| 2019-ncov diagnostic p (U0001) |
$35.92 |
— |
1.0× |
| 2d cephal radio image (D0702) |
$104.19 |
— |
1.0× |
| 2d cephalometric image (D0340) |
$104.19 |
$224.40 |
1.0× |
| 2d oral/facial photo image (D0703) |
$104.19 |
— |
1.0× |
| 2d tee w or w/o fol w/con,in (C8925) |
$934.93 |
— |
1.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$934.93 |
— |
1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$422.61 |
$1,360.26 |
1.0× |
| 3d anat seg imaging preop (C8001) |
$104.19 |
— |
0.6× |
| 3d bn img algor drvd fr mri (G0566) |
— |
$462.87 |
— |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) |
$286.04 |
$715.10 |
1.0× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) |
$1,917.33 |
$4,547.71 |
0.9× |
| Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) |
$12,320.22 |
$28,130.21 |
0.9× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$4,531.42 |
$8,345.09 |
0.9× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$2,310.83 |
— |
0.9× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$7,578.32 |
— |
0.7× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$2,310.83 |
— |
0.9× |
| Active thoracic irrigation separate procedure (1021T) |
— |
$1,957.63 |
— |
| Adapt bhv tx prtcl modificaj ea 15 min tech time (0373T) |
$35.25 |
— |
0.8× |
| Add proc construct new crown (D2971) |
$1,967.49 |
— |
2.4× |
| Adm of soc dtr assess 5-15 m (G0136) |
$35.25 |
$99.55 |
0.8× |
| Adm tocilizu covid-19 1st (M0249) |
$533.10 |
$1,293.75 |
1.0× |
| Adm tocilizu covid-19 2nd (M0250) |
$533.10 |
$1,293.75 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$54.60 |
— |
0.9× |
| Admin influenza virus vac (G0008) |
$54.60 |
— |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$54.60 |
— |
0.9× |
| Adrnl cortcl tum bchm asy 25 (0015M) |
$1,305.37 |
$3,916.11 |
1.0× |
| Adv prim care mgmt lvl 1 (G0556) |
$35.25 |
— |
0.8× |
| Adv prim care mgmt lvl 2 (G0557) |
$35.25 |
— |
0.8× |
| Adv prim care mgmt lvl 3 (G0558) |
$109.46 |
— |
0.9× |
Alcohol/sub misuse assess (G2011)
range across 2 matching MRF lines |
$28.98 |
$52.18–$62.62 |
0.8× |
| Alcohol/subs interv 15-30mn (G0396) |
$35.25 |
$422.66 |
0.8× |
Alcohol/subs interv >30 min (G0397)
range across 3 matching MRF lines |
$190.13 |
$540–$553.41 |
0.9× |
| Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) |
— |
$419.45 |
— |
| Alveoloplasty not w/extracts (D7321) |
$1,752.89 |
— |
0.9× |
| Alveoloplasty w/extract 1-3 (D7311) |
$1,752.89 |
— |
0.9× |
| Alveolus clsd reduc stblz te (D7771) |
$3,837.72 |
$3,606.15 |
0.9× |
| Alveolus open reduction (D7671) |
$7,000.36 |
— |
0.9× |
| Alveoplasty w/ extraction (D7310) |
$1,752.89 |
$685.37 |
0.9× |
| Alveoplasty w/o extraction (D7320) |
$1,752.89 |
$871.50 |
0.9× |
| Amalgam 4 or > surfaces perm (D2161) |
$1,967.49 |
$292.30 |
2.4× |
| Amalgam one surface permanen (D2140) |
$1,967.49 |
$279.95 |
2.4× |
| Amalgam three surfaces perma (D2160) |
$1,967.49 |
$430.63 |
2.4× |
| Amalgam two surfaces permane (D2150) |
$1,967.49 |
$355.03 |
2.4× |
| Ana crown exp 1-3 per quad (D4231) |
$1,752.89 |
— |
0.9× |
| Ana crown exp 4 or> per quad (D4230) |
$3,837.72 |
— |
0.9× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) |
$70.29 |
$175.73 |
0.4× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) |
$70.29 |
$175.73 |
0.4× |
| Annual alcohol screen 15 min (G0442) |
$35.25 |
$240.12 |
0.8× |
| Ant resin-based cmpst crown (D2390) |
$1,967.49 |
$877.20 |
2.4× |
| Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments Facility (0657T) |
— |
$11,158.02 |
— |
| Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments Facility (0656T) |
— |
$11,158.02 |
— |
| Antibody treponema pallidum total & rpr ia qual (0064U) |
$31.33 |
— |
1.0× |
| Apexification/recalc final (D3353) |
$1,967.49 |
$1,137.60 |
2.4× |
| Apexification/recalc initial (D3351) |
$1,967.49 |
$808.28 |
2.4× |
| Apexification/recalc interim (D3352) |
$1,967.49 |
$577.37 |
2.4× |
| Apically positioned flap (D4245) |
$1,752.89 |
$1,528.95 |
0.9× |
| Apicoectomy - anterior (D3410) |
$1,967.49 |
$1,609.03 |
2.4× |
| Arhfcmrigtbs 1st motor threshold deter 1st tx d (0890T) |
$4,438.19 |
$6,828.69 |
1.0× |
| Arhfcmrigtbs sbsq motor threshld redeter pr tx d (0892T) |
$4,438.19 |
$6,828.69 |
1.0× |
| Arhfcmrigtbs subsequent treatment day (0891T) |
$4,438.19 |
$6,828.69 |
1.0× |
| Arthro/shoul surg; w/spacer (C9781) |
$15,226.08 |
— |
1.0× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$109.46 |
$273.65 |
0.9× |
| Assessment of a patient (D0191) |
$152.50 |
— |
0.9× |
| Asstv alg ECG rsk asmt cncrt (0764T) |
$152.54 |
$105 |
0.9× |
| Asstv alg ECG rsk asmt prev (0765T) |
$152.54 |
$105 |
0.9× |
| Augmentative AI-based facial phenotype analysis with report Non-Facility (0731T) |
$70.29 |
$184.10 |
1.0× |
| Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) |
$769.78 |
$1,973.81 |
1.0× |
| Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) |
$769.78 |
$1,973.81 |
1.0× |
| Auto tissue graft 1st tooth (D4273) |
$1,752.89 |
$2,087.10 |
0.9× |
| Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported… (0062U) |
$380.72 |
— |
1.0× |
| Autolog prp not diab ulcer (G0460) |
$2,164.64 |
— |
0.8× |
| Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue… (0718T) |
$4,332.25 |
$9,031.98 |
1.0× |
| Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue… (0717T) |
$4,332.25 |
$1,684.12 |
1.0× |
| B burgdorferi antb 12 prtn grp immunoblot igg (0042U) |
$17.21 |
— |
1.0× |
| B burgdorferi antb 5 prtn grp immunoblot igm (0041U) |
$17.21 |
— |
1.0× |
| BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative 13,999 or fewer… (0040U) |
$409.90 |
— |
1.0× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$44.13 |
$120.36 |
0.9× |
| Behavior counsel obesity 15m (G0447) |
$109.46 |
$422.67 |
0.9× |
| Bhv id suprt assmt ea 15 min (0362T) |
$35.25 |
— |
0.8× |
| Bia whole body composition assessment w/i&r (0358T) |
$28.98 |
— |
0.8× |
| Bio mtrls to aid soft/os reg (D4265) |
$1,967.49 |
— |
2.4× |
| Biological materials (D3431) |
$1,967.49 |
— |
2.4× |
| Bitewings - three images (D0273) |
$286.04 |
$119.32 |
1.0× |
| Bitewings four images (D0274) |
$286.04 |
$141.68 |
1.0× |
| Blind cor sinus reducer impl (C9783) |
$13,419.98 |
— |
0.9× |
| Blind interatrial shunt ide (C9758) |
$20,709.39 |
$43,950.28 |
1.0× |
| Blind myocar trpl bon marrow (C9782) |
$20,709.39 |
— |
1.0× |
| Blind/nonblind trans atrial (C9792) |
$11,538.35 |
$35,094.19 |
1.0× |
| Blinded conv. tx mdd clin tr (G2000) |
$627.89 |
— |
1.3× |
| Blood mucoprotein (P2038) |
$4.95 |
— |
1.0× |
| Blood thymol turbidity (P2033) |
$4.95 |
— |
1.0× |
| Bone graft peri per tooth (D3428) |
$1,967.49 |
$1,495.55 |
2.4× |
| Bone replce graft first site (D4263) |
$1,967.49 |
$1,429.88 |
2.4× |
| Bone Strength & Fracture Risk Assessment (0556T) |
$286.04 |
— |
1.0× |
| Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) |
$286.04 |
$105 |
1.0× |
| Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) |
$28.98 |
— |
0.8× |
| Brief alcohol misuse counsel (G0443) |
$109.46 |
$422.67 |
0.9× |
| Brief chkin by md/qhp, 11-20 (G2252) |
$27.62 |
— |
1.0× |
| Brief chkin, 5-10, non-e/m (G2251) |
$14.12 |
— |
1.0× |
Ca screen;flexi sigmoidscope (G0104)
range across 3 matching MRF lines |
$1,078.88 |
$1,962.43–$2,557.84 |
0.9× |
Ca screen;pelvic/breast exam (G0101)
range across 2 matching MRF lines |
$109.46 |
$182.47–$246.41 |
0.9× |
| Canal prep/fitting of dowel (D3950) |
$1,967.49 |
— |
2.4× |
| Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified… (0068U) |
$142.63 |
— |
1.0× |
| Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score… (0716T) |
$70.29 |
$179.92 |
1.0× |
| Cardiac mri seg dys strain (C9762) |
$648.84 |
— |
1.0× |
| Cardiac mri seg dys stress (C9763) |
$648.84 |
— |
1.0× |
| Cardiokymography (Q0035) |
$46.45 |
— |
1.0× |
| Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism… (0055U) |
$3,240 |
— |
1.0× |
| Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray and algorithm reported as… (0019M) |
$712.40 |
— |
1.0× |
| Care manage beh svs 20mins (G0323) |
$35.25 |
$177.61 |
0.8× |
| Care manage serv, pr cal mo (G0570) |
— |
$116.93 |
— |
| Catheterize for urine spec (P9612) |
$9.09 |
$9 |
1.0× |
| Cbc without platelet (G0307) |
$6.47 |
$339.52 |
1.0× |
| Cbc/diffwbc w/o platelet (G0306) |
$7.77 |
— |
1.0× |
| Cephalin floculation test (P2028) |
$4.95 |
— |
1.0× |
| Chemo extend iv infus w/pump (G0498) |
$392.51 |
— |
1.0× |
| Closd rductn splint alveolus (D7670) |
$3,837.72 |
— |
0.9× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) |
