Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570)
range across 2 matching MRF lines |
— |
$158–$311 |
— |
Acoustic Reflex Testing (92568)
range across 2 matching MRF lines |
— |
$158–$311 |
— |
| Actigraphy Testing Recording Analysis I&R (95803) |
— |
$899 |
— |
| Acupunct W/Stimul 15 Min (97813) |
— |
$234 |
— |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
— |
$234 |
— |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) |
— |
$158 |
— |
| Adaptive behavior tx by protocol tech ea 15 min (97153) |
— |
$158 |
— |
| Admn Sarscov2 Vacc 1 Dose (90480) |
— |
$81 |
— |
| Advncd Care Plan 30 Min (99497) |
— |
$228 |
— |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) |
— |
$749 |
— |
| Aep neurodiagnostic i&r (92653) |
— |
$554 |
— |
| Aep threshold estimation mlt frequencies i&r (92652) |
— |
$554 |
— |
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines |
— |
$287–$311 |
— |
| Airway resistance by oscillometry (94728) |
— |
$837 |
— |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
— |
$644 |
— |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
— |
$404 |
— |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) |
— |
$2,544 |
— |
| Analyze neurostim complex (95972) |
— |
$6,188 |
— |
| Analyze neurostim no prog (95970) |
— |
$629 |
— |
| Analyze Neurostim Simple (95971) |
— |
$1,008 |
— |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) |
— |
$1,410 |
— |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
— |
$496 |
— |
| Appl modality 1+ areas lllt po pain reduction (97037) |
— |
$61 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$338 |
— |
| Application on-body injector (96377) |
— |
$242 |
— |
| Assessment of aphasia per hr (96105) |
— |
$1,480 |
— |
| Assmt & care planning pt w/cognitive impairment (99483) |
— |
$1,234 |
— |
| Audiometry Air & Bone (92553) |
— |
$855 |
— |
| Auditory Function, 60 Min (92620) |
— |
$1,186 |
— |
| Behavior id assessment by phys/qhp ea 15 min (97151) |
— |
$158 |
— |
| Behavior id support assmt by 1 tech ea 15 min (97152) |
— |
$158 |
— |
| Behavral qualit analys voice (92524) |
— |
$825 |
— |
| Biofeedback training any modality (90901) |
— |
$567 |
— |
| Bioimpedance Cv Analysis (93701) |
— |
$220 |
— |
| Bis Xtracell Fluid Analysis (93702) |
— |
$1,207 |
— |
| Blink reflex test (95933) |
— |
$422 |
— |
| Breath hydrogen/methane test (91065) |
— |
$4,929 |
— |
| Brief Emotional/Behav Assmt (96127) |
— |
$37 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$1,099 |
— |
| C motor evoked uppr limbs (95928) |
— |
$2,593 |
— |
| C motor evoked upr&lwr limbs (95939) |
— |
$2,576 |
— |
| Canalith repositioning proc (95992) |
— |
$747 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,221 |
— |
| Cardiopulmonary exercise testing (94621) |
— |
$1,139 |
— |
| Cardiopulmonary resuscitation (92950) |
— |
$3,612 |
— |
| Cardioversion (92960) |
— |
$9,755 |
— |
| Caregiver hlth risk assmt score doc stnd instrm (96161) |
— |
$108 |
— |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
— |
$354 |
— |
| Cbt 1st hour (94644) |
— |
$266 |
— |
| Cervical Vemp Testing W/I&R (92517) |
— |
$749 |
— |
| Chemo Admin Peritoneal Cavity (96446) |
— |
$1,246 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$515 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$706 |
— |
| Chemo Ia Push (96420) |
— |
$908 |
— |
| Chemo Intralesional Over 7 (96406) |
— |
$1,504 |
— |
| Chemo intralesional up to 7 (96405) |
— |
$1,005 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$242 |
— |
| Chemo IV push addl drug (96411) |
— |
$510 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$1,535 |
— |
| Chemotherapy Into Cns (96450) |
— |
$1,305 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$400 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$2,420 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$875 |
— |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
— |
$2,457 |
— |
| Chest Wall Manipulation (94668) |
— |
$476 |
— |
| Cmptr ophth dx img ant segmt (92132) |
— |
$741 |
— |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) |
— |
$473 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$2,852 |
— |
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines |
— |
