| 2019-ncov diagnostic p (U0001) |
$58.76 |
$113 |
1.6× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$925.60 |
$1,780 |
2.1× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) |
$2,620.80 |
$5,040 |
1.2× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$2,995.20 |
$5,760 |
1.2× |
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T)
likely a partial charge, not the full procedure |
$3,270.80 |
$6,290 |
0.3× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$2,485.60 |
$4,780 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$104 |
$200 |
1.7× |
| Admin influenza virus vac (G0008) |
$104 |
$200 |
1.7× |
| Admin pneumococcal vaccine (G0009) |
$104 |
$200 |
1.7× |
| Alcohol/subs interv 15-30mn (G0396) |
$93.60 |
$180 |
1.9× |
| Alcohol/subs interv >30 min (G0397) |
$342.16 |
$658 |
1.5× |
| Annual alcohol screen 15 min (G0442) |
$79.56 |
$153 |
1.7× |
| Behavior counsel obesity 15m (G0447) |
$190.84 |
$367 |
1.5× |
| Blind interatrial shunt ide (C9758) |
$36,514.40 |
$70,220 |
1.7× |
| Brief alcohol misuse counsel (G0443) |
$190.84 |
$367 |
1.5× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,664 |
$3,200 |
1.4× |
| Ca screen;pelvic/breast exam (G0101) |
$190.84 |
$367 |
1.5× |
| Cbc without platelet (G0307) |
$66.56 |
$128 |
10.3× |
| Cbc/diffwbc w/o platelet (G0306) |
$60.32 |
$116 |
7.8× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) |
$1,055.60 |
$2,030 |
0.3× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,700.40 |
$3,270 |
1.4× |
| Colorectal scrn; hi risk ind (G0105) |
$1,773.20 |
$3,410 |
1.5× |
| Covid-19 lab test non-cdc (U0002) |
$85.28 |
$164 |
1.7× |
| CT breast w/3d rendering bi with contrast (0637T) |
$884 |
$1,700 |
2.0× |
| CT breast w/3d rendering bi without contrast (0636T) |
$520 |
$1,000 |
1.7× |
| CT breast w/3d rendering uni with contrast (0634T) |
$520 |
$1,000 |
2.3× |
| CT breast w/3d rendering uni without contrast (0633T) |
$468 |
$900 |
3.5× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) |
$884 |
$1,700 |
2.0× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) |
$520 |
$1,000 |
2.3× |
Cysto impl 4 or more (C9740)
unusually low: confirm this is the full procedure |
$5,319.60 |
$10,230 |
0.4× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$4,591.60 |
$8,830 |
0.7× |
| Demonstrate use home inr mon (G0248) |
$315.12 |
$606 |
1.8× |
| Depression screen annual (G0444) |
$75.92 |
$146 |
1.6× |
| Diab manage trn per indiv (G0108) |
$147.16 |
$283 |
2.6× |
| Diab manage trn ind/group (G0109) |
$54.60 |
$105 |
3.4× |
| Direct refer hospital observ (G0379) |
$353.60 |
$680 |
0.5× |
| Drug test def 1-7 classes (G0480) |
$210.08 |
$404 |
1.8× |
| Ed svc ckd grp per session (G0421) |
$103.48 |
$199 |
3.8× |
| Ed svc ckd ind per session (G0420) |
$434.20 |
$835 |
3.8× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) |
$1,799.20 |
$3,460 |
0.7× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) |
$1,814.80 |
$3,490 |
0.7× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
$2,735.20 |
$5,260 |
0.6× |
| Eia hiv-1/hiv-2 screen (G0432) |
$120.12 |
$231 |
6.1× |
| Ekg tracing for initial prev (G0404) |
$72.28 |
$139 |
1.9× |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) |
$256.88 |
$494 |
2.1× |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) |
$256.88 |
$494 |
2.1× |
| Elec stim other than wound (G0283) |
$109.72 |
$211 |
8.6× |
| Elec stim unattend for press (G0281) |
$104.52 |
$201 |
8.9× |
| Electromagntic tx for ulcers (G0329) |
$31.20 |
$60 |
2.9× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$114.40 |
$220 |
6.3× |
| Endo defect closure gi tract (C9901) |
$9,474.40 |
$18,220 |
0.7× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$39,930.80 |
$76,790 |
0.7× |
| Esd endoscopy or colonoscopy (C9779) |
$3,546.40 |
$6,820 |
0.7× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$19,947.20 |
$38,360 |
1.3× |
| Evacuation meibomian glands using heat bilateral (0563T) |
$156 |
$300 |
2.1× |
| Extrnl counterpulse, per tx (G0166) |
$431.60 |
$830 |
2.5× |
| Fecal blood scrn immunoassay (G0328) |
