| 2d cephal radio image (D0702) |
$103.30 |
— |
1.0× |
| 2d cephalometric image (D0340) |
$103.30 |
— |
1.0× |
| 2d oral/facial photo image (D0703) |
$103.30 |
— |
1.0× |
| 2d tee w or w/o fol w/con,in (C8925) |
$930.50 |
— |
1.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$930.50 |
— |
1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$414.11 |
— |
1.0× |
| 3d anat seg imaging preop (C8001) |
$152.73 |
— |
1.0× |
| 3d bn img algor drvd fr mri (G0566) |
$152.73 |
— |
1.0× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) |
$283.22 |
— |
1.0× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) |
$1,960.42 |
— |
1.0× |
| Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound… (0950T) |
$11,236.54 |
— |
1.0× |
| Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each… (0970T) |
$4,647.56 |
— |
1.0× |
| Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) |
$12,617.45 |
— |
1.0× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$4,647.56 |
— |
1.0× |
| Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral (0971T) |
$4,647.56 |
— |
1.0× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$2,317.85 |
— |
1.0× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$10,416.80 |
— |
1.0× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$2,317.85 |
— |
1.0× |
| Active thoracic irrigation separate procedure (1021T) |
$744.60 |
— |
1.0× |
| Adapt bhv tx prtcl modificaj ea 15 min tech time (0373T) |
$44.47 |
— |
1.0× |
| Add proc construct new crown (D2971) |
$767.37 |
— |
1.0× |
| Adm of soc dtr assess 5-15 m (G0136) |
$44.47 |
— |
1.0× |
Adm tocilizu covid-19 1st (M0249)
range across 2 matching MRF lines |
$523.40–$1,807.10 |
— |
varies |
Adm tocilizu covid-19 2nd (M0250)
range across 2 matching MRF lines |
$523.40–$2,167.50 |
— |
varies |
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines |
$55.58–$59.50 |
— |
varies |
Admin influenza virus vac (G0008)
range across 2 matching MRF lines |
$55.58–$68 |
— |
varies |
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines |
$55.58–$68 |
— |
varies |
| Adv prim care mgmt lvl 1 (G0556) |
$44.47 |
— |
1.0× |
| Adv prim care mgmt lvl 2 (G0557) |
$44.47 |
— |
1.0× |
| Adv prim care mgmt lvl 3 (G0558) |
$120.59 |
— |
1.0× |
| Air displacement plethysmography, whole-body composition assessment, with interpretation and report (1002T) |
$34.33 |
— |
1.0× |
| Alcohol/sub misuse assess (G2011) |
$34.33 |
— |
1.0× |
| Alcohol/subs interv 15-30mn (G0396) |
$44.47 |
— |
1.0× |
| Alcohol/subs interv >30 min (G0397) |
$210.68 |
— |
1.0× |
| Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) |
$159.54 |
— |
1.0× |
| Alveoloplasty not w/extracts (D7321) |
$1,841.71 |
— |
1.0× |
| Alveoloplasty w/extract 1-3 (D7311) |
$1,841.71 |
— |
1.0× |
| Alveolus clsd reduc stblz te (D7771) |
$3,935.40 |
— |
1.0× |
| Alveolus open reduction (D7671) |
$7,026.75 |
— |
1.0× |
| Alveoplasty w/ extraction (D7310) |
$1,841.71 |
— |
1.0× |
| Alveoplasty w/o extraction (D7320) |
$1,841.71 |
— |
1.0× |
| Amalgam 4 or > surfaces perm (D2161) |
$767.37 |
— |
1.0× |
| Amalgam one surface permanen (D2140) |
$767.37 |
— |
1.0× |
| Amalgam three surfaces perma (D2160) |
$767.37 |
— |
1.0× |
| Amalgam two surfaces permane (D2150) |
$767.37 |
— |
1.0× |
| Ana crown exp 1-3 per quad (D4231) |
$1,841.71 |
— |
1.0× |
| Ana crown exp 4 or> per quad (D4230) |
$3,935.40 |
— |
1.0× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) |
$157.93 |
— |
1.0× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) |
$157.93 |
— |
1.0× |
| Annual alcohol screen 15 min (G0442) |
$44.47 |
— |
1.0× |
| Anoscopy with directed submucosal injection of bulking agent into anal canal (0963T) |
$1,420.39 |
— |
1.0× |
| Ant resin-based cmpst crown (D2390) |
$767.37 |
— |
1.0× |
| Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments Facility (0657T) |
$20,812.37 |
— |
1.0× |
| Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments Facility (0656T) |
$20,812.37 |
— |
1.0× |
| Apexification/recalc final (D3353) |
$767.37 |
— |
1.0× |
| Apexification/recalc initial (D3351) |
$767.37 |
— |
1.0× |
| Apexification/recalc interim (D3352) |
$767.37 |
— |
1.0× |
| Apically positioned flap (D4245) |
$1,841.71 |
— |
1.0× |
| Apicoectomy - anterior (D3410) |
$767.37 |
— |
1.0× |
| Arhfcmrigtbs 1st motor threshold deter 1st tx d (0890T) |
$4,357.41 |
— |
1.0× |
| Arhfcmrigtbs sbsq motor threshld redeter pr tx d (0892T) |
$4,357.41 |
— |
1.0× |
| Arhfcmrigtbs subsequent treatment day (0891T) |
$4,357.41 |
— |
1.0× |
| Arthro/shoul surg; w/spacer (C9781) |
$15,239.31 |
— |
1.0× |
| Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement… (1003T) |
$15,239.31 |
— |
1.0× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$120.59 |
— |
1.0× |
| Assessment of a patient (D0191) |
$158.03 |
— |
1.0× |
| Assistive algorithmic analysis of acoustic and electrocardiogram recording for detection of cardiac dysfunction (eg,… (0962T) |
$157.93 |
— |
1.0× |
| Asstv alg ECG rsk asmt cncrt (0764T) |
$157.93 |
— |
1.0× |
| Asstv alg ECG rsk asmt prev (0765T) |
$157.93 |
— |
1.0× |
| Augmentative AI-based facial phenotype analysis with report Non-Facility (0731T) |
$70.02 |
— |
1.0× |
| Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) |
$755.76 |
— |
1.0× |
| Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) |
$755.76 |
— |
1.0× |
| Auto tissue graft 1st tooth (D4273) |
$1,841.71 |
— |
1.0× |
| Autolog prp not diab ulcer (G0460) |
$2,449.08 |
— |
1.0× |
| Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue… (0718T) |
$4,206.35 |
— |
1.0× |
| Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue… (0717T) |
$4,206.35 |
— |
1.0× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$44.30 |
— |
1.0× |
Behavior counsel obesity 15m (G0447)
range across 2 matching MRF lines |
$79.90–$120.59 |
— |
varies |
| Bhv id suprt assmt ea 15 min (0362T) |
$44.47 |
— |
1.0× |
| Bia whole body composition assessment w/i&r (0358T) |
$34.33 |
— |
1.0× |
| Bio mtrls to aid soft/os reg (D4265) |
$767.37 |
— |
1.0× |
| Biological materials (D3431) |
$767.37 |
— |
1.0× |
| Bitewings - three images (D0273) |
$283.22 |
— |
1.0× |
| Bitewings four images (D0274) |
$283.22 |
— |
1.0× |
| Blind cor sinus reducer impl (C9783) |
$13,702.77 |
— |
1.0× |
| Blind interatrial shunt ide (C9758) |
$20,332.43 |
— |
1.0× |
| Blind myocar trpl bon marrow (C9782) |
$20,332.43 |
— |
1.0× |
| Blind/nonblind trans atrial (C9792) |
$11,328.33 |
— |
1.0× |
| Blinded conv. tx mdd clin tr (G2000) |
$442.93 |
— |
1.0× |
| Bone graft peri per tooth (D3428) |
$767.37 |
— |
1.0× |
| Bone replce graft first site (D4263) |
$767.37 |
— |
1.0× |
| Bone Strength & Fracture Risk Assessment (0556T) |
$283.22 |
— |
1.0× |
| Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) |
$283.22 |
— |
1.0× |
| Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) |
$34.33 |
— |
1.0× |
| Brief alcohol misuse counsel (G0443) |
$120.59 |
— |
1.0× |
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines |
$468.35–$1,103.85 |
— |
varies |
Ca screen;pelvic/breast exam (G0101)
range across 3 matching MRF lines |
$120.59–$325.55 |
— |
varies |
| Canal prep/fitting of dowel (D3950) |
$767.37 |
— |
1.0× |
| Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score… (0716T) |
$70.02 |
— |
1.0× |
| Cardiac mri seg dys strain (C9762) |
$648.59 |
— |
1.0× |
| Cardiac mri seg dys stress (C9763) |
$648.59 |
— |
1.0× |
| Cardiokymography (Q0035) |
$44.34 |
— |
1.0× |
