| 2d tee w or w/o fol w/con,in (C8925) |
— |
$2,655 |
— |
| 2d tte w or w/o fol w/con,co (C8923) |
— |
$1,604 |
— |
| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$2,228 |
— |
| Adm of soc dtr assess 5-15 m (G0136) |
— |
$28 |
— |
| Admin hepatitis b vaccine (G0010) |
— |
$43 |
— |
| Admin influenza virus vac (G0008) |
— |
$43 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$43 |
— |
| Anatomic guide 3d printed 1st anatomic guide (0561T) |
— |
$184 |
— |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) |
— |
$189 |
— |
| Behavior counsel obesity 15m (G0447) |
— |
$43 |
— |
| Blind cor sinus reducer impl (C9783) |
— |
$7,433 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$716 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$93 |
— |
| Catheterize for urine spec (P9612) |
— |
$32 |
— |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) |
— |
$3,252 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$1,535 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$975 |
— |
| Depression screen annual (G0444) |
— |
$23 |
— |
| Diab manage trn per indiv (G0108) |
— |
$180 |
— |
| Diab manage trn ind/group (G0109) |
— |
$110 |
— |
| Direct refer hospital observ (G0379) |
— |
$193 |
— |
Drug test def 1-7 classes (G0480)
range across 11 matching MRF lines |
— |
$15–$577 |
— |
| Drug test def 15-21 classes (G0482) |
— |
$112 |
— |
| Ekg tracing for initial prev (G0404) |
— |
$235 |
— |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) |
— |
$254 |
— |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) |
— |
$111 |
— |
| Elec stim other than wound (G0283) |
— |
$130 |
— |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) |
— |
$1,820 |
— |
| Endo defect closure gi tract (C9901) |
— |
$12,377 |
— |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
— |
$34,704 |
— |
| Esw integumentary wound healing initial wound (0512T) |
— |
$455 |
— |
| Extrnl counterpulse, per tx (G0166) |
— |
$391 |
— |
| Fecal microbiota prep instil (G0455) |
— |
$1,959 |
— |
| Fern test (Q0114) |
— |
$78 |
— |
| Fractional abl lsr fenestration first 100 sqcm (0479T) |
— |
$586 |
— |
| Group behave couns 2-10 (G0473) |
— |
$43 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$716 |
— |
| Hep c screen high risk/other (G0472) |
— |
$233 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$119 |
— |
| Init/sub psych care m 1st 30 (G2214) |
— |
$67 |
— |
| Initial preventive exam (G0402) |
— |
$112 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$1,390 |
— |
| Insert cv cath inf & sup app (C9780) |
— |
$364 |
— |
| Insertion of substernal implantable defibrillator electrode (0572T) |
— |
$19,900 |
— |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
— |
$11,523 |
— |
| Insj Wcs Lv Eltrd Only (0516T) |
— |
$7,011 |
— |
| Insj Wcs Lv Pg Compnt (0517T) |
— |
$7,871 |
— |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
— |
$35,746 |
— |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
— |
$9,105 |
— |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
— |
$9,105 |
— |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
— |
$35,746 |
— |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
— |
$64,235 |
— |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
— |
$192 |
— |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) |
— |
$104 |
— |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) |
— |
$182 |
— |
| Mnt subs tx for change dx (G0270) |
— |
$236 |
— |
| Mra w/cont, abd (C8900) |
— |
$3,973 |
— |
| Mra w/cont, chest (C8909) |
— |
$3,590 |
— |
| Mra w/cont, pelvis (C8918) |
— |
$3,355 |
— |
| Mra w/o cont, abd (C8901) |
— |
$3,353 |
— |
| Mra w/o cont, lwr ext (C8913) |
— |
$4,370 |
— |
| Mra w/o cont, pelvis (C8919) |
— |
$4,512 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$4,945 |
— |
| Mra w/o fol w/cont, chest (C8911) |
— |
$5,876 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$7,919 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$5,087 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$3,355 |
— |
| Mra, w/o&w/dye, upper extr (C8936) |
— |
$4,738 |
— |
| Mri w/cont, breast, bi (C8906) |
— |
$4,735 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$6,699 |
— |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) |
— |
$933 |
— |
| Neuro csf prion prtn qual (0035U) |
— |
$360.68 |
— |
| Njx platelet plasma (0232T) |
— |
$1,866 |
— |
| Obtaining screen pap smear (Q0091) |
— |
$34 |
— |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
— |
$368.48 |
— |
| Onc Merkel Cll Carc Srm Quan (0058U) |
— |
$368.48 |
— |
| Oth resp proc, group (G0239) |
— |
$181 |
— |
| Oth resp proc, indiv (G0238) |
— |
$89 |
— |
| Pemivibart infusion (M0224) |
— |
$1,323 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$39,414 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$26,050 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$39,414 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$26,050 |