$78 |
$150 |
4.3× |
| Fecal microbiota prep instil (G0455) |
$1,807 |
$3,475 |
1.5× |
| Fern test (Q0114) |
$218.40 |
$420 |
22.4× |
| Followup eval of foot pt lop (G0246) |
$292.24 |
$562 |
1.7× |
| Glaucoma scrn hgh risk direc (G0118) |
$106.60 |
$205 |
2.2× |
| Glaucoma scrn hgh risk direc (G0117) |
$123.76 |
$238 |
3.3× |
| Group behave couns 2-10 (G0473) |
$147.16 |
$283 |
3.1× |
| Group mnt 2 or more 30 mins (G0271) |
$61.88 |
$119 |
3.6× |
| High inten beh couns std 30m (G0445) |
$183.56 |
$353 |
1.4× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$33,254 |
$63,950 |
1.5× |
| Home sleep test/type 2 porta (G0398) |
$327.60 |
$630 |
1.2× |
| Home sleep test/type 3 porta (G0399) |
$551.20 |
$1,060 |
2.0× |
| Home sleep test/type 4 porta (G0400) |
$613.60 |
$1,180 |
2.2× |
| Initial foot exam pt lops (G0245) |
$292.24 |
$562 |
1.7× |
| Initial preventive exam (G0402) |
$292.24 |
$562 |
1.7× |
| Inj for sacroiliac jt anesth (G0260) |
$1,601.60 |
$3,080 |
1.8× |
| Injection posterior chamber eye medication (0699T) |
$3,863.60 |
$7,430 |
1.3× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$1,710.80 |
$3,290 |
1.5× |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) |
$2,735.20 |
$5,260 |
1.1× |
| Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system… (0680T) |
$30,955.60 |
$59,530 |
1.2× |
| Insertion/Replacement Iims Electrode Only (0526T) |
$8,585.20 |
$16,510 |
0.8× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) |
$3,863.60 |
$7,430 |
0.6× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$37,835.20 |
$72,760 |
0.9× |
| Intens behave ther cardio dx (G0446) |
$75.92 |
$146 |
1.6× |
| Intens cardiac rehab no exer (G0423) |
$260 |
$500 |
1.6× |
| Intens cardiac rehab w/exerc (G0422) |
$260 |
$500 |
1.6× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) |
$88.40 |
$170 |
2.4× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) |
$109.20 |
$210 |
2.3× |
| Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for… (0679T) |
$14,565.20 |
$28,010 |
1.1× |
| Lev 1 hosp type b ed visit (G0380) |
$347.36 |
$668 |
3.6× |
| Lev 2 hosp type b ed visit (G0381) |
$666.64 |
$1,282 |
5.6× |
| Lev 3 hosp type b ed visit (G0382) |
$1,135.16 |
$2,183 |
5.1× |
| Lev 4 hosp type b ed visit (G0383) |
$1,859.52 |
$3,576 |
5.5× |
| Lev 5 hosp type b ed visit (G0384) |
$2,911.48 |
$5,599 |
5.5× |
| Magnetically controlled capsule endoscopy w/i&r (0651T) |
$1,814.80 |
$3,490 |
1.6× |
| Mnt subs tx for change dx (G0270) |
$112.84 |
$217 |
3.6× |
| Mra w/cont, abd (C8900) |
$2,132 |
$4,100 |
4.8× |
| Mra w/cont, chest (C8909) |
$2,288 |
$4,400 |
5.1× |
| Mra w/cont, lwr ext (C8912) |
$2,652 |
$5,100 |
5.9× |
| Mra w/cont, pelvis (C8918) |
$2,184 |
$4,200 |
4.9× |
| Mra w/o cont, abd (C8901) |
$2,028 |
$3,900 |
6.6× |
| Mra w/o cont, chest (C8910) |
$2,184 |
$4,200 |
7.1× |
| Mra w/o cont, lwr ext (C8913) |
$2,184 |
$4,200 |
7.1× |
| Mra w/o cont, pelvis (C8919) |
$1,976 |
$3,800 |
6.4× |
| Mra w/o fol w/cont, abd (C8902) |
$2,600 |
$5,000 |
5.8× |
| Mra w/o fol w/cont, chest (C8911) |
$2,548 |
$4,900 |
5.7× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$3,172 |
$6,100 |
7.1× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,652 |
$5,100 |
5.9× |
| Njx bone sub matrl into subchondral bone defect (0707T) |
$4,768.40 |
$9,170 |
1.1× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$1,710.80 |
$3,290 |
1.5× |
| Njx platelet plasma (0232T) |
$2,308.80 |
$4,440 |
4.0× |
| Non-blind interatrial shunt (C9760) |
$32,827.60 |
$63,130 |
0.9× |
| Non-cov proc, clinical trial (G0294) |
$98.80 |
$190 |
2.1× |
| Non-cov surg proc,clin trial (G0293) |
$98.80 |
$190 |
2.1× |
| Off base opioid tx 70min (G2086) |
$482.56 |
$928 |
2.1× |
| Off base opioid tx, 60 m (G2087) |
$482.56 |
$928 |
2.1× |
| Opps service,sched team conf (G0175) |
$949.52 |
$1,826 |
1.8× |
| Oral hiv-1/hiv-2 screen (G0435) |
$159.64 |
$307 |
13.3× |
| Oth resp proc, group (G0239) |
$144.04 |
$277 |
3.0× |
| Oth resp proc, indiv (G0238) |
$98.80 |
$190 |
2.7× |
| Perc d-e cor revasc chro sin (C9607) |