| Care manage beh svs 20mins (G0323) |
$44.47 |
— |
1.0× |
| Care manage serv, pr cal mo (G0570) |
$44.47 |
— |
1.0× |
| Chemo extend iv infus w/pump (G0498) |
$392.07 |
— |
1.0× |
| Closd rductn splint alveolus (D7670) |
$3,935.40 |
— |
1.0× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) |
$2,822.04 |
— |
1.0× |
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines |
$1,103.85–$2,852.60 |
— |
varies |
| Colonic lavage, 35 or more liters of water, gravity-fed, with induced defecation, including insertion of rectal catheter (0736T) |
$152.73 |
— |
1.0× |
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines |
$1,103.85–$2,852.60 |
— |
varies |
| Colpopexy, min/inv, ex-perit (C9778) |
$5,937.83 |
— |
1.0× |
| Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) |
$7,206.06 |
— |
1.0× |
| Comm hlth intg svs sdoh 60mn (G0019) |
$120.59 |
— |
1.0× |
| Commissure splint (D5987) |
$767.37 |
— |
1.0× |
| Comp periodontal evaluation (D0180) |
$158.03 |
— |
1.0× |
| Complete occlusal adjustment (D9952) |
$767.37 |
— |
1.0× |
| Complex simulation w/pet-ct (G0562) |
$2,266.13 |
— |
1.0× |
| Compre Audiom Threshold Eval & Speech Recog (0212T) |
$152.73 |
— |
1.0× |
| Compre ful bdy cptr mrkrls 3d knmtc&kin mtn alys (0693T) |
$407.22 |
— |
1.0× |
| Comprehensve oral evaluation (D0150) |
$158.03 |
— |
1.0× |
| Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) |
$103.30 |
— |
1.0× |
| Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) |
$238.15 |
— |
1.0× |
| Con tissue w pedicle graft (D4276) |
$1,841.71 |
— |
1.0× |
| Cone beam ct both jaws (D0383) |
$124.09 |
— |
1.0× |
| Cone beam ct capt & interp (D0364) |
$124.09 |
— |
1.0× |
| Cone beam ct capt mandible (D0381) |
$124.09 |
— |
1.0× |
| Cone beam ct capt maxilla (D0382) |
$124.09 |
— |
1.0× |
| Cone beam ct capture limited (D0380) |
$124.09 |
— |
1.0× |
| Cone beam ct capture tmj (D0384) |
$124.09 |
— |
1.0× |
| Cone beam ct interp both jaw (D0367) |
$124.09 |
— |
1.0× |
| Cone beam ct interprete man (D0365) |
$124.09 |
— |
1.0× |
| Cone beam ct interprete max (D0366) |
$124.09 |
— |
1.0× |
| Cone beam ct interprete tmj (D0368) |
$124.09 |
— |
1.0× |
| Cool Quant Sensory Test (0108T) |
$70.02 |
— |
1.0× |
| Coping (D2975) |
$767.37 |
— |
1.0× |
| Core build-up incl any pins (D2950) |
$767.37 |
— |
1.0× |
| Coronectomy (D7251) |
$1,841.71 |
— |
1.0× |
Covid-19 lab test non-cdc (U0002)
range across 2 matching MRF lines |
$102.85–$135.15 |
— |
varies |
| Cptrizd oph alys monocular eye mvmt rta eye trck (1010T) |
$157.93 |
— |
1.0× |
| Crown 3/4 cast base metal (D2781) |
$767.37 |
— |
1.0× |
| Crown 3/4 cast hi noble met (D2780) |
$767.37 |
— |
1.0× |
| Crown 3/4 cast noble metal (D2782) |
$767.37 |
— |
1.0× |
| Crown 3/4 porcelain/ceramic (D2783) |
$767.37 |
— |
1.0× |
| Crown 3/4 resin-based compos (D2712) |
$767.37 |
— |
1.0× |
| Crown full cast base metal (D2791) |
$767.37 |
— |
1.0× |
| Crown full cast high noble m (D2790) |
$767.37 |
— |
1.0× |
| Crown full cast noble metal (D2792) |
$767.37 |
— |
1.0× |
| Crown lengthen hard tissue (D4249) |
$767.37 |
— |
1.0× |
| Crown porc fused to titanium (D2753) |
$767.37 |
— |
1.0× |
| Crown porcelain fused base m (D2751) |
$767.37 |
— |
1.0× |
| Crown porcelain w/ h noble m (D2750) |
$767.37 |
— |
1.0× |
| Crown porcelain w/ noble met (D2752) |
$767.37 |
— |
1.0× |
| Crown porcelain/ceramic (D2740) |
$767.37 |
— |
1.0× |
| Crown repair (D2980) |
$767.37 |
— |
1.0× |
| Crown resin w/ base metal (D2721) |
$767.37 |
— |
1.0× |
| Crown resin w/ high noble me (D2720) |
$767.37 |
— |
1.0× |
| Crown resin w/ noble metal (D2722) |
$767.37 |
— |
1.0× |
| Crown resin-based indirect (D2710) |
$767.37 |
— |
1.0× |
| Crown-titanium (D2794) |
$767.37 |
— |
1.0× |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) |
$4,938.32 |
— |
1.0× |
| Crtx oral cavity temp regulated flu cooling sys (0881T) |
$530.25 |
— |
1.0× |
CT breast w/3d rendering bi with contrast (0637T)
range across 2 matching MRF lines |
$414.11–$958.80 |
— |
varies |
CT breast w/3d rendering bi without contrast (0636T)
range across 2 matching MRF lines |
$283.22–$598.40 |
— |
varies |
CT breast w/3d rendering uni with contrast (0634T)
range across 2 matching MRF lines |
$208.20–$464.10 |
— |
varies |
CT breast w/3d rendering uni without contrast (0633T)
range across 2 matching MRF lines |
$124.09–$283.05 |
— |
varies |
CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T)
range across 2 matching MRF lines |
$414.11–$958.80 |
— |
varies |
CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T)
range across 2 matching MRF lines |
$208.20–$464.10 |
— |
varies |
| Cysto impl 4 or more (C9740) |
$11,236.54 |
— |
1.0× |
| Cysto, litho, vacuum kidney (C9761) |
$11,236.54 |
— |
1.0× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$6,364.37 |
— |
1.0× |
| Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging (0991T) |
$11,236.54 |
— |
1.0× |
| Decor or submerg erupt tooth (D3921) |
$767.37 |
— |
1.0× |
| Demonstrate use home inr mon (G0248) |
$158.03 |
— |
1.0× |
| Dental bitewing single image (D0270) |
$103.30 |
— |
1.0× |
| Dental bitewings two images (D0272) |
$103.30 |
— |
1.0× |
| Dental connector bar (D6920) |
$767.37 |
— |
1.0× |
| Dental gold foil one surface (D2410) |
$767.37 |
— |
1.0× |
| Dental gold foil three surfa (D2430) |
$767.37 |
— |
1.0× |
| Dental gold foil two surface (D2420) |
$767.37 |
— |
1.0× |
| Dental inlay metalic 1 surf (D2510) |
$767.37 |
— |
1.0× |
| Dental inlay metallic 2 surf (D2520) |
$767.37 |
— |
1.0× |
| Dental inlay metl 3/more sur (D2530) |
$767.37 |
— |
1.0× |
| Dental inlay resin 3/mre sur (D2652) |
$767.37 |
— |
1.0× |
| Dental onlay metallic 2 surf (D2542) |
$767.37 |
— |
1.0× |
| Dental onlay metallic 3 surf (D2543) |
$767.37 |
— |
1.0× |
| Dental onlay metl 4/more sur (D2544) |
$767.37 |
— |
1.0× |
| Dental onlay porc 3/more sur (D2630) |
$767.37 |
— |
1.0× |
| Dental onlay porc 4/more sur (D2644) |
$767.37 |
— |
1.0× |
| Dental onlay porcelin 2 surf (D2642) |
$767.37 |
— |
1.0× |
| Dental onlay porcelin 3 surf (D2643) |
$767.37 |
— |
1.0× |
| Dental onlay resin 2 surface (D2662) |
$767.37 |
— |
1.0× |
| Dental onlay resin 3 surface (D2663) |
$767.37 |
— |
1.0× |
| Dental onlay resin 4/mre sur (D2664) |
$767.37 |
— |
1.0× |
| Dental prophylaxis adult (D1110) |
$158.03 |
— |
1.0× |
| Dental saliography (D0310) |
$283.22 |
— |
1.0× |
| Dental tmj arthrogram incl i (D0320) |
$283.22 |
— |
1.0× |
| Dental tomographic survey (D0322) |
$124.09 |
— |
1.0× |
| Dental unspec restorative pr (D2999) |
$767.37 |
— |
1.0× |
| Depression screen annual (G0444) |
$44.47 |
— |
1.0× |
| Dermal filler injection(s) (G0429) |
$2,449.08 |
— |
1.0× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) |
$877.27 |
— |
1.0× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) |
$877.27 |
— |
1.0× |
| Device evaluation and interrogation of intraocular retinal electrode array (eg, retinal prosthesis), in person,… (0473T) |
$112.85 |
— |
1.0× |
| Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal… (0472T) |
$364.57 |
— |
1.0× |
| Devlopment test interpt&rep (G0451) |
$120.59 |
— |
1.0× |
| Diab manage trn per indiv (G0108) |
$141.10 |
— |
2.5× |
Diab manage trn ind/group (G0109)
range across 2 matching MRF lines |
$22.10–$62.90 |
— |
varies |
| Digital sub 2 or more images (D0394) |
$103.30 |
— |
1.0× |
| Direct refer hospital observ (G0379) |
$706.89 |
— |
1.0× |
| Dist space maint, fixed unil (D1575) |
$767.37 |
— |
