| 2019-ncov diagnostic p (U0001) |
$44.55 |
$99 |
1.2× |
| 3d anat seg imaging preop (C8001) |
$73.80 |
$164 |
0.5× |
| 3D cntr simula trgt lvr les (0944T) |
$193.95 |
$431 |
0.7× |
| Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound… (0950T) |
$6,177.15 |
$13,727 |
0.5× |
| Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each… (0970T) |
$2,557.80 |
$5,684 |
0.5× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$2,051.55 |
$4,559 |
0.4× |
| Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral (0971T) |
$2,558.25 |
$5,685 |
0.5× |
| Adapt bhv tx prtcl modificaj ea 15 min tech time (0373T) |
$118.80 |
$264 |
2.6× |
| Adm tocilizu covid-19 1st (M0249) |
$431.55 |
$959 |
0.8× |
| Adm tocilizu covid-19 2nd (M0250) |
$431.55 |
$959 |
0.8× |
| Adv prim care mgmt lvl 1 (G0556) |
$16.20 |
$36 |
0.4× |
| Adv prim care mgmt lvl 2 (G0557) |
$20.25 |
$45 |
0.5× |
| Adv prim care mgmt lvl 3 (G0558) |
$49.95 |
$111 |
0.4× |
| Air displacement plethysmography, whole-body composition assessment, with interpretation and report (1002T) |
$19.80 |
$44 |
0.6× |
| Alcohol/sub misuse assess (G2011) |
$27.90 |
$62 |
0.8× |
| Alcohol/subs interv 15-30mn (G0396) |
$38.70 |
$86 |
0.9× |
| Alcohol/subs interv >30 min (G0397) |
$160.65 |
$357 |
0.8× |
| Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) |
$90.90 |
$202 |
0.6× |
| Alveoloplasty not w/extracts (D7321) |
$50.40 |
$112 |
0.0× |
| Alveoloplasty w/extract 1-3 (D7311) |
$50.40 |
$112 |
0.0× |
| Alveoplasty w/ extraction (D7310) |
$50.40 |
$112 |
0.0× |
| Alveoplasty w/o extraction (D7320) |
$50.40 |
$112 |
0.0× |
| Amalgam 4 or > surfaces perm (D2161) |
$50.85 |
$113 |
0.1× |
| Amalgam one surface permanen (D2140) |
$46.35 |
$103 |
0.1× |
| Amalgam three surfaces perma (D2160) |
$50.40 |
$112 |
0.1× |
| Amalgam two surfaces permane (D2150) |
$48.60 |
$108 |
0.1× |
| Annual alcohol screen 15 min (G0442) |
$16.20 |
$36 |
0.4× |
| Anoscopy with directed submucosal injection of bulking agent into anal canal (0963T) |
$787.50 |
$1,750 |
0.5× |
| Ant resin-based cmpst crown (D2390) |
$50.40 |
$112 |
0.1× |
| Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement… (1003T) |
$8,655.30 |
$19,234 |
0.6× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$49.95 |
$111 |
0.4× |
| Assistive algorithmic analysis of acoustic and electrocardiogram recording for detection of cardiac dysfunction (eg,… (0962T) |
$86.40 |
$192 |
0.5× |
| Auto tissue graft 1st tooth (D4273) |
$820.35 |
$1,823 |
0.4× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$57.60 |
$128 |
1.3× |
| Behavior counsel obesity 15m (G0447) |
$47.70 |
$106 |
0.4× |
| Bhv id suprt assmt ea 15 min (0362T) |
$118.80 |
$264 |
2.6× |
| Bitewings four images (D0274) |
$384.30 |
$854 |
1.3× |
| Bone replce graft first site (D4263) |
$820.35 |
$1,823 |
1.1× |
| Brief alcohol misuse counsel (G0443) |
$47.70 |
$106 |
0.4× |
| Ca screen;pelvic/breast exam (G0101) |
$103.95 |
$231 |
0.9× |
| Care manage beh svs 20mins (G0323) |
$17.10 |
$38 |
0.4× |
| Care manage serv, pr cal mo (G0570) |
$25.65 |
$57 |
0.6× |
| Catheterize for urine spec (P9612) |
$18 |
$40 |
1.9× |
| Collagen crosslinking cornea (0402T) |
$3,033 |
$6,740 |
1.1× |
| Colorectal scrn; hi risk ind (G0105) |
$989.10 |
$2,198 |
0.9× |
| Commissure splint (D5987) |
$820.35 |
$1,823 |
1.1× |
| Complex simulation w/pet-ct (G0562) |
$1,042.65 |
$2,317 |
0.5× |
| Compre ful bdy cptr mrkrls 3d knmtc&kin mtn alys (0693T) |
$540.90 |
$1,202 |
1.3× |
| Comprehensve oral evaluation (D0150) |
$150.30 |
$334 |
0.9× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) Non-Facility… (0637T) |
$578.70 |
$1,286 |
1.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s)… (0636T) |
$367.20 |
$816 |
1.3× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$602.55 |
$1,339 |
1.4× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) Non-Facility… (0634T) |
$283.05 |
$629 |
1.3× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material Non-Facility… (0633T) |
$168.75 |
$375 |
1.3× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$294.75 |
$655 |
1.4× |
| Computerized ophthalmic analysis of monocular eye movements using retinal-based eye-tracking without spatial… (1010T) |
$90 |
$200 |
0.6× |
| Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) |
$159.30 |
$354 |
0.7× |
| Core build-up incl any pins (D2950) |
$50.40 |
$112 |
0.1× |
| Covid-19 lab test non-cdc (U0002) |
$63.45 |
$141 |
1.2× |
| Crown full cast high noble m (D2790) |
$50.40 |
$112 |
0.1× |
| Crown porcelain w/ h noble m (D2750) |
$50.40 |
$112 |
0.1× |
| Crown porcelain/ceramic (D2740) |
$50.40 |
$112 |
0.1× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$4,002.75 |
$8,895 |
0.6× |
| Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging (0991T) |
$6,381.90 |
$14,182 |
0.6× |
| Dental bitewing single image (D0270) |
$378.45 |
$841 |
3.6× |
| Dental bitewings two images (D0272) |
$381.60 |
$848 |
3.7× |
| Dental onlay metl 4/more sur (D2544) |
$50.40 |
$112 |
0.1× |
| Dental prophylaxis adult (D1110) |
$29.25 |
$65 |
0.2× |
| Dental unspec restorative pr (D2999) |
$820.35 |
$1,823 |
1.1× |
| Depression screen annual (G0444) |
$16.20 |
$36 |
0.4× |
| Dermal filler injection(s) (G0429) |
$2,262.15 |
$5,027 |
0.9× |
| Diab manage trn per indiv (G0108) |
$222.30 |
$494 |
4.0× |
| Diab manage trn ind/group (G0109) |
$139.95 |
$311 |
8.7× |
| Direct refer hospital observ (G0379) |
$1,071.45 |
$2,381 |
1.5× |
| Dist space maint, fixed unil (D1575) |
$820.35 |
$1,823 |
1.1× |
| Drug test def 1-7 classes (G0480) |
$126.90 |
$282 |
1.1× |
| Drug test def 8-14 classes (G0481) |
$173.25 |
$385 |
1.1× |
| Ed svc ckd grp per session (G0421) |
$14.40 |
$32 |
0.5× |
| Ed svc ckd ind per session (G0420) |
$134.10 |
$298 |
1.2× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) |
$1,487.25 |
$3,305 |
1.4× |
| Ekg tracing for initial prev (G0404) |
$25.65 |
$57 |
0.7× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) |
$77.85 |
$173 |
0.7× |
| Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) |
$64.35 |
$143 |
0.6× |
| Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) |
$90 |
$200 |
0.6× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) |
$77.85 |
$173 |
0.7× |
| Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing only (0904T) |
$48.15 |
$107 |
0.7× |
| Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1018T) |
$25.20 |
$56 |
0.6× |
| Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1017T) |
$40.05 |
$89 |
0.6× |