$2,760.73 |
$6,658.35 |
0.9× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,078.88 |
$1,606.45 |
0.9× |
| Colonic lavage, 35 or more liters of water, gravity-fed, with induced defecation, including insertion of rectal catheter (0736T) |
$185.15 |
— |
1.2× |
| Colorectal scrn; hi risk ind (G0105) |
$1,078.88 |
$1,606.45 |
0.9× |
| Colpopexy, min/inv, ex-perit (C9778) |
$5,841.60 |
$8,318.76 |
0.9× |
| Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) |
$7,044.32 |
$8,523.35 |
0.9× |
| Comm hlth intg svs sdoh 60mn (G0019) |
$109.46 |
$309.24 |
0.9× |
| Commissure splint (D5987) |
$1,967.49 |
— |
2.4× |
| Comp periodontal evaluation (D0180) |
$152.50 |
$137.55 |
0.9× |
| Complete occlusal adjustment (D9952) |
$1,967.49 |
$1,406.05 |
2.4× |
| Complex simulation w/pet-ct (G0562) |
$2,308.14 |
— |
1.0× |
| Compre Audiom Threshold Eval & Speech Recog (0212T) |
$185.15 |
$425.62 |
1.2× |
| Compre ful bdy cptr mrkrls 3d knmtc&kin mtn alys (0693T) |
$414.77 |
$1,267.72 |
1.0× |
| Comprehensve oral evaluation (D0150) |
$152.50 |
$179.85 |
0.9× |
| Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) |
$104.19 |
— |
1.0× |
| Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) |
$235.13 |
— |
0.9× |
| Comt gene analysis c.472g>a variant (0032U) |
$174.81 |
— |
1.0× |
| Con tissue w pedicle graft (D4276) |
$1,752.89 |
— |
0.9× |
| Cone beam ct both jaws (D0383) |
$125.84 |
— |
1.0× |
| Cone beam ct capt & interp (D0364) |
$125.84 |
$569.10 |
1.0× |
| Cone beam ct capt mandible (D0381) |
$125.84 |
— |
1.0× |
| Cone beam ct capt maxilla (D0382) |
$125.84 |
— |
1.0× |
| Cone beam ct capture limited (D0380) |
$125.84 |
— |
1.0× |
| Cone beam ct capture tmj (D0384) |
$125.84 |
— |
1.0× |
| Cone beam ct interp both jaw (D0367) |
$125.84 |
$621.30 |
1.0× |
| Cone beam ct interprete man (D0365) |
$125.84 |
$618.45 |
1.0× |
| Cone beam ct interprete max (D0366) |
$125.84 |
$594.90 |
1.0× |
| Cone beam ct interprete tmj (D0368) |
$125.84 |
$671.85 |
1.0× |
| Congo red blood test (P2029) |
$4.95 |
— |
1.0× |
| Cool Quant Sensory Test (0108T) |
$70.29 |
— |
1.0× |
| Coping (D2975) |
$1,967.49 |
— |
2.4× |
| Core build-up incl any pins (D2950) |
$1,967.49 |
$593.83 |
2.4× |
| Coronectomy (D7251) |
$1,752.89 |
$881.80 |
0.9× |
| Covid-19 lab test non-cdc (U0002) |
$51.31 |
$105.28 |
1.0× |
| Cptrizd oph alys monocular eye mvmt rta eye trck (1010T) |
— |
$415.20 |
— |
| Crd hrt trnspl mrna 1283 gen (0087U) |
$3,159.42 |
— |
1.0× |
| Crown 3/4 cast base metal (D2781) |
$1,967.49 |
— |
2.4× |
| Crown 3/4 cast hi noble met (D2780) |
$1,967.49 |
— |
2.4× |
| Crown 3/4 cast noble metal (D2782) |
$1,967.49 |
— |
2.4× |
| Crown 3/4 porcelain/ceramic (D2783) |
$1,967.49 |
— |
2.4× |
| Crown 3/4 resin-based compos (D2712) |
$1,967.49 |
— |
2.4× |
| Crown full cast base metal (D2791) |
$1,967.49 |
$2,253.60 |
2.4× |
| Crown full cast high noble m (D2790) |
$1,967.49 |
$2,587.55 |
2.4× |
| Crown full cast noble metal (D2792) |
$1,967.49 |
$2,395.88 |
2.4× |
| Crown lengthen hard tissue (D4249) |
$1,967.49 |
$1,723.20 |
2.4× |
| Crown porc fused to titanium (D2753) |
$1,967.49 |
— |
2.4× |
| Crown porcelain fused base m (D2751) |
$1,967.49 |
$2,290.45 |
2.4× |
| Crown porcelain w/ h noble m (D2750) |
$1,967.49 |
$2,460.35 |
2.4× |
| Crown porcelain w/ noble met (D2752) |
$1,967.49 |
$2,356.12 |
2.4× |
| Crown porcelain/ceramic (D2740) |
$1,967.49 |
$2,471.65 |
2.4× |
| Crown repair (D2980) |
$1,967.49 |
$616.45 |
2.4× |
| Crown resin w/ base metal (D2721) |
$1,967.49 |
— |
2.4× |
| Crown resin w/ high noble me (D2720) |
$1,967.49 |
$2,294.40 |
2.4× |
| Crown resin w/ noble metal (D2722) |
$1,967.49 |
— |
2.4× |
| Crown resin-based indirect (D2710) |
$1,967.49 |
$2,058.68 |
2.4× |
| Crown-titanium (D2794) |
$1,967.49 |
— |
2.4× |
Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T)
unusually low: confirm this is the full procedure |
$2,164.64 |
— |
0.4× |
| Crtx oral cavity temp regulated flu cooling sys (0881T) |
$472.21 |
$1,151.91 |
0.8× |
| CT breast w/3d rendering bi with contrast (0637T) |
$422.61 |
$1,328.58 |
1.0× |
| CT breast w/3d rendering bi without contrast (0636T) |
$286.04 |
$830.58 |
1.0× |
| CT breast w/3d rendering uni with contrast (0634T) |
$210.66 |
$637.42 |
1.0× |
| CT breast w/3d rendering uni without contrast (0633T) |
$125.84 |
$381.41 |
1.0× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) |
$422.61 |
$1,328.58 |
1.0× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) |
$210.66 |
$637.42 |
1.0× |
| Cyp2d6 3' gene dup/mlt (0076U) |
$450.91 |
— |
1.0× |
| Cyp2d6 5' gene dup/mlt (0075U) |
$450.91 |
— |
1.0× |
| Cyp2d6 full gene sequence (0071U) |
$600 |
— |
1.0× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$676.37 |
— |
1.0× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) |
$450.91 |
— |
1.0× |
| Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) |
$450.91 |
— |
1.0× |
| Cyp2d6 nonduplicated gene (0074U) |
$450.91 |
— |
1.0× |
| Cysto impl 4 or more (C9740) |
$10,942.71 |
— |
0.9× |
| Cysto, litho, vacuum kidney (C9761) |
$10,942.71 |
$13,018.14 |
0.9× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$6,015.75 |
— |
0.9× |
| Decor or submerg erupt tooth (D3921) |
$1,967.49 |
$60 |
2.4× |
| Demonstrate use home inr mon (G0248) |
$152.50 |
— |
0.9× |
| Dental bitewing single image (D0270) |
$104.19 |
$56.40 |
1.0× |
| Dental bitewings two images (D0272) |
$104.19 |
$88.20 |
1.0× |
| Dental connector bar (D6920) |
$1,967.49 |
— |
2.4× |
| Dental gold foil one surface (D2410) |
$1,967.49 |
— |
2.4× |
| Dental gold foil three surfa (D2430) |
$1,967.49 |
— |
2.4× |
| Dental gold foil two surface (D2420) |
$1,967.49 |
— |
2.4× |
| Dental inlay metalic 1 surf (D2510) |
$1,967.49 |
— |
2.4× |
| Dental inlay metallic 2 surf (D2520) |
$1,967.49 |
— |
2.4× |
| Dental inlay metl 3/more sur (D2530) |
$1,967.49 |
— |
2.4× |
| Dental inlay resin 3/mre sur (D2652) |
$1,967.49 |
— |
2.4× |
| Dental onlay metallic 2 surf (D2542) |
$1,967.49 |
— |
2.4× |
| Dental onlay metallic 3 surf (D2543) |
$1,967.49 |
— |
2.4× |
| Dental onlay metl 4/more sur (D2544) |
$1,967.49 |
— |
2.4× |
| Dental onlay porc 3/more sur (D2630) |
$1,967.49 |
$2,190.85 |
2.4× |
| Dental onlay porc 4/more sur (D2644) |
$1,967.49 |
$2,373.08 |
2.4× |
| Dental onlay porcelin 2 surf (D2642) |
$1,967.49 |
— |
2.4× |
| Dental onlay porcelin 3 surf (D2643) |
$1,967.49 |
$2,264.92 |
2.4× |
| Dental onlay resin 2 surface (D2662) |
$1,967.49 |
— |
2.4× |
| Dental onlay resin 3 surface (D2663) |
$1,967.49 |
— |
2.4× |
| Dental onlay resin 4/mre sur (D2664) |
$1,967.49 |
$2,168.92 |
2.4× |
| Dental prophylaxis adult (D1110) |
$152.50 |
$176.85 |
0.9× |
| Dental saliography (D0310) |
$286.04 |
$665.40 |
1.0× |
| Dental tmj arthrogram incl i (D0320) |
$286.04 |
$1,039.65 |
1.0× |
| Dental tomographic survey (D0322) |
$125.84 |
— |
1.0× |
| Dental unspec restorative pr (D2999) |
$1,967.49 |
$662.23 |
2.4× |
| Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity 13,999 or fewer assigned members (0039U) |
$13.74 |
— |
1.0× |
| Depression screen annual (G0444) |
$35.25 |
$240.12 |
0.8× |
| Dermal filler injection(s) (G0429) |
$2,164.64 |
$5,517.24 |
0.8× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) |
$724.37 |
— |
0.8× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) |
$724.37 |
— |
0.8× |
| Device evaluation and interrogation of intraocular retinal electrode array (eg, retinal prosthesis), in person,… (0473T) |
$108.62 |
— |
0.9× |
| Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal… (0472T) |
$354.90 |
— |
0.9× |
| Devlopment test interpt&rep (G0451) |
$109.46 |
$176.26 |
0.9× |
| Diab manage trn per indiv (G0108) |
$60.65 |
$108.54 |
1.1× |
| Diab manage trn ind/group (G0109) |
$17.38 |
$54.99 |
1.1× |
| Digital sub 2 or more images (D0394) |
$104.19 |
— |
1.0× |
| Direct refer hospital observ (G0379) |
$725.52 |
— |
1.0× |
| Dist space maint, fixed unil (D1575) |
$1,967.49 |
— |
2.4× |
| Drug test def 1-7 classes (G0480) |
$114.43 |
$343.29 |
1.0× |
| Drug test def 15-21 classes (G0482) |
$198.74 |
— |
1.0× |
| Drug test def 22+ classes (G0483) |
$246.92 |
$617.33 |
1.0× |
| Drug test def 8-14 classes (G0481) |
$156.59 |
— |
1.0× |
| Drug test def simple all cl (G0659) |
$62.14 |
— |
1.0× |
| Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and… (0082U) |
$246.92 |
— |
1.0× |
| Drug test(s), presumptive, with definitive confirmation of positive results, any number of drug classes, urine,… (0007U) |
$114.43 |
— |
1.0× |
| Dstry eye lesn,fdr vssl tech (G0186) |
