healthcosts.net

Visits & medicine costs at US hospitals

Procedure Code Lowest cash National median Highest Hospitals
1st hosp/birthing center care per day nml nb 99460 CPT 99460 — — — 0
1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 — — — 0
24 hr ambulatory b/p monitor CPT 93786 $66.00 $191.40 $460.80 7
3d ech img cgen car anomal CPT 93319 $66.00 $1,164.00 $1,968.00 10
99381 initial comp preventive med less than 1 year new CPT 99381 $106.50 $134.40 $135.00 3
99382 initial comp preventive med 1 to 4 years new CPT 99382 $111.00 $117.00 $143.40 4
99383 initial comp preventive med 5 to 11 years new CPT 99383 $97.20 $111.00 $151.20 4
99391 periodic comp preventive med less than 1 year est CPT 99391 $82.80 $102.75 $135.00 4
99392 periodic comp preventive med 1 to 4 years est CPT 99392 $98.40 $100.50 $135.00 4
99393 periodic comp preventive med 5 to 11 years est CPT 99393 $82.80 $111.00 $134.40 4
99394 periodic comp preventive med 12 to 17 years est CPT 99394 $86.40 $121.50 $167.25 4
99397 periodic comp preventive med 65+ years est CPT 99397 $75.75 $167.25 $178.80 5
Ablate arrhythmia add on CPT 93655 $0.60 $6,913.20 $59,370.00 6
Ablate heart dysrhythm focus CPT 93650 $0.60 $7,078.20 $16,052.25 8
Ablation cardiac vagal inputs atrium CPT 93799 $265.80 $573.75 $8,025.00 5
Acid perfusion of esophagus CPT 91030 — — — 0
Aco ccm; at least 20 min 99490aco CPT 99490 — — — 0
Aco ccm; ea addl 20 min 99439aco CPT 99439 — — — 0
Aco cmplx chron care addl 20 min 99489aco CPT 99489 — — — 0
Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 — — — 0
Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 $390.00 $417.00 $955.80 4
Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 $20.40 $52.80 $67.50 7
Acoustic immitance testing CPT 92570 $141.75 $141.75 $141.75 1
Acoustic refl threshold tst CPT 92568 $120.75 $120.75 $120.75 1
Actigraphy testing CPT 95803 $728.40 $728.40 $728.40 1
Actinotherapy uv light CPT 96900 $138.75 $138.75 $189.60 3
Acup 1/> w/estim 1st 15 min CPT 97813 $15.00 $42.75 $45.75 4
Acup 1/> wo estim 1st 15 min CPT 97810 $42.75 $45.75 $45.75 3
Adapt behavior tx phys/qhp CPT 97155 $114.00 $114.00 $114.00 1
Administration chemotherapy IV infusion each additional hour CPT 96415 $197.40 $298.20 $937.80 13
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 $28.80 $336.00 $971.25 13
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 $527.40 $790.20 $984.60 13
Administration chemotherapy IV push single/initial substance/drug CPT 96409 $292.80 $526.20 $1,003.50 13
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 $154.80 $254.40 $629.25 12
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 $154.80 $254.40 $645.75 12
Administration immunization 1 vaccine CPT 90471 $12.00 $12.00 $115.20 12
Administration immunization each additional component CPT 90461 $35.25 $48.60 $67.50 6
Administration immunization each additional vaccine CPT 90472 $12.00 $12.00 $67.80 12
Administration immunization first component each vaccine CPT 90460 $35.25 $115.20 $395.40 7
Administration immunization intranasal/oral route 1 vaccine CPT 90473 $12.00 $40.50 $56.25 5
Administration immunization intranasal/oral route each additional vaccine CPT 90474 $18.40 $39.00 $44.25 4
Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 $24.00 $24.00 $25.20 2
Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 $24.00 $24.00 $25.20 2
Advance care planning each additional 30 min 99498 CPT 99498 $572.40 $572.40 $572.40 1
Aep hearing status deter i&r CPT 92651 $154.40 $336.60 $1,386.60 4
Aep neurodiagnostic i&r CPT 92653 $243.60 $583.80 $1,635.60 9
Aep thrshld est mlt freq i&r CPT 92652 $295.20 $867.00 $1,635.60 6
Air conduction bilat CPT 92552 $72.00 $106.50 $122.40 3
Airway resistance by impulse oscillometry 94728 CPT 94728 $393.00 $425.25 $425.25 3
Allergy injections; 2 or more 95117 CPT 95117 $6.80 $52.20 $66.75 3
Allergy injection; single 95115 CPT 95115 $10.20 $42.75 $52.20 3
Allg patch or app # of tests 95044 CPT 95044 $55.20 $55.20 $780.00 2
All tstg perq&iq drugs/biol CPT 95018 $70.50 $70.50 $146.40 2
All tstg perq&iq w/venoms CPT 95017 $146.40 $146.40 $146.40 1
Alys cplx sp/pn npgt w/prgrm CPT 95972 $369.60 $1,303.50 $1,680.80 9
Ambl bp mntr w/sw a/r CPT 93788 $91.20 $199.50 $544.20 6
Anal pressure record CPT 91122 $633.00 $954.00 $2,451.00 4
Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 $1,058.25 $1,058.25 $1,124.25 2
Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 $1,038.00 $1,038.00 $1,058.25 2
Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 $558.60 $670.80 $1,311.00 8
Anodyne therapy charges pt CPT 97026 $49.50 $49.50 $92.25 2
Anogenital exam child w imag CPT 99170 $684.60 $684.60 $684.60 1
Anora (draw only) CPT 99001 $24.00 $24.00 $51.00 2
Ans parasymp & symp w/tilt CPT 95924 $265.20 $1,104.75 $1,380.75 5
Antigen therapy services CPT 95170 — — — 0
Antigen therapy services CPT 95145 $112.80 $112.80 $112.80 1
Antigen therapy services CPT 95148 — — — 0
Antigen therapy services CPT 95147 $159.00 $159.00 $159.00 1
Antigen therapy services CPT 95146 — — — 0
Antigen therapy services CPT 95165 $60.75 $60.75 $60.75 1
Antigen therapy services CPT 95149 $215.40 $215.40 $215.40 1
Ant sgm img ir flrscn angrph CPT 92287 — — — 0
Ant sgm img i&r speclr mic CPT 92286 — — — 0
Aphakia prosth service temp CPT 92358 — — — 0
Appl modality 1/> areas paraffin bath 97018 CPT 97018 $11.40 $80.40 $102.00 10
Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 $22.80 $92.25 $141.60 8
Appl modality 1+lllt po pain CPT 97037 — — — 0
Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 $115.20 $137.40 $166.40 9
Aquatic exercise - group charge CPT 97150 $22.80 $95.40 $156.60 12
Art pressure waveform analys CPT 93050 — — — 0
Assess aphasia/interp/rpt/per hr 96105 CPT 96105 $126.60 $449.40 $811.20 10
Assess care plan pt w/cog impair 99483 CPT 99483 — — — 0
Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 — — — 0
Assistive tech assessment, ot CPT 97755 — — — 0
Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 $95.40 $95.40 $259.50 2
Aud brainstem implt programg CPT 92640 $372.00 $372.00 $372.00 1
Audiometry air + bone CPT 92553 $133.20 $136.20 $202.50 4
Auditory function 60 min CPT 92620 $762.75 $762.75 $762.75 1
Autonomic nrv adrenrg inervj CPT 95922 $684.60 $684.60 $684.60 1
Autonomic nrv parasym inervj CPT 95921 $530.40 $530.40 $530.40 1
Autonomic nrv syst funj test CPT 95923 $188.40 $625.80 $1,026.75 5
Baclofen eval charges CPT 97750 $41.40 $118.20 $157.60 12
Basic vestibular evaluation CPT 92540 $462.60 $638.40 $998.25 3
Bfb train 1st 15min cntct 90912 CPT 90912 — — — 0
Bfb train ea addl 15 min 90913 CPT 90913 — — — 0
Biofeedback, pt CPT 90901 $174.75 $308.40 $504.00 7
Biopsy of heart lining CPT 93505 $0.60 $3,613.20 $7,637.25 5
Bis xtracell fluid analysis CPT 93702 $123.00 $123.00 $271.20 4
Blink reflex test CPT 95933 $159.60 $378.00 $441.75 5
Breath hydrogen test 91065 CPT 91065 $222.00 $534.00 $577.50 5
Breathing response hypoxia CPT 94450 — — — 0
Breath recording infant CPT 94772 $1,793.40 $1,793.40 $1,793.40 1
Bronchial allergy tests CPT 95070 $320.25 $573.00 $2,043.60 4
Bronchial challenge CPT 94070 $276.00 $761.40 $5,345.40 12
Bundle his recording CPT 93600 $0.60 $5,290.20 $6,244.80 4
Cadd pump refill CPT 96521 $175.80 $175.80 $501.60 2
