| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) |
— |
$101 |
— |
| Acoustic Reflex Testing (92568) |
— |
$70 |
— |
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines |
— |
$115–$169 |
— |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) |
— |
$105 |
— |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
— |
$41 |
— |
| Application on-body injector (96377) |
— |
$71 |
— |
| Assessment of aphasia per hr (96105) |
— |
$186 |
— |
| Assessment of tinnitus (92625) |
— |
$165 |
— |
| Audiometry Air & Bone (92553) |
— |
$129 |
— |
| Behavral qualit analys voice (92524) |
— |
$314 |
— |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
— |
$613 |
— |
| Canalith repositioning proc (95992) |
— |
$178 |
— |
| Car seat/bed test 60 min (94780) |
— |
$211 |
— |
| Cardiac Stress Tst,Tracing Only (93017) |
— |
$1,072 |
— |
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines |
— |
$971–$1,055 |
— |
| Cardioversion (92960) |
— |
$1,684 |
— |
| Cbt 1st hour (94644) |
— |
$94 |
— |
| Chemo Anti-Neopl Sq/Im (96401) |
— |
$271 |
— |
| Chemo Hormon Antineopl Sq/Im (96402) |
— |
$175 |
— |
| Chemo IV infusion addl hr (96415) |
— |
$201 |
— |
| Chemo IV push addl drug (96411) |
— |
$290 |
— |
| Chemother Prolong Infuse W/Pump (96416) |
— |
$812 |
— |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
— |
$369 |
— |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
— |
$757 |
— |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
— |
$718 |
— |
Chest Wall Manipulation (94668)
range across 2 matching MRF lines |
— |
$144–$148 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$887 |
— |
| Color/duplex Doppler, limited (93976) |
— |
$701 |
— |
| Community/Work Reintegration Trainj Ea 15 Min (97537) |
— |
$56 |
— |
| Comprehensive Hearing Test (92557) |
— |
$210 |
— |
| Conditioning Play Audiometry (92582) |
— |
$241 |
— |
| Cont gluc mntr physician/qhp provided equiptment (95250) |
— |
$530 |
— |
| Cont Gluc Mntr Pt Prov Eqp (95249) |
— |
$120 |
— |
| Continuous Pulse Ox (94762) |
— |
$299 |
— |
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines |
— |
$168–$541 |
— |
| Cpt initial (94667) |
— |
$117 |
— |
Critical care first hour (99291)
range across 3 matching MRF lines |
— |
$2,065–$2,788 |
— |
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines |
— |
$173–$393 |
— |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
— |
$213 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
— |
$669 |
— |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
— |
$524 |
— |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
— |
$1,124 |
— |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
— |
$835 |
— |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
— |
$1,436 |
— |
| Dup-scan xtr veins unilateral/limited study (93971) |
— |
$885 |
— |
| Duplex up extrem art bilat (93930) |
— |
$700 |
— |
| Duplex up extrem art unilat/ltd (93931) |
— |
$569 |
— |
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines |
— |
$772–$930 |
— |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
— |
$2,929 |
— |
Electrical Stimulation Ea 15 Min (97032)
range across 10 matching MRF lines |
— |
$35–$49 |
— |
| Electrocardiogram Tracing (93005) |
— |
$146 |
— |
| Emergency Dept Visit Level 2 (99282) |
— |
$298 |
— |
| Emergency Dept Visit Level 3 (99283) |
— |
$510 |
— |
| Emergency Dept Visit Level 4 (99284) |
— |
$782 |
— |
| Er level 1 (99281) |
— |
$211 |
— |
| Er level v (99285) |
— |
$1,443 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$164 |
— |
| Evaluate Speech Production (92522) |
— |
$299 |
— |
| Evaluate Swallowing Function (92610) |
— |
$279 |
— |
| Evaluation of speech fluency (92521) |
— |
$369 |
— |
| Evoked Auditory Test,Limited (92587) |
— |
$258 |
— |
| External ECG rec>48hr<7d recording (93242) |
— |
$543 |
— |
| External ECG rec>7d<15d recording (93246) |
— |
$550 |
— |
| External Ecg Scanning Analysis Report (93226) |
— |
$484 |
— |
| Extracranial Bilat Study (93880) |
— |
$1,537 |
— |
| Extracranial Uni/Ltd Study (93882) |
— |
$359 |
— |
| Gi tract capsule endoscopy (91110) |
— |
$3,177 |
— |
| Group Therapeutic Procedures (97150) |
— |
$42 |
— |
| Holter monitor recording (93225) |
— |
$240 |
— |
| Immunization administration (90471) |
— |
$50 |
— |
Iontophoresis 15 min (97033)
range across 2 matching MRF lines |
— |
$103–$122 |
— |
| Irrig Drug Delivery Device (96523) |
— |
$150 |
— |
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines |
— |
$114–$144 |
— |
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines |
— |
$343–$498 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$201 |
— |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
— |
$136 |
— |
IV push initial (96374)
range across 3 matching MRF lines |
— |
$174–$583 |
— |
| Lwr Xtr Vasc Stdy Bilat (93924) |
— |
$742 |
— |
| Mechanical chest wall oscillation per session (94669) |
— |
$106 |
— |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
— |
$67 |
— |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
— |
$83 |
— |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
— |
$29 |
— |
| Motility study esophagus (91010) |
— |
$1,714 |
— |
