| 2d tee w or w/o fol w/con,in (C8925) |
$720.70 |
$3,603.50 |
0.9× |
| 2d tte w or w/o fol w/con,co (C8923) |
$489.20 |
$2,446 |
0.6× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$316.60 |
$1,583 |
0.9× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$1,815.90 |
$9,079.48 |
0.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$2,962 |
$14,810 |
1.5× |
| Admin hepatitis b vaccine (G0010) |
$35.20 |
$176 |
0.7× |
| Admin influenza virus vac (G0008) |
$13.40 |
$67 |
0.3× |
| Admin pneumococcal vaccine (G0009) |
$13.40 |
$67 |
0.3× |
| Annual alcohol screen 15 min (G0442) |
$12.80 |
$64 |
0.3× |
| Brief alcohol misuse counsel (G0443) |
$40.20 |
$201 |
0.4× |
| Ca screen;pelvic/breast exam (G0101) |
$40 |
$200 |
0.4× |
| Catheterize for urine spec (P9612) |
$31.40 |
$157 |
3.4× |
| Depression screen annual (G0444) |
$12.80 |
$64 |
0.3× |
| Diab manage trn per indiv (G0108) |
$18.40 |
$92 |
0.3× |
| Diab manage trn ind/group (G0109) |
$15.10 |
$75.50 |
0.9× |
| Direct refer hospital observ (G0379) |
$68.40 |
$342 |
0.1× |
| Drug test def 1-7 classes (G0480) |
$16.90 |
$84.50 |
0.1× |
| Elec stim other than wound (G0283) |
$23.60 |
$118 |
1.9× |
| Elec stim unattend for press (G0281) |
$23.60 |
$118 |
2.0× |
| Electrophysiological eval icds w/ss electrode (0577T) |
$935.60 |
$4,678 |
0.7× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure |
$16,813.20 |
$84,066 |
0.4× |
| Hbot, full body chamber, 30m (G0277) |
$247.40 |
$1,237 |
1.7× |
| Home sleep test/type 3 porta (G0399) |
$313.40 |
$1,567 |
1.4× |
| Home sleep test/type 4 porta (G0400) |
$313.40 |
$1,567 |
1.4× |
| Hospital outpt clinic visit (G0463) |
$40 |
$200 |
0.3× |
Iliac Atherectomy (0238T)
likely a partial charge, not the full procedure |
$5,220 |
$26,100 |
0.3× |
| Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) |
$675.60 |
$3,378 |
1.4× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$4,923.60 |
$24,618 |
0.6× |
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
unusually low: confirm this is the full procedure |
$10,123.60 |
$50,618 |
0.3× |
| Instill pharm renal pelvis (C9789) |
$855 |
$4,275 |
0.7× |
| Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) |
$28.60 |
$143 |
0.7× |
| Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) |
$28.60 |
$143 |
0.7× |
| Lev 1 hosp type b ed visit (G0380) |
$136.40 |
$682 |
1.8× |
| Lev 2 hosp type b ed visit (G0381) |
$226.80 |
$1,134 |
2.3× |
| Lev 3 hosp type b ed visit (G0382) |
$432.20 |
$2,161 |
2.4× |
| Lev 4 hosp type b ed visit (G0383) |
$633.80 |
$3,169 |
2.3× |
| Lev 5 hosp type b ed visit (G0384) |
$962.80 |
$4,814 |
2.2× |
| Mra w/cont, abd (C8900) |
$1,649.20 |
$8,246 |
4.5× |
| Mra w/cont, chest (C8909) |
$1,649.20 |
$8,246 |
4.5× |
| Mra w/cont, lwr ext (C8912) |
$1,906.40 |
$9,532 |
5.2× |
| Mra w/cont, pelvis (C8918) |
$1,865.60 |
$9,328 |
5.1× |
| Mra w/o cont, abd (C8901) |
$1,231.80 |
$6,159 |
4.9× |
| Mra w/o cont, chest (C8910) |
$1,231.80 |
$6,159 |
4.9× |
| Mra w/o cont, lwr ext (C8913) |
$1,424 |
$7,120 |
5.7× |
| Mra w/o cont, pelvis (C8919) |
$1,393.60 |
$6,968 |
5.6× |
| Mra w/o fol w/cont, abd (C8902) |
$1,987.60 |
$9,938 |
5.5× |
| Mra w/o fol w/cont, chest (C8911) |
$1,987.60 |
$9,938 |
5.5× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,296.20 |
$11,481 |
6.3× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,247.60 |
$11,238 |
6.2× |
| Mra, w/dye, spinal canal (C8931) |
$1,122.20 |
$5,611 |
3.1× |
| Mra, w/dye, upper extremity (C8934) |
$1,122.20 |
$5,611 |
3.1× |
| Mra, w/o dye, spinal canal (C8932) |
$841.40 |
$4,207 |
3.4× |
| Mra, w/o dye, upper extr (C8935) |
$841.40 |
$4,207 |
3.4× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$1,357.60 |
$6,788 |
3.7× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,357.60 |
$6,788 |
3.7× |
| Mri w/cont, breast, bi (C8906) |
$1,412 |
$7,060 |
3.9× |
| Mri w/cont, breast, uni (C8903) |
$1,412 |
$7,060 |
7.7× |
| Mri w/o fol w/cont, breast, (C8908) |
$927.70 |
$4,638.50 |
2.5× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,633.40 |
$8,167 |
4.5× |
| Neuro csf prion prtn qual (0035U) |
$46.60 |
$233 |
0.1× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$374.10 |
