Medical Procedure Costs

96573

Pdt dstr prmlg les phys/qhp

Other

$217

—

96574

Dbrdmt prmlg les w/pdt

Other

$267

—

96900

Actinotherapy uv light

Other

$24

—

96904

Whole body photography

Other

$66

—

96910

Photchmtx tar&uvb/ptrltm&uvb

Other

$115

—

96912

Photochemotherapy puva

Other

$97

—

96913

Photochemotx sev dermatoses

Other

$147

—

96920

Excimer lsr psriasis<250sqcm

Other

$41

—

96921

Excimer lsr psriasis 250-500

Other

$47

—

96922

Excimer lsr psriasis>500sqcm

Other

$75

—

96931

Rcm img acquisj&i&r 1st les

Other

$165

—

96932

Rcm img acquisj only 1st les

Other

$123

—

96933

Rcm i&r only 1st lesion

Other

$42

—

96934

Rcm img acquisj&i&r ea addl

Other

$116

—

96935

Rcm img acquisj only ea addl

Other

$76

—

96936

Rcm i&r only ea addl lesion

Other

$39

—

97007

Mchnl sclp cool meas fitg

Physical Therapy/Rehab

$1,695

—

97008

Mchnl sclp cool prep plmt

Physical Therapy/Rehab

$10

—

97009

Mchnl sclp cool after chemo

Physical Therapy/Rehab

$6

—

97012

Mechanical traction therapy

Physical Therapy/Rehab

$14

—

97016

Vasopneumatic device therapy

Physical Therapy/Rehab

$12

—

97018

Paraffin bath therapy

Physical Therapy/Rehab

$6

—

97022

Whirlpool therapy

Physical Therapy/Rehab

$16

—

97024

Diathermy eg microwave

Physical Therapy/Rehab

$7

—

97026

Infrared therapy

Physical Therapy/Rehab

$7

—

97028

Ultraviolet therapy

Physical Therapy/Rehab

$8

—

97032

Appl modality 1+estim ea 15

Physical Therapy/Rehab

$15

—

97033

App mdlty 1+iontphrsis ea 15

Physical Therapy/Rehab

$19

—

97034

App mdlty 1+cntrst bth ea 15

Physical Therapy/Rehab

$14

—

97035

App mdlty 1+ultrasound ea 15

Physical Therapy/Rehab

$14

—

97036

App mdlty 1+hubbrd tnk ea 15

Physical Therapy/Rehab

$35

—

97110

Therapeutic exercises

Physical Therapy/Rehab

$29

—

97112

Neuromuscular reeducation

Physical Therapy/Rehab

$33

—

97113

Aquatic therapy/exercises

Physical Therapy/Rehab

$37

—

97116

Gait training therapy

Physical Therapy/Rehab

$29

—

97124

Massage therapy

Physical Therapy/Rehab

$30

—

97129

Ther ivntj 1st 15 min

Physical Therapy/Rehab

$20

—

97130

Ther ivntj ea addl 15 min

Physical Therapy/Rehab

$18

—

97140

Manual therapy 1/> regions

Physical Therapy/Rehab

$28

—

97150

Group therapeutic procedures

Physical Therapy/Rehab

$18

—

97161

Pt eval low complex 20 min

Physical Therapy/Rehab

$98

—

97162

Pt eval mod complex 30 min

Physical Therapy/Rehab

$98

—

97163

Pt eval high complex 45 min

Physical Therapy/Rehab

$98

—

97164

Pt re-eval est plan care

Physical Therapy/Rehab

$67

—

97165

Ot eval low complex 30 min

Physical Therapy/Rehab

$101

—

97166

Ot eval mod complex 45 min

Physical Therapy/Rehab

$101

—

97167

Ot eval high complex 60 min

Physical Therapy/Rehab

$101

—

97168

Ot re-eval est plan care

Physical Therapy/Rehab

$68

—

97530

Therapeutic activities

Physical Therapy/Rehab

$35

—

97533

Sensory integration

Physical Therapy/Rehab

$61

—

My Cost List