$1,311–$2,570 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$338 |
— |
| Comprehensive Hearing Test (92557) |
— |
$992 |
— |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
— |
$810 |
— |
| Computerized Ophthalmic Imaging Retina (92134) |
— |
$741 |
— |
Conditioning Play Audiometry (92582)
range across 2 matching MRF lines |
— |
$383–$759 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$1,097 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$200 |
— |
| Continuous Pulse Ox (94762) |
— |
$348 |
— |
| Corneal Topography (92025) |
— |
$334 |
— |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
— |
$908 |
— |
| Cpt initial (94667) |
— |
$604 |
— |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
— |
$446 |
— |
| Critical care first hour (99291) |
— |
$4,601 |
— |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
— |
$2,663 |
— |
| Debridement Open Wound 20 Sq Cm< (97597) |
— |
$1,014 |
— |
Developmental tst admin phys/qhp 1st hour (96112)
range across 7 matching MRF lines |
— |
$1,112–$1,223 |
— |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) |
— |
$1,388 |
— |
Dialysis One Evaluation (90945)
range across 2 matching MRF lines |
— |
$902–$3,131 |
— |
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines |
— |
$1,273–$2,662 |
— |
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines |
— |
$850–$2,570 |
— |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
— |
$2,460 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,343 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$902 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,365 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$2,514 |
— |
| Duplex Scan Hemodialysis Access (93990) |
— |
$761 |
— |
| Duplex up extrem art bilat (93930) |
— |
$1,315 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$835 |
— |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) |
— |
$234 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
— |
$1,388 |
— |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
— |
$2,784 |
— |
| Echo Congenital Complete (93303) |
— |
$2,234 |
— |
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines |
— |
$1,502–$3,735 |
— |
| Echo r-t 2d w/probe placement only (93313) |
— |
$1,209 |
— |
| Echo transesophageal (93312) |
— |
$3,821 |
— |
| Echo Transesophageal - Congenital Tee Complete (93315) |
— |
$2,770 |
— |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
— |
$3,496 |
— |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) |
— |
$108 |
— |
| Eeg 41-60 Minutes (95812) |
— |
$2,013 |
— |
| EEG awake and asleep (95819) |
— |
$1,476 |
— |
| EEG awake drowsy (95816) |
— |
$1,395 |
— |
| EEG cont rec w/video by tech min 8 channels (95700) |
— |
$1,755 |
— |
| EEG extended monitoring 61-119 minutes (95813) |
— |
$2,357 |
— |
| Eeg Sleep Only (95822) |
— |
$1,345 |
— |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
— |
$1,690 |
— |
| EEG w/o vid 2-12hr cont mntr (95707) |
— |
$1,690 |
— |
| EEG w/o vid ea 12-26hr intmt (95709) |
— |
$3,495 |
— |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
— |
$3,495 |
— |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
— |
$1,690 |
— |
| EEG wo vid ea 12-26hr unmntr (95708) |
— |
$3,495 |
— |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
— |
$777 |
— |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
— |
$6,217 |
— |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
— |
$3,110 |
— |
| Electrical Stimulation Ea 15 Min (97032) |
— |
$338 |
— |
| Electro-Oculography (92270) |
— |
$1,106 |
— |
| Electrocardiogram Tracing (93005) |
— |
$634 |
— |
| Electrocochleography (92584) |
— |
$787 |
— |
| Electroconvulsive Therapy (90870) |
— |
$3,812 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$1,751 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$2,138 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$2,830 |
— |
| Emg 3 Extremities (95863) |
— |
$3,383 |
— |
| Emg 4 Extremities (95864) |
— |
$4,528 |
— |
| Er level 1 (99281) |
— |
$715 |
— |
| Er level v (99285) |
— |
$3,483 |
— |
| Esophageal Capsule Endoscopy (91111) |
— |
$5,986 |
— |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
— |
$919 |
— |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
