| 2d tee w or w/o fol w/con,in (C8925) |
$1,870.05 |
$2,877 |
2.4× |
| 2d tte w or w/o fol w/con,co (C8923) |
$2,486.25 |
$3,825 |
3.2× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,564.55 |
$2,407 |
4.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$8,306.35 |
$12,779 |
4.2× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$10,078.90 |
$15,506 |
1.1× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$13,608.40 |
$20,936 |
7.0× |
| Adm tocilizu covid-19 1st (M0249) |
$412.10 |
$634 |
0.9× |
| Adm tocilizu covid-19 2nd (M0250) |
$490.10 |
$754 |
1.1× |
| Admin hepatitis b vaccine (G0010) |
$51.35 |
$79 |
1.1× |
| Admin influenza virus vac (G0008) |
$56.55 |
$87 |
1.2× |
| Admin pneumococcal vaccine (G0009) |
$51.35 |
$79 |
1.1× |
| Alcohol/subs interv 15-30mn (G0396) |
$100.75 |
$155 |
2.7× |
| Alcohol/subs interv >30 min (G0397) |
$213.85 |
$329 |
1.2× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$40.95 |
$63 |
1.3× |
| Catheterize for urine spec (P9612) |
$57.20 |
$88 |
6.1× |
| Chemo extend iv infus w/pump (G0498) |
$737.10 |
$1,134 |
2.2× |
| Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) |
$2,824.25 |
$4,345 |
1.2× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$599.30 |
$922 |
3.4× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$714.35 |
$1,099 |
1.1× |
| Diab manage trn per indiv (G0108) |
$144.30 |
$222 |
2.6× |
| Diab manage trn ind/group (G0109) |
$91.65 |
$141 |
5.7× |
| Direct refer hospital observ (G0379) |
$403.65 |
$621 |
0.7× |
| Ekg tracing for initial prev (G0404) |
$115.70 |
$178 |
4.0× |
| Endo defect closure gi tract (C9901) |
$9,433.45 |
$14,513 |
0.9× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) |
$3,984.50 |
$6,130 |
5.4× |
| Hbot, full body chamber, 30m (G0277) |
$693.55 |
$1,067 |
5.0× |
| Ig paraprotein qual bld/ur (0077U) |
$179.40 |
$276 |
4.1× |
| Initial preventive exam (G0402) |
$133.90 |
$206 |
1.0× |
| Inj for sacroiliac jt anesth (G0260) |
$2,428.72 |
$3,736.50 |
3.4× |
Insertion perm ccm-d system pulse generator only (0916T)
likely a partial charge, not the full procedure |
$5,786.95 |
$8,903 |
0.3× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$5,786.95 |
$8,903 |
0.7× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$5,786.95 |
$8,903 |
0.7× |
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T)
likely a partial charge, not the full procedure |
$5,786.95 |
$8,903 |
0.2× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$36,341.50 |
$55,910 |
1.2× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$5,835.70 |
$8,978 |
0.7× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$5,835.70 |
$8,978 |
0.7× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$16,315 |
$25,100 |
0.7× |
| Intens cardiac rehab no exer (G0423) |
$205.40 |
$316 |
1.6× |
| Intens cardiac rehab w/exerc (G0422) |
$328.25 |
$505 |
2.5× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$33.80 |
$52 |
0.9× |
| Intrav inf, toci, first dose (M0237) |
$377 |
$580 |
0.9× |
| Intrav inf, toci, second dos (M0238) |
$526.50 |
$810 |
1.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$228.15 |
$351 |
1.9× |
| Liver dis 10 assays w/nash (0003M) |
$473.20 |
$728 |
0.9× |
| Mra w/cont, abd (C8900) |
$1,737.45 |
$2,673 |
5.0× |
| Mra w/cont, chest (C8909) |
$1,274.65 |
$1,961 |
3.6× |
| Mra w/cont, lwr ext (C8912) |
$2,627.30 |
$4,042 |
7.5× |
| Mra w/cont, pelvis (C8918) |
$1,699.75 |
$2,615 |
4.9× |
| Mra w/o cont, abd (C8901) |
$1,605.50 |
$2,470 |
6.7× |
| Mra w/o cont, chest (C8910) |
$1,159.60 |
$1,784 |
4.9× |
| Mra w/o cont, lwr ext (C8913) |
$2,411.50 |
$3,710 |
10.1× |
| Mra w/o cont, pelvis (C8919) |
$1,615.25 |
$2,485 |
6.8× |
| Mra w/o fol w/cont, abd (C8902) |
$1,846.65 |
$2,841 |
5.3× |
| Mra w/o fol w/cont, chest (C8911) |
$1,596.40 |
$2,456 |
4.6× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,809.95 |
$4,323 |
8.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,795.30 |
$2,762 |
5.1× |
| Mri w/cont, breast, bi (C8906) |
$3,610.75 |
$5,555 |
10.3× |
| Mri w/cont, breast, uni (C8903) |
$2,225.60 |
$3,424 |
12.7× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,814.52 |
$5,868.50 |
10.9× |
| Mri w/o fol w/cont, brst, un (C8905) |
$2,888.60 |
$4,444 |
8.3× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) |
$59.80 |
$92 |
1.6× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$227.50 |
$350 |
