|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
CPT 90743 |
$13.16 |
$90.35
|
$707.69 |
149 |
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
CPT 90746 |
$9.63 |
$155.16
|
$1,376.19 |
580 |
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
CPT 90739 |
$29.47 |
$274.93
|
$1,585.45 |
319 |
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
CPT 90744 |
$5.78 |
$75.39
|
$705.05 |
603 |
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
CPT 90651 |
$35.70 |
$576.48
|
$5,528.96 |
357 |
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
CPT 90649 |
$28.49 |
$282.50
|
$2,704.61 |
163 |
|
Vaccine influenza (iiv) preservative free antigen content im
|
CPT 90662 |
$10.61 |
$149.21
|
$1,414.90 |
453 |
|
Vaccine influenza inactivated adjuvant im
|
CPT 90653 |
$8.65 |
$110.25
|
$1,064.73 |
345 |
|
Vaccine influenza nos 0.5ml dose im
|
CPT 90658 |
$2.80 |
$24.20
|
$223.95 |
165 |
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
CPT 90656 |
$2.98 |
$48.59
|
$446.60 |
581 |
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
CPT 90688 |
$4.90 |
$35.88
|
$335.57 |
180 |
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
CPT 90694 |
$5.85 |
$72.80
|
$634.66 |
153 |
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
CPT 90685 |
$4.06 |
$28.77
|
$267.50 |
153 |
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
CPT 90686 |
$2.75 |
$33.60
|
$294.68 |
427 |
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
CPT 90687 |
$3.64 |
$20.80
|
$125.28 |
90 |
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
CPT 90672 |
$4.13 |
$37.05
|
$174.72 |
146 |
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
CPT 90682 |
$12.88 |
$72.00
|
$441.57 |
197 |
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
CPT 90661 |
$6.44 |
$82.71
|
$807.00 |
338 |
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
CPT 90657 |
$2.80 |
$27.45
|
$50.00 |
93 |
|
Vaccine mengingoccocal serogroup b 2 dose im
|
CPT 90620 |
$32.62 |
$394.26
|
$3,838.47 |
464 |
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
CPT 90621 |
$23.94 |
$409.35
|
$2,787.72 |
249 |
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
CPT 90619 |
$27.32 |
$310.93
|
$2,412.64 |
278 |
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
CPT 90734 |
$16.95 |
$329.24
|
$3,025.99 |
533 |
|
Vaccine mmr live subcutaneous
|
CPT 90707 |
$13.59 |
$213.00
|
$2,075.00 |
652 |
|
Vaccine mmrv live subcutaneous
|
CPT 90710 |
$35.64 |
$424.32
|
$1,539.67 |
215 |
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
CPT 90732 |
$23.38 |
$252.87
|
$2,515.85 |
606 |
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
CPT 90670 |
$20.30 |
$397.11
|
$2,246.00 |
445 |
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
CPT 90671 |
$44.38 |
$414.46
|
$3,356.03 |
264 |
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
CPT 90677 |
$56.62 |
$563.36
|
$5,427.57 |
636 |
|
Vaccine polio (ipv) subcutaneous/im
|
CPT 90713 |
$5.25 |
$90.70
|
$907.72 |
345 |
|
Vaccine rabies im
|
CPT 90675 |
$54.87 |
$858.95
|
$6,867.42 |
734 |
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
CPT 90678 |
$69.60 |
$538.84
|
$2,043.51 |
271 |
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
CPT 90380 |
$163.80 |
$1,105.21
|
$7,873.00 |
409 |
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
CPT 90381 |
$160.09 |
$1,031.86
|
$4,223.34 |
301 |
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
CPT 90679 |
$43.75 |
$499.62
|
$1,267.73 |
143 |
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
CPT 90681 |
$10.50 |
$200.70
|