— |
$361 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$319 |
— |
| Evaluate Speech Production (92522) |
— |
$825 |
— |
| Evaluate Swallowing Function (92610) |
— |
$1,311 |
— |
| Evaluation of speech fluency (92521) |
— |
$825 |
— |
Evoked Auditory Test,Limited (92587)
range across 2 matching MRF lines |
— |
$290–$585 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$108 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$134 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$585 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,818 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$1,306 |
— |
| F-up/limited tthrc echo congenital car anomaly (93304) |
— |
$1,209 |
— |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) |
— |
$79 |
— |
| Flexible endoscopic eval swallow c/v rec (92612) |
— |
$3,145 |
— |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
— |
$3,485 |
— |
| Fluorescein angiography (92235) |
— |
$2,037 |
— |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) |
— |
$1,187 |
— |
| Full Field Electroretinography W/I&R (92273) |
— |
$1,084 |
— |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
— |
$1,561 |
— |
| Fundus photography (92250) |
— |
$422 |
— |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
— |
$1,770 |
— |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
— |
$919 |
— |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
— |
$4,527 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$5,986 |
— |
| Gi tract imaging intraluminal colon i&r (91113) |
— |
$5,986 |
— |
| Gi wireless capsule measure (91112) |
— |
$5,986 |
— |
| Gonioscopy (92020) |
— |
$433 |
— |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) |
— |
$79 |
— |
| Group Therapeutic Procedures (97150) |
— |
$311 |
— |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) |
— |
$79 |
— |
| Health Behavior Assessment/Re-Assessment (96156) |
— |
$1,527 |
— |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) |
— |
$1,009 |
— |
| Health behavior ivntj group f2f 1st 30 min (96164) |
— |
$242 |
— |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
— |
$1,015 |
— |
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 3 matching MRF lines |
— |
$994–$3,735 |
— |
| High altitude simulation test (94452) |
— |
$524 |
— |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
— |
$600 |
— |
| Holter monitor recording (93225) |
— |
$3,105 |
— |
| Hubbard tank 15 min (97036) |
— |
$464 |
— |
| Icd Device Interrogate (93289) |
— |
$349 |
— |
| Icd device progr eval dual (93283) |
— |
$437 |
— |
| Icd Device Progr Eval Mult (93284) |
— |
$400 |
— |
| Icm Device Eval (93290) |
— |
$400 |
— |
| Ilr Device Eval Progr (93285) |
— |
$384 |
— |
| Ilr Device Interrogate (93291) |
— |
$305 |
— |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
— |
$319 |
— |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) |
— |
$265 |
— |
| Immunization administration (90471) |
— |
$319 |
— |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
— |
$1,947 |
— |
| Inital newborn e/m (99460) |
— |
$704 |
— |
| Interrogate Subq Defib (93261) |
— |
$397 |
— |
| Intracranial Complete Study (93886) |
— |
$1,306 |
— |
| Iontophoresis 15 min (97033) |
— |
$311 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$338 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$196 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$1,653 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$569 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$196 |
— |
| IV push initial (96374) |
— |
$626 |
— |
| Laryngeal Function Studies (92520) |
— |
$822 |
— |
| Liver Elastography W/O Imag W/I&R (91200) |
— |
$391 |
— |
| Loudness balance test (92562) |
— |
$510 |
— |
| Low frequency non-thermal us (97610) |
— |
$400 |
— |
| Lung Function Test (Mbc/Mvv) (94200) |
— |
$616 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$1,092 |
— |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
— |
$2,504 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$773 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$189 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$189 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$98 |
— |
| Methacholine challenge (94070) |
