| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) |
$26 |
$40 |
0.9× |
| Airway Inhalation Treatment (94640) |
$247 |
$380 |
1.1× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$152.10 |
$234 |
4.0× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) |
$379.60 |
$584 |
2.8× |
| Analyze neurostim no prog (95970) |
$456.95 |
$703 |
3.3× |
| Analyze Neurostim Simple (95971) |
$807.30 |
$1,242 |
8.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$48.10 |
$74 |
3.3× |
| Application on-body injector (96377) |
$144.95 |
$223 |
3.0× |
| Assessment of aphasia per hr (96105) |
$177.45 |
$273 |
1.8× |
| Audiometry Air & Bone (92553) |
$79.30 |
$122 |
0.6× |
| Behavral qualit analys voice (92524) |
$133.25 |
$205 |
1.2× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$169 |
$260 |
2.1× |
| Bfb training ea addl 15 min (90913) |
$169 |
$260 |
5.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$552.50 |
$850 |
1.4× |
| Canalith repositioning proc (95992) |
$197.60 |
$304 |
4.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$655.20 |
$1,008 |
3.0× |
| Cardiopulmonary exercise testing (94621) |
$2,028 |
$3,120 |
5.3× |
| Cardiopulmonary resuscitation (92950) |
$495.95 |
$763 |
2.2× |
| Cardioversion (92960) |
$1,021.15 |
$1,571 |
1.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$87.75 |
$135 |
3.4× |
| Cbt 1st hour (94644) |
$422.50 |
$650 |
3.1× |
| Chemo Admin Peritoneal Cavity (96446) |
$1,210.30 |
$1,862 |
3.6× |
| Chemo Anti-Neopl Sq/Im (96401) |
$149.50 |
$230 |
2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$149.50 |
$230 |
2.0× |
| Chemo Ia Push (96420) |
$3,237 |
$4,980 |
9.5× |
| Chemo Intralesional Over 7 (96406) |
$399.75 |
$615 |
1.8× |
| Chemo intralesional up to 7 (96405) |
$198.90 |
$306 |
2.7× |
| Chemo IV infusion addl hr (96415) |
$149.50 |
$230 |
2.0× |
| Chemo IV push addl drug (96411) |
$412.75 |
$635 |
5.6× |
| Chemother Prolong Infuse W/Pump (96416) |
$763.10 |
$1,174 |
2.2× |
| Chemotherapy Into Cns (96450) |
$1,471.60 |
$2,264 |
4.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$494 |
$760 |
6.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$763.10 |
$1,174 |
2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$650 |
$1,000 |
1.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$477.75 |
$735 |
1.4× |
| Chest Wall Manipulation (94668) |
$209.30 |
$322 |
1.5× |
| Color/duplex Doppler, complete (93975) |
$1,358.50 |
$2,090 |
5.5× |
| Color/duplex Doppler, limited (93976) |
$951.60 |
$1,464 |
8.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$83.85 |
$129 |
2.6× |
Continuous Pulse Ox (94762)
range across 2 matching MRF lines |
$148.38–$271.70 |
$228.28–$418 |
varies |
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines |
$260–$371.15 |
$400–$571 |
varies |
| Cpt initial (94667) |
$209.30 |
$322 |
1.5× |
| Critical care first hour (99291) |
$2,130.05 |
$3,277 |
2.5× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$349.70 |
$538 |
1.7× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$651.30 |
$1,002 |
4.9× |
| Dialysis One Evaluation (90945) |
$476.45 |
$733 |
1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,545.70 |
$2,378 |
6.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$759.85 |
$1,169 |
7.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$1,181.70 |
$1,818 |
11.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,084.20 |
$1,668 |
4.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$759.20 |
$1,168 |
7.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,084.20 |
$1,668 |
4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$759.20 |
$1,168 |
7.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$650 |
$1,000 |
2.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$543.40 |
$836 |
5.1× |
| Duplex Scan Hemodialysis Access (93990) |
$689 |
$1,060 |
6.4× |
| Duplex up extrem art bilat (93930) |
$1,084.20 |
$1,668 |
4.4× |
