| 2d cephalometric image (D0340) |
$136.50 |
$210 |
1.5× |
| 2d tee w or w/o fol w/con,in (C8925) |
$1,238.25 |
$1,905 |
1.5× |
| 2d tte w or w/o fol w/con,co (C8923) |
$928.20 |
$1,428 |
1.1× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$508.95 |
$783 |
1.4× |
| 3d anat seg imaging preop (C8001) |
$243.75 |
$375 |
1.8× |
| Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) |
$2,258.75 |
$3,475 |
1.3× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$13,845 |
$21,300 |
1.3× |
| Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) |
$8,047.16 |
$12,380.25 |
0.7× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$1,529.12 |
$2,352.50 |
0.8× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$6,827.60 |
$10,504 |
0.7× |
| Adm of soc dtr assess 5-15 m (G0136) |
$37.70 |
$58 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$42.25 |
$65 |
0.9× |
| Admin influenza virus vac (G0008) |
$52 |
$80 |
1.1× |
| Admin pneumococcal vaccine (G0009) |
$32.50 |
$50 |
0.7× |
| Alcohol/sub misuse assess (G2011) |
$26 |
$40 |
0.9× |
| Alcohol/subs interv 15-30mn (G0396) |
$50.05 |
$77 |
1.3× |
| Alcohol/subs interv >30 min (G0397) |
$98.80 |
$152 |
0.5× |
| Alveoloplasty not w/extracts (D7321) |
$239.20 |
$368 |
0.1× |
| Alveoloplasty w/extract 1-3 (D7311) |
$239.20 |
$368 |
0.1× |
| Alveoplasty w/ extraction (D7310) |
$307.45 |
$473 |
0.2× |
| Alveoplasty w/o extraction (D7320) |
$341.25 |
$525 |
0.2× |
| Amalgam 4 or > surfaces perm (D2161) |
$182.65 |
$281 |
0.3× |
| Amalgam one surface permanen (D2140) |
$110.50 |
$170 |
0.2× |
| Amalgam three surfaces perma (D2160) |
$175.18 |
$269.50 |
0.3× |
| Amalgam two surfaces permane (D2150) |
$130 |
$200 |
0.2× |
| Annual alcohol screen 15 min (G0442) |
$13 |
$20 |
0.3× |
| Apexification/recalc initial (D3351) |
$272.35 |
$419 |
0.4× |
| Apexification/recalc interim (D3352) |
$122.20 |
$188 |
0.2× |
| Apically positioned flap (D4245) |
$341.25 |
$525 |
0.2× |
| Apicoectomy - anterior (D3410) |
$429 |
$660 |
0.6× |
| Auto tissue graft 1st tooth (D4273) |
$585 |
$900 |
0.4× |
| Behavior counsel obesity 15m (G0447) |
$48.75 |
$75 |
0.5× |
| Bia whole body composition assessment w/i&r (0358T) |
$16.25 |
$25 |
0.5× |
| Bio mtrls to aid soft/os reg (D4265) |
$357.50 |
$550 |
0.5× |
| Bitewings - three images (D0273) |
$106.66 |
$164.09 |
0.4× |
| Bitewings four images (D0274) |
$125.54 |
$193.14 |
0.5× |
| Blind interatrial shunt ide (C9758) |
$16,250 |
$25,000 |
0.9× |
| Bone replce graft first site (D4263) |
$341.25 |
$525 |
0.5× |
| Brief alcohol misuse counsel (G0443) |
$43.55 |
$67 |
0.4× |
| Ca screen;flexi sigmoidscope (G0104) |
$236.15 |
$363.30 |
0.2× |
| Ca screen;pelvic/breast exam (G0101) |
$48.75 |
$75 |
0.5× |
| Canal prep/fitting of dowel (D3950) |
$111.80 |
$172 |
0.2× |
| Cardiokymography (Q0035) |
$21.58 |
$33.20 |
0.6× |
| Cardiology (heart transplant), mRNA gene expression progiling by microarray of 1283 genes, transplant biopsy tissue,… (0087U) |
$5,460 |
$8,400 |
1.7× |
| Care manage beh svs 20mins (G0323) |
$43.88 |
$67.50 |
1.1× |
| Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) |
$3,038.10 |
$4,674 |
1.2× |
| Colon ca scrn not hi rsk ind (G0121) |
$689 |
