| 2d tee w or w/o fol w/con,in (C8925) |
$1,122.26 |
$3,117.38 |
1.4× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,295.32 |
$3,598.12 |
1.6× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$553.54 |
$1,537.62 |
1.6× |
| Adm tocilizu covid-19 1st (M0249) |
$764.28 |
$2,123 |
1.7× |
| Adm tocilizu covid-19 2nd (M0250) |
$764.28 |
$2,123 |
1.7× |
| Admin influenza virus vac (G0008) |
$41.94 |
$116.50 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$62.91 |
$174.75 |
1.3× |
| Alcohol/subs interv 15-30mn (G0396) |
$96.80 |
$268.88 |
2.6× |
| Alcohol/subs interv >30 min (G0397) |
$102.46 |
$284.62 |
0.6× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$71.68 |
$199.12 |
1.9× |
| Chemo extend iv infus w/pump (G0498) |
$332.01 |
$922.25 |
1.0× |
| Covid-19 lab test non-cdc (U0002) |
$87.93 |
$244.25 |
1.7× |
| Diab manage trn per indiv (G0108) |
$69.48 |
$193 |
1.2× |
| Diab manage trn ind/group (G0109) |
$84.24 |
$234 |
5.3× |
| Direct refer hospital observ (G0379) |
$156.33 |
$434.25 |
0.3× |
| Drug test def 1-7 classes (G0480) |
$98.55 |
$273.75 |
0.9× |
| Elec stim other than wound (G0283) |
$38.61 |
$107.25 |
3.0× |
| Elec stim unattend for press (G0281) |
$39.78 |
$110.50 |
3.4× |
| Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) |
$5,416.20 |
$15,045 |
1.7× |
| Fern test (Q0114) |
$70.02 |
$194.50 |
7.2× |
| Followup eval of foot pt lop (G0246) |
$169.70 |
$471.38 |
1.3× |
| Hbot, full body chamber, 30m (G0277) |
$78.62 |
$218.38 |
0.6× |
| Home sleep test/type 2 porta (G0398) |
$343.66 |
$954.62 |
1.6× |
| Home sleep test/type 3 porta (G0399) |
$343.66 |
$954.62 |
1.6× |
| Home sleep test/type 4 porta (G0400) |
$343.66 |
$954.62 |
1.6× |
| Hospital outpt clinic visit (G0463) |
$64.58 |
$179.38 |
0.5× |
| Initial foot exam pt lops (G0245) |
$149.31 |
$414.75 |
1.1× |
| Inj for sacroiliac jt anesth (G0260) |
$1,112.85 |
$3,091.25 |
1.6× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) |
$15,181.47 |
$42,170.75 |
1.4× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$15,181.47 |
$42,170.75 |
1.4× |
| Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) |
$15,181.47 |
$42,170.75 |
1.8× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$12,886.11 |
$35,794.75 |
0.6× |
| Insertion/replacement complete iims (0525T) |
$20,256.57 |
$56,268.25 |
1.0× |
| Insertion/replacement iims implantable mntr only (0527T) |
$15,181.47 |
$42,170.75 |
1.8× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$51,126.48 |
$142,018 |
1.6× |
| Intens cardiac rehab no exer (G0423) |
$147.51 |
$409.75 |
1.1× |
| Intens cardiac rehab w/exerc (G0422) |
$370.80 |
$1,030 |
2.9× |
| Interrog dev eval iims ip (0529T) |
$76.23 |
$211.75 |
2.0× |
| Interrog dev eval wcs ip (0521T) |
$35.28 |
$98 |
1.2× |
| Mra w/cont, abd (C8900) |
$1,285.52 |
$3,570.88 |
3.7× |
| Mra w/cont, chest (C8909) |
$1,613.61 |
$4,482.25 |
4.6× |
| Mra w/cont, lwr ext (C8912) |
$1,613.61 |
$4,482.25 |
4.6× |
| Mra w/o cont, abd (C8901) |
$1,238.18 |
$3,439.38 |
5.2× |
| Mra w/o cont, chest (C8910) |
$1,273.50 |
$3,537.50 |
5.3× |
| Mra w/o cont, lwr ext (C8913) |
$1,055.97 |
$2,933.25 |
4.4× |
| Mra w/o fol w/cont, abd (C8902) |
$1,913.76 |
$5,316 |
5.5× |
| Mra w/o fol w/cont, chest (C8911) |
$2,059.34 |
$5,720.38 |
5.9× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,234.62 |
$3,429.50 |
3.5× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,356.30 |
$3,767.50 |
3.9× |
| Mra, w/dye, spinal canal (C8931) |
$992.16 |
$2,756 |
2.8× |
| Mra, w/dye, upper extremity (C8934) |
$898.92 |
$2,497 |
2.6× |
