| Administration of prolonged chemotherapy into artery (96425) |
$497.25 |
$663 |
1.4× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$694.50 |
$926 |
3.0× |
| Airway inhalation treatment (94640) |
$187.50 |
$250 |
0.8× |
| Appl on-body injector for timed subq injection (96377) |
$121.50 |
$162 |
2.5× |
| Assessment of aphasia (96105) |
$259.50 |
$346 |
2.7× |
| Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$96 |
$128 |
2.5× |
| Auditory Function, 60 Min (92620) |
$160.50 |
$214 |
1.2× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$253.50 |
$338 |
2.3× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$213.75 |
$285 |
1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$647.25 |
$863 |
1.6× |
| Canalith Repositioning (95992) |
$66 |
$88 |
1.6× |
| Car seat/bed test 60 min (94780) |
$96.75 |
$129 |
2.5× |
| Cardiac Stress Tst,Tracing Only (93017) |
$668.25 |
$891 |
2.9× |
| Cardiopulmonary resuscitation (92950) |
$993.75 |
$1,325 |
4.4× |
| Cardioversion (92960) |
$1,731 |
$2,308 |
2.5× |
| Cbt 1st hour (94644) |
$252 |
$336 |
1.8× |
| Chemo Admin Peritoneal Cavity (96446) |
$337.50 |
$450 |
1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$336.75 |
$449 |
4.4× |
| Chemo inj subarach/intravent (96542) |
$272.25 |
$363 |
0.8× |
| Chemo IV push addl drug (96411) |
$326.25 |
$435 |
4.3× |
| Chemo Iv Push Sngl Drug (96409) |
$896.25 |
$1,195 |
2.6× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$1,365 |
$1,820 |
3.9× |
| Chemother, IV infusion, 1 hr (96413) |
$1,268.25 |
$1,691 |
3.6× |
| Chemother, IV infusion, ea add hr (96415) |
$285 |
$380 |
3.8× |
| Chemother,ia infusn tech,<1 hr (96422) |
$462.75 |
$617 |
1.3× |
| Chemother,Ia Push Technique (96420) |
$304.50 |
$406 |
0.9× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$305.25 |
$407 |
4.0× |
| Chemotherapy admn intraarterial infusion ea hr (96423) |
$215.25 |
$287 |
4.4× |
| Chemotherapy, unspecified procedure (96549) |
$315 |
$420 |
6.4× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$345 |
$460 |
1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$531 |
$708 |
7.0× |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
$360 |
$480 |
1.0× |
| Color/duplex Doppler, complete (93975) |
$1,317 |
$1,756 |
5.2× |
| Color/duplex Doppler, limited (93976) |
$893.25 |
$1,191 |
8.1× |
| Cpap initiation and management (94660) |
$436.50 |
$582 |
1.9× |
| Cpt initial (94667) |
$134.25 |
$179 |
1.0× |
| Critical care (99291) |
$3,336 |
$4,448 |
3.8× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$270.75 |
$361 |
1.3× |
| Demo &/or eval,pt use,aerosol device (94664) |
$197.25 |
$263 |
0.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,662.75 |
$2,217 |
6.6× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$998.25 |
$1,331 |
9.1× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,330.50 |
$1,774 |
5.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$869.25 |
$1,159 |
7.9× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$964.50 |
$1,286 |
8.7× |
| Duplex scan extracranial art compl bi study (93880) |
$978 |
$1,304 |
3.9× |
| Echo Heart Xthoracic,Limited (93308) |
$826.50 |
$1,102 |
3.3× |
| Echo transesophageal (93312) |
$2,695.50 |
$3,594 |
4.7× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$2,787.75 |
$3,717 |
4.8× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$926.25 |
$1,235 |
1.6× |
| EEG awake asleep (95819) |
$1,146.75 |
$1,529 |
5.0× |
| EEG cerebral death evaluation (95824) |
$601.50 |
$802 |
1.5× |
| EEG coma or sleep only (95822) |
$1,262.25 |
$1,683 |
5.5× |
| EKG (93005) |
$237.75 |
$317 |
3.8× |
| Er level 1 (99281) |
$201 |
$268 |
2.3× |
| Er level ii (99282) |
$395.25 |
$527 |
2.4× |
| Er level iii (99283) |
$846.75 |
$1,129 |
2.9× |
| Er level IV (99284) |
$1,446 |
$1,928 |
3.3× |
| Er level v (99285) |
$2,661.75 |
$3,549 |