| End thxpy, anterior tooth (D3310) |
$50.40 |
$112 |
0.1× |
| End thxpy, molar tooth (D3330) |
$50.40 |
$112 |
0.1× |
| End thxpy, premolar tooth (D3320) |
$50.40 |
$112 |
0.1× |
| Endodontic endosseous implan (D3460) |
$820.35 |
$1,823 |
1.1× |
| Endodontic procedure (D3999) |
$820.35 |
$1,823 |
1.1× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure |
$16,444.35 |
$36,543 |
0.3× |
| Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) |
$1,696.50 |
$3,770 |
0.4× |
| Ephys eval ccm-d ld 1st impl (0930T) |
$973.35 |
$2,163 |
0.7× |
| Ephys eval ccm-d ld separate (0931T) |
$973.35 |
$2,163 |
0.7× |
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T)
unusually low: confirm this is the full procedure |
$6,206.40 |
$13,792 |
0.4× |
| Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) |
$66.15 |
$147 |
0.4× |
| Exposure of unerupted tooth (D7280) |
$50.40 |
$112 |
0.1× |
| Extensv oral eval prob focus (D0160) |
$43.20 |
$96 |
0.3× |
| Extraction erupted tooth/exr (D7140) |
$378.45 |
$841 |
0.5× |
| Extraoral 2d project image (D0250) |
$820.35 |
$1,823 |
7.9× |
| Extraoral posterior image (D0251) |
$45.45 |
$101 |
0.4× |
| Facial moulage complete (D5912) |
$820.35 |
$1,823 |
1.1× |
| Facial moulage sectional (D5911) |
$820.35 |
$1,823 |
1.1× |
| Fecal blood scrn immunoassay (G0328) |
$22.05 |
$49 |
1.2× |
| Fern test (Q0114) |
$24.75 |
$55 |
2.5× |
| Fixed bilat space maint, man (D1517) |
$672.75 |
$1,495 |
0.9× |
| Fixed bilat space maint, max (D1516) |
$763.20 |
$1,696 |
1.0× |
| Full mouth debridement (D4355) |
$378.45 |
$841 |
0.5× |
| Gastrointestinal myoelectrical activity study, stomach through colon, with interpretation and report Non-Facility… (0779T) |
$435.60 |
$968 |
1.0× |
| Group behave couns 2-10 (G0473) |
$64.35 |
$143 |
1.4× |
| Hbot, full body chamber, 30m (G0277) |
$820.35 |
$1,823 |
5.0× |
| Hep c screen high risk/other (G0472) |
$61.65 |
$137 |
1.3× |
| Hepb screen high risk indiv (G0499) |
$42.30 |
$94 |
1.5× |
| High inten beh couns std 30m (G0445) |
$47.70 |
$106 |
0.4× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$19,261.80 |
$42,804 |
0.9× |
| Hiv combination assay (G0475) |
$29.25 |
$65 |
1.2× |
| Home sleep test/type 3 porta (G0399) |
$501.30 |
$1,114 |
1.9× |
| Hopd mntl hlt, 15-29 min (C7900) |
$36.92 |
$82.05 |
0.8× |
| Hopd mntl hlt, 30-60 min (C7901) |
$84.60 |
$188 |
0.7× |
| Hopd mntl hlt, grp (C7903) |
$37.35 |
$83 |
0.8× |
| Iliac Atherectomy (0238T) |
$15,256.80 |
$33,904 |
0.7× |
Imp extar knee shck absrb (C8003)
unusually low: confirm this is the full procedure |
$9,827.10 |
$21,838 |
0.5× |
| Impact tooth remov comp bony (D7240) |
$477 |
$1,060 |
0.6× |
| Impact tooth remov part bony (D7230) |
$474.75 |
$1,055 |
0.6× |
| Impact tooth remov soft tiss (D7220) |
$472.95 |
$1,051 |
0.6× |
| Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0966T) |
$2,166.75 |
$4,815 |
0.5× |
| Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0964T) |
$2,166.75 |
$4,815 |
0.5× |
| Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0965T) |
$2,166.75 |
$4,815 |
0.5× |
| Incision/drain abscess extra (D7521) |
$50.40 |
$112 |
0.1× |
| Incision/drain abscess intra (D7511) |
$50.40 |
$112 |
0.1× |
| Initial preventive exam (G0402) |