$1,870.50 |
0.8× |
| Obtaining screen pap smear (Q0091) |
$13.40 |
$67 |
0.4× |
| Oth resp proc, group (G0239) |
$52.60 |
$263 |
1.3× |
| Oth resp proc, indiv (G0238) |
$49.20 |
$246 |
1.6× |
Perc d-e cor revasc chro sin (C9607)
likely a partial charge, not the full procedure |
$5,383.40 |
$26,917 |
0.3× |
| Perc d-e cor revasc t cabg s (C9604) |
$9,869 |
$49,345 |
0.8× |
| Perc d-e cor stent ather s (C9602) |
$9,869 |
$49,345 |
0.5× |
| Perc drug-el cor stent sing (C9600) |
$9,869 |
$49,345 |
0.8× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,151.60 |
$25,758 |
0.7× |
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure |
$3,358.10 |
$16,790.50 |
0.4× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
likely a partial charge, not the full procedure |
$2,911.60 |
$14,558 |
0.2× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$384.20 |
$1,921 |
0.4× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$28.60 |
$143 |
0.7× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$28.60 |
$143 |
0.7× |
| Prgrmg Dev Eval Scrms Phys/Qhp Remote (0650T) |
$28.60 |
$143 |
0.7× |
| Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) |
$33.20 |
$166 |
0.9× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) |
$517.40 |
$2,587 |
0.5× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) |
$1,148.60 |
$5,743 |
1.2× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$284.80 |
$1,424 |
0.3× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$1,148.60 |
$5,743 |
1.2× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$517.40 |
$2,587 |
0.5× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$487.20 |
$2,436 |
0.5× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$105.20 |
$526 |
1.2× |
| Removal of substernal implantable defibrillator electrode (0573T) |
$1,074 |
$5,370 |
0.3× |
| Remove drug implant (G0517) |
$158.80 |
$794 |
0.3× |
| Remove w insert drug implant (G0518) |
$201.20 |
$1,006 |
0.4× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$2,046 |
$10,230 |
0.5× |
| Revasc intra lithotrip-ather (C9766) |
$10,252.20 |
$51,261 |
0.5× |
| Revasc intra lithotrip-stent (C9765) |
$10,252.20 |
$51,261 |
0.5× |
| Revasc intravasc lithotripsy (C9764) |
$9,029.40 |
$45,147 |
0.7× |
| Revasc lith-sten-ath tib/per (C9775) |
$10,252.20 |
$51,261 |
0.5× |
| Revasc lithotr-ather tib/per (C9774) |
$10,252.20 |
$51,261 |
0.5× |
| Revasc lithotr-stent tib/per (C9773) |
$10,252.20 |
$51,261 |
0.5× |
| Revasc lithotrip tibi/perone (C9772) |
$9,029.40 |
$45,147 |
0.7× |
| Revasc lithotrip-stent-ather (C9767) |
$10,252.20 |
$51,261 |
0.5× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$1,815.40 |
$9,077 |
0.5× |
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T)
unusually low: confirm this is the full procedure |
$9,996.80 |
$49,984 |
0.4× |
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure |
$9,410.60 |
$47,053 |
0.5× |
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
unusually low: confirm this is the full procedure |
$9,410.60 |
$47,053 |
0.5× |
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
unusually low: confirm this is the full procedure |
$9,410.60 |
$47,053 |
0.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$14,115.80 |
$70,579 |
0.7× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$1,492.40 |
$7,462 |
0.5× |
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
unusually low: confirm this is the full procedure |
$2,059 |
$10,295 |
0.3× |
| Tee w or w/o fol w/cont,cong (C8926) |
$928.80 |
$4,644 |
1.1× |
| Therapeutic procd strg endur (G0237) |
$49.20 |
$246 |
1.6× |
| Tomosynthesis, mammo (G0279) |
$18 |
$90 |
1.4× |
| Tpmt nudt15 gene analysis common variants (0034U) |
$106.20 |
$531 |
0.2× |
| Trauma respons w/hosp criti (G0390) |
$2,605.10 |
$13,025.50 |
1.9× |
| Tte w or w/o contr, cont ecg (C8930) |
$655.60 |
$3,278 |
0.8× |
| Tte w or w/o fol w/cont, com (C8921) |
$738.80 |
$3,694 |
0.9× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$243 |
$1,215 |
0.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$918.40 |
$4,592 |
1.1× |
| Unsched dialysis esrd pt hos (G0257) |
$611 |
$3,055 |
0.9× |