| Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) |
$1,724.39 |
$2,873.98 |
1.0× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$10,915.75 |
$18,192.92 |
1.0× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$3,604.51 |
$6,007.52 |
0.9× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$2,157.02 |
$3,595.04 |
1.1× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$7,414.38 |
$12,357.30 |
0.8× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$2,157.02 |
$3,595.04 |
1.1× |
| Adm of soc dtr assess 5-15 m (G0136) |
$32.81 |
$54.68 |
0.9× |
| Adm tocilizu covid-19 1st (M0249) |
$540 |
$900 |
1.2× |
| Adm tocilizu covid-19 2nd (M0250) |
$540 |
$900 |
1.2× |
| Admin hepatitis b vaccine (G0010) |
$66.97 |
$111.62 |
1.4× |
| Admin influenza virus vac (G0008) |
$15 |
$25 |
0.3× |
| Admin pneumococcal vaccine (G0009) |
$42.50 |
$70.83 |
0.9× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$45.64 |
$76.06 |
1.2× |
| Blind interatrial shunt ide (C9758) |
$14,874 |
$24,790 |
0.9× |
| Ca screen;pelvic/breast exam (G0101) |
$94.61 |
$157.69 |
0.9× |
| Catheterize for urine spec (P9612) |
$88 |
$146.66 |
9.4× |
| Colonic lavage, 35 or more liters of water, gravity-fed, with induced defecation, including insertion of rectal catheter (0736T) |
$175.14 |
$291.90 |
1.4× |
| Colorectal scrn; hi risk ind (G0105) |
$2,265.62 |
$3,776.04 |
2.4× |
| Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) |
$5,779.28 |
$9,632.14 |
0.9× |
| Complete occlusal adjustment (D9952) |
$510.23 |
$850.38 |
0.8× |
| Covid-19 lab test non-cdc (U0002) |
$54 |
$90 |
1.1× |
| Crown porcelain w/ h noble m (D2750) |
$900 |
$1,500 |
1.4× |
| Cysto impl 4 or more (C9740) |
$6,571.50 |
$10,952.50 |
0.7× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$5,741.40 |
$9,569 |
1.1× |
| Dental prophylaxis adult (D1110) |
$66 |
$110 |
0.5× |
| Diab manage trn per indiv (G0108) |
$100.98 |
$168.30 |
1.8× |
| Diab manage trn ind/group (G0109) |
$59.36 |
$98.94 |
3.7× |
| Direct refer hospital observ (G0379) |
$577.43 |
$962.38 |
1.0× |
| Drug test def 1-7 classes (G0480) |
$141.09 |
$235.15 |
1.2× |
| Drug test def 22+ classes (G0483) |
$458.06 |
$763.43 |
1.9× |
| Ekg tracing for initial prev (G0404) |
$82.25 |
$137.08 |
2.8× |
| Elec stim other than wound (G0283) |
$87.34 |
$145.56 |
6.9× |
| Elec stim unattend for press (G0281) |
$165.31 |
$275.52 |
14.1× |
| Electrophysiologic eval icds w/ss electrode (0577T) |
$1,310.28 |
$2,183.80 |
1.1× |
| End thxpy, molar tooth (D3330) |
$452.09 |
$753.48 |
0.7× |
| End thxpy, premolar tooth (D3320) |
$376.74 |
$627.90 |
0.6× |
| Endo outlet restrict w/tube (C9785) |
$11,332.91 |
$18,888.18 |
1.1× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$31,776.94 |
$52,961.56 |
0.7× |
| Ephys eval ccm-d ld 1st impl (0930T) |
$1,391.76 |
$2,319.60 |
1.1× |
| Ephys eval ccm-d ld separate (0931T) |
$1,391.76 |
$2,319.60 |
1.1× |
| Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) |
$5,749.64 |
$9,582.74 |
0.9× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$18,167.65 |
$30,279.42 |
1.6× |
| Extraction erupted tooth/exr (D7140) |
$454.74 |
$757.90 |
0.7× |
| Eye mvmt alys w/o calbrj i&r (0615T) |
$130.84 |
$218.06 |
1.0× |
| Fecal blood scrn immunoassay (G0328) |
$38.05 |
$63.41 |
2.1× |
| Fecal microbiota prep instil (G0455) |
$897.47 |
$1,495.78 |
1.0× |
| Flt3 gene itd variants quan (0046U) |
$3,382.50 |
$5,637.50 |
8.3× |