— |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
— |
$13,865 |
— |
| Pne flu hepb cov home admin (M0201) |
— |
$106 |
— |
| Potassium hydroxide preps (Q0112) |
— |
$65 |
— |
| Ppps, initial visit (G0438) |
— |
$244 |
— |
| Ppps, subseq visit (G0439) |
— |
$194 |
— |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
— |
$180 |
— |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
— |
$196 |
— |
| Prgrmg dev eval scrms phys/qhp remote (0650T) |
— |
$195 |
— |
| Prgrmg device eval wrls car stimulator in person (0522T) |
— |
$182 |
— |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
— |
$242 |
— |
| Programming dev eval icds w/ss eltrd in person (0575T) |
— |
$182 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$430 |
— |
| Psa screening (G0103) |
— |
$130 |
— |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) |
— |
$3,451 |
— |
| Quan MRI alys brain with diagnostic MRI (0866T) |
— |
$3,451 |
— |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
— |
$867 |
— |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
— |
$4,550 |
— |
| Relocation pg wcs lv pacg battery component only (0862T) |
— |
$2,792 |
— |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) |
— |
$2,792 |
— |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) |
— |
$280 |
— |
| Removal pg wcs lv pacing both components (0861T) |
— |
$6,012 |
— |
| Removal Ss Dfb Electrode (0573T) |
— |
$6,552 |
— |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
— |
$4,087 |
— |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
— |
$6,552 |
— |
Revasc intra lithotrip-ather (C9766)
range across 4 matching MRF lines |
— |
$11,188–$26,390 |
— |
Revasc intra lithotrip-stent (C9765)
range across 8 matching MRF lines |
— |
$8,203–$21,548 |
— |
Revasc intravasc lithotripsy (C9764)
range across 7 matching MRF lines |
— |
$5,352–$11,661 |
— |
Revasc lith-sten-ath tib/per (C9775)
range across 3 matching MRF lines |
— |
$17,851–$27,000 |
— |
Revasc lithotr-ather tib/per (C9774)
range across 3 matching MRF lines |
— |
$17,851–$27,000 |
— |
Revasc lithotr-stent tib/per (C9773)
range across 3 matching MRF lines |
— |
$17,851–$27,000 |
— |
Revasc lithotrip tibi/perone (C9772)
range across 3 matching MRF lines |
— |
$11,498–$16,500 |
— |
Revasc lithotrip-stent-ather (C9767)
range across 4 matching MRF lines |
— |
$26,390–$35,298 |
— |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) |
— |
$13,593 |
— |
| Rmvl Car Modulj Tranvns Elt (0413T) |
— |
$6,782 |
— |
| Rmvl Cardiac Modulj Pls Gen (0412T) |
— |
$4,925 |
— |
| Rmvl Pg Compnt Wcs (0518T) |
— |
$6,440 |
— |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
— |
$5,171 |
— |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) |
— |
$6,660 |
— |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) |
— |
$54,150 |
— |
| Screen cerv/vag thin layer (G0123) |
— |
$137 |
— |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
— |
$13,378 |
— |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
— |
$19,586 |
— |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
— |
$19,586 |
— |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
— |
$19,586 |
— |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
— |
$4,880 |
— |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
— |
$8,227 |
— |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
— |
$8,227 |
— |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) |
— |
$8,780 |
— |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
— |
$13,378 |
— |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
— |
$19,586 |
— |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
— |
$19,586 |
— |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
— |
$19,586 |
— |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
— |
$7,082 |
— |
| Tee w or w/o fol w/cont,cong (C8926) |
— |
$2,587 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$78 |
— |
| Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) |
— |
$17,978 |
— |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
— |
$9,749 |
— |
| Transcatheter renal sympath denervation unilat (0338T) |
— |
$7,389 |
— |
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines |
— |
$6,243–$15,610 |
— |
| Trim nail(s) (G0127) |
— |
$158 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
— |
$21,409 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$3,835 |
— |
| Tte w or w/o fol w/cont, com (C8921) |
— |
$1,883 |
— |
| Tte w or w/o fol w/cont, f/u (C8922) |
— |
$1,079 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$3,532 |
— |
Unsched dialysis esrd pt hos (G0257)
range across 2 matching MRF lines |
— |
$1,184–$1,392 |
— |
| Vasc emb/occ w/prs cath (C9797) |
— |
$25,440 |
— |
| Visit esketamine 56m or less (G2082) |
— |
$1,056 |
— |
| Visit esketamine, > 56m (G2083) |
— |
$1,543 |
— |
| Visit to determ ldct elig (G0296) |
— |
$84 |
— |
| Wet mounts/ w preparations (Q0111) |
— |
$73 |
— |