— |
$1,562 |
— |
| Motility study esophagus (91010) |
— |
$3,424 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$2,857 |
— |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) |
— |
$79 |
— |
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines |
— |
$4,433–$5,028 |
— |
| Muscle Test 2 Limbs (95861) |
— |
$2,225 |
— |
| Muscle Test Hemidiaphragm (95866) |
— |
$1,645 |
— |
| Muscle Test Nonparaspinal (95870) |
— |
$689 |
— |
| Muscle Test One Limb (95860) |
— |
$1,701 |
— |
| Nasopharyngoscopy (92511) |
— |
$741 |
— |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
— |
$3,942 |
— |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
— |
$2,530 |
— |
| Needle electromyography larynx (95865) |
— |
$1,717 |
— |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
— |
$881 |
— |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
— |
$708 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$1,321 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$1,321 |
— |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
— |
$481 |
— |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
— |
$1,066 |
— |
| Nerve Conduction Studies 1-2 Studies (95907) |
— |
$597 |
— |
| Nerve Conduction Studies 11-12 Studies (95912) |
— |
$3,577 |
— |
| Nerve conduction studies 13 or more studies (95913) |
— |
$4,170 |
— |
| Nerve Conduction Studies 3-4 Studies (95908) |
— |
$1,195 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$1,788 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$2,384 |
— |
| Nerve Conduction Studies 9-10 Studies (95911) |
— |
$2,978 |
— |
| Neurobehavioral Status Exam (96116) |
— |
$1,436 |
— |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
— |
$1,701 |
— |
| Neuromuscular Reeducation (97112) |
— |
$354 |
— |
| Newborn resuscitation (99465) |
— |
$1,321 |
— |
| Nitric oxide expired gas determination (95012) |
— |
$252 |
— |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
— |
$61 |
— |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
— |
$89 |
— |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
— |
$31 |
— |
| Nrpsyc tst eval phys/qhp 1st (96132) |
— |
$1,538 |
— |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
— |
$466 |
— |
| Oculoelectromyography (92265) |
— |
$1,106 |
— |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
— |
$370 |
— |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
— |
$1,056 |
— |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
— |
$708 |
— |
| Ophth medical xm&eval intermediate estab pt (92012) |
— |
$1,056 |
— |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
— |
$640 |
— |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
— |
$488 |
— |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
— |
$510 |
— |
| Oral Function Therapy (92526) |
— |
$1,800 |
— |
| Oral Speech Device Eval (92597) |
— |
$1,791 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$319 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$338 |
— |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
— |
$207 |
— |
| Osteopathic manipulative tx 3-4 body regions (98926) |
— |
$207 |
— |
| Osteopathic manipulative tx 5-6 body regions (98927) |
— |
$207 |
— |
| Osteopathic manipulative tx 7-8 body regions (98928) |
— |
$207 |
— |
| Osteopathic manipulative tx 9-10 body regions (98929) |
— |
$207 |
— |
| Ot eval high complexity (97167) |
— |
$779 |
— |
| Ot Eval Low Complex (97165) |
— |
$779 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$779 |
— |
| Ot manual therapy 15 min (97140) |
— |
$354 |
— |
| Ot paraffin bath (97018) |
— |
$228 |
— |
| Ot Prosthetic Training, Each 15 Min (97761) |
— |
$322 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$542 |
— |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
— |
$908 |
— |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
— |
$779 |
— |
| Oxygen Uptake Rest Indirect (94690) |
— |
$430 |
— |
| Patch/Application Test Specify Number Tests (95044) |
— |
$537 |
— |
| Patient-initiated spirometric recording (94015) |
— |
$600 |
— |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) |
— |
$1,706 |
— |
| Penile Vascular Study,Ltd or F/U (93981) |
— |
$2,393 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$437 |
