| Acoustic immitance testing (92570) |
$207.50 |
$415 |
1.6× |
| Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of… (95803) |
$215 |
$430 |
3.6× |
| Administration of chemotherapy into artery using push technique (96420) |
$574 |
$1,148 |
1.7× |
| Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) |
$1,322 |
$2,644 |
4.0× |
| Aep neurodiagnostic interpretation and report (92653) |
$405.50 |
$811 |
1.9× |
| Aerosol inhalation pentamidine (94642) |
$634.50 |
$1,269 |
2.9× |
| Airway inhalation treatment (94640) |
$576.50 |
$1,153 |
2.6× |
| Appl modality 1+lllt po pain (97037) |
$160 |
$320 |
4.3× |
| Appl on-body injector for timed subq injection (96377) |
$115 |
$230 |
2.4× |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
$51 |
$102 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
$43.50 |
$87 |
— |
| Application of ultraviolet light to skin (96900) |
$139.50 |
$279 |
3.7× |
| Assessment of aphasia (96105) |
$189.50 |
$379 |
— |
| Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) |
$80 |
$160 |
— |
| Basic vestibular evaluation (92540) |
$207.50 |
$415 |
1.0× |
| Behavioral & qualit analysis voice and resonance (92524) |
$331.50 |
$663 |
— |
| Biopsy of heart lining (93505) |
$3,041 |
$6,082 |
1.0× |
| Bipap initial day (94660) |
$1,302 |
$2,604 |
5.9× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$331.50 |
$663 |
2.6× |
| Blink reflex test (95933) |
$75.50 |
$151 |
1.3× |
| Breath hydrogen/methane test (91065) |
$416 |
$832 |
1.9× |
| Breathing capacity test (94010) |
$355.50 |
$711 |
1.6× |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
$305 |
$610 |
0.8× |
Bundle of his recording (93600) likely a partial charge — not the full procedure |
$669 |
$1,338 |
0.1× |
| Canalith repositioning (95992) |
$74.50 |
$149 |
— |
| Car seat/bed test inft thru 12 mo 60 min (94780) |
$149.50 |
$299 |
4.0× |
| Cardiopulmonary exercise testing (94621) |
$693.50 |
$1,387 |
1.9× |
| Cardiovascular procedure unlisted (93799) |
$164 |
$328 |
1.3× |
| Cardiovascular stress test (93017) |
$852 |
$1,704 |
3.9× |
| Cardioversion elective external (92960) |
$1,051.50 |
$2,103 |
1.6× |
| Caregiver training 1st 30 min (97550) |
$79 |
$158 |
— |
| Caregiver training ea addl 15 (97551) |
$39.50 |
$79 |
— |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) |
$13,813.50 |
$27,627 |
4.2× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) |
$10,678.50 |
$21,357 |
3.3× |
| Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) |
$11,706 |
$23,412 |
3.6× |
| Chemo anti-neopl sq/im (96401) |
$323 |
$646 |
4.5× |
| Chemo hormon antineopl sq/im (96402) |
$233 |
$466 |
3.2× |
| Chemo intralesional over 7 (96406) |
$189 |
$378 |
0.9× |
| Chemo intralesional up to 7 (96405) |
$94.50 |
$189 |
1.3× |
| Chemo IV infus each addl seq (96417) |
$270 |
$540 |
3.7× |
| Chemo IV infusion addl hr (96415) |
$279 |
$558 |
3.9× |
| Chemo IV push addl drug (96411) |
$337.50 |
$675 |
4.7× |
| Chemother prolong infuse w/pump (96416) |
$517.50 |
$1,035 |
1.6× |
| Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) |
$381 |
$762 |
1.1× |
| Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours),… (96425) |
$717.50 |
$1,435 |
2.2× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour (96422) |
$524 |
$1,048 |
1.6× |
| Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) |
$450 |
$900 |
1.4× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$405 |
$810 |
1.2× |
| Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) |
$180.50 |
$361 |
0.5× |
| Chest physiotherapy initial (94667) |
$120 |
$240 |
0.9× |
| Color/duplex Doppler, complete (93975) |
$768 |
$1,536 |
3.2× |
| Color/duplex Doppler, limited (93976) |
$445.50 |
$891 |