| Full mouth debridement (D4355) |
$325.26 |
$542.10 |
0.5× |
| Group mnt 2 or more 30 mins (G0271) |
$66.55 |
$110.92 |
3.9× |
| Hbot, full body chamber, 30m (G0277) |
$746.99 |
$1,244.99 |
5.4× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$15,000.60 |
$25,001 |
0.9× |
| Home sleep test/type 3 porta (G0399) |
$658.80 |
$1,098 |
3.0× |
| Hopd mntl hlt, 15-29 min (C7900) |
$95.47 |
$159.11 |
2.5× |
| Hopd mntl hlt, 30-60 min (C7901) |
$190.92 |
$318.20 |
1.9× |
| Hospital outpt clinic visit (G0463) |
$195 |
$325 |
1.5× |
| Impact tooth remov comp bony (D7240) |
$740.90 |
$1,234.83 |
1.1× |
| Impact tooth remov part bony (D7230) |
$656.56 |
$1,094.27 |
1.0× |
| Impact tooth remov soft tiss (D7220) |
$460.34 |
$767.24 |
0.7× |
| Init/sub psych care m 1st 30 (G2214) |
$89.84 |
$149.74 |
0.9× |
| Initial preventive exam (G0402) |
$178.57 |
$297.62 |
1.3× |
| Inj for sacroiliac jt anesth (G0260) |
$1,464.93 |
$2,441.55 |
2.1× |
| Injection posterior chamber eye medication (0699T) |
$2,545.03 |
$4,241.72 |
1.1× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
$3,470.74 |
$5,784.56 |
1.1× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$9,537.90 |
$15,896.50 |
1.1× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) |
$11,328.74 |
$18,881.24 |
1.1× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$10,298.86 |
$17,164.76 |
1.0× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$33,617.19 |
$56,028.65 |
1.5× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$36,756.42 |
$61,260.70 |
1.2× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$43,820.09 |
$73,033.49 |
1.4× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$11,913.31 |
$19,855.52 |
1.4× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$15,200.18 |
$25,333.64 |
1.8× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$16,497.14 |
$27,495.24 |
0.7× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$39,354.04 |
$65,590.06 |
1.2× |
| Instlj fecal microbiota ssp (0780T) |
$147.78 |
$246.30 |
1.1× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$268.88 |
$448.14 |
7.2× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$42.76 |
$71.26 |
1.1× |
| Interrogation dev eval icds w/ss eltrd in person (0576T) |
$41.52 |
$69.20 |
1.1× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$514.34 |
$857.24 |
4.2× |
| Limit oral eval problm focus (D0140) |
$36 |
$60 |
0.3× |
| Limited occlusal adjustment (D9951) |
$300.73 |
$501.21 |
0.5× |
| Liver dis 10 assays w/nash (0003M) |
$754.50 |
$1,257.50 |
1.5× |
| Localized delivery antimicro (D4381) |
$510.23 |
$850.38 |
0.8× |
| Mnt subs tx for change dx (G0270) |
$57.53 |
$95.88 |
1.8× |
| Mra w/cont, lwr ext (C8912) |
$1,691.95 |
$2,819.92 |
4.8× |
| Mra w/o cont, lwr ext (C8913) |
$1,691.95 |
$2,819.92 |
7.1× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,965.82 |
$3,276.37 |
5.6× |
| Mra, w/dye, spinal canal (C8931) |
$1,033.39 |
$1,722.32 |
2.9× |
| Mra, w/o dye, spinal canal (C8932) |
$1,033.39 |
$1,722.32 |
4.3× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$1,590.76 |
$2,651.26 |
4.5× |
| Mri w/cont, breast, bi (C8906) |
$1,994.42 |
$3,324.03 |
5.7× |
| Mri w/cont, breast, uni (C8903) |
$2,039.11 |
$3,398.51 |
11.6× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,056.69 |
$3,427.81 |
5.9× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,938.60 |
$3,231 |
5.5× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$939.11 |
