| 2019-ncov diagnostic p (U0001) |
$90.68 |
$139.50 |
2.5× |
| 2d tee w or w/o fol w/con,in (C8925) |
$3,691.35 |
$5,679 |
4.5× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,667.90 |
$2,566 |
4.6× |
| Ablation mal brst tumor perq crtx unilateral (0581T) |
$12,444.90 |
$19,146 |
3.0× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$6,346.60 |
$9,764 |
3.1× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$6,346.60 |
$9,764 |
3.1× |
| Adm tocilizu covid-19 1st (M0249) |
$1,464.45 |
$2,253 |
3.2× |
| Adm tocilizu covid-19 2nd (M0250) |
$1,464.45 |
$2,253 |
3.2× |
| Admin hepatitis b vaccine (G0010) |
$150.15 |
$231 |
3.1× |
| Admin influenza virus vac (G0008) |
$150.15 |
$231 |
3.1× |
| Annual alcohol screen 15 min (G0442) |
$167.70 |
$258 |
4.3× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$300.95 |
$463 |
2.8× |
| Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0764T) |
$419.25 |
$645 |
3.0× |
| Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0765T) |
$419.25 |
$645 |
3.0× |
| Behavior counsel obesity 15m (G0447) |
$518.70 |
$798 |
4.9× |
| Brief alcohol misuse counsel (G0443) |
$518.70 |
$798 |
4.9× |
| Ca screen;pelvic/breast exam (G0101) |
$300.95 |
$463 |
2.8× |
| Catheterize for urine spec (P9612) |
$13 |
$20 |
1.4× |
| Chemo extend iv infus w/pump (G0498) |
$1,699.10 |
$2,614 |
4.9× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,963.35 |
$4,559 |
3.1× |
| Colorectal scrn; hi risk ind (G0105) |
$2,963.35 |
$4,559 |
3.1× |
| Covid-19 lab test non-cdc (U0002) |
$90.68 |
$139.50 |
1.8× |
| Depression screen annual (G0444) |
$96.85 |
$149 |
2.5× |
| Devlopment test interpt&rep (G0451) |
$345.15 |
$531 |
3.3× |
| Direct refer hospital observ (G0379) |
$1,992.25 |
$3,065 |
3.2× |
| Drug test def 1-7 classes (G0480) |
$92.95 |
$143 |
0.8× |
| Drug test def 15-21 classes (G0482) |
$837.20 |
$1,288 |
4.2× |
| Drug test def 22+ classes (G0483) |
$1,040 |
$1,600 |
4.2× |
| Drug test def 8-14 classes (G0481) |
$38.35 |
$59 |
0.2× |
| Eia hiv-1/hiv-2 screen (G0432) |
$52 |
$80 |
2.7× |
| Ekg tracing for initial prev (G0404) |
$79.95 |
$123 |
2.6× |
| Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) |
$315.90 |
$486 |
3.2× |
| Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) |
$442 |
$680 |
3.2× |
| Elec stim unattend for press (G0281) |
$119.60 |
$184 |
10.2× |
| Electronic analysis with complex programming of implanted integrated neurostimulation system (eg, electrode array and… (0789T) |
$298.35 |
$459 |
3.0× |
| Electronic analysis with simple programming of implanted integrated neurostimulation system (eg, electrode array and… (0788T) |
$298.35 |
$459 |
3.0× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$38,331.15 |
$58,971 |
3.2× |
| Fecal microbiota prep instil (G0455) |
$2,963.35 |
$4,559 |
3.1× |
| Fern test (Q0114) |
$34.45 |
$53 |
3.5× |
| FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants,… (0046U) |
$1,853.80 |
$2,852 |
4.5× |
| Heart symp image plnr (0331T) |
$4,243.20 |
$6,528 |
3.1× |
| Hep c screen high risk/other (G0472) |
$190.78 |
$293.50 |
4.1× |
| High inten beh couns std 30m (G0445) |
$518.70 |
$798 |
4.9× |
| Home sleep test/type 3 porta (G0399) |
$508.95 |
$783 |
2.3× |
| Hopd mntl hlt, grp (C7903) |
$72.15 |
$111 |
1.8× |
| Hospital outpt clinic visit (G0463) |
$418.60 |
$644 |
3.0× |
| Initial preventive exam (G0402) |