1.0× |
Drug test def 1-7 classes (G0480)
range across 59 matching MRF lines |
$25.50–$236.30 |
— |
varies |
| Dstry eye lesn,fdr vssl tech (G0186) |
$652.84 |
— |
1.0× |
| Each addtnl prefab post (D2957) |
$767.37 |
— |
1.0× |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) |
$70.02 |
— |
1.0× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) |
$2,277.71 |
— |
1.0× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) |
$2,277.71 |
— |
1.0× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
$4,576.39 |
— |
1.0× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) |
$1,076.58 |
— |
1.0× |
| Eia hiv-1/hiv-2 screen (G0432) |
$40.80 |
— |
2.1× |
Ekg tracing for initial prev (G0404)
range across 2 matching MRF lines |
$24.65–$34.33 |
— |
varies |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) |
$112.85 |
— |
1.0× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) |
$112.85 |
— |
1.0× |
| Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) |
$112.85 |
— |
1.0× |
| Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) |
$157.93 |
— |
1.0× |
| Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) |
$70.02 |
— |
1.0× |
| Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) |
$112.85 |
— |
1.0× |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) |
$112.85 |
— |
1.0× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) |
$112.85 |
— |
1.0× |
| Electrical impedence spectroscopy 1+skin lesions (0658T) |
$70.02 |
— |
1.0× |
| Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1018T) |
$44.30 |
— |
1.0× |
| Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1017T) |
$70.02 |
— |
1.0× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
$1,445.20 |
— |
1.0× |
| Electrophysiologic eval ccm-d leads separate (0931T) |
$1,445.20 |
— |
1.0× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) |
$1,445.20 |
— |
1.0× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$43.35 |
— |
2.4× |
| End thxpy, anterior tooth (D3310) |
$767.37 |
— |
1.0× |
| End thxpy, molar tooth (D3330) |
$767.37 |
— |
1.0× |
| End thxpy, premolar tooth (D3320) |
$767.37 |
— |
1.0× |
| Endo defect closure gi tract (C9901) |
$12,617.45 |
— |
1.0× |
| Endo outlet restrict w/tube (C9785) |
$12,617.45 |
— |
1.0× |
| Endodontic endosseous implan (D3460) |
$767.37 |
— |
1.0× |
| Endodontic procedure (D3999) |
$767.37 |
— |
1.0× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$52,282.48 |
— |
1.0× |
| Esd endoscopy or colonoscopy (C9779) |
$4,576.39 |
— |
1.0× |
| Esophag muc integ w/eso egd (C9777) |
$4,576.39 |
— |
1.0× |
| Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) |
$7,206.06 |
— |
1.0× |
| Esw integumentary wound healing initial wound (0512T) |
$238.15 |
— |
1.0× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) |
$3,747.88 |
— |
1.0× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$13,702.77 |
— |
1.0× |
| Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) |
$157.93 |
— |
1.0× |
| Evacuation meibomian glands using heat bilateral (0563T) |
$70.02 |
— |
1.0× |
| Excision benign lesion compl (D7412) |
$1,841.71 |
— |
1.0× |
| Excision benign lesion>1.25c (D7411) |
$1,841.71 |
— |
1.0× |
| Excision malig les complicat (D7415) |
$1,841.71 |
— |
1.0× |
| Excision malig lesion<=1.25c (D7413) |
$1,841.71 |
— |
1.0× |
| Excision malig lesion>1.25cm (D7414) |
$1,841.71 |
— |
1.0× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) |
$7,206.06 |
— |
1.0× |
| Exposure of unerupted tooth (D7280) |
$767.37 |
— |
1.0× |
| Extensv oral eval prob focus (D0160) |
$158.03 |
— |
1.0× |
| Extra oral post radio image (D0705) |
$103.30 |
— |
1.0× |
| Extracorporeal shock wave muscskel sys nos (0101T) |
$292.79 |
— |
1.0× |
| Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral… (0102T) |
$3,883.81 |
— |
1.0× |
| Extraction coronal remnants (D7111) |
$767.37 |
— |
1.0× |
| Extraction erupted tooth/exr (D7140) |
$767.37 |
— |
1.0× |
| Extraoral 2d project image (D0250) |
$103.30 |
— |
1.0× |
| Extraoral posterior image (D0251) |
$103.30 |
— |
1.0× |
| Extrnl counterpulse, per tx (G0166) |
$157.93 |
— |
1.0× |
| Eye mvmt analysis w/o spatial calibration i&r (0615T) |
$157.93 |
— |
1.0× |
| Facial moulage complete (D5912) |
$767.37 |
— |
1.0× |
| Facial moulage sectional (D5911) |
$767.37 |
— |
1.0× |
| Facility svs dental rehab (G0330) |
$3,935.40 |
— |
1.0× |
| Fecal blood scrn immunoassay (G0328) |
$58.65 |
— |
3.2× |
| Fecal microbiota prep instil (G0455) |
$1,103.85 |
— |
1.0× |
| Fern test (Q0114) |
$31.45 |
— |
3.2× |
| Fixed bilat space maint, man (D1517) |
$767.37 |
— |
1.0× |
| Fixed bilat space maint, max (D1516) |
$767.37 |
— |
1.0× |
| Followup eval of foot pt lop (G0246) |
$158.03 |
— |
1.0× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) |
$877.27 |
— |
1.0× |
| Full mouth debridement (D4355) |
$767.37 |
— |
1.0× |
| Fusion 2 or more 3d images (D0395) |
$103.30 |
— |
1.0× |
| Gi myoelectrical activity study stmch-colon i&r (0779T) |
$442.93 |
— |
1.0× |
| Gingival flap proc w/ planin (D4240) |
$3,935.40 |
— |
1.0× |
| Gingival irrigation per quad (D4921) |
$158.03 |
— |
1.0× |
| Gingivectomy/plasty 1 to 3 (D4211) |
$3,935.40 |
— |
1.0× |
| Gingivectomy/plasty 4 or mor (D4210) |
$3,935.40 |
— |
1.0× |
| Gingivectomy/plasty rest (D4212) |
$3,935.40 |
— |
1.0× |
| Glaucoma scrn hgh risk direc (G0118) |
$44.34 |
— |
1.0× |
| Glaucoma scrn hgh risk direc (G0117) |
$34.33 |
— |
1.0× |
| Gngvl flap w rootplan 1-3 th (D4241) |
$1,841.71 |
— |
1.0× |
| Gross pulpal debridement (D3221) |
$767.37 |
— |
1.0× |
| Group behave couns 2-10 (G0473) |
$44.47 |
— |
1.0× |
| Group train w/o patient (G0543) |
$34.33 |
— |
1.0× |
| Guided tiss regen nonresorb (D4267) |
$1,841.71 |
— |
1.0× |
| Guided tiss regen resorble (D4266) |
$1,841.71 |
— |
1.0× |
| Guided tissue regeneration (D3432) |
$767.37 |
— |
1.0× |
| Hbot, full body chamber, 30m (G0277) |
$163.34 |
— |
1.0× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
$826.70 |
— |
1.0× |
| Heart Symp Image Plnr (0331T) |
$1,536.73 |
— |
1.0× |
| Heat Quant Sensory Test (0109T) |
$44.34 |
— |
1.0× |
| High inten beh couns std 30m (G0445) |
$120.59 |
— |
1.0× |
| High-resolution gastric electrophysiology mapg (0868T) |
$442.93 |
— |
1.0× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$40,664.28 |
— |
1.9× |
| Histotripsy malignant renal tissue w/img gdn (0888T) |
$20,332.43 |
— |
1.0× |
| Hiv prep counsel, clin staff (G0013) |
$44.47 |
— |
1.0× |
| Home sleep test/type 2 porta (G0398) |
$256.30 |
— |
1.0× |
| Home sleep test/type 3 porta (G0399) |
$256.30 |
— |
1.0× |
| Home sleep test/type 4 porta (G0400) |
$256.30 |
— |
1.0× |
Hopd mntl hlt, 15-29 min (C7900)
range across 2 matching MRF lines |
$44.47–$134.30 |
— |
varies |
Hopd mntl hlt, 30-60 min (C7901)
range across 2 matching MRF lines |
$120.59–$341.70 |
— |
varies |
| Hopd mntl hlt, grp (C7903) |
$44.47 |
— |
1.0× |
| Hospital outpt clinic visit (G0463) |
$158.03 |
— |
1.0× |
| I&d absc intraoral soft tiss (D7510) |
$840.54 |
— |
1.0× |
| I&d abscess extraoral (D7520) |
$840.54 |
— |
1.0× |
| Imp extar knee shck absrb (C8003) |
$20,812.37 |
— |
1.0× |
| Impact tooth rem bony w/comp (D7241) |
$767.37 |
— |
1.0× |
| Impact tooth remov comp bony (D7240) |
$767.37 |
— |
1.0× |
| Impact tooth remov part bony (D7230) |
$767.37 |
— |
1.0× |
| Impact tooth remov soft tiss (D7220) |
$767.37 |
— |
1.0× |
| Impltj ant sgm io nbiodegradable rx eluting sys (0660T) |
$4,906.31 |
— |
1.0× |
| Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0966T) |
$3,935.40 |
— |
1.0× |
| Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0964T) |
$3,935.40 |
— |
1.0× |
| Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0965T) |
$3,935.40 |
— |
1.0× |
| Incision/drain abscess extra (D7521) |
$840.54 |
— |
1.0× |
| Incision/drain abscess intra (D7511) |
$840.54 |
— |
1.0× |
| Incomplete endodontic tx (D3332) |
$767.37 |
— |
1.0× |
Init/sub psych care m 1st 30 (G2214)
range across 2 matching MRF lines |
$120.59–$225.25 |
— |
varies |
| Initial foot exam pt lops (G0245) |
$158.03 |
— |
1.0× |
Initial preventive exam (G0402)
range across 3 matching MRF lines |
$158.03–$584.80 |
— |
varies |
| Inj for sacroiliac jt anesth (G0260) |
$837.87 |
— |
1.0× |
| Injection of hiv prep drug (G0012) |
$85.46 |
— |
1.0× |
| Injection posterior chamber eye medication (0699T) |
$2,739.35 |
— |
1.0× |
| Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) |
$530.25 |
— |
1.0× |
| Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including… (0869T) |
$3,883.81 |
— |
1.0× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$1,049.86 |
— |
1.0× |
| Inlay composite/resin one su (D2650) |
$767.37 |
— |
1.0× |
| Inlay composite/resin two su (D2651) |
$767.37 |
— |
1.0× |
| Inlay porcelain/ceramic 1 su (D2610) |
$767.37 |
— |
1.0× |
| Inlay porcelain/ceramic 2 su (D2620) |
$767.37 |
— |
1.0× |
| Inlay repair (D2981) |
$767.37 |
— |
1.0× |
| Insert cv cath inf & sup app (C9780) |
$9,585.60 |
— |
1.0× |
| Insert drug del implant, >=4 (G0516) |
$530.25 |
— |
1.0× |
| Insert palate implants (C9727) |
$1,841.71 |
— |
1.0× |
| Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy,… (0996T) |
$2,739.35 |
— |
1.0× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T) |
$4,906.31 |
— |
1.0× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
$6,316.30 |
— |
1.0× |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) |
$2,277.71 |
— |
1.0× |
| Insertion of sinus tarsi implant (0335T) |
$8,613.01 |
— |
1.0× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$9,822.76 |
— |
1.0× |
| Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) |
$13,226.21 |
— |
1.0× |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) |
$13,226.21 |
— |
1.0× |
| Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system… (0680T) |
$23,027.63 |
— |
1.0× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$26,402.78 |
— |
1.0× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$26,402.78 |
— |
1.0× |
Insertion/Replacement Complete Iims (0525T)
range across 2 matching MRF lines |
$22,863.33–$33,569.05 |
— |
varies |
Insertion/Replacement Iims Electrode Only (0526T)
range across 2 matching MRF lines |
$9,822.76–$25,159.15 |
— |
varies |
Insertion/Replacement Iims Implantable Mntr Only (0527T)
range across 2 matching MRF lines |
$9,822.76–$25,159.15 |
— |
varies |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) |
$6,316.30 |
— |
1.0× |
| Insj bioprostc vlv fem vn (0744T) |
$6,604.96 |
— |
1.0× |
| Insj ocular telescope prosth (0308T) |
$19,538.75 |
— |
1.0× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) |
$9,822.76 |
— |
1.0× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$9,822.76 |
— |
1.0× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$37,258.09 |
— |
1.0× |
Insj Wcs Lv Eltrd Only (0516T)
range across 2 matching MRF lines |
$12,406.36–$25,159.15 |
— |
varies |
Insj Wcs Lv Pg Compnt (0517T)
range across 2 matching MRF lines |
$12,406.36–$25,159.15 |
— |
varies |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$37,258.09 |
— |
1.0× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$9,822.76 |
— |
1.0× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$9,822.76 |
— |
1.0× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$26,402.78 |
— |
1.0× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$37,258.09 |
— |
1.0× |
| Inst pleu-perit shnt w pump (C8006) |
$7,684.32 |
— |
1.0× |
| Instill pharm renal pelvis (C9789) |
$1,452.86 |
— |
1.0× |
| Instlj fecal microbiota ssp (0780T) |
$157.93 |
— |
1.0× |
| Int psych care mng, 1 cal mo (G0568) |
$120.59 |
— |
1.0× |
| Intens behave ther cardio dx (G0446) |
$44.47 |
— |
1.0× |
| Intens cardiac rehab no exer (G0423) |
$153.01 |
— |
1.0× |
| Intens cardiac rehab w/exerc (G0422) |
$153.01 |
— |
1.0× |
| Intentional replantation (D3470) |
$767.37 |
— |
1.0× |
| Interim crown (D2799) |
$767.37 |
— |
1.0× |
| Internal root repair (D3333) |
$767.37 |
— |
1.0× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$44.30 |
— |
1.0× |
| Interrog dev eval iims ip (0529T) |
$44.30 |
— |
1.0× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$44.30 |
— |
1.0× |
Interrog Dev Eval Wrls Car Stimulator in Person (0521T)
range across 2 matching MRF lines |
$34.33–$57.80 |
— |
varies |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) |
$44.30 |
— |
1.0× |
| Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system, remote data… (0949T) |
$44.30 |
— |
1.0× |
| Interrogation device evaluation in person isdss (0685T) |
$44.30 |
— |
1.0× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) |
$5,169.91 |
— |
1.0× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0264T) |
$5,169.91 |
— |
1.0× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0265T) |
$5,169.91 |
— |
1.0× |
| Intraor comprehensive series (D0210) |
$283.22 |
— |
1.0× |
| Intraoral bite radio image (D0708) |
$103.30 |
— |
1.0× |
| Intraoral comp image capture (D0709) |
$103.30 |
— |
1.0× |
| Intraoral occlus radio image (D0706) |
$103.30 |
— |
1.0× |
| Intraoral occlusal film (D0240) |
$103.30 |
— |
1.0× |
| Intraoral periap radio image (D0707) |
$103.30 |
— |
1.0× |
| Intraoral periapical first (D0220) |
$103.30 |
— |
1.0× |
| Intraorifice barrier (D3911) |
$767.37 |
— |
1.0× |
| Intrav inf, mon anti, fir do (M0235) |
$523.40 |
— |
1.0× |
| Intrav inf, mon anti, sec do (M0236) |
$523.40 |
— |
1.0× |
| Intrav inf, toci, first dose (M0237) |
$523.40 |
— |
1.0× |
| Intrav inf, toci, second dos (M0238) |
$523.40 |
— |
1.0× |
| Ire Abltj 1+Tum Organ Perq (0600T) |
$12,617.45 |
— |
1.0× |
| Isolation- tooth w rubb dam (D3910) |
$767.37 |
— |
1.0× |
| Iv cipaglucosidase alfa-atga (G0138) |
$755.76 |
— |
1.0× |
| Labial veneer porc indirect (D2962) |
$767.37 |
— |
1.0× |
| Labial veneer resin direct (D2960) |
$767.37 |
— |
1.0× |
| Labial veneer resin indirect (D2961) |
$767.37 |
— |
1.0× |
| Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for… (0674T) |
$36,627.61 |
— |
1.0× |
| Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for… (0679T) |
$12,617.45 |
— |
1.0× |
| Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation… (0677T) |
$12,617.45 |
— |
1.0× |
| Laparoscopic revision or removal, lower esophageal sphincter neurostimulator electrodes (1014T) |
$13,226.21 |
— |
1.0× |
| Laparoscopy, surgical, implantation or replacement of lower esophageal sphincter neurostimulator electrode array and… (1013T) |
$23,027.63 |
— |
1.0× |
| Laps insj new/rplcmt lead perm isdss 1st lead (0675T) |
$13,226.21 |
— |
1.0× |
| Lev 1 hosp type b ed visit (G0380) |
$88.23 |
— |
1.0× |
| Lev 2 hosp type b ed visit (G0381) |
$110.26 |
— |
1.0× |
| Lev 3 hosp type b ed visit (G0382) |
$204.03 |
— |
1.0× |
| Lev 4 hosp type b ed visit (G0383) |
$313.73 |
— |
1.0× |
| Lev 5 hosp type b ed visit (G0384) |
$487.52 |
— |
1.0× |
| Limit oral eval problm focus (D0140) |
$158.03 |
— |
1.0× |
| Limited occlusal adjustment (D9951) |
$767.37 |
— |
1.0× |
