| 2d tte w or w/o fol w/con,co (C8923) |
$723.60 |
$1,608 |
0.9× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$816.75 |
$1,815 |
2.2× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$6,198.30 |
$13,774 |
3.0× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$9,881.55 |
$21,959 |
1.1× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$6,198.30 |
$13,774 |
3.0× |
| Adm tocilizu covid-19 1st (M0249) |
$531.90 |
$1,182 |
1.2× |
| Adm tocilizu covid-19 2nd (M0250) |
$531.90 |
$1,182 |
1.2× |
| Admin hepatitis b vaccine (G0010) |
$45.90 |
$102 |
0.9× |
| Admin influenza virus vac (G0008) |
$45.90 |
$102 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$45.90 |
$102 |
0.9× |
| Alcohol/sub misuse assess (G2011) |
$24.75 |
$55 |
0.8× |
| Annual alcohol screen 15 min (G0442) |
$24.52 |
$54.50 |
0.6× |
| Behavior counsel obesity 15m (G0447) |
$42.75 |
$95 |
0.4× |
| Blind interatrial shunt ide (C9758) |
$18,905.85 |
$42,013 |
1.1× |
| Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) |
$42.30 |
$94 |
1.4× |
| Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0556T) |
$396 |
$880 |
1.6× |
| Brief alcohol misuse counsel (G0443) |
$43.20 |
$96 |
0.4× |
| Ca screen;pelvic/breast exam (G0101) |
$53.78 |
$119.50 |
0.5× |
| Care manage beh svs 20mins (G0323) |
$36.90 |
$82 |
0.9× |
| Catheterize for urine spec (P9612) |
$8.10 |
$18 |
0.9× |
| Chemo extend iv infus w/pump (G0498) |
$296.10 |
$658 |
0.9× |
| Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) |
$86.85 |
$193 |
1.0× |
| Covid-19 lab test non-cdc (U0002) |
$46.35 |
$103 |
0.9× |
| Crown 3/4 resin-based compos (D2712) |
$370.80 |
$824 |
0.5× |
| Crown resin w/ high noble me (D2720) |
$636.30 |
$1,414 |
0.9× |
| Crown resin w/ noble metal (D2722) |
$900 |
$2,000 |
1.3× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$388.80 |
$864 |
2.2× |
| Dental inlay resin 3/mre sur (D2652) |
$517.05 |
$1,149 |
0.8× |
| Dental onlay resin 2 surface (D2662) |
$473.40 |
$1,052 |
0.7× |
| Dental onlay resin 3 surface (D2663) |
$562.05 |
$1,249 |
0.8× |
| Dental onlay resin 4/mre sur (D2664) |
$609.75 |
$1,355 |
0.9× |
| Depression screen annual (G0444) |
$24.52 |
$54.50 |
0.6× |
| Diab manage trn per indiv (G0108) |
$84.82 |
$188.50 |
1.5× |
| Diab manage trn ind/group (G0109) |
$30.60 |
$68 |
1.9× |
| Direct refer hospital observ (G0379) |
$393.20 |
$873.80 |
0.6× |
| Drug test def 1-7 classes (G0480) |
$56.70 |
$126 |
0.5× |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) |
$203.40 |
$452 |
2.0× |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) |
$203.40 |
$452 |
2.0× |
| Elec stim other than wound (G0283) |
$37.35 |
$83 |
2.9× |
| Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) |
$2,683.80 |
$5,964 |
0.8× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$9,824.85 |
$21,833 |
0.8× |
| Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual… (0563T) |
$56.25 |
$125 |
0.9× |
| Extrnl counterpulse, per tx (G0166) |
$184.50 |
$410 |
1.3× |
| Eye mvmt alys w/o calbrj i&r (0615T) |
$108.45 |
$241 |
0.8× |
| Facility svs dental rehab (G0330) |
$2,814.75 |
$6,255 |
0.8× |
| Fern test (Q0114) |
$9.68 |
$21.50 |
1.0× |
| Flt3 gene itd variants quan (0046U) |
$1,350 |
$3,000 |
3.3× |
| Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part… (0479T) |
$830.70 |
$1,846 |
1.1× |
| Group mnt 2 or more 30 mins (G0271) |
$24.75 |
$55 |
1.5× |
| Hbot, full body chamber, 30m (G0277) |
$767.25 |
$1,705 |
5.3× |
| Hepb screen high risk indiv (G0499) |
$38.48 |
$85.50 |
1.4× |
| High inten beh couns std 30m (G0445) |
$44.32 |
$98.50 |
0.4× |
| Hopd mntl hlt, 15-29 min (C7900) |
$49.95 |
$111 |
1.3× |
| Hopd mntl hlt, 30-60 min (C7901) |
$77.85 |
$173 |
0.7× |
| Hospital outpt clinic visit (G0463) |
$231.30 |
$514 |
1.7× |
| Iliac Atherectomy (0238T) |
$15,330.60 |
$34,068 |
0.8× |
| Init/sub psych care m 1st 30 (G2214) |
$98.10 |
$218 |
0.9× |
| Initial preventive exam (G0402) |
$201.60 |
$448 |
1.4× |
| Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) |
$397.35 |
$883 |
0.8× |
| Inlay composite/resin one su (D2650) |
$393.75 |
$875 |
0.6× |
| Inlay composite/resin two su (D2651) |
$467.55 |
$1,039 |
0.7× |
| Inlay porcelain/ceramic 1 su (D2610) |
$508.95 |
$1,131 |
0.8× |
| Inlay porcelain/ceramic 2 su (D2620) |
$539.55 |
$1,199 |
0.8× |
| Insert drug del implant, >=4 (G0516) |
$405.45 |