| Duplex up extrem art unilat/ltd (93931) |
$759.20 |
$1,168 |
7.1× |
| Echo Congenital Complete (93303) |
$855.40 |
$1,316 |
1.5× |
| Echo Heart Xthoracic,Limited (93308) |
$802.10 |
$1,234 |
3.3× |
| Echo r-t 2d w/probe placement only (93313) |
$815.75 |
$1,255 |
1.5× |
| Echo transesophageal (93312) |
$969.15 |
$1,491 |
1.7× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$1,903.85 |
$2,929 |
3.4× |
| Eeg 41-60 Minutes (95812) |
$500.50 |
$770 |
2.3× |
| EEG awake and asleep (95819) |
$500.50 |
$770 |
2.3× |
| EEG awake drowsy (95816) |
$500.50 |
$770 |
2.3× |
| EEG cerebral death evaluation (95824) |
$3,025.10 |
$4,654 |
7.9× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$2,682.55 |
$4,127 |
12.1× |
| EEG extended monitoring 61-119 minutes (95813) |
$500.50 |
$770 |
2.3× |
| Eeg Sleep Only (95822) |
$500.50 |
$770 |
2.3× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$98.80 |
$152 |
1.0× |
| Electrical Stimulation Ea 15 Min (97032) |
$61.75 |
$95 |
4.2× |
| Electrocardiogram Tracing (93005) |
$157.95 |
$243 |
2.6× |
| Electroconvulsive Therapy (90870) |
$1,977.95 |
$3,043 |
2.2× |
| Emergency Dept Visit Level 2 (99282) |
$244.40 |
$376 |
1.6× |
| Emergency Dept Visit Level 3 (99283) |
$733.85 |
$1,129 |
2.6× |
| Emergency Dept Visit Level 4 (99284) |
$1,244.75 |
$1,915 |
2.9× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$2,634.45 |
$4,053 |
2.1× |
| Er level 1 (99281) |
$174.20 |
$268 |
2.0× |
| Er level v (99285) |
$1,379.30 |
$2,122 |
2.3× |
| Esoph Atrial Electrogram (93615) |
$2,634.45 |
$4,053 |
2.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$2,526.55 |
$3,887 |
6.6× |
| Evaluate pt use of inhaler (94664) |
$332.80 |
$512 |
1.5× |
| Evaluate Speech Production (92522) |
$128.05 |
$197 |
1.1× |
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines |
$261.95–$274.95 |
$403–$423 |
varies |
| Evaluation of speech fluency (92521) |
$156.65 |
$241 |
1.2× |
| Evoked Auditory Test,Limited (92587) |
$495.95 |
$763 |
2.2× |
| Exercise test for bronchospasm (94617) |
$451.75 |
$695 |
3.3× |
| External ECG rec>48hr<7d recording (93242) |
$325 |
$500 |
8.5× |
| External ECG rec>7d<15d recording (93246) |
$325 |
$500 |
8.5× |
| External Ecg Scanning Analysis Report (93226) |
$172.25 |
$265 |
2.8× |
| Extracranial Bilat Study (93880) |
$622.05 |
$957 |
2.5× |
| Extracranial Uni/Ltd Study (93882) |
$450.45 |
$693 |
4.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) |
$764.40 |
$1,176 |
1.4× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$321.75 |
$495 |
1.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$1,534.65 |
$2,361 |
1.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$2,787.85 |
$4,289 |
7.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$1,549.60 |
$2,384 |
7.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$2,993.25 |
$4,605 |
3.4× |
| Gi tract capsule endoscopy (91110) |
$2,425.80 |
$3,732 |
2.6× |
| Gi tract imaging intraluminal colon i&r (91113) |
$2,425.80 |
$3,732 |
2.5× |
| Group Therapeutic Procedures (97150) |
$53.95 |
$83 |
3.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$2,709.20 |
$4,168 |
3.8× |
| High altitude simulation test (94452) |
$406.25 |
$625 |
3.0× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) |
$406.25 |
$625 |
3.0× |
| Holter monitor recording (93225) |
$360.10 |
$554 |
2.6× |
| Immunization administration (90471) |
$65 |
$100 |
0.9× |
| Intracranial Complete Study (93886) |
$690.95 |
$1,063 |
2.8× |
| Iontophoresis 15 min (97033) |
$144.95 |
$223 |
7.6× |
| Irrig Drug Delivery Device (96523) |
$139.75 |
$215 |
2.3× |
| IV infusion hydration each additional hour (96361) |
$133.90 |
$206 |
2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$313.95 |
$483 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$247.65 |
$381 |
3.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$98.15 |
$151 |
2.0× |
| IV push initial (96374) |