$100.80 |
$224 |
0.6× |
| Inj for sacroiliac jt anesth (G0260) |
$843.30 |
$1,874 |
1.0× |
| Injection of hiv prep drug (G0012) |
$47.70 |
$106 |
0.6× |
| Injection posterior chamber eye medication (0699T) |
$2,074.50 |
$4,610 |
0.8× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
$1,937.70 |
$4,306 |
0.5× |
| Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy,… (0996T) |
$1,556.10 |
$3,458 |
0.6× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
$4,331.25 |
$9,625 |
0.7× |
| Insertion of sinus tarsi implant (0335T) |
$4,772.25 |
$10,605 |
0.5× |
| Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) |
$10,963.35 |
$24,363 |
0.8× |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) |
$10,963.35 |
$24,363 |
0.8× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$17,991.45 |
$39,981 |
0.7× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$6,633.90 |
$14,742 |
0.7× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$6,910.65 |
$15,357 |
0.7× |
| Insj perm ccm-d sys pg&eltrd (0915T) |
$25,698.60 |
$57,108 |
0.7× |
| Int psych care mng, 1 cal mo (G0568) |
$68.85 |
$153 |
0.6× |
| Intens behave ther cardio dx (G0446) |
$16.20 |
$36 |
0.4× |
| Intens cardiac rehab no exer (G0423) |
$157.05 |
$349 |
1.0× |
| Intens cardiac rehab w/exerc (G0422) |
$157.05 |
$349 |
1.0× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$30.60 |
$68 |
0.7× |
| Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system, remote data… (0949T) |
$25.20 |
$56 |
0.6× |
| Intraor comprehensive series (D0210) |
$43.20 |
$96 |
0.2× |
| Intraoral occlusal film (D0240) |
$472.95 |
$1,051 |
4.5× |
| Intraoral periapical first (D0220) |
$74.70 |
$166 |
0.7× |
| Iv cipaglucosidase alfa-atga (G0138) |
$335.70 |
$746 |
0.4× |
| Labial veneer porc indirect (D2962) |
$50.40 |
$112 |
0.1× |
| Laparoscopic revision or removal, lower esophageal sphincter neurostimulator electrodes (1014T) |
$7,511.85 |
$16,693 |
0.6× |
| Laparoscopy, surgical, implantation or replacement of lower esophageal sphincter neurostimulator electrode array and… (1013T) |
$13,078.35 |
$29,063 |
0.6× |
| Limit oral eval problm focus (D0140) |
$43.20 |
$96 |
0.3× |
| Limited occlusal adjustment (D9951) |
$763.20 |
$1,696 |
1.0× |
| Localized delivery antimicro (D4381) |
$820.35 |
$1,823 |
1.1× |
| Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) |
$199.35 |
$443 |
0.7× |
| Lymphovenous bypass, including robotic assistance, when performed, per extremity (1019T) |
$4,476.60 |
$9,948 |
0.6× |
Mandible graft (D7950)
likely a partial charge, not the full procedure |
$50.40 |
$112 |
0.0× |
| Mnt subs tx for change dx (G0270) |
$44.55 |
$99 |
1.4× |
| Monthly tx for dmht 20mins (G0553) |
$106.20 |
$236 |
0.7× |
| Motorized ab interno trephination of sclera (sclerostomy), or trabecular meshwork (trabeculostomy), 1 or more,… (1012T) |
$2,786.85 |
$6,193 |
0.6× |
| Mra w/cont, abd (C8900) |
$546.30 |
$1,214 |
1.3× |
| Mra w/cont, lwr ext (C8912) |
$546.30 |
$1,214 |
1.3× |
| Mra w/cont, pelvis (C8918) |
$546.30 |
$1,214 |
1.3× |
| Mra w/o cont, abd (C8901) |
$346.95 |
$771 |
1.2× |
| Mra w/o cont, lwr ext (C8913) |
$346.95 |
$771 |
1.2× |
| Mra w/o cont, pelvis (C8919) |
$346.95 |
$771 |
1.2× |
| Mra w/o fol w/cont, abd (C8902) |
