Fee Navigator

    Health Service Code 01.12A

    Functional endoscopic esophageal study

    Category:M+ Designated Minor Procedure
    Base rate:$149.76

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIPROYesIncrease By25%
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP75YesReduce Base To75%

    Governing Rules: