| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
$405.75 |
$541 |
3.3× |
| Airway Inhalation Treatment (94640) |
$264.75 |
$353 |
1.3× |
| Analyze neurostim complex (95972) |
$278.25 |
$371 |
3.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$36.75 |
$49 |
2.6× |
| Audiometry Air & Bone (92553) |
$405.75 |
$541 |
3.3× |
| Basic vestibular evaluation (92540) |
$405.75 |
$541 |
2.0× |
| Behavral qualit analys voice (92524) |
$390 |
$520 |
3.6× |
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines |
$54–$561 |
$72–$748 |
varies |
| Canalith repositioning proc (95992) |
$156 |
$208 |
3.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$329.25 |
$439 |
1.6× |
| Cardiopulmonary resuscitation (92950) |
$3,290.78 |
$4,387.70 |
16.1× |
| Cardioversion (92960) |
$3,628.48 |
$4,837.97 |
5.8× |
| Cbt 1st hour (94644) |
$165 |
$220 |
1.3× |
| Chemo Anti-Neopl Sq/Im (96401) |
$213.75 |
$285 |
3.1× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$213.75 |
$285 |
3.1× |
| Chemo IV infusion addl hr (96415) |
$146.25 |
$195 |
2.1× |
| Chemo IV push addl drug (96411) |
$189 |
$252 |
2.8× |
| Chemother Prolong Infuse W/Pump (96416) |
$617.25 |
$823 |
2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$147 |
$196 |
2.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$747 |
$996 |
2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$575.25 |
$767 |
1.8× |
| Chest Wall Manipulation (94668) |
$154.50 |
$206 |
1.2× |
| Color/duplex Doppler, complete (93975) |
$1,492.50 |
$1,990 |
6.6× |
| Color/duplex Doppler, limited (93976) |
$558 |
$744 |
5.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$108.75 |
$145 |
3.4× |
| Comprehensive Hearing Test (92557) |
$405.75 |
$541 |
3.3× |
| Continuous Pulse Ox (94762) |
$336.75 |
$449 |
2.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$270.75 |
$361 |
1.3× |
| Cpt initial (94667) |
$264.75 |
$353 |
2.1× |
| Critical care first hour (99291) |
$2,522.25 |
$3,363 |
3.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$234 |
$312 |
1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$1,135.50 |
$1,514 |
5.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$581.25 |
$775 |
5.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$1,228.50 |
$1,638 |
5.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$618.75 |
$825 |
6.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,302.75 |
$1,737 |
5.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$685.50 |
$914 |
6.9× |
| Duplex up extrem art bilat (93930) |
$659.25 |
$879 |
2.9× |
| Duplex up extrem art unilat/ltd (93931) |
$705 |
$940 |
7.1× |
| ECG/monitoring and analysis (93271) |
$642 |
$856 |
7.1× |
| Echo Heart Xthoracic,Limited (93308) |
$1,092 |
$1,456 |
4.8× |
| Echo transesophageal (93312) |
$2,372.25 |
$3,163 |
4.6× |
| EEG awake and asleep (95819) |
$738.75 |
$985 |
3.6× |
| EEG awake drowsy (95816) |
$762 |
$1,016 |
3.7× |
| EEG cerebral death evaluation (95824) |
$738.75 |
$985 |
2.1× |
| Electrical Stimulation Ea 15 Min (97032) |
$138.75 |
$185 |
9.4× |
| Electrocardiogram Tracing (93005) |
$263.25 |
$351 |
4.7× |
| Electroconvulsive Therapy (90870) |
$1,197.75 |
$1,597 |
1.5× |
| Emergency Dept Visit Level 2 (99282) |
$579.75 |
$773 |
4.0× |
| Emergency Dept Visit Level 3 (99283) |
$872.25 |
$1,163 |
3.4× |
| Emergency Dept Visit Level 4 (99284) |
$1,371.75 |
$1,829 |
3.5× |
| Er level 1 (99281) |
$272.25 |
$363 |
3.4× |
| Er level v (99285) |
$1,966.50 |
$2,622 |
3.5× |
| Evaluate pt use of inhaler (94664) |
$278.25 |
$371 |
1.3× |
| Evaluate Speech Production (92522) |
$297.75 |
$397 |
2.7× |
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines |
$226.50–$249 |
$302–$332 |
varies |
| Evaluation of speech fluency (92521) |
$457.50 |
$610 |
3.4× |
| External Ecg Scanning Analysis Report (93226) |
$616.50 |
$822 |
11.0× |
| Extracranial Bilat Study (93880) |
$1,228.50 |
$1,638 |
5.4× |
| Extracranial Uni/Ltd Study (93882) |
$335.25 |
$447 |
3.4× |
| Holter monitor recording (93225) |
$616.50 |
$822 |
4.9× |
| Immunization administration (90471) |
$207.75 |
$277 |
3.0× |
| Iontophoresis 15 min (97033) |
$117.75 |
$157 |
6.2× |
| Irrig Drug Delivery Device (96523) |
$129 |
$172 |
2.3× |
| IV infusion hydration each additional hour (96361) |
$162.75 |
$217 |
3.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$831 |
$1,108 |
4.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$267 |
$356 |
3.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$168 |
$224 |
3.8× |
| IV push initial (96374) |
$807.75 |
$1,077 |
4.0× |
| Mechanical chest wall oscillation per session (94669) |
$578.25 |
$771 |
2.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$48 |
$64 |
1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$93 |
$124 |