$649.19 |
— |
0.9× |
| Each addtnl prefab post (D2957) |
$1,967.49 |
$445.03 |
2.4× |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) |
$70.29 |
$175.73 |
1.0× |
| Ed svc ckd grp per session (G0421) |
$28.78 |
— |
1.1× |
| Ed svc ckd ind per session (G0420) |
$119.50 |
— |
1.1× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) |
$2,244.82 |
$2,615.32 |
0.9× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) |
$2,244.82 |
$2,615.32 |
0.9× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
$4,502.13 |
$5,249.72 |
0.9× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) |
$1,109.47 |
— |
1.0× |
| Eia hiv-1/hiv-2 screen (G0432) |
$19.57 |
— |
1.0× |
| Ekg tracing for initial prev (G0404) |
$28.98 |
$208.40 |
0.8× |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) |
$108.62 |
$524.32 |
0.9× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) |
$108.62 |
— |
0.9× |
| Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) |
— |
$296.69 |
— |
| Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) |
— |
$415.20 |
— |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) |
$108.62 |
$504.16 |
0.9× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) |
$108.62 |
— |
0.9× |
| Elec stim other than wound (G0283) |
$14.19 |
$274.86 |
1.1× |
| Elec stim unattend for press (G0281) |
$13.03 |
— |
1.1× |
| Electrical impedence spectroscopy 1+skin lesions (0658T) |
$70.29 |
$197.05 |
1.0× |
| Electromagntic tx for ulcers (G0329) |
$12.39 |
— |
1.2× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
$1,436.59 |
$3,591.47 |
0.9× |
| Electrophysiologic eval ccm-d leads separate (0931T) |
$1,436.59 |
$3,591.47 |
0.9× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) |
$1,436.59 |
$3,038.12 |
0.9× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$18.29 |
— |
1.0× |
| End thxpy, anterior tooth (D3310) |
$1,967.49 |
$1,666.63 |
2.4× |
| End thxpy, molar tooth (D3330) |
$1,967.49 |
$2,291.48 |
2.4× |
| End thxpy, premolar tooth (D3320) |
$1,967.49 |
$1,891.37 |
2.4× |
| Endo defect closure gi tract (C9901) |
$12,320.22 |
$31,247.66 |
0.9× |
| Endo outlet restrict w/tube (C9785) |
$12,320.22 |
$28,618.79 |
0.9× |
| Endodontic endosseous implan (D3460) |
$1,967.49 |
$3,054.57 |
2.4× |
| Endodontic procedure (D3999) |
$1,967.49 |
$733.20 |
2.4× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$41,418.19 |
$57,976.90 |
0.8× |
| Esd endoscopy or colonoscopy (C9779) |
$4,502.13 |
— |
0.9× |
| Esophag muc integ w/eso egd (C9777) |
$4,502.13 |
$2,580.11 |
0.9× |
| Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) |
$7,044.32 |
$8,523.35 |
0.9× |
Esw integumentary wound healing initial wound (0512T)
range across 2 matching MRF lines |
$235.13 |
$954.58–$1,002.31 |
0.9× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) |
$3,724.63 |
$8,525.56 |
0.9× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$13,419.98 |
$30,482.39 |
0.9× |
| Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) |
$152.54 |
— |
0.9× |
| Evacuation meibomian glands using heat bilateral (0563T) |
$70.29 |
$355.39 |
1.0× |
| Excision benign lesion compl (D7412) |
$1,752.89 |
$1,923.60 |
0.9× |
| Excision benign lesion>1.25c (D7411) |
$1,752.89 |
$1,255.95 |
0.9× |
| Excision malig les complicat (D7415) |
$1,752.89 |
— |
0.9× |
| Excision malig lesion<=1.25c (D7413) |
$1,752.89 |
$1,479.60 |
0.9× |
| Excision malig lesion>1.25cm (D7414) |
$1,752.89 |
— |
0.9× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) |
$7,044.32 |
— |
0.9× |
| Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence… (0036U) |
$4,780 |
— |
1.0× |
| Exposure of unerupted tooth (D7280) |
$1,967.49 |
$1,105.03 |
2.4× |
| Extensv oral eval prob focus (D0160) |
$152.50 |
$284.25 |
0.9× |
| Extra oral post radio image (D0705) |
$104.19 |
— |
1.0× |
| Extracorporeal shock wave muscskel sys nos (0101T) |
$283.86 |
— |
0.9× |
| Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral… (0102T) |
$3,839.54 |
— |
0.9× |
| Extraction coronal remnants (D7111) |
$1,967.49 |
$301.55 |
2.4× |
Extraction erupted tooth/exr (D7140)
range across 2 matching MRF lines |
$1,967.49 |
$328.90–$343.20 |
2.4× |
| Extraoral 2d project image (D0250) |
$104.19 |
$118.35 |
1.0× |
| Extraoral posterior image (D0251) |
$104.19 |
$130.50 |
1.0× |
| Extrnl counterpulse, per tx (G0166) |
$152.54 |
— |
0.9× |
| Eye mvmt analysis w/o spatial calibration i&r (0615T) |
$152.54 |
$387.21 |
0.9× |
| Facial moulage complete (D5912) |
$1,967.49 |
— |
2.4× |
| Facial moulage sectional (D5911) |
$1,967.49 |
— |
2.4× |
| Facility svs dental rehab (G0330) |
$3,837.72 |
$5,166.17 |
0.9× |
Fecal blood scrn immunoassay (G0328)
range across 2 matching MRF lines |
$18.05 |
$69.98–$83.58 |
1.0× |
| Fecal microbiota prep instil (G0455) |
$1,078.88 |
$2,615.38 |
0.9× |
| Fern test (Q0114) |
$9.74 |
$210.23 |
1.0× |
| Fixed bilat space maint, man (D1517) |
$1,967.49 |
$480 |
2.4× |
| Fixed bilat space maint, max (D1516) |
$1,967.49 |
$770.40 |
2.4× |
| Flt3 gene int tandem dupl variants quantitative (0046U) |
$407.43 |
— |
1.0× |
| Followup eval of foot pt lop (G0246) |
$152.50 |
$430.32 |
0.9× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) |
$724.37 |
$1,810.93 |
0.8× |
| Full mouth debridement (D4355) |
$1,967.49 |
$417.43 |
2.4× |
| Fusion 2 or more 3d images (D0395) |
$104.19 |
— |
1.0× |
| Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis 13,999 or fewer… (0094U) |
$7,582.20 |
— |
1.0× |
| Gi myoelectrical activity study stmch-colon i&r (0779T) |
$627.89 |
$1,522.48 |
1.3× |
| Gingival flap proc w/ planin (D4240) |
$3,837.72 |
$1,682.92 |
0.9× |
| Gingival irrigation per quad (D4921) |
$152.50 |
— |
0.9× |
| Gingivectomy/plasty 1 to 3 (D4211) |
$3,837.72 |
$754.63 |
0.9× |
| Gingivectomy/plasty 4 or mor (D4210) |
$3,837.72 |
$1,376.05 |
0.9× |
| Gingivectomy/plasty rest (D4212) |
$3,837.72 |
— |
0.9× |
| Glaucoma scrn hgh risk direc (G0118) |
$46.45 |
$125.04 |
1.0× |
| Glaucoma scrn hgh risk direc (G0117) |
$28.98 |
$91.26 |
0.8× |
| Glyca nuc mr spectroscopy quantitative (0024U) |
$34.19 |
— |
1.0× |
| Gngvl flap w rootplan 1-3 th (D4241) |
$1,752.89 |
$1,218.75 |
0.9× |
| Gross pulpal debridement (D3221) |
$1,967.49 |
$514.80 |
2.4× |
| Group behave couns 2-10 (G0473) |
$35.25 |
$243.77 |
0.8× |
| Group mnt 2 or more 30 mins (G0271) |
$16.99 |
$50.70 |
1.0× |
| Guided tiss regen nonresorb (D4267) |
$1,752.89 |
$1,627.65 |
0.9× |
| Guided tiss regen resorble (D4266) |
$1,752.89 |
$1,341.30 |
0.9× |
| Guided tissue regeneration (D3432) |
$1,967.49 |
— |
2.4× |
| Hbot, full body chamber, 30m (G0277) |
$163.19 |
$1,587.58 |
0.9× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
$821.03 |
$2,487.39 |
0.9× |
| Heart Symp Image Plnr (0331T) |
$1,544.85 |
— |
1.0× |
| Heat Quant Sensory Test (0109T) |
$46.45 |
— |
1.0× |
| Hep c screen high risk/other (G0472) |
$46.35 |
— |
1.0× |
| Hepb screen high risk indiv (G0499) |
$28.27 |
— |
1.0× |
| High inten beh couns std 30m (G0445) |
$109.46 |
$422.67 |
0.9× |
| High-resolution gastric electrophysiology mapg (0868T) |
$627.89 |
$1,549.56 |
1.3× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$20,709.39 |
$45,212.56 |
1.0× |
| Histotripsy malignant renal tissue w/img gdn (0888T) |
$20,709.39 |
— |
1.0× |
| Hiv combination assay (G0475) |
$24.08 |
— |
1.0× |
| Hiv prep counsel, clin staff (G0013) |
$35.25 |
— |
0.8× |
| Home sleep test/type 2 porta (G0398) |
$185.15 |
$1,067.84 |
0.7× |
| Home sleep test/type 3 porta (G0399) |
$185.15 |
$559.54 |
0.7× |
| Home sleep test/type 4 porta (G0400) |
$368.50 |
$1,088.93 |
1.4× |
| Hopd mntl hlt, 15-29 min (C7900) |
$35.25 |
$115.73 |
0.8× |
| Hopd mntl hlt, 30-60 min (C7901) |
$109.46 |
$295.75 |
0.9× |
| Hopd mntl hlt, grp (C7903) |
$35.25 |
$99.55 |
0.8× |
| Hospital outpt clinic visit (G0463) |
$152.50 |
— |
0.9× |
| Hpv combo assay ca screen (G0476) |
$35.09 |
$105.27 |
1.0× |
| Hpylori Detcj Abx Rstnc Dna (0008U) |
$597.91 |
— |
1.0× |
| Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine… (0096U) |
$35.09 |
— |
1.0× |
| I&d absc intraoral soft tiss (D7510) |
$832.60 |
$388.25 |
0.9× |
| I&d abscess extraoral (D7520) |
$832.60 |
$1,176.85 |
0.9× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
$43.43 |
— |
1.0× |
| Imp extar knee shck absrb (C8003) |
$21,762.05 |
— |
1.0× |
| Impact tooth rem bony w/comp (D7241) |
$1,967.49 |
$1,223.83 |
2.4× |
| Impact tooth remov comp bony (D7240) |
$1,967.49 |
$980.75 |
2.4× |
| Impact tooth remov part bony (D7230) |
$1,967.49 |
$870.68 |
2.4× |
| Impact tooth remov soft tiss (D7220) |