Caloric vstblr test w/rec CPT 92538 $465.75 $559.80 $753.60 3
Cardiac drug stress test CPT 93024 — — — 0
Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 $121.20 $218.40 $268.50 12
Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 $48.00 $106.20 $216.00 9
Cardioassist internal CPT 92970 — — — 0
Cardioversion elective electrical conversion arrhythmia external CPT 92960 $298.80 $1,505.60 $3,696.60 13
Cardioversion/elective/internal 92961 CPT 92961 $865.20 $865.20 $1,707.00 2
Caregiver training strategies&tq 1st 30 minutes CPT 97550 $103.20 $105.00 $139.80 8
Caregiver training strategies&tq ea addl 15 min CPT 97551 $52.20 $52.20 $69.60 5
Car outp meas drg cath chd CPT 93598 — — — 0
Car seat/bed test 60 minutes CPT 94780 $87.00 $87.00 $87.00 1
Car seat/bed test additional 30 minutes CPT 94781 — — — 0
Cath combo lt&rt heart w/inj/s CPT 93453 $0.60 $8,719.20 $13,146.00 7
Cath left heart/lv gram CPT 93452 $0.60 $7,483.80 $13,842.00 9
Cath left heart transseptal punc CPT 93462 $0.60 $7,291.50 $12,254.25 7
Cath place cardio brachytx CPT 92974 $15,709.50 $15,709.50 $15,709.50 1
Cath plc art ang/grft lt/rt hr CPT 93461 $0.60 $11,503.20 $21,694.80 9
Cath plc art/angio/rt hrt cath CPT 93456 $5,873.40 $12,175.20 $19,438.80 9
Cath plc art/grft/angio right hrt CPT 93457 $0.60 $8,859.00 $20,196.00 8
Cath right heart w/o2 sat & card CPT 93451 $3,429.60 $6,457.80 $10,831.20 9
Cdp-sot 6 cond w/i&r CPT 92548 $282.00 $282.00 $1,469.40 2
Cdp-sot 6 cond w/i&r mct&adt CPT 92549 — — — 0
Chemo adm cns w/lmbr punct CPT 96450 $351.60 $1,119.00 $2,903.40 8
Chemo ia infuse each addl hr CPT 96423 $184.80 $184.80 $228.60 2
Chemo ia infusion up to 1 hr CPT 96422 $335.40 $335.40 $359.40 2
Chemo ia push tecnique CPT 96420 $499.50 $540.75 $2,376.60 4
Chemo intralesional over 7 CPT 96406 $246.75 $246.75 $246.75 3
Chemo intralesional up to 7 96405 CPT 96405 $83.25 $83.25 $657.60 5
Chemotherapy injection 96542 CPT 96542 $175.80 $615.75 $841.60 5
Chemotx admn pertl cav impl CPT 96446 $595.50 $642.75 $2,377.80 6
Chg pr pul rehab for copd patients CPT 94626 $58.80 $134.25 $330.60 9
Chmotx admn plrl cav thrcnts CPT 96440 $351.60 $351.60 $351.60 1
Cholinesterase challenge CPT 95857 — — — 0
C-lens fitg corneosclrl lens CPT 92313 — — — 0
C-lens fitg tech aphakia 1 CPT 92315 — — — 0
C-lens fitg tech aphakia ou CPT 92316 — — — 0
C-lens fitg tech corneosclrl CPT 92317 — — — 0
C motor evoked lwr limbs CPT 95929 $336.60 $457.80 $1,258.80 7
C motor evoked uppr limbs CPT 95928 $355.80 $424.20 $4,662.75 8
C motor evoked upr&lwr limbs CPT 95939 $330.00 $780.00 $2,816.40 9
Cmptr ophth dx img ant segmt CPT 92132 $117.00 $117.00 $117.00 1
Cmptr ophth img optic nerve CPT 92133 $97.50 $130.50 $130.50 3
Co2 monitor per day CPT 94681 $312.00 $337.50 $1,197.60 5
Cochlear implt f/up exam <7 CPT 92601 $857.25 $857.25 $857.25 1
Cochlear implt f/up exam 7/> CPT 92603 $857.25 $857.25 $857.25 1
Colon motility 6 hr study CPT 91117 — — — 0
Compl oph exam general anes CPT 92018 — — — 0
Comprehensive hearing test CPT 92557 $190.50 $222.00 $282.00 3
Compre oph exam est pt 1/> CPT 92014 $214.50 $214.50 $214.50 1
Compre oph exam new pt 1/> CPT 92004 $186.00 $186.00 $186.00 1
Conditioning play audiometry 92582 CPT 92582 $123.00 $123.00 $147.75 3
Contact lens fitg aphakia 1 CPT 92311 — — — 0
Contact lens fitg aphakia ou CPT 92312 — — — 0
Cont gluc mntr analysis i&r 95251 CPT 95251 — — — 0
Contrast baths charges CPT 97034 $76.20 $96.00 $198.00 8
Corneal hysteresis deter CPT 92145 — — — 0
Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 $0.60 $10,920.00 $19,176.00 9
Coronary angio/lv gram/lt heart CPT 93458 $4,655.40 $10,991.40 $18,751.20 9
Coronary angio/lv gram/rt&lt heart CPT 93460 $0.60 $10,049.40 $20,118.00 9
Coronary art/grft angio s&i CPT 93455 $0.60 $8,006.25 $13,454.25 8
Coronary catheterization w/angiography supervision & interpretation CPT 93454 $0.60 $7,491.00 $11,955.75 9
Coronary thrombolysis/iv infusion 92977 CPT 92977 $477.60 $477.60 $577.60 2
Co-treatment - group 15 mins, st CPT 92508 $45.60 $108.00 $115.50 6
Counseling smoke cess interm >10mins CPT 99407 $31.80 $48.00 $174.75 14
Covid-19 administration immunization im inj 1st/only component CPT 90480 $24.00 $24.00 $101.25 10
Cptrized corneal topography CPT 92025 — — — 0
Cptr ophth dx img post segmt CPT 92134 $97.50 $105.00 $152.40 3
Cptrz oph img pst sg rta oct CPT 92137 — — — 0
Crisis psychotherapy 90839 CPT 90839 $263.40 $424.20 $567.00 3
Crisis psychotherapy additional 30 mins 90840 CPT 90840 $146.40 $212.40 $219.00 3
Critical care 30-74 minutes CPT 99291 $1,246.50 $2,085.75 $4,768.80 12
Critical care each additional 30 minutes CPT 99292 $357.75 $570.60 $1,152.00 12
Cv stress test i&r only 93018 CPT 93018 $42.60 $42.60 $66.00 2
Cv stress test/supervision only 93016 CPT 93016 $42.60 $42.60 $85.80 2
Dbrdmt prmlg les w/pdt CPT 96574 $1,000.20 $1,000.20 $1,253.40 2
Dch pulmonary stress test CPT 94621 $156.00 $660.60 $3,041.40 9
Debridement (>20 cm) charge pt CPT 97598 $91.20 $321.00 $483.60 11
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 $23.40 $90.60 $419.40 12
Developmental screen/score/document 96110 CPT 96110 $20.40 $34.20 $573.75 4
Devel tst phys/qhp 1st hr CPT 96112 $337.50 $398.25 $439.50 3
Dev tst admin phys/qhp ea addl 30 min CPT 96113 $169.50 $183.00 $183.00 3
Dialysis one evaluation CPT 90945 $150.00 $1,098.60 $1,560.60 7
Diathermy eg microwave CPT 97024 — — — 0
Diffusing capacity CPT 94729 $65.40 $412.20 $1,176.60 13
Digital analysis of eeg CPT 95957 $760.80 $760.80 $760.80 1
Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 $24.60 $24.60 $25.80 5
Dir nsl mucous membrane test CPT 95065 — — — 0
Disability dlco CPT 94727 $62.40 $234.00 $886.80 12
Dissolve clot heart vessel CPT 92975 $0.60 $0.60 $1,274.40 2
Doppler echo complete CPT 93320 $66.00 $677.40 $1,524.60 11
Doppler intravascular pressure flow initial vessel CPT 93571 $867.00 $3,046.80 $4,804.80 9
Doppler upper/lower extremity arteries complete bilateral CPT 93923 $425.40 $946.50 $1,308.00 13
Doppler upper/lower extremity arteries limited bilateral CPT 93922 $339.60 $564.75 $919.20 13
Drug admin & hemodynmic meas CPT 93463 $0.60 $687.00 $3,098.25 6
Duodenal motility study CPT 91022 $1,347.75 $1,599.00 $1,729.50 3
Duplex scan bilateral study 93985 CPT 93985 $657.75 $1,144.80 $1,728.80 8
Duplex scan unilateral study 93986 CPT 93986 $103.50 $643.20 $1,207.20 12
Dup scan/hemodialysis access 93990 CPT 93990 $336.60 $684.60 $1,062.40 12
Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 $732.60 $963.75 $1,367.40 9
Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 $490.20 $903.00 $1,938.00 13
Dx aly aud oi snd prcsr 1st CPT 92622 $153.00 $153.00 $183.00 3
Dx dark adaptation exam i&r CPT 92284 — — — 0
Dynamic surface emg CPT 96002 — — — 0
Ear and throat examination CPT 92502 $579.00 $579.00 $579.00 1
Ear protector evaluation CPT 92596 — — — 0
Ecg 12 lead tracing only CPT 93005 $79.20 $271.80 $436.20 14
Ecg/1-3 leads/interp & report only 93042 CPT 93042 — — — 0
Ecg/1-3 leads/tracing only 93041 CPT 93041 $33.00 $49.80 $243.00 6
Ecg < 30 days transmission & analysis CPT 93271 $259.20 $720.75 $2,124.60 9
Ecg external < 48 hours recording CPT 93225 $66.00 $551.40 $829.20 13
Ecg external < 48 hours scanning analysis w/report CPT 93226 $259.20 $642.75 $966.00 13