$587.70 |
$1,306 |
1.4× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$587.70 |
$1,306 |
1.4× |
| Mra w/o fol w/cont, pelvis (C8920) |
$587.70 |
$1,306 |
1.4× |
| Mra, w/dye, spinal canal (C8931) |
$546.30 |
$1,214 |
1.3× |
| Mra, w/dye, upper extremity (C8934) |
$546.30 |
$1,214 |
1.3× |
| Mra, w/o dye, spinal canal (C8932) |
$346.95 |
$771 |
1.2× |
| Mra, w/o dye, upper extr (C8935) |
$346.95 |
$771 |
1.2× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$587.70 |
$1,306 |
1.4× |
| Mra, w/o&w/dye, upper extr (C8936) |
$587.70 |
$1,306 |
1.4× |
| Mri w/cont, breast, uni (C8903) |
$275.85 |
$613 |
1.3× |
| Mri w/o fol w/cont, breast, (C8908) |
$546.30 |
$1,214 |
1.3× |
| Mri w/o fol w/cont, brst, un (C8905) |
$546.30 |
$1,214 |
1.3× |
| N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) |
$161.10 |
$358 |
0.6× |
| N-invs det hrt fail aug echo (0932T) |
$241.20 |
$536 |
0.7× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$266.85 |
$593 |
0.5× |
| Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography… (0712T) |
$136.35 |
$303 |
0.5× |
| Noninvasive assessment of cardiac risk derived from augmentative software analysis of perivascular fat without… (0992T) |
$161.10 |
$358 |
0.6× |
| Obtaining screen pap smear (Q0091) |
$48.60 |
$108 |
1.4× |
| Occ guard, hard, full arch (D9944) |
$23.40 |
$52 |
0.0× |
| Off base opioid tx 70min (G2086) |
$224.10 |
$498 |
1.1× |
| Off base opioid tx, 60 m (G2087) |
$198.45 |
$441 |
0.9× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) |
$730.80 |
$1,624 |
2.9× |
| Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) |
$17,605.35 |
$39,123 |
0.8× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) |
$17,605.35 |
$39,123 |
0.8× |
| Opps service,sched team conf (G0175) |
$499.50 |
$1,110 |
1.0× |
| Opto-acoustic img breast uni augmnt alys&reprt (0857T) |
$88.65 |
$197 |
0.7× |
| Oral antral fistula closure (D7260) |
$611.55 |
$1,359 |
0.8× |
| Oral/facial photo images (D0350) |
$50.40 |
$112 |
0.5× |
| Ortho impl mvmt alys pair CT (0946T) |
$85.50 |
$190 |
0.7× |
Osseous surgery 4 or more (D4260)
likely a partial charge, not the full procedure |
$820.35 |
$1,823 |
0.1× |
| Oth resp proc, group (G0239) |
$44.55 |
$99 |
1.0× |
| Panoramic image (D0330) |
$46.35 |
$103 |
0.2× |
Partial craniectomy, channel creation, and tunneling of electrode for sub-scalpimplantation of an electrode array,… (0956T)
unusually low: confirm this is the full procedure |
$15,030.45 |
$33,401 |
0.5× |
| Pathogen test for platelets (P9100) |
$255.60 |
$568 |
3.6× |
| Pattern erg w/i&r (0509T) |
$363.15 |
$807 |
1.4× |
| Pedicle soft tissue graft pr (D4270) |
$820.35 |
$1,823 |
0.4× |
| Pemivibart infusion (M0224) |
$290.70 |
$646 |
0.6× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) |
$9,575.55 |
$21,279 |
0.6× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$9,575.55 |
$21,279 |
0.6× |
| Periodic oral evaluation (D0120) |
$43.20 |
$96 |
0.3× |
| Periodontal maint procedures (D4910) |
$50.40 |
$112 |
0.1× |
| Periodontal scaling & root (D4341) |
$50.40 |
$112 |
0.1× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure |
$4,570.20 |
$10,156 |
0.3× |
| Place device/marker, non pro (C9728) |
$1,749.60 |
$3,888 |
1.1× |