$1,967.49 |
$709.55 |
2.4× |
| Implantation of subcutaneous peritoneal ascites pump system, percutaneous, including pump-pocket creation, insertion of… (0870T) |
— |
$6,268.99 |
— |
| Impltj ant sgm io nbiodegradable rx eluting sys (0660T) |
$4,760.49 |
— |
0.9× |
| Incision/drain abscess extra (D7521) |
$832.60 |
— |
0.9× |
| Incision/drain abscess intra (D7511) |
$832.60 |
— |
0.9× |
| Incomplete endodontic tx (D3332) |
$1,967.49 |
$956.57 |
2.4× |
| Inflammation (eosinophilic esophagitis), ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major… (0095U) |
$771.98 |
— |
1.0× |
| Init/sub psych care m 1st 30 (G2214) |
$109.46 |
— |
0.9× |
| Initial care training 30 m (G0539) |
$49.89 |
— |
0.9× |
| Initial foot exam pt lops (G0245) |
$152.50 |
$458.60 |
0.9× |
| Initial preventive exam (G0402) |
$152.50 |
$703.35 |
0.9× |
| Inj for sacroiliac jt anesth (G0260) |
$819.50 |
— |
0.9× |
| Injection of hiv prep drug (G0012) |
$84.22 |
— |
0.9× |
| Injection posterior chamber eye medication (0699T) |
$2,698.92 |
$6,712 |
0.9× |
| Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) |
$472.21 |
— |
0.8× |
| Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including… (0869T) |
$3,839.54 |
— |
0.9× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$1,053.53 |
$3,162.17 |
1.0× |
| Inlay composite/resin one su (D2650) |
$1,967.49 |
$1,986.17 |
2.4× |
| Inlay composite/resin two su (D2651) |
$1,967.49 |
— |
2.4× |
| Inlay porcelain/ceramic 1 su (D2610) |
$1,967.49 |
$2,066.05 |
2.4× |
| Inlay porcelain/ceramic 2 su (D2620) |
$1,967.49 |
$2,111.65 |
2.4× |
| Inlay repair (D2981) |
$1,967.49 |
— |
2.4× |
| Insert cv cath inf & sup app (C9780) |
$9,763.31 |
— |
1.0× |
| Insert drug del implant, >=4 (G0516) |
$472.21 |
— |
0.8× |
| Insert palate implants (C9727) |
$1,752.89 |
— |
0.9× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T) |
$4,760.49 |
— |
0.9× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
$6,105.79 |
$11,187.33 |
0.9× |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) |
$2,244.82 |
$5,249.72 |
0.9× |
| Insertion of sinus tarsi implant (0335T) |
$8,453.60 |
— |
0.9× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$9,793.46 |
$23,509.34 |
0.9× |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) |
$14,756.87 |
— |
1.1× |
| Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system… (0680T) |
$25,376.43 |
— |
1.0× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$26,561.92 |
$66,404.81 |
1.0× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$26,561.92 |
$70,195.39 |
1.0× |
| Insertion/Replacement Complete Iims (0525T) |
$22,568.05 |
$31,527.07 |
0.9× |
| Insertion/Replacement Iims Electrode Only (0526T) |
$9,793.46 |
$23,628.10 |
0.9× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) |
$9,793.46 |
$23,628.10 |
0.9× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) |
$6,105.79 |
$6,712 |
0.9× |
| Insj bioprostc vlv fem vn (0744T) |
$6,396.89 |
$16,186.74 |
0.9× |
| Insj ocular telescope prosth (0308T) |
$19,426.56 |
— |
0.9× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) |
$9,793.46 |
$24,483.66 |
0.9× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$9,793.46 |
$24,483.66 |
0.9× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$37,940.39 |
$94,850.98 |
1.0× |
| Insj Wcs Lv Eltrd Only (0516T) |
$12,384.25 |
$23,628.10 |
0.9× |
| Insj Wcs Lv Pg Compnt (0517T) |
$12,384.25 |
$23,628.10 |
0.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$37,940.39 |
— |
1.0× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$9,793.46 |
— |
0.9× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$9,793.46 |
— |
0.9× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$26,561.92 |
— |
1.0× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$37,940.39 |
$99,314.15 |
1.0× |
| Instill pharm renal pelvis (C9789) |
$2,663.15 |
$8,100.05 |
1.7× |
| Instlj fecal microbiota ssp (0780T) |
$152.54 |
$120 |
0.9× |
| Int psych care mng, 1 cal mo (G0568) |
— |
$317.03 |
— |
| Intens behave ther cardio dx (G0446) |
$35.25 |
$240.12 |
0.8× |
| Intens cardiac rehab no exer (G0423) |
$149 |
— |
0.9× |
| Intens cardiac rehab w/exerc (G0422) |
$149 |
— |
0.9× |
| Intentional replantation (D3470) |
$1,967.49 |
— |
2.4× |
| Interim crown (D2799) |
$1,967.49 |
$979.37 |
2.4× |
| Internal root repair (D3333) |
$1,967.49 |
— |
2.4× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$44.13 |
— |
0.9× |
| Interrog dev eval iims ip (0529T) |
$44.13 |
$333.52 |
0.9× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$44.13 |
$110.32 |
0.9× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) |
$28.98 |
$333.52 |
0.8× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) |
$44.13 |
$333.52 |
0.9× |
| Interrogation device evaluation in person isdss (0685T) |
$44.13 |
— |
0.9× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) |
$5,544.24 |
— |
1.0× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0264T) |
$5,544.24 |
— |
1.0× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0265T) |
$5,544.24 |
— |
1.0× |
| Intraor comprehensive series (D0210) |
$286.04 |
$253.50 |
1.0× |
| Intraoral bite radio image (D0708) |
$104.19 |
— |
1.0× |
| Intraoral comp image capture (D0709) |
$104.19 |
— |
1.0× |
| Intraoral occlus radio image (D0706) |
$104.19 |
— |
1.0× |
| Intraoral occlusal film (D0240) |
$104.19 |
$75.90 |
1.0× |
| Intraoral periap radio image (D0707) |
$104.19 |
— |
1.0× |
| Intraoral periapical first (D0220) |
$104.19 |
$36.91 |
1.0× |
| Intraorifice barrier (D3911) |
$1,967.49 |
$60 |
2.4× |
| Intrav inf, mon anti, fir do (M0235) |
— |
$1,126.25 |
— |
| Intrav inf, mon anti, sec do (M0236) |
— |
$1,126.25 |
— |
| Intrav inf, toci, first dose (M0237) |
— |
$1,126.25 |
— |
| Intrav inf, toci, second dos (M0238) |
— |
$1,126.25 |
— |
| Ire Abltj 1+Tum Organ Perq (0600T) |
$12,320.22 |
$28,130.21 |
0.9× |
| Isolation- tooth w rubb dam (D3910) |
$1,967.49 |
$512.92 |
2.4× |
| Iv cipaglucosidase alfa-atga (G0138) |
$769.78 |
— |
1.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$121.91 |
$365.73 |
1.0× |
| Labial veneer porc indirect (D2962) |
$1,967.49 |
$2,566.80 |
2.4× |
| Labial veneer resin direct (D2960) |
$1,967.49 |
$1,527.08 |
2.4× |
| Labial veneer resin indirect (D2961) |
$1,967.49 |
— |
2.4× |
| Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for… (0674T) |
$36,061.23 |
— |
0.9× |
| Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for… (0679T) |
$12,320.22 |
— |
0.9× |
| Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation… (0677T) |
$12,320.22 |
— |
0.9× |
| Laps insj new/rplcmt lead perm isdss 1st lead (0675T) |
$14,756.87 |
— |
1.1× |
| Lev 1 hosp type b ed visit (G0380) |
$99.49 |
— |
1.1× |
| Lev 2 hosp type b ed visit (G0381) |
$130.95 |
— |
1.1× |
| Lev 3 hosp type b ed visit (G0382) |
$220.80 |
$485.52 |
1.0× |
| Lev 4 hosp type b ed visit (G0383) |
$337.91 |
— |
1.0× |
| Lev 5 hosp type b ed visit (G0384) |
$477.95 |
— |
0.9× |
| Limit oral eval problm focus (D0140) |
$152.50 |
$84.53 |
0.9× |
| Limited occlusal adjustment (D9951) |
$1,967.49 |
$414.52 |
2.4× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) |
$503.40 |
— |
1.0× |
| Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M) |
$503.40 |
— |
1.0× |
| Localized delivery antimicro (D4381) |
$1,967.49 |
$253.20 |
2.4× |
| Low intensity eswt corpus cavernosum low energy (0864T) |
$287.81 |
— |
0.9× |
| Lpoprtn bld w/5 maj class auto prfl ucentrfugtn (0052U) |
$33.86 |
— |
1.0× |
| Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) |
$70.29 |
$338.47 |
1.0× |
| Magnetically controlled capsule endoscopy w/i&r (0651T) |
$1,109.47 |
$2,988.94 |
1.0× |
| Malig tumor > 1.25 cm (D7441) |
$3,837.72 |
— |
0.9× |
| Malig tumor exc to 1.25 cm (D7440) |
$3,837.72 |
— |
0.9× |
| Mandible graft (D7950) |
$7,000.36 |
$4,841.40 |
0.9× |
| Max mri capture & interprete (D0369) |
$125.84 |
— |
1.0× |
| Max mri image capture (D0385) |
$125.84 |
— |
1.0× |
| Max ultrasound capt & interp (D0370) |
$125.84 |
— |
1.0× |
| Max ultrasound image capture (D0386) |
$125.84 |
— |
1.0× |
| Mesial/distal wedge proc (D4274) |
$1,967.49 |
— |
2.4× |
| Mnt subs tx for change dx (G0270) |
$30.09 |
$88.80 |
0.9× |
| Monthly tx for dmht 20mins (G0553) |
$152.50 |
— |
0.9× |
| Mra w/cont, abd (C8900) |
$422.61 |
— |
1.0× |
| Mra w/cont, chest (C8909) |
$422.61 |
$1,670.32 |
1.0× |
| Mra w/cont, lwr ext (C8912) |
$422.61 |
$1,670.32 |
1.0× |
| Mra w/cont, pelvis (C8918) |
$422.61 |
$1,670.32 |
1.0× |
| Mra w/o cont, abd (C8901) |
$286.04 |
— |
1.0× |