4.2× |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) |
$63.50 |
$127 |
— |
| Compre electrophysiologic w/o arrhyt induction (93619) |
$12,457.50 |
$24,915 |
1.6× |
| Compre ep eval abltj atr fib pulm vein isolation (93656) |
$40,106.50 |
$80,213 |
1.5× |
| Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) |
$14,156 |
$28,312 |
1.8× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) |
$42,906.50 |
$85,813 |
1.6× |
| Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) |
$36,509.50 |
$73,019 |
1.4× |
| Comprehensive hearing test (92557) |
$236.50 |
$473 |
1.8× |
| Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed,… (92548) |
$111.50 |
$223 |
0.8× |
| Concurrent chemotherapy (96549) |
$71 |
$142 |
1.5× |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
$57 |
$114 |
0.4× |
| Coronary art/grft angio s&i (93455) |
$9,130 |
$18,260 |
2.8× |
| Coronary artery angio s&i (93454) |
$7,870.50 |
$15,741 |
2.4× |
| Cpr (92950) |
$701.50 |
$1,403 |
3.2× |
| Critical care ill/injured patient init 30-74 min (99291) |
$2,122.50 |
$4,245 |
2.6× |
| Debridement open wound 20 sq cm< (97597) |
$201 |
$402 |
1.0× |
| Delivery/birthing room resuscitation (99465) |
$362 |
$724 |
0.5× |
| Diagnostic analysis with programming of auditory brainstem implant, per hour (92640) |
$131.50 |
$263 |
1.0× |
| Dialysis one evaluation (90945) |
$422 |
$844 |
1.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$111.50 |
$223 |
0.3× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$484 |
$968 |
4.6× |
| Duplex hemodialysis access (93990) |
$311 |
$622 |
3.0× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$376.50 |
$753 |
1.6× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$258.50 |
$517 |
2.5× |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
$284.50 |
$569 |
2.7× |
| Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age Under 21 (93981) |
$450 |
$900 |
4.3× |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
$737.50 |
$1,475 |
3.1× |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
$442.50 |
$885 |
4.2× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
$922 |
$1,844 |
3.8× |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
$590 |
$1,180 |
5.6× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
$569.50 |
$1,139 |
2.4× |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
$365 |
$730 |
3.5× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
$364.50 |
$729 |
1.5× |
| Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) |
$233.50 |
$467 |
2.2× |
| Echo transesophageal (93312) |
$1,635 |
$3,270 |
3.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,345 |
$2,690 |
2.5× |
| Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional… (93318) |
$981 |
$1,962 |
1.8× |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
$885.50 |
$1,771 |
3.7× |
| EEG 41-60 minutes (95812) |
$1,409 |
$2,818 |
6.5× |
| EEG awake & asleep (95819) |
$890 |
$1,780 |
4.1× |
| EEG awake/drowsy (95816) |
$669 |
$1,338 |
3.1× |
| EEG coma or sleep only (95822) |
$897 |
$1,794 |
4.1× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$467.50 |
$935 |
2.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,691 |
$3,382 |
7.8× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$884 |
$1,768 |
2.4× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$467.50 |
$935 |
2.2× |
| EKG 12 lead tracing only (93005) |
$235.50 |
$471 |
4.0× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$437 |
$874 |
3.3× |
| Elec alys implt smpl cn npgt prgrmg (95976) |
$421.50 |
$843 |
11.2× |
| Electrocochleography (92584) |
$191.50 |
$383 |
1.5× |
| Electroconvulsive therapy (90870) |
$1,166.50 |
$2,333 |
1.4× |
| Electrode stimulation brain (95961) |
$636 |