Ecg external > 48 hours up to 7 days recording CPT 93242 $60.60 $74.40 $238.50 13
Ecg external >7 days up to 15 days recording CPT 93246 $60.00 $75.00 $238.50 13
Echocardiography doppler color flow mapping CPT 93325 $33.00 $485.25 $1,435.80 12
Echocardiography transthoracic 2d followup/limited CPT 93308 $139.20 $800.25 $2,907.00 13
Echocardiograpy doppler follow up/limited study CPT 93321 $204.00 $336.00 $922.40 12
Echo stress CPT 93350 $398.40 $1,056.00 $5,167.80 12
Echo tee cngntl wo ctrst probe plcmnt CPT 93316 — — — 0
Echo tee guidance CPT 93355 $559.80 $2,007.00 $4,141.20 7
Echo tee probe placement image acquisition interpretation & report CPT 93312 $398.40 $1,875.00 $4,258.80 13
Echo transesophageal CPT 93313 $58.80 $58.80 $58.80 1
Echo transesophageal CPT 93315 $1,626.00 $1,737.60 $1,826.25 3
Echo transesophageal CPT 93314 $391.20 $391.20 $472.80 2
Echo transesophageal intraop CPT 93318 $523.50 $2,142.60 $2,591.20 8
Echo transthoracic CPT 93303 $298.80 $1,094.40 $2,946.00 8
Echo transthoracic CPT 93304 $132.60 $534.60 $1,737.60 8
Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 $298.80 $1,137.75 $3,546.60 11
Ecog impltd brn npgt <30 d CPT 95836 — — — 0
Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 $508.20 $640.80 $764.40 5
Eeg 41-60 minutes 95812-26 CPT 95812 $476.40 $1,081.50 $2,166.60 6
Eeg/cerebral death evaluation only 95824 -26 CPT 95824 $1,053.60 $1,177.80 $2,775.60 8
Eeg during surgery CPT 95955 $363.60 $1,488.75 $1,827.60 9
Eeg monitoring/function test CPT 95958 $2,440.50 $2,440.50 $2,747.25 2
Eeg monitoring/giving drugs CPT 95954 — — — 0
Eeg monitor/record/awake/drowsy 95816 CPT 95816 $348.60 $1,099.50 $1,439.20 13
Eeg over 1 hour 95813 - 26 CPT 95813 $470.40 $907.80 $2,782.80 10
Eeg/record in coma or sleep only 95822 CPT 95822 $455.40 $1,095.60 $1,439.20 8
Eeg recording awake and asleep CPT 95819 $501.00 $1,173.00 $2,146.80 12
Eeg without vid 2-12hr cont mntr CPT 95707 $586.80 $623.40 $2,025.00 6
Eeg without vid 2-12 hr unmntr CPT 95705 $303.75 $586.20 $783.60 8
Eeg without vid ea 12-26hr cont CPT 95710 $1,126.20 $1,194.00 $4,050.00 6
Eeg without vid ea 12-26hr intmt CPT 95709 $1,065.60 $1,126.20 $2,361.75 7
Eeg wo vid 2-12hr intmt mntr CPT 95706 $586.80 $602.40 $1,181.25 6
Eeg wo vid ea 12-26hr unmntr CPT 95708 $303.75 $1,126.20 $1,773.60 10
Electrical stimulation/unattended 97014 CPT 97014 $27.00 $85.50 $125.25 4
Electric stim/w chemodenervation 95873 CPT 95873 — — — 0
Electroacous eval hear aid/biaural 92595 CPT 92595 $97.50 $97.50 $97.50 1
Electrocochleography CPT 92584 $349.80 $613.80 $1,054.50 3
Electroconvulsive therapy 90870 CPT 90870 $736.20 $1,226.40 $2,124.00 4
Electrocorticography durng sx CPT 95829 $643.80 $881.40 $4,220.25 6
Electrode stimulation brain CPT 95961 $850.80 $1,137.75 $2,346.60 4
Electrogastrography CPT 91132 — — — 0
Electrogastrography w/test CPT 91133 — — — 0
Electronic analysis with brain program ea add 15 min 95984 CPT 95984 $513.00 $513.00 $642.00 2
Electronic analysis with brain program first 15 min 95983 CPT 95983 $990.75 $990.75 $1,237.50 2
Electro-oculography w/i&r CPT 92270 — — — 0
Electrophysiologic study CPT 93624 $4,569.60 $5,773.20 $10,470.75 3
Electrophysiology evaluation CPT 93621 $0.60 $5,576.40 $12,422.40 6
Electrophysiology evaluation CPT 93619 $0.60 $5,244.00 $9,087.60 6
Electrophysiology evaluation CPT 93642 $0.60 $1,735.80 $3,121.50 6
Electrophysiology evaluation CPT 93644 $0.60 $184.80 $695.40 4
Electrophysiology evaluation CPT 93641 $0.60 $2,161.80 $3,223.80 7
Electrophysiology evaluation CPT 93620 $0.60 $6,361.20 $20,323.20 8
Electrophysiology evaluation CPT 93622 $0.60 $2,100.60 $13,971.00 5
Electrophys map 3d add-on CPT 93613 $4,608.60 $5,610.00 $8,985.00 6
Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 $247.80 $665.40 $3,334.20 10
Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 $163.80 $447.00 $1,000.20 6
Emg cranial nerve bilateral CPT 95868 $394.80 $529.80 $1,635.60 10
Emg needle test 1-extremity CPT 95860 $222.60 $398.25 $622.20 5
Emg needle test 4-extremities CPT 95864 $270.60 $1,050.00 $1,317.00 6
Emg thor paraspinal without t1/t2 CPT 95869 $152.40 $186.00 $543.60 6
Endoluminl ivus oct c 1st CPT 92978 $0.60 $3,315.00 $5,032.80 8
Endoluminl ivus oct c ea CPT 92979 $0.60 $3,046.80 $4,043.25 8
Endoscopy swallow (fees) vid CPT 92612 $162.00 $551.25 $2,073.60 9
Ep & ablate supravent arrhyt CPT 93653 $0.60 $30,975.00 $59,370.00 7
Ep & ablate ventric tachy CPT 93654 $0.60 $30,975.00 $59,370.00 6
Ep induct arrhy by elect pacing CPT 93618 $2,447.40 $3,663.00 $6,268.20 4
Esophageal recording CPT 93615 — — — 0
Esophageal recording CPT 93616 $5,991.75 $5,991.75 $5,991.75 1
Esophagus motility study CPT 91010 $510.60 $1,332.75 $3,203.40 9
Esoph balloon distension tst CPT 91040 $519.00 $622.50 $1,296.60 3
Esophgl motil w/stim/perfus CPT 91013 $872.25 $872.25 $1,341.75 2
Esoph imped function test CPT 91037 $491.40 $1,108.50 $6,467.20 7
Esoph imped funct test > 1hr CPT 91038 $817.50 $1,122.00 $1,548.60 6
Eval aud rehab status/first hr 92626 CPT 92626 $219.00 $219.00 $219.00 1
Eval/fit voice prosthesis iii, st CPT 92607 $207.60 $431.25 $979.80 11
Evaluation heart device CPT 93640 $2,001.00 $2,001.00 $3,057.00 2
Evaluation of speech fluency 92521 CPT 92521 $150.00 $393.00 $552.80 12
Evaluation psychiatric diagnostic CPT 90791 $105.60 $351.60 $993.00 7
Event monitor CPT 93270 $66.00 $352.50 $1,565.40 11
Evoked auditory tst complete CPT 92588 $628.50 $628.50 $628.50 1
Evoked oa emissions ltd CPT 92587 $63.00 $234.00 $446.40 3
Evoked potentials auditory screening automated analysis CPT 92650 $127.80 $336.60 $1,386.60 5
Evoked potentials upper limbs CPT 95925 $339.00 $561.00 $1,708.20 9
Evoked potential visual not glaucoma CPT 95930 $153.60 $699.00 $1,685.25 7
Evok oa screening qual CPT 92558 $140.80 $263.40 $286.50 3
Exam pelvic add-on CPT 99459 $16.80 $16.80 $16.80 1
Excimer lsr psriasis 250-500 CPT 96921 $667.80 $667.80 $667.80 1
Excimer lsr psriasis<250sqcm CPT 96920 $652.20 $652.20 $652.20 1
Excimer lsr psriasis>500sqcm CPT 96922 $997.80 $997.80 $997.80 1
Exercise tst brncspsm w/ecg CPT 94617 $275.40 $337.50 $783.75 4
Exercise tst brncspsm wo ecg CPT 94619 $112.80 $112.80 $112.80 1
Exercise w/hemodynamic meas CPT 93464 $0.60 $2,715.00 $3,198.75 5
Ext ecg>48hr<7d scan a/r CPT 93243 $161.40 $238.50 $341.60 9
Ext ecg>7d<15d scan a/r CPT 93247 $223.80 $240.00 $324.00 7
Extended visual field xm CPT 92083 $162.75 $162.75 $162.75 1
External ocular photography CPT 92285 $91.20 $91.20 $91.20 1
Extnd color vision xm CPT 92283 — — — 0
Eye allergy tests CPT 95060 — — — 0
Facial nerve function test CPT 92516 — — — 0
Family therapy without pt 50min 90846 CPT 90846 $117.00 $287.40 $406.80 5
Family therapy with patient 50 min 90847 CPT 90847 $117.00 $297.00 $406.80 5
Fees w/laryngeal sense test CPT 92616 — — — 0
Feno poc CPT 95012 $49.20 $153.75 $273.60 6
Filtered speech hearing test CPT 92571 $237.00 $237.00 $237.00 1
Fit aphakia spectcl monofocl CPT 92352 — — — 0
Fit aphakia spectcl multifoc CPT 92353 — — — 0
Fitg spect low vis 1system CPT 92354 — — — 0
Fitg spect lw vis cmpnd lens CPT 92355 — — — 0
Fluidotherapy charges pt CPT 97022 $34.20 $118.20 $165.60 9
Fluorescein angioscopy i&r CPT 92230 — — — 0