$1,060 |
0.7× |
| Colorectal scrn; hi risk ind (G0105) |
$698.23 |
$1,074.20 |
0.7× |
| Comp periodontal evaluation (D0180) |
$204.75 |
$315 |
1.5× |
| Complete occlusal adjustment (D9952) |
$491.40 |
$756 |
0.7× |
| Comprehensve oral evaluation (D0150) |
$71.50 |
$110 |
0.5× |
| Con tissue w pedicle graft (D4276) |
$656.50 |
$1,010 |
0.4× |
| Cone beam ct capt & interp (D0364) |
$341.25 |
$525 |
3.1× |
| Cone beam ct interp both jaw (D0367) |
$375.70 |
$578 |
3.5× |
| Cone beam ct interprete man (D0365) |
$237.25 |
$365 |
2.2× |
| Cone beam ct interprete max (D0366) |
$358.15 |
$551 |
3.3× |
| Cone beam ct interprete tmj (D0368) |
$375.70 |
$578 |
3.5× |
| Core build-up incl any pins (D2950) |
$169.65 |
$261 |
0.3× |
| Coronectomy (D7251) |
$338 |
$520 |
0.2× |
| Covid-19 lab test non-cdc (U0002) |
$84.50 |
$130 |
1.6× |
| Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) |
$162.50 |
$250 |
0.0× |
| Crown 3/4 cast hi noble met (D2780) |
$614.25 |
$945 |
0.9× |
| Crown full cast base metal (D2791) |
$721.50 |
$1,110 |
1.1× |
| Crown full cast high noble m (D2790) |
$760.50 |
$1,170 |
1.1× |
| Crown lengthen hard tissue (D4249) |
$586.95 |
$903 |
0.9× |
| Crown porcelain fused base m (D2751) |
$735.15 |
$1,131 |
1.1× |
| Crown porcelain w/ h noble m (D2750) |
$789.10 |
$1,214 |
1.2× |
| Crown porcelain w/ noble met (D2752) |
$752.70 |
$1,158 |
1.1× |
| Crown porcelain/ceramic (D2740) |
$799.50 |
$1,230 |
1.2× |
| Crown resin-based indirect (D2710) |
$583.70 |
$898 |
0.9× |
| Dental bitewing single image (D0270) |
$71.08 |
$109.34 |
0.8× |
| Dental bitewings two images (D0272) |
$106.66 |
$164.09 |
1.2× |
| Dental connector bar (D6920) |
$682.50 |
$1,050 |
1.0× |
| Dental inlay metallic 2 surf (D2520) |
$634.40 |
$976 |
0.9× |
| Dental inlay metl 3/more sur (D2530) |
$731.25 |
$1,125 |
1.1× |
| Dental onlay metallic 3 surf (D2543) |
$568.75 |
$875 |
0.8× |
| Dental onlay metl 4/more sur (D2544) |
$591.50 |
$910 |
0.9× |
| Dental onlay porcelin 3 surf (D2643) |
$588.25 |
$905 |
0.9× |
| Dental prophylaxis adult (D1110) |
$72.80 |
$112 |
0.5× |
| Dental unspec restorative pr (D2999) |
$24.05 |
$37 |
0.0× |
| Depression screen annual (G0444) |
$44.85 |
$69 |
1.2× |
| Dermal filler injection(s) (G0429) |
$1,225.70 |
$1,885.70 |
0.6× |
| Diab manage trn per indiv (G0108) |
$113.49 |
$174.60 |
2.0× |
| Diab manage trn ind/group (G0109) |
$26.98 |
$41.50 |
1.7× |
| Direct refer hospital observ (G0379) |
$798.20 |
$1,228 |
1.3× |
| Drug test def 1-7 classes (G0480) |
$126.10 |
$194 |
1.1× |
| Drug test def 8-14 classes (G0481) |
$117 |
$180 |
0.7× |
| Ed svc ckd ind per session (G0420) |
$180.90 |
$278.30 |
1.6× |
| Ekg tracing for initial prev (G0404) |
$34.12 |
$52.50 |
1.1× |
| Elec stim other than wound (G0283) |
$32.02 |
$49.25 |
2.5× |
| Electrophysiologic eval icds w/ss electrode (0577T) |
$1,723.80 |
$2,652 |
1.4× |
| End thxpy, anterior tooth (D3310) |
$534.30 |
$822 |
0.8× |
| End thxpy, molar tooth (D3330) |
$734.50 |
$1,130 |
1.1× |
| End thxpy, premolar tooth (D3320) |
$551.85 |
$849 |
0.8× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$82,075.50 |
$126,270 |
1.8× |
| Ephys eval ccm-d ld 1st impl (0930T) |
$1,787.50 |