| Place direct restoration (D2940) |
$50.40 |
$112 |
0.1× |
| Pne flu hepb cov home admin (M0201) |
$44.55 |
$99 |
1.0× |
| Post 1 srfc resinbased cmpst (D2391) |
$50.40 |
$112 |
0.1× |
| Post 2 srfc resinbased cmpst (D2392) |
$50.40 |
$112 |
0.1× |
| Post 3 srfc resinbased cmpst (D2393) |
$50.40 |
$112 |
0.1× |
| Post >=4srfc resinbase cmpst (D2394) |
$50.40 |
$112 |
0.1× |
| Post and core cast + crown (D2952) |
$50.40 |
$112 |
0.1× |
| Post d/c phone follow up (G0544) |
$49.95 |
$111 |
0.4× |
| Potassium hydroxide preps (Q0112) |
$16.20 |
$36 |
2.8× |
| Ppps, initial visit (G0438) |
$114.75 |
$255 |
0.7× |
| Ppps, subseq visit (G0439) |
$68.40 |
$152 |
0.5× |
| Pr active thoracic irrigation separate procedure (1021T) |
$423 |
$940 |
0.6× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,009.80 |
$2,244 |
1.0× |
| Prefab post/core + crown (D2954) |
$50.40 |
$112 |
0.1× |
| Prefab stnlss steel crown pe (D2931) |
$50.40 |
$112 |
0.1× |
| Prefab stnlss steel crwn pri (D2930) |
$50.40 |
$112 |
0.1× |
Prep skin cell susp, automtd (C8002)
unusually low: confirm this is the full procedure |
$3,737.70 |
$8,306 |
0.4× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$31.05 |
$69 |
0.7× |
| Primary closure sinus perf (D7261) |
$472.95 |
$1,051 |
0.6× |
| Programming device eval impl ccm-d sys in person (0926T) |
$30.60 |
$68 |
0.7× |
| Prostate biopsy, any mthd (G0416) |
$471.60 |
$1,048 |
1.1× |
| Psa screening (G0103) |
$48.60 |
$108 |
2.5× |
| Pulp cap direct (D3110) |
$50.40 |
$112 |
0.1× |
| Pulp cap indirect (D3120) |
$50.40 |
$112 |
0.1× |
| Pure tone audiometry (threshold), automated; air and bone Non-Facility Physician Technical Component (0209T) |
$31.95 |
$71 |
0.7× |
| Pure tone audiometry (threshold), automated; air only Non-Facility Physician Technical Component (0208T) |
$26.55 |
$59 |
0.6× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) |
$103.95 |
$231 |
0.7× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$367.20 |
$816 |
0.3× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$197.10 |
$438 |
0.7× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$197.10 |
$438 |
0.7× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$136.35 |
$303 |
1.3× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) |
$21.15 |
$47 |
0.5× |
| Rad exc lesion up to 1.25 cm (D7410) |
$50.40 |
$112 |
0.0× |
| Radiation applicator (D5983) |
$820.35 |
$1,823 |
1.1× |
| Radiation cone locator (D5985) |
$820.35 |
$1,823 |
1.1× |
| Radiation shield (D5984) |
$820.35 |
$1,823 |
1.1× |
| Raman spectroscopy of 1 or more skin lesions, with probability score for malignant risk derived by algorithmic analysis… (1020T) |
$40.05 |
$89 |
0.6× |
| Re-cement or re-bond crown (D2920) |
$50.40 |
$112 |
0.1× |
| Re-eval,est pt,problem focus (D0170) |
$43.20 |
$96 |
0.3× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$1,467.90 |
$3,262 |
0.6× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$1,467.90 |
$3,262 |
0.6× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$1,467 |
$3,260 |
0.6× |
| Rem exostosis any site (D7471) |
$50.40 |
$112 |
0.0× |
| Rem imp tooth w mucoper flp (D7210) |
$378.45 |
$841 |
0.2× |
| Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) |
$90 |
$200 |
0.6× |
| Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and… (0740T) |
$52.20 |
$116 |
0.7× |
| Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of… (0741T) |
$31.95 |
$71 |
0.7× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$30.60 |
$68 |
0.7× |
| Remote monitoring of an implanted inferior vena cava sensor for up to 30 days, including at least weekly downloads of… (0983T) |
$24.30 |
$54 |
0.5× |
| Remote monitoring of implantable inferior vena cava sensor, physiologic parameter(s) (eg, weight, blood pressure, pulse… (0982T) |
$86.40 |
$192 |
0.5× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report… (0812T) |
$31.05 |
$69 |
0.2× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of… (0811T) |
$107.10 |
$238 |
0.7× |
| Removal of sub-scalp implanted electrode array, receiver, and telemetry unit for continuous bilateral… (0958T) |
$2,167.65 |
$4,817 |
0.6× |
| Removal or replacement of magnet from coil assembly that is connected to continuous bilateral electroencephalography… (0959T) |
$1,082.70 |
$2,406 |
0.5× |
| Removal perm ccm-d system pulse generator only (0919T) |
$2,917.35 |
$6,483 |
0.7× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$3,160.80 |
$7,024 |
0.7× |
| Remove torus mandibularis (D7473) |
$50.40 |
$112 |
0.1× |
Replacement of sub-scalp implanted electrode array, receiver, and telemetry unit with tunneling of electrode for… (0960T)
unusually low: confirm this is the full procedure |
$15,030.45 |
$33,401 |
0.5× |
| Replacment pt electronic sys (G0555) |
$544.05 |
$1,209 |
0.5× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$495.90 |
$1,102 |
0.7× |
| Reshaping bone orthognathic (D7940) |
$820.35 |
$1,823 |
1.1× |
| Resin 4/> surf or w incis an (D2335) |
$51.30 |
$114 |
0.1× |
| Resin one surface-anterior (D2330) |
$46.35 |
$103 |
0.1× |
| Resin three surfaces-anterio (D2332) |
$50.85 |
$113 |
0.1× |
| Resin two surfaces-anterior (D2331) |
$50.40 |
$112 |
0.1× |
| Revision of sub-scalp implanted electrode array, receiver, and telemetry unit for electrode, when required, including… (0957T) |
$1,069.20 |
$2,376 |
0.6× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) |
$2,739.15 |
$6,087 |
0.7× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) |
$2,357.10 |
$5,238 |
0.6× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) |
$2,739.15 |
$6,087 |
0.7× |
| Revision or removal, lower esophageal sphincter neurostimulator pulse generator or receiver (1015T) |
$2,357.10 |
$5,238 |
0.6× |
| Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) |
$2,739.15 |
$6,087 |
0.7× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) |
$2,739.15 |
$6,087 |
0.7× |
| Risk ascvd tst once pr 12 mo (G0537) |
$16.20 |
$36 |
0.4× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) |
$2,917.35 |
$6,483 |
0.7× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$2,917.35 |
$6,483 |
0.7× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) |
$2,917.35 |
$6,483 |
0.7× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$17,991.45 |
$39,981 |
0.7× |
| Sbrt w/positron emission del (G0563) |
$2,004.30 |
$4,454 |
0.5× |
| Sim ang w/prs cath rad emb (C8004) |
$7,575.75 |
$16,835 |
0.5× |
| Slctv nzmtc dbrdmt brn eschar anes s/n/hf&/md 1 (0975T) |
$266.85 |
$593 |