$1,272 |
0.7× |
| Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) |
$1,926.50 |
$3,853 |
1.6× |
| Emergency department visit high mdm (99285) |
$1,879 |
$3,758 |
3.1× |
| Emergency department visit low mdm (99283) |
$770.50 |
$1,541 |
2.8× |
| Emergency department visit may not req phys/qhp (99281) |
$226 |
$452 |
2.7× |
| Emergency department visit moderate mdm (99284) |
$1,221.50 |
$2,443 |
2.9× |
| Emergency department visit straightforward mdm (99282) |
$470 |
$940 |
3.0× |
| EMG thoracic paraspinal (95869) |
$81 |
$162 |
0.4× |
| End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) |
$657.50 |
$1,315 |
5.1× |
| Endoscopy swallow (fees) vid (92612) |
$188 |
$376 |
— |
| Esoph balloon distension tst (91040) |
$1,021 |
$2,042 |
2.7× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) |
$1,155.50 |
$2,311 |
3.1× |
| Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91037) |
$924.50 |
$1,849 |
4.3× |
| Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) |
$788.50 |
$1,577 |
2.1× |
| Esophageal recording (93615) |
$2,989 |
$5,978 |
2.4× |
| Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing without Cardiac Cath (93616) |
$3,288 |
$6,576 |
2.7× |
| Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) |
$273.50 |
$547 |
— |
| Evaluate pt use of inhaler (94664) |
$93.50 |
$187 |
0.4× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) |
$49.50 |
$99 |
— |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$51 |
$102 |
— |
| Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) |
$117 |
$234 |
— |
| Evaluation of speech fluency (92521) |
$266.50 |
$533 |
— |
| Evaluation of speech sound production articulate (92522) |
$288 |
$576 |
— |
| Evoked auditory test limited (92587) |
$111.50 |
$223 |
0.5× |
| Fluidotherapy (97022) |
$42 |
$84 |
— |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$318 |
$636 |
1.5× |
| Gastroesophag reflx test w/cath ph eltrd plcmt (91034) |
$767.50 |
$1,535 |
2.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,251.50 |
$2,503 |
1.5× |
| Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) |
$1,406.50 |
$2,813 |
1.5× |
| Gi transit & pres meas wireless capsule w/interp (91112) |
$1,125 |
$2,250 |
1.2× |
| Group caregiver training strategies & technique (97552) |
$39.50 |
$79 |
— |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$1,557.50 |
$3,115 |
2.3× |
| Hot/cold pack (97010) |
$38.50 |
$77 |
— |
| Imm admn sarscov2 vaccine single dose (90480) |
$65 |
$130 |
1.6× |
| Immunization administration (90471) |
$154 |
$308 |
2.1× |
| Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) |
$2,643 |
$5,286 |
2.2× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$161.50 |
$323 |
3.4× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$213 |
$426 |
1.0× |
| Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) |
$2,734.50 |
$5,469 |
1.7× |
| Interrog device eval heart (93289) |
$53.50 |
$107 |
1.4× |
| Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography (93152) |
$837.50 |
$1,675 |
2.7× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) |
$46.50 |
$93 |
1.2× |
| Interrogation vad in prson w/phys/qhp analysis (93750) |
$209.50 |
$419 |
2.2× |
Intra-atrial pacing (93610) likely a partial charge — not the full procedure |
$1,131.50 |
$2,263 |
0.1× |
| Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) |
$9,903.50 |
$19,807 |
1.3× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$201.50 |
$403 |
3.4× |
| IV infusion hydration each additional hour (96361) |
$216 |
$432 |
4.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$315 |
$630 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$243 |
$486 |
3.4× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$342 |
