| 2d tee w or w/o fol w/con,in (C8925) |
$1,570.80 |
$2,244 |
2.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,878.54 |
$2,683.62 |
2.4× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,076.34 |
$1,537.62 |
3.1× |
| Admin influenza virus vac (G0008) |
$44.45 |
$63.50 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$120.49 |
$172.12 |
2.6× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$122.85 |
$175.50 |
3.3× |
| Covid-19 lab test non-cdc (U0002) |
$156.45 |
$223.50 |
3.0× |
| Diab manage trn per indiv (G0108) |
$120.40 |
$172 |
2.2× |
| Direct refer hospital observ (G0379) |
$303.98 |
$434.25 |
0.5× |
| Drug test def 1-7 classes (G0480) |
$180.08 |
$257.25 |
1.6× |
| Elec stim other than wound (G0283) |
$75.08 |
$107.25 |
5.9× |
| Elec stim unattend for press (G0281) |
$83.04 |
$118.62 |
7.1× |
| Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) |
$10,531.50 |
$15,045 |
3.3× |
| Followup eval of foot pt lop (G0246) |
$244.30 |
$349 |
1.8× |
| Hospital outpt clinic visit (G0463) |
$93.80 |
$134 |
0.7× |
| Initial foot exam pt lops (G0245) |
$244.30 |
$349 |
1.8× |
| Inj for sacroiliac jt anesth (G0260) |
$2,163.88 |
$3,091.25 |
3.1× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) |
$29,519.53 |
$42,170.75 |
2.8× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$29,519.53 |
$42,170.75 |
2.8× |
| Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) |
$29,519.53 |
$42,170.75 |
3.6× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$25,056.33 |
$35,794.75 |
1.1× |
| Insertion/replacement complete iims (0525T) |
$39,387.78 |
$56,268.25 |
2.0× |
| Insertion/replacement iims implantable mntr only (0527T) |
$29,519.53 |
$42,170.75 |
3.6× |
| Intens cardiac rehab no exer (G0423) |
$286.83 |
$409.75 |
2.2× |
| Intens cardiac rehab w/exerc (G0422) |
$441.35 |
$630.50 |
3.4× |
| Interrog dev eval iims ip (0529T) |
$148.23 |
$211.75 |
4.0× |
| Interrog dev eval wcs ip (0521T) |
$68.60 |
$98 |
2.4× |
| Mra w/cont, abd (C8900) |
$2,560.60 |
$3,658 |
7.3× |
| Mra w/cont, chest (C8909) |
$3,214.05 |
$4,591.50 |
9.2× |
| Mra w/cont, lwr ext (C8912) |
$3,214.05 |
$4,591.50 |
9.2× |
| Mra w/o cont, abd (C8901) |
$2,560.60 |
$3,658 |
10.7× |
| Mra w/o cont, chest (C8910) |
$2,600.15 |
$3,714.50 |
10.8× |
| Mra w/o cont, lwr ext (C8913) |
$2,156 |
$3,080 |
9.0× |
| Mra w/o fol w/cont, abd (C8902) |
$3,907.23 |
$5,581.75 |
11.1× |
| Mra w/o fol w/cont, chest (C8911) |
$4,168.15 |
$5,954.50 |
11.9× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,459.28 |
$3,513.25 |
7.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,701.65 |
$3,859.50 |
7.7× |
| Mra, w/dye, spinal canal (C8931) |
$2,023.18 |
$2,890.25 |
5.8× |
| Mra, w/dye, upper extremity (C8934) |
$1,835.23 |
$2,621.75 |
5.2× |
| Mra, w/o dye, spinal canal (C8932) |
$1,356.95 |
$1,938.50 |
5.7× |
| Mra, w/o dye, upper extr (C8935) |
$1,293.86 |
$1,848.38 |
5.4× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$2,288.13 |
$3,268.75 |
6.5× |
| Mra, w/o&w/dye, upper extr (C8936) |
$2,076.55 |
$2,966.50 |
5.9× |
| Mri w/cont, breast, bi (C8906) |
$3,378.38 |
$4,826.25 |
9.6× |
| Mri w/cont, breast, uni (C8903) |
$2,886.45 |
$4,123.50 |
16.4× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,624 |
$2,320 |
4.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,624 |
$2,320 |
4.6× |
| Pathogen test for platelets (P9100) |
$78.22 |
$111.75 |
1.3× |
| Perc d-e cor revasc chro sin (C9607) |
$52,328.50 |
$74,755 |
2.8× |
| Perc d-e cor revasc t cabg s (C9604) |
$52,328.50 |
$74,755 |
4.5× |
| Perc d-e cor stent ather s (C9602) |
$52,328.50 |
$74,755 |
2.8× |
| Perc drug-el cor stent sing (C9600) |
$52,328.50 |
$74,755 |
4.5× |
| Pne flu hepb cov home admin (M0201) |
$88.38 |
$126.25 |
2.4× |
| Potassium hydroxide preps (Q0112) |
$42.35 |
$60.50 |
7.3× |
| Prgrmg dev eval iims ip (0528T) |
$148.23 |
$211.75 |
4.0× |
| Prgrmg dev eval wcs ip (0522T) |
$148.23 |
$211.75 |
4.0× |
| Prolonged iv inf, req pump (C8957) |
$199.50 |
$285 |
0.9× |
| Prostate biopsy, any mthd (G0416) |
$3,699.33 |
$5,284.75 |
10.3× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$599.90 |
$857 |
2.5× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$599.90 |
$857 |
2.5× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) |
$87,697.23 |
$125,281.75 |
8.4× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) |
$12,481.18 |
$17,830.25 |
1.2× |
| Removal complete iims (0530T) |
$12,481.18 |
$17,830.25 |
3.3× |
| Removal iims electrode only (0531T) |
$12,481.18 |
$17,830.25 |
3.3× |
| Removal iims implt mntr only (0532T) |
$12,481.18 |
$17,830.25 |
3.3× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$12,481.18 |
$17,830.25 |
3.3× |
| Routine footcare pt w lops (G0247) |
$244.30 |
$349 |
1.2× |
| Tee w or w/o fol w/cont, mon (C8927) |
$1,570.80 |
$2,244 |
2.0× |
| Tee w or w/o fol w/cont,cong (C8926) |
$2,099.48 |
$2,999.25 |
2.7× |
| Therapeutic procd strg endur (G0237) |
$54.08 |
$77.25 |
1.9× |
| Tomosynthesis, mammo (G0279) |
$104.65 |
$149.50 |
8.2× |
| Trauma respons w/hosp criti (G0390) |
$5,928.13 |
$8,468.75 |
4.4× |
| Tte w or w/o contr, cont ecg (C8930) |
$3,838.80 |
$5,484 |
4.9× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,608.55 |
$3,726.50 |
3.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$4,242.52 |
$6,060.75 |
5.4× |
| Unsched dialysis esrd pt hos (G0257) |
$1,217.13 |
$1,738.75 |
1.8× |