| Mra w/o cont, chest (C8910) |
$286.04 |
$1,725.65 |
1.0× |
| Mra w/o cont, lwr ext (C8913) |
$286.04 |
$1,670.32 |
1.0× |
| Mra w/o cont, pelvis (C8919) |
$286.04 |
$1,670.32 |
1.0× |
| Mra w/o fol w/cont, abd (C8902) |
$422.61 |
— |
1.0× |
| Mra w/o fol w/cont, chest (C8911) |
$422.61 |
$1,908.94 |
1.0× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$422.61 |
$1,670.32 |
1.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$422.61 |
$1,670.32 |
1.0× |
| Mra, w/dye, spinal canal (C8931) |
$422.61 |
— |
1.0× |
| Mra, w/dye, upper extremity (C8934) |
$422.61 |
— |
1.0× |
| Mra, w/o dye, spinal canal (C8932) |
$286.04 |
— |
1.0× |
| Mra, w/o dye, upper extr (C8935) |
$286.04 |
$1,670.32 |
1.0× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$422.61 |
— |
1.0× |
| Mra, w/o&w/dye, upper extr (C8936) |
$422.61 |
— |
1.0× |
| Mri hyperpolarized xenon129 (C9791) |
$1,479.79 |
$4,500.83 |
1.0× |
| Mri w/cont, breast, bi (C8906) |
$422.61 |
$1,951.31 |
1.0× |
| Mri w/cont, breast, uni (C8903) |
$210.66 |
$1,951.31 |
1.0× |
| Mri w/o fol w/cont, breast, (C8908) |
$422.61 |
$1,950.26 |
1.0× |
| Mri w/o fol w/cont, brst, un (C8905) |
$422.61 |
$1,951.31 |
1.0× |
| Mrs discogenic pain acquisj single voxel data (0609T) |
$286.04 |
$830.58 |
1.0× |
| Mrs discogenic pain algorthmic alys bmrk data (0611T) |
$286.04 |
$830.58 |
1.0× |
| Myocardial img by mcg detcj cardiac ischemia (0541T) |
$627.89 |
— |
1.3× |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) |
$1,544.85 |
— |
1.0× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) |
$104.19 |
— |
0.4× |
| N-invas assmt bld oxy gas xchng eff&cardresp i&r (0893T) |
$70.29 |
$176.84 |
0.4× |
| N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) |
— |
$744.61 |
— |
| N-invas assmt car rsk augmnt sw alys fat w/o CT (0992T) |
— |
$744.61 |
— |
| N-invas augmnt arrhyt alys (0897T) |
$1,203.94 |
$3,022.71 |
1.1× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) |
$354.90 |
$887.25 |
0.9× |
| Nav srv peer sup 60 min pr m (G0140) |
$109.46 |
$309.24 |
0.9× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) |
$46.45 |
— |
1.0× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) |
$368.50 |
$954.42 |
1.4× |
Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T)
range across 2 matching MRF lines |
$70.29 |
$338.47–$355.39 |
1.0× |
| Neuro csf prion prtn qual (0035U) |
$540.99 |
$1,352.48 |
1.0× |
| Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with… (0063U) |
$750 |
— |
1.0× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) |
$200 |
— |
1.0× |
| Nfct ds strn typ whl gen seq (0010U) |
$427.26 |
— |
1.0× |
| Njx bone sub matrl into subchondral bone defect (0707T) |
$3,839.54 |
— |
0.9× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$1,053.53 |
$2,760.18 |
1.0× |
| Njx platelet plasma (0232T) |
$472.21 |
— |
0.8× |
| Non-auto graft 1st tooth (D4275) |
$1,752.89 |
$2,040.75 |
0.9× |
| Non-blind interatrial shunt (C9760) |
$32,542.99 |
— |
1.0× |
| Non-cov proc, clinical trial (G0294) |
$46.45 |
$106.95 |
1.0× |
| Non-cov surg proc,clin trial (G0293) |
$46.45 |
— |
1.0× |
| Non-ionizing diag proc (D0600) |
$1,967.49 |
— |
2.4× |
| Non-ophthalmic fva (C9733) |
$422.61 |
— |
1.0× |
| Non-surg tx root canal obs (D3331) |
$1,967.49 |
— |
2.4× |
| Noninvasive prostate cancer estimation map (0898T) |
$1,203.94 |
$3,022.71 |
1.1× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative 13,999 or fewer assigned members (0049U) |
$407.43 |
— |
1.0× |
| Obtaining screen pap smear (Q0091) |
$28.98 |
$38.52 |
0.8× |
| Occ guard, hard, full arch (D9944) |
$1,967.49 |
$1,167.25 |
2.4× |
| Occ guard, hard, part arch (D9946) |
$1,967.49 |
$1,038.52 |
2.4× |
| Occ guard, soft, full arch (D9945) |
$1,967.49 |
$1,031.83 |
2.4× |
| Occlusion analysis (D9950) |
$1,967.49 |
$797.48 |
2.4× |
| Oct middle ear with i&r bilateral (0486T) |
$46.45 |
— |
1.0× |
| Oct middle ear with i&r unilateral (0485T) |
$46.45 |
— |
1.0× |
| Ocular blood flow measure (0198T) |
$152.54 |
— |
0.9× |
| Off base opioid tx 70min (G2086) |
$190.13 |
$461.82 |
0.9× |
| Off base opioid tx, 60 m (G2087) |
$190.13 |
$461.82 |
0.9× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) |
$248.51 |
— |
1.0× |
| Onc brst ca erbb2 amp/nonamp (0009U) |
$107 |
— |
1.0× |
| Onc brst dux carc is mrna 12 genes alg rsk scor (0045U) |
$3,873 |
— |
1.0× |
| Onc cns alys 30000 DNA methylation loci tum tiss (0020M) |
— |
$6,250 |
— |
| Onc hmtlmf neo jak2 mut DNA (0017U) |
$91.66 |
— |
1.0× |
| Onc hmtlmf neo RNA bcr/abl1 bld/bne marrow (0016U) |
$163.96 |
— |
1.0× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
$322.96 |
— |
1.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$322.96 |
— |
1.0× |
| Onc Mrna 5 Gen Recr Urthl Ca (0013M) |
$760 |
— |
1.0× |
| Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) |
$3,873 |
— |
1.0× |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) |
$3,002.09 |
— |
1.0× |
| Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) |
$3,600 |
— |
1.0× |
| Oncology (bladder), mRNA, microarray gene expression profiling of 209 genes, utilizing formalin fixed paraffin-embedded… (0016M) |
$3,489.63 |
$10,468.89 |
1.0× |
| Oncology (breast), immunohistochemistry, protein expression profiling of 4 biomarkers (matrix metalloproteinase-1… (0067U) |
$1,897 |
— |
1.0× |
| Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue,… (0069U) |
$380 |
— |
1.0× |
| Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine)… (0002U) |
$25 |
— |
1.0× |
| Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping),… (0090U) |
$1,950 |
— |
1.0× |
| Oncology (diffuse large B-cell lymphoma ºDLBCL»), mRNA, gene expression profiling by fluorescent probe hybridization of… (0017M) |
$2,510.21 |
— |
1.0× |
| Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole… (0007M) |
$375 |
— |
1.0× |
| Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with… (0006M) |
$150 |
— |
1.0× |
| Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1… (0080U) |
$3,520 |
— |
1.0× |
| Oncology (lung), three protein biomarkers, immunoassay using Q4 magnetic nanosensor technology, plasma, algorithm… (0092U) |
$2,488 |
— |
1.0× |
| Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive… (0089U) |
$760 |
— |
1.0× |
| Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone,… (0003U) |
$950 |
— |
1.0× |
| Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm… (0005U) |
$760 |
— |
1.0× |
| Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin,… (0021U) |
$760 |
— |
1.0× |
| Oncology (solid organ neoplasia), DNA, targeted sequencing of protein-coding exons of 468 cancer-associated genes,… (0048U) |
$2,919.60 |
— |
1.0× |
| Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2… (0012M) |
$760 |
— |
1.0× |
| Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing… (0011M) |
$760 |
— |
1.0× |
| Oncology, response to chemotherapy drugs using motility contrast tomography, fresh or frozen tissue, reported as… (0083U) |
$167.35 |
— |
1.0× |
| Oncology, RNA, gene expression by whole transcriptome sequencing, formalin-fixed paraffin embedded tissue or fresh… (0019U) |
$3,675 |
— |
1.0× |
| Onlay repair (D2982) |
$1,967.49 |
— |
2.4× |
| Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) |
$25,376.43 |
— |
1.0× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) |
$25,376.43 |
$63,441.08 |
1.0× |
| Open reduc compd alveolus fx (D7770) |
$7,000.36 |
— |
0.9× |
| Opps service,sched team conf (G0175) |
$503.90 |
— |
1.0× |
| Opto-acoustic img breast uni augmnt alys&reprt (0857T) |
$125.84 |
$381.41 |
1.0× |
| Oral antral fistula closure (D7260) |
$1,967.49 |
$2,811.08 |
2.4× |
| Oral hiv-1/hiv-2 screen (G0435) |
$11.98 |
$34.74 |
1.0× |
| Oral/facial photo images (D0350) |
$104.19 |
$131.85 |
1.0× |
| Ortho impl mvmt alys pair CT (0946T) |
$125.84 |
$314.60 |
1.0× |
| Osseous surg 1 to 3 teeth (D4261) |
$3,837.72 |
$1,861.62 |
0.9× |
| Osseous surgery 4 or more (D4260) |
$7,000.36 |
$2,480.92 |
0.9× |
Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T)
range across 2 matching MRF lines |
$8,453.60 |
$18,842.48–$19,784.60 |
0.9× |
| Oth resp proc, group (G0239) |
$46.45 |
$85.19 |
1.0× |
| Oth resp proc, indiv (G0238) |
$28.98 |
$160.77 |
0.8× |
| Other tmj images by report (D0321) |
$104.19 |
— |
1.0× |
| Pano radio image (D0701) |
$104.19 |
— |
1.0× |
| Panoramic image (D0330) |
$286.04 |
$221.55 |
1.0× |
| Part pulp for apexogenesis (D3222) |
$1,967.49 |
— |
2.4× |
| Pathogen test for platelets (P9100) |
$70.29 |
$93 |
1.0× |
Pattern erg w/i&r (0509T)
