| 2019-ncov diagnostic p (U0001) |
$44.50 |
$89 |
1.2× |
| 2d tee w or w/o fol w/con,in (C8925) |
$3,106.50 |
$6,213 |
3.7× |
| 2d tte w or w/o fol w/con,co (C8923) |
$3,106.50 |
$6,213 |
3.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$2,195 |
$4,390 |
5.8× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$11,019 |
$22,038 |
2.6× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$2,933.50 |
$5,867 |
1.4× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$7,681.50 |
$15,363 |
0.8× |
| Adm tocilizu covid-19 1st (M0249) |
$728.50 |
$1,457 |
1.5× |
| Adm tocilizu covid-19 2nd (M0250) |
$728.50 |
$1,457 |
1.5× |
| Admin hepatitis b vaccine (G0010) |
$17 |
$34 |
0.3× |
| Admin influenza virus vac (G0008) |
$22 |
$44 |
0.4× |
| Admin pneumococcal vaccine (G0009) |
$22 |
$44 |
0.4× |
| Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) |
$218.50 |
$437 |
1.5× |
| Autolog prp not diab ulcer (G0460) |
$2,517.50 |
$5,035 |
1.1× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$39 |
$78 |
1.0× |
| Ca screen;pelvic/breast exam (G0101) |
$116 |
$232 |
1.1× |
| Cardiac mri seg dys stress (C9763) |
$716 |
$1,432 |
1.2× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) Non-Facility… (0637T) |
$2,046.50 |
$4,093 |
5.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s)… (0636T) |
$1,237 |
$2,474 |
4.8× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$2,046.50 |
$4,093 |
5.4× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) Non-Facility… (0634T) |
$562.50 |
$1,125 |
3.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material Non-Facility… (0633T) |
$343.50 |
$687 |
3.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$562.50 |
$1,125 |
3.0× |
| Comt gene analysis c.472g>a variant (0032U) |
$497.50 |
$995 |
2.8× |
| Covid-19 lab test non-cdc (U0002) |
$122 |
$244 |
2.4× |
| Diab manage trn per indiv (G0108) |
$143 |
$286 |
2.6× |
| Diab manage trn ind/group (G0109) |
$79 |
$158 |
4.9× |
| Direct refer hospital observ (G0379) |
$395 |
$790 |
0.6× |
| Drug test def 1-7 classes (G0480) |
$403 |
$806 |
3.5× |
| Drug test def 15-21 classes (G0482) |
$875.50 |
$1,751 |
4.4× |
| Drug test def 22+ classes (G0483) |
$1,087.50 |
$2,175 |
4.4× |
| Drug test def 8-14 classes (G0481) |
$621 |
$1,242 |
4.0× |
| Elec stim other than wound (G0283) |
$120 |
$240 |
9.5× |
| Elec stim unattend for press (G0281) |
$190 |
$380 |
16.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$62,596.50 |
$125,193 |
1.3× |
| Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) |
$5,250.75 |
$10,501.50 |
1.5× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$17,084.50 |
$34,169 |
1.4× |
| Extrnl counterpulse, per tx (G0166) |
$768 |
$1,536 |
5.3× |
| Fecal blood scrn immunoassay (G0328) |
$71.50 |
$143 |
4.0× |
| Fecal microbiota prep instil (G0455) |
$493 |
$986 |
0.5× |
| Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to… (0072T) |
$15,884.50 |
$31,769 |
4.5× |
| Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of… (0071T) |
$15,884.50 |
$31,769 |
4.5× |
| Hbot, full body chamber, 30m (G0277) |
$901.50 |
$1,803 |
6.0× |
| Home sleep test/type 3 porta (G0399) |
$932.50 |
$1,865 |
4.0× |
| Home sleep test/type 4 porta (G0400) |
$593 |
$1,186 |
2.5× |
| Hopd mntl hlt, 15-29 min (C7900) |
$53 |
$106 |
1.3× |
| Hopd mntl hlt, 30-60 min (C7901) |
$135 |
$270 |
1.2× |
| Hopd mntl hlt, grp (C7903) |
$49 |
$98 |
1.2× |
| Hospital outpt clinic visit (G0463) |
$154 |
$308 |
1.1× |
| Ig paraprotein qual bld/ur (0077U) |
$65 |
$130 |
1.5× |
| Iliac Atherectomy (0238T) |
$14,892.50 |
$29,785 |
0.7× |
| Inj for sacroiliac jt anesth (G0260) |
$1,022 |
$2,044 |
1.3× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$6,228 |