| Localized delivery antimicro (D4381) |
$767.37 |
— |
1.0× |
| Low intensity eswt corpus cavernosum low energy (0864T) |
$296.57 |
— |
1.0× |
| Lymphovenous bypass, including robotic assistance, when performed, per extremity (1019T) |
$7,881.78 |
— |
1.0× |
| Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) |
$70.02 |
— |
1.0× |
| Magnetically controlled capsule endoscopy w/i&r (0651T) |
$1,076.58 |
— |
1.0× |
| Malig tumor > 1.25 cm (D7441) |
$3,935.40 |
— |
1.0× |
| Malig tumor exc to 1.25 cm (D7440) |
$3,935.40 |
— |
1.0× |
| Mandible graft (D7950) |
$7,026.75 |
— |
1.0× |
| Max mri capture & interprete (D0369) |
$124.09 |
— |
1.0× |
| Max mri image capture (D0385) |
$124.09 |
— |
1.0× |
| Max ultrasound capt & interp (D0370) |
$124.09 |
— |
1.0× |
| Max ultrasound image capture (D0386) |
$124.09 |
— |
1.0× |
| Mesial/distal wedge proc (D4274) |
$767.37 |
— |
1.0× |
| Monthly tx for dmht 20mins (G0553) |
$158.03 |
— |
1.0× |
| Motorized ab interno trephination sclera/trab mw (1012T) |
$4,906.31 |
— |
1.0× |
| Mra w/cont, abd (C8900) |
$414.11 |
— |
1.0× |
| Mra w/cont, chest (C8909) |
$414.11 |
— |
1.0× |
| Mra w/cont, lwr ext (C8912) |
$414.11 |
— |
1.0× |
| Mra w/cont, pelvis (C8918) |
$414.11 |
— |
1.0× |
| Mra w/o cont, abd (C8901) |
$283.22 |
— |
1.0× |
| Mra w/o cont, chest (C8910) |
$283.22 |
— |
1.0× |
| Mra w/o cont, lwr ext (C8913) |
$283.22 |
— |
1.0× |
| Mra w/o cont, pelvis (C8919) |
$283.22 |
— |
1.0× |
| Mra w/o fol w/cont, abd (C8902) |
$414.11 |
— |
1.0× |
| Mra w/o fol w/cont, chest (C8911) |
$414.11 |
— |
1.0× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$414.11 |
— |
1.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$414.11 |
— |
1.0× |
Mra, w/dye, spinal canal (C8931)
range across 2 matching MRF lines |
$414.11–$3,751.90 |
— |
varies |
Mra, w/dye, upper extremity (C8934)
range across 2 matching MRF lines |
$414.11–$3,751.90 |
— |
varies |
Mra, w/o dye, spinal canal (C8932)
range across 2 matching MRF lines |
$283.22–$2,770.15 |
— |
varies |
Mra, w/o dye, upper extr (C8935)
range across 2 matching MRF lines |
$283.22–$2,770.15 |
— |
varies |
| Mra, w/o&w/dye, spinal canal (C8933) |
$414.11 |
— |
1.0× |
Mra, w/o&w/dye, upper extr (C8936)
range across 2 matching MRF lines |
$414.11–$4,581.50 |
— |
varies |
| Mri hyperpolarized xenon129 (C9791) |
$1,452.86 |
— |
1.0× |
Mri w/cont, breast, bi (C8906)
range across 2 matching MRF lines |
$414.11–$3,751.90 |
— |
varies |
| Mri w/cont, breast, uni (C8903) |
$208.20 |
— |
1.0× |
| Mri w/o fol w/cont, breast, (C8908) |
$414.11 |
— |
1.0× |
| Mri w/o fol w/cont, brst, un (C8905) |
$414.11 |
— |
1.0× |
| Mrs discogenic pain acquisj single voxel data (0609T) |
$283.22 |
— |
1.0× |
| Mrs discogenic pain algorthmic alys bmrk data (0611T) |
$283.22 |
— |
1.0× |
| Myocardial img by mcg detcj cardiac ischemia (0541T) |
$442.93 |
— |
1.0× |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) |
$1,536.73 |
— |
1.0× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) |
$256.30 |
— |
1.0× |
| N-invas assmt bld oxy gas xchng eff&cardresp i&r (0893T) |
$157.93 |
— |
1.0× |
| N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) |
$283.22 |
— |
1.0× |
| N-invas assmt car rsk augmnt sw alys fat w/o CT (0992T) |
$283.22 |
— |
1.0× |
| N-invas augmnt arrhyt alys (0897T) |
$1,019.31 |
— |
1.0× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) |
$364.57 |
— |
1.0× |
| Nav srv peer sup 60 min pr m (G0140) |
$120.59 |
— |
1.0× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) |
$44.34 |
— |
1.0× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) |
$256.30 |
— |
1.0× |
| Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) |
$70.02 |
— |
1.0× |
| Neuro csf prion prtn qual (0035U) |
$346.80 |
— |
0.6× |
| Njx bone sub matrl into subchondral bone defect (0707T) |
$3,883.81 |
— |
1.0× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$1,049.86 |
— |
1.0× |
| Njx platelet plasma (0232T) |
$530.25 |
— |
1.0× |
| No pt prsnt train initial 30 (G0541) |
$34.33 |
— |
1.0× |
| Non-auto graft 1st tooth (D4275) |
$1,841.71 |
— |
1.0× |
| Non-blind interatrial shunt (C9760) |
$31,950.63 |
— |
1.0× |
| Non-cov proc, clinical trial (G0294) |
$44.34 |
— |
1.0× |
| Non-cov surg proc,clin trial (G0293) |
$44.34 |
— |
1.0× |
| Non-ionizing diag proc (D0600) |
$767.37 |
— |
1.0× |
| Non-ophthalmic fva (C9733) |
$414.11 |
— |
1.0× |
| Non-surg tx root canal obs (D3331) |
$767.37 |
— |
1.0× |
| Noninvasive prostate cancer estimation map (0898T) |
$1,019.31 |
— |
1.0× |
Obtaining screen pap smear (Q0091)
range across 3 matching MRF lines |
$34.33–$119.85 |
— |
varies |
| Occ guard, hard, full arch (D9944) |
$767.37 |
— |
1.0× |
| Occ guard, hard, part arch (D9946) |
$767.37 |
— |
1.0× |
| Occ guard, soft, full arch (D9945) |
$767.37 |
— |
1.0× |
| Occlusion analysis (D9950) |
$767.37 |
— |
1.0× |
| Oct middle ear with i&r bilateral (0486T) |
$44.34 |
— |
1.0× |
| Oct middle ear with i&r unilateral (0485T) |
$44.34 |
— |
1.0× |
| Ocular blood flow measure (0198T) |
$157.93 |
— |
1.0× |
| Off base opioid tx 70min (G2086) |
$210.68 |
— |
1.0× |
| Off base opioid tx, 60 m (G2087) |
$210.68 |
— |
1.0× |
| Onlay repair (D2982) |
$767.37 |
— |
1.0× |
| Open impltj int neurostimulation sys vagus nerve (0908T) |
$36,627.61 |
— |
1.0× |
| Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) |
$23,027.63 |
— |
1.0× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) |
$23,027.63 |
— |
1.0× |
| Open reduc compd alveolus fx (D7770) |
$7,026.75 |
— |
1.0× |
| Open tx iliac spine uni/bil (G0412) |
$8,613.01 |
— |
1.0× |
| Open tx post pelvic fxcture (G0415) |
$3,883.81 |
— |
1.0× |
| Opps service,sched team conf (G0175) |
$495.28 |
— |
1.0× |
| Opto-acoustic img breast uni augmnt alys&reprt (0857T) |
$124.09 |
— |
1.0× |
| Oral antral fistula closure (D7260) |
$767.37 |
— |
1.0× |
| Oral/facial photo images (D0350) |
$103.30 |
— |
1.0× |
| Ortho impl mvmt alys pair CT (0946T) |
$124.09 |
— |
1.0× |
| Osseous surg 1 to 3 teeth (D4261) |
$3,935.40 |
— |
1.0× |
| Osseous surgery 4 or more (D4260) |
$7,026.75 |
— |
1.0× |
| Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T) |
$8,613.01 |
— |
1.0× |
| Oth resp proc, group (G0239) |
$44.34 |
— |
1.0× |
| Oth resp proc, indiv (G0238) |
$34.33 |
— |
1.0× |
| Other tmj images by report (D0321) |
$103.30 |
— |
1.0× |
| Pano radio image (D0701) |
$103.30 |
— |
1.0× |
| Panoramic image (D0330) |
$283.22 |
— |
1.0× |
| Part pulp for apexogenesis (D3222) |
$767.37 |
— |
1.0× |
| Partial craniectomy, channel creation, and tunneling of electrode for sub-scalp implantation of an electrode array,… (0956T) |
$32,207.66 |
— |
1.0× |
Pathogen test for platelets (P9100)
range across 2 matching MRF lines |
$70.02–$80.75 |
— |
varies |
| Pattern erg w/i&r (0509T) |
$256.30 |
— |
1.0× |
| Pedicle soft tissue graft pr (D4270) |
$1,841.71 |
— |
1.0× |
| Pef bronch ablt 3d nav ebus (C8005) |
$20,332.43 |
— |
1.0× |
| Pelvic ring fracture uni/bil (G0413) |
$8,613.01 |
— |
1.0× |
| Pelvic ring fx treat int fix (G0414) |
$8,613.01 |
— |
1.0× |
| Pemivibart infusion (M0224) |
$523.40 |
— |
1.0× |
| Perc d-e cor revasc chro sin (C9607) |
$21,759.37 |
— |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$13,702.77 |
— |
1.0× |
| Perc d-e cor stent ather s (C9602) |
$21,759.37 |
— |
1.0× |
| Perc drug-el cor stent sing (C9600) |
$13,702.77 |
— |
1.0× |
| Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) |
$7,564.64 |
— |