$901 |
0.9× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$9,180.45 |
$20,401 |
0.8× |
| Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) |
$7,524 |
$16,720 |
0.9× |
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0525T)
unusually low: confirm this is the full procedure |
$10,038.15 |
$22,307 |
0.5× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$27,272.25 |
$60,605 |
1.2× |
| Insertion/replacement iims implantable mntr only (0527T) |
$7,524 |
$16,720 |
0.9× |
| Insj Wcs Lv Eltrd Only (0516T) |
$9,180.45 |
$20,401 |
0.8× |
| Intens behave ther cardio dx (G0446) |
$43.20 |
$96 |
1.1× |
| Interrog dev eval iims ip (0529T) |
$40.50 |
$90 |
1.0× |
| Interrog dev eval wcs ip (0521T) |
$18.90 |
$42 |
0.6× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$354.15 |
$787 |
2.9× |
| Lev 3 hosp type b ed visit (G0382) |
$495 |
$1,100 |
2.7× |
| Mnt subs tx for change dx (G0270) |
$51.30 |
$114 |
1.6× |
| Mra, w/dye, spinal canal (C8931) |
$336.15 |
$747 |
0.9× |
| Mri w/cont, breast, bi (C8906) |
$458.55 |
$1,019 |
1.3× |
| Mri w/cont, breast, uni (C8903) |
$428.40 |
$952 |
2.3× |
| Mri w/o fol w/cont, breast, (C8908) |
$336.15 |
$747 |
0.9× |
| Mri w/o fol w/cont, brst, un (C8905) |
$504.90 |
$1,122 |
1.4× |
| Neuro csf prion prtn qual (0035U) |
$397.35 |
$883 |
0.7× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$742.95 |
$1,651 |
0.8× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$600.30 |
$1,334 |
1.3× |
| Non-ophthalmic fva (C9733) |
$311.40 |
$692 |
0.9× |
| Obtaining screen pap smear (Q0091) |
$51.98 |
$115.50 |
1.7× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$6,447.15 |
$14,327 |
0.5× |
| Pinworm examinations (Q0113) |
$25.42 |
$56.50 |
6.0× |
| Pne flu hepb cov home admin (M0201) |
$39.60 |
$88 |
1.0× |
| Potassium hydroxide preps (Q0112) |
$8.10 |
$18 |
1.4× |
| Ppps, initial visit (G0438) |
$301.50 |
$670 |
1.7× |
| Ppps, subseq visit (G0439) |
$204.30 |
$454 |
1.5× |
| Prgrmg dev eval iims ip (0528T) |
$40.50 |
$90 |
1.0× |
| Prgrmg dev eval wcs ip (0522T) |
$53.55 |
$119 |
1.4× |
| Psa screening (G0103) |
$23.85 |
$53 |
1.2× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) |
$27,272.25 |
$60,605 |
2.5× |
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T)
unusually low: confirm this is the full procedure |
$3,880.80 |
$8,624 |
0.4× |
| Removal complete iims (0530T) |
$3,180.60 |
$7,068 |
0.8× |
| Removal iims electrode only (0531T) |
$3,180.60 |
$7,068 |
0.8× |
| Removal iims implt mntr only (0532T) |
$3,180.60 |
$7,068 |
0.8× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$3,880.80 |
$8,624 |
1.0× |
| Remove drug implant (G0517) |
$405.45 |
$901 |
0.9× |
| Remove w insert drug implant (G0518) |
$405.45 |
$901 |
0.9× |
| Revasc intra lithotrip-ather (C9766) |
$15,330.60 |
$34,068 |
0.8× |
| Revasc intra lithotrip-stent (C9765) |
$30,661.20 |
$68,136 |
1.6× |
| Revasc intravasc lithotripsy (C9764) |
$9,618.30 |
$21,374 |
0.8× |
| Revasc lith-sten-ath tib/per (C9775) |
$21,187.35 |
$47,083 |
1.1× |
| Revasc lithotr-ather tib/per (C9774) |
$21,187.35 |
$47,083 |
1.1× |
| Revasc lithotr-stent tib/per (C9773) |
$21,187.35 |
$47,083 |
1.1× |
| Revasc lithotrip tibi/perone (C9772) |
$9,618.30 |
$21,374 |
0.8× |
Revasc lithotrip-stent-ather (C9767)
unusually low: confirm this is the full procedure |
$7,182.90 |
$15,962 |
0.4× |
| Routine footcare pt w lops (G0247) |
$174.60 |
$388 |
0.8× |
| Rx Metab Advrs Trgt Seq Alys (0029U) |
$586.58 |
$1,303.50 |
0.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$83.25 |
$185 |
3.1× |
| Screen cerv/vag thin layer (G0123) |
$66.60 |
$148 |
3.3× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$6,330.60 |
$14,068 |
1.1× |
| Tomosynthesis, mammo (G0279) |
$27 |
$60 |
2.1× |
| Trauma respons w/hosp criti (G0390) |
$3,958.65 |
$8,797 |
2.8× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$3,150 |
$7,000 |
0.9× |
| Trim nail(s) (G0127) |
$53.55 |
$119 |
0.9× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,502.55 |
$3,339 |
1.8× |
| Tte w or w/o fol w/cont, com (C8921) |
$700.20 |
$1,556 |
0.9× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$700.20 |
$1,556 |
0.9× |
| Tte w or wo fol wcon,doppler (C8929) |
$700.20 |
$1,556 |
0.9× |
| Unsched dialysis esrd pt hos (G0257) |
$611.10 |
$1,358 |
0.9× |
| Wet mounts/ w preparations (Q0111) |
$15.75 |
$35 |
0.8× |