Fluorescein angrph mltiframe CPT 92235 — — — 0
Fluorescein&icg angiography CPT 92242 — — — 0
Full field erg w/i&r CPT 92273 — — — 0
Fundus photography with i&r 92250 CPT 92250 $102.00 $169.20 $247.80 5
Gastric motility studies CPT 91020 $972.00 $1,578.60 $1,942.50 5
Gastroesophageal reflux test CPT 91034 $943.50 $1,531.20 $2,960.00 5
G-esoph reflx tst w/electrod CPT 91035 $971.25 $1,557.75 $5,380.80 9
Ghs analysis neurostim without reprogramming CPT 95970 $574.80 $612.00 $829.50 3
Ghs chemo >8 hrs CPT 96416 $580.80 $841.60 $3,246.60 7
Ghs chemo infusion >8 hrs CPT 96425 — — — 0
Ghs chemo IV push, ea addtl CPT 96411 $117.00 $446.40 $736.50 13
Ghs community re-entry 15 minutes CPT 97537 $57.00 $85.60 $183.60 11
Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 $284.40 $586.80 $843.75 10
Ghs electrostagmgraphy CPT 92537 $931.50 $1,122.00 $1,507.80 3
Ghs elect torsion swing CPT 92546 $282.00 $282.00 $1,413.60 2
Ghs elect vertical elct CPT 92547 $251.40 $256.50 $378.00 3
Ghs eye exam CPT 92002 $136.50 $136.50 $136.50 1
Ghs flow volume loop CPT 94375 $145.80 $223.20 $366.60 9
Ghs IV inf sq injection, on-body injector CPT 96377 $107.25 $145.80 $177.60 9
Ghs low level laser therapy CPT 97039 $124.20 $126.60 $159.60 4
Ghs moderate sedation < 5 yr, 30 min CPT 99151 $147.00 $429.60 $816.00 10
Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 $468.60 $525.75 $654.00 4
Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 $305.25 $429.60 $667.50 4
Ghs moderate sedation ea addtl 15 min CPT 99153 $147.00 $190.20 $831.60 9
Ghs moderate sedation ea addtl 15 min, other CPT 99157 $33.00 $69.75 $235.80 5
Ghs musc test done w/n test comp CPT 95886 $274.80 $322.80 $435.00 8
Ghs musc tst done w/nerv tst lim CPT 95885 $260.40 $322.80 $372.75 7
Ghs musc tst done w/n tst non ext CPT 95887 $243.00 $291.75 $386.40 6
Ghs myocardial strain img spckl track CPT 93356 $81.75 $792.60 $1,183.20 11
Ghs o2 uptake rest & exercise CPT 94680 $660.60 $799.20 $997.80 3
Ghs o2 uptake rest & indirect CPT 94690 $155.40 $433.50 $490.50 4
Ghs ob unlisted IV or art inj or infusion CPT 96379 $75.00 $75.00 $75.00 1
Ghs optokenetic CPT 92544 $256.50 $260.40 $378.00 3
Ghs oscillating trac CPT 92545 $256.50 $260.40 $378.00 3
Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 $39.60 $47.80 $159.60 6
Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 $19.20 $19.20 $88.50 2
Ghs ot dds rom CPT 95851 $194.25 $194.25 $196.50 2
Ghs ot group caregiver training CPT 97552 $43.20 $44.40 $44.40 4
Ghs ot prosthetic training/15 min CPT 97761 $79.80 $121.20 $225.60 12
Ghs ot sensory integrative tech/15min CPT 97533 $96.00 $130.20 $288.60 13
Ghs ot work hardening-additional hours CPT 97546 — — — 0
Ghs pacing - transcutaneous CPT 92953 $762.60 $940.50 $1,755.00 9
Ghs polysom <6 yrs 4/> parameters CPT 95782 $4,187.20 $4,187.20 $4,187.20 1
Ghs pos nystagmus CPT 92542 $251.40 $591.00 $678.00 3
Ghs pr without cont pulse ox CPT 94625 $55.80 $134.25 $347.40 8
Ghs pt - work hardening/int 2hrs CPT 97545 — — — 0
Ghs refill of implantable pump CPT 95990 $253.20 $774.00 $870.75 6
Ghs sleep study unattended CPT 95800 $90.00 $752.80 $2,205.60 6
Ghs somatosensory testing lower extremit CPT 95926 $490.20 $978.60 $1,864.80 8
Ghs somatosensory testing upper & lower limbs CPT 95938 $687.00 $855.60 $2,091.75 10
Ghs speech-gen aug dev eval iii, st CPT 92608 $80.40 $189.00 $230.25 7
Ghs spont nystagmus CPT 92541 $250.80 $256.50 $378.00 3
Ghs sp train/fitting sp device - kx CPT 92609 $172.80 $324.75 $442.20 10
Ghs st - eval for alt comm CPT 92567 $27.00 $99.75 $173.40 4
Ghs st - re-eval for alt comm CPT 92597 $91.80 $410.25 $1,321.80 12
Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 $147.60 $147.60 $147.60 1
Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 $269.25 $522.00 $558.40 3
Ghs veeg 12-26 hr intmt mont CPT 95715 $1,773.60 $2,109.60 $2,811.60 7
Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 $1,191.00 $1,766.25 $4,451.40 9
Gi trc img intral colon i&r CPT 91113 — — — 0
Gi trc img intral esophagus CPT 91111 $2,724.00 $6,183.60 $6,253.20 4
Gi wireless capsule measure CPT 91112 $5,499.60 $5,499.60 $5,499.60 1
Glucose monitoring continual min 72hr pt CPT 95249 $90.60 $95.40 $255.60 3
Gonioscopy CPT 92020 — — — 0
Handle/convey/speciman/office-lab 99000 CPT 99000 $23.40 $23.40 $23.40 1
Hast w/i&r phys/qhp CPT 94452 $138.00 $324.75 $351.00 5
Hast w/oxygen titrate CPT 94453 $181.20 $390.00 $422.25 5
Hc ea ha check monaural CPT 92594 $58.50 $58.50 $58.50 1
Hc hearing aid chck binaurl CPT 92593 $23.25 $23.25 $23.25 1
Hc hearing aid chck monarl CPT 92592 $24.75 $24.75 $250.20 2
Hc hearing aid exam both ears CPT 92591 $161.25 $161.25 $161.25 1
Hc hearing aid exam one ear CPT 92590 $129.75 $129.75 $129.75 1
Hemodialysis one evaluation CPT 90935 $871.20 $1,389.00 $5,708.40 9
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 $105.60 $1,109.60 $7,299.00 13
Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 $51.75 $51.75 $194.40 2
Hlth bhv assmt/reassessment CPT 96156 $117.00 $156.00 $156.00 5
Hlth bhv ivntj fam 1st 30 CPT 96167 $96.60 $111.60 $115.50 4
Hlth bhv ivntj grp 1st 30 CPT 96164 $76.80 $117.00 $138.00 4
Hlth bhv ivntj indiv 1st 30 CPT 96158 $115.50 $115.50 $115.50 2
Home visit est patient 99348 CPT 99348 — — — 0
Hydration IV infusion each additional hour CPT 96361 $105.00 $298.20 $703.20 13
Hydration IV infusion initial 31minutes - 1 hour CPT 96360 $234.00 $522.00 $1,441.50 13
Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 $150.00 $150.00 $650.11 10
Icg angiography i&r uni/bi CPT 92240 — — — 0
Icut allergy test-delayed CPT 95028 — — — 0
Icut allergy test drug/bug CPT 95024 $115.80 $115.80 $118.50 2
Icut allergy titrate-airborn CPT 95027 — — — 0
Img rta detcj/mntr ds staff CPT 92227 — — — 0
Img rta detc/mntr ds phy/qhp CPT 92228 — — — 0
Img rta detc/mntr ds poc aly CPT 92229 $71.25 $71.25 $71.25 1
Immune globulin ig human im use 90281 CPT 90281 — — — 0
Impedence cardiogram CPT 93701 — — — 0
Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 $30.00 $40.00 $93.60 11
Influenza virus vaccine, live trivalent intranasal CPT 90660 — — — 0
Ingest challenge ea addl 60 min CPT 95079 $274.50 $274.50 $274.50 1
Ingest challenge ini 120 min CPT 95076 $547.50 $547.50 $547.50 1
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 $95.40 $386.25 $840.60 11
Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 — — — 0
Initial nursing facility care/day 35 minutes CPT 99305 — — — 0
Initial nursing facility care/day 45 minutes CPT 99306 — — — 0
Initial nursing facility care/day low severity 99304 CPT 99304 — — — 0
Initiation & management bipap/cpap initial day CPT 94660 $172.20 $510.00 $987.60 13
Injection during cath supravalvular aortography CPT 93567 $0.60 $1,728.00 $3,727.80 8
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 $108.00 $203.40 $573.00 13
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $28.80 $168.80 $573.00 13
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 $165.60 $292.80 $1,031.25 13
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 $58.20 $141.00 $174.00 14
Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 $0.60 $1,110.00 $2,085.60 6
Inj hrt cath w/s&i sel hrt ang CPT 93563 $943.20 $1,038.00 $3,480.00 4
Inj hrt cath w/s&i sel hrt art CPT 93564 $666.75 $666.75 $1,192.50 2
