| 2d tee w or w/o fol w/con,in (C8925) |
$2,791.60 |
$3,988 |
3.4× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,142.40 |
$1,632 |
3.1× |
| Admin hepatitis b vaccine (G0010) |
$101.50 |
$145 |
2.1× |
| Admin influenza virus vac (G0008) |
$101.50 |
$145 |
2.1× |
| Admin pneumococcal vaccine (G0009) |
$101.50 |
$145 |
2.1× |
| Blind/nonblind trans atrial (C9792) |
$18,018.70 |
$25,741 |
1.8× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,282.40 |
$1,832 |
1.3× |
| Chemo extend iv infus w/pump (G0498) |
$839.30 |
$1,199 |
2.4× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,763.30 |
$2,519 |
1.8× |
| Colorectal scrn; hi risk ind (G0105) |
$1,763.30 |
$2,519 |
1.8× |
| Covid-19 lab test non-cdc (U0002) |
$70 |
$100 |
1.4× |
| Devlopment test interpt&rep (G0451) |
$266 |
$380 |
2.5× |
| Direct refer hospital observ (G0379) |
$1,027.60 |
$1,468 |
1.6× |
| Drug test def 1-7 classes (G0480) |
$154.51 |
$220.72 |
1.4× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$144.90 |
$207 |
7.9× |
| Endo outlet restrict w/tube (C9785) |
$17,247.30 |
$24,639 |
1.5× |
| Esd endoscopy or colonoscopy (C9779) |
$6,218.80 |
$8,884 |
1.5× |
| Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter (0654T) |
$5,980.10 |
$8,543 |
1.5× |
| Fecal microbiota prep instil (G0455) |
$2,844.10 |
$4,063 |
2.9× |
| Fern test (Q0114) |
$56.70 |
$81 |
5.8× |
| FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants,… (0046U) |
$3,893.75 |
$5,562.50 |
9.6× |
| Hbot, full body chamber, 30m (G0277) |
$657.30 |
$939 |
4.5× |
| Hep c screen high risk/other (G0472) |
$131.60 |
$188 |
2.8× |
| High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic… (0395T) |
$2,173.50 |
$3,105 |
3.0× |
| Home sleep test/type 3 porta (G0399) |
$578.20 |
$826 |
2.5× |
| Home sleep test/type 4 porta (G0400) |
$520.80 |
$744 |
2.3× |
| Hospital outpt clinic visit (G0463) |
$248.50 |
$355 |
1.8× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
$171.12 |
$244.45 |
3.9× |
| Inj for sacroiliac jt anesth (G0260) |
$1,173.20 |
$1,676 |
1.6× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$16,444.40 |
$23,492 |
1.5× |
| Insj wcs lv compl sys (0515T) |
$48,853 |
$69,790 |
2.1× |
| Insj wcs lv eltrd only (0516T) |
$16,444.40 |
$23,492 |
1.5× |
| Insj/rplcmt icds w/substernal electrode (0571T) |
$57,925.70 |
$82,751 |
1.7× |
| Mra w/cont, abd (C8900) |
$2,912.70 |
$4,161 |
7.9× |
| Mra w/cont, chest (C8909) |
$3,249.40 |
$4,642 |
8.8× |
| Mra w/cont, lwr ext (C8912) |
$2,620.80 |
$3,744 |
7.1× |
| Mra w/o cont, abd (C8901) |
$2,262.40 |
$3,232 |
9.0× |
| Mra w/o cont, chest (C8910) |
$2,412.20 |
$3,446 |
9.6× |
| Mra w/o cont, lwr ext (C8913) |
$1,687 |
$2,410 |
6.7× |
| Mra w/o cont, pelvis (C8919) |
$2,561.30 |
$3,659 |
10.2× |
| Mra w/o fol w/cont, abd (C8902) |
$3,249.40 |
$4,642 |
8.8× |
| Mra w/o fol w/cont, chest (C8911) |
$3,455.20 |
$4,936 |
9.4× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,985.50 |
$4,265 |
8.1× |
| Mra w/o fol w/cont, pelvis (C8920) |
$3,435.60 |
$4,908 |
9.3× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$4,998 |
$7,140 |
13.6× |
| Mra, w/o&w/dye, upper extr (C8936) |
$4,998.70 |
$7,141 |
13.6× |
| Mri w/cont, breast, bi (C8906) |
$1,459.50 |
$2,085 |
4.0× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,638.30 |
$3,769 |
7.2× |
| Mri w/o fol w/cont, brst, un (C8905) |
$2,417.80 |
$3,454 |
6.6× |
| Neuro csf prion prtn qual (0035U) |
$1,107.54 |
$1,582.20 |
2.0× |
| Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue… (0640T) |
$81.20 |
$116 |
2.1× |
| Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T… (0058U) |
$358.18 |
$511.68 |
1.1× |
| Oral hiv-1/hiv-2 screen (G0435) |
$56.70 |
$81 |
4.7× |
| Oth resp proc, group (G0239) |
$229.60 |
$328 |
5.8× |
| Pathogen test for platelets (P9100) |
$83.30 |
$119 |
1.3× |
| Perc d-e cor revasc chro sin (C9607) |
$34,463.80 |
$49,234 |
1.8× |
| Perc d-e cor revasc t cabg s (C9604) |
$16,801.40 |
$24,002 |
1.4× |
| Perc d-e cor stent ather s (C9602) |
$22,635.90 |
$32,337 |
1.2× |
| Perc drug-el cor stent sing (C9600) |
$33,232.50 |
$47,475 |
2.7× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) |
$9,822.40 |
$14,032 |
1.3× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) |
$8,003.80 |
$11,434 |
1.0× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low — confirm this is the full procedure |
$5,668.60 |
$8,098 |
0.5× |
| Prolonged iv inf, req pump (C8957) |
$506.80 |
$724 |
2.3× |
| Prostate biopsy, any mthd (G0416) |
$2,951.20 |
$4,216 |
7.8× |
| Psa screening (G0103) |
$266.70 |
$381 |
13.8× |
| Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR)… (0865T) |
$425.60 |
$608 |
1.7× |
| Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR)… (0866T) |
$425.60 |
$608 |
1.7× |
| Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including… (0519T) |
$9,410.80 |
$13,444 |
0.9× |
| Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including… (0520T) |
$48,853 |
$69,790 |
4.4× |
| Removal of pulse generator components of wireless heart stimulator system for pacing of lower left chamber of heart (0518T) |
$6,953.10 |
$9,933 |
1.8× |
| Revasc intra lithotrip-ather (C9766) |
$20,986 |
$29,980 |
1.1× |
| Revasc intra lithotrip-stent (C9765) |
$20,310.50 |
$29,015 |
1.1× |
| Revasc intravasc lithotripsy (C9764) |
$13,556.90 |
$19,367 |
1.1× |
| Revasc lithotr-stent tib/per (C9773) |
$32,774.70 |
$46,821 |
1.7× |
| Revasc lithotrip tibi/perone (C9772) |
$27,661.20 |
$39,516 |
2.3× |
| Revasc lithotrip-stent-ather (C9767) |
$29,456.70 |
$42,081 |
1.5× |
| Screen cerv/vag thin layer (G0123) |
$115.04 |
$164.34 |
5.7× |
| Screen pap by tech w md supv (P3000) |
$59.06 |
$84.36 |
3.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$34,101.90 |
$48,717 |
1.7× |
| Tcat insj perm dual chamber ldls pm compl sys (0795T) |
$32,647.30 |
$46,639 |
1.6× |
| Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg,… (0824T) |
$5,866.70 |
$8,381 |
1.8× |
| Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter… (0339T) |
$10,027.50 |
$14,325 |
1.7× |
| Trauma respons w/hosp criti (G0390) |
$4,830 |
$6,900 |
3.4× |
| Trim nail(s) (G0127) |
$143.50 |
$205 |
2.3× |
| Trluml perip athrc brchiocph (0237T) |
$18,356.80 |
$26,224 |
1.5× |
| Trluml perip athrc iliac art (0238T) |
$22,143.10 |
$31,633 |
1.1× |
| Trnscth renal symp denrv unl (0338T) |
$5,668.60 |
$8,098 |
0.9× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,048.90 |
$2,927 |
2.5× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,702.40 |
$2,432 |
2.1× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,150.10 |
$1,643 |
1.4× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,113 |
$1,590 |
1.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,680.30 |
$3,829 |
3.2× |
| Unsched dialysis esrd pt hos (G0257) |
$1,711.50 |
$2,445 |
2.4× |
| Visit esketamine 56m or less (G2082) |
$2,023.70 |
$2,891 |
1.9× |
| Visit esketamine, > 56m (G2083) |
$2,550.80 |
$3,644 |
1.5× |