| 2d tte w or w/o fol w/con,co (C8923) |
$1,284.36 |
$3,892 |
1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,119.69 |
$3,393 |
3.3× |
| Admin hepatitis b vaccine (G0010) |
$72.27 |
$219 |
1.6× |
| Admin influenza virus vac (G0008) |
$24.42 |
$74 |
0.5× |
| Admin pneumococcal vaccine (G0009) |
$62.70 |
$190 |
1.4× |
| Catheterize for urine spec (P9612) |
$28.05 |
$85 |
3.0× |
Cystoscopy prostatic imp 1-3 (C9739)
unusually low: confirm this is the full procedure |
$1,754.61 |
$5,317 |
0.3× |
| Diab manage trn per indiv (G0108) |
$95.04 |
$288 |
1.7× |
| Diab manage trn ind/group (G0109) |
$57.75 |
$175 |
3.6× |
| Direct refer hospital observ (G0379) |
$148.50 |
$450 |
0.3× |
| Drug test def 1-7 classes (G0480) |
$38.61 |
$117 |
0.3× |
| Elec stim other than wound (G0283) |
$64.68 |
$196 |
5.1× |
| Electrophysiological eval icds w/ss electrode (0577T) |
$472.89 |
$1,433 |
0.4× |
| Extrnl counterpulse, per tx (G0166) |
$155.76 |
$472 |
1.2× |
| Group mnt 2 or more 30 mins (G0271) |
$17.16 |
$52 |
1.0× |
| Hbot, full body chamber, 30m (G0277) |
$195.69 |
$593 |
1.5× |
| Home sleep test/type 2 porta (G0398) |
$214.50 |
$650 |
1.0× |
| Home sleep test/type 3 porta (G0399) |
$214.50 |
$650 |
1.0× |
| Home sleep test/type 4 porta (G0400) |
$429 |
$1,300 |
2.0× |
| Hospital outpt clinic visit (G0463) |
$191.40 |
$580 |
1.5× |
| Iliac Atherectomy (0238T) |
$11,220 |
$34,000 |
0.6× |
| Inj for sacroiliac jt anesth (G0260) |
$990 |
$3,000 |
1.4× |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) |
$2,174.04 |
$6,588 |
1.2× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$5,847.60 |
$17,720 |
0.7× |
| Insj perm ccm-d sys pg&eltrd (0915T) |
$85,634.34 |
$259,498 |
2.8× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$39,600 |
$120,000 |
1.3× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$14,899.17 |
$45,149 |
1.8× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$14,899.17 |
$45,149 |
1.8× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$48,788.52 |
$147,844 |
2.2× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$38,310.36 |
$116,092 |
1.3× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$93.39 |
$283 |
2.6× |
| Mnt subs tx for change dx (G0270) |
$37.62 |
$114 |
1.2× |
| Mra w/cont, abd (C8900) |
$1,477.41 |
$4,477 |
4.3× |
| Mra w/cont, chest (C8909) |
$1,462.23 |
$4,431 |
4.3× |
| Mra w/cont, lwr ext (C8912) |
$1,435.83 |
$4,351 |
4.2× |
| Mra w/cont, pelvis (C8918) |
$974.16 |
$2,952 |
2.9× |
| Mra w/o cont, abd (C8901) |
$1,561.56 |
$4,732 |
6.7× |
| Mra w/o cont, chest (C8910) |
$1,574.26 |
$4,770.50 |
6.8× |
| Mra w/o cont, lwr ext (C8913) |
$1,288.32 |
$3,904 |
5.5× |
| Mra w/o cont, pelvis (C8919) |
$916.08 |
$2,776 |
3.9× |
| Mra w/o fol w/cont, abd (C8902) |
$1,940.40 |
$5,880 |
5.7× |
| Mra w/o fol w/cont, chest (C8911) |
$1,772.76 |
$5,372 |
5.2× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,891.40 |
$5,731.50 |
5.6× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,679.70 |
$5,090 |
4.9× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,288.32 |
$3,904 |
3.8× |
| Mri w/cont, breast, bi (C8906) |
$1,979.67 |
$5,999 |
5.8× |
| Mri w/cont, breast, uni (C8903) |
$2,023.23 |
$6,131 |
11.8× |
| Oth resp proc, group (G0239) |
$94.38 |
$286 |
2.6× |
| Oth resp proc, indiv (G0238) |
$67.65 |
$205 |
2.4× |
| Perc d-e cor revasc chro sin (C9607) |
$10,209.54 |
$30,938 |
0.6× |
| Perc d-e cor revasc t cabg s (C9604) |
$10,432.29 |
$31,613 |
0.9× |
| Perc d-e cor stent ather s (C9602) |
$10,501.59 |
$31,823 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$10,544.49 |
$31,953 |
0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,842.65 |
$17,705 |
0.8× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$93.39 |
$283 |
2.6× |
| Prolonged iv inf, req pump (C8957) |
$1,435.17 |
$4,349 |
6.9× |
| Psa screening (G0103) |
$85.14 |
$258 |
4.4× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$3,140.28 |
$9,516 |
1.6× |
| Rem imp tooth w mucoper flp (D7210) |
$343.53 |
$1,041 |
0.2× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$5,539.05 |
$16,785 |
1.5× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$5,539.05 |
$16,785 |
1.5× |
| Removal of substernal implantable defibrillator electrode (0573T) |
$4,632.54 |
$14,038 |
1.3× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$1,918.95 |
$5,815 |
3.1× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$2,098.14 |
$6,358 |
0.6× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$48,788.52 |
$147,844 |
2.2× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$2,430.12 |
$7,364 |
0.7× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) |
$32,945.55 |
$99,835 |
1.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$4,286.70 |
$12,990 |
0.8× |
| Tee w or w/o fol w/cont,cong (C8926) |
$1,965.48 |
$5,956 |
2.6× |
| Therapeutic procd strg endur (G0237) |
$67.65 |
$205 |
2.4× |
| Tomosynthesis, mammo (G0279) |
$33.50 |
$101.50 |
2.6× |
Transcatheter Renal Sympath Denervation Bilat (0339T)
likely a partial charge, not the full procedure |
$990 |
$3,000 |
0.2× |
| Transcatheter renal sympath denervation unilat (0338T) |
$8,874.36 |
$26,892 |
1.6× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$14,850 |
$45,000 |
1.3× |
| Trauma respons w/hosp criti (G0390) |
$3,820.74 |
$11,578 |
2.9× |
| Trim nail(s) (G0127) |
$36.96 |
$112 |
0.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$10,560 |
$32,000 |
0.9× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$22,503.03 |
$68,191 |
2.0× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,331.55 |
$4,035 |
1.7× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,119.69 |
$3,393 |
1.5× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,736.79 |
$5,263 |
2.3× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,119.69 |
$3,393 |
1.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,284.36 |
$3,892 |
1.7× |