range across 2 matching MRF lines |
$368.50 |
$475.16–$495.82 |
1.4× |
| Pedicle soft tissue graft pr (D4270) |
$1,752.89 |
$1,746.90 |
0.9× |
| Pef bronch ablt 3d nav ebus (C8005) |
— |
$11,095.48 |
— |
| Pelvic ring fracture uni/bil (G0413) |
$8,453.60 |
— |
0.9× |
| Pemivibart infusion (M0224) |
$533.10 |
— |
1.0× |
| Perc d-e cor revasc chro sin (C9607) |
$21,249.26 |
— |
0.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$13,419.98 |
— |
0.9× |
| Perc d-e cor stent ather s (C9602) |
$21,249.26 |
— |
0.9× |
| Perc drug-el cor stent sing (C9600) |
$13,419.98 |
— |
0.9× |
| Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) |
$7,766.27 |
$3,014.78 |
1.0× |
| Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) |
$8,453.60 |
— |
0.9× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) |
$21,249.26 |
$120 |
0.9× |
| Periodic oral evaluation (D0120) |
$152.50 |
$101.85 |
0.9× |
| Periodontal maint procedures (D4910) |
$1,967.49 |
$301.88 |
2.4× |
| Periodontal scaling & root (D4341) |
$1,967.49 |
$567.43 |
2.4× |
| Periodontal scaling 1-3teeth (D4342) |
$1,967.49 |
$428.92 |
2.4× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) |
$15,226.08 |
$38,889.77 |
1.0× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) |
$15,226.08 |
$38,889.77 |
1.0× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$8,453.60 |
$18,402.86 |
0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$8,453.60 |
$18,402.86 |
0.9× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure |
$6,746.95 |
$16,867.38 |
0.5× |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) |
$21,249.26 |
$8,980.19 |
0.9× |
| Personalized target development arhfcmrigtbs (0889T) |
$1,124.78 |
$2,884.10 |
1.0× |
| Pet not otherwise specified (G0235) |
$475.51 |
— |
1.0× |
| Pild/placebo control clin tr (G0276) |
$8,453.60 |
— |
0.9× |
| Pin service 60m per month (G0023) |
$109.46 |
$309.24 |
0.9× |
| Pinworm examinations (Q0113) |
$4.27 |
— |
1.0× |
| Place device/marker, non pro (C9728) |
$1,619.14 |
$4,807.09 |
0.9× |
| Place direct restoration (D2940) |
$1,967.49 |
$292.28 |
2.4× |
| Place endorectal app (C9725) |
$1,078.88 |
— |
0.9× |
| Place intra-socket bio dress (D7922) |
$1,967.49 |
— |
2.4× |
| Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) |
$8,453.60 |
— |
0.9× |
| Placement of interstitial device(s) in bone for radiostereometric analysis (RSA) (0347T) |
$70.29 |
— |
1.0× |
| Pne flu hepb cov home admin (M0201) |
$43.61 |
$102.06 |
1.0× |
| Post 1 srfc resinbased cmpst (D2391) |
$1,967.49 |
$403.20 |
2.4× |
| Post 2 srfc resinbased cmpst (D2392) |
$1,967.49 |
$513.95 |
2.4× |
| Post 3 srfc resinbased cmpst (D2393) |
$1,967.49 |
$630.85 |
2.4× |
| Post >=4srfc resinbase cmpst (D2394) |
$1,967.49 |
$742.12 |
2.4× |
| Post and core cast + crown (D2952) |
$1,967.49 |
$906 |
2.4× |
| Post d/c phone follow up (G0544) |
$109.46 |
— |
0.9× |
| Post op service lvrs min 6 (G0305) |
$627.89 |
— |
1.3× |
| Post-coital mucous exam (Q0115) |
$25 |
— |
1.0× |
| Potassium hydroxide preps (Q0112) |
$5.83 |
$17.49 |
1.0× |
| Ppps, initial visit (G0438) |
$184.85 |
$551.64 |
1.1× |
| Ppps, subseq visit (G0439) |
$146.38 |
$282.32 |
1.1× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,203.94 |
$374.44 |
1.1× |
| Pre-op service lvrs 1-9 dos (G0304) |
$627.89 |
— |
1.3× |
| Pre-op service lvrs 10-15dos (G0303) |
$368.50 |
— |
1.4× |
| Pre-op service lvrs complete (G0302) |
$627.89 |
— |
1.3× |
| Prefab porc/cer crown perm (D2928) |
$1,967.49 |
— |
2.4× |
| Prefab porc/ceram crown pri (D2929) |
$1,967.49 |
— |
2.4× |
| Prefab post/core + crown (D2954) |
$1,967.49 |
$727.03 |
2.4× |
| Prefab stainless steel crown (D2933) |
$1,967.49 |
— |
2.4× |
| Prefab steel crown primary (D2934) |
$1,967.49 |
— |
2.4× |
| Prefab stnlss steel crown pe (D2931) |
$1,967.49 |
$704.75 |
2.4× |
| Prefab stnlss steel crwn pri (D2930) |
$1,967.49 |
$589.55 |
2.4× |
| Prefabricated resin crown (D2932) |
$1,967.49 |
$757.37 |
2.4× |
| Prep skin cell susp, automtd (C8002) |
$7,396.59 |
— |
0.8× |
| Prescription drug monitoring, 14 or more classes of drugs and substances, definitive tandem mass spectrometry with… (0054U) |
$198.74 |
$496.85 |
1.0× |
| Prescription drug monitoring, evaluation of 65 common drug by LCMS/MS, urine, each drug reported detected or not… (0093U) |
$62.14 |
— |
1.0× |
| Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, urine, 31 drug panel, reported as quantitative… (0051U) |
$246.92 |
— |
1.0× |
| Prgrmg dev eval iims ip (0528T) |
$44.13 |
$333.52 |
0.9× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$44.13 |
$118.20 |
0.9× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$44.13 |
$539.36 |
0.9× |
| Prgrmg dev eval scrms phys/qhp remote (0650T) |
$44.13 |
$120.36 |
0.9× |
| Prgrmg device eval wrls car stimulator in person (0522T) |
$44.13 |
$333.52 |
0.9× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$44.13 |
— |
0.9× |
| Primary closure sinus perf (D7261) |
$1,967.49 |
— |
2.4× |
| Programming dev eval icds w/ss eltrd in person (0575T) |
$44.13 |
$333.52 |
0.9× |
| Programming device eval impl ccm-d sys in person (0926T) |
$44.13 |
$110.32 |
0.9× |
| Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of… (0683T) |
$44.13 |
— |
0.9× |
| Prolonged iv inf, req pump (C8957) |
$392.51 |
— |
1.5× |
| Prostate biopsy, any mthd (G0416) |
$425.68 |
$1,032.31 |
1.0× |
| Provide inr test mater/equip (G0249) |
$152.50 |
— |
0.9× |
| Psa screening (G0103) |
$19.31 |
$77.10 |
1.0× |
| Pt spec alg rx-onc tx option (0794T) |
$70.29 |
$206.88 |
1.0× |
| Pulm tiss vntj alys prev CT (0807T) |
$368.50 |
$1,092.98 |
1.4× |
| Pulm tiss vntj alys w/CT (0808T) |
$368.50 |
$1,092.98 |
1.4× |
| Pulp cap direct (D3110) |
$1,967.49 |
$191.83 |
2.4× |
| Pulp cap indirect (D3120) |
$1,967.49 |
$188.92 |
2.4× |
| Pulp vitality test (D0460) |
$1,967.49 |
$124.80 |
2.4× |
| Pulpal regeneration complete (D3357) |
$1,967.49 |
— |
2.4× |
| Pulpal regeneration initial (D3355) |
$1,967.49 |
— |
2.4× |
| Pulpal regeneration interim (D3356) |
$1,967.49 |
— |
2.4× |
| Pulpal therapy anterior prim (D3230) |
$1,967.49 |
$603.77 |
2.4× |
| Pulpal therapy posterior pri (D3240) |
$1,967.49 |
$656.75 |
2.4× |
| Pure tone audiometry (threshold), automated; air and bone Non-Facility Physician Technical Component (0209T) |
$46.45 |
— |
1.0× |
| Pure tone audiometry (threshold), automated; air only Non-Facility Physician Technical Component (0208T) |
$46.45 |
— |
1.0× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) |
$1,124.78 |
$120 |
1.0× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) |
$1,124.78 |
$3,437.82 |
1.0× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) |
$152.54 |
$381.34 |
0.9× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$769.78 |
— |
1.0× |
| Quan CT tiss charac w/o CT (0721T) |
$769.78 |
$2,352.78 |
1.0× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$1,124.78 |
— |
1.0× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$1,124.78 |
$3,437.82 |
1.0× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$1,124.78 |
— |
1.0× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$1,124.78 |
— |
1.0× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) |
$286.04 |
$850.10 |
1.0× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$286.04 |
$850.10 |
1.0× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$104.19 |
— |
1.0× |
| Quant sensory test&interpj/xtr w/vibrj stimuli (0107T) |
$46.45 |
$467.44 |
1.0× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation… (0110T) |
$152.54 |
— |
0.9× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) |
$46.45 |
— |
1.0× |
| Rad exc lesion up to 1.25 cm (D7410) |
$1,752.89 |
$881.80 |
0.9× |
| Radiation applicator (D5983) |
$1,967.49 |
— |
2.4× |
| Radiation cone locator (D5985) |
$1,967.49 |
— |
2.4× |
| Radiation shield (D5984) |
$1,967.49 |
— |
2.4× |
| Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee,… (0350T) |
$104.19 |
— |
1.0× |
| Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when… (0348T) |
$125.84 |
— |
1.0× |
| Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist,… (0349T) |
$125.84 |
— |
1.0× |
| Raman spectroscopy 1+skin les prob score mal rsk (1020T) |
— |
$184.10 |
— |
| Rbc DNA gnotyp 10 bld groups (0084U) |
$720 |
— |
1.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$720 |
— |
1.0× |
| Re-cement or re-bond crown (D2920) |
$1,967.49 |
$262.12 |
2.4× |
| Re-eval post-op visit (D0171) |
$152.50 |
— |
0.9× |
| Re-eval,est pt,problem focus (D0170) |
$152.50 |
$69.11 |
0.9× |
| Reattach tooth fragment (D2921) |
