| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$290.40 |
$484 |
2.2× |
| Actinotherapy Ultraviolet Light (96900) |
$22.80 |
$38 |
0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$76.20 |
$127 |
1.9× |
| Advncd Care Plan 30 Min (99497) |
$166.20 |
$277 |
1.6× |
| Airway Inhalation Treatment (94640) |
$396.60 |
$661 |
1.8× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$237.60 |
$396 |
1.8× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) |
$290.40 |
$484 |
2.2× |
| Analyze neurostim complex (95972) |
$180 |
$300 |
1.9× |
| Analyze neurostim no prog (95970) |
$237.60 |
$396 |
1.8× |
| Analyze Neurostim Simple (95971) |
$180 |
$300 |
1.9× |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
$697.20 |
$1,162 |
1.9× |
| Ant sgm imaging w/microscopy endothelial analy (92286) |
$237.60 |
$396 |
1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$27 |
$45 |
1.9× |
| Application on-body injector (96377) |
$88.80 |
$148 |
1.9× |
| Assessment of aphasia per hr (96105) |
$183 |
$305 |
1.9× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$166.20 |
$277 |
1.6× |
| Audiometry Air & Bone (92553) |
$290.40 |
$484 |
2.2× |
| Basic vestibular evaluation (92540) |
$290.40 |
$484 |
1.3× |
| Behavral qualit analys voice (92524) |
$208.80 |
$348 |
1.9× |
| Biofeedback training any modality (90901) |
$40.20 |
$67 |
1.0× |
| Bis Xtracell Fluid Analysis (93702) |
$290.40 |
$484 |
2.2× |
| Blink reflex test (95933) |
$114 |
$190 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$583.20 |
$972 |
1.6× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$290.40 |
$484 |
1.3× |
| Caloric Vstblr Test W/Rec (92537) |
$290.40 |
$484 |
2.2× |
| Canalith repositioning proc (95992) |
$60 |
$100 |
1.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$583.20 |
$972 |
2.7× |
| Cardiopulmonary resuscitation (92950) |
$583.20 |
$972 |
2.7× |
| Cardioversion (92960) |
$1,209.60 |
$2,016 |
1.8× |
| Cbt 1st hour (94644) |
$237.60 |
$396 |
1.8× |
| Chemo Admin Peritoneal Cavity (96446) |
$629.40 |
$1,049 |
1.9× |
| Chemo Anti-Neopl Sq/Im (96401) |
$131.40 |
$219 |
1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$131.40 |
$219 |
1.8× |
| Chemo Ia Push (96420) |
$629.40 |
$1,049 |
1.9× |
| Chemo Intralesional Over 7 (96406) |
$398.40 |
$664 |
1.9× |
| Chemo intralesional up to 7 (96405) |
$131.40 |
$219 |
1.8× |
| Chemo IV infusion addl hr (96415) |
$131.40 |
$219 |
1.8× |
| Chemo IV push addl drug (96411) |
$131.40 |
$219 |
1.8× |
| Chemother Prolong Infuse W/Pump (96416) |
$629.40 |
$1,049 |
1.9× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) |
$629.40 |
$1,049 |
1.9× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) |
$88.80 |
$148 |
1.9× |
| Chemotherapy Into Cns (96450) |
$629.40 |
$1,049 |
1.9× |
| Chemotherapy Intracavitary (96440) |
$629.40 |
$1,049 |
1.9× |
| Chemotherapy Unspecified (96549) |
$88.80 |
$148 |
1.9× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$629.40 |
$1,049 |
1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$131.40 |
$219 |
1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$629.40 |
$1,049 |
1.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$629.40 |
$1,049 |
1.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$629.40 |
$1,049 |
1.9× |
| Chest Wall Manipulation (94668) |
$237.60 |
$396 |
1.8× |
| Chron Care Mgmt Srvc 20 Min (99490) |
$166.20 |
$277 |
1.6× |
| Cmptr ophth dx img ant segmt (92132) |
$114 |
$190 |
1.9× |
| Color/duplex Doppler, complete (93975) |
$455.40 |
$759 |
1.9× |
| Color/duplex Doppler, limited (93976) |
$204.60 |
$341 |
1.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$60 |
$100 |
1.9× |
| Comprehensive Hearing Test (92557) |
$290.40 |
$484 |
2.2× |
| Computerized dynamic posturography (92548) |
$237.60 |
$396 |
1.8× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) |
$114 |
$190 |
1.9× |
| Computerized Ophthalmic Imaging Retina (92134) |
$114 |
$190 |
1.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