Inj hrt cath w/s&i sel left vent CPT 93565 $0.60 $693.75 $1,239.00 4
Inj hrt cath w/s&i sel right vent CPT 93566 $0.60 $648.00 $5,894.25 4
Insert swan-ganz cath CPT 93503 $0.60 $2,472.00 $6,580.50 8
Intermediate visual field xm CPT 92082 $73.50 $73.50 $73.50 1
Interrogate subq defib CPT 93261 $96.60 $226.20 $420.75 5
Interrogation vad in person CPT 93750 $621.00 $621.00 $621.00 1
Interrog dev eval icpms ip CPT 93290 $103.50 $112.50 $649.80 5
Interrog dev eval scrms ip CPT 93291 $133.20 $176.25 $649.80 7
Interrog device eval heart CPT 93289 $181.50 $234.00 $636.75 7
Interrog evl pm/ldls pm ip CPT 93288 $0.60 $202.50 $369.60 7
Interrog&prgrmg ipnss CPT 93151 $90.00 $90.00 $108.00 3
Interrog without prgrmg ipnss CPT 93153 $90.00 $90.00 $108.00 3
Intra-atrial pacing CPT 93610 $0.60 $3,647.40 $5,913.60 4
Intra-atrial recording CPT 93602 $0.60 $3,647.40 $6,265.80 4
Intracard echo interv w/s&i CPT 93662 $0.60 $4,080.60 $4,802.40 7
Intracranial complete study CPT 93886 $481.20 $1,169.40 $1,981.20 6
Intracranial limited study CPT 93888 $238.80 $732.75 $1,166.40 6
Intraop epicard/endocard/pace/map/ 93631 CPT 93631 — — — 0
Intrapul surf admin endo tube CPT 94610 $60.60 $73.60 $256.50 6
Intraventricular pacing CPT 93612 $0.60 $3,647.40 $8,922.00 6
Intrm oph exam est patient CPT 92012 $161.25 $161.25 $161.25 1
Io anal gast n-stim subsq CPT 95981 — — — 0
Io ga n-stim subsq w/reprog CPT 95982 — — — 0
Ionm in operatng room 15 min CPT 95940 $177.60 $191.40 $358.80 10
Ionm remote/>1 pt or per hr CPT 95941 $415.80 $1,336.50 $3,504.00 8
Irrigation implantable venous access device for drug delivery systems CPT 96523 $87.60 $147.60 $312.00 13
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 $171.60 $285.60 $697.80 13
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 $117.00 $325.20 $454.50 13
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 $114.75 $344.80 $937.80 13
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 $411.60 $611.25 $1,143.00 13
Laryngeal function studies CPT 92520 $333.00 $359.25 $360.00 3
Laryngoscopic sensory vid CPT 92614 — — — 0
L hrt cath chd nm/abn nt cnj CPT 93595 — — — 0
Limb exercise test CPT 95875 — — — 0
Limited visual field xm CPT 92081 $96.75 $96.75 $96.75 1
Lithotripsy transluminal coronary percutaneous CPT 92972 $0.60 $3,650.25 $17,564.40 7
Liver elastography 91200 CPT 91200 $480.60 $552.75 $581.60 4
Lmtd oph exam general anes CPT 92019 — — — 0
Loudness balance test CPT 92562 — — — 0
Low frequency non-thermal Ultrasound CPT 97610 $45.60 $45.60 $45.60 1
Lung function test (mbc/mvv) CPT 94200 $69.60 $109.80 $220.50 11
Manipulation chest wall demonstration/evaluation subsequent CPT 94668 $39.60 $193.20 $449.40 13
Manipulation chest wall initial demonstration/evaluation CPT 94667 $47.40 $237.60 $394.80 13
Mapping functional cort/subcort ea add'l hr CPT 95962 $499.80 $1,137.75 $1,536.75 5
Map tachycard site(s) CPT 93609 $3,363.00 $3,500.40 $10,926.00 3
Meas lung vol thru 2 yrs CPT 94013 — — — 0
Medical testimony CPT 99075 — — — 0
Meg evoked single CPT 95966 $5,358.60 $5,358.60 $5,358.60 1
Meg spontaneous CPT 95965 $14,856.60 $14,856.60 $14,856.60 1
Microvolt t-wave assess CPT 93025 $1,542.00 $1,542.00 $1,542.00 1
Modification of contact lens CPT 92325 — — — 0
Motion analysis video/3d CPT 96000 — — — 0
Motion test w/ft press meas CPT 96001 — — — 0
Motor &/ sens nrve cndj test CPT 95905 — — — 0
Multi family grp psychotherapy CPT 90849 $370.50 $370.50 $370.50 2
Multifocal erg w/i&r CPT 92274 — — — 0
Multiple sleep latency test CPT 95805 $511.20 $4,164.75 $5,312.80 10
Muscle test cran nerv unilat CPT 95867 $235.20 $751.50 $3,714.00 9
Muscle test hemidiaphragm CPT 95866 $251.40 $622.20 $735.00 4
Muscle test larynx CPT 95865 $222.60 $768.00 $1,132.80 9
Muscle test one fiber CPT 95872 $520.80 $645.75 $750.00 3
Narcosynthesis CPT 90865 — — — 0
Nasal function studies CPT 92512 — — — 0
Nasopharyngoscopy w/endoscope CPT 92511 $246.75 $365.40 $1,290.60 10
Ndl emg musc 1 xtr/non-limb CPT 95870 $133.20 $241.20 $376.50 10
Ndl oculoelectromyography 1+ CPT 92265 — — — 0
Needle emg guid w/chemodenervation add-on CPT 95874 $182.25 $182.25 $192.00 2
Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 $323.25 $323.25 $336.00 2
Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 $127.50 $127.50 $127.50 1
Nerve conduction 7-8 studies CPT 95910 $177.60 $1,635.00 $2,330.40 9
Nerve conduction studies 11-12 CPT 95912 $328.20 $2,280.00 $3,818.25 8
Nerve conduction studies 1-2 CPT 95907 $177.60 $335.40 $797.25 7
Nerve conduction studies 13+ CPT 95913 $153.60 $2,693.40 $4,900.50 10
Nerve conduction studies 3-4 CPT 95908 $177.60 $642.60 $1,488.00 8
Nerve conduction studies 5-6 CPT 95909 $177.60 $1,069.20 $1,914.00 8
Nerve conduction studies 9-10 CPT 95911 $328.20 $2,435.25 $3,241.20 9
Neuromuscular junction testing ea nerve any 1 method CPT 95937 $186.60 $420.00 $1,341.60 5
Njx cath slct p angrph mapca CPT 93575 $1,301.25 $1,301.25 $1,689.00 3
Njx cath slct p-art angrp bi CPT 93573 $1,951.50 $1,951.50 $2,555.40 4
Njx cath slct pulm vn angrph CPT 93574 $1,301.25 $1,301.25 $1,689.00 3
Njx cth slct p-art angrp uni CPT 93569 $1,301.25 $1,301.25 $2,555.40 3
Noninv pace analysis CPT 93724 $504.00 $504.00 $1,002.00 2
Npsy fam hlth interv ea addl 15 min CPT 96168 $111.60 $115.50 $181.80 4
Npsy grp hlth intrv ea addl 15 min CPT 96165 $76.80 $117.00 $138.00 4
Npsy indiv hlth intrv ea addl 15 min CPT 96159 $115.50 $115.50 $115.50 2
Npsy tst eval phsy/qhp 1st hr CPT 96132 $244.80 $316.50 $674.40 5
Npsy tst eval phsy/qhp ea l hr CPT 96133 $141.75 $153.75 $182.40 4
Nursing facility discharge management > 30 min 99316 CPT 99316 — — — 0
Nursing facility discharge management 30 min/less than 99315 CPT 99315 — — — 0
Observation/inpatient hospital care hi severity 99236 CPT 99236 — — — 0
Observation/inpatient hospital care low severity 99234 CPT 99234 — — — 0
Observation/inpatient hospital care mod severity 99235 CPT 99235 — — — 0
Ophthalmic biometry CPT 92136 — — — 0
Ophthalmodynamometry CPT 92260 — — — 0
Opscpy extnd on/mac draw CPT 92202 — — — 0
Opscpy extnd rta draw uni/bi CPT 92201 — — — 0
Orthop traing supvj phys/qhp CPT 92066 — — — 0
Oscillation chest wall mechanical per session CPT 94669 $96.00 $235.20 $449.40 12
Osteopath manip tx/5-6 body region 98927 CPT 98927 $19.20 $19.20 $125.25 2
Osteopath manip tx/7-8 body region 98928 CPT 98928 $19.20 $19.20 $147.00 2
Osteopath manip tx/9-10 body region98929 CPT 98929 $19.20 $19.20 $183.75 2
Ot evaluation high complexity patient/family CPT 97167 $165.60 $285.75 $748.80 13
Ot evaluation low complexity patient/family CPT 97165 $55.20 $272.25 $748.80 13
Ot evaluation moderate complexity patient/family CPT 97166 $110.40 $285.75 $748.80 13
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 $82.80 $122.25 $175.20 11
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 $60.60 $121.20 $173.40 13
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 $60.00 $130.20 $274.20 13
Otolaryngo binocular microscopy 92504 CPT 92504 $104.25 $104.25 $104.25 1
Ot re-evaluation patient/family CPT 97168 $41.40 $138.60 $272.40 13
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 $63.60 $129.60 $480.00 13
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 $45.60 $114.60 $302.40 13