$1,967.49 |
— |
2.4× |
| Recement cast or prefab post (D2915) |
$1,967.49 |
— |
2.4× |
| Recement inlay onlay or part (D2910) |
$1,967.49 |
$262.80 |
2.4× |
| Recement space maint - man (D1552) |
$1,967.49 |
— |
2.4× |
| Recement space maint - max (D1551) |
$1,967.49 |
— |
2.4× |
| Recement unilat space maint (D1553) |
$1,967.49 |
— |
2.4× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$2,164.64 |
— |
0.8× |
| Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) |
$4,069.59 |
— |
0.9× |
| Relocation pg wcs lv pacg battery component only (0862T) |
$2,164.64 |
— |
0.8× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) |
$2,164.64 |
— |
0.8× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,164.64 |
$5,411.59 |
0.8× |
| Rem auton alg nsln cal setup (0740T) |
$70.29 |
$198.26 |
1.0× |
| Rem auton alg nsln data coll (0741T) |
$44.13 |
$120.73 |
0.9× |
| Rem exostosis any site (D7471) |
$3,837.72 |
$1,476 |
0.9× |
| Rem imp tooth w mucoper flp (D7210) |
$1,752.89 |
$631.55 |
0.9× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) |
$44.13 |
$333.52 |
0.9× |
| Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) |
— |
$415.48 |
— |
| Rem multi day cplx uroflowmetry dev sply w/reprt (0812T) |
$185.15 |
$118.20 |
1.2× |
| Rem multi day cplx uroflowmetry setup&pt educaj (0811T) |
$152.50 |
$458.60 |
0.9× |
| Rem nonodonto cyst > 1.25 cm (D7461) |
$1,967.49 |
$2,093.83 |
2.4× |
| Rem nonodonto cyst to 1.25cm (D7460) |
$1,967.49 |
$1,363.20 |
2.4× |
| Rem odontogen cyst > 1.25 cm (D7451) |
$3,837.72 |
$1,861.62 |
0.9× |
| Rem odontogen cyst to 1.25cm (D7450) |
$3,837.72 |
$1,342.97 |
0.9× |
| Remot img sub by pt, non e/m (G2250) |
$9.92 |
— |
0.8× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$44.13 |
$110.32 |
0.9× |
| Remote real-time, motion capture-based neurorehabilitative therapy ordered by a physician or other qualified health… (0733T) |
$414.77 |
— |
1.0× |
| Removal and reinsertion of sinus tarsi implant (0511T) |
$8,453.60 |
$18,188.60 |
0.9× |
| Removal complete iims (0530T) |
$4,306.60 |
$9,990.20 |
0.9× |
| Removal fb skin/areolar tiss (D7530) |
$1,967.49 |
$801.77 |
2.4× |
| Removal iims electrode only (0531T) |
$4,306.60 |
$9,990.20 |
0.9× |
| Removal iims implt mntr only (0532T) |
$4,306.60 |
$9,990.20 |
0.9× |
| Removal of a peritoneal ascites pump system, including implanted peritoneal ascites pump and indwelling bladder and… (0874T) |
— |
$5,686.50 |
— |
| Removal of fb reaction (D7540) |
$1,967.49 |
$1,365.60 |
2.4× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) |
$235.13 |
— |
0.9× |
| Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) |
$4,069.59 |
— |
0.9× |
| Removal of sinus tarsi implant (0510T) |
$3,839.54 |
$8,371.63 |
0.9× |
| Removal of sloughed off bone (D7550) |
$1,967.49 |
$1,224 |
2.4× |
| Removal of torus palatinus (D7472) |
$1,967.49 |
$1,966.63 |
2.4× |
| Removal perm ccm-d system pulse generator only (0919T) |
$4,306.60 |
$10,766.51 |
0.9× |
| Removal pg wcs lv pacing both components (0861T) |
$4,306.60 |
— |
0.9× |
| Removal Ss Dfb Electrode (0573T) |
$4,306.60 |
$9,179.99 |
0.9× |
| Remove bilat space main, man (D1527) |
$1,967.49 |
$928.80 |
2.4× |
| Remove bilat space main, max (D1526) |
$1,967.49 |
$925.88 |
2.4× |
| Remove drug implant (G0517) |
$472.21 |
— |
0.8× |
| Remove torus mandibularis (D7473) |
$1,967.49 |
$1,903.37 |
2.4× |
| Remove unilat space maintain (D1520) |
$1,967.49 |
— |
2.4× |
| Remove w insert drug implant (G0518) |
$472.21 |
— |
0.8× |
| Replacement of a subcutaneous peritoneal ascites pump, including reconnection between pump and indwelling bladder and… (0871T) |
— |
$5,686.50 |
— |
| Replacment pt electronic sys (G0555) |
$1,203.94 |
— |
1.1× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$731.62 |
— |
0.9× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$4,306.60 |
$9,179.99 |
0.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$731.62 |
$1,829.06 |
0.9× |
| Reshaping bone orthognathic (D7940) |
$1,967.49 |
— |
2.4× |
| Resin 4/> surf or w incis an (D2335) |
$1,967.49 |
$611.48 |
2.4× |
| Resin infiltration of lesion (D2990) |
$1,967.49 |
— |
2.4× |
| Resin one surface-anterior (D2330) |
$1,967.49 |
$327.60 |
2.4× |
| Resin three surfaces-anterio (D2332) |
$1,967.49 |
$482.05 |
2.4× |
| Resin two surfaces-anterior (D2331) |
$1,967.49 |
$395.83 |
2.4× |
| Restorative foundation (D2949) |
$1,967.49 |
— |
2.4× |
| Retreat root canal anterior (D3346) |
$1,967.49 |
$1,934.57 |
2.4× |
| Retreat root canal molar (D3348) |
$1,967.49 |
$2,548.97 |
2.4× |
| Retreat root canal premolar (D3347) |
$1,967.49 |
$2,151.95 |
2.4× |
| Retrograde filling (D3430) |
$1,967.49 |
$324.44 |
2.4× |
| Revasc intra lithotrip-ather (C9766) |
$21,249.26 |
$31,848.26 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$21,249.26 |
$27,426.95 |
0.9× |
| Revasc intravasc lithotripsy (C9764) |
$13,419.98 |
$16,869.14 |
0.9× |
| Revasc lith-sten-ath tib/per (C9775) |
$21,249.26 |
$54,097.71 |
0.9× |
| Revasc lithotr-ather tib/per (C9774) |
$21,249.26 |
$54,097.71 |
0.9× |
| Revasc lithotr-stent tib/per (C9773) |
$21,249.26 |
$54,097.71 |
0.9× |
| Revasc lithotrip tibi/perone (C9772) |
$13,419.98 |
$32,465.58 |
0.9× |
| Revasc lithotrip-stent-ather (C9767) |
$21,249.26 |
$50,942.33 |
0.9× |
| Revision of a subcutaneously implanted peritoneal ascites pump system, any component (ascites pump, associated… (0873T) |
— |
$5,686.50 |
— |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) |
$4,069.59 |
— |
0.9× |
| Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) |
$4,069.59 |
$1,766.88 |
0.9× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) |
$4,069.59 |
— |
0.9× |
| Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) |
$4,069.59 |
— |
0.9× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) |
$4,069.59 |
— |
0.9× |
| Risk ascvd tst once pr 12 mo (G0537) |
$35.25 |
$88.13 |
0.8× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$26,561.92 |
— |
1.0× |
Rmvl & Rplcmt Pg Compnt Wcs (0519T)
range across 2 matching MRF lines |
$12,384.25 |
$9,514.48–$9,990.20 |
0.9× |
| Rmvl Car Modulj Tranvns Elt (0413T) |
$4,306.60 |
— |
0.9× |
| Rmvl Cardiac Modulj Pls Gen (0412T) |
$4,306.60 |
— |
0.9× |
Rmvl insj impltbl gluc sensor dif anatomic site (0448T)
unusually low: confirm this is the full procedure |
$2,164.64 |
— |
0.4× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) |
$4,306.60 |
$10,766.51 |
0.9× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$4,306.60 |
$10,766.51 |
0.9× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) |
$4,306.60 |
$10,766.51 |
0.9× |
Rmvl Pg Compnt Wcs (0518T)
range across 2 matching MRF lines |
$4,306.60 |
$9,514.48–$9,990.20 |
0.9× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$4,306.60 |
$9,179.99 |
0.9× |
| Rmvl&rimpltj ant sgm io nbiodgrd rx elut implt (0661T) |
$4,760.49 |
— |
0.9× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$26,561.92 |
$66,404.81 |
1.0× |
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T)
range across 2 matching MRF lines |
$12,384.25 |
$66,852.75–$70,195.39 |
0.9× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) |
$26,561.92 |
$72,760.36 |
1.0× |
| Root amputation (D3450) |
$1,967.49 |
— |
2.4× |
| Root surgery molar (D3425) |
$1,967.49 |
$2,029.55 |
2.4× |
| Root surgery premolar (D3421) |
$1,967.49 |
$1,809.77 |
2.4× |
| Routine footcare pt w lops (G0247) |
$235.13 |
— |
0.9× |
| Rplcmt indwelling bladder & peritoneal catheters (0872T) |
— |
$5,686.50 |
— |
| Rpr intst excl anrect fist (C9796) |
$3,245.23 |
— |
0.9× |
| Rx metab warfarin rx response trgt seq alys (0030U) |
$134.13 |
— |
1.0× |
| Rx Mntr Lc-Ms/Ms Oral Fluid (0011U) |
$114.43 |
— |
1.0× |
| Safety plan interven (G0560) |
$45.23 |
— |
1.1× |
| Sbrt w/positron emission del (G0563) |
$4,438.19 |
— |
1.1× |
| Scaling gingiv inflammation (D4346) |
$1,967.49 |
— |
2.4× |
| Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a… (0004M) |
$79 |
— |
1.0× |
| Scr c/v cyto, automated sys (G0147) |
$18.19 |
— |
1.0× |
| Scr c/v cyto, autosys, rescr (G0148) |
$31.94 |
— |
1.0× |
| Scr c/v cyto,thinlayer,rescr (G0144) |
$43.97 |
— |
1.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$26.49 |
— |
1.0× |
| Scr c/v cyto,thinlayer,rescr (G0143) |
$27.05 |
$81.15 |
1.0× |
| Screen cerv/vag thin layer (G0123) |
$20.26 |
$84.94 |
1.0× |
| Screen pap by tech w md supv (P3000) |
$18.19 |
$183.45 |
1.0× |
| Screening hep c detect (G0567) |
— |
$87.73 |
— |
| Semen analysis (G0027) |
$6.50 |
$15.12 |
1.0× |