$684 |
1.6× |
| IV tx, each additional hour (96366) |
$220.50 |
$441 |
4.7× |
| Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance… (93595) |
$7,121.50 |
$14,243 |
2.2× |
| Low frequency non-thermal us (97610) |
$229 |
$458 |
1.1× |
| Lwr xtr vasc stdy bilat (93924) |
$340.50 |
$681 |
1.6× |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
$96 |
$192 |
0.7× |
| Maximum voluntary ventilation (94200) |
$243.50 |
$487 |
4.1× |
| Measurement of brain wave activity (EEG) to evaluate brain death (95824) |
$276 |
$552 |
0.7× |
| Mechanical traction therapy (97012) |
$207 |
$414 |
— |
| Methacholine challenge (94070) |
$305 |
$610 |
0.8× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$372.50 |
$745 |
— |
| Multiple sleep latency (95805) |
$946 |
$1,892 |
1.1× |
| Muscle test 3 limbs (95863) |
$374.50 |
$749 |
2.9× |
| Muscle test larynx (95865) |
$157 |
$314 |
1.2× |
| Nasopharyngoscopy (92511) |
$223.50 |
$447 |
1.1× |
| Ndl EMG 4 xtr w/wo related paraspinal areas (95864) |
$299.50 |
$599 |
2.3× |
| Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) |
$312 |
$624 |
2.3× |
| Needle electromyography cranial nrv muscle uni (95867) |
$170 |
$340 |
0.8× |
| Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) |
$191.50 |
$383 |
0.9× |
| Needle electromyography; 1 extremity with or without related paraspinal areas (95860) |
$249.50 |
$499 |
1.9× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$116.50 |
$233 |
0.9× |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
$272 |
$544 |
1.3× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$168.50 |
$337 |
0.4× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$204 |
$408 |
0.5× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$221.50 |
$443 |
1.1× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$268 |
$536 |
0.7× |
| Nerve conduction studies 1-2 studies (95907) |
$427.50 |
$855 |
2.0× |
| Nerve conduction studies 11-12 studies (95912) |
$1,169.50 |
$2,339 |
3.1× |
| Nerve conduction studies 13/> studies (95913) |
$1,358 |
$2,716 |
3.6× |
| Nerve conduction studies 3-4 studies (95908) |
$522 |
$1,044 |
2.4× |
| Nerve conduction studies 5-6 studies (95909) |
$628.50 |
$1,257 |
2.9× |
| Nerve conduction studies 7-8 studies (95910) |
$427.50 |
$855 |
1.1× |
| Nerve conduction studies 9-10 studies (95911) |
$999.50 |
$1,999 |
2.7× |
| Neuromuscular junction test (95937) |
$199.50 |
$399 |
1.5× |
| Nitric oxide expired gas determination (95012) |
$408 |
$816 |
10.9× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$267 |
$534 |
1.2× |
| Noninvasive ear/pulse oximetry overnight monitor (94762) |
$206.50 |
$413 |
1.6× |
| Occupational therapy eval high complex 60 mins (97167) |
$409 |
$818 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
$208 |
$416 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
$324.50 |
$649 |
— |
| Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording (92544) |
$111.50 |
$223 |
0.9× |
| Oral function therapy (92526) |
$389 |
$778 |
— |
| Oral speech device eval (92597) |
$441.50 |
$883 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
$92.50 |
$185 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
$157.50 |
$315 |
— |
| Ot manual therapy ea 15 min (97140) |
$128.50 |
$257 |
— |
| Ot neuromuscular re-education (97112) |
$120 |
$240 |
— |
| Ot paraffin bath (97018) |
$19.50 |
$39 |
— |
| Ot re-evaluation (97168) |
$204.50 |
$409 |
— |
| OT Therapeutic Activities Charges (97530) |
$114.50 |
$229 |
— |
| Ot wheelchair management (97542) |
$71 |
$142 |
— |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$133 |
$266 |
1.0× |
| Percutaneous balloon valvuloplasty; pulmonary valve without Cardiac Cath (92990) |
