| 2019-ncov diagnostic p (U0001) |
— |
$181 |
— |
| 2d tee w or w/o fol w/con,in (C8925) |
— |
$2,295 |
— |
| 2d tte w or w/o fol w/con,co (C8923) |
— |
$1,518 |
— |
| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$1,041 |
— |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
— |
$9,519 |
— |
| Adm tocilizu covid-19 1st (M0249) |
— |
$961 |
— |
| Admin hepatitis b vaccine (G0010) |
— |
$156 |
— |
| Admin influenza virus vac (G0008) |
— |
$156 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$156 |
— |
| Adrnl cortcl tum bchm asy 25 (0015M) |
— |
$3,638 |
— |
| Alcohol/subs interv 15-30mn (G0396) |
— |
$74 |
— |
| Alcohol/subs interv >30 min (G0397) |
— |
$311 |
— |
| Antibody treponema pallidum total & rpr ia qual (0064U) |
— |
$133 |
— |
| Bia whole body composition assessment w/i&r (0358T) |
— |
$215 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$2,547 |
— |
| Chemo extend iv infus w/pump (G0498) |
— |
$1,694 |
— |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) |
— |
$3,515 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$2,616 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$2,616 |
— |
| Complex simulation w/pet-ct (G0562) |
— |
$5,266 |
— |
| Comt gene analysis c.472g>a variant (0032U) |
— |
$1,011 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$175 |
— |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
— |
$2,559 |
— |
| Direct refer hospital observ (G0379) |
— |
$635 |
— |
Drug test def 1-7 classes (G0480)
range across 105 matching MRF lines |
— |
$115–$520 |
— |
| Drug test def 15-21 classes (G0482) |
— |
$398 |
— |
| Egd flexible transnasal w/biopsy single/multiple (0653T) |
— |
$2,837 |
— |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
— |
$5,699 |
— |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) |
— |
$2,478 |
— |
| Ekg tracing for initial prev (G0404) |
— |
$162 |
— |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) |
— |
$654 |
— |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) |
— |
$643 |
— |
| Elec stim other than wound (G0283) |
— |
$113 |
— |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
— |
$1,800 |
— |
| Electrophysiologic eval ccm-d leads separate (0931T) |
— |
$2,301 |
— |
| Endo defect closure gi tract (C9901) |
— |
$23,428 |
— |
| Endo outlet restrict w/tube (C9785) |
— |
$16,673 |
— |
| Esd endoscopy or colonoscopy (C9779) |
— |
$5,699 |
— |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) |
— |
$8,974 |
— |
| Extrnl counterpulse, per tx (G0166) |
— |
$426 |
— |
| Eye mvmt analysis w/o spatial calibration i&r (0615T) |
— |
$414 |
— |
| Facility svs dental rehab (G0330) |
— |
$4,901 |
— |
| Fecal blood scrn immunoassay (G0328) |
— |
$92 |
— |
| Fecal microbiota prep instil (G0455) |
— |
$1,651 |
— |
| Flt3 gene int tandem dupl variants quantitative (0046U) |
— |
$3,338 |
— |
| Fractional abl lsr fenestration first 100 sqcm (0479T) |
— |
$1,697 |
— |
| Group train w/o patient (G0543) |
— |
$33 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$1,018 |
— |
| Heart Symp Image Plnr (0331T) |
— |
$3,032 |
— |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
— |
$25,318 |
— |
| Hpv combo assay ca screen (G0476) |
— |
$179 |
— |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
— |
$200 |
— |
| Initial preventive exam (G0402) |
— |
$297 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$1,785 |
— |
| Injection posterior chamber eye medication (0699T) |
— |
$5,096 |
— |
| Insert cv cath inf & sup app (C9780) |
— |
$16,501 |
— |
| Insertion of substernal implantable defibrillator electrode (0572T) |
— |
$8,155 |
— |
| Insertion perm ccm-d system pulse generator only (0916T) |
— |
$32,080 |
— |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
— |
$47,594 |
— |
| Insj perm ccm-d sys 1 transvns lead only (0917T) |
— |
$11,828 |
— |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
— |
$11,828 |
— |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
— |
$45,821 |
— |
| Insj Wcs Lv Eltrd Only (0516T) |
— |
$17,911 |
— |
| Insj Wcs Lv Pg Compnt (0517T) |
— |
$18,247 |
— |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
— |
$62,948 |
— |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
— |
$20,341 |
— |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
— |
$20,341 |
— |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
— |