2.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$25.50 |
$34 |
1.5× |
| Motion Fluoroscopy/Swallow (92611) |
$371.25 |
$495 |
4.1× |
| Multiple Sleep Latency Test (95805) |
$2,346 |
$3,128 |
2.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$9,105.03 |
$12,140.04 |
48.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$315 |
$420 |
0.8× |
| Neuromuscular Reeducation (97112) |
$101.25 |
$135 |
3.1× |
| Newborn resuscitation (99465) |
$1,212 |
$1,616 |
1.9× |
| Oral Function Therapy (92526) |
$241.50 |
$322 |
2.9× |
| Oral Speech Device Eval (92597) |
$381.75 |
$509 |
5.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$126 |
$168 |
2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$130.50 |
$174 |
2.8× |
| Ot Contrast Bath Ea 15 Min (97034) |
$109.50 |
$146 |
7.8× |
| Ot eval high complexity (97167) |
$237 |
$316 |
2.4× |
| Ot Eval Low Complex (97165) |
$249 |
$332 |
2.5× |
| Ot Eval Moderate Complexity (97166) |
$249 |
$332 |
2.5× |
| Ot manual therapy 15 min (97140) |
$84.75 |
$113 |
3.1× |
| Ot paraffin bath (97018) |
$21 |
$28 |
3.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$112.50 |
$150 |
2.8× |
| Ot Re-Eval Est Plan Care (97168) |
$168 |
$224 |
2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$283.50 |
$378 |
2.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$169.50 |
$226 |
1.4× |
| Peripheral arterial disease rehab per session (93668) |
$283.50 |
$378 |
5.1× |
| Phlebotomy therapeutic (99195) |
$375 |
$500 |
3.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$250.50 |
$334 |
4.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$271.50 |
$362 |
4.9× |
| Physical Performance Test (97750) |
$89.25 |
$119 |
2.6× |
Plethysmography (94726)
range across 3 matching MRF lines |
$48.75–$546 |
$65–$728 |
varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,005 |
$5,340 |
4.9× |
| Psychiatric diagnostic evaluation (90791) |
$376.50 |
$502 |
2.2× |
| Pt Eval High Complex (97163) |
$247.50 |
$330 |
2.5× |
| Pt eval low complex 20 min (97161) |
$254.25 |
$339 |
2.6× |
| Pt Eval Mod Complex (97162) |
$254.25 |
$339 |
2.6× |
| Pt gait training 15 min (97116) |
$92.25 |
$123 |
3.2× |
| Pt mechanical traction (97012) |
$42.75 |
$57 |
3.0× |
| Pt Re-Eval Est Plan Care (97164) |
$143.25 |
$191 |
2.1× |
Pulm function test by gas (94727)
range across 3 matching MRF lines |
$41.25–$343.50 |
$55–$458 |
varies |
| Pulmonary service/procedure (94799) |
$66 |
$88 |
0.5× |
| Pulmonary Stress Testing (94618) |
$247.50 |
$330 |
2.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$722.25 |
$963 |
2.3× |
| Remote 30 Day Ecg Rev/Report (93270) |
$205.50 |
$274 |
5.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$149.25 |
$199 |
2.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$131.25 |
$175 |
0.7× |
| Self Care Mngment Training (97535) |
$98.25 |
$131 |
3.0× |
| Sensory Integration Ea 15 Min (97533) |
$82.50 |
$110 |
1.4× |
| Sleep study unattended (95806) |
$886.50 |
$1,182 |
4.3× |
| Speech sound lang comprehen (92523) |
$550.50 |
$734 |
2.4× |
Spirometry (94010)
range across 3 matching MRF lines |
$27.75–$354 |
$37–$472 |
varies |
| Stress Tte Only (93350) |
$563.25 |
$751 |
1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$110.25 |
$147 |
4.9× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$110.25 |
$147 |
5.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$102.75 |
$137 |
2.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$116.25 |
$155 |
3.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$142.50 |
$190 |
1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$264 |
$352 |
3.9× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$807 |
$1,076 |
4.0× |
| Therapeutic Activities (97530) |
$113.25 |
$151 |
3.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$61.50 |
$82 |
1.7× |
| Tte w/doppler, complete (93306) |
$2,259.75 |
$3,013 |
4.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$234.75 |
$313 |
3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$172.50 |
$230 |
3.9× |
| Tympanometry (92567) |
$30 |
$40 |
0.8× |
| Tympanometry and reflex threshold measurements (92550) |
$405.75 |
$541 |
2.0× |
| Upr/L Xtremity Art 2 Levels (93922) |
$586.50 |
$782 |
4.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$764.25 |
$1,019 |
3.7× |
Vasopneumatic device (97016)
range across 3 matching MRF lines |
$34.50–$116.25 |
$46–$155 |
varies |
| Vent Mgmt Inpat Init Day (94002) |
$666.75 |
$889 |
1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$666.75 |
$889 |
1.1× |
| Vital capacity, total (94150) |
$185.25 |
$247 |
1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$93.75 |
$125 |
3.0× |
Whirlpool Therapy (97022)
range across 3 matching MRF lines |
$170.25–$177.75 |
$227–$237 |
varies |