) |
$536.40 |
$1,341 |
0.9× |
| Tensilon test (95857) |
$240 |
$600 |
1.2× |
| Test for abnormal eye movement using a moving target with recording (92544) |
$140 |
$350 |
1.2× |
| Test for allergy using allergenic extract injected into skin (95024) |
$50 |
$125 |
0.9× |
| Test for allergy using combination of methods with drug or biological (95018) |
$30 |
$75 |
0.9× |
| Test to assess hearing loss using different tone pitches (92575) |
$30 |
$75 |
0.9× |
| Test to assess hearing loss using grammatically incorrect sentences (92576) |
$30 |
$75 |
0.9× |
| Testing of autonomic (sympathetic) nervous system function (95923) |
$116 |
$290 |
1.0× |
| Testing of autonomic nervous system function heart rate (95921) |
$140 |
$350 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$22 |
$55 |
1.0× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$22 |
$55 |
1.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$98 |
$245 |
1.0× |
| Ther/prop/diag inj/inf proc (96379) |
$40 |
$100 |
0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$69.20 |
$173 |
1.1× |
| Therapeutic Activities (97530) |
$34.40 |
$86 |
1.0× |
| Therapeutic phlebotomy (99195) |
$116 |
$290 |
1.0× |
| Tilt Table Eval (93660) |
$400 |
$1,000 |
1.2× |
| Tinnitus assessment (92625) |
$140 |
$350 |
1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$26.80 |
$67 |
0.8× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$478.80 |
$1,197 |
2.2× |
| Transcranial Doppler Limited (93888) |
$398.80 |
$997 |
4.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
$38 |
$95 |
1.1× |
| Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) |
$270 |
$675 |
1.4× |
| Tstg Ans Funcj Vasomotor Adrenergic Innervaj (95922) |
$100 |
$250 |
0.8× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$520 |
$1,300 |
1.1× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$236 |
$590 |
1.1× |
| Tx atrial fib pulm vein isol (93656) |
$18,000 |
$45,000 |
0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$72.80 |
$182 |
1.0× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$80 |
$200 |
1.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$40 |
$100 |
0.9× |
| Tympanometry (92567) |
$42.40 |
$106 |
1.3× |
| Tympanometry And Reflex Threshold Measurements (92550) |
$140 |
$350 |
0.7× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$520 |
$1,300 |
1.1× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$1,000 |
$2,500 |
8.6× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$140 |
$350 |
1.2× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$25.20 |
$63 |
1.0× |
| Unlisted otorhinolaryngological service (92700) |
$25.20 |
$63 |
1.0× |
| Unlisted pulmonary service/procedure (94799) |
$142.80 |
$357 |
1.2× |
| Valvuloplasty pulmonary valve (92990) |
$8,000 |
$20,000 |
0.8× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$260 |
$650 |
1.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$398.80 |
$997 |
4.2× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$240 |
$600 |
1.2× |
| Vasopneumatic device (97016) |
$11.20 |
$28 |
0.9× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$200 |
$500 |
1.0× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$500 |
$1,250 |
1.5× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$240 |
$600 |
0.7× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$940 |
$2,350 |
1.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$500 |
$1,250 |
1.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$400 |
$1,000 |
1.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$497.60 |
$1,244 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$497.60 |
$1,244 |
0.9× |
| Visual Evoked Potential Test (95930) |
$240 |
$600 |
1.2× |
| Visual reinforcement audiometry (vra) (92579) |
$152.80 |
$382 |
0.8× |
| Vital capacity total (94150) |
$140 |
$350 |
1.2× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$800 |
$2,000 |
1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$30 |
$75 |
1.0× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$139.60 |
$349 |
0.4× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$80 |
$200 |
0.9× |