| Sialoendoscopy capt & interp (D0371) |
$104.19 |
— |
1.0× |
| Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) |
$7,044.32 |
$8,523.35 |
0.9× |
| Sim ang w/prs cath rad emb (C8004) |
— |
$26,839.95 |
— |
| Single energy x-ray study (G0130) |
$125.84 |
$326.25 |
1.0× |
| Smmg cncrnt appl imu snr (0778T) |
$185.15 |
$458.01 |
1.2× |
| Soft tissue graft firsttooth (D4277) |
$1,752.89 |
— |
0.9× |
| Software meas of cardiac vol (G0183) |
— |
$260.49 |
— |
| Space maintainer fxd unilat (D1510) |
$1,967.49 |
$586.45 |
2.4× |
| Speech audiometry threshold, automated; Non-Facility Physician Technical Component (0210T) |
$46.45 |
— |
1.0× |
| Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T) |
$46.45 |
— |
1.0× |
| Spine device implant surgery (C9757) |
$15,226.08 |
$36,607.23 |
1.0× |
| Splint extra-coronal (D4323) |
$1,967.49 |
$60 |
2.4× |
| Splint intra-coronal (D4322) |
$1,967.49 |
$60 |
2.4× |
| Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies (0810T) |
$5,029.87 |
$9,328.88 |
1.0× |
| Subs psych care mng, subs mo (G0569) |
— |
$317.03 |
— |
| Supply of digital device (G0552) |
$152.50 |
— |
0.9× |
| Surg exp root surf anterior (D3501) |
$1,967.49 |
— |
2.4× |
| Surg exp root surf molar (D3503) |
$1,967.49 |
— |
2.4× |
| Surg exp root surf premolar (D3502) |
$1,967.49 |
— |
2.4× |
| Surg reduct osseoustuberosit (D7485) |
$7,000.36 |
$1,851.77 |
0.9× |
| Surg rep root res anterior (D3471) |
$1,967.49 |
— |
2.4× |
| Surg rep root res molar (D3473) |
$1,967.49 |
— |
2.4× |
| Surg rep root res premolar (D3472) |
$1,967.49 |
— |
2.4× |
| Surgical revision procedure (D4268) |
$1,967.49 |
$1,585.20 |
2.4× |
| Surgical splint (D5988) |
$1,967.49 |
$1,457.65 |
2.4× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) |
$18.09 |
— |
1.0× |
| Tactile breast img uni/bi (0422T) |
$104.19 |
— |
1.0× |
| Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for… (0050U) |
$2,916.60 |
— |
1.0× |
| Targeted genomic sequence analysis panel, non-small cell lung neoplasia, DNA and RNA analysis, 23 genes, interrogation… (0022U) |
$1,950 |
— |
1.0× |
| Tbrf b grp antb detcj 4 recomb prtn imunoblt igg (0044U) |
$14.86 |
— |
1.0× |
| Tbrf b grp antb detcj 4 recomb prtn imunoblt igm (0043U) |
$14.86 |
— |
1.0× |
| Tc Auricular Nstimj Setup Calibration &Pt Educaj (0783T) |
$185.15 |
$523.44 |
1.2× |
| Tc mag stimj pn 1st tx 1nrv (0766T) |
$368.50 |
$436.20 |
1.4× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) |
$3,806.17 |
$9,515.43 |
0.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$22,568.05 |
— |
0.9× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$22,568.05 |
$18,284.74 |
0.9× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$22,568.05 |
$54,097.71 |
0.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$22,568.05 |
$18,284.74 |
0.9× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$3,724.63 |
— |
0.9× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$3,724.63 |
$18,284.74 |
0.9× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$3,724.63 |
$9,381.72 |
0.9× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) |
$3,724.63 |
$6,727.67 |
0.9× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$22,568.05 |
— |
0.9× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$22,568.05 |
$18,284.74 |
0.9× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
$22,568.05 |
$18,284.74 |
0.9× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$22,568.05 |
$18,284.74 |
0.9× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$6,746.95 |
— |
0.9× |
| Tear film imaging unilateral or bilateral w/i&r (0330T) |
$46.45 |
— |
1.0× |
| Tee w or w/o fol w/cont, mon (C8927) |
$934.93 |
$2,337.33 |
1.0× |
| Tee w or w/o fol w/cont,cong (C8926) |
$934.93 |
— |
1.0× |
| Temp female intraurethral valve-pump 1st insj (0596T) |
$789.86 |
$1,815.11 |
0.9× |
| Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) |
$789.86 |
$1,815.11 |
0.9× |
| Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative 13,999 or fewer… (0025U) |
$114.43 |
— |
1.0× |
| Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) |
$5,544.24 |
— |
1.0× |
| Therapeutic procd strg endur (G0237) |
$28.98 |
$160.77 |
0.8× |
| Therapeutic pulpotomy (D3220) |
$1,967.49 |
$478.45 |
2.4× |
| Therapeutic ultrafiltration (0692T) |
$1,939.86 |
$1,466.16 |
1.0× |
| Tmj arthroscopy disc reposit (D7874) |
$3,839.54 |
— |
0.9× |
| Tomosynthesis, mammo (G0279) |
$49.31 |
— |
3.9× |
| Tooth pin retention (D2951) |
$1,967.49 |
$174.68 |
2.4× |
| Tooth reimplantation (D7270) |
$1,967.49 |
$1,205.15 |
2.4× |
| Tooth root removal (D7250) |
$1,967.49 |
$684.85 |
2.4× |
| Tooth splitting (D3920) |
$1,967.49 |
— |
2.4× |
| Tooth transplantation (D7272) |
$1,967.49 |
$1,619.32 |
2.4× |
| Tpmt and Nudt15 Genotype (0034U) |
$466.17 |
$1,398.51 |
1.0× |
| Trabeculostomy ab interno by laser (0621T) |
$4,760.49 |
$120 |
0.9× |
| Train for caregiver add 15 (G0540) |
$26.60 |
— |
1.0× |
| Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) |
$21,249.26 |
— |
0.9× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$6,746.95 |
— |
0.9× |
| Transcatheter renal sympath denervation unilat (0338T) |
$6,746.95 |
— |
0.9× |
| Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2], oxyhemoglobin [ctHbO2], deoxyhemoglobin… (0061U) |
$25.10 |
— |
1.0× |
| Transperineal focal laser abltj mal prst8 tiss (0655T) |
$6,015.75 |
$9,937.46 |
0.9× |
| Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater than… (0867T) |
$6,015.75 |
— |
0.9× |
| Transperineal laser destruction of benign prostatic enlargement using imaging guidance for prostate volume less than 50… (0714T) |
$6,015.75 |
$14,260.03 |
0.9× |
| Transplantation medicine (allograft rejection, renal), measurement of donor and third-party-induced CD154+T-cytotoxic… (0018M) |
$640.73 |
— |
1.0× |
| Transseptal fiberotomy (D7291) |
$1,967.49 |
— |
2.4× |
| Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative… (0582T) |
— |
$4,632 |
— |
| Trauma respons w/hosp criti (G0390) |
$1,565.79 |
$1,781.29 |
0.9× |
| Treatment of complications (D9930) |
$1,967.49 |
— |
2.4× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$3,500 |
— |
1.0× |
| Trim nail(s) (G0127) |
$70.29 |
$150.02 |
1.0× |
| Trluml perip athrc abd aorta (0236T) |
$13,419.98 |
— |
0.9× |
| Trluml Perip Athrc Brchiocph (0237T) |
$13,419.98 |
— |
0.9× |
| Trluml Perip Athrc Iliac Art (0238T) |
$21,249.26 |
— |
0.9× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$13,419.98 |
— |
0.9× |
| Trnscut elect modlation pain reproces ea tx sess (0278T) |
$185.15 |
$382.70 |
1.2× |
| Trnsplj med kdn algrft rej 1494 genes alg (0088U) |
$3,159.42 |
— |
1.0× |
| Trtmnt simulation 3d image (D0393) |
$104.19 |
— |
1.0× |
| Tte w or w/o contr, cont ecg (C8930) |
$934.93 |
— |
1.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$934.93 |
$2,337.33 |
1.0× |
| Tte w or w/o fol w/cont, com (C8921) |
$934.93 |
— |
1.0× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$934.93 |
— |
1.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$934.93 |
$2,642.74 |
1.0× |
| Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal… (0060U) |
$759.05 |
— |
1.0× |
| Tympanostomy Automated Tube Delivery System (0583T) |
$1,752.89 |
$3,735.06 |
0.9× |
| Unsched dialysis esrd pt hos (G0257) |
$828.02 |
$2,250.04 |
1.0× |
| Unscheduled dressing change (D4920) |
$1,967.49 |
— |
2.4× |
| Unspecified periodontal proc (D4999) |
$274.80 |
$413.32 |
0.9× |
| US Ablat Uter Leiomyom <200 (0071T) |
$3,762.53 |
— |
0.9× |
| US Ablat Uter Leiomyom >200 (0072T) |
$3,762.53 |
— |
0.9× |
| Vasc emb/occ w/prs cath (C9797) |
$21,249.26 |
— |
0.9× |
| Ven blood coll snf/hha (G0471) |
$11.09 |
— |
1.0× |
| Veneer repair (D2983) |
$1,967.49 |
— |
2.4× |
| Vert bitewings 7 to 8 images (D0277) |
$286.04 |
— |
1.0× |
| Vestibuloplasty exten graft (D7350) |
$7,000.36 |
$4,845.15 |
0.9× |
| Vestibuloplasty ridge extens (D7340) |
$7,000.36 |
$2,943.95 |
0.9× |
| Visit esketamine 56m or less (G2082) |
$1,361.46 |
$2,287.08 |
1.1× |
| Visit esketamine, > 56m (G2083) |
$1,716.46 |
$3,341.86 |
0.9× |
| Visit to determ ldct elig (G0296) |
$109.46 |
$273 |
0.9× |
| Visual ep test for glaucoma (0464T) |
$185.15 |
— |
1.2× |
| Visual Field Assessment Tech Support W/Instruct (0379T) |
$46.45 |
— |
1.0× |
| Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative 13,999 or fewer assigned members (0038U) |
$29.60 |
— |
1.0× |
| Wet mounts/ w preparations (Q0111) |
$18.19 |
$17.88 |
1.0× |
| Xenograft implantation into the articular surface Non-Facility (0737T) |
$15,226.08 |
— |
1.0× |