| Adm of soc dtr assess 5-15 m (G0136) |
— |
$55 |
— |
| Anatomic guide 3d printed 1st anatomic guide (0561T) |
— |
$155 |
— |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) |
— |
$155 |
— |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
— |
$4,331 |
— |
| Bone Strength & Fracture Risk Assessment (0556T) |
— |
$652 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$89 |
— |
Cbc without platelet (G0307)
range across 4 matching MRF lines |
— |
$23.31–$89 |
— |
Cbc/diffwbc w/o platelet (G0306)
range across 3 matching MRF lines |
— |
$17.26–$105 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$3,707 |
— |
| Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) |
— |
$224 |
— |
| Demonstrate use home inr mon (G0248) |
— |
$419 |
— |
| Diab manage trn per indiv (G0108) |
— |
$160 |
— |
| Diab manage trn ind/group (G0109) |
— |
$89 |
— |
| Direct refer hospital observ (G0379) |
— |
$1,097 |
— |
| Ed svc ckd ind per session (G0420) |
— |
$253 |
— |
| Ekg tracing for initial prev (G0404) |
— |
$232 |
— |
| Elec stim other than wound (G0283) |
— |
$201 |
— |
| Elec stim unattend for press (G0281) |
— |
$188 |
— |
| Esd endoscopy or colonoscopy (C9779) |
— |
$7,197 |
— |
| Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) |
— |
$233 |
— |
Fecal microbiota prep instil (G0455)
range across 2 matching MRF lines |
— |
$1,788–$1,930 |
— |
| Followup eval of foot pt lop (G0246) |
— |
$146 |
— |
| Glaucoma scrn hgh risk direc (G0118) |
— |
$97 |
— |
| Glaucoma scrn hgh risk direc (G0117) |
— |
$130 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$936 |
— |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
— |
$1,587 |
— |
| Home sleep test/type 3 porta (G0399) |
— |
$813 |
— |
| Hopd mntl hlt, 15-29 min (C7900) |
— |
$60 |
— |
| Hopd mntl hlt, 30-60 min (C7901) |
— |
$152 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$538 |
— |
| Initial foot exam pt lops (G0245) |
— |
$295 |
— |
| Initial preventive exam (G0402) |
— |
$267 |
— |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
— |
$1,676 |
— |
| Insert palate implants (C9727) |
— |
$2,741 |
— |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
— |
$63,946 |
— |
| Instill pharm renal pelvis (C9789) |
— |
$8,112 |
— |
| Instlj fecal microbiota ssp (0780T) |
— |
$1,448 |
— |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) |
— |
$2,920 |
— |
Neuro csf prion prtn qual (0035U)
range across 2 matching MRF lines |
— |
$1,637.56–$2,517 |
— |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
— |
$1,676 |
— |
Njx platelet plasma (0232T)
range across 3 matching MRF lines |
— |
$756–$2,350 |
— |
| Non-ophthalmic fva (C9733) |
— |
$689 |
— |
| Obtaining screen pap smear (Q0091) |
— |
$111 |
— |
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U)
range across 2 matching MRF lines |
— |
$770–$988 |
— |
| Oth resp proc, group (G0239) |
— |
$225 |
— |
| Oth resp proc, indiv (G0238) |
— |
$200 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$30,451 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$27,682 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$29,866 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$28,507 |
— |
| Perq Sacral Augmt Bilat Inj (0201T) |
— |
$14,310 |
— |
| Perq Sacral Augmt Unilat Inj (0200T) |
— |
$14,310 |
— |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
— |
$11,404 |
— |
| Place device/marker, non pro (C9728) |
— |
$1,910 |
— |
| Ppps, initial visit (G0438) |
— |
$65 |
— |
| Ppps, subseq visit (G0439) |
— |
$65 |
— |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
— |
$216 |
— |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
— |
$929 |
— |
| Prgrmg dev eval scrms phys/qhp remote (0650T) |
— |
$101 |
— |
| Prolonged iv inf, req pump (C8957) |
— |
$498 |
— |
Prostate biopsy, any mthd (G0416)
range across 2 matching MRF lines |
— |
$401.48–$705 |
— |
| Provide inr test mater/equip (G0249) |
— |
$259 |
— |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) |
— |
$92 |
— |
| Revasc intra lithotrip-ather (C9766) |
— |
$33,461 |
— |
| Revasc intra lithotrip-stent (C9765) |
— |
$33,461 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$20,927 |
— |
| Revasc lith-sten-ath tib/per (C9775) |
— |
$33,461 |
— |
| Revasc lithotr-ather tib/per (C9774) |
— |
$33,461 |
— |
| Revasc lithotr-stent tib/per (C9773) |
— |
$33,461 |
— |
| Revasc lithotrip tibi/perone (C9772) |
— |
$20,927 |
— |
| Revasc lithotrip-stent-ather (C9767) |
— |
$33,461 |
— |
| Routine footcare pt w lops (G0247) |
— |
$362 |
— |
| Screen pap by tech w md supv (P3000) |
— |
$104 |
— |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
— |
$38,143 |
— |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
— |
$38,143 |
— |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
— |
$38,143 |
— |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
— |
$11,404 |
— |
| Tear film imaging unilateral or bilateral w/i&r (0330T) |
— |
$74 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$188 |
— |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
— |
$10,529 |
— |
| Transcatheter renal sympath denervation unilat (0338T) |
— |
$10,529 |
— |
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines |
— |
$9,677–$10,352 |
— |
| Trim nail(s) (G0127) |
— |
$115 |
— |
| Trluml perip athrc abd aorta (0236T) |
— |
$23,154 |
— |
| Trluml Perip Athrc Brchiocph (0237T) |
— |
$23,154 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
— |
$22,148 |
— |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
— |
$20,133 |
— |
| Vasc emb/occ w/prs cath (C9797) |
— |
$34,752 |
— |
| Visit esketamine 56m or less (G2082) |
— |
$1,301 |
— |
| Visit esketamine, > 56m (G2083) |
— |
$1,901 |
— |
| Visit to determ ldct elig (G0296) |
— |
$153 |
— |
| Wet mounts/ w preparations (Q0111) |
— |
$32 |
— |