1.0× |
| Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) |
$8,613.01 |
— |
1.0× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) |
$21,759.37 |
— |
1.0× |
| Periodic oral evaluation (D0120) |
$158.03 |
— |
1.0× |
| Periodontal maint procedures (D4910) |
$767.37 |
— |
1.0× |
| Periodontal scaling & root (D4341) |
$767.37 |
— |
1.0× |
| Periodontal scaling 1-3teeth (D4342) |
$767.37 |
— |
1.0× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) |
$15,239.31 |
— |
1.0× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) |
$15,239.31 |
— |
1.0× |
Perq Sacral Augmt Bilat Inj (0201T)
range across 2 matching MRF lines |
$8,613.01–$22,308.25 |
— |
varies |
Perq Sacral Augmt Unilat Inj (0200T)
range across 2 matching MRF lines |
$8,613.01–$20,019.20 |
— |
varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$13,702.77 |
— |
1.0× |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) |
$21,759.37 |
— |
1.0× |
| Personalized target development arhfcmrigtbs (0889T) |
$1,104.31 |
— |
1.0× |
| Pet not otherwise specified (G0235) |
$474.52 |
— |
1.0× |
| Pild/placebo control clin tr (G0276) |
$8,613.01 |
— |
1.0× |
| Pin service 60m per month (G0023) |
$120.59 |
— |
1.0× |
| Place device/marker, non pro (C9728) |
$1,642.94 |
— |
1.0× |
| Place direct restoration (D2940) |
$767.37 |
— |
1.0× |
| Place endorectal app (C9725) |
$1,103.85 |
— |
1.0× |
| Place intra-socket bio dress (D7922) |
$767.37 |
— |
1.0× |
| Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) |
$8,613.01 |
— |
1.0× |
| Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0219T) |
$15,239.31 |
— |
1.0× |
| Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0220T) |
$15,239.31 |
— |
1.0× |
| Placement of interstitial device(s) in bone for radiostereometric analysis (RSA) (0347T) |
$70.02 |
— |
1.0× |
| Pne flu hepb cov home admin (M0201) |
$42.81 |
— |
1.0× |
| Post 1 srfc resinbased cmpst (D2391) |
$767.37 |
— |
1.0× |
| Post 2 srfc resinbased cmpst (D2392) |
$767.37 |
— |
1.0× |
| Post 3 srfc resinbased cmpst (D2393) |
$767.37 |
— |
1.0× |
| Post >=4srfc resinbase cmpst (D2394) |
$767.37 |
— |
1.0× |
| Post and core cast + crown (D2952) |
$767.37 |
— |
1.0× |
| Post d/c phone follow up (G0544) |
$120.59 |
— |
1.0× |
| Post op service lvrs min 6 (G0305) |
$442.93 |
— |
1.0× |
| Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T) |
$15,239.31 |
— |
1.0× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,019.31 |
— |
1.0× |
| Pre-op service lvrs 1-9 dos (G0304) |
$442.93 |
— |
1.0× |
| Pre-op service lvrs 10-15dos (G0303) |
$256.30 |
— |
1.0× |
| Pre-op service lvrs complete (G0302) |
$442.93 |
— |
1.0× |
| Prefab porc/cer crown perm (D2928) |
$767.37 |
— |
1.0× |
| Prefab porc/ceram crown pri (D2929) |
$767.37 |
— |
1.0× |
| Prefab post/core + crown (D2954) |
$767.37 |
— |
1.0× |
| Prefab stainless steel crown (D2933) |
$767.37 |
— |
1.0× |
| Prefab steel crown primary (D2934) |
$767.37 |
— |
1.0× |
| Prefab stnlss steel crown pe (D2931) |
$767.37 |
— |
1.0× |
| Prefab stnlss steel crwn pri (D2930) |
$767.37 |
— |
1.0× |
| Prefabricated resin crown (D2932) |
$767.37 |
— |
1.0× |
| Prep skin cell susp, automtd (C8002) |
$8,423.78 |
— |
1.0× |
Prgrmg dev eval iims ip (0528T)
range across 2 matching MRF lines |
$44.30–$124.95 |
— |
varies |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$44.30 |
— |
1.0× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$44.30 |
— |
1.0× |
| Prgrmg dev eval scrms phys/qhp remote (0650T) |
$44.30 |
— |
1.0× |
Prgrmg device eval wrls car stimulator in person (0522T)
range across 2 matching MRF lines |
$44.30–$124.95 |
— |
varies |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$44.30 |
— |
1.0× |
| Primary closure sinus perf (D7261) |
$767.37 |
— |
1.0× |
| Programming dev eval icds w/ss eltrd in person (0575T) |
$44.30 |
— |
1.0× |
| Programming device eval impl ccm-d sys in person (0926T) |
$44.30 |
— |
1.0× |
| Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of… (0683T) |
$44.30 |
— |
1.0× |
| Prolonged iv inf, req pump (C8957) |
$252.48 |
— |
1.0× |
Prostate biopsy, any mthd (G0416)
range across 3 matching MRF lines |
$108.80–$680.85 |
— |
varies |
| Provide inr test mater/equip (G0249) |
$158.03 |
— |
1.0× |
| Psa screening (G0103) |
$89.25 |
— |
4.6× |
| Pt spec alg rx-onc tx option (0794T) |
$70.02 |
— |
1.0× |
| Pulm tiss vntj alys prev CT (0807T) |
$256.30 |
— |
1.0× |
| Pulm tiss vntj alys w/CT (0808T) |
$256.30 |
— |
1.0× |
| Pulp cap direct (D3110) |
$767.37 |
— |
1.0× |
| Pulp cap indirect (D3120) |
$767.37 |
— |
1.0× |
| Pulp vitality test (D0460) |
$767.37 |
— |
1.0× |
| Pulpal regeneration complete (D3357) |
$767.37 |
— |
1.0× |
| Pulpal regeneration initial (D3355) |
$767.37 |
— |
1.0× |
| Pulpal regeneration interim (D3356) |
$767.37 |
— |
1.0× |
| Pulpal therapy anterior prim (D3230) |
$767.37 |
— |
1.0× |
| Pulpal therapy posterior pri (D3240) |
$767.37 |
— |
1.0× |
| Pure tone audiometry (threshold), automated; air and bone Non-Facility Physician Technical Component (0209T) |
$44.34 |
— |
1.0× |
| Pure tone audiometry (threshold), automated; air only Non-Facility Physician Technical Component (0208T) |
$44.34 |
— |
1.0× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) |
$1,104.31 |
— |
1.0× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) |
$1,104.31 |
— |
1.0× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) |
$157.93 |
— |
1.0× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$755.76 |
— |
1.0× |
| Quan CT tiss charac w/o CT (0721T) |
$755.76 |
— |
1.0× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$1,104.31 |
— |
1.0× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$1,104.31 |
— |
1.0× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$1,104.31 |
— |
1.0× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$1,104.31 |
— |
1.0× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) |
$283.22 |
— |
1.0× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$283.22 |
— |
1.0× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$103.30 |
— |
1.0× |
| Quant sensory test&interpj/xtr w/vibrj stimuli (0107T) |
$44.34 |
— |
1.0× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation… (0110T) |
$157.93 |
— |
1.0× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) |
$44.34 |
— |
1.0× |
| Rad exc lesion up to 1.25 cm (D7410) |
$1,841.71 |
— |
1.0× |
| Radiation applicator (D5983) |
$767.37 |
— |
1.0× |
| Radiation cone locator (D5985) |
$767.37 |
— |
1.0× |
| Radiation shield (D5984) |
$767.37 |
— |
1.0× |
| Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee,… (0350T) |
$103.30 |
— |
1.0× |
| Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when… (0348T) |
$124.09 |
— |
1.0× |
| Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist,… (0349T) |
$124.09 |
— |
1.0× |
| Raman spectroscopy 1+skin les prob score mal rsk (1020T) |
$70.02 |
— |
1.0× |
| Re-cement or re-bond crown (D2920) |
$767.37 |
— |
1.0× |
| Re-eval post-op visit (D0171) |
$158.03 |
— |
1.0× |
| Re-eval,est pt,problem focus (D0170) |
$158.03 |
— |
1.0× |
| Reattach tooth fragment (D2921) |
$767.37 |
— |
1.0× |
| Recement cast or prefab post (D2915) |
$767.37 |
— |
1.0× |
| Recement inlay onlay or part (D2910) |
$767.37 |
— |
1.0× |
| Recement space maint - man (D1552) |
$767.37 |
— |
1.0× |
| Recement space maint - max (D1551) |
$767.37 |
— |
1.0× |
| Recement unilat space maint (D1553) |
$767.37 |
— |
1.0× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$2,449.08 |