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 $45.60 $114.60 $302.40 13
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $66.00 $130.20 $182.40 13
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $57.00 $117.00 $210.00 13
Ot training self care/home management direct contact each 15 minutes CPT 97535 $57.00 $115.80 $181.80 13
Palivizumab 50 mg/0.5 ml inj CPT 90378 $3,154.20 $6,940.20 $9,797.53 6
Patient recorded spirometry CPT 94015 — — — 0
Patient recorded spirometry CPT 94014 — — — 0
Pdt dstr prmlg les phys/qhp CPT 96573 $777.00 $777.00 $969.00 2
Ped home apnea mntr att only CPT 94775 — — — 0
Ped home apnea mntr dl&alys CPT 94776 — — — 0
Penile vascular study CPT 93981 $435.00 $526.80 $792.00 3
Penile vascular study CPT 93980 $303.60 $948.75 $1,240.50 7
Peripheral vascular rehab CPT 93668 $129.60 $184.50 $409.20 7
Peri-proc device eval icd CPT 93287 $134.40 $159.00 $609.75 4
Peri-proc device eval pm CPT 93286 $0.60 $202.50 $327.75 5
Perq transcath closure each CPT 93592 $4,354.20 $10,098.75 $12,118.50 3
Perq transcath closure pda CPT 93582 $0.60 $0.60 $0.60 1
Perq transcath cls aortic CPT 93591 $46,970.40 $46,970.40 $46,970.40 1
Perq transcath cls mitral CPT 93590 $46,970.40 $46,970.40 $46,970.40 1
Perq transcath septal reduxn CPT 93583 $0.60 $5,606.40 $15,793.50 5
Pharmacologic management w/psytx CPT 90863 — — — 0
Phlebotomy therapeutic CPT 99195 $188.25 $292.80 $597.60 13
Photchmtx tar&uvb/ptrltm&uvb CPT 96910 — — — 0
Photochemotherapy puva CPT 96912 $307.20 $307.20 $307.20 1
Photochemotherapy uv-a or b CPT 96913 — — — 0
Photo patch test CPT 95052 — — — 0
Photosensitivity tests CPT 95056 — — — 0
Plethysmography lung volumes/airway resistance CPT 94726 $169.20 $368.25 $762.60 12
Pm device progr eval dual CPT 93280 $138.00 $241.50 $406.80 9
Pm device progr eval multi CPT 93281 $176.40 $245.25 $406.80 8
Pm phone r-strip device eval CPT 93293 $124.50 $181.50 $254.40 8
Polysom <6 yrs cpap/bilvl CPT 95783 — — — 0
Polysom any age 1-3> param CPT 95808 — — — 0
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 $734.40 $6,491.40 $9,867.00 10
Positional nystagmus test CPT 92532 — — — 0
Pr assessment emotional/behavioral per instrument brief CPT 96127 $11.40 $39.75 $84.80 3
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $15.60 $30.00 $120.75 13
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $229.80 $428.25 $592.20 13
Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 $256.20 $256.20 $256.20 1
Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 $274.20 $274.20 $274.20 1
Pr ecg 12 lead report only CPT 93010 $22.20 $22.20 $42.60 2
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 $111.60 $111.60 $129.00 2
Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 $103.20 $122.25 $178.80 4
Pressure max expiratory/inspiratory CPT 94799 $116.25 $187.20 $279.00 9
Pressure velocity wire add ves CPT 93572 $0.60 $1,746.00 $3,777.00 8
Pr evaluation psychiatric diagnostic w/medical services CPT 90792 $351.60 $394.50 $1,276.20 4
Prgrmg dev eval impltbl sys CPT 93260 $123.00 $226.20 $420.75 4
Prgrmg dev eval pm/ldls pm CPT 93279 $121.20 $191.40 $298.20 9
Prgrmg dev eval scrms ip CPT 93285 $186.75 $225.00 $649.80 6
Prgrmg eval implantable dfb CPT 93283 $171.60 $279.00 $649.80 9
Prgrmg eval implantable dfb CPT 93282 $108.60 $231.60 $595.80 9
Prgrmg eval implantable dfb CPT 93284 $183.60 $316.80 $649.80 8
Prgr stim/pace a/iv drug CPT 93623 $0.60 $3,905.40 $6,268.20 7
Pr hospital ip/obs care initial high level per day CPT 99223 $584.40 $584.40 $584.40 1
Pr hospital ip/obs care initial moderate level per day CPT 99222 $420.00 $420.00 $420.00 1
Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 $277.80 $277.80 $277.80 1
Pr hospital ip/obs care subsequent high level per day CPT 99233 $296.40 $296.40 $296.40 1
Pr hospital ip/obs care subsequent moderate level per day CPT 99232 $205.20 $205.20 $205.20 1
Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 $134.40 $134.40 $134.40 1
Pr management transitional care high w/in 7 days of discharge CPT 99496 $278.40 $1,831.20 $1,831.20 3
Pr management transitional care moderate w/in 14 days of discharge CPT 99495 $93.00 $255.00 $1,295.40 7
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $138.00 $330.00 $831.60 12
Prolng off/op e/m ea 15 min 99417 CPT 99417 $39.00 $42.00 $162.00 4
Pr planning advance care 1st 30 minutes CPT 99497 $95.40 $143.25 $572.40 4
Prq cardiac angio addl art CPT 92921 $0.60 $5,071.20 $21,428.40 6
Prq card revasc chronic addl CPT 92944 $0.60 $3,477.60 $23,616.60 3
Prq card revasc mi 1 vsl CPT 92941 $0.60 $21,910.50 $31,300.50 6
Prq card stent w/angio addl CPT 92929 $0.60 $9,768.60 $32,550.60 6
Prq revasc byp graft 1 art and/or branches CPT 92937 $0.60 $20,522.25 $32,550.60 7
Prq revasc byp graft addl CPT 92938 $0.60 $11,988.60 $32,550.60 3
Prq tcat plmt ntrac st 1 les CPT 92928 $0.60 $12,034.50 $32,550.60 8
Prq tcat plmt ntrac st 2+les CPT 92930 $3,865.50 $3,865.50 $6,903.00 2
Prq trlml c athrc st angiop1 CPT 92933 $0.60 $23,616.60 $29,319.00 6
Prq trl rvs ch occ ant&rtrgr CPT 92945 $14,048.25 $14,048.25 $32,826.75 2
Prq trluml c angiop 1art&/br CPT 92920 $0.60 $9,413.25 $21,428.40 8
Prq trluml c athrc 1 art&/br CPT 92924 $0.60 $12,754.50 $40,864.80 6
Prq trluml revsc ch occ ant CPT 92943 $0.60 $20,522.25 $32,550.60 6
Pr subsequent hospital care e/m normal newborn per day CPT 99462 — — — 0
Psych/neuropsych test admin automated result 96146 CPT 96146 — — — 0
Psychoanalysis CPT 90845 — — — 0
Psychotherapy group therapy CPT 90853 $46.80 $58.20 $742.80 5
Psychotherapy patient individual therapy 30 minutes CPT 90832 $128.00 $168.00 $206.25 6
Psychotherapy patient individual therapy 45 minutes CPT 90834 $105.60 $235.20 $287.40 7
Psychotherapy patient individual therapy 60 minutes CPT 90837 $128.00 $263.40 $328.50 7
Psych test eval svc phys/qhp 1st hr CPT 96130 $250.80 $316.50 $559.80 3
Psych test eval svc phys/qhp ea addl hr CPT 96131 $127.50 $183.60 $559.80 3
Psycl/nrpsyc tech 1st CPT 96138 $195.00 $210.75 $857.40 5
Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 $55.20 $225.60 $564.00 8
Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 $42.60 $153.75 $857.40 3
Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 $94.50 $102.00 $857.40 4
Psytx complex interactive CPT 90785 $54.00 $54.00 $89.40 2
Psytx pt w/e&m 16-37 min CPT 90833 $168.00 $178.20 $290.25 3
Psytx pt w/e&m 38-52 min CPT 90836 $287.40 $287.40 $399.00 3
Psytx pt w/e&m 53+ min CPT 90838 $324.00 $324.00 $492.00 2
Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 $22.80 $103.20 $164.25 12
Pt application of modality >=1 area hot/cold packs CPT 97010 $18.00 $47.00 $159.00 11
Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 $34.20 $103.20 $133.50 8
Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 $22.80 $101.40 $122.40 7
Pt application of modality traction mechanical CPT 97012 $22.80 $119.25 $213.60 10
Pt evaluation high complexity patient/family CPT 97163 $197.40 $297.00 $692.40 13
Pt evaluation low complexity patient/family CPT 97161 $91.20 $264.00 $692.40 13
Pt evaluation moderate complexity patient/family CPT 97162 $182.40 $276.00 $692.40 13
Pt init/spiromet rec/review/interp 94016 CPT 94016 — — — 0
Pt re-evaluation patient/family CPT 97164 $68.40 $129.60 $276.00 13