$59,950 |
— |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
— |
$35,978 |
— |
| Instill pharm renal pelvis (C9789) |
— |
$5,505 |
— |
| Instlj fecal microbiota ssp (0780T) |
— |
$246 |
— |
| Interrog dev eval impl ccm-d system in person (0927T) |
— |
$71 |
— |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) |
— |
$51 |
— |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) |
— |
$89 |
— |
| Ire Abltj 1+Tum Organ Perq (0600T) |
— |
$15,712 |
— |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
— |
$623 |
— |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) |
— |
$1,186 |
— |
| Mra w/cont, abd (C8900) |
— |
$3,348 |
— |
| Mra w/cont, chest (C8909) |
— |
$3,401 |
— |
| Mra w/cont, lwr ext (C8912) |
— |
$3,623 |
— |
| Mra w/cont, pelvis (C8918) |
— |
$3,260 |
— |
| Mra w/o cont, abd (C8901) |
— |
$3,105 |
— |
| Mra w/o cont, chest (C8910) |
— |
$3,105 |
— |
| Mra w/o cont, lwr ext (C8913) |
— |
$3,105 |
— |
| Mra w/o cont, pelvis (C8919) |
— |
$3,105 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$3,552 |
— |
| Mra w/o fol w/cont, chest (C8911) |
— |
$3,805 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$3,985 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$3,423 |
— |
| Mra, w/dye, spinal canal (C8931) |
— |
$3,105 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$3,291 |
— |
| Mra, w/o dye, spinal canal (C8932) |
— |
$2,709 |
— |
| Mra, w/o dye, upper extr (C8935) |
— |
$3,105 |
— |
| Mra, w/o&w/dye, spinal canal (C8933) |
— |
$3,452 |
— |
| Mra, w/o&w/dye, upper extr (C8936) |
— |
$3,805 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$4,394 |
— |
| Mri w/o fol w/cont, brst, un (C8905) |
— |
$3,805 |
— |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) |
— |
$3,266 |
— |
| Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) |
— |
$166 |
— |
| Neuro csf prion prtn qual (0035U) |
— |
$2,233 |
— |
| Njx platelet plasma (0232T) |
— |
$1,958 |
— |
| No pt prsnt train initial 30 (G0541) |
— |
$109 |
— |
| Non-blind interatrial shunt (C9760) |
— |
$49,395 |
— |
| Non-ophthalmic fva (C9733) |
— |
$775 |
— |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
— |
$973 |
— |
| Onc Merkel Cll Carc Srm Quan (0058U) |
— |
$973 |
— |
| Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) |
— |
$31,265 |
— |
| Oth resp proc, group (G0239) |
— |
$106 |
— |
| Oth resp proc, indiv (G0238) |
— |
$95 |
— |
| Pathogen test for platelets (P9100) |
— |
$171 |
— |
| Pattern erg w/i&r (0509T) |
— |
$692 |
— |
| Pemivibart infusion (M0224) |
— |
$824 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$28,193 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$20,121 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$28,449 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$19,768 |
— |
| Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) |
— |
$9,420 |
— |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
— |
$13,581 |
— |
| Place device/marker, non pro (C9728) |
— |
$3,230 |
— |
| Post op service lvrs min 6 (G0305) |
— |
$2,174 |
— |
| Ppps, initial visit (G0438) |
— |
$421 |
— |
| Ppps, subseq visit (G0439) |
— |
$332 |
— |
| Pre 3d mdl w/ccta and/or mri (C9793) |
— |
$1,960 |
— |
| Pre-op service lvrs 1-9 dos (G0304) |
— |
$2,174 |
— |
| Pre-op service lvrs 10-15dos (G0303) |
— |
$4,710 |
— |
| Pre-op service lvrs complete (G0302) |
— |
$4,892 |
— |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
— |
$85 |
— |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
— |
$86 |
— |
| Prgrmg dev eval scrms phys/qhp remote (0650T) |
— |
$115 |
— |
| Prgrmg device eval wrls car stimulator in person (0522T) |
— |
$91 |
— |
| Programming dev eval icds w/ss eltrd in person (0575T) |
— |
$89 |
— |
| Programming device eval impl ccm-d sys in person (0926T) |
— |
$71 |
— |
| Prolonged iv inf, req pump (C8957) |
— |
$1,205 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$5,834 |
— |
| Psa screening (G0103) |
— |
$99 |
— |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
— |
$5,892 |
— |
| Relocation pg wcs lv pacg battery component only (0862T) |
— |
$3,740 |
— |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) |
— |
$3,740 |
— |
| Relocation skin pocket implanted ccm-d pg (0925T) |
— |
$3,137 |
— |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) |
— |
$71 |
— |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