$235.80 |
$393 |
1.8× |
| Contact Lens Fit,Corneoscleral Lens (92313) |
$237.60 |
$396 |
1.8× |
| Continuous Pulse Ox (94762) |
$290.40 |
$484 |
2.2× |
| Cornea hysteresis determin impulse stimj uni/bi (92145) |
$114 |
$190 |
1.9× |
| Corneal Topography (92025) |
$114 |
$190 |
1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$396.60 |
$661 |
1.8× |
| Cpt initial (94667) |
$237.60 |
$396 |
1.8× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$403.80 |
$673 |
1.9× |
| Critical care first hour (99291) |
$1,648.80 |
$2,748 |
2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$372 |
$620 |
1.8× |
Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$823.20–$3,000 |
$1,372–$5,000 |
varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$583.20 |
$972 |
1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$455.40 |
$759 |
1.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$204.60 |
$341 |
1.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$455.40 |
$759 |
1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$204.60 |
$341 |
1.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$455.40 |
$759 |
1.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$204.60 |
$341 |
1.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$455.40 |
$759 |
1.9× |
| Duplex Scan Hemodialysis Access (93990) |
$204.60 |
$341 |
1.9× |
| Duplex up extrem art bilat (93930) |
$455.40 |
$759 |
1.9× |
| Duplex up extrem art unilat/ltd (93931) |
$204.60 |
$341 |
1.9× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) |
$290.40 |
$484 |
2.2× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) |
$290.40 |
$484 |
2.2× |
| Echo Congenital Complete (93303) |
$1,014 |
$1,690 |
1.8× |
| Echo Heart Xthoracic,Limited (93308) |
$455.40 |
$759 |
1.9× |
| Echo transesophageal (93312) |
$1,025.40 |
$1,709 |
1.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,025.40 |
$1,709 |
1.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,002.60 |
$1,671 |
1.8× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) |
$70.20 |
$117 |
1.9× |
| Eeg 41-60 Minutes (95812) |
$583.20 |
$972 |
2.7× |
| EEG awake and asleep (95819) |
$569.40 |
$949 |
2.6× |
| EEG awake drowsy (95816) |
$569.40 |
$949 |
2.6× |
| EEG cerebral death evaluation (95824) |
$697.20 |
$1,162 |
1.9× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$286.20 |
$477 |
1.3× |
| EEG extended monitoring 61-119 minutes (95813) |
$583.20 |
$972 |
2.7× |
| Eeg Sleep Only (95822) |
$403.80 |
$673 |
1.9× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$403.80 |
$673 |
1.9× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$697.20 |
$1,162 |
1.9× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$180 |
$300 |
1.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) |
$180 |
$300 |
1.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$70.20 |
$117 |
1.9× |
| Electrical Stimulation Ea 15 Min (97032) |
$27.60 |
$46 |
1.9× |
| Electro-Oculography (92270) |
$235.80 |
$393 |
1.8× |
| Electrocardiogram Tracing (93005) |
$114 |
$190 |
1.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$290.40 |
$484 |
2.2× |
| Evaluate pt use of inhaler (94664) |
$396.60 |
$661 |
1.8× |
| Evaluate Speech Production (92522) |
$211.80 |
$353 |
1.9× |
| Evaluate Swallowing Function (92610) |
$133.80 |
$223 |
1.6× |
| Evaluation of speech fluency (92521) |
$253.20 |
$422 |
1.9× |
| Evoked Auditory Test,Limited (92587) |
$583.20 |
$972 |
2.7× |
| External ECG rec>48hr<7d recording (93242) |
$75 |
$125 |
2.0× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$237.60 |
$396 |
1.8× |
| External ECG rec>7d<15d recording (93246) |
$75 |
$125 |
2.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$237.60 |
$396 |
1.8× |
| External Ecg Scanning Analysis Report (93226) |
$114 |
$190 |
1.9× |
| Extracranial Bilat Study (93880) |
$455.40 |
$759 |
1.9× |
| Extracranial Uni/Ltd Study (93882) |
$204.60 |
$341 |
1.9× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$1,014 |