Pt repositioning canalith procedure(s) per day CPT 95992 $78.60 $223.20 $478.20 12
Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 $44.40 $110.40 $198.00 13
Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 $57.00 $110.40 $189.60 13
Pt wheelchair management each 15 minutes CPT 97542 $57.00 $81.75 $200.00 13
Pul art balloon repr percut CPT 92997 $8,869.50 $10,756.50 $17,685.00 3
Pul art balloon repr percut CPT 92998 $4,406.25 $4,956.00 $18,746.40 3
Pulse ox continuous overnight monitoring CPT 94762 $98.40 $350.40 $1,220.40 13
Pulse ox multiple CPT 94761 $97.20 $251.40 $469.60 13
Pulse ox single CPT 94760 $25.80 $91.20 $201.00 13
Quan puplmtry phy/qhp uni/bi CPT 95919 — — — 0
Rabies ig heat-treated human im/subq 90376 CPT 90376 $992.40 $3,103.43 $4,032.00 7
Rabies ig ht&sol human im/sc CPT 90377 $8,111.40 $8,111.40 $8,111.40 3
Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 $408.00 $880.00 $6,998.40 8
Rabies vaccine id CPT 90676 — — — 0
Rapid desensitization CPT 95180 $689.40 $689.40 $689.40 1
Rectal sensation test CPT 91120 — — — 0
Refill maint impl spine pump CPT 95991 $294.00 $375.00 $496.20 7
Refill/maint pump/resvr syst CPT 96522 $175.80 $630.00 $701.25 5
Rem interrog dev eval icpms CPT 93297 $101.25 $109.50 $284.40 7
Rem interrog dev eval scrms CPT 93298 $101.25 $109.50 $325.20 7
Rem interrog evl pm/ids CPT 93296 $138.75 $204.00 $229.80 7
Rem mntr physiol 1st dev supply ea 30 days CPT 99454 $78.00 $250.80 $381.60 7
Rem mntr physiol 1st set up pt educaj eqp CPT 99453 $76.20 $115.80 $295.50 7
Rem mntr wrls p-art prs snr CPT 93264 — — — 0
Remote 30 day ecg tech supp CPT 93229 $1,121.40 $1,472.40 $3,361.80 5
Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 $129.60 $343.50 $829.20 11
Replacement of contact lens CPT 92326 — — — 0
Reprogram cochlear implt <7 CPT 92602 $762.75 $762.75 $762.75 1
Reprogram cochlear implt 7/> CPT 92604 $382.50 $382.50 $382.50 1
Resuscitation cardiopulmonary CPT 92950 $127.20 $843.00 $5,636.40 13
Resuscitation delivery/birthing room CPT 99465 $393.00 $721.50 $1,017.00 4
Rho(d) immune globulin (rhig) human full dose im CPT 90384 — — — 0
R hrt cath chd abnl nt cnj CPT 93594 — — — 0
R hrt cath chd nml nt cnj CPT 93593 $7,495.50 $7,495.50 $7,495.50 1
Right ventric recording CPT 93603 $0.60 $3,039.75 $6,268.20 5
R&l hrt cath chd abnl nt cnj CPT 93597 — — — 0
R&l hrt cath chd nml nt cnj CPT 93596 — — — 0
Rpr&refit spct prsth aphakia CPT 92371 — — — 0
Rtm 1st set-up&pt educaj eqp CPT 98975 — — — 0
Rtm dev sply mscskl 16-30 d CPT 98977 — — — 0
Rtm dev sply resp sys 16-30d CPT 98976 — — — 0
Same day nb discharge 99463 CPT 99463 — — — 0
Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 — — — 0
Sbsq nursing facil care/day minor complj 15 min CPT 99308 — — — 0
Sbsq nursing facil care/day new problem 25 min CPT 99309 — — — 0
Sbsq nursing facility care/day e/m stable 10 min CPT 99307 — — — 0
Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 $798.60 $1,210.80 $1,530.40 13
Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 $488.40 $880.20 $1,262.40 13
Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 $464.40 $819.60 $1,246.80 10
Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 $308.40 $724.50 $1,127.20 11
Scan duplex extracranial arteries unilateral/limited study CPT 93882 $122.25 $672.00 $2,028.00 13
Scan duplex extremity veins unilateral/limited study CPT 93971 $339.60 $829.20 $1,609.20 13
Scan duplex lower extremity arteries complete bilateral CPT 93925 $539.40 $1,207.50 $2,029.60 13
Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 $429.60 $882.75 $1,647.60 13
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 $356.40 $855.75 $1,647.60 13
Screen/visual acuity/bilat/quant 99173 CPT 99173 $26.25 $26.25 $357.00 4
Sc ther infusion reset pump CPT 96371 $148.20 $148.20 $148.20 1
Select picture audiometry CPT 92583 $56.25 $56.25 $67.50 3
Self-meas bp pt educaj/train CPT 99473 — — — 0
Self-mgmt educ/train 2-4 pt 30min CPT 98961 $103.50 $112.50 $135.00 3
Self-mgmt educ/train 5-8 pt 30min CPT 98962 — — — 0
Sensorimotor examination CPT 92060 $109.50 $109.50 $109.50 1
Sensorineural acuity lvl tst CPT 92575 — — — 0
Serial casting application 97139app CPT 97139 — — — 0
Set-up cardiovert-defibrill CPT 93745 $625.80 $625.80 $928.80 2
Signal avg ecg w or without ecg 93278 CPT 93278 $204.60 $408.60 $536.00 7
Sleep study attended CPT 95807 $292.50 $316.50 $6,004.00 4
Sleep study unattended CPT 95806 $148.80 $653.60 $2,371.20 9
Slp eval for nonspeech dev ea addl 30 mins CPT 92618 — — — 0
Slp eval non-spch gen comm dev CPT 92605 $103.80 $310.20 $375.20 3
Slp pure tone screening CPT 92551 $22.80 $64.50 $127.20 6
Slp stdy unatnd w/anal CPT 95801 — — — 0
Slp ther svc non-spch gen CPT 92606 $103.80 $103.80 $103.80 1
Smallpox&monkeypox vac 0.5ml CPT 90611 $2.43 $2.43 $614.40 2
Somatosensory testing CPT 95927 $583.80 $812.40 $1,404.00 5
Speech audiometry complete CPT 92556 $104.25 $104.25 $122.40 2
Speech recep thresh CPT 92555 $104.25 $104.25 $104.25 1
Spirmtry w/brnchdil inf-2 yr CPT 94012 — — — 0
Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 $121.20 $543.75 $1,790.40 13
Spirometry up to 2 yrs old CPT 94011 $929.25 $1,005.75 $1,005.75 3
Staggered spondaic word test CPT 92572 $474.75 $474.75 $474.75 1
St analysis behavior qualitative voice/resonance CPT 92524 $150.00 $326.25 $435.00 13
St cognitve performance testing healthcare professional each hour CPT 96125 $279.00 $330.75 $601.20 6
Stenger test pure tone CPT 92565 $162.00 $162.00 $162.00 1
Stenger test speech CPT 92577 $404.25 $404.25 $404.25 1
St evaluate speech sound production CPT 92522 $150.00 $310.20 $429.60 13
St evaluate speech sound production comprehensive/expressive CPT 92523 $228.60 $351.00 $865.20 13
St evaluation motion fluoroscopic swallow function cine/video CPT 92611 $249.60 $455.40 $827.40 13
St evaluation swallow function CPT 92610 $138.00 $416.40 $532.80 13
Stress test pulmonary CPT 94618 $41.40 $399.00 $789.60 11
Stress tte complete CPT 93351 $1,300.50 $1,989.60 $3,415.80 10
St treatment speech individual CPT 92507 $103.80 $217.60 $459.00 13
St treatment swallow dysfunction/oral CPT 92526 $130.20 $288.00 $447.00 13
Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 — — — 0
Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 — — — 0
Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 — — — 0
Sup of prep of antigen # of vials 95144 CPT 95144 — — — 0
Synthetic sentence id test CPT 92576 — — — 0
Tcd emboli detect w/inj CPT 93893 $585.00 $585.00 $1,061.25 2
Tcd emboli detect without inj CPT 93892 $240.60 $697.50 $1,269.00 3
Tcranial magn stim tx deli CPT 90868 $354.00 $354.00 $478.80 2
Tcranial magn stim tx plan CPT 90867 $354.00 $354.00 $639.00 2
Tcran magn stim redetemine CPT 90869 $354.00 $354.00 $512.40 2
Temperature gradient studies CPT 93740 — — — 0
Test stress cardiovascular tracing only CPT 93017 $199.20 $1,618.20 $2,344.80 13
Therapy activation ipnss CPT 93150 $90.00 $90.00 $108.00 3
Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 $27.00 $28.80 $87.60 10
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 $20.40 $25.80 $65.25 9
Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 $765.00 $765.00 $921.00 2
Ther/proph/diag inj ia CPT 96373 $198.60 $369.00 $380.25 4