— |
1.0× |
| Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) |
$4,149.82 |
— |
1.0× |
| Relocation pg wcs lv pacg battery component only (0862T) |
$2,449.08 |
— |
1.0× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) |
$2,449.08 |
— |
1.0× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,449.08 |
— |
1.0× |
| Rem auton alg nsln cal setup (0740T) |
$70.02 |
— |
1.0× |
| Rem auton alg nsln data coll (0741T) |
$44.30 |
— |
1.0× |
| Rem exostosis any site (D7471) |
$3,935.40 |
— |
1.0× |
| Rem imp tooth w mucoper flp (D7210) |
$1,841.71 |
— |
1.0× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) |
$44.30 |
— |
1.0× |
| Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) |
$158.03 |
— |
1.0× |
| Rem multi day cplx uroflowmetry dev sply w/reprt (0812T) |
$152.73 |
— |
1.0× |
| Rem multi day cplx uroflowmetry setup&pt educaj (0811T) |
$158.03 |
— |
1.0× |
| Rem nonodonto cyst > 1.25 cm (D7461) |
$767.37 |
— |
1.0× |
| Rem nonodonto cyst to 1.25cm (D7460) |
$767.37 |
— |
1.0× |
| Rem odontogen cyst > 1.25 cm (D7451) |
$3,935.40 |
— |
1.0× |
| Rem odontogen cyst to 1.25cm (D7450) |
$3,935.40 |
— |
1.0× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$44.30 |
— |
1.0× |
| Remote monitoring of an implanted inferior vena cava sensor for up to 30 days, including at least weekly downloads of… (0983T) |
$44.30 |
— |
1.0× |
| Remote monitoring of implantable inferior vena cava pressure sensor, physiologic parameter(s) (eg, weight, blood… (0982T) |
$158.03 |
— |
1.0× |
| Remote real-time, motion capture-based neurorehabilitative therapy ordered by a physician or other qualified health… (0733T) |
$407.22 |
— |
1.0× |
| Removal and reinsertion of sinus tarsi implant (0511T) |
$8,613.01 |
— |
1.0× |
| Removal complete iims (0530T) |
$4,435.71 |
— |
1.0× |
| Removal fb skin/areolar tiss (D7530) |
$767.37 |
— |
1.0× |
| Removal iims electrode only (0531T) |
$4,435.71 |
— |
1.0× |
| Removal iims implt mntr only (0532T) |
$4,435.71 |
— |
1.0× |
| Removal int neurostimulation sys vagus nerve (0910T) |
$4,149.82 |
— |
1.0× |
| Removal of fb reaction (D7540) |
$767.37 |
— |
1.0× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) |
$238.15 |
— |
1.0× |
| Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) |
$4,149.82 |
— |
1.0× |
| Removal of sinus tarsi implant (0510T) |
$3,883.81 |
— |
1.0× |
| Removal of sloughed off bone (D7550) |
$767.37 |
— |
1.0× |
| Removal of sub-scalp implanted electrode array, receiver, and telemetry unit for continuous bilateral… (0958T) |
$3,883.81 |
— |
1.0× |
| Removal of torus palatinus (D7472) |
$767.37 |
— |
1.0× |
| Removal or replacement of magnet from coil assembly that is connected to continuous bilateral electroencephalography… (0959T) |
$1,960.42 |
— |
1.0× |
| Removal perm ccm-d system pulse generator only (0919T) |
$4,435.71 |
— |
1.0× |
| Removal pg wcs lv pacing both components (0861T) |
$4,435.71 |
— |
1.0× |
| Removal Ss Dfb Electrode (0573T) |
$4,435.71 |
— |
1.0× |
| Remove bilat space main, man (D1527) |
$767.37 |
— |
1.0× |
| Remove bilat space main, max (D1526) |
$767.37 |
— |
1.0× |
| Remove drug implant (G0517) |
$530.25 |
— |
1.0× |
| Remove torus mandibularis (D7473) |
$767.37 |
— |
1.0× |
| Remove unilat space maintain (D1520) |
$767.37 |
— |
1.0× |
| Remove w insert drug implant (G0518) |
$530.25 |
— |
1.0× |
| Replacement int neurostimulation sys vagus nerve (0909T) |
$36,627.61 |
— |
1.0× |
| Replacement of sub-scalp implanted electrode array, receiver, and telemetry unit with tunneling of electrode for… (0960T) |
$32,207.66 |
— |
1.0× |
| Replacment pt electronic sys (G0555) |
$1,019.31 |
— |
1.0× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$744.60 |
— |
1.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$4,435.71 |
— |
1.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$744.60 |
— |
1.0× |
| Reshaping bone orthognathic (D7940) |
$767.37 |
— |
1.0× |
| Resin 4/> surf or w incis an (D2335) |
$767.37 |
— |
1.0× |
| Resin infiltration of lesion (D2990) |
$767.37 |
— |
1.0× |
| Resin one surface-anterior (D2330) |
$767.37 |
— |
1.0× |
| Resin three surfaces-anterio (D2332) |
$767.37 |
— |
1.0× |
| Resin two surfaces-anterior (D2331) |
$767.37 |
— |
1.0× |
| Restorative foundation (D2949) |
$767.37 |
— |
1.0× |
| Retreat root canal anterior (D3346) |
$767.37 |
— |
1.0× |
| Retreat root canal molar (D3348) |
$767.37 |
— |
1.0× |
| Retreat root canal premolar (D3347) |
$767.37 |
— |
1.0× |
| Retrograde filling (D3430) |
$767.37 |
— |
1.0× |
| Rev/Rmv Lw Esoph Sphnc Npg/R (1015T) |
$4,149.82 |
— |
1.0× |
| Revasc intra lithotrip-ather (C9766) |
$21,759.37 |
— |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$21,759.37 |
— |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$13,702.77 |
— |
1.0× |
| Revasc lith-sten-ath tib/per (C9775) |
$21,759.37 |
— |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$21,759.37 |
— |
1.0× |
| Revasc lithotr-stent tib/per (C9773) |
$21,759.37 |
— |
1.0× |
| Revasc lithotrip tibi/perone (C9772) |
$13,702.77 |
— |
1.0× |
| Revasc lithotrip-stent-ather (C9767) |
$21,759.37 |
— |
1.0× |
| Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body… (0790T) |
$20,812.37 |
— |
1.0× |
| Revision of sub-scalp implanted electrode array, receiver, and telemetry unit for electrode, when required, including… (0957T) |
$1,908.66 |
— |
1.0× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) |
$4,149.82 |
— |
1.0× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) |
$4,149.82 |
— |
1.0× |
| Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) |
$4,149.82 |
— |
1.0× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) |
$4,149.82 |
— |
1.0× |
| Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) |
$4,149.82 |
— |
1.0× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) |
$4,149.82 |
— |
1.0× |
| Risk ascvd tst once pr 12 mo (G0537) |
$44.47 |
— |
1.0× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$26,402.78 |
— |
1.0× |
Rmvl & Rplcmt Pg Compnt Wcs (0519T)
range across 2 matching MRF lines |
$10,636.90–$12,406.36 |
— |
varies |
| Rmvl Car Modulj Tranvns Elt (0413T) |
$4,435.71 |
— |
1.0× |
| Rmvl Cardiac Modulj Pls Gen (0412T) |
$4,435.71 |
— |
1.0× |
| Rmvl insj impltbl gluc sensor dif anatomic site (0448T) |
$4,938.32 |
— |
1.0× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) |
$4,435.71 |
— |
1.0× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$4,435.71 |
— |
1.0× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) |
$4,435.71 |
— |
1.0× |
Rmvl Pg Compnt Wcs (0518T)
range across 2 matching MRF lines |
$4,435.71–$10,636.90 |
— |
varies |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$4,435.71 |
— |
1.0× |
| Rmvl&rimpltj ant sgm io nbiodgrd rx elut implt (0661T) |
$4,906.31 |
— |
1.0× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$26,402.78 |
— |
1.0× |
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T)
range across 2 matching MRF lines |
$12,406.36–$74,743.90 |
— |
varies |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) |
$26,402.78 |
— |
1.0× |
| Root amputation (D3450) |
$767.37 |
— |
1.0× |
| Root surgery molar (D3425) |
$767.37 |
— |
1.0× |
| Root surgery premolar (D3421) |
$767.37 |
— |
1.0× |
| Routine footcare pt w lops (G0247) |
$238.15 |
— |
1.0× |
| Rpr intst excl anrect fist (C9796) |
$3,294.67 |
— |
1.0× |
| Sbrt w/positron emission del (G0563) |
$3,776.50 |
— |
1.0× |
| Scaling gingiv inflammation (D4346) |