0.4× |
| Oth resp proc, group (G0239) |
$159.25 |
$245 |
4.3× |
| Oth resp proc, indiv (G0238) |
$89.70 |
$138 |
3.1× |
| Pathogen test for platelets (P9100) |
$56.55 |
$87 |
1.0× |
| Perc d-e cor revasc chro sin (C9607) |
$13,415.35 |
$20,639 |
0.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$16,123.25 |
$24,805 |
1.4× |
| Perc d-e cor stent ather s (C9602) |
$26,330.20 |
$40,508 |
1.4× |
| Perc drug-el cor stent sing (C9600) |
$20,974.20 |
$32,268 |
1.8× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$12,366.90 |
$19,026 |
1.7× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$5,839.60 |
$8,984 |
0.8× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$15,828.80 |
$24,352 |
1.4× |
| Place device/marker, non pro (C9728) |
$744.90 |
$1,146 |
0.5× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$132.60 |
$204 |
3.5× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$42.90 |
$66 |
1.1× |
| Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) |
$40.95 |
$63 |
1.1× |
| Psa screening (G0103) |
$159.90 |
$246 |
8.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$520 |
$800 |
0.7× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$564.85 |
$869 |
2.6× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$3,256.50 |
$5,010 |
1.6× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$3,256.50 |
$5,010 |
1.6× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$5,786.95 |
$8,903 |
2.8× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$3,094.65 |
$4,761 |
0.8× |
| Removal perm ccm-d system pulse generator only (0919T) |
$5,786.95 |
$8,903 |
1.5× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$3,256.50 |
$5,010 |
0.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$5,786.95 |
$8,903 |
9.2× |
| Revasc intra lithotrip-ather (C9766) |
$15,645.50 |
$24,070 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$13,861.90 |
$21,326 |
0.8× |
| Revasc intravasc lithotripsy (C9764) |
$8,773.05 |
$13,497 |
0.8× |
| Revasc lithotr-stent tib/per (C9773) |
$17,364.10 |
$26,714 |
0.9× |
| Revasc lithotrip tibi/perone (C9772) |
$13,686.40 |
$21,056 |
1.2× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) |
$5,786.95 |
$8,903 |
1.5× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$5,786.95 |
$8,903 |
1.5× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) |
$5,786.95 |
$8,903 |
1.5× |
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T)
likely a partial charge, not the full procedure |
$5,786.95 |
$8,903 |
0.3× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$73.45 |
$113 |
2.8× |
| Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) |
$5,786.95 |
$8,903 |
1.8× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$22,757.80 |
$35,012 |
1.2× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$22,757.80 |
$35,012 |
1.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$22,757.80 |
$35,012 |
1.2× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$2,606.50 |
$4,010 |
0.8× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$2,606.50 |
$4,010 |
0.8× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$2,606.50 |
$4,010 |
0.8× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
likely a partial charge, not the full procedure |
$2,606.50 |
$4,010 |
0.1× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
likely a partial charge, not the full procedure |
$2,606.50 |
$4,010 |
0.1× |
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
likely a partial charge, not the full procedure |
$2,606.50 |
$4,010 |
0.1× |
| Tomosynthesis, mammo (G0279) |
$113.75 |
$175 |
9.0× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$2,045.55 |
$3,147 |
4.4× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$9,222.85 |
$14,189 |
0.8× |
| Trauma respons w/hosp criti (G0390) |
$8,821.15 |
$13,571 |
6.6× |
| Trluml Perip Athrc Renal Art (0234T) |
$18,313.75 |
$28,175 |
1.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$8,670.35 |
$13,339 |
0.7× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$16,493.75 |
$25,375 |
0.9× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,002 |
$3,080 |
2.5× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,728.70 |
$4,198 |
3.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,125.20 |
$4,808 |
4.0× |
| Unsched dialysis esrd pt hos (G0257) |
$1,027 |
$1,580 |
1.5× |
| Visit to determ ldct elig (G0296) |
$20.80 |
$32 |
0.2× |