Thrombectmy crnry perq mechanical CPT 92973 $0.60 $3,855.60 $8,606.40 8
Tilt table study CPT 93660 $920.40 $1,428.00 $4,324.20 8
Tone decay hearing test CPT 92563 — — — 0
Transcath closure of asd CPT 93580 $0.60 $14,788.80 $29,803.20 6
Transcath closure of vsd CPT 93581 $0.60 $15,782.25 $18,553.20 3
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 $54.00 $246.60 $355.80 13
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 $44.40 $234.00 $424.80 12
Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 $71.40 $286.80 $765.00 13
Tx atrial fib pulm vein isol CPT 93656 $0.60 $29,199.75 $59,370.00 6
Tx l/r atrial fib addl CPT 93657 $4,257.00 $10,523.25 $59,370.00 5
Tympanometry & reflex thresh CPT 92550 $141.75 $141.75 $312.00 2
Ultraviolet therapy CPT 97028 — — — 0
Unlistd noninvas vasc dx std CPT 93998 — — — 0
Unlisted all/immlg svc/px CPT 95199 — — — 0
Unlisted chemotherapy px CPT 96549 $41.25 $41.25 $44.25 2
Unlisted dx gi procedure CPT 91299 $158.40 $247.20 $2,470.50 6
Unlisted neurological dx px CPT 95999 — — — 0
Unlisted oph svc/procedure CPT 92499 — — — 0
Unlisted orl service/px CPT 92700 $111.60 $121.50 $357.60 5
Unlisted psychiatric service/proc 90899 CPT 90899 — — — 0
Unlisted spec derm svc/px CPT 96999 — — — 0
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 $115.80 $340.00 $368.25 12
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 $193.20 $209.40 $368.25 5
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 $331.50 $331.50 $331.50 1
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 $222.00 $222.00 $222.00 1
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 $165.00 $165.00 $165.00 1
Vaccine dtap < 7 years im CPT 90700 $32.40 $34.20 $62.25 7
Vaccine dtap-hep b-ipv im CPT 90723 $37.80 $233.91 $233.91 5
Vaccine dtap-ipv 4-6 years im CPT 90696 $31.20 $36.60 $129.00 3
Vaccine dtap-ipv-hib-hepb im CPT 90697 — — — 0
Vaccine dtap-ipv/hib im CPT 90698 $25.50 $25.50 $66.00 2
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 $31.20 $99.92 $111.00 5
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 $9.00 $31.20 $45.33 11
Vaccine hepatitis a (hepa) adult im CPT 90632 $46.80 $108.00 $241.96 13
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 $117.60 $117.60 $354.74 6
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 $39.60 $86.40 $135.00 7
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 — — — 0
Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 $54.75 $54.75 $54.75 2
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 $40.80 $86.40 $653.40 13
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 $109.50 $168.80 $881.40 12
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 $33.00 $63.20 $75.39 9
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 $157.80 $186.00 $1,044.16 8
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 $109.20 $186.00 $599.25 7
Vaccine influenza (iiv) preservative free antigen content im CPT 90662 $67.50 $67.50 $67.50 2
Vaccine influenza inactivated adjuvant im CPT 90653 $50.25 $50.25 $50.25 1
Vaccine influenza nos 0.5ml dose im CPT 90658 $12.00 $12.00 $12.00 1
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 $44.25 $45.75 $45.75 3
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 $12.00 $12.60 $13.20 3
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 — — — 0
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 $12.00 $12.60 $25.50 3
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 $12.00 $12.00 $25.50 11
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 $15.00 $15.00 $15.00 1
Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 $72.75 $72.75 $102.00 2
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 $50.25 $54.00 $98.40 7
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 $18.00 $24.00 $89.25 14
Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 — — — 0
Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 $82.20 $109.60 $569.67 14
Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 $73.20 $73.20 $747.00 2
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 $82.20 $86.40 $97.80 3
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 $91.80 $108.80 $545.45 14
Vaccine mmr live subcutaneous CPT 90707 $48.60 $64.80 $311.03 12
Vaccine mmrv live subcutaneous CPT 90710 $112.20 $957.30 $957.30 5
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 $75.00 $75.00 $401.34 11
Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 $144.00 $144.00 $793.01 11
Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 $239.25 $239.25 $239.25 2
Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 $144.00 $192.00 $913.50 12
Vaccine polio (ipv) subcutaneous/im CPT 90713 $38.40 $40.20 $1,529.59 9
Vaccine rabies im CPT 90675 $259.80 $800.00 $1,514.28 13
Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 $177.00 $504.00 $907.50 8
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 $1,184.80 $1,195.80 $1,196.00 9
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 $846.00 $885.00 $1,195.80 3
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 $998.25 $998.25 $998.25 1
Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 $63.00 $372.30 $504.00 5
Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 $60.60 $291.89 $344.25 4
Vaccine tdap >=7 years im CPT 90715 $31.80 $42.40 $140.25 13
Vaccine td preservative free >= 7 years im CPT 90714 $42.60 $74.40 $145.19 13
Vaccine typhoid vicps im CPT 90691 $39.00 $39.00 $333.00 4
Vaccine varicella live subcutaneous CPT 90716 $162.00 $642.96 $748.80 7
Vaccine yellow fever live subcutaneous CPT 90717 $632.19 $632.19 $714.00 3
Vaccinia vrs vac 0.3 ml perq CPT 90622 — — — 0
Valvuloplasty aortic CPT 92986 $0.60 $6,420.60 $12,208.80 6
Valvuloplasty mitral CPT 92987 $0.60 $9,472.50 $23,686.20 4
Valvuloplasty pulmonary CPT 92990 $0.60 $14,701.50 $15,019.80 5
Varicella-zoster immue globin im CPT 90396 $1,309.20 $2,109.00 $8,070.06 6
Veeg cont 2-12 hrs CPT 95713 $1,126.20 $1,502.40 $2,361.75 5
Veeg ea 12-26hr cont mntr CPT 95716 $2,109.60 $2,811.60 $4,640.25 5
Veeg intrmnt 2-12 hrs CPT 95712 $586.80 $783.60 $1,329.00 6
Veeg unmon 12-26 hrs CPT 95714 $390.00 $1,194.00 $1,527.75 5
Veeg unmon 2-12 hrs CPT 95711 $422.25 $623.40 $783.60 5
Vemp test i&r cervical CPT 92517 $336.60 $447.60 $867.00 3
Vemp test i&r ocular CPT 92518 $336.60 $447.60 $632.25 3
Vemp tst i&r cervical&ocular CPT 92519 $636.60 $849.00 $1,181.25 3
Ventilator each subsequent day CPT 94003 $428.40 $1,417.20 $2,226.60 13
Ventilator initial day CPT 94002 $478.20 $1,585.80 $2,397.00 13
Visual audiometry (vra) CPT 92579 $202.50 $202.50 $202.50 1
Vital capacity test CPT 94150 $28.20 $186.75 $350.40 5
Vngrph chd anom/persist svc CPT 93584 — — — 0
Vngrph chd azygs/hemiazygs CPT 93585 — — — 0
Vngrph chd coronary sinus CPT 93586 — — — 0
Vngrph chd vnvn cltrl at/abv CPT 93587 — — — 0
Vngrph chd vnvn cltrl below CPT 93588 — — — 0
Wound therapy negative pressure per session <= 50 sq cm CPT 97607 $123.60 $211.20 $729.00 8
Wound therapy negative pressure per session > 50 sq cm CPT 97608 $136.80 $230.40 $822.75 7
Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 $125.40 $230.40 $361.80 11
Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 $136.80 $336.60 $807.00 10
Zoster vaccine-live inj CPT 90736 $135.00 $262.20 $436.50 3