| 2d tee w or w/o fol w/con,in (C8925) |
$1,436.67 |
$3,990.75 |
1.8× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,357.02 |
$3,769.50 |
3.9× |
| Admin influenza virus vac (G0008) |
$62.19 |
$172.75 |
1.3× |
| Admin pneumococcal vaccine (G0009) |
$64.44 |
$179 |
1.4× |
| Alcohol/subs interv 15-30mn (G0396) |
$103.50 |
$287.50 |
2.7× |
| Alcohol/subs interv >30 min (G0397) |
$109.62 |
$304.50 |
0.6× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$80.19 |
$222.75 |
2.1× |
| Chemo extend iv infus w/pump (G0498) |
$241.47 |
$670.75 |
0.7× |
| Covid-19 lab test non-cdc (U0002) |
$91.44 |
$254 |
1.8× |
| Diab manage trn per indiv (G0108) |
$127.44 |
$354 |
2.3× |
| Diab manage trn ind/group (G0109) |
$84.24 |
$234 |
5.3× |
| Drug test def 1-7 classes (G0480) |
$103.50 |
$287.50 |
0.9× |
| Elec stim other than wound (G0283) |
$37.89 |
$105.25 |
3.0× |
| Elec stim unattend for press (G0281) |
$37.17 |
$103.25 |
3.2× |
| Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) |
$5,568.48 |
$15,468 |
1.8× |
| Followup eval of foot pt lop (G0246) |
$235.94 |
$655.38 |
1.8× |
| Hospital outpt clinic visit (G0463) |
$115.74 |
$321.50 |
0.9× |
| Initial foot exam pt lops (G0245) |
$215.55 |
$598.75 |
1.6× |
| Inj for sacroiliac jt anesth (G0260) |
$1,170.81 |
$3,252.25 |
1.7× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) |
$15,607.44 |
$43,354 |
1.5× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$15,607.44 |
$43,354 |
1.5× |
| Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) |
$15,607.44 |
$43,354 |
1.9× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$13,247.82 |
$36,799.50 |
0.6× |
| Insertion/replacement complete iims (0525T) |
$20,825.19 |
$57,847.75 |
1.1× |
| Insertion/replacement iims implantable mntr only (0527T) |
$15,607.44 |
$43,354 |
1.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$51,126.48 |
$142,018 |
1.6× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$40,397.67 |
$112,215.75 |
1.3× |
| Intens cardiac rehab no exer (G0423) |
$265.95 |
$738.75 |
2.1× |
| Intens cardiac rehab w/exerc (G0422) |
$265.95 |
$738.75 |
2.1× |
| Interrog dev eval iims ip (0529T) |
$78.57 |
$218.25 |
2.1× |
| Interrog dev eval wcs ip (0521T) |
$36.45 |
$101.25 |
1.3× |
| Mra w/cont, abd (C8900) |
$1,316.88 |
$3,658 |
3.8× |
| Mra w/cont, chest (C8909) |
$1,652.94 |
$4,591.50 |
4.7× |
| Mra w/cont, lwr ext (C8912) |
$1,652.94 |
$4,591.50 |
4.7× |
| Mra w/o cont, abd (C8901) |
$1,028.25 |
$2,856.25 |
4.3× |
| Mra w/o cont, chest (C8910) |
$1,337.22 |
$3,714.50 |
5.6× |
| Mra w/o cont, lwr ext (C8913) |
$1,108.80 |
$3,080 |
4.6× |
| Mra w/o fol w/cont, abd (C8902) |
$2,009.43 |
$5,581.75 |
5.7× |
| Mra w/o fol w/cont, chest (C8911) |
$2,143.62 |
$5,954.50 |
6.1× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,264.77 |
$3,513.25 |
3.6× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,389.42 |
$3,859.50 |
4.0× |
| Mra, w/dye, spinal canal (C8931) |
$943.83 |
$2,621.75 |
2.7× |
| Mra, w/dye, upper extremity (C8934) |
$943.83 |
$2,621.75 |
2.7× |
| Mra, w/o dye, spinal canal (C8932) |
$632.97 |
$1,758.25 |
2.6× |
| Mra, w/o dye, upper extr (C8935) |
$632.97 |
$1,758.25 |
2.6× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$1,067.94 |
$2,966.50 |
3.0× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,067.94 |
$2,966.50 |
3.0× |
| Mri w/cont, breast, bi (C8906) |
$1,544.40 |
$4,290 |
4.4× |
| Mri w/cont, breast, uni (C8903) |
$1,652.94 |
$4,591.50 |
9.4× |
| Mri w/o fol w/cont, breast, (C8908) |
$756 |
$2,100 |
2.2× |
| Mri w/o fol w/cont, brst, un (C8905) |
$835.20 |
$2,320 |
2.4× |
| Obtaining screen pap smear (Q0091) |
$31.68 |
$88 |
1.1× |
| Pathogen test for platelets (P9100) |
$45.72 |
$127 |
0.8× |
| Perc d-e cor revasc chro sin (C9607) |
$34,843.41 |
$96,787.25 |
1.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$34,843.41 |
$96,787.25 |
3.0× |
| Perc d-e cor stent ather s (C9602) |
$34,843.41 |
$96,787.25 |
1.9× |
| Perc drug-el cor stent sing (C9600) |
$34,843.41 |
$96,787.25 |
3.0× |
| Pne flu hepb cov home admin (M0201) |
$48.51 |
$134.75 |
1.3× |
| Potassium hydroxide preps (Q0112) |
$70.02 |
$194.50 |
12.0× |
| Prgrmg dev eval iims ip (0528T) |
$78.57 |
$218.25 |
2.1× |
| Prgrmg dev eval wcs ip (0522T) |
$78.57 |
$218.25 |
2.1× |
| Prostate biopsy, any mthd (G0416) |
$2,546.55 |
$7,073.75 |
7.1× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$313.20 |
$870 |
1.3× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$313.20 |
$870 |
1.3× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) |
$46,367.28 |
$128,798 |
4.4× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) |
$6,599.07 |
$18,330.75 |
0.6× |
| Removal complete iims (0530T) |
$6,599.07 |
$18,330.75 |
1.8× |
| Removal iims electrode only (0531T) |
$6,599.07 |
$18,330.75 |
1.8× |
| Removal iims implt mntr only (0532T) |
$6,599.07 |
$18,330.75 |
1.8× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$6,599.07 |
$18,330.75 |
1.8× |
| Routine footcare pt w lops (G0247) |
$225.58 |
$626.62 |
1.1× |
| Tee w or w/o fol w/cont, mon (C8927) |
$3,543.84 |
$9,844 |
4.5× |
| Tee w or w/o fol w/cont,cong (C8926) |
$2,995.29 |
$8,320.25 |
3.8× |
| Therapeutic procd strg endur (G0237) |
$50.22 |
$139.50 |
1.7× |
| Tomosynthesis, mammo (G0279) |
$48.51 |
$134.75 |
3.8× |
| Transcatheter renal sympath denervation unilat (0338T) |
$7,183.98 |
$19,955.50 |
1.3× |
| Trauma respons w/hosp criti (G0390) |
$4,523.13 |
$12,564.25 |
3.4× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,734.56 |
$7,596 |
3.5× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,875.24 |
$5,209 |
2.4× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,498.21 |
$9,717.25 |
4.4× |
| Unsched dialysis esrd pt hos (G0257) |
$351.72 |
$977 |
0.5× |