$2,750 |
1.4× |
| Ephys eval ccm-d ld separate (0931T) |
$1,787.50 |
$2,750 |
1.4× |
| Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral (0207T) |
$343.88 |
$529.04 |
2.5× |
| Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual… (0563T) |
$693.88 |
$1,067.50 |
11.3× |
| Excision benign lesion>1.25c (D7411) |
$429 |
$660 |
0.3× |
| Exposure of unerupted tooth (D7280) |
$308.10 |
$474 |
0.5× |
| Extensv oral eval prob focus (D0160) |
$123.50 |
$190 |
0.9× |
| Extraction coronal remnants (D7111) |
$96.85 |
$149 |
0.1× |
| Extraction erupted tooth/exr (D7140) |
$145.60 |
$224 |
0.2× |
| Extrnl counterpulse, per tx (G0166) |
$225.94 |
$347.60 |
1.6× |
| Facial moulage sectional (D5911) |
$1,365 |
$2,100 |
2.0× |
| Fecal blood scrn immunoassay (G0328) |
$53.62 |
$82.50 |
3.0× |
| Fecal microbiota prep instil (G0455) |
$160.42 |
$246.80 |
0.2× |
| Fern test (Q0114) |
$14.88 |
$22.90 |
1.5× |
| Followup eval of foot pt lop (G0246) |
$60.06 |
$92.40 |
0.4× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) |
$622.38 |
$957.50 |
0.8× |
| Full mouth debridement (D4355) |
$139.10 |
$214 |
0.2× |
| Gingivectomy/plasty 1 to 3 (D4211) |
$102.70 |
$158 |
0.0× |
| Gingivectomy/plasty 4 or mor (D4210) |
$406.25 |
$625 |
0.1× |
| Gross pulpal debridement (D3221) |
$123.50 |
$190 |
0.2× |
| Group behave couns 2-10 (G0473) |
$44.28 |
$68.12 |
1.1× |
| Group train w/o patient (G0543) |
$48.75 |
$75 |
1.6× |
| Guided tiss regen nonresorb (D4267) |
$284.38 |
$437.50 |
0.2× |
| Guided tiss regen resorble (D4266) |
$341.25 |
$525 |
0.2× |
| Hbot, full body chamber, 30m (G0277) |
$801.55 |
$1,233.15 |
5.6× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
$908.05 |
$1,397 |
1.3× |
| Home sleep test/type 2 porta (G0398) |
$133.32 |
$205.10 |
0.6× |
| Home sleep test/type 3 porta (G0399) |
$103.74 |
$159.60 |
0.5× |
| Home sleep test/type 4 porta (G0400) |
$133.32 |
$205.10 |
0.6× |
| I&d absc intraoral soft tiss (D7510) |
$203.78 |
$313.50 |
0.3× |
| I&d abscess extraoral (D7520) |
$848.25 |
$1,305 |
1.2× |
| Ig paraprotein qual bld/ur (0077U) |
$209.95 |
$323 |
4.8× |
| Impact tooth rem bony w/comp (D7241) |
$466.05 |
$717 |
0.7× |
| Impact tooth remov comp bony (D7240) |
$444.60 |
$684 |
0.7× |
| Impact tooth remov part bony (D7230) |
$367.25 |
$565 |
0.5× |
| Impact tooth remov soft tiss (D7220) |
$268.45 |
$413 |
0.4× |
| Incision/drain abscess intra (D7511) |
$377 |
$580 |
0.5× |
| Initial foot exam pt lops (G0245) |
$105.82 |
$162.80 |
0.8× |
| Initial preventive exam (G0402) |
$224.90 |
$346 |
1.6× |
| Inj for sacroiliac jt anesth (G0260) |
$1,631.05 |
$2,509.30 |
2.2× |
| Injection posterior chamber eye medication (0699T) |
$3,333.20 |
$5,128 |
1.4× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$464.10 |
$714 |
0.5× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T) |
$1,643.46 |
$2,528.40 |
0.4× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
$2,931.96 |
$4,510.70 |
0.5× |
| Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) |
$20,296.25 |
$31,225 |
1.8× |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) |
$20,296.25 |
$31,225 |
1.8× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$32,825 |
$50,500 |