$767.37 |
— |
1.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$113.05 |
— |
4.3× |
| Screen cerv/vag thin layer (G0123) |
$93.50 |
— |
4.6× |
| Screen pap by tech w md supv (P3000) |
$51 |
— |
2.8× |
| Sialoendoscopy capt & interp (D0371) |
$103.30 |
— |
1.0× |
| Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) |
$7,206.06 |
— |
1.0× |
| Sim ang w/prs cath rad emb (C8004) |
$13,702.77 |
— |
1.0× |
| Single energy x-ray study (G0130) |
$124.09 |
— |
1.0× |
| Slctv nzmtc dbrdmt brn eschar anes s/n/hf&/md 1 (0975T) |
$482.53 |
— |
1.0× |
| Slctv nzmtc dbrdmt brn eschar req anes t/a/l 1st (0973T) |
$482.53 |
— |
1.0× |
| Smmg cncrnt appl imu snr (0778T) |
$152.73 |
— |
1.0× |
| Soft tissue graft firsttooth (D4277) |
$1,841.71 |
— |
1.0× |
| Software meas of cardiac vol (G0183) |
$103.30 |
— |
1.0× |
| Space maintainer fxd unilat (D1510) |
$767.37 |
— |
1.0× |
| Speech audiometry threshold, automated; Non-Facility Physician Technical Component (0210T) |
$44.34 |
— |
1.0× |
| Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T) |
$44.34 |
— |
1.0× |
| Spine device implant surgery (C9757) |
$15,239.31 |
— |
1.0× |
| Splint extra-coronal (D4323) |
$767.37 |
— |
1.0× |
| Splint intra-coronal (D4322) |
$767.37 |
— |
1.0× |
| Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies (0810T) |
$4,938.32 |
— |
1.0× |
| Subs psych care mng, subs mo (G0569) |
$120.59 |
— |
1.0× |
| Supply of digital device (G0552) |
$158.03 |
— |
1.0× |
| Surg exp root surf anterior (D3501) |
$767.37 |
— |
1.0× |
| Surg exp root surf molar (D3503) |
$767.37 |
— |
1.0× |
| Surg exp root surf premolar (D3502) |
$767.37 |
— |
1.0× |
| Surg reduct osseoustuberosit (D7485) |
$7,026.75 |
— |
1.0× |
| Surg rep root res anterior (D3471) |
$767.37 |
— |
1.0× |
| Surg rep root res molar (D3473) |
$767.37 |
— |
1.0× |
| Surg rep root res premolar (D3472) |
$767.37 |
— |
1.0× |
| Surgical revision procedure (D4268) |
$767.37 |
— |
1.0× |
| Surgical splint (D5988) |
$767.37 |
— |
1.0× |
| Tactile breast img uni/bi (0422T) |
$103.30 |
— |
1.0× |
| Tc Auricular Nstimj Setup Calibration &Pt Educaj (0783T) |
$152.73 |
— |
1.0× |
| Tc mag stimj pn 1st tx 1nrv (0766T) |
$256.30 |
— |
1.0× |
| Tcat Impl Wrls Ivc Snr L-T Hemodyn Mntr (0981T) |
$21,759.37 |
— |
1.0× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) |
$3,848.12 |
— |
1.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$22,863.33 |
— |
1.0× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$22,863.33 |
— |
1.0× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$22,863.33 |
— |
1.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$22,863.33 |
— |
1.0× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$3,747.88 |
— |
1.0× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$3,747.88 |
— |
1.0× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$3,747.88 |
— |
1.0× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) |
$3,747.88 |
— |
1.0× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$22,863.33 |
— |
1.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$22,863.33 |
— |
1.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
$22,863.33 |
— |
1.0× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$22,863.33 |
— |
1.0× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$6,755.80 |
— |
1.0× |
| Tear film imaging unilateral or bilateral w/i&r (0330T) |
$44.34 |
— |
1.0× |
| Tee w or w/o fol w/cont, mon (C8927) |
$930.50 |
— |
1.0× |
| Tee w or w/o fol w/cont,cong (C8926) |
$930.50 |
— |
1.0× |
| Temp female intraurethral valve-pump 1st insj (0596T) |
$827.68 |
— |
1.0× |
| Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) |
$827.68 |
— |
1.0× |
| Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) |
$5,169.91 |
— |
1.0× |
| Therapeutic procd strg endur (G0237) |
$34.33 |
— |
1.0× |
| Therapeutic pulpotomy (D3220) |
$767.37 |
— |
1.0× |
| Therapeutic ultrafiltration (0692T) |
$1,848.64 |
— |
1.0× |
| Tmj arthroscopy disc reposit (D7874) |
$3,883.81 |
— |
1.0× |
| Tooth pin retention (D2951) |
$767.37 |
— |
1.0× |
| Tooth reimplantation (D7270) |
$767.37 |
— |
1.0× |
| Tooth root removal (D7250) |
$767.37 |
— |
1.0× |
| Tooth splitting (D3920) |
$767.37 |
— |
1.0× |
| Tooth transplantation (D7272) |
$767.37 |
— |
1.0× |
| Trabeculostomy ab interno by laser (0621T) |
$4,906.31 |
— |
1.0× |
| Transanal insertion of endoluminal temporary colorectal anastomosis protection device, including vacuum anchoring… (0967T) |
$1,420.39 |
— |
1.0× |
| Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) |
$21,759.37 |
— |
1.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$6,755.80 |
— |
1.0× |
| Transcatheter renal sympath denervation unilat (0338T) |
$6,755.80 |
— |
1.0× |
| Transperineal focal laser abltj mal prst8 tiss (0655T) |
$6,364.37 |
— |
1.0× |
| Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater than… (0867T) |
$6,364.37 |
— |
1.0× |
| Transperineal laser destruction of benign prostatic enlargement using imaging guidance for prostate volume less than 50… (0714T) |
$6,364.37 |
— |
1.0× |
| Transseptal fiberotomy (D7291) |
$767.37 |
— |
1.0× |
| Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative… (0582T) |
$15,660.43 |
— |
1.0× |
| Trauma respons w/hosp criti (G0390) |
$1,582.14 |
— |
1.0× |
| Treatment of complications (D9930) |
$767.37 |
— |
1.0× |
| Trim nail(s) (G0127) |
$70.02 |
— |
1.0× |
| Trluml perip athrc abd aorta (0236T) |
$13,702.77 |
— |
1.0× |
| Trluml Perip Athrc Brchiocph (0237T) |
$13,702.77 |
— |
1.0× |
| Trluml Perip Athrc Iliac Art (0238T) |
$21,759.37 |
— |
1.0× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$13,702.77 |
— |
1.0× |
| Trnscut elect modlation pain reproces ea tx sess (0278T) |
$152.73 |
— |
1.0× |
| Trtmnt simulation 3d image (D0393) |
$103.30 |
— |
1.0× |
| Tte w or w/o contr, cont ecg (C8930) |
$930.50 |
— |
1.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$930.50 |
— |
1.0× |
| Tte w or w/o fol w/cont, com (C8921) |
$930.50 |
— |
1.0× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$930.50 |
— |
1.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$930.50 |
— |
1.0× |
| Tympanostomy Automated Tube Delivery System (0583T) |
$1,841.71 |
— |
1.0× |
| U/s trtmt, not leiomyomata (C9734) |
$15,239.31 |
— |
1.0× |
Unsched dialysis esrd pt hos (G0257)
range across 2 matching MRF lines |
$814.64–$2,838.15 |
— |
varies |
| Unscheduled dressing change (D4920) |
$767.37 |
— |
1.0× |
| Unspecified periodontal proc (D4999) |
$281.14 |
— |
1.0× |
| Upper GI Blood Detection Sensor Capsule I&R (0977T) |
$1,076.58 |
— |
1.0× |
| US Ablat Uter Leiomyom <200 (0071T) |
$3,842.42 |
— |
1.0× |
| US Ablat Uter Leiomyom >200 (0072T) |
$3,842.42 |
— |
1.0× |
| Vasc emb/occ w/prs cath (C9797) |
$21,759.37 |
— |
1.0× |
| Veneer repair (D2983) |
$767.37 |
— |
1.0× |
| Vert bitewings 7 to 8 images (D0277) |
$283.22 |
— |
1.0× |
| Vestibuloplasty exten graft (D7350) |
$7,026.75 |
— |
1.0× |
| Vestibuloplasty ridge extens (D7340) |
$7,026.75 |
— |
1.0× |
| Visit esketamine 56m or less (G2082) |
$1,220.49 |
— |
1.0× |
| Visit esketamine, > 56m (G2083) |
$1,917.58 |
— |
1.0× |
Visit to determ ldct elig (G0296)
range across 3 matching MRF lines |
$120.59–$235.45 |
— |
varies |
| Visual ep test for glaucoma (0464T) |
$152.73 |
— |
1.0× |
| Visual Field Assessment Tech Support W/Instruct (0379T) |
$44.34 |
— |
1.0× |
| Xenograft implantation into the articular surface Non-Facility (0737T) |
$15,239.31 |
— |
1.0× |