| Motion Fluoroscopy/Swallow (92611) |
— |
$515 |
— |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
— |
$394 |
— |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
— |
$319 |
— |
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 6 matching MRF lines |
— |
$124–$254 |
— |
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 6 matching MRF lines |
— |
$158–$229 |
— |
Neuromuscular Reeducation (97112)
range across 11 matching MRF lines |
— |
$76–$115 |
— |
| Newborn resuscitation (99465) |
— |
$1,210 |
— |
| Oral Function Therapy (92526) |
— |
$275 |
— |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
— |
$176 |
— |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
— |
$138 |
— |
| Ot Contrast Bath Ea 15 Min (97034) |
— |
$62 |
— |
| Ot eval high complexity (97167) |
— |
$300 |
— |
| Ot Eval Low Complex (97165) |
— |
$270 |
— |
| Ot Eval Moderate Complexity (97166) |
— |
$277 |
— |
Ot manual therapy 15 min (97140)
range across 10 matching MRF lines |
— |
$77–$106 |
— |
| Ot paraffin bath (97018) |
— |
$35 |
— |
| Ot Re-Eval Est Plan Care (97168) |
— |
$146 |
— |
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 4 matching MRF lines |
— |
$263–$298 |
— |
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 4 matching MRF lines |
— |
$42–$144 |
— |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
— |
$122 |
— |
Peripheral arterial disease rehab per session (93668)
range across 2 matching MRF lines |
— |
$63–$118 |
— |
| Phlebotomy therapeutic (99195) |
— |
$413 |
— |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
— |
$267 |
— |
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 2 matching MRF lines |
— |
$267–$271 |
— |
| Physical Performance Test (97750) |
— |
$165 |
— |
| Plethysmography (94726) |
— |
$346 |
— |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
— |
$4,174 |
— |
Pt Eval High Complex (97163)
range across 5 matching MRF lines |
— |
$177–$261 |
— |
Pt eval low complex 20 min (97161)
range across 5 matching MRF lines |
— |
$215–$261 |
— |
| Pt Eval Mod Complex (97162) |
— |
$261 |
— |
Pt gait training 15 min (97116)
range across 5 matching MRF lines |
— |
$71–$91 |
— |
| Pt mechanical traction (97012) |
— |
$57 |
— |
| Pt Re-Eval Est Plan Care (97164) |
— |
$131 |
— |
| Pulmonary service/procedure (94799) |
— |
$221 |
— |
| Pulmonary Stress Testing (94618) |
— |
$130 |
— |
| Pure Tone Audiometry Air (92552) |
— |
$133 |
— |
Refill/Maint Portable Pump (96521)
range across 2 matching MRF lines |
— |
$653–$748 |
— |
| Refill/Maint Pump/Resvr Syst (96522) |
— |
$361 |
— |
| Remote 30 Day Ecg Rev/Report (93270) |
— |
$134 |
— |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
— |
$28 |
— |
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 6 matching MRF lines |
— |
$123–$219 |
— |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
— |
$245 |
— |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
— |
$156 |
— |
| Select picture audiometry (92583) |
— |
$131 |
— |
Self Care Mngment Training (97535)
range across 10 matching MRF lines |
— |
$87–$106 |
— |
| Sleep study unattended (95806) |
— |
$780 |
— |
| Speech Audiometry Complete (92556) |
— |
$158 |
— |
| Speech audiometry threshold (92555) |
— |
$83 |
— |
Speech sound lang comprehen (92523)
range across 6 matching MRF lines |
— |
$322–$492 |
— |
| Spirometry (94010) |
— |
$218 |
— |
| Standardized Cognitive Performance Testing (96125) |
— |
$342 |
— |
| Stenger Test, Pure Tone (92565) |
— |
$59 |
— |
| Stress Tte Only (93350) |
— |
$886 |
— |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
— |
$77 |
— |
| Ther Ivntj Ea Addl 15 Min (97130) |
— |
$67 |
— |
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 6 matching MRF lines |
— |
$77–$130 |
— |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
— |
$34 |
— |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
— |
$130 |
— |
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines |
— |
$95–$119 |
— |
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines |
— |
$417–$498 |
— |
Therapeutic Activities (97530)
range across 10 matching MRF lines |
— |
$65–$106 |
— |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
— |
$71 |
— |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
— |
$56 |
— |
| Tte w/doppler, complete (93306) |
— |
$2,084 |
— |
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 5 matching MRF lines |
— |
$214–$220 |
— |
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines |
— |
$118–$140 |
— |
| Tympanometry (92567) |
— |
$86 |
— |
| Tympanometry and reflex threshold measurements (92550) |
— |
$191 |
— |
| Unlisted cardiovascular service/procedure (93799) |
— |
$97 |
— |
| Upr/L Xtremity Art 2 Levels (93922) |
— |
$602 |
— |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) |
— |
$690 |
— |
Vasopneumatic device (97016)
range across 2 matching MRF lines |
— |
$41–$72 |
— |
| Vent Mgmt Inpat Init Day (94002) |
— |
$865 |
— |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
— |
$298 |
— |
| Visual reinforcement audiometry (vra) (92579) |
— |
$152 |
— |
| Wheelchair Mgmt Ea 15 Min (97542) |
— |
$54 |
— |
| Whirlpool Therapy (97022) |
— |
$94 |
— |