1.4× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$12,103 |
$18,620 |
1.4× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$12,103 |
$18,620 |
1.4× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$46,884.50 |
$72,130 |
1.4× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$50,145.55 |
$39,626 |
1.5× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$49,010 |
$75,400 |
1.5× |
| Instill pharm renal pelvis (C9789) |
$380.25 |
$585 |
0.3× |
| Intens behave ther cardio dx (G0446) |
$41.99 |
$64.60 |
1.1× |
| Interim crown (D2799) |
$333.45 |
$513 |
0.5× |
| Interrogation dev eval icds w/ss eltrd in person (0576T) |
$29.25 |
$45 |
0.8× |
| Intraor comprehensive series (D0210) |
$99.45 |
$153 |
0.4× |
| Intraoral occlusal film (D0240) |
$26 |
$40 |
0.3× |
| Intraoral periapical first (D0220) |
$25.35 |
$39 |
0.3× |
| Labial veneer porc indirect (D2962) |
$637 |
$980 |
0.9× |
| Labial veneer resin direct (D2960) |
$523.90 |
$806 |
0.8× |
| Limit oral eval problm focus (D0140) |
$57.62 |
$88.64 |
0.4× |
| Limited occlusal adjustment (D9951) |
$71.50 |
$110 |
0.1× |
| Liver dis 10 assays w/nash (0003M) |
$980.85 |
$1,509 |
1.9× |
Lymphovenous bypass, including robotic assistance, when performed, per extremity (1019T)
unusually low: confirm this is the full procedure |
$2,180.75 |
$3,355 |
0.3× |
Mandible graft (D7950)
likely a partial charge, not the full procedure |
$547.62 |
$842.50 |
0.1× |
| Mesial/distal wedge proc (D4274) |
$334.75 |
$515 |
0.5× |
| Mra w/cont, abd (C8900) |
$1,081.60 |
$1,664 |
3.0× |
| Mra w/cont, lwr ext (C8912) |
$1,952.60 |
$3,004 |
5.4× |
| Mra w/o cont, abd (C8901) |
$993.85 |
$1,529 |
4.0× |
| Mra w/o cont, lwr ext (C8913) |
$993.85 |
$1,529 |
4.0× |
| Mra w/o cont, pelvis (C8919) |
$1,121.25 |
$1,725 |
4.5× |
| Mra w/o fol w/cont, abd (C8902) |
$1,430 |
$2,200 |
3.9× |
| Mra w/o fol w/cont, chest (C8911) |
$1,430 |
$2,200 |
3.9× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,430 |
$2,200 |
3.9× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,527.50 |
$2,350 |
4.2× |
| Mra, w/dye, spinal canal (C8931) |
$2,275 |
$3,500 |
6.3× |
| Mra, w/o dye, spinal canal (C8932) |
$1,950 |
$3,000 |
7.9× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$2,275 |
$3,500 |
6.3× |
| Mri w/cont, breast, bi (C8906) |
$572.65 |
$881 |
1.6× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,820.98 |
$2,801.50 |
5.0× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,545.05 |
$2,377 |
4.3× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$1,054.95 |
$1,623 |
2.0× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$511.88 |
$787.50 |
0.6× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$487.50 |
$750 |
1.1× |
| No pt prsnt train initial 30 (G0541) |
$48.75 |
$75 |
1.6× |
| Obtaining screen pap smear (Q0091) |
$49.72 |
$76.50 |
1.7× |
| Occ guard, hard, full arch (D9944) |
$375.05 |
$577 |
0.6× |
| Occ guard, hard, part arch (D9946) |
$360.75 |
$555 |
0.5× |
| Occ guard, soft, full arch (D9945) |
$375.05 |
$577 |
0.6× |
| Ocular blood flow measure (0198T) |
$100.75 |
$155 |
0.7× |
| Off base opioid tx 70min (G2086) |
$638.14 |
$981.75 |
3.5× |
| Off base opioid tx, 60 m (G2087) |
$572 |
