| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$90.60 |
$151 |
0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$24 |
$40 |
0.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
$200.40 |
$334 |
0.7× |
| Aep neurodiagnostic i&r (92653) |
$373.80 |
$623 |
1.4× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$373.80 |
$623 |
1.4× |
| Airway Inhalation Treatment (94640) |
$100.20 |
$167 |
0.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
$79.80 |
$133 |
0.5× |
| Analyze neurostim no prog (95970) |
$480 |
$800 |
2.9× |
| Analyze Neurostim Simple (95971) |
$561 |
$935 |
4.7× |
| Application on-body injector (96377) |
$91.80 |
$153 |
1.6× |
| Assessment of aphasia per hr (96105) |
$171 |
$285 |
1.8× |
| Audiometry Air & Bone (92553) |
$78.60 |
$131 |
0.5× |
| Basic vestibular evaluation (92540) |
$209.40 |
$349 |
0.8× |
| Behavral qualit analys voice (92524) |
$243 |
$405 |
2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$300 |
$500 |
0.6× |
| Cardiac Stress Tst,Tracing Only (93017) |
$509.40 |
$849 |
1.9× |
| Cardiopulmonary resuscitation (92950) |
$152.40 |
$254 |
0.6× |
| Cardioversion (92960) |
$412.80 |
$688 |
0.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$52.20 |
$87 |
2.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$4,666.80 |
$7,778 |
1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$4,666.80 |
$7,778 |
1.2× |
| Cbt 1st hour (94644) |
$218.40 |
$364 |
1.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$124.20 |
$207 |
1.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$85.20 |
$142 |
0.9× |
| Chemo IV infusion addl hr (96415) |
$205.20 |
$342 |
2.3× |
| Chemo IV push addl drug (96411) |
$108.60 |
$181 |
1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$225 |
$375 |
2.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$266.40 |
$444 |
0.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$183 |
$305 |
0.4× |
| Chest Wall Manipulation (94668) |
$59.40 |
$99 |
0.4× |
| Color/duplex Doppler, limited (93976) |
$294.60 |
$491 |
2.3× |
| Comprehensive Hearing Test (92557) |
$122.40 |
$204 |
0.8× |
| Conditioning Play Audiometry (92582) |
$122.40 |
$204 |
0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$189 |
$315 |
1.1× |
| Continuous Pulse Ox (94762) |
$168 |
$280 |
1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$250.20 |
$417 |
0.9× |
| Cpt initial (94667) |
$81 |
$135 |
0.5× |
| Critical care first hour (99291) |
$1,895.40 |
$3,159 |
1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$137.40 |
$229 |
0.5× |
| Dialysis One Evaluation (90945) |
$2,238.60 |
$3,731 |
4.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$169.20 |
$282 |
0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$825 |
$1,375 |
2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$211.80 |
$353 |
1.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$436.20 |
$727 |
1.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$222.60 |
$371 |
1.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$436.20 |
$727 |
1.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$222.60 |
$371 |
1.7× |
| Duplex up extrem art bilat (93930) |
$436.20 |
$727 |
1.5× |
| Duplex up extrem art unilat/ltd (93931) |
$222.60 |
$371 |
1.7× |
| ECG/monitoring and analysis (93271) |
$1,456.80 |
$2,428 |
12.3× |
| Echo Congenital Complete (93303) |
$543.60 |
$906 |
0.8× |
| Echo Heart Xthoracic,Limited (93308) |
$594 |
$990 |
2.0× |
| Echo transesophag montr cardiac pump functj (93318) |
$2,356.20 |
$3,927 |
3.5× |
| Echo transesophageal (93312) |
$928.80 |
$1,548 |
1.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$594 |
$990 |
0.9× |
| EEG awake and asleep (95819) |
$691.80 |