$1,565.19 |
1.7× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$1,149 |
$1,915 |
2.6× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$504.48 |
$840.79 |
1.6× |
| Oth resp proc, group (G0239) |
$180.44 |
$300.74 |
4.8× |
| Oth resp proc, indiv (G0238) |
$124.57 |
$207.61 |
4.3× |
| Pathogen test for platelets (P9100) |
$29.90 |
$49.84 |
0.5× |
| Pattern erg w/i&r (0509T) |
$585 |
$975 |
2.7× |
Pelvic ring fracture uni/bil (G0413)
unusually low: confirm this is the full procedure |
$3,091.54 |
$5,152.56 |
0.4× |
| Pemivibart infusion (M0224) |
$520.56 |
$867.60 |
1.2× |
| Perc d-e cor revasc chro sin (C9607) |
$23,183.31 |
$38,638.85 |
1.3× |
| Perc d-e cor revasc t cabg s (C9604) |
$21,790.26 |
$36,317.10 |
1.9× |
| Perc d-e cor stent ather s (C9602) |
$25,517.04 |
$42,528.40 |
1.4× |
| Perc drug-el cor stent sing (C9600) |
$22,555.52 |
$37,592.54 |
1.9× |
| Periodic oral evaluation (D0120) |
$36 |
$60 |
0.3× |
| Periodontal scaling & root (D4341) |
$72 |
$120 |
0.1× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$6,588.81 |
$10,981.35 |
0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$5,362.78 |
$8,937.97 |
0.7× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$6,536.40 |
$10,894 |
0.6× |
| Place device/marker, non pro (C9728) |
$1,465.75 |
$2,442.91 |
1.1× |
| Place direct restoration (D2940) |
$63 |
$105 |
0.1× |
| Post 1 srfc resinbased cmpst (D2391) |
$72 |
$120 |
0.1× |
| Post 2 srfc resinbased cmpst (D2392) |
$84 |
$140 |
0.1× |
| Post 3 srfc resinbased cmpst (D2393) |
$96 |
$160 |
0.1× |
| Pre-op service lvrs 1-9 dos (G0304) |
$2,062.26 |
$3,437.10 |
5.5× |
| Pre-op service lvrs 10-15dos (G0303) |
$3,907.86 |
$6,513.10 |
18.0× |
| Prgrmg dev eval icds ss ip (0575T) |
$41.52 |
$69.20 |
1.1× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$41.52 |
$69.20 |
1.1× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$232.04 |
$386.73 |
6.2× |
| Programming device eval impl ccm-d sys in person (0926T) |
$42.76 |
$71.26 |
1.1× |
| Prostate biopsy, any mthd (G0416) |
$568.61 |
$947.69 |
1.6× |
| Provide inr test mater/equip (G0249) |
$151.14 |
$251.90 |
1.1× |
| Psa screening (G0103) |
$136.61 |
$227.69 |
7.1× |
| Pulp cap direct (D3110) |
$347.76 |
$579.60 |
0.5× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$802.18 |
$1,336.96 |
0.9× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$1,140.60 |
$1,901 |
1.2× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$1,089.68 |
$1,816.14 |
1.2× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$109.04 |
$181.74 |
1.2× |
| Rbc DNA gnotyp 10 bld groups (0084U) |
$403.50 |
$672.50 |
0.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$387.31 |
$645.51 |
0.5× |
| Re-cement or re-bond crown (D2920) |
$36 |
$60 |
0.1× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$357 |
$595 |
1.6× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$3,792.46 |
$6,320.77 |
1.8× |
| Rem imp tooth w mucoper flp (D7210) |
$451.10 |
$751.84 |
0.3× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$42.76 |
$71.26 |
1.1× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) |
$26,949.80 |
$44,916.34 |
2.6× |
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T)
unusually low: confirm this is the full procedure |
$4,421.77 |
$7,369.61 |
0.4× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$5,634.53 |
$9,390.88 |
1.5× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$1,108.20 |