$880 |
3.1× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
$646.10 |
$994 |
2.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$646.10 |
$994 |
2.0× |
Open tx iliac spine uni/bil (G0412)
likely a partial charge, not the full procedure |
$1,241.50 |
$1,910 |
0.2× |
| Open tx post pelvic fxcture (G0415) |
$2,981.16 |
$4,586.40 |
0.9× |
| Oral antral fistula closure (D7260) |
$1,079.65 |
$1,661 |
1.6× |
| Oral/facial photo images (D0350) |
$51.35 |
$79 |
0.6× |
| Osseous surg 1 to 3 teeth (D4261) |
$364 |
$560 |
0.1× |
Osseous surgery 4 or more (D4260)
likely a partial charge, not the full procedure |
$676 |
$1,040 |
0.1× |
| Oth resp proc, group (G0239) |
$281.45 |
$433 |
7.3× |
| Oth resp proc, indiv (G0238) |
$97.50 |
$150 |
3.2× |
| Panoramic image (D0330) |
$110.50 |
$170 |
0.4× |
| Pattern erg w/i&r (0509T) |
$63.05 |
$97 |
0.3× |
| Pedicle soft tissue graft pr (D4270) |
$481 |
$740 |
0.3× |
Pelvic ring fracture uni/bil (G0413)
unusually low: confirm this is the full procedure |
$2,606.50 |
$4,010 |
0.3× |
Pelvic ring fx treat int fix (G0414)
likely a partial charge, not the full procedure |
$2,081.63 |
$3,202.50 |
0.3× |
| Pemivibart infusion (M0224) |
$503.75 |
$775 |
1.1× |
| Perc d-e cor revasc chro sin (C9607) |
$11,665.55 |
$17,947 |
0.6× |
| Perc d-e cor revasc t cabg s (C9604) |
$11,665.55 |
$17,947 |
1.0× |
| Perc d-e cor stent ather s (C9602) |
$11,665.55 |
$17,947 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$11,665.55 |
$17,947 |
1.0× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) |
$19,724.25 |
$30,345 |
1.5× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$19,724.25 |
$30,345 |
1.5× |
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T)
unusually low: confirm this is the full procedure |
$2,795 |
$4,300 |
0.4× |
| Periodic oral evaluation (D0120) |
$53.30 |
$82 |
0.4× |
| Periodontal maint procedures (D4910) |
$104.65 |
$161 |
0.2× |
| Periodontal scaling & root (D4341) |
$220.35 |
$339 |
0.3× |
| Periodontal scaling 1-3teeth (D4342) |
$114.40 |
$176 |
0.2× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$4,929.92 |
$7,584.50 |
0.7× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$4,919.85 |
$7,569 |
0.7× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$8,339.50 |
$12,830 |
0.7× |
Pild/placebo control clin tr (G0276)
likely a partial charge, not the full procedure |
$632.71 |
$973.40 |
0.1× |
| Pin service 60m per month (G0023) |
$169 |
$260 |
1.6× |
| Place device/marker, non pro (C9728) |
$2,085.85 |
$3,209 |
1.5× |
| Place direct restoration (D2940) |
$70.85 |
$109 |
0.1× |
Placement of a posterior intrafacet implant(s), unilateral or bi lateral, including imaging and placement of bone… (0219T)
likely a partial charge, not the full procedure |
$2,980.25 |
$4,585 |
0.2× |
Placement of a posterior intrafacet implant(s), unilateral or bi lateral, including imaging and placement of bone… (0220T)
likely a partial charge, not the full procedure |
$2,980.25 |
$4,585 |
0.2× |
| Post 1 srfc resinbased cmpst (D2391) |
$130 |
$200 |
0.2× |
| Post 2 srfc resinbased cmpst (D2392) |
$165.10 |
$254 |
0.2× |
| Post 3 srfc resinbased cmpst (D2393) |
$191.75 |
$295 |
0.3× |