$1,153 |
2.6× |
| EEG awake drowsy (95816) |
$590.40 |
$984 |
2.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$576 |
$960 |
2.1× |
| Eeg Sleep Only (95822) |
$607.20 |
$1,012 |
2.3× |
| Electrocardiogram Tracing (93005) |
$128.40 |
$214 |
1.7× |
| Emergency Dept Visit Level 2 (99282) |
$243 |
$405 |
1.3× |
| Emergency Dept Visit Level 3 (99283) |
$360.60 |
$601 |
1.1× |
| Emergency Dept Visit Level 4 (99284) |
$415.20 |
$692 |
0.8× |
| Er level 1 (99281) |
$189.60 |
$316 |
1.8× |
| Er level v (99285) |
$811.80 |
$1,353 |
1.1× |
| Esophageal Capsule Endoscopy (91111) |
$2,569.80 |
$4,283 |
2.3× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$712.20 |
$1,187 |
1.5× |
| Evaluate pt use of inhaler (94664) |
$149.40 |
$249 |
0.5× |
| Evaluate Speech Production (92522) |
$171 |
$285 |
1.5× |
| Evaluate Swallowing Function (92610) |
$210 |
$350 |
2.5× |
| Evoked Auditory Test,Limited (92587) |
$124.20 |
$207 |
0.5× |
| External ECG rec>48hr<7d recording (93242) |
$69.60 |
$116 |
1.5× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$114 |
$190 |
0.7× |
| External ECG rec>7d<15d recording (93246) |
$114 |
$190 |
2.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$228.60 |
$381 |
1.4× |
| External Ecg Scanning Analysis Report (93226) |
$146.40 |
$244 |
2.0× |
| Extracranial Bilat Study (93880) |
$631.80 |
$1,053 |
2.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$412.80 |
$688 |
0.6× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$501 |
$835 |
1.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$253.80 |
$423 |
0.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$671.40 |
$1,119 |
0.6× |
| Group Therapeutic Procedures (97150) |
$50.40 |
$84 |
2.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$4,666.80 |
$7,778 |
1.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$406.20 |
$677 |
0.5× |
| Holter monitor recording (93225) |
$153 |
$255 |
0.9× |
| Immunization administration (90471) |
$12 |
$20 |
0.1× |
| Insert/Place Heart Catheter (93503) |
$1,025.40 |
$1,709 |
0.5× |
| Iontophoresis 15 min (97033) |
$91.20 |
$152 |
4.8× |
| Irrig Drug Delivery Device (96523) |
$71.40 |
$119 |
1.0× |
| IV infusion hydration each additional hour (96361) |
$144 |
$240 |
2.5× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$144 |
$240 |
0.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$144 |
$240 |
1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$144 |
$240 |
2.5× |
| IV push initial (96374) |
$108.60 |
$181 |
0.4× |
| L Hrt Art/Grft Angio (93459) |
$4,666.80 |
$7,778 |
1.2× |
| Lung Function Test (Mbc/Mvv) (94200) |
$67.20 |
$112 |
0.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$436.20 |
$727 |
1.6× |
| Mechanical chest wall oscillation per session (94669) |
$507.60 |
$846 |
1.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$20.40 |
$34 |
0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$27 |
$45 |
0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$20.40 |
$34 |
1.2× |
| Methacholine challenge (94070) |
$375 |
$625 |
0.8× |
| Motility study esophagus (91010) |
$420 |
$700 |
0.9× |
| Motion Fluoroscopy/Swallow (92611) |
$212.40 |
$354 |
2.3× |
| Neuromuscular Reeducation (97112) |
$75 |
$125 |
2.3× |
| Oral Function Therapy (92526) |
$118.20 |
$197 |
1.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$93 |
$155 |
1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$75 |
$125 |
1.6× |
| Ot eval high complexity (97167) |
$108.60 |
$181 |
1.1× |
| Ot Eval Low Complex (97165) |
$90.60 |
$151 |
0.9× |
| Ot Eval Moderate Complexity (97166) |
$99 |
$165 |
1.0× |
| Ot manual therapy 15 min (97140) |
$75 |
$125 |
2.7× |
| Ot Re-Eval Est Plan Care (97168) |