$418.60 |
$644 |
3.0× |
| Inj for sacroiliac jt anesth (G0260) |
$2,250.95 |
$3,463 |
3.1× |
| Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) |
$42,181.75 |
$64,895 |
3.6× |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) |
$40,528.15 |
$62,351 |
3.5× |
| Insertion wrls car stimulator lv pacg bth compnt (0517T) |
$8,775 |
$13,500 |
0.8× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$22,614.15 |
$34,791 |
1.0× |
| Insertion wrls car stimulator lv pacg eltrd only (0516T) |
$13,016.25 |
$20,025 |
1.2× |
| Insj/rplc cardiac modulj sys (0408T) |
$23,507.25 |
$36,165 |
0.7× |
| Insj/rplcmt compl iims (0525T) |
$12,179.70 |
$18,738 |
0.6× |
| Insj/rplcmt iims eltrd only (0526T) |
$8,806.20 |
$13,548 |
1.0× |
| Insj/rplcmt iims implt mntr (0527T) |
$26,897 |
$41,380 |
3.1× |
| Instill pharm renal pelvis (C9789) |
$8,411 |
$12,940 |
6.6× |
| Instlj fecal microbiota ssp rct nma lwr gi trc (0780T) |
$419.25 |
$645 |
3.0× |
| Intens behave ther cardio dx (G0446) |
$167.70 |
$258 |
4.3× |
| Interrog dev eval iims ip (0529T) |
$120.90 |
$186 |
3.1× |
| Interrog dev eval wcs ip (0521T) |
$79.95 |
$123 |
2.6× |
| Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) |
$790.40 |
$1,216 |
3.0× |
| Monthly tx for dmht 20mins (G0553) |
$418.60 |
$644 |
3.0× |
| Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; with tomographic SPECT (0332T) |
$4,243.20 |
$6,528 |
3.1× |
| N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) |
$792.35 |
$1,219 |
3.2× |
| Neuro csf prion prtn qual (0035U) |
$438.10 |
$674 |
0.8× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$1,296.75 |
$1,995 |
2.8× |
| Obtaining screen pap smear (Q0091) |
$79.95 |
$123 |
2.6× |
| Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation,… (0857T) |
$345.15 |
$531 |
3.2× |
| Oth resp proc, group (G0239) |
$127.40 |
$196 |
3.3× |
| Pathogen test for platelets (P9100) |
$1,278.55 |
$1,967 |
20.8× |
| Pemivibart infusion (M0224) |
$1,462.50 |
$2,250 |
3.2× |
| Perc d-e cor revasc chro sin (C9607) |
$41,644.20 |
$64,068 |
2.2× |
| Perc d-e cor revasc t cabg s (C9604) |
$34,602.75 |
$53,235 |
2.9× |
| Perc d-e cor stent ather s (C9602) |
$36,316.15 |
$55,871 |
1.9× |
| Perc drug-el cor stent sing (C9600) |
$33,839.65 |
$52,061 |
2.8× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) |
$23,217.35 |
$35,719 |
3.1× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) |
$15,355.60 |
$23,624 |
2.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$18,530.20 |
$28,508 |
1.5× |
| Potassium hydroxide preps (Q0112) |
$30.55 |
$47 |
5.2× |
| Prgrmg dev eval iims ip (0528T) |
$120.90 |
$186 |
3.1× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$120.90 |
$186 |
3.1× |
| Prgrmg dev eval wcs ip (0522T) |
$120.90 |
$186 |
3.1× |
| Prolonged iv inf, req pump (C8957) |
$1,072.18 |
$1,649.50 |
4.8× |
| Psa screening (G0103) |
$82.55 |
$127 |
4.3× |
| Quan mr tiss w/MRI 1orgn (0649T) |
$3,089.45 |
$4,753 |
3.2× |
| Quan MRI alys brn w/dx MRI (0866T) |
$785.85 |
$1,209 |
3.2× |
| Quantitative magnetic resonance (MR scan) imaging of gallbladder, bile ducts, pancreas and pancreatic duct… (0724T) |
$3,089.45 |
$4,753 |
3.2× |
| Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) |
$442 |
$680 |
3.2× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report… (0812T) |
$508.95 |
$783 |