$16,884.40 |
$32,470 |
0.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$16,047.20 |
$30,860 |
1.1× |
| Perc d-e cor stent ather s (C9602) |
$17,165.20 |
$33,010 |
0.7× |
| Perc drug-el cor stent sing (C9600) |
$11,897.60 |
$22,880 |
0.8× |
Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T)
unusually low: confirm this is the full procedure |
$3,094 |
$5,950 |
0.4× |
| Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) |
$8,590.40 |
$16,520 |
0.9× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) |
$22,729.20 |
$43,710 |
1.4× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,610.80 |
$10,790 |
0.6× |
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure |
$3,255.20 |
$6,260 |
0.3× |
| Prolonged iv inf, req pump (C8957) |
$785.20 |
$1,510 |
2.9× |
| Prostate biopsy, any mthd (G0416) |
$652.60 |
$1,255 |
1.4× |
| Provide inr test mater/equip (G0249) |
$292.24 |
$562 |
1.7× |
| Psa screening (G0103) |
$50.96 |
$98 |
2.6× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$2,433.60 |
$4,680 |
2.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$1,232.92 |
$2,371 |
1.7× |
| Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) |
$4,815.20 |
$9,260 |
1.1× |
| Rem auton alg nsln cal setup (0740T) |
$166.40 |
$320 |
2.2× |
| Rem auton alg nsln data coll (0741T) |
$123.76 |
$238 |
2.6× |
| Removal iims implt mntr only (0532T) |
$1,950 |
$3,750 |
0.4× |
| Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) |
$4,815.20 |
$9,260 |
1.1× |
| Removal Ss Dfb Electrode (0573T) |
$1,809.60 |
$3,480 |
0.4× |
| Revasc intra lithotrip-ather (C9766) |
$12,204.40 |
$23,470 |
0.5× |
| Revasc intra lithotrip-stent (C9765) |
$12,204.40 |
$23,470 |
0.5× |
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure |
$6,099.60 |
$11,730 |
0.4× |
| Revasc lith-sten-ath tib/per (C9775) |
$31,943.60 |
$61,430 |
1.4× |
| Revasc lithotr-ather tib/per (C9774) |
$31,943.60 |
$61,430 |
1.4× |
| Revasc lithotr-stent tib/per (C9773) |
$31,943.60 |
$61,430 |
1.4× |
| Revasc lithotrip tibi/perone (C9772) |
$19,973.20 |
$38,410 |
1.3× |
| Revasc lithotrip-stent-ather (C9767) |
$19,630 |
$37,750 |
0.8× |
| Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) |
$1,466.40 |
$2,820 |
0.3× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$1,809.60 |
$3,480 |
0.4× |
| Routine footcare pt w lops (G0247) |
$223.08 |
$429 |
0.9× |
| Scr c/v cyto, automated sys (G0147) |
$83.72 |
$161 |
4.5× |
| Scr c/v cyto, autosys, rescr (G0148) |
$59.28 |
$114 |
1.9× |
| Scr c/v cyto,thinlayer,rescr (G0144) |
$94.12 |
$181 |
2.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$110.76 |
$213 |
4.2× |
| Scr c/v cyto,thinlayer,rescr (G0143) |
$101.92 |
$196 |
3.8× |
| Screen cerv/vag thin layer (G0123) |
$93.08 |
$179 |
4.6× |
| Semen analysis (G0027) |
$48.36 |
$93 |
7.4× |
| Single energy x-ray study (G0130) |
$270.40 |
$520 |
2.0× |
Spine device implant surgery (C9757)
unusually low: confirm this is the full procedure |
$6,411.60 |
$12,330 |
0.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$17,934.80 |
$34,490 |
0.7× |
| Therapeutic procd strg endur (G0237) |
$100.88 |
$194 |
2.7× |
| Tomosynthesis, mammo (G0279) |
$74.36 |
$143 |
5.9× |
| Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) |
$37,350.04 |
$71,827 |
1.6× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$11,859.64 |
$22,807 |
1.6× |
| Transcatheter renal sympath denervation unilat (0338T) |
$11,859.64 |
$22,807 |
1.6× |
| Trim nail(s) (G0127) |
$114.40 |
$220 |
1.5× |
| Trluml Perip Athrc Iliac Art (0238T) |
$22,006.40 |
$42,320 |
0.9× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,632.80 |
$3,140 |
1.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,944.80 |
$3,740 |
1.9× |
| Unsched dialysis esrd pt hos (G0257) |
$1,248 |
$2,400 |
1.4× |
| Upper GI Blood Detection Sensor Capsule I&R (0977T) |
$1,950 |
$3,750 |
1.7× |
| Visit esketamine 56m or less (G2082) |
$2,280.20 |
$4,385 |
1.7× |
| Visit esketamine, > 56m (G2083) |
$3,799.64 |
$7,307 |
1.8× |
| Warfarin respon genetic test (G9143) |
$879.32 |
$1,691 |
7.3× |