| 2d tee w or w/o fol w/con,in (C8925) |
$2,261.40 |
$3,769 |
2.8× |
| 2d tte w or w/o fol w/con,co (C8923) |
$888.60 |
$1,481 |
1.1× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$779.40 |
$1,299 |
2.1× |
| 3d anat seg imaging preop (C8001) |
$185.40 |
$309 |
1.4× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) |
$2,790.60 |
$4,651 |
1.6× |
| Adm tocilizu covid-19 1st (M0249) |
$881.40 |
$1,469 |
1.9× |
| Admin hepatitis b vaccine (G0010) |
$72 |
$120 |
1.5× |
| Admin influenza virus vac (G0008) |
$43.20 |
$72 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$72 |
$120 |
1.5× |
| Behavior counsel obesity 15m (G0447) |
$99.60 |
$166 |
0.9× |
| Chemo extend iv infus w/pump (G0498) |
$2,257.20 |
$3,762 |
6.5× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$720 |
$1,200 |
2.0× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$450 |
$750 |
1.8× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$720 |
$1,200 |
2.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$349.20 |
$582 |
1.9× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$213 |
$355 |
2.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$349.20 |
$582 |
1.9× |
| Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) |
$893.40 |
$1,489 |
0.2× |
| Diab manage trn per indiv (G0108) |
$75 |
$125 |
1.3× |
| Diab manage trn ind/group (G0109) |
$36 |
$60 |
2.2× |
| Direct refer hospital observ (G0379) |
$187.80 |
$313 |
0.3× |
| Drug test def 1-7 classes (G0480) |
$35.10 |
$58.50 |
0.3× |
| Elec stim other than wound (G0283) |
$93.60 |
$156 |
7.4× |
| Fecal blood scrn immunoassay (G0328) |
$37.20 |
$62 |
2.1× |
| Group behave couns 2-10 (G0473) |
$99.60 |
$166 |
2.5× |
| Group mnt 2 or more 30 mins (G0271) |
$137.40 |
$229 |
8.1× |
| Group train w/o patient (G0543) |
$21.60 |
$36 |
0.7× |
| Hbot, full body chamber, 30m (G0277) |
$625.80 |
$1,043 |
4.4× |
| Home sleep test/type 2 porta (G0398) |
$379.80 |
$633 |
1.7× |
| Home sleep test/type 3 porta (G0399) |
$237.30 |
$395.50 |
1.1× |
| Home sleep test/type 4 porta (G0400) |
$346.80 |
$578 |
1.5× |
| Hospital outpt clinic visit (G0463) |
$210 |
$350 |
1.5× |
| Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) |
$262.80 |
$438 |
1.3× |
| Inj for sacroiliac jt anesth (G0260) |
$1,319.40 |
$2,199 |
1.8× |
| Mnt subs tx for change dx (G0270) |
$64.20 |
$107 |
2.0× |
| Mra w/cont, abd (C8900) |
$2,430 |
$4,050 |
6.7× |
| Mra w/cont, chest (C8909) |
$2,474.40 |
$4,124 |
6.8× |
| Mra w/cont, lwr ext (C8912) |
$2,512.20 |
$4,187 |
6.9× |
| Mra w/cont, pelvis (C8918) |
$1,601.40 |
$2,669 |
4.4× |
| Mra w/o cont, abd (C8901) |
$1,815.60 |
$3,026 |
7.3× |
| Mra w/o cont, chest (C8910) |
$1,848.60 |
$3,081 |
7.4× |
| Mra w/o cont, lwr ext (C8913) |
$1,876.20 |
$3,127 |
7.5× |
| Mra w/o cont, pelvis (C8919) |
$1,840.80 |
$3,068 |
7.4× |
| Mra w/o fol w/cont, abd (C8902) |
$2,928 |
$4,880 |
8.0× |
| Mra w/o fol w/cont, chest (C8911) |
$2,981.40 |
$4,969 |
8.2× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$3,026.40 |
$5,044 |
8.3× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,841 |
$4,735 |
7.8× |
| Mra, w/dye, spinal canal (C8931) |
$941.40 |
$1,569 |
2.6× |
| Mra, w/dye, upper extremity (C8934) |
$941.40 |
$1,569 |
2.6× |
| Mra, w/o dye, spinal canal (C8932) |
$805.20 |
$1,342 |
3.2× |
| Mra, w/o dye, upper extr (C8935) |
$776.40 |
$1,294 |
3.1× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$1,188.60 |
$1,981 |
3.3× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,233.60 |
$2,056 |
3.4× |
| Mri w/cont, breast, bi (C8906) |
$2,572.20 |
$4,287 |
7.1× |
| Mri w/cont, breast, uni (C8903) |
$1,337.40 |
$2,229 |
7.3× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,572.20 |