3.8× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of… (0811T) |
$418.60 |
$644 |
3.0× |
| Removal and reinsertion of sinus tarsi implant (0511T) |
$11,838.45 |
$18,213 |
1.6× |
| Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including… (0519T) |
$34,011.90 |
$52,326 |
3.1× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) |
$14,839.50 |
$22,830 |
1.4× |
| Removal cardiac modulj sys transvenous electrode (0413T) |
$11,827.40 |
$18,196 |
3.0× |
| Removal complete iims (0530T) |
$11,827.40 |
$18,196 |
3.0× |
| Removal iims electrode only (0531T) |
$11,827.40 |
$18,196 |
3.0× |
| Removal iims implt mntr only (0532T) |
$11,827.40 |
$18,196 |
3.0× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$11,827.40 |
$18,196 |
3.0× |
| Removal of sinus tarsi implant (0510T) |
$10,544.95 |
$16,223 |
3.1× |
| Revasc intra lithotrip-ather (C9766) |
$83,891.60 |
$129,064 |
4.4× |
| Revasc intra lithotrip-stent (C9765) |
$30,315.35 |
$46,639 |
1.6× |
| Revasc intravasc lithotripsy (C9764) |
$52,981.50 |
$81,510 |
4.4× |
| Revasc lith-sten-ath tib/per (C9775) |
$31,556.85 |
$48,549 |
1.6× |
| Revasc lithotr-ather tib/per (C9774) |
$29,529.50 |
$45,430 |
1.5× |
| Revasc lithotr-stent tib/per (C9773) |
$37,495.90 |
$57,686 |
2.0× |
| Revasc lithotrip tibi/perone (C9772) |
$21,798.40 |
$33,536 |
1.8× |
| Revasc lithotrip-stent-ather (C9767) |
$27,999.40 |
$43,076 |
1.5× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) |
$11,176.75 |
$17,195 |
3.1× |
| Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator (0785T) |
$11,176.75 |
$17,195 |
3.1× |
| Risk ascvd tst once pr 12 mo (G0537) |
$96.85 |
$149 |
2.5× |
| Screen cerv/vag thin layer (G0123) |
$58.50 |
$90 |
2.9× |
| Screen pap by tech w md supv (P3000) |
$69.55 |
$107 |
3.8× |
| Semen analysis (G0027) |
$37.05 |
$57 |
5.7× |
| Supply of digital device (G0552) |
$418.60 |
$644 |
3.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$18,478.20 |
$28,428 |
0.9× |
| Tcat insj perm dual chamber ldls pm compl sys (0795T) |
$23,540.40 |
$36,216 |
1.2× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$10,229.70 |
$15,738 |
3.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$18,478.20 |
$28,428 |
0.9× |
| Tcat rmvl/debulk icar mass suction device perq (0644T) |
$18,530.20 |
$28,508 |
3.1× |
| Tee w or w/o fol w/cont,cong (C8926) |
$3,691.35 |
$5,679 |
4.5× |
| Transcatheter renal sympath denervation bilat (0339T) |
$10,545.60 |
$16,224 |
1.8× |
| Transcatheter renal sympath denervation unilat (0338T) |
$18,530.20 |
$28,508 |
3.1× |
| Trluml perip athrc abd aorta (0236T) |
$36,856.95 |
$56,703 |
3.1× |
| Trluml perip athrc iliac art (0238T) |
$31,187 |
$47,980 |
1.6× |
| Trluml perip athrc renal art (0234T) |
$19,427.20 |
$29,888 |
1.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$16,497 |
$25,380 |
1.4× |
| Tte w or w/o contr, cont ecg (C8930) |
$3,691.35 |
$5,679 |
4.5× |
| Tte w or w/o fol w/con,stres (C8928) |
$3,691.35 |
$5,679 |
4.5× |
| Tte w or w/o fol w/cont, com (C8921) |
$3,691.35 |
$5,679 |
4.5× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$3,691.35 |
$5,679 |
4.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,691.35 |
$5,679 |
4.5× |
| Unsched dialysis esrd pt hos (G0257) |
$2,274.35 |
$3,499 |
3.2× |
| Visit to determ ldct elig (G0296) |
$300.95 |
$463 |
2.8× |
| Wet mounts/ w preparations (Q0111) |
$124.15 |
$191 |
6.7× |