| Post >=4srfc resinbase cmpst (D2394) |
$202.80 |
$312 |
0.3× |
| Post and core cast + crown (D2952) |
$258.70 |
$398 |
0.4× |
| Potassium hydroxide preps (Q0112) |
$11.34 |
$17.45 |
1.9× |
| Ppps, initial visit (G0438) |
$256.75 |
$395 |
1.5× |
| Ppps, subseq visit (G0439) |
$178.75 |
$275 |
1.3× |
| Prefab post/core + crown (D2954) |
$214.50 |
$330 |
0.3× |
| Prefab stnlss steel crown pe (D2931) |
$255.45 |
$393 |
0.4× |
| Prefab stnlss steel crwn pri (D2930) |
$255.45 |
$393 |
0.4× |
| Prefabricated resin crown (D2932) |
$226.85 |
$349 |
0.3× |
| Prgrmg dev eval icds ss ip (0575T) |
$58.50 |
$90 |
1.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$55.90 |
$86 |
1.4× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$73.45 |
$113 |
1.9× |
| Primary closure sinus perf (D7261) |
$429 |
$660 |
0.6× |
| Prolonged iv inf, req pump (C8957) |
$713.05 |
$1,097 |
3.2× |
| Prostate biopsy, any mthd (G0416) |
$694.24 |
$1,068.05 |
1.9× |
| Psa screening (G0103) |
$53.72 |
$82.65 |
2.8× |
| Pulp cap direct (D3110) |
$55.25 |
$85 |
0.1× |
| Pulp cap indirect (D3120) |
$45.50 |
$70 |
0.1× |
| Pulp vitality test (D0460) |
$39 |
$60 |
0.1× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$1,017.25 |
$1,565 |
1.5× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$1,545.05 |
$2,377 |
1.6× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$396.50 |
$610 |
1.6× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$396.50 |
$610 |
1.6× |
| Rad exc lesion up to 1.25 cm (D7410) |
$284.38 |
$437.50 |
0.2× |
| Radiation shield (D5984) |
$1,175.20 |
$1,808 |
1.8× |
| Re-cement or re-bond crown (D2920) |
$65.65 |
$101 |
0.1× |
| Re-eval post-op visit (D0171) |
$71.50 |
$110 |
0.5× |
| Re-eval,est pt,problem focus (D0170) |
$71.50 |
$110 |
0.5× |
| Recement inlay onlay or part (D2910) |
$63.05 |
$97 |
0.1× |
Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T)
likely a partial charge, not the full procedure |
$1,722.50 |
$2,650 |
0.3× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$2,730 |
$4,200 |
1.3× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$2,730 |
$4,200 |
1.3× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,681.25 |
$4,125 |
1.3× |
| Rem exostosis any site (D7471) |
$624 |
$960 |
0.2× |
| Rem imp tooth w mucoper flp (D7210) |
$276.25 |
$425 |
0.2× |
| Rem nonodonto cyst > 1.25 cm (D7461) |
$1,027.65 |
$1,581 |
1.5× |
| Rem nonodonto cyst to 1.25cm (D7460) |
$4,095 |
$6,300 |
6.1× |
| Rem odontogen cyst > 1.25 cm (D7451) |
$1,570.40 |
$2,416 |
0.5× |
| Rem odontogen cyst to 1.25cm (D7450) |
$461.50 |
$710 |
0.1× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$3,023.48 |
$4,651.50 |
0.8× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$3,325.72 |
$5,116.50 |
0.9× |
| Removal fb skin/areolar tiss (D7530) |
$188.50 |
$290 |
0.3× |
| Removal iims implt mntr only (0532T) |
$828.75 |
$1,275 |
0.2× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) |
$97.50 |
$150 |
0.5× |
| Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) |
$162.50 |
$250 |
0.0× |
| Removal of sloughed off bone (D7550) |
$844.68 |
$1,299.50 |
1.3× |
| Removal of torus palatinus (D7472) |
$731.25 |
$1,125 |
1.1× |