$1,690 |
1.8× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$125.40 |
$209 |
0.6× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$183.60 |
$306 |
0.8× |
| Fluorescein angiography (92235) |
$583.20 |
$972 |
2.7× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) |
$583.20 |
$972 |
2.7× |
| Full Field Electroretinography W/I&R (92273) |
$583.20 |
$972 |
2.7× |
| Fundus photography (92250) |
$237.60 |
$396 |
1.8× |
| Gi tract capsule endoscopy (91110) |
$1,684.20 |
$2,807 |
1.8× |
| Gonioscopy (92020) |
$237.60 |
$396 |
1.8× |
| Group Therapeutic Procedures (97150) |
$34.20 |
$57 |
1.9× |
| Health Behavior Assessment/Re-Assessment (96156) |
$166.20 |
$277 |
1.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) |
$70.20 |
$117 |
1.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) |
$296.40 |
$494 |
1.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$1,298.40 |
$2,164 |
1.9× |
| Holter monitor recording (93225) |
$237.60 |
$396 |
1.8× |
| Icd Device Interrogate (93289) |
$70.20 |
$117 |
1.9× |
| Icd device progr eval dual (93283) |
$70.20 |
$117 |
1.9× |
| Icd Device Progr Eval Mult (93284) |
$70.20 |
$117 |
1.9× |
| Icm Device Eval (93290) |
$70.20 |
$117 |
1.9× |
| Ilr Device Eval Progr (93285) |
$70.20 |
$117 |
1.9× |
| Ilr Device Interrogate (93291) |
$55.80 |
$93 |
1.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) |
$131.40 |
$219 |
1.8× |
| Immunization administration (90471) |
$131.40 |
$219 |
1.8× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) |
$583.20 |
$972 |
2.7× |
| Interrogate Subq Defib (93261) |
$70.20 |
$117 |
1.9× |
| Intracranial Complete Study (93886) |
$455.40 |
$759 |
1.9× |
| Io anal gast n-stim subsq (95981) |
$114 |
$190 |
1.9× |
| Io ga n-stim subsq w/reprog (95982) |
$70.20 |
$117 |
1.9× |
| Iontophoresis 15 min (97033) |
$36.60 |
$61 |
1.9× |
| Irrig Drug Delivery Device (96523) |
$114 |
$190 |
1.9× |
| IV infusion hydration each additional hour (96361) |
$88.80 |
$148 |
1.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$398.40 |
$664 |
1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$131.40 |
$219 |
1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$88.80 |
$148 |
1.9× |
| IV push initial (96374) |
$398.40 |
$664 |
1.9× |
| Laryngeal Function Studies (92520) |
$237.60 |
$396 |
1.8× |
| Mechanical chest wall oscillation per session (94669) |
$396.60 |
$661 |
1.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$51.60 |
$86 |
1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$60.60 |
$101 |
1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$29.40 |
$49 |
1.7× |
| Motility study esophagus (91010) |
$697.20 |
$1,162 |
1.9× |
| Motion Fluoroscopy/Swallow (92611) |
$168.60 |
$281 |
1.8× |
| Multifocal Electroretinography W/I&R (92274) |
$290.40 |
$484 |
2.2× |
| Muscle Test Nonparaspinal (95870) |
$237.60 |
$396 |
1.8× |
| Muscle Test One Limb (95860) |
$235.80 |
$393 |
1.8× |
| Nasopharyngoscopy (92511) |
$368.40 |
$614 |
1.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$403.80 |
$673 |
1.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) |
$290.40 |
$484 |
1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$741 |
$1,235 |
1.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$741 |
$1,235 |
1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$372 |
$620 |
1.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$741 |
$1,235 |
1.8× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$290.40 |
$484 |
1.3× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$996 |
$1,660 |
2.7× |
| Nerve conduction studies 13 or more studies (95913) |
$996 |
$1,660 |
2.7× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$583.20 |
$972 |
2.7× |
| Nerve conduction studies 5-6 studies (95909) |
$583.20 |
$972 |
2.7× |
| Nerve conduction studies 7-8 studies (95910) |
$583.20 |
$972 |
1.6× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$996 |
$1,660 |
2.7× |
| Neurobehavioral Status Exam (96116) |