$1,847 |
0.3× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$3,517.86 |
$5,863.10 |
0.9× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$5,032.38 |
$8,387.30 |
8.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$3,915.44 |
$6,525.74 |
1.0× |
| Resin 4/> surf or w incis an (D2335) |
$120 |
$200 |
0.2× |
| Resin one surface-anterior (D2330) |
$72 |
$120 |
0.1× |
| Resin three surfaces-anterio (D2332) |
$96 |
$160 |
0.1× |
| Resin two surfaces-anterior (D2331) |
$84 |
$140 |
0.1× |
| Revasc intra lithotrip-ather (C9766) |
$26,669.14 |
$44,448.56 |
1.4× |
| Revasc intra lithotrip-stent (C9765) |
$26,279.32 |
$43,798.86 |
1.4× |
| Revasc intravasc lithotripsy (C9764) |
$17,577.62 |
$29,296.04 |
1.5× |
| Revasc lith-sten-ath tib/per (C9775) |
$18,789.86 |
$31,316.44 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$21,307.71 |
$35,512.85 |
1.2× |
| Revasc lithotr-stent tib/per (C9773) |
$22,322.36 |
$37,203.94 |
1.2× |
| Revasc lithotrip tibi/perone (C9772) |
$14,653.34 |
$24,422.24 |
1.3× |
| Revasc lithotrip-stent-ather (C9767) |
$47,090.87 |
$78,484.79 |
2.6× |
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T)
unusually low: confirm this is the full procedure |
$9,736.30 |
$16,227.17 |
0.4× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$3,915.44 |
$6,525.74 |
1.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$4,323.46 |
$7,205.76 |
1.2× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) |
$26,949.80 |
$44,916.34 |
1.2× |
| Rx Metab Advrs Trgt Seq Alys (0029U) |
$750 |
$1,250 |
1.0× |
| Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) |
$5,779.28 |
$9,632.14 |
0.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$21,452.34 |
$35,753.90 |
1.1× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$21,863.78 |
$36,439.64 |
1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$21,452.34 |
$35,753.90 |
1.1× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$3,608.40 |
$6,014 |
1.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$21,452.34 |
$35,753.90 |
1.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$6,822.19 |
$11,370.31 |
1.2× |
| Therapeutic procd strg endur (G0237) |
$132.74 |
$221.24 |
4.6× |
| Therapeutic ultrafiltration (0692T) |
$3,148.74 |
$5,247.90 |
2.0× |
| Tooth root removal (D7250) |
$452.59 |
$754.32 |
0.7× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$650.76 |
$1,084.60 |
1.4× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$13,714.83 |
$22,858.05 |
2.4× |
| Transcatheter renal sympath denervation unilat (0338T) |
$5,075.50 |
$8,459.16 |
0.9× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$7,099.63 |
$11,832.71 |
0.6× |
| Transperineal focal laser abltj mal prst8 tiss (0655T) |
$3,724.85 |
$6,208.08 |
0.7× |
| Trauma respons w/hosp criti (G0390) |
$4,728.65 |
$7,881.09 |
3.5× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$3,885 |
$6,475 |
1.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$18,649.53 |
$31,082.55 |
1.0× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,198.34 |
$3,663.90 |
2.8× |
| Unsched dialysis esrd pt hos (G0257) |
$1,807.06 |
$3,011.77 |
2.6× |
| Vasc emb/occ w/prs cath (C9797) |
$14,870.87 |
$24,784.78 |
0.8× |
| Visit esketamine 56m or less (G2082) |
$780.60 |
$1,301 |
0.8× |
| Visit esketamine, > 56m (G2083) |
$1,109.94 |
$1,849.90 |
0.7× |
| Visit to determ ldct elig (G0296) |
$98.14 |
$163.56 |
1.0× |