$241.80 |
$372 |
1.1× |
| Low frequency non-thermal us (97610) |
$616.85 |
$949 |
3.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$271.70 |
$418 |
1.2× |
| Mechanical chest wall oscillation per session (94669) |
$139.75 |
$215 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$40.30 |
$62 |
1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$40.30 |
$62 |
1.1× |
| Methacholine challenge (94070) |
$608.40 |
$936 |
1.6× |
| Motility study esophagus (91010) |
$3,313.70 |
$5,098 |
8.6× |
| Motion Fluoroscopy/Swallow (92611) |
$315.25 |
$485 |
3.4× |
| Multiple Sleep Latency Test (95805) |
$1,799.20 |
$2,768 |
2.0× |
| Muscle Test Nonparaspinal (95870) |
$224.90 |
$346 |
1.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$607.75 |
$935 |
2.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$243.75 |
$375 |
1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$585 |
$900 |
1.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$650 |
$1,000 |
1.6× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines |
$336.70–$1,223.95 |
$518–$1,883 |
varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$619.45 |
$953 |
1.5× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$303.55 |
$467 |
1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$1,387.75 |
$2,135 |
3.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$679.90 |
$1,046 |
3.1× |
| Nerve conduction studies 5-6 studies (95909) |
$679.90 |
$1,046 |
3.1× |
| Nerve conduction studies 7-8 studies (95910) |
$679.90 |
$1,046 |
1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$1,387.75 |
$2,135 |
3.6× |
| Neuromuscular Reeducation (97112) |
$89.05 |
$137 |
2.7× |
| Newborn resuscitation (99465) |
$1,396.85 |
$2,149 |
2.1× |
| Oral Function Therapy (92526) |
$193.05 |
$297 |
2.3× |
| Oral Speech Device Eval (92597) |
$100.10 |
$154 |
1.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$76.70 |
$118 |
1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$94.25 |
$145 |
2.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$246.35 |
$379 |
11.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$282.75 |
$435 |
12.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$43.55 |
$67 |
3.1× |
| Ot eval high complexity (97167) |
$189.15 |
$291 |
1.9× |
| Ot Eval Low Complex (97165) |
$185.25 |
$285 |
1.8× |
| Ot Eval Moderate Complexity (97166) |
$187.85 |
$289 |
1.9× |
| Ot manual therapy 15 min (97140) |
$107.25 |
$165 |
3.9× |
| Ot paraffin bath (97018) |
$28.60 |
$44 |
4.8× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$85.80 |
$132 |
2.1× |
| Ot Re-Eval Est Plan Care (97168) |
$94.90 |
$146 |
1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$171.60 |
$264 |
1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$249.60 |
$384 |
1.9× |
| Oxygen Uptake Rest Indirect (94690) |
$390 |
$600 |
6.4× |
| Penile Vascular Study,Ltd or F/U (93981) |
$656.50 |
$1,010 |
6.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$542.75 |
$835 |
2.4× |
| Phlebotomy therapeutic (99195) |
$209.30 |
$322 |
1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$115.70 |
$178 |
1.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$115.70 |
$178 |
1.9× |
| Physical Performance Test (97750) |
$108.55 |
$167 |
3.2× |
| Plethysmography (94726) |
$495.95 |
$763 |
1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,554.20 |
$5,468 |
4.0× |
| Positional nystagmus test (92542) |
$232.70 |
$358 |
1.7× |
| Pt Eval High Complex (97163) |
$256.75 |
$395 |
2.6× |
| Pt eval low complex 20 min (97161) |
$196.95 |
$303 |
2.0× |
| Pt Eval Mod Complex (97162) |
$227.50 |
$350 |
2.3× |
| Pt gait training 15 min (97116) |
$76.05 |
$117 |
2.6× |
| Pt group caregiver training (97552) |
$44.20 |
$68 |
2.0× |
| Pt mechanical traction (97012) |
$52 |
$80 |
3.6× |
| Pt Re-Eval Est Plan Care (97164) |
$98.80 |
$152 |
1.5× |
| Pulm function test by gas (94727) |
$310.70 |
$478 |
1.4× |