| Mra, w/o dye, spinal canal (C8932) |
$665.42 |
$1,848.38 |
2.8× |
| Mra, w/o dye, upper extr (C8935) |
$632.97 |
$1,758.25 |
2.6× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$1,122.34 |
$3,117.62 |
3.2× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,017.09 |
$2,825.25 |
2.9× |
| Mri w/cont, breast, bi (C8906) |
$1,574.28 |
$4,373 |
4.5× |
| Mri w/cont, breast, uni (C8903) |
$1,574.28 |
$4,373 |
8.9× |
| Mri w/o fol w/cont, breast, (C8908) |
$837.36 |
$2,326 |
2.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$835.20 |
$2,320 |
2.4× |
| Non-ophthalmic fva (C9733) |
$406.53 |
$1,129.25 |
1.2× |
| Oth resp proc, group (G0239) |
$51.21 |
$142.25 |
1.4× |
| Oth resp proc, indiv (G0238) |
$50.85 |
$141.25 |
1.7× |
| Pathogen test for platelets (P9100) |
$43.92 |
$122 |
0.7× |
| Perc d-e cor revasc chro sin (C9607) |
$30,877.60 |
$85,771.12 |
1.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$30,877.60 |
$85,771.12 |
2.7× |
| Perc d-e cor stent ather s (C9602) |
$30,877.60 |
$85,771.12 |
1.7× |
| Perc drug-el cor stent sing (C9600) |
$30,877.60 |
$85,771.12 |
2.7× |
| Pne flu hepb cov home admin (M0201) |
$42.21 |
$117.25 |
1.2× |
| Potassium hydroxide preps (Q0112) |
$45.90 |
$127.50 |
7.9× |
| Prgrmg dev eval iims ip (0528T) |
$76.23 |
$211.75 |
2.0× |
| Prgrmg dev eval wcs ip (0522T) |
$76.23 |
$211.75 |
2.0× |
| Prolonged iv inf, req pump (C8957) |
$102.60 |
$285 |
0.5× |
| Prostate biopsy, any mthd (G0416) |
$2,448.63 |
$6,801.75 |
6.8× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$303.84 |
$844 |
1.3× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$303.84 |
$844 |
1.3× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$495.63 |
$1,376.75 |
2.3× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) |
$45,101.43 |
$125,281.75 |
4.3× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) |
$6,418.89 |
$17,830.25 |
0.6× |
| Removal complete iims (0530T) |
$6,418.89 |
$17,830.25 |
1.7× |
| Removal iims electrode only (0531T) |
$6,418.89 |
$17,830.25 |
1.7× |
| Removal iims implt mntr only (0532T) |
$6,418.89 |
$17,830.25 |
1.7× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$6,418.89 |
$17,830.25 |
1.7× |
| Revasc intra lithotrip-ather (C9766) |
$34,016.04 |
$94,489 |
1.8× |
| Revasc intra lithotrip-stent (C9765) |
$28,235.07 |
$78,430.75 |
1.5× |
| Revasc intravasc lithotripsy (C9764) |
$14,289.12 |
$39,692 |
1.2× |
| Revasc lith-sten-ath tib/per (C9775) |
$24,888.15 |
$69,133.75 |
1.4× |
| Revasc lithotr-ather tib/per (C9774) |
$24,888.15 |
$69,133.75 |
1.4× |
| Revasc lithotr-stent tib/per (C9773) |
$24,888.15 |
$69,133.75 |
1.4× |
| Revasc lithotrip-stent-ather (C9767) |
$27,379.44 |
$76,054 |
1.5× |
| Routine footcare pt w lops (G0247) |
$159.34 |
$442.62 |
0.8× |
| Tee w or w/o fol w/cont, mon (C8927) |
$1,875.24 |
$5,209 |
2.4× |
| Tee w or w/o fol w/cont,cong (C8926) |
$2,037.51 |
$5,659.75 |
2.6× |
| Therapeutic procd strg endur (G0237) |
$50.22 |
$139.50 |
1.7× |
| Tomosynthesis, mammo (G0279) |
$53.82 |
$149.50 |
4.2× |
| Trauma respons w/hosp criti (G0390) |
$6,643.04 |
$18,452.88 |
5.0× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,354.40 |
$6,540 |
3.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,790.01 |
$4,972.25 |
2.3× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,522.44 |
$4,229 |
1.9× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,848.96 |
$5,136 |
2.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,280.87 |
$6,335.75 |
2.9× |
| Unsched dialysis esrd pt hos (G0257) |
$488.84 |
$1,357.88 |
0.7× |