4.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) |
$228 |
$304 |
1.7× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$283.50 |
$378 |
4.0× |
| Evaluation of speech fluency (92521) |
$249.75 |
$333 |
1.9× |
| Evaluation of speech sound production (92522) |
$233.25 |
$311 |
2.1× |
| Evaluation of swallowing function (92610) |
$272.25 |
$363 |
3.2× |
| Evaluation with prescription of speech-generating alternative (92607) |
$329.25 |
$439 |
2.7× |
| Evoked Auditory Test,Comprehsv (92588) |
$244.50 |
$326 |
0.6× |
| Exercise tst brncspsm (94617) |
$270 |
$360 |
1.9× |
| External ECG rec>48hr<7d recording (93242) |
$293.25 |
$391 |
7.4× |
| External ECG rec>7d<15d recording (93246) |
$293.25 |
$391 |
7.4× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$342 |
$456 |
1.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) |
$294 |
$392 |
1.3× |
| Flow volume loop (94375) |
$291.75 |
$389 |
1.3× |
| Group Therapeutic Procedures (97150) |
$54.75 |
$73 |
3.0× |
| Holter Monitor Recording (93225) |
$293.25 |
$391 |
2.1× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$37.50 |
$50 |
0.9× |
| Immunization Admin (90471) |
$67.50 |
$90 |
0.9× |
| Immunotherapy, 2+ Injections (95117) |
$66.75 |
$89 |
1.4× |
| Injection intra arterial (96373) |
$121.50 |
$162 |
0.5× |
| Ins swan ganz bedside (93503) |
$2,385 |
$3,180 |
1.4× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$245.25 |
$327 |
1.1× |
| Intralesional Chemo Admin,<8 Lesn (96405) |
$245.25 |
$327 |
3.2× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$206.25 |
$275 |
3.3× |
| IV infusion hydration each additional hour (96361) |
$109.88 |
$146.50 |
2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$340.88 |
$454.50 |
1.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$324.75 |
$433 |
4.3× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$413.25 |
$551 |
1.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$136.50 |
$182 |
2.8× |
| IV push initial (96374) |
$244.50 |
$326 |
1.1× |
| Laryngeal Function Studies (92520) |
$197.25 |
$263 |
1.4× |
| Laryngoscopic Sensory Test (92614) |
$342 |
$456 |
2.3× |
| Manual therapy 15 min (97140) |
$90 |
$120 |
3.2× |
| Massage 15 min (97124) |
$66.75 |
$89 |
2.2× |
| Maximum voluntary ventilation (94200) |
$141 |
$188 |
2.3× |
| Measurement of heart blood flow and respiration (93701) |
$219 |
$292 |
1.6× |
| Mechanical traction (97012) |
$57.75 |
$77 |
4.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$52.50 |
$70 |
1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$55.50 |
$74 |
1.5× |
| Methacholine challenge (94070) |
$352.50 |
$470 |
0.9× |
| Mnt Group Ea 30 Min (97804) |
$45 |
$60 |
2.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$326.25 |
$435 |
3.6× |
| Nasopharyngoscopy (92511) |
$200.25 |
$267 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$293.25 |
$391 |
1.4× |
| Newborn resuscitation (99465) |
$144 |
$192 |
0.2× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$698.25 |
$931 |
5.0× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$624 |
$832 |
2.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$261.75 |
$349 |
1.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$89.25 |
$119 |
1.9× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$85.50 |
$114 |
2.7× |
| Ot eval high complex 60 min (97167) |
$170.25 |
$227 |
1.7× |
| Ot eval low complex 30 min (97165) |
$170.25 |
$227 |
1.7× |
| Ot eval mod complex 45 min (97166) |
$170.25 |
$227 |
1.7× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$66.75 |
$89 |
1.3× |
| Ot re-eval est plan care (97168) |
$102 |
$136 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$203.25 |
$271 |
1.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$161.25 |
$215 |
1.2× |
| Paraffin bath (97018) |
$54 |
$72 |
9.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$1,193.25 |