| Removal perm ccm-d system pulse generator only (0919T) |
$5,323.50 |
$8,190 |
1.4× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$5,850 |
$9,000 |
1.5× |
| Remove torus mandibularis (D7473) |
$689 |
$1,060 |
1.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$1,007.50 |
$1,550 |
1.5× |
| Resin 4/> surf or w incis an (D2335) |
$213.85 |
$329 |
0.3× |
| Resin one surface-anterior (D2330) |
$201.82 |
$310.50 |
0.3× |
| Resin three surfaces-anterio (D2332) |
$182.65 |
$281 |
0.3× |
| Resin two surfaces-anterior (D2331) |
$179.16 |
$275.63 |
0.3× |
| Retreat root canal molar (D3348) |
$931.45 |
$1,433 |
1.4× |
| Retreat root canal premolar (D3347) |
$752.70 |
$1,158 |
1.1× |
| Retrograde filling (D3430) |
$170.95 |
$263 |
0.3× |
| Revasc intra lithotrip-ather (C9766) |
$30,439.50 |
$46,830 |
1.6× |
| Revasc intra lithotrip-stent (C9765) |
$22,997.32 |
$35,380.50 |
1.2× |
| Revasc intravasc lithotripsy (C9764) |
$13,426.08 |
$20,655.50 |
1.1× |
| Revasc lith-sten-ath tib/per (C9775) |
$30,439.50 |
$46,830 |
1.6× |
| Revasc lithotr-ather tib/per (C9774) |
$30,439.50 |
$46,830 |
1.6× |
| Revasc lithotr-stent tib/per (C9773) |
$30,439.50 |
$46,830 |
1.6× |
| Revasc lithotrip tibi/perone (C9772) |
$15,555.15 |
$23,931 |
1.3× |
| Revasc lithotrip-stent-ather (C9767) |
$30,439.50 |
$46,830 |
1.6× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) |
$5,070 |
$7,800 |
1.4× |
| Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator (0785T) |
$5,070 |
$7,800 |
1.4× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) |
$5,323.50 |
$8,190 |
1.4× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$5,323.50 |
$8,190 |
1.4× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) |
$5,323.50 |
$8,190 |
1.4× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$3,091.72 |
$4,756.50 |
0.8× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$3,002.35 |
$4,619 |
0.8× |
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T)
likely a partial charge, not the full procedure |
$5,323.50 |
$8,190 |
0.2× |
| Root amputation (D3450) |
$341.25 |
$525 |
0.5× |
| Root surgery molar (D3425) |
$680.55 |
$1,047 |
1.0× |
| Root surgery premolar (D3421) |
$477.75 |
$735 |
0.7× |
| Routine footcare pt w lops (G0247) |
$80.54 |
$123.90 |
0.4× |
| Scaling gingiv inflammation (D4346) |
$48.75 |
$75 |
0.1× |
| Screen cerv/vag thin layer (G0123) |
$46.08 |
$70.90 |
2.3× |
| Screen pap by tech w md supv (P3000) |
$66.95 |
$103 |
3.6× |
| Semen analysis (G0027) |
$15.28 |
$23.50 |
2.4× |
| Single energy x-ray study (G0130) |
$65.52 |
$100.80 |
0.6× |
| Soft tissue graft firsttooth (D4277) |
$1,275.62 |
$1,962.50 |
0.8× |
| Splint extra-coronal (D4323) |
$824.52 |
$1,268.50 |
1.2× |
| Splint intra-coronal (D4322) |
$715.65 |
$1,101 |
1.1× |
Surg reduct osseoustuberosit (D7485)
likely a partial charge, not the full procedure |
$717.60 |
$1,104 |
0.1× |
| Surgical splint (D5988) |
$768.66 |
$1,182.55 |
1.1× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$29,022.50 |
$22,892.50 |
1.5× |
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
likely a partial charge, not the full procedure |
$737.75 |
$1,135 |
0.0× |
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