$583.20 |
$972 |
2.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$290.40 |
$484 |
2.2× |
| Neuromuscular Reeducation (97112) |
$64.20 |
$107 |
2.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$996 |
$1,660 |
2.7× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) |
$237.60 |
$396 |
1.8× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) |
$246 |
$410 |
1.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$246 |
$410 |
1.8× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$246 |
$410 |
1.8× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) |
$246 |
$410 |
1.8× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$114 |
$190 |
1.9× |
| Oral Function Therapy (92526) |
$160.80 |
$268 |
1.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$98.40 |
$164 |
2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$90 |
$150 |
2.0× |
| Ot eval high complexity (97167) |
$192 |
$320 |
1.9× |
| Ot Eval Low Complex (97165) |
$192 |
$320 |
1.9× |
| Ot Eval Moderate Complexity (97166) |
$192 |
$320 |
1.9× |
| Ot manual therapy 15 min (97140) |
$51.60 |
$86 |
1.9× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$78.60 |
$131 |
1.9× |
| Ot Re-Eval Est Plan Care (97168) |
$132.60 |
$221 |
1.9× |
| Patch/Application Test Specify Number Tests (95044) |
$138 |
$230 |
0.2× |
| Pdt dstr prmlg les skn illum/activj per day (96567) |
$115.80 |
$193 |
0.6× |
| Penile Vascular Study,Ltd or F/U (93981) |
$204.60 |
$341 |
1.9× |
| Phlebotomy therapeutic (99195) |
$237.60 |
$396 |
1.8× |
| Photo patch test(s) (95052) |
$114 |
$190 |
1.9× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) |
$114 |
$190 |
1.9× |
| Physical Performance Test (97750) |
$64.20 |
$107 |
1.9× |
| Pm device eval in person (93288) |
$70.20 |
$117 |
1.9× |
| Pm device progr eval dual (93280) |
$70.20 |
$117 |
1.9× |
| Pm device progr eval multi (93281) |
$70.20 |
$117 |
1.9× |
| Pm Device Progr Eval Sngl (93279) |
$70.20 |
$117 |
1.9× |
| Pm/Icd Remote Tech Serv (93296) |
$70.20 |
$117 |
1.9× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) |
$740.40 |
$1,234 |
1.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$70.20 |
$117 |
1.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) |
$70.20 |
$117 |
1.9× |
| Psych diag eval w/med srvcs (90792) |
$296.40 |
$494 |
1.7× |
| Psychiatric diagnostic evaluation (90791) |
$296.40 |
$494 |
1.7× |
| Psycl/Nrpsyc Tst Auto Result (96146) |
$55.80 |
$93 |
1.9× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$740.40 |
$1,234 |
1.6× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) |
$237.60 |
$396 |
1.8× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$73.20 |
$122 |
1.9× |
| Pt Eval High Complex (97163) |
$190.20 |
$317 |
1.9× |
| Pt eval low complex 20 min (97161) |
$190.20 |
$317 |
1.9× |
| Pt Eval Mod Complex (97162) |
$190.20 |
$317 |
1.9× |
| Pt gait training 15 min (97116) |
$55.80 |
$93 |
1.9× |
| Pt mechanical traction (97012) |
$27 |
$45 |
1.9× |
| Pt Re-Eval Est Plan Care (97164) |
$132 |
$220 |
2.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) |
$53.40 |
$89 |
1.4× |
| Pure Tone Audiometry Air (92552) |
$237.60 |
$396 |
1.8× |
| Rectal sensation tone&compliance study (91124) |
$403.80 |
$673 |
1.9× |
| Refill/Maint Portable Pump (96521) |
$398.40 |
$664 |
1.9× |
| Refill/Maint Pump/Resvr Syst (96522) |
$398.40 |
$664 |
1.9× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$70.20 |
$117 |
1.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$70.20 |
$117 |
1.9× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) |
$70.20 |
$117 |
1.9× |
| Rem Mntr Wrls P-Art Prs Snr (93264) |
$68.40 |
$114 |
1.8× |
Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$68.40–$70.20 |
$114–$117 |
varies |
| Remote 30 Day Ecg Tech Supp (93229) |
$583.20 |
$972 |
1.6× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$569.40 |
$949 |
2.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$114 |
$190 |
1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$372 |