| Pulmonary Stress Testing (94618) |
$209.30 |
$322 |
1.5× |
| Pure Tone Audiometry Air (92552) |
$79.30 |
$122 |
0.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$910 |
$1,400 |
2.7× |
| Refill/Maint Portable Pump (96521) |
$218.40 |
$336 |
1.0× |
| Refill/Maint Pump/Resvr Syst (96522) |
$252.85 |
$389 |
1.2× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$81.25 |
$125 |
2.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$81.25 |
$125 |
2.1× |
| Remote 30 Day Ecg Rev/Report (93270) |
$74.75 |
$115 |
2.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$157.95 |
$243 |
2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$349.70 |
$538 |
1.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$179.40 |
$276 |
1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$192.40 |
$296 |
4.0× |
| Self Care Mngment Training (97535) |
$91 |
$140 |
2.8× |
| Sensory Integration Ea 15 Min (97533) |
$79.30 |
$122 |
1.3× |
| Short-latency somatosens ep std upr limbs (95925) |
$743.60 |
$1,144 |
3.4× |
| Sleep study unattended (95806) |
$612.30 |
$942 |
2.8× |
| Slp caregiver training 1st 30 min (97550) |
$175.50 |
$270 |
3.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$612.30 |
$942 |
2.8× |
| Speech sound lang comprehen (92523) |
$264.55 |
$407 |
1.2× |
| Spirometry (94010) |
$306.15 |
$471 |
1.4× |
| Spontaneous Nystagmus Test (92541) |
$232.70 |
$358 |
1.7× |
| Ssep lower limbs (95926) |
$715.65 |
$1,101 |
3.2× |
| Standardized Cognitive Performance Testing (96125) |
$116.35 |
$179 |
1.1× |
| Stress Tte Only (93350) |
$1,355.25 |
$2,085 |
2.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) |
$316.55 |
$487 |
1.4× |
| Temp transcutaneous pacing (92953) |
$1,021.15 |
$1,571 |
1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$76.05 |
$117 |
3.4× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$76.05 |
$117 |
3.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$100.75 |
$155 |
2.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$67.60 |
$104 |
2.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$186.55 |
$287 |
1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$100.75 |
$155 |
1.4× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$328.90 |
$506 |
1.5× |
| Therapeutic Activities (97530) |
$89.05 |
$137 |
2.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$37.70 |
$58 |
1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$28.60 |
$44 |
0.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$616.85 |
$949 |
5.7× |
| Tte w/doppler, complete (93306) |
$1,506.70 |
$2,318 |
2.7× |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines |
$240.50–$271.70 |
$370–$418 |
varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$31.85 |
$49 |
1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$114.40 |
$176 |
2.4× |
| Upr/L Xtremity Art 2 Levels (93922) |
$271.70 |
$418 |
2.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$450.45 |
$693 |
2.0× |
| Vasopneumatic device (97016) |
$89.70 |
$138 |
7.5× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$4,267.90 |
$6,566 |
11.1× |
| Veeg 2-12 hr intmt mntr (95712) |
$4,267.90 |
$6,566 |
11.1× |
| Veeg 2-12 hr unmonitored (95711) |
$4,267.90 |
$6,566 |
19.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$7,453.55 |
$11,467 |
19.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$7,453.55 |
$11,467 |
19.5× |
| Veeg ea 12-26hr cont mntr (95716) |
$7,453.55 |
$11,467 |
8.5× |
| Vent Mgmt Inpat Init Day (94002) |
$917.80 |
$1,412 |
1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$917.80 |
$1,412 |
1.4× |
| Visual Evoked Potential Test (95930) |
$319.15 |
$491 |
1.4× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$959.40 |
$1,476 |
1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$84.50 |
$130 |
2.7× |
| Whirlpool Therapy (97022) |
$90.35 |
$139 |
5.8× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) |
$451.75 |
$695 |
7.5× |