likely a partial charge, not the full procedure |
$737.75 |
$1,135 |
0.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$15,562.62 |
$23,942.50 |
0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$3,025.75 |
$4,655 |
0.9× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$1,300 |
$2,000 |
0.4× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$1,300 |
$2,000 |
0.4× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$2,275 |
$3,500 |
0.7× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$29,022.50 |
$22,892.50 |
1.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$15,562.62 |
$23,942.50 |
0.8× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
likely a partial charge, not the full procedure |
$1,290.25 |
$1,985 |
0.1× |
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
likely a partial charge, not the full procedure |
$1,290.25 |
$1,985 |
0.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$8,154.25 |
$12,545 |
1.4× |
| Tear film imaging, unilateral or bilateral, with interpretation and report (0330T) |
$48.75 |
$75 |
1.3× |
| Tee w or w/o fol w/cont, mon (C8927) |
$1,675.38 |
$2,577.50 |
2.1× |
| Tee w or w/o fol w/cont,cong (C8926) |
$1,238.25 |
$1,905 |
1.5× |
| Therapeutic procd strg endur (G0237) |
$87.75 |
$135 |
2.9× |
| Therapeutic pulpotomy (D3220) |
$154.05 |
$237 |
0.2× |
| Tomosynthesis, mammo (G0279) |
$59.25 |
$91.15 |
4.7× |
| Tooth pin retention (D2951) |
$35.75 |
$55 |
0.1× |
| Tooth reimplantation (D7270) |
$341.25 |
$525 |
0.5× |
| Tooth root removal (D7250) |
$193.70 |
$298 |
0.3× |
| Tooth transplantation (D7272) |
$429 |
$660 |
0.6× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$4,405.38 |
$6,777.50 |
0.7× |
| Transcatheter renal sympath denervation unilat (0338T) |
$4,566.25 |
$7,025 |
0.8× |
| Transseptal fiberotomy (D7291) |
$204.75 |
$315 |
0.3× |
| Trauma respons w/hosp criti (G0390) |
$2,897.05 |
$4,457 |
2.1× |
| Treatment of complications (D9930) |
$57.85 |
$89 |
0.1× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$2,281.50 |
$3,510 |
0.7× |
| Trim nail(s) (G0127) |
$39.23 |
$60.35 |
0.6× |
| Trluml Perip Athrc Renal Art (0234T) |
$9,160.12 |
$14,092.50 |
0.8× |
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure |
$9,418.50 |
$14,490 |
0.5× |
| Tte w or w/o contr, cont ecg (C8930) |
$802.75 |
$1,235 |
1.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,238.25 |
$1,905 |
1.5× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,238.25 |
$1,905 |
1.5× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,238.25 |
$1,905 |
1.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,244.75 |
$1,915 |
1.5× |
| Unsched dialysis esrd pt hos (G0257) |
$997.75 |
$1,535 |
1.4× |
| Vasc emb/occ w/prs cath (C9797) |
$28,080 |
$43,200 |
1.5× |
| Vestibuloplasty exten graft (D7350) |
$3,308.50 |
$5,090 |
0.5× |
Vestibuloplasty ridge extens (D7340)
likely a partial charge, not the full procedure |
$1,137.50 |
$1,750 |
0.2× |
| Visit esketamine 56m or less (G2082) |
$523.64 |
$805.60 |
0.5× |
| Visit esketamine, > 56m (G2083) |
$1,454.28 |
$2,237.35 |
0.9× |
| Visit to determ ldct elig (G0296) |
$44.20 |
$68 |
0.4× |
| Wet mounts/ w preparations (Q0111) |
$19.44 |
$29.90 |
1.0× |