| 2019-ncov diagnostic p (U0001) |
$26.20 |
$131 |
0.7× |
| 2d tee w or w/o fol w/con,in (C8925) |
$567.80 |
$2,839 |
0.8× |
| 2d tte w or w/o fol w/con,co (C8923) |
$481.60 |
$2,408 |
0.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$481.60 |
$2,408 |
1.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$1,851 |
$9,255 |
1.0× |
| Adm tocilizu covid-19 1st (M0249) |
$315.80 |
$1,579 |
0.8× |
| Adm tocilizu covid-19 2nd (M0250) |
$315.80 |
$1,579 |
0.8× |
| Admin hepatitis b vaccine (G0010) |
$23.70 |
$118.50 |
0.5× |
| Admin influenza virus vac (G0008) |
$17.20 |
$86 |
0.4× |
| Admin pneumococcal vaccine (G0009) |
$19.20 |
$96 |
0.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$731.80 |
$3,659 |
2.3× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$613.20 |
$3,066 |
2.8× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$875.80 |
$4,379 |
2.7× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$678.40 |
$3,392 |
4.2× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$584.80 |
$2,924 |
6.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$818.80 |
$4,094 |
5.0× |
| Covid-19 lab test non-cdc (U0002) |
$37.20 |
$186 |
0.7× |
| Diab manage trn per indiv (G0108) |
$50.40 |
$252 |
0.9× |
| Diab manage trn ind/group (G0109) |
$30.80 |
$154 |
1.9× |
| Direct refer hospital observ (G0379) |
$220.60 |
$1,103 |
0.4× |
| Drug test def 1-7 classes (G0480) |
$64.20 |
$321 |
0.6× |
| Elec stim other than wound (G0283) |
$40.60 |
$203 |
3.2× |
| Group mnt 2 or more 30 mins (G0271) |
$15.20 |
$76 |
0.9× |
| Home sleep test/type 4 porta (G0400) |
$102.20 |
$511 |
0.5× |
| Hospital outpt clinic visit (G0463) |
$42 |
$210 |
0.3× |
| Hpv combo assay ca screen (G0476) |
$23.60 |
$118 |
0.7× |
| Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) |
$4,376.60 |
$21,883 |
0.6× |
Insertion/replacement complete iims (0525T)
unusually low: confirm this is the full procedure |
$5,500.80 |
$27,504 |
0.3× |
| Insertion/replacement iims implantable mntr only (0527T) |
$4,376.60 |
$21,883 |
0.6× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$15,895 |
$79,475 |
0.5× |
| Intens cardiac rehab no exer (G0423) |
$111.40 |
$557 |
0.9× |
| Intens cardiac rehab w/exerc (G0422) |
$111.40 |
$557 |
0.9× |
| Interrog dev eval iims ip (0529T) |
$20 |
$100 |
0.6× |
| Mnt subs tx for change dx (G0270) |
$15.20 |
$76 |
0.5× |
| Mra w/cont, abd (C8900) |
$880.80 |
$4,404 |
2.7× |
| Mra w/o cont, abd (C8901) |
$748.80 |
$3,744 |
3.4× |
| Mra w/o cont, chest (C8910) |
$748.80 |
$3,744 |
3.4× |
| Mra w/o cont, lwr ext (C8913) |
$656.60 |
$3,283 |
3.0× |
| Mra w/o fol w/cont, abd (C8902) |
$1,207.60 |
$6,038 |
3.7× |
| Mra w/o fol w/cont, chest (C8911) |
$1,207.60 |
$6,038 |
3.7× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,069 |
$5,345 |
3.3× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,267.40 |
$6,337 |
3.9× |
| Oth resp proc, group (G0239) |
$21.60 |
$108 |
0.6× |
| Oth resp proc, indiv (G0238) |
$16.20 |
$81 |
0.6× |
| Pemivibart infusion (M0224) |
$280.80 |
$1,404 |
0.7× |
| Perc d-e cor revasc chro sin (C9607) |
$10,819.60 |
$54,098 |
0.6× |
| Perc d-e cor revasc t cabg s (C9604) |
$10,304.60 |
$51,523 |
1.0× |
| Perc d-e cor stent ather s (C9602) |
$12,817.80 |
$64,089 |
0.8× |
| Perc drug-el cor stent sing (C9600) |
$10,304.60 |
$51,523 |
1.0× |
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
likely a partial charge, not the full procedure |
$1,154.80 |
$5,774 |
0.1× |
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure |
$1,643.80 |
$8,219 |
0.2× |
| Pet not otherwise specified (G0235) |
$2,300 |
$11,500 |
6.2× |
| Pin service 60m per month (G0023) |
$47.80 |
$239 |
0.5× |
| Prgrmg dev eval iims ip (0528T) |
$20 |
$100 |
0.6× |
| Prolonged iv inf, req pump (C8957) |
$158.40 |
$792 |
0.8× |
| Prostate biopsy, any mthd (G0416) |
$169.20 |
$846 |
0.5× |
| Psa screening (G0103) |
$109.40 |
$547 |
5.7× |
| Removal complete iims (0530T) |
$2,023 |
$10,115 |
0.6× |
| Removal iims electrode only (0531T) |
$2,023 |
$10,115 |
0.6× |
| Removal iims implt mntr only (0532T) |
$2,023 |
$10,115 |
0.6× |
| Revasc intra lithotrip-ather (C9766) |
$10,789.40 |
$53,947 |
0.6× |
| Revasc intra lithotrip-stent (C9765) |
$12,015.80 |
$60,079 |
0.7× |
| Revasc intravasc lithotripsy (C9764) |
$6,023 |
$30,115 |
0.6× |
| Revasc lith-sten-ath tib/per (C9775) |
$19,029 |
$95,145 |
1.1× |
| Revasc lithotr-ather tib/per (C9774) |
$12,590.80 |
$62,954 |
0.7× |
| Revasc lithotr-stent tib/per (C9773) |
$12,500.40 |
$62,502 |
0.7× |
| Revasc lithotrip tibi/perone (C9772) |
$6,069.20 |
$30,346 |
0.6× |
| Revasc lithotrip-stent-ather (C9767) |
$14,502.70 |
$72,513.50 |
0.9× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$30 |
$150 |
1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$10,037.80 |
$50,189 |
0.6× |
| Therapeutic procd strg endur (G0237) |
$16.20 |
$81 |
0.6× |
| Tomosynthesis, mammo (G0279) |
$21 |
$105 |
1.7× |
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
unusually low: confirm this is the full procedure |
$5,324.80 |
$26,624 |
0.5× |
| Trauma respons w/hosp criti (G0390) |
$904.80 |
$4,524 |
0.7× |
| Trim nail(s) (G0127) |
$19.20 |
$96 |
0.4× |
Trluml Perip Athrc Renal Art (0234T)
unusually low: confirm this is the full procedure |
$5,324.80 |
$26,624 |
0.5× |
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure |
$5,324.80 |
$26,624 |
0.5× |
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure |
$5,324.80 |
$26,624 |
0.3× |
| Tte w or w/o contr, cont ecg (C8930) |
$753.80 |
$3,769 |
1.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$753.80 |
$3,769 |
1.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$753.80 |
$3,769 |
1.0× |
| Unsched dialysis esrd pt hos (G0257) |
$242.60 |
$1,213 |
0.4× |