| 3d anat seg imaging preop (C8001) |
$924 |
$1,848 |
6.1× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$7,146 |
$14,292 |
1.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$2,792.50 |
$5,585 |
1.2× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$2,792.50 |
$5,585 |
1.2× |
| Adapt bhv tx prtcl modificaj ea 15 min tech time (0373T) |
$103 |
$206 |
2.3× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) |
$265 |
$530 |
1.7× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) |
$265 |
$530 |
1.7× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$56 |
$112 |
1.3× |
| Bhv id suprt assmt ea 15 min (0362T) |
$37.50 |
$75 |
0.8× |
| Compre ful bdy cptr mrkrls 3d knmtc&kin mtn alys (0693T) |
$506.50 |
$1,013 |
1.2× |
| Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) |
$270.50 |
$541 |
2.6× |
| Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) |
$261 |
$522 |
1.1× |
| Diab manage trn per indiv (G0108) |
$143 |
$286 |
2.6× |
| Diab manage trn ind/group (G0109) |
$165 |
$330 |
10.3× |
| Direct refer hospital observ (G0379) |
$766.50 |
$1,533 |
1.1× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) |
$2,371.50 |
$4,743 |
1.0× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) |
$2,371.50 |
$4,743 |
1.0× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
$5,005.50 |
$10,011 |
1.1× |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) |
$125 |
$250 |
1.1× |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) |
$148.50 |
$297 |
1.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$43,751 |
$87,502 |
0.8× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) |
$3,934.50 |
$7,869 |
1.1× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$15,159 |
$30,318 |
1.1× |
| Evacuation meibomian glands using heat bilateral (0563T) |
$89 |
$178 |
1.3× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$22,970 |
$45,940 |
1.1× |
| Injection posterior chamber eye medication (0699T) |
$2,851 |
$5,702 |
1.0× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$34,775.50 |
$69,551 |
1.3× |
| Insertion/Replacement Complete Iims (0525T) |
$23,839 |
$47,678 |
1.0× |
| Insertion/Replacement Iims Electrode Only (0526T) |
$12,306 |
$24,612 |
1.3× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) |
$12,306 |
$24,612 |
1.3× |
| Insj Wcs Lv Eltrd Only (0516T) |
$13,082 |
$26,164 |
1.1× |
| Insj Wcs Lv Pg Compnt (0517T) |
$13,082 |
$26,164 |
1.1× |
| Interrog dev eval iims ip (0529T) |
$57 |
$114 |
1.3× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) |
$37.50 |
$75 |
1.1× |
| Ire Abltj 1+Tum Organ Perq (0600T) |
$13,014.50 |
$26,029 |
1.0× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) |
$120 |
$240 |
0.5× |
| Njx platelet plasma (0232T) |
$499 |
$998 |
0.9× |
| Oct middle ear with i&r bilateral (0486T) |
$182 |
$364 |
4.1× |
| Oct middle ear with i&r unilateral (0485T) |
$182 |
$364 |
4.1× |
| Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) |
$4,725 |
$9,450 |
1.3× |
| Pathogen test for platelets (P9100) |
$74.50 |
$149 |
1.1× |
| Pattern erg w/i&r (0509T) |
$389.50 |
$779 |
1.5× |
| Prgrmg dev eval iims ip (0528T) |
$57 |
$114 |
1.3× |
| Prgrmg device eval wrls car stimulator in person (0522T) |
$57 |
$114 |
1.3× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) |
$321 |
$642 |
1.1× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$321 |
$642 |
1.1× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$3,064.50 |
$6,129 |
4.3× |
| Removal and reinsertion of sinus tarsi implant (0511T) |
$8,930 |
$17,860 |
1.0× |
| Removal complete iims (0530T) |
$5,193.50 |
$10,387 |
1.2× |
| Removal iims electrode only (0531T) |
$5,193.50 |
$10,387 |
1.2× |
| Removal iims implt mntr only (0532T) |
$5,193.50 |
$10,387 |
1.2× |
| Removal of sinus tarsi implant (0510T) |
$4,056 |
$8,112 |
1.0× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) |
$13,082 |
$26,164 |
1.1× |
| Rmvl Pg Compnt Wcs (0518T) |
$5,193.50 |
$10,387 |
1.2× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) |
$34,775.50 |
$69,551 |
2.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$25,031 |
$50,062 |
1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$25,031 |
$50,062 |
1.1× |
| Therapeutic ultrafiltration (0692T) |
$2,049.50 |
$4,099 |
1.1× |
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines |
$4,580.50–$9,173 |
$9,161–$18,346 |
varies |