| Actinotherapy Ultraviolet Light (96900) |
$106.80 |
$178 |
2.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$45 |
$75 |
1.1× |
| Aep neurodiagnostic i&r (92653) |
$609.60 |
$1,016 |
2.9× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$609.60 |
$1,016 |
2.9× |
| Airway Inhalation Treatment (94640) |
$45 |
$75 |
0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$81 |
$135 |
5.6× |
| Application Modality 1/> Areas Diathermy (97024) |
$10.80 |
$18 |
1.5× |
| Application Modality 1/> Areas Infrared (97026) |
$25.20 |
$42 |
3.8× |
| Assessment of aphasia per hr (96105) |
$62.40 |
$104 |
0.6× |
| Behavral qualit analys voice (92524) |
$135 |
$225 |
1.2× |
| Biofeedback training any modality (90901) |
$170.40 |
$284 |
4.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$498 |
$830 |
1.4× |
| C motor evoked upr&lwr limbs (95939) |
$1,159.20 |
$1,932 |
1.4× |
| Canalith repositioning proc (95992) |
$64.20 |
$107 |
1.6× |
| Car seat/bed test 60 min (94780) |
$219 |
$365 |
6.0× |
| Cardiac Stress Tst,Tracing Only (93017) |
$811.80 |
$1,353 |
3.8× |
| Cardiopulmonary resuscitation (92950) |
$298.20 |
$497 |
1.4× |
| Cardioversion (92960) |
$468.60 |
$781 |
0.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$35.40 |
$59 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) |
$12,186.60 |
$20,311 |
3.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$10,327.80 |
$17,213 |
3.2× |
| Cbt 1st hour (94644) |
$149.40 |
$249 |
1.1× |
| Chemo Anti-Neopl Sq/Im (96401) |
$123.60 |
$206 |
1.7× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$123.60 |
$206 |
1.7× |
| Chemo IV infusion addl hr (96415) |
$263.40 |
$439 |
3.7× |
| Chemo IV push addl drug (96411) |
$263.40 |
$439 |
3.7× |
| Chemotherapy Into Cns (96450) |
$177.60 |
$296 |
0.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$263.40 |
$439 |
3.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$263.40 |
$439 |
0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$263.40 |
$439 |
0.8× |
| Chest Wall Manipulation (94668) |
$35.40 |
$59 |
0.3× |
| Color/duplex Doppler, complete (93975) |
$650.40 |
$1,084 |
2.8× |
| Color/duplex Doppler, limited (93976) |
$546.60 |
$911 |
5.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
$69.60 |
$116 |
2.2× |
| Coronary Art/Grft Angio S&I (93455) |
$3,087.60 |
$5,146 |
1.0× |
| Coronary Artery Angio S&I (93454) |
$2,661.60 |
$4,436 |
0.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$53.40 |
$89 |
0.2× |
| Cpt initial (94667) |
$31.20 |
$52 |
0.2× |
| Critical care first hour (99291) |
$1,120.80 |
$1,868 |
1.4× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$748.80 |
$1,248 |
2.0× |
Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$297–$313.20 |
$495–$522 |
varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$611.40 |
$1,019 |
2.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$345 |
$575 |
3.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$336.60 |
$561 |
1.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$202.20 |
$337 |
2.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$877.80 |
$1,463 |
3.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$535.20 |
$892 |
5.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$251.40 |
$419 |
1.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$60.60 |
$101 |
0.6× |
| Duplex Scan Hemodialysis Access (93990) |
$289.20 |
$482 |
2.8× |
| Duplex up extrem art bilat (93930) |
$189.60 |
$316 |
0.8× |
| Duplex up extrem art unilat/ltd (93931) |
$118.80 |
$198 |
1.2× |
| Echo Congenital Complete (93303) |
$349.80 |
$583 |
0.7× |
Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$148.20–$283.20 |
$247–$472 |
varies |
| Echo transesophageal (93312) |
$1,479 |
$2,465 |
2.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$1,502.40 |
$2,504 |
2.8× |
| Eeg 41-60 Minutes (95812) |
$799.80 |
$1,333 |
3.8× |
| EEG awake and asleep (95819) |
$936.60 |
$1,561 |
4.4× |
| EEG awake drowsy (95816) |
$402.60 |
$671 |
1.9× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$315.60 |
$526 |
1.5× |
| EEG extended monitoring 61-119 minutes (95813) |
$960 |
$1,600 |
4.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$315.60 |
$526 |
1.5× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$315.60 |
$526 |
1.5× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$606 |
$1,010 |
1.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$606 |
$1,010 |
1.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$315.60 |
$526 |
1.5× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$606 |
$1,010 |
1.7× |
| Electrical Stimulation Ea 15 Min (97032) |
$57 |
$95 |
3.9× |
| Electrocardiogram Tracing (93005) |