$716.85 |
183 |
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
CPT 90680 |
$10.50 |
$126.14
|
$670.80 |
270 |
|
Vaccine tdap >=7 years im
|
CPT 90715 |
$7.02 |
$131.34
|
$1,293.75 |
797 |
|
Vaccine td preservative free >= 7 years im
|
CPT 90714 |
$6.13 |
$112.10
|
$1,120.76 |
704 |
|
Vaccine typhoid vicps im
|
CPT 90691 |
$15.82 |
$264.78
|
$1,492.00 |
198 |
|
Vaccine varicella live subcutaneous
|
CPT 90716 |
$26.78 |
$365.17
|
$2,895.59 |
461 |
|
Vaccine yellow fever live subcutaneous
|
CPT 90717 |
$35.87 |
$418.46
|
$1,635.54 |
148 |
|
Vaccinia vrs vac 0.3 ml perq
|
CPT 90622 |
$0.01 |
$0.01
|
$0.02 |
29 |
|
Valvuloplasty aortic
|
CPT 92986 |
$1,324.05 |
$7,944.16
|
$58,168.10 |
506 |
|
Valvuloplasty mitral
|
CPT 92987 |
$1,944.75 |
$10,877.90
|
$83,190.14 |
405 |
|
Valvuloplasty pulmonary
|
CPT 92990 |
$2,322.41 |
$11,945.20
|
$70,590.18 |
332 |
|
Varicella-zoster immue globin im
|
CPT 90396 |
$588.84 |
$3,816.19
|
$22,807.60 |
228 |
|
Veeg cont 2-12 hrs
|
CPT 95713 |
$244.65 |
$1,540.00
|
$14,512.97 |
512 |
|
Veeg ea 12-26hr cont mntr
|
CPT 95716 |
$346.12 |
$3,225.60
|
$18,913.66 |
504 |
|
Veeg intrmnt 2-12 hrs
|
CPT 95712 |
$68.93 |
$994.91
|
$9,738.36 |
504 |
|
Veeg unmon 12-26 hrs
|
CPT 95714 |
$217.35 |
$1,794.68
|
$13,759.35 |
535 |
|
Veeg unmon 2-12 hrs
|
CPT 95711 |
$59.84 |
$826.15
|
$6,176.21 |
514 |
|
Vemp test i&r cervical
|
CPT 92517 |
$40.22 |
$343.72
|
$1,707.79 |
153 |
|
Vemp test i&r ocular
|
CPT 92518 |
$40.22 |
$266.00
|
$632.25 |
133 |
|
Vemp tst i&r cervical&ocular
|
CPT 92519 |
$76.21 |
$591.50
|
$3,212.94 |
138 |
|
Ven-artl shunt det mbubb njx
|
CPT 93898 |
$47.60 |
$484.25
|
$894.75 |
100 |
|
Ventilator each subsequent day
|
CPT 94003 |
$160.60 |
$1,184.00
|
$11,708.09 |
891 |
|
Ventilator Management (first day)
|
CPT 94002 |
$168.30 |
$1,434.60
|
$13,729.08 |
895 |
|
Vent mgmt nf per day
|
CPT 94004 |
$43.95 |
$110.40
|
$385.27 |
25 |
|
Visual audiometry (vra)
|
CPT 92579 |
$30.00 |
$223.00
|
$1,707.79 |
241 |
|
Vital capacity test
|
CPT 94150 |
$12.06 |
$173.18
|
$1,375.83 |
779 |
|
Vngrph chd anom/persist svc
|
CPT 93584 |
$76.05 |
$1,492.75
|
$11,257.60 |
73 |
|
Vngrph chd azygs/hemiazygs
|
CPT 93585 |
$49.84 |
$201.50
|
$5,955.00 |
96 |
|
Vngrph chd coronary sinus
|
CPT 93586 |
$49.84 |
$161.60
|
$5,955.00 |
88 |
|
Vngrph chd vnvn cltrl at/abv
|
CPT 93587 |
$123.51 |
$1,118.00
|
$10,991.40 |
91 |
|
Vngrph chd vnvn cltrl below
|
CPT 93588 |
$124.43 |
$1,118.00
|
$10,991.40 |
91 |
|
Vsrctv std tcd icr art compl
|
CPT 93896 |
$47.60 |
$434.85
|
$2,106.00 |
172 |
|
Walking (Gait) Training (each 15 minutes)
|
CPT 97116 |
$11.93 |
$87.50
|
$835.18 |
844 |
|
Wcd device interrogate
|
CPT 93292 |
$7.50 |
$109.20
|
$626.40 |
164 |
|
Whole body photography
|
CPT 96904 |
$88.40 |
$178.08
|
$473.20 |
52 |
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
CPT 97597 |
$38.78 |
$351.60
|
$3,049.88 |
873 |
|
Wound therapy negative pressure per session <= 50 sq cm
|
CPT 97607 |
$33.66 |
$569.60
|
$5,322.06 |
744 |
|
Wound therapy negative pressure per session > 50 sq cm
|
CPT 97608 |
$37.50 |
$594.00
|
$5,322.06 |
694 |
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
CPT 97605 |
$20.91 |
$284.70
|
$2,822.30 |
845 |
|
Wound therapy negative pressure per session > 50 sq cm dme
|
CPT 97606 |
$26.00 |
$442.22
|
$3,525.50 |
838 |
|
Xtrnl ecg rec>48hr<7d
|
CPT 93241 |
$49.35 |
$789.60
|
$1,753.20 |
67 |
|
Xtrnl ecg rec up to 48 hrs
|
CPT 93224 |
$24.71 |
$253.60
|
$1,405.60 |
67 |
|
Zoster vaccine-live inj
|
CPT 90736 |
$24.15 |
$333.34
|
$1,390.29 |
155 |