— |
$71 |
— |
| Removal perm ccm-d system pulse generator only (0919T) |
— |
$5,201 |
— |
| Removal pg wcs lv pacing both components (0861T) |
— |
$6,711 |
— |
| Removal Ss Dfb Electrode (0573T) |
— |
$3,683 |
— |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
— |
$2,030 |
— |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
— |
$3,683 |
— |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
— |
$1,414 |
— |
| Revasc intra lithotrip-ather (C9766) |
— |
$24,113 |
— |
| Revasc intra lithotrip-stent (C9765) |
— |
$21,478 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$15,092 |
— |
| Revasc lith-sten-ath tib/per (C9775) |
— |
$28,734 |
— |
| Revasc lithotr-ather tib/per (C9774) |
— |
$25,072 |
— |
| Revasc lithotr-stent tib/per (C9773) |
— |
$25,072 |
— |
| Revasc lithotrip tibi/perone (C9772) |
— |
$17,456 |
— |
| Revasc lithotrip-stent-ather (C9767) |
— |
$27,531 |
— |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) |
— |
$5,349 |
— |
| Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) |
— |
$5,168 |
— |
| Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) |
— |
$5,168 |
— |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
— |
$63,458 |
— |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) |
— |
$18,247 |
— |
| Rmvl Car Modulj Tranvns Elt (0413T) |
— |
$8,066 |
— |
| Rmvl Cardiac Modulj Pls Gen (0412T) |
— |
$8,066 |
— |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) |
— |
$5,201 |
— |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
— |
$5,201 |
— |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) |
— |
$5,201 |
— |
| Rmvl Pg Compnt Wcs (0518T) |
— |
$6,711 |
— |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
— |
$32,080 |
— |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) |
— |
$18,247 |
— |
| Sbrt w/positron emission del (G0563) |
— |
$7,501 |
— |
| Screen pap by tech w md supv (P3000) |
— |
$89 |
— |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) |
— |
$4,597 |
— |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
— |
$36,521 |
— |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
— |
$39,958 |
— |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
— |
$39,958 |
— |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
— |
$44,394 |
— |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
— |
$5,447 |
— |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
— |
$5,487 |
— |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
— |
$5,487 |
— |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) |
— |
$7,263 |
— |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
— |
$33,296 |
— |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
— |
$44,394 |
— |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
— |
$33,539 |
— |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
— |
$33,539 |
— |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
— |
$9,569 |
— |
| Tee w or w/o fol w/cont,cong (C8926) |
— |
$2,340 |
— |
| Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) |
— |
$9,996 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$150 |
— |
| Therapeutic ultrafiltration (0692T) |
— |
$4,100 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$166 |
— |
| Tpmt and Nudt15 Genotype (0034U) |
— |
$1,749 |
— |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
— |
$12,196 |
— |
| Transcatheter renal sympath denervation unilat (0338T) |
— |
$9,756 |
— |
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines |
— |
$8,940–$11,065 |
— |
| Trim nail(s) (G0127) |
— |
$146 |
— |
| Trluml perip athrc abd aorta (0236T) |
— |
$24,834 |
— |
| Trluml Perip Athrc Brchiocph (0237T) |
— |
$19,387 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
— |
$27,094 |
— |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
— |
$25,625 |
— |
| Trnscut elect modlation pain reproces ea tx sess (0278T) |
— |
$329 |
— |
| Tte w or w/o contr, cont ecg (C8930) |
— |
$2,519 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$2,218 |
— |
| Tte w or w/o fol w/cont, com (C8921) |
— |
$2,011 |
— |
| Tte w or w/o fol w/cont, f/u (C8922) |
— |
$1,668 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$3,125 |
— |
| Vasc emb/occ w/prs cath (C9797) |
— |
$31,927 |
— |
| Visit to determ ldct elig (G0296) |
— |
$269 |
— |
| Wet mounts/ w preparations (Q0111) |
— |
$60 |
— |