| 2d tee w or w/o fol w/con,in (C8925) |
$3,371 |
$3,371 |
3.4× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) |
$372 |
$372 |
1.2× |
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) unusually low: confirm this is the full procedure |
$5,000 |
$5,000 |
0.4× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$9,332 |
$9,332 |
1.9× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$3,478 |
$3,478 |
1.4× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$11,301 |
$11,301 |
1.0× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$1,435 |
$1,435 |
0.6× |
| Adm tocilizu covid-19 1st (M0249) |
$3,186 |
$3,186 |
5.8× |
| Adm tocilizu covid-19 2nd (M0250) |
$3,186 |
$3,186 |
5.8× |
| Admin hepatitis b vaccine (G0010) |
$113 |
$113 |
1.9× |
| Admin influenza virus vac (G0008) |
$113 |
$113 |
1.9× |
| Admin pneumococcal vaccine (G0009) |
$113 |
$113 |
1.9× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) |
$98 |
$98 |
0.6× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) |
$98 |
$98 |
0.6× |
| Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) |
$1,001 |
$1,001 |
1.3× |
| Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) |
$1,001 |
$1,001 |
1.3× |
| Ca screen;flexi sigmoidscope (G0104) |
$895 |
$895 |
0.8× |
| Chemo extend iv infus w/pump (G0498) |
$1,497 |
$1,497 |
3.6× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,635 |
$1,635 |
1.4× |
| Colorectal scrn; hi risk ind (G0105) |
$2,796 |
$2,796 |
2.4× |
| CT breast w/3d rendering uni with contrast (0634T) |
$2,540 |
$2,540 |
11.6× |
| CT breast w/3d rendering uni without contrast (0633T) |
$2,454 |
$2,454 |
18.8× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) |
$2,708 |
$2,708 |
12.4× |
| Drug test def 1-7 classes (G0480) |
$425 |
$425 |
3.7× |
| Esd endoscopy or colonoscopy (C9779) |
$5,714 |
$5,714 |
1.2× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) |
$12,350 |
$12,350 |
1.6× |
| Fecal microbiota prep instil (G0455) |
$585 |
$585 |
0.5× |
| Flt3 gene int tandem dupl variants quantitative (0046U) |
$4,545 |
$4,545 |
11.2× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) |
$678 |
$678 |
0.7× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$26,922 |
$26,922 |
1.3× |
Hospital outpt clinic visit (G0463) range across 10 matching MRF lines |
$442–$4,751 |
$442–$4,751 |
varies |
| Inj for sacroiliac jt anesth (G0260) |
$5,406 |
$5,406 |
6.1× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$3,311 |
$3,311 |
3.0× |
| Ire Abltj 1+Tum Organ Perq (0600T) |
$30,812 |
$30,812 |
2.3× |
| Lev 1 hosp type b ed visit (G0380) |
$1,150 |
$1,150 |
12.4× |
| Lev 2 hosp type b ed visit (G0381) |
$1,801 |
$1,801 |
15.5× |
| Lev 3 hosp type b ed visit (G0382) |
$3,627 |
$3,627 |
16.9× |
| Lev 4 hosp type b ed visit (G0383) |
$5,378 |
$5,378 |
16.3× |
| Lev 5 hosp type b ed visit (G0384) |
$7,660 |
$7,660 |
14.9× |
| Mra w/cont, abd (C8900) |
$6,467 |
$6,467 |
14.8× |
| Mra w/cont, lwr ext (C8912) |
$549 |
$549 |
1.3× |
| Mra w/cont, pelvis (C8918) |
$7,279 |
$7,279 |
16.7× |
| Mra w/o cont, abd (C8901) |
$6,467 |
$6,467 |
21.7× |
| Mra w/o cont, lwr ext (C8913) |
$372 |
$372 |
1.2× |
| Mra w/o cont, pelvis (C8919) |
$7,279 |
$7,279 |
24.4× |
| Mra w/o fol w/cont, abd (C8902) |
$6,467 |
$6,467 |
14.8× |
| Mra w/o fol w/cont, chest (C8911) |
$7,279 |
$7,279 |
16.7× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$7,279 |
$7,279 |
16.7× |
| Mra w/o fol w/cont, pelvis (C8920) |
$7,279 |
$7,279 |
16.7× |
| Mra, w/dye, upper extremity (C8934) |
$7,279 |
$7,279 |
16.7× |
| Mri w/cont, breast, bi (C8906) |
$7,589 |
$7,589 |
17.4× |
| Mri w/cont, breast, uni (C8903) |
$6,101 |
$6,101 |
27.9× |
| Mri w/o fol w/cont, breast, (C8908) |
$7,589 |
$7,589 |
17.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$6,467 |
$6,467 |
14.8× |
| Neuro csf prion prtn qual (0035U) |
$1,182 |
$1,182 |
2.2× |
| Njx bone sub matrl into subchondral bone defect (0707T) |
$5,158 |
$5,158 |
1.3× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$3,305 |
$3,305 |
3.0× |
| Njx platelet plasma (0232T) |
$661 |
$661 |
1.2× |
| Opto-acoustic img breast uni augmnt alys&reprt (0857T) |
$417 |
$417 |
3.2× |
Oth resp proc, indiv (G0238) range across 5 matching MRF lines |
$333–$396 |
$333–$396 |
varies |
| Pelvic ring fracture uni/bil (G0413) |
$8,734 |
$8,734 |
1.0× |
| Pemivibart infusion (M0224) |
$3,186 |
$3,186 |
5.8× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$21,193 |
$21,193 |
2.3× |
| Place device/marker, non pro (C9728) |
$4,354 |
$4,354 |
2.5× |
| Prolonged iv inf, req pump (C8957) |
$528 |
$528 |
2.0× |
| Prostate biopsy, any mthd (G0416) |
$9,127 |
$9,127 |
20.4× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) |
$1,765 |
$1,765 |
1.5× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) |
$1,765 |
$1,765 |
1.5× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$1,209 |
$1,209 |
1.5× |
| Quan CT tiss charac w/o CT (0721T) |
$1,209 |
$1,209 |
1.5× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$1,590 |
$1,590 |
1.4× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$1,462 |
$1,462 |
1.3× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$1,590 |
$1,590 |
1.4× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) |
$1,765 |
$1,765 |
5.9× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$1,765 |
$1,765 |
5.9× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$154 |
$154 |
1.4× |
| Revasc intra lithotrip-ather (C9766) |
$20,203 |
$20,203 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$20,203 |
$20,203 |
0.9× |
| Revasc intravasc lithotripsy (C9764) |
$10,101 |
$10,101 |
0.7× |
| Revasc lith-sten-ath tib/per (C9775) |
$32,501 |
$32,501 |
1.4× |
| Revasc lithotr-ather tib/per (C9774) |
$20,203 |
$20,203 |
0.9× |
| Revasc lithotrip tibi/perone (C9772) |
$10,101 |
$10,101 |
0.7× |
| Revasc lithotrip-stent-ather (C9767) |
$32,501 |
$32,501 |
1.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$451 |
$451 |
17.0× |
Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$201–$298 |
$201–$298 |
varies |
| Tpmt and Nudt15 Genotype (0034U) |
$1,020 |
$1,020 |
2.2× |
| Vasc emb/occ w/prs cath (C9797) |
$27,943 |
$27,943 |
1.2× |
| Visit to determ ldct elig (G0296) |
$153 |
$153 |
1.2× |