$1,591 |
5.2× |
| Peripheral arterial disease rehab per session (93668) |
$132.75 |
$177 |
2.1× |
| Plethysmography (94726) |
$317.25 |
$423 |
0.8× |
| Pm device progr eval dual (93280) |
$288.75 |
$385 |
7.3× |
| Pm device progr eval sngl (93279) |
$239.25 |
$319 |
6.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,693 |
$4,924 |
4.1× |
| Pt Aquatic Therapy/Exercises (97113) |
$102 |
$136 |
2.8× |
| Pt Electric Current Therapy (97033) |
$87 |
$116 |
4.6× |
| Pt Electrical Stimulation (97032) |
$72 |
$96 |
4.9× |
| Pt eval high complex 45 min (97163) |
$196.50 |
$262 |
2.0× |
| Pt eval low complex 20 min (97161) |
$196.50 |
$262 |
2.0× |
| Pt Gait Training Therapy (97116) |
$71.25 |
$95 |
2.5× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$77.25 |
$103 |
2.4× |
| Pt Physical Performance Test (97750) |
$87 |
$116 |
2.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$196.50 |
$262 |
2.0× |
| Pt re-evaluation (97164) |
$104.25 |
$139 |
1.5× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$90.75 |
$121 |
2.8× |
| Pt Ultrasound Therapy (97035) |
$57.75 |
$77 |
4.0× |
| Pt Whirlpool Therapy (97022) |
$99.75 |
$133 |
6.4× |
| Pulm function test by gas (94727) |
$186.75 |
$249 |
0.8× |
| Pulmonary stress testing (94618) |
$489.75 |
$653 |
3.5× |
| Refill/Maint Pump/Resvr Syst (96522) |
$767.25 |
$1,023 |
3.4× |
| Refill/maint, portable pump (96521) |
$1,062.75 |
$1,417 |
4.7× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$468.75 |
$625 |
11.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$123.75 |
$165 |
0.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$133.50 |
$178 |
2.8× |
| Sc Ther Infusion Reset Pump (96371) |
$379.50 |
$506 |
5.0× |
| Sensory Integration Ea 15 Min (97533) |
$93 |
$124 |
1.5× |
| Smoking cessation > 10 min (99407) |
$75 |
$100 |
1.9× |
| Speech group therapy (92508) |
$84 |
$112 |
3.5× |
| Speech sound lang comprehen (92523) |
$332.25 |
$443 |
1.5× |
| Spirometry (94010) |
$243.75 |
$325 |
1.1× |
| Standardized Cognitive Performance Testing (96125) |
$255 |
$340 |
2.5× |
| Stress echo (93350) |
$2,211.75 |
$2,949 |
3.8× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) |
$87.38 |
$116.50 |
1.8× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
$861.75 |
$1,149 |
3.8× |
| Temp transcutaneous pacing (92953) |
$834 |
$1,112 |
1.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$105.75 |
$141 |
4.7× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$80.25 |
$107 |
3.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$220.50 |
$294 |
2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$86.25 |
$115 |
1.1× |
| Therapeutic Activities (97530) |
$107.25 |
$143 |
3.1× |
| Therapeutic phlebotomy (99195) |
$300.75 |
$401 |
2.1× |
| Tilt Table Eval (93660) |
$2,229 |
$2,972 |
5.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$58.50 |
$78 |
1.5× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$2,787.75 |
$3,717 |
4.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$210.75 |
$281 |
2.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$198 |
$264 |
2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$177 |
$236 |
3.6× |
| Tympanometry (92567) |
$106.50 |
$142 |
2.7× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$1,143.75 |
$1,525 |
2.0× |
| Unlisted otorhinolaryngological service (92700) |
$342 |
$456 |
11.2× |
| Unlisted pulmonary service/procedure (94799) |
$141.75 |
$189 |
1.0× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,446 |
$1,928 |
5.7× |
| Vasopneumatic device (97016) |
$57.75 |
$77 |
4.8× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$984.75 |
$1,313 |
1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$983.25 |
$1,311 |
1.5× |
| Vital capacity total (94150) |
$154.50 |
$206 |
1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$81 |
$108 |
2.6× |