$12,456 |
6.5× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$13,101.50 |
$26,203 |
1.5× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$9,813 |
$19,626 |
0.9× |
| Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) |
$9,813 |
$19,626 |
1.1× |
| Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0525T) |
$13,091.50 |
$26,183 |
0.6× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$29,150 |
$58,300 |
1.2× |
| Insertion/replacement iims implantable mntr only (0527T) |
$9,813 |
$19,626 |
1.1× |
| Insj Wcs Lv Eltrd Only (0516T) |
$9,813 |
$19,626 |
0.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$59,854.50 |
$119,709 |
1.8× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$21,179 |
$42,358 |
2.4× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$21,179 |
$42,358 |
2.4× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$59,854.50 |
$119,709 |
2.5× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$49,379 |
$98,758 |
1.5× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$70 |
$140 |
1.7× |
| Interrog dev eval wcs ip (0521T) |
$17.50 |
$35 |
0.6× |
| Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) |
$17,286 |
$34,572 |
1.5× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$515 |
$1,030 |
4.2× |
| Liver Dis 10 Assays W/Nash (0003M) |
$1,150.50 |
$2,301 |
2.3× |
| Mra w/cont, abd (C8900) |
$776 |
$1,552 |
2.1× |
| Mra w/cont, chest (C8909) |
$776 |
$1,552 |
2.1× |
| Mra w/cont, lwr ext (C8912) |
$776 |
$1,552 |
2.1× |
| Mra w/cont, pelvis (C8918) |
$776 |
$1,552 |
2.1× |
| Mra w/o cont, abd (C8901) |
$730 |
$1,460 |
2.8× |
| Mra w/o cont, chest (C8910) |
$730 |
$1,460 |
2.8× |
| Mra w/o cont, lwr ext (C8913) |
$730 |
$1,460 |
2.8× |
| Mra w/o cont, pelvis (C8919) |
$730 |
$1,460 |
2.8× |
| Mra w/o fol w/cont, abd (C8902) |
$1,058.50 |
$2,117 |
2.8× |
| Mra w/o fol w/cont, chest (C8911) |
$1,058.50 |
$2,117 |
2.8× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,058.50 |
$2,117 |
2.8× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,110 |
$2,220 |
2.9× |
| Mra, w/dye, upper extremity (C8934) |
$774 |
$1,548 |
2.0× |
| Mra, w/o dye, upper extr (C8935) |
$715.50 |
$1,431 |
2.8× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$715 |
$1,430 |
1.9× |
| Mra, w/o&w/dye, upper extr (C8936) |
$864 |
$1,728 |
2.3× |
| Neuro csf prion prtn qual (0035U) |
$802 |
$1,604 |
1.5× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) |
$474 |
$948 |
2.4× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$6,228 |
$12,456 |
6.5× |
| Obtaining screen pap smear (Q0091) |
$45.50 |
$91 |
1.5× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) |
$644.50 |
$1,289 |
2.6× |
| Oth resp proc, group (G0239) |
$137 |
$274 |
3.4× |
| Oth resp proc, indiv (G0238) |
$137 |
$274 |
4.4× |
| Pathogen test for platelets (P9100) |
$115.50 |
$231 |
1.8× |
| Pattern erg w/i&r (0509T) |
$265.50 |
$531 |
1.1× |
| Pemivibart infusion (M0224) |
$709 |
$1,418 |
1.5× |
| Perc d-e cor revasc chro sin (C9607) |
$17,162.50 |
$34,325 |
0.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$17,162.50 |
$34,325 |
1.4× |
| Perc d-e cor stent ather s (C9602) |
$17,162.50 |
$34,325 |
0.9× |
| Perc drug-el cor stent sing (C9600) |
$21,200.50 |
$42,401 |
1.7× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) |
$27,672.50 |
$55,345 |
2.0× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$27,672.50 |
$55,345 |
2.0× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$7,380 |
$14,760 |
0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$10,450.50 |
$20,901 |
1.3× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$9,477.50 |
$18,955 |
0.8× |
| Place device/marker, non pro (C9728) |
$5,246 |
$10,492 |
3.5× |