$16,696 |
$33,392 |
1.4× |
| Percutaneous transcatheter closure of a congenital ventricular septal defect with implant (93581) |
$19,181.50 |
$38,363 |
1.0× |
| Perq transcath closure pda (93582) |
$25,642 |
$51,284 |
1.4× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$21,890 |
$43,780 |
1.2× |
| Perq transcath cls paravalvr leak 1 mitral valve (93590) |
$21,890 |
$43,780 |
1.2× |
| Phlebotomy therapeutic (99195) |
$162 |
$324 |
1.2× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$355 |
$710 |
6.0× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$355 |
$710 |
6.0× |
| Physical therapy evaluation high complex 45 mins (97163) |
$306 |
$612 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
$214 |
$428 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
$248.50 |
$497 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$2,035.50 |
$4,071 |
2.4× |
| Positional nystagmus test, minimum of 4 positions, with recording (92542) |
$169.50 |
$339 |
1.3× |
| Pr tympanometry and reflex threshold measurements (92550) |
$206.50 |
$413 |
1.0× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$1,569.50 |
$3,139 |
41.9× |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
$80.50 |
$161 |
— |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$16,155 |
$32,310 |
1.4× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$8,445 |
$16,890 |
1.5× |
| Prq trluml coronary byp grft revasc one vessel (92937) |
$12,850.50 |
$25,701 |
1.1× |
| Prq trluml coronary stent w/angio one art/brnch (92928) |
$12,850.50 |
$25,701 |
1.1× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) |
$9,668.50 |
$19,337 |
0.8× |
| Prq trluml coronry stent/ath/angio one art/brnch (92933) |
$13,340 |
$26,680 |
0.7× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$12,822.50 |
$25,645 |
1.1× |
| Psychiatric diagnostic evaluation (90791) |
$204 |
$408 |
1.1× |
| Psytx crisis initial 60 min (90839) |
$156 |
$312 |
0.9× |
| Pt gait training 15 min (97116) |
$102 |
$204 |
— |
| Pt physical performance test (97750) |
$52.50 |
$105 |
— |
| Pt re-evaluation (97164) |
$137 |
$274 |
— |
| Pulm funct tst plethysmograp (94726) |
$652 |
$1,304 |
1.7× |
| Pulmonary stress testing (94618) |
$243.50 |
$487 |
1.8× |
| R hrt art/grft angio (93457) |
$13,813.50 |
$27,627 |
4.2× |
| R hrt cath chd w/img cath trgt zon abnl nt connj (93594) |
$8,906.50 |
$17,813 |
2.7× |
| R hrt cath chd w/img cath trgt zone nml nt connj (93593) |
$8,906.50 |
$17,813 |
2.7× |
| R hrt coronary artery angio (93456) |
$12,174.50 |
$24,349 |
3.7× |
| R&l hrt art/ventricle angio (93461) |
$11,472 |
$22,944 |
3.5× |
| R&l hrt cath w/ventriclgrphy (93453) |
$9,819.50 |
$19,639 |
3.0× |
| Refill/maint pump/resvr syst (96522) |
$571 |
$1,142 |
2.7× |
| Refilling and maintenance of portable pump (96521) |
$502.50 |
$1,005 |
2.4× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) |
$802.50 |
$1,605 |
3.7× |
| Repet tms tx subseq motr threshld w/deliv & mn (90869) |
$993.50 |
$1,987 |
4.6× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$174.50 |
$349 |
0.6× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93597) |
$7,121.50 |
$14,243 |
2.2× |
| Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to… (93596) |
$7,121.25 |
$14,242.50 |
2.2× |
| Right heart cath o2 saturation & cardiac output (93451) |
$6,819 |
$13,638 |
2.1× |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
$102 |
$204 |
— |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) |
$75.50 |
$151 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95938) |
$1,112.50 |
$2,225 |
1.3× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$191.50 |
$383 |
0.9× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
$405.50 |