$4,287 |
7.1× |
| Mri w/o fol w/cont, brst, un (C8905) |
$2,572.20 |
$4,287 |
7.1× |
| Neuro csf prion prtn qual (0035U) |
$126 |
$210 |
0.2× |
| Njx paravert w/us cer/thor (0213T) |
$1,052.40 |
$1,754 |
1.1× |
| Njx paravert w/us lumb/sac (0216T) |
$1,052.40 |
$1,754 |
1.1× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$651 |
$1,085 |
1.4× |
| No pt prsnt train initial 30 (G0541) |
$93 |
$155 |
3.1× |
| Opps service,sched team conf (G0175) |
$759.60 |
$1,266 |
1.7× |
| Oth resp proc, group (G0239) |
$123 |
$205 |
3.2× |
| Oth resp proc, indiv (G0238) |
$81.60 |
$136 |
2.7× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) |
$10,299 |
$17,165 |
1.4× |
Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T)
likely a partial charge, not the full procedure |
$2,105.40 |
$3,509 |
0.3× |
| Place device/marker, non pro (C9728) |
$2,103 |
$3,505 |
1.5× |
| Prolonged iv inf, req pump (C8957) |
$366 |
$610 |
1.6× |
| Prostate biopsy, any mthd (G0416) |
$317.10 |
$528.50 |
0.8× |
| Psa screening (G0103) |
$84.90 |
$141.50 |
4.4× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$2,003.40 |
$3,339 |
2.1× |
| Quan MRI alys brn w/dx MRI (0866T) |
$473.40 |
$789 |
1.9× |
| Quantitative MRI alys brain w comp to prior mr study including lesion id character quantification w brain volumes… (0865T) |
$473.40 |
$789 |
1.9× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) |
$301.80 |
$503 |
1.4× |
| Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) |
$893.40 |
$1,489 |
0.2× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$6,138.60 |
$10,231 |
1.6× |
| Revasc intra lithotrip-ather (C9766) |
$19,327.20 |
$32,212 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$19,327.20 |
$32,212 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$9,663 |
$16,105 |
0.8× |
| Revasc lith-sten-ath tib/per (C9775) |
$31,426.80 |
$52,378 |
1.6× |
| Revasc lithotr-ather tib/per (C9774) |
$31,426.80 |
$52,378 |
1.6× |
| Revasc lithotr-stent tib/per (C9773) |
$31,426.80 |
$52,378 |
1.6× |
| Revasc lithotrip tibi/perone (C9772) |
$19,647.60 |
$32,746 |
1.6× |
| Revasc lithotrip-stent-ather (C9767) |
$31,092 |
$51,820 |
1.6× |
| Screen cerv/vag thin layer (G0123) |
$78.60 |
$131 |
3.9× |
| Screen pap by tech w md supv (P3000) |
$30 |
$50 |
1.6× |
| Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement… (0778T) |
$305.40 |
$509 |
2.3× |
| Tactile breast imaging by computer-aided tactile sensors, unilateral or bilateral Other Diagnostic Radiology FS (0422T) |
$118.20 |
$197 |
1.3× |
| Tee w or w/o fol w/cont, mon (C8927) |
$1,049.40 |
$1,749 |
1.3× |
| Tee w or w/o fol w/cont,cong (C8926) |
$1,174.80 |
$1,958 |
1.4× |
| Therapeutic procd strg endur (G0237) |
$117 |
$195 |
3.9× |
| Tomosynthesis, mammo (G0279) |
$84.60 |
$141 |
6.7× |
| Trluml perip athrc abd aorta (0236T) |
$12,870.60 |
$21,451 |
1.1× |
| Trluml perip athrc iliac art (0238T) |
$29,156.40 |
$48,594 |
1.5× |
| Trluml perip athrc renal art (0234T) |
$13,353.60 |
$22,256 |
1.1× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$12,870.60 |
$21,451 |
1.1× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,657.40 |
$4,429 |
3.2× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,657.40 |
$4,429 |
3.2× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,326.60 |
$2,211 |
1.6× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,326.60 |
$2,211 |
1.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,957.20 |
$3,262 |
2.4× |
| Unsched dialysis esrd pt hos (G0257) |
$1,173.60 |
$1,956 |
1.6× |
| Vasc emb/occ w/prs cath (C9797) |
$35,085.60 |
$58,476 |
1.8× |
| Ven blood coll snf/hha (G0471) |
$15.60 |
$26 |
1.4× |