$67.20 |
$112 |
1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$91.20 |
$152 |
0.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$66.60 |
$111 |
0.4× |
| Oxygen Uptake Rest Indirect (94690) |
$98.40 |
$164 |
1.3× |
| Peripheral arterial disease rehab per session (93668) |
$302.40 |
$504 |
4.1× |
| Phlebotomy therapeutic (99195) |
$190.20 |
$317 |
1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$170.40 |
$284 |
2.3× |
| Plethysmography (94726) |
$161.40 |
$269 |
0.3× |
| Pm device eval in person (93288) |
$86.40 |
$144 |
1.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,305.60 |
$2,176 |
1.2× |
| Psych diag eval w/med srvcs (90792) |
$118.80 |
$198 |
0.5× |
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines |
$120.60–$261 |
$201–$435 |
varies |
| Psychological tst eval svc phys/qhp first hour (96130) |
$255 |
$425 |
0.9× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$157.20 |
$262 |
0.9× |
| Pt Eval High Complex (97163) |
$108.60 |
$181 |
1.1× |
| Pt eval low complex 20 min (97161) |
$90.60 |
$151 |
0.9× |
| Pt Eval Mod Complex (97162) |
$98.40 |
$164 |
1.0× |
| Pt gait training 15 min (97116) |
$66 |
$110 |
2.3× |
| Pt Re-Eval Est Plan Care (97164) |
$66 |
$110 |
1.0× |
| Pulm function test by gas (94727) |
$201 |
$335 |
0.7× |
| Pulmonary service/procedure (94799) |
$240 |
$400 |
1.5× |
| Pulmonary Stress Testing (94618) |
$151.80 |
$253 |
0.9× |
| Pure Tone Audiometry Air (92552) |
$58.80 |
$98 |
0.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$7,765.20 |
$12,942 |
1.9× |
| Remote 30 Day Ecg Rev/Report (93270) |
$112.20 |
$187 |
2.4× |
| Remote 30 Day Ecg Tech Supp (93229) |
$190.20 |
$317 |
0.4× |
| Respiratory flow volume loop (94375) |
$260.40 |
$434 |
1.0× |
| Right Heart Cath (93451) |
$4,666.80 |
$7,778 |
1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$42 |
$70 |
0.2× |
| Self Care Mngment Training (97535) |
$96 |
$160 |
3.0× |
| Sleep study unattended (95806) |
$213.60 |
$356 |
0.8× |
| Slp caregiver training 1st 30 min (97550) |
$105 |
$175 |
2.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$90 |
$150 |
0.3× |
| Speech Audiometry Complete (92556) |
$58.80 |
$98 |
0.8× |
| Speech audiometry threshold (92555) |
$36 |
$60 |
0.5× |
| Speech sound lang comprehen (92523) |
$243 |
$405 |
1.1× |
| Spirometry (94010) |
$150.60 |
$251 |
0.6× |
| Stress Tte Only (93350) |
$591 |
$985 |
0.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$225.60 |
$376 |
10.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$42.60 |
$71 |
0.5× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$153 |
$255 |
0.6× |
| Therapeutic Activities (97530) |
$96 |
$160 |
2.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$535.80 |
$893 |
1.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$48 |
$80 |
1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$30 |
$50 |
0.6× |
| Tte w/doppler, complete (93306) |
$1,352.40 |
$2,254 |
2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$135.60 |
$226 |
1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$60 |
$100 |
1.0× |
| Tympanometry (92567) |
$58.80 |
$98 |
1.3× |
| Tympanometry and reflex threshold measurements (92550) |
$76.20 |
$127 |
0.3× |
| Upr/L Xtremity Art 2 Levels (93922) |
$189.60 |
$316 |
1.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$436.20 |
$727 |
1.6× |
| Vent Mgmt Inpat Init Day (94002) |
$721.80 |
$1,203 |
0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$610.80 |
$1,018 |
0.8× |
| Visual Evoked Potential Test (95930) |
$916.20 |
$1,527 |
3.4× |
| Visual reinforcement audiometry (vra) (92579) |
$122.40 |
$204 |
0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$122.40 |
$204 |
3.9× |