| 2d tee w or w/o fol w/con,in (C8925) |
$1,310.40 |
$2,184 |
1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$652.80 |
$1,088 |
1.9× |
| Adm of soc dtr assess 5-15 m (G0136) |
$39 |
$65 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$72 |
$120 |
1.5× |
| Admin influenza virus vac (G0008) |
$72 |
$120 |
1.5× |
| Admin pneumococcal vaccine (G0009) |
$72 |
$120 |
1.5× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,164 |
$1,940 |
1.3× |
| Chemo extend iv infus w/pump (G0498) |
$509.40 |
$849 |
1.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,338 |
$2,230 |
1.4× |
| Colorectal scrn; hi risk ind (G0105) |
$1,217.40 |
$2,029 |
1.3× |
| Covid-19 lab test non-cdc (U0002) |
$34.20 |
$57 |
0.7× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$3,027.60 |
$5,046 |
0.6× |
| Diab manage trn per indiv (G0108) |
$81.60 |
$136 |
1.5× |
| Diab manage trn ind/group (G0109) |
$22.80 |
$38 |
1.4× |
| Direct refer hospital observ (G0379) |
$663 |
$1,105 |
1.1× |
| Drug test def 1-7 classes (G0480) |
$76.50 |
$127.50 |
0.7× |
| Elec stim other than wound (G0283) |
$143.40 |
$239 |
11.3× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$16,215 |
$27,025 |
1.4× |
| Fern test (Q0114) |
$13.80 |
$23 |
1.4× |
| Hbot, full body chamber, 30m (G0277) |
$609 |
$1,015 |
4.4× |
| Hep c screen high risk/other (G0472) |
$69.60 |
$116 |
1.5× |
| Home sleep test/type 2 porta (G0398) |
$230.40 |
$384 |
1.1× |
| Home sleep test/type 3 porta (G0399) |
$182.40 |
$304 |
0.8× |
| Hospital outpt clinic visit (G0463) |
$171.54 |
$285.90 |
1.3× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
$3,968.40 |
$6,614 |
1.2× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$10,841.40 |
$18,069 |
1.3× |
| Interrogation dev eval icds w/ss eltrd in person (0576T) |
$63.60 |
$106 |
1.7× |
| Mra w/cont, abd (C8900) |
$1,386.60 |
$2,311 |
4.0× |
| Mra w/cont, pelvis (C8918) |
$1,204.20 |
$2,007 |
3.5× |
| Mra w/o cont, abd (C8901) |
$778.80 |
$1,298 |
3.3× |
| Mra w/o cont, chest (C8910) |
$877.80 |
$1,463 |
3.7× |
| Mra w/o cont, lwr ext (C8913) |
$615.60 |
$1,026 |
2.6× |
| Mra w/o cont, pelvis (C8919) |
$750.60 |
$1,251 |
3.2× |
| Mra w/o fol w/cont, abd (C8902) |
$2,125.20 |
$3,542 |
6.1× |
| Mra w/o fol w/cont, chest (C8911) |
$1,892.40 |
$3,154 |
5.4× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,929 |
$3,215 |
5.6× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,204.20 |
$2,007 |
3.5× |
| Mra, w/o dye, upper extr (C8935) |
$750.60 |
$1,251 |
3.2× |
| Mri w/cont, breast, bi (C8906) |
$2,497.20 |
$4,162 |
7.2× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,227.75 |
$2,046.25 |
3.5× |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) |
$855 |
$1,425 |
0.3× |
| Oth resp proc, group (G0239) |
$56.40 |
$94 |
1.5× |
| Oth resp proc, indiv (G0238) |
$87 |
$145 |
3.0× |
| Pathogen test for platelets (P9100) |
$43.20 |
$72 |
0.7× |
| Perc d-e cor revasc chro sin (C9607) |
$18,567 |
$30,945 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$16,356.60 |
$27,261 |
1.4× |
| Perc d-e cor stent ather s (C9602) |
$19,077 |
$31,795 |
1.0× |
| Perc drug-el cor stent sing (C9600) |
$16,356.60 |
$27,261 |
1.4× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$8,152.20 |
$13,587 |
0.7× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$63.60 |
$106 |
1.7× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$63.60 |
$106 |
1.7× |
| Prostate biopsy, any mthd (G0416) |
$324 |
$540 |
0.9× |
| Psa screening (G0103) |
$63.63 |
$106.05 |
3.3× |
| Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) |
$5,956.20 |
$9,927 |
1.0× |
| Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) |
$63.60 |
$106 |
1.7× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$3,724.20 |
$6,207 |
1.0× |
| Revasc intra lithotrip-ather (C9766) |
$15,064.20 |
$25,107 |
0.8× |
| Revasc intra lithotrip-stent (C9765) |
$15,064.20 |
$25,107 |
0.8× |
| Revasc intravasc lithotripsy (C9764) |
$8,327.40 |
$13,879 |
0.7× |
| Revasc lith-sten-ath tib/per (C9775) |
$23,561.40 |
$39,269 |
1.3× |
| Revasc lithotr-ather tib/per (C9774) |
$23,561.40 |
$39,269 |
1.3× |
| Revasc lithotr-stent tib/per (C9773) |
$23,561.40 |
$39,269 |
1.3× |
| Revasc lithotrip tibi/perone (C9772) |
$14,736 |
$24,560 |
1.3× |
| Revasc lithotrip-stent-ather (C9767) |
$24,096 |
$40,160 |
1.3× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$4,233.60 |
$7,056 |
1.1× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$5,296.20 |
$8,827 |
1.4× |
| Therapeutic procd strg endur (G0237) |
$34.80 |
$58 |
1.2× |
| Tomosynthesis, mammo (G0279) |
$55.80 |
$93 |
4.4× |
| Trauma respons w/hosp criti (G0390) |
$4,303.80 |
$7,173 |
3.2× |
| Trluml Perip Athrc Renal Art (0234T) |
$14,056.80 |
$23,428 |
1.2× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$22,430.40 |
$37,384 |
1.2× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,054.80 |
$1,758 |
1.4× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,170.60 |
$1,951 |
1.5× |
| Unsched dialysis esrd pt hos (G0257) |
$1,204.50 |
$2,007.50 |
1.8× |