— |
| Peripheral arterial disease rehab per session (93668) |
— |
$551 |
— |
| Phlebotomy therapeutic (99195) |
— |
$354 |
— |
Physical Performance Test (97750)
range across 4 matching MRF lines |
— |
$367–$5,228 |
— |
| Plethysmography (94726) |
— |
$276 |
— |
| Pm device eval in person (93288) |
— |
$334 |
— |
| Pm device progr eval dual (93280) |
— |
$384 |
— |
| Pm device progr eval multi (93281) |
— |
$349 |
— |
| Pm Device Progr Eval Sngl (93279) |
— |
$349 |
— |
| Pm/Icd Remote Tech Serv (93296) |
— |
$108 |
— |
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines |
— |
$8,315–$9,530 |
— |
| Polysom <6 yrs 4/> paramtrs (95782) |
— |
$14,903 |
— |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
— |
$15,631 |
— |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
— |
$305 |
— |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
— |
$400 |
— |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
— |
$210 |
— |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) |
— |
$279 |
— |
| Psych diag eval w/med srvcs (90792) |
— |
$1,195 |
— |
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines |
— |
$1,195–$1,483 |
— |
| Psychological tst eval svc phys/qhp first hour (96130) |
— |
$1,153 |
— |
| Psycl/Nrpsyc Tst Auto Result (96146) |
— |
$677 |
— |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
— |
$614 |
— |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
— |
$824 |
— |
| Psytx Crisis Initial 60 Min (90839) |
— |
$921 |
— |
| Pt Eval High Complex (97163) |
— |
$747 |
— |
| Pt eval low complex 20 min (97161) |
— |
$747 |
— |
| Pt Eval Mod Complex (97162) |
— |
$747 |
— |
| Pt gait training 15 min (97116) |
— |
$354 |
— |
| Pt group caregiver training (97552) |
— |
$354 |
— |
| Pt mechanical traction (97012) |
— |
$338 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$400 |
— |
| Pulm function test by gas (94727) |
— |
$1,265 |
— |
| Pulmonary service/procedure (94799) |
— |
$316 |
— |
| Pulmonary Stress Testing (94618) |
— |
$529 |
— |
Pure Tone Audiometry Air (92552)
range across 3 matching MRF lines |
— |
$254–$510 |
— |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) |
— |
$50 |
— |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) |
— |
$76 |
— |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) |
— |
$29 |
— |
| Rectal sensation tone&compliance study (91124) |
— |
$347 |
— |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
— |
$1,343 |
— |
| Refill/Maint Portable Pump (96521) |
— |
$1,664 |
— |
| Refill/Maint Pump/Resvr Syst (96522) |
— |
$2,006 |
— |
| Rem interrog icpms <30 d phys/qhp (93297) |
— |
$144 |
— |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
— |
$144 |
— |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
— |
$85 |
— |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) |
— |
$267 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$1,099 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$210 |
— |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
— |
$305 |
— |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
— |
$162 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$3,131 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$252 |
— |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) |
— |
$228 |
— |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) |
— |
$1,410 |
— |
| Same day nb discharge (99463) |
— |
$745 |
— |
| Select picture audiometry (92583) |
— |
$1,075 |
— |
| Self Care Mngment Training (97535) |
— |
$354 |
— |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
— |
$692 |
— |
| Sensory Integration Ea 15 Min (97533) |
— |
$322 |
— |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
— |
$3,629 |
— |
| Short-latency somatosens ep std upr limbs (95925) |
— |
$2,593 |
— |
| Sleep study attended (95807) |
— |
$4,210 |
— |
| Sleep study unattended (95806) |
— |
$1,245 |
— |
| Slp caregiver training 1st 30 min (97550) |
— |
$354 |
— |
| Slp Stdy Unatnd W/Anal (95801) |
— |
$746 |
— |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
— |
$384 |
— |
| Somatosensory Testing (95938) |
— |
$1,817 |
— |
| Speech Audiometry Complete (92556) |
— |
$755 |
— |
Speech audiometry threshold (92555)
range across 2 matching MRF lines |
— |
$254–$560 |