$200.40 |
$334 |
3.5× |
| Electrophysiology Evaluation (93642) |
$1,164.60 |
$1,941 |
1.0× |
| Emergency Dept Visit Level 2 (99282) |
$308.40 |
$514 |
2.0× |
| Emergency Dept Visit Level 3 (99283) |
$602.40 |
$1,004 |
2.2× |
| Emergency Dept Visit Level 4 (99284) |
$1,087.20 |
$1,812 |
2.7× |
| Emg 4 Extremities (95864) |
$266.40 |
$444 |
2.1× |
| Er level 1 (99281) |
$190.80 |
$318 |
2.3× |
| Er level v (99285) |
$1,469.40 |
$2,449 |
2.5× |
| Evaluate pt use of inhaler (94664) |
$28.20 |
$47 |
0.1× |
| Evaluate Speech Production (92522) |
$120 |
$200 |
1.1× |
| Evaluate Swallowing Function (92610) |
$40.20 |
$67 |
0.5× |
| Evaluation of speech fluency (92521) |
$131.40 |
$219 |
1.0× |
| Evoked Auditory Test,Limited (92587) |
$315.60 |
$526 |
1.5× |
| External ECG rec>48hr<7d recording (93242) |
$370.20 |
$617 |
10.1× |
| External ECG rec>7d<15d recording (93246) |
$366.60 |
$611 |
10.0× |
| External Ecg Scanning Analysis Report (93226) |
$1,102.80 |
$1,838 |
19.1× |
| Extracranial Bilat Study (93880) |
$248.40 |
$414 |
1.1× |
| Extracranial Uni/Ltd Study (93882) |
$161.40 |
$269 |
1.6× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$85.80 |
$143 |
0.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$691.20 |
$1,152 |
0.8× |
| Gi tract capsule endoscopy (91110) |
$1,660.80 |
$2,768 |
1.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) |
$13,942.80 |
$23,238 |
4.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) |
$254.40 |
$424 |
0.4× |
| Holter monitor recording (93225) |
$750 |
$1,250 |
5.7× |
| Immunization administration (90471) |
$163.20 |
$272 |
2.3× |
| Intracranial Complete Study (93886) |
$471 |
$785 |
2.0× |
| Iontophoresis 15 min (97033) |
$85.20 |
$142 |
4.5× |
| Irrig Drug Delivery Device (96523) |
$159.60 |
$266 |
2.8× |
| IV infusion hydration each additional hour (96361) |
$84 |
$140 |
1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$316.80 |
$528 |
1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$163.80 |
$273 |
2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$106.80 |
$178 |
2.3× |
| IV push initial (96374) |
$316.80 |
$528 |
1.5× |
| L Hrt Art/Grft Angio (93459) |
$11,360.40 |
$18,934 |
3.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$685.20 |
$1,142 |
3.2× |
Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$30–$378 |
$50–$630 |
varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$44.40 |
$74 |
1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$44.40 |
$74 |
1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$15 |
$25 |
0.9× |
| Methacholine challenge (94070) |
$483 |
$805 |
1.3× |
| Motility study esophagus (91010) |
$559.80 |
$933 |
1.5× |
| Motion Fluoroscopy/Swallow (92611) |
$40.80 |
$68 |
0.4× |
| Multiple Sleep Latency Test (95805) |
$1,132.80 |
$1,888 |
1.3× |
| Muscle Test 2 Limbs (95861) |
$306.60 |
$511 |
2.3× |
| Muscle Test One Limb (95860) |
$139.80 |
$233 |
1.1× |
| Nasopharyngoscopy (92511) |
$114 |
$190 |
0.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$288 |
$480 |
0.7× |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$132–$138.60 |
$220–$231 |
varies |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$208.20–$228.60 |
$347–$381 |
varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$186 |
$310 |
1.5× |
| Neuromuscular Reeducation (97112) |
$94.80 |
$158 |
2.9× |
| Oral Function Therapy (92526) |
$43.20 |
$72 |
0.5× |
| Oral Speech Device Eval (92597) |
$157.80 |
$263 |
2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$99.60 |
$166 |
2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$43.20 |
$72 |
0.9× |
| Ot Contrast Bath Ea 15 Min (97034) |
$11.40 |
$19 |
0.8× |
| Ot eval high complexity (97167) |
$139.20 |
$232 |
1.4× |
| Ot Eval Low Complex (97165) |
$125.40 |
$209 |
1.2× |
| Ot Eval Moderate Complexity (97166) |
$133.20 |
$222 |
1.3× |
| Ot manual therapy 15 min (97140) |
$99.60 |
$166 |
3.6× |
| Ot paraffin bath (97018) |
$51 |
$85 |
8.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$19.80 |
$33 |
0.5× |
| Ot Re-Eval Est Plan Care (97168) |
$73.80 |
$123 |
1.1× |
| Ot rom hand (95852) |
$21.60 |
$36 |
1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$180.60 |
$301 |
1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$126.60 |
$211 |
1.0× |
| Penile Vascular Study,Ltd or F/U (93981) |
$529.80 |
$883 |
5.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$9,312.60 |
$15,521 |
1.7× |
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 3 matching MRF lines |
$12,106.20–$13,437 |
$20,177–$22,395 |
varies |
| Phlebotomy therapeutic (99195) |
$325.80 |
$543 |
2.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$72.60 |