$811 |
1.9× |
| Sleep study unattended (95806) |
$531.50 |
$1,063 |
2.5× |
| Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) |
$901 |
$1,802 |
4.2× |
| Speech audiometry threshold (92555) |
$49.50 |
$99 |
0.8× |
| Speech sound lang comprehen (92523) |
$724.50 |
$1,449 |
— |
| Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording (92541) |
$111.50 |
$223 |
0.8× |
| Standardized cognitive performance testing (96125) |
$186 |
$372 |
— |
| Stenger test pure tone (92565) |
$49.50 |
$99 |
0.8× |
| Stenger test speech (92577) |
$176.50 |
$353 |
0.5× |
| Surfactant administration (94610) |
$103.50 |
$207 |
0.5× |
| Tcd emboli detect wo inj (93892) |
$207 |
$414 |
2.0× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$207 |
$414 |
2.0× |
| Test for ability to detect and repeat spoken words with speech recognition (92556) |
$49.50 |
$99 |
0.8× |
| Test for abnormal eye movement using a rotating chair (92546) |
$207.50 |
$415 |
1.6× |
| Test for hearing various pitches using earphone (92552) |
$54 |
$108 |
0.4× |
| Test for hearing various pitches using earphone and device placed against the bone (92553) |
$145 |
$290 |
1.1× |
| Test to assess defects in adaption to sounds (92563) |
$49.50 |
$99 |
1.3× |
| Test to assess hearing loss using different tone pitches (92575) |
$49.50 |
$99 |
1.3× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$71.50 |
$143 |
— |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$71.50 |
$143 |
— |
| Therap repetitive tms tx subseq delivery & mng (90868) |
$389 |
$778 |
1.8× |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
$51.50 |
$103 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$137.50 |
$275 |
1.9× |
| Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) |
$53 |
$106 |
— |
| Tilt table evaluation (93660) |
$712 |
$1,424 |
1.9× |
| Tobacco use cessation intensive >10 minutes (99407) |
$51 |
$102 |
1.4× |
| Trans care mgmt 14 day disch (99495) |
$88 |
$176 |
0.7× |
| Trans care mgmt 7 day disch (99496) |
$88 |
$176 |
0.7× |
| Transcath closure of asd (93580) |
$17,656 |
$35,312 |
1.0× |
| Transcranial doppler stdy intracranial art compl (93886) |
$1,150 |
$2,300 |
4.8× |
| Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) |
$575 |
$1,150 |
5.5× |
| Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) |
$1,526.50 |
$3,053 |
2.8× |
| Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) |
$1,433.50 |
$2,867 |
2.6× |
| Tte congenital complete (93303) |
$2,429.50 |
$4,859 |
4.4× |
| Tte f-up or lmtd (93308) |
$776.50 |
$1,553 |
3.2× |
| Tte w/doppler complete (93306) |
$1,899.50 |
$3,799 |
3.5× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) |
$142.50 |
$285 |
— |
| Tx speech language voice commj auditry 2/>indiv (92508) |
$54 |
$108 |
— |
| Tympanometry (92567) |
$64.50 |
$129 |
1.7× |
| Unlisted diagnostic gastroenterology procedure (91299) |
$670 |
$1,340 |
5.2× |
| Upr/l xtremity art 2 levels (93922) |
$175.50 |
$351 |
1.3× |
| Valvuloplasty aortic valve (92986) |
$4,860.50 |
$9,721 |
0.9× |
| Valvuloplasty mitral valve (92987) |
$16,943.50 |
$33,887 |
1.5× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$884 |
$1,768 |
2.4× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$991.50 |
$1,983 |
2.6× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$1,669 |
$3,338 |
1.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,197 |
$2,394 |
3.2× |
| Ventilation ip/obs initial day (94002) |
$2,437 |
$4,874 |
3.9× |
| Ventilator subsequent day (94003) |
$2,014 |
$4,028 |
3.2× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$376 |
$752 |
1.7× |
| Wada activation test (95958) |
$291 |
$582 |
0.3× |
| Wound(s) care non-selective (97602) |
$190.50 |
$381 |
0.9× |