— |
Speech sound lang comprehen (92523)
range across 4 matching MRF lines |
— |
$590–$825 |
— |
| Spin/Brain Pump Refil & Main (95991) |
— |
$866 |
— |
| Spirometry (94010) |
— |
$880 |
— |
| Ssep lower limbs (95926) |
— |
$2,674 |
— |
| Staggered Spondaic Word Test (92572) |
— |
$857 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$136 |
— |
| Stenger Test Speech (92577) |
— |
$837 |
— |
| Stenger Test, Pure Tone (92565) |
— |
$515 |
— |
| Stress Tte Only (93350) |
— |
$3,131 |
— |
| Subcutaneous Infusion Each Additional Hour (96370) |
— |
$191 |
— |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
— |
$1,706 |
— |
| Subq Infusion Additional Pump Infusion Site (96371) |
— |
$971 |
— |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
— |
$960 |
— |
| Temp transcutaneous pacing (92953) |
— |
$1,702 |
— |
| Tensilon Test (95857) |
— |
$543 |
— |
| Test to assess hearing loss using different tone pitches (92575) |
— |
$600 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$215 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$215 |
— |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
— |
$367 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$354 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$902 |
— |
| Ther/Proph/Diag Inj Ia (96373) |
— |
$444 |
— |
| Ther/Proph/Diag Inj Sc/Im (96372) |
— |
$242 |
— |
| Ther/Proph/Diag Iv Inf Init (96365) |
— |
$1,786 |
— |
| Therapeutic Activities (97530) |
— |
$354 |
— |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
— |
$3,582 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$191 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$182 |
— |
Tone Decay Test (92563)
range across 2 matching MRF lines |
— |
$440–$879 |
— |
| Trans Care Mgmt 14 Day Disch (99495) |
— |
$1,139 |
— |
| Trans Care Mgmt 7 Day Disch (99496) |
— |
$1,631 |
— |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
— |
$960 |
— |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
— |
$1,306 |
— |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) |
— |
$977 |
— |
Tte w/doppler, complete (93306)
range across 2 matching MRF lines |
— |
$2,884–$3,735 |
— |
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines |
— |
$1,564–$3,911 |
— |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 7 matching MRF lines |
— |
$660–$1,268 |
— |
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 2 matching MRF lines |
— |
$501–$960 |
— |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
— |
$209 |
— |
Tympanometry (92567)
range across 2 matching MRF lines |
— |
$162–$325 |
— |
| Tympanometry and reflex threshold measurements (92550) |
— |
$440 |
— |
| Unlisted cardiovascular service/procedure (93799) |
— |
$2,442 |
— |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
— |
$919 |
— |
| Unlisted ophthalmological service/procedure (92499) |
— |
$195 |
— |
Unlisted otorhinolaryngological service (92700)
range across 2 matching MRF lines |
— |
$338–$428 |
— |
| Unlisted Special Dermatological Service/Px (96999) |
— |
$253 |
— |
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines |
— |
$437–$1,078 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$881 |
— |
| Veeg 2-12 Hr Cont Mntr (95713) |
— |
$3,495 |
— |
| Veeg 2-12 hr intmt mntr (95712) |
— |
$1,690 |
— |
| Veeg 2-12 hr unmonitored (95711) |
— |
$1,690 |
— |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
— |
$3,495 |
— |
| Veeg Ea 12-26 Hr Unmntr (95714) |
— |
$3,495 |
— |
| Veeg ea 12-26hr cont mntr (95716) |
— |
$5,939 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$2,622 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$2,272 |
— |
| Visual Evoked Potential Test (95930) |
— |
$2,741 |
— |
| Visual Field Exam Extended (92083) |
— |
$692 |
— |
| Visual field xm uni/bi w/interp intermed exam (92082) |
— |
$759 |
— |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
— |
$692 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$917 |
— |
| Vital capacity, total (94150) |
— |
$290 |
— |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
— |
$2,310 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$354 |
— |
| Whirlpool Therapy (97022) |
— |
$338 |
— |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
— |
$473 |
— |