$121 |
1.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$44.40 |
$74 |
0.8× |
| Physical Performance Test (97750) |
$51 |
$85 |
1.5× |
| Plethysmography (94726) |
$360 |
$600 |
1.0× |
| Pm device eval in person (93288) |
$60 |
$100 |
1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$3,606 |
$6,010 |
4.3× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$3,552 |
$5,920 |
4.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$3,552 |
$5,920 |
4.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$13,303.80 |
$22,173 |
1.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$13,303.80 |
$22,173 |
1.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$78 |
$130 |
2.1× |
| Pt Eval High Complex (97163) |
$145.80 |
$243 |
1.5× |
| Pt eval low complex 20 min (97161) |
$131.40 |
$219 |
1.3× |
| Pt Eval Mod Complex (97162) |
$139.20 |
$232 |
1.4× |
| Pt gait training 15 min (97116) |
$26.40 |
$44 |
0.9× |
| Pt group caregiver training (97552) |
$15 |
$25 |
0.7× |
| Pt mechanical traction (97012) |
$37.80 |
$63 |
2.6× |
| Pt Re-Eval Est Plan Care (97164) |
$77.40 |
$129 |
1.1× |
| Pulm function test by gas (94727) |
$270 |
$450 |
1.3× |
Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$133.20–$158.40 |
$222–$264 |
varies |
| Pulmonary Stress Testing (94618) |
$36.60 |
$61 |
0.3× |
| R Hrt Art/Grft Angio (93457) |
$6,609.60 |
$11,016 |
2.1× |
| R hrt coronary artery angio (93456) |
$10,741.20 |
$17,902 |
3.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$3,544.20 |
$5,907 |
1.1× |
| Refill/Maint Portable Pump (96521) |
$107.40 |
$179 |
0.5× |
| Respiratory flow volume loop (94375) |
$262.20 |
$437 |
1.2× |
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$18.60–$107.40 |
$31–$179 |
varies |
| Right Heart Cath (93451) |
$1,957.80 |
$3,263 |
0.6× |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$114–$125.40 |
$190–$209 |
varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) |
$25.20 |
$42 |
1.0× |
| Self Care Mngment Training (97535) |
$66 |
$110 |
2.0× |
Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$47.40–$49.80 |
$79–$83 |
varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$445.80 |
$743 |
2.1× |
| Sleep study attended (95807) |
$624 |
$1,040 |
1.7× |
| Sleep study unattended (95806) |
$270 |
$450 |
1.3× |
| Slp caregiver training 1st 30 min (97550) |
$65.40 |
$109 |
1.2× |
| Speech sound lang comprehen (92523) |
$112.20 |
$187 |
0.5× |
| Spirometry (94010) |
$446.40 |
$744 |
2.1× |
Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$64.80–$186.60 |
$108–$311 |
varies |
| Stress Tte Only (93350) |
$1,261.80 |
$2,103 |
2.4× |
| Surfactant Admin Thru Tube (94610) |
$229.80 |
$383 |
1.1× |
| Temp transcutaneous pacing (92953) |
$669.60 |
$1,116 |
1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$34.20 |
$57 |
1.5× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$34.20 |
$57 |
1.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) |
$46.20 |
$77 |
1.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$54 |
$90 |
1.8× |
| Ther/Proph/Diag Inj Ia (96373) |
$316.80 |
$528 |
1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$316.80 |
$528 |
4.5× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$381.60 |
$636 |
1.8× |
| Therapeutic Activities (97530) |
$63.60 |
$106 |
1.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$16.80 |
$28 |
0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$31.20 |
$52 |
0.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$312 |
$520 |
3.0× |
| Tte w/doppler, complete (93306) |
$634.80 |
$1,058 |
1.2× |
| Tte W/O Doppler Complete (93307) |
$169.20 |
$282 |
0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$82.20 |
$137 |
1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$316.80 |
$528 |
6.9× |
| Unlisted cardiovascular service/procedure (93799) |
$345 |
$575 |
2.7× |
| Upr/L Xtremity Art 2 Levels (93922) |
$132 |
$220 |
1.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
$202.80 |
$338 |
1.0× |
| Vasopneumatic device (97016) |
$57 |
$95 |
4.7× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$606 |
$1,010 |
1.7× |
| Veeg 2-12 hr intmt mntr (95712) |
$315.60 |
$526 |
0.9× |
| Veeg 2-12 hr unmonitored (95711) |
$315.60 |
$526 |
1.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$606 |
$1,010 |
1.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$606 |
$1,010 |
1.7× |
| Veeg ea 12-26hr cont mntr (95716) |
$1,134.60 |
$1,891 |
1.3× |
| Vital capacity, total (94150) |
$147 |
$245 |
1.2× |
Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$48.60–$83.40 |
$81–$139 |
varies |
| Whirlpool Therapy (97022) |
$54 |
$90 |
3.4× |