$620 |
1.8× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) |
$237.60 |
$396 |
1.8× |
| Self Care Mngment Training (97535) |
$61.80 |
$103 |
1.9× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) |
$114 |
$190 |
1.9× |
| Sensory Integration Ea 15 Min (97533) |
$113.40 |
$189 |
1.9× |
| Speech Audiometry Complete (92556) |
$114 |
$190 |
1.9× |
| Speech audiometry threshold (92555) |
$114 |
$190 |
1.9× |
| Speech sound lang comprehen (92523) |
$433.80 |
$723 |
1.9× |
| Spin/Brain Pump Refil & Main (95991) |
$540 |
$900 |
1.8× |
| Spirometry (94010) |
$286.20 |
$477 |
1.3× |
| Ssep lower limbs (95926) |
$583.20 |
$972 |
2.7× |
| Standardized Cognitive Performance Testing (96125) |
$194.40 |
$324 |
1.9× |
| Stenger Test Speech (92577) |
$996 |
$1,660 |
2.7× |
| Stenger Test, Pure Tone (92565) |
$114 |
$190 |
1.9× |
| Stress Tte Only (93350) |
$1,025.40 |
$1,709 |
1.9× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$88.80 |
$148 |
1.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$385.20 |
$642 |
1.8× |
| Surfactant Admin Thru Tube (94610) |
$396.60 |
$661 |
1.8× |
| Temp transcutaneous pacing (92953) |
$1,153.20 |
$1,922 |
1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$42.60 |
$71 |
1.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$40.80 |
$68 |
1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$57.60 |
$96 |
1.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$195.60 |
$326 |
1.9× |
| Ther/Proph/Diag Inj Ia (96373) |
$398.40 |
$664 |
1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$131.40 |
$219 |
1.8× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$398.40 |
$664 |
1.9× |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$569.40 |
$949 |
2.6× |
| Therapeutic Activities (97530) |
$69.60 |
$116 |
2.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$53.40 |
$89 |
1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$53.40 |
$89 |
1.4× |
| Trans Care Mgmt 14 Day Disch (99495) |
$246 |
$410 |
1.8× |
| Trans Care Mgmt 7 Day Disch (99496) |
$246 |
$410 |
1.8× |
| Tte w/doppler, complete (93306) |
$1,025.40 |
$1,709 |
1.9× |
| Tte W/O Doppler Complete (93307) |
$455.40 |
$759 |
1.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$145.20 |
$242 |
1.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$46.20 |
$77 |
1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$88.80 |
$148 |
1.9× |
| Tympanometry (92567) |
$75 |
$125 |
2.0× |
| Tympanometry and reflex threshold measurements (92550) |
$290.40 |
$484 |
1.3× |
| Unlis neurological/neuromuscular dx px (95999) |
$286.20 |
$477 |
2.2× |
| Unlisted Psychiatric Service/Procedure (90899) |
$53.40 |
$89 |
1.4× |
| Upr/L Xtremity Art 2 Levels (93922) |
$237.60 |
$396 |
1.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$290.40 |
$484 |
1.3× |
| Vasopneumatic device (97016) |
$22.20 |
$37 |
1.8× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$697.20 |
$1,162 |
1.9× |
| Veeg 2-12 hr intmt mntr (95712) |
$697.20 |
$1,162 |
1.9× |
| Veeg 2-12 hr unmonitored (95711) |
$403.80 |
$673 |
1.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$697.20 |
$1,162 |
1.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$697.20 |
$1,162 |
1.9× |
| Veeg ea 12-26hr cont mntr (95716) |
$1,603.80 |
$2,673 |
1.9× |
| Vent Mgmt Inpat Init Day (94002) |
$1,164.60 |
$1,941 |
1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$1,164.60 |
$1,941 |
1.9× |
| Visual Evoked Potential Test (95930) |
$569.40 |
$949 |
2.6× |
| Visual Field Exam Extended (92083) |
$237.60 |
$396 |
1.8× |
| Visual field xm uni/bi w/interp intermed exam (92082) |
$114 |
$190 |
1.9× |
| Visual field xm uni/bi w/interpretj limited exam (92081) |
$114 |
$190 |
1.9× |
| Vital capacity, total (94150) |
$290.40 |
$484 |
2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$60 |
$100 |
1.9× |
| Whirlpool Therapy (97022) |
$32.40 |
$54 |
2.1× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$75 |
$125 |
2.0× |