| Post op service lvrs min 6 (G0305) |
$1,616.50 |
$3,233 |
4.0× |
| Pre-op service lvrs 1-9 dos (G0304) |
$1,691 |
$3,382 |
4.2× |
| Pre-op service lvrs 10-15dos (G0303) |
$3,720 |
$7,440 |
15.9× |
| Pre-op service lvrs complete (G0302) |
$5,072 |
$10,144 |
12.5× |
| Prgrmg dev eval wcs ip (0522T) |
$36 |
$72 |
0.9× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$70 |
$140 |
1.7× |
| Prostate biopsy, any mthd (G0416) |
$1,397 |
$2,794 |
3.6× |
| Psa screening (G0103) |
$118.50 |
$237 |
6.1× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$363.50 |
$727 |
1.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$1,197.50 |
$2,395 |
1.7× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$4,456 |
$8,912 |
2.0× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$7,224 |
$14,448 |
1.8× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$8,937.50 |
$17,875 |
2.2× |
| Removal complete iims (0530T) |
$4,148.50 |
$8,297 |
1.0× |
| Removal iims electrode only (0531T) |
$3,976.50 |
$7,953 |
1.0× |
| Removal iims implt mntr only (0532T) |
$3,976.50 |
$7,953 |
1.0× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$1,406.50 |
$2,813 |
2.1× |
| Revasc intra lithotrip-ather (C9766) |
$17,228.50 |
$34,457 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$18,060 |
$36,120 |
0.9× |
| Revasc intravasc lithotripsy (C9764) |
$9,663 |
$19,326 |
0.8× |
| Revasc lith-sten-ath tib/per (C9775) |
$20,865.50 |
$41,731 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$20,865.50 |
$41,731 |
1.0× |
| Revasc lithotr-stent tib/per (C9773) |
$20,865.50 |
$41,731 |
1.0× |
| Revasc lithotrip tibi/perone (C9772) |
$13,045 |
$26,090 |
1.0× |
| Revasc lithotrip-stent-ather (C9767) |
$20,865.50 |
$41,731 |
1.0× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$59,854.50 |
$119,709 |
2.5× |
| Scr c/v cyto,thinlayer,rescr (G0144) |
$115 |
$230 |
2.6× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$143 |
$286 |
5.4× |
| Screen cerv/vag thin layer (G0123) |
$108.50 |
$217 |
5.4× |
| Screen pap by tech w md supv (P3000) |
$78.50 |
$157 |
4.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$29,245.50 |
$58,491 |
1.4× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$29,245.50 |
$58,491 |
1.4× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$29,245.50 |
$58,491 |
1.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$29,245.50 |
$58,491 |
1.4× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$4,982.50 |
$9,965 |
1.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$6,438.50 |
$12,877 |
1.0× |
| Tee w or w/o fol w/cont,cong (C8926) |
$2,187 |
$4,374 |
2.6× |
| Therapeutic procd strg endur (G0237) |
$137 |
$274 |
4.4× |
| Tomosynthesis, mammo (G0279) |
$86.50 |
$173 |
6.8× |
| Tpmt nudt15 gene analysis common variants (0034U) |
$470.50 |
$941 |
1.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$13,443 |
$26,886 |
2.2× |
| Transcatheter renal sympath denervation unilat (0338T) |
$9,522.50 |
$19,045 |
1.5× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$14,274.50 |
$28,549 |
1.1× |
| Trauma respons w/hosp criti (G0390) |
$7,552.25 |
$15,104.50 |
5.2× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$14,274.50 |
$28,549 |
1.1× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$14,274.50 |
$28,549 |
1.1× |
| Tte w or w/o contr, cont ecg (C8930) |
$3,082 |
$6,164 |
3.6× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,187 |
$4,374 |
2.6× |
| Tte w or w/o fol w/cont, com (C8921) |
$3,062 |
$6,124 |
3.6× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$2,180.50 |
$4,361 |
2.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,082 |
$6,164 |
3.6× |
| Visit to determ ldct elig (G0296) |
$50.50 |
$101 |
0.5× |