0.5× |
| Slctv nzmtc dbrdmt brn eschar req anes t/a/l 1st (0973T) |
$266.85 |
$593 |
0.5× |
| Smmg cncrnt appl imu snr (0778T) |
$131.40 |
$292 |
0.9× |
| Space maintainer fxd unilat (D1510) |
$378.45 |
$841 |
0.5× |
| Subs psych care mng, subs mo (G0569) |
$68.85 |
$153 |
0.6× |
| Supply of digital device (G0552) |
$106.20 |
$236 |
0.7× |
Surg reduct osseoustuberosit (D7485)
likely a partial charge, not the full procedure |
$50.40 |
$112 |
0.0× |
| Tcat Impl Wrls Ivc Snr L-T Hemodyn Mntr (0981T) |
$11,995.20 |
$26,656 |
0.5× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) |
$2,578.50 |
$5,730 |
0.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$15,681.15 |
$34,847 |
0.7× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$17,943.75 |
$39,875 |
0.8× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$17,943.75 |
$39,875 |
0.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$17,943.75 |
$39,875 |
0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$2,565 |
$5,700 |
0.7× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$15,681.15 |
$34,847 |
0.7× |
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
unusually low: confirm this is the full procedure |
$3,112.20 |
$6,916 |
0.5× |
| Therapeutic pulpotomy (D3220) |
$50.40 |
$112 |
0.1× |
| Therapeutic ultrafiltration (0692T) |
$639.90 |
$1,422 |
0.3× |
| Tomosynthesis, mammo (G0279) |
$36.90 |
$82 |
2.9× |
| Tooth root removal (D7250) |
$472.95 |
$1,051 |
0.6× |
| Transanal insertion of endoluminal temporary colorectal anastomosis protection device, including vacuum anchoring… (0967T) |
$787.95 |
$1,751 |
0.5× |
Transcatheter Renal Sympath Denervation Bilat (0339T)
unusually low: confirm this is the full procedure |
$3,112.20 |
$6,916 |
0.5× |
| Transcatheter renal sympath denervation unilat (0338T) |
$3,808.80 |
$8,464 |
0.6× |
| Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment Non-Facility (0783T) |
$131.40 |
$292 |
0.9× |
| Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, initial… (0766T) |
$131.40 |
$292 |
0.5× |
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
likely a partial charge, not the full procedure |
$1,861.65 |
$4,137 |
0.1× |
| Trauma respons w/hosp criti (G0390) |
$1,563.30 |
$3,474 |
1.0× |
| Treatment of complications (D9930) |
$820.35 |
$1,823 |
1.1× |
| Trim nail(s) (G0127) |
$75.15 |
$167 |
1.1× |
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
likely a partial charge, not the full procedure |
$1,510.65 |
$3,357 |
0.1× |
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
unusually low: confirm this is the full procedure |
$5,733 |
$12,740 |
0.4× |
| Trnscut Elect Modlation Pain Reproces Ea Tx Sess (0278T) |
$249.30 |
$554 |
1.6× |
| Unsched dialysis esrd pt hos (G0257) |
$824.40 |
$1,832 |
1.0× |
| Upper gastrointestinal blood detection, sensor capsule, with interpretation and report (0977T) |
$626.40 |
$1,392 |
0.6× |
Vasc emb/occ w/prs cath (C9797)
unusually low: confirm this is the full procedure |
$9,256.50 |
$20,570 |
0.4× |
Vestibuloplasty ridge extens (D7340)
likely a partial charge, not the full procedure |
$50.40 |
$112 |
0.0× |
| Visit to determ ldct elig (G0296) |
$108 |
$240 |
0.9× |
| Wet mounts/ w preparations (Q0111) |
$17.55 |
$39 |
0.9× |