| 2d tee w or w/o fol w/con,in (C8925) |
$3,216.85 |
$4,949 |
4.1× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,444.95 |
$2,223 |
1.8× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,098.50 |
$1,690 |
3.1× |
| Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) |
$1,019.85 |
$1,569 |
0.6× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$9,418.50 |
$14,490 |
1.1× |
| Adm tocilizu covid-19 1st (M0249) |
$386.10 |
$594 |
0.9× |
| Adm tocilizu covid-19 2nd (M0250) |
$579.15 |
$891 |
1.3× |
| Admin hepatitis b vaccine (G0010) |
$87.75 |
$135 |
1.9× |
| Admin influenza virus vac (G0008) |
$74.10 |
$114 |
1.6× |
| Admin pneumococcal vaccine (G0009) |
$92.30 |
$142 |
2.0× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$61.75 |
$95 |
2.0× |
| Autolog prp not diab ulcer (G0460) |
$2,187.90 |
$3,366 |
1.1× |
| Ca screen;pelvic/breast exam (G0101) |
$125.45 |
$193 |
1.2× |
| Catheterize for urine spec (P9612) |
$126.10 |
$194 |
13.5× |
| Chemo extend iv infus w/pump (G0498) |
$704.60 |
$1,084 |
2.1× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$2,455.05 |
$3,777 |
7.0× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$2,431.65 |
$3,741 |
10.2× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$2,696.85 |
$4,149 |
7.7× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$1,731.60 |
$2,664 |
9.9× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$1,468.35 |
$2,259 |
14.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$2,208.05 |
$3,397 |
12.6× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$468.65 |
$721 |
2.7× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$554.45 |
$853 |
0.8× |
| Dental prophylaxis adult (D1110) |
$94.90 |
$146 |
0.7× |
| Diab manage trn per indiv (G0108) |
$104.65 |
$161 |
1.9× |
| Diab manage trn ind/group (G0109) |
$49.40 |
$76 |
3.1× |
| Direct refer hospital observ (G0379) |
$520 |
$800 |
0.9× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) |
$1,740.05 |
$2,677 |
0.9× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) |
$1,740.05 |
$2,677 |
0.9× |
| Endo defect closure gi tract (C9901) |
$8,995.35 |
$13,839 |
0.8× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure |
$15,322.45 |
$23,573 |
0.3× |
| Esophagogastroduodenoscopy , flexible, transoral, with volume adjustment of intragastric bariatric balloon (0813T) |
$2,156.05 |
$3,317 |
2.4× |
| Fecal microbiota prep instil (G0455) |
$505.05 |
$86 |
0.5× |
| Fern test (Q0114) |
$63.70 |
$98 |
6.5× |
| Gastrointestinal myoelectrical activity study, stomach through colon, with interpretation and report (0779T) |
$1,366.30 |
$2,102 |
3.7× |
| Hbot, full body chamber, 30m (G0277) |
$660.40 |
$1,016 |
4.8× |
Histotripsy mal hepatocellular tiss w/img gdn (0686T)
likely a partial charge, not the full procedure |
$4,548.05 |
$6,997 |
0.3× |
| Home sleep test/type 3 porta (G0399) |
$900.90 |
$1,386 |
4.2× |
| Ig paraprotein qual bld/ur (0077U) |
$190.45 |
$293 |
4.4× |
| Inj for sacroiliac jt anesth (G0260) |
$2,795.32 |
$4,300.50 |
4.0× |
| Instlj fecal microbiota ssp (0780T) |
$1,270.10 |
$1,954 |
9.5× |
| Intrav inf, toci, first dose (M0237) |
$421.20 |
$648 |
1.0× |
| Intrav inf, toci, second dos (M0238) |
$526.50 |
$810 |
1.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$254.15 |
$391 |
2.1× |
| Lev 1 hosp type b ed visit (G0380) |
$150.15 |
$231 |
2.0× |
| Lev 2 hosp type b ed visit (G0381) |
$192.40 |
$296 |
2.1× |
| Lev 3 hosp type b ed visit (G0382) |
$296.40 |
$456 |
1.7× |
| Lev 4 hosp type b ed visit (G0383) |
$470.60 |
$724 |
1.8× |
| Lev 5 hosp type b ed visit (G0384) |
$568.75 |
$875 |
1.4× |
| Liver dis 10 assays w/nash (0003M) |
$510.25 |
$785 |
1.0× |
| Mra w/cont, abd (C8900) |
$1,604.85 |
$2,469 |
4.6× |
| Mra w/cont, chest (C8909) |
$1,582.10 |
$2,434 |
4.5× |
| Mra w/cont, lwr ext (C8912) |
$3,286.40 |
$5,056 |
9.4× |
| Mra w/o cont, abd (C8901) |
$1,480.05 |
$2,277 |
6.2× |
| Mra w/o cont, chest (C8910) |
$1,409.20 |
$2,168 |
5.9× |
| Mra w/o cont, pelvis (C8919) |
$1,782.30 |
$2,742 |
7.5× |
| Mra w/o fol w/cont, abd (C8902) |
$2,002.65 |
$3,081 |
5.7× |
| Mra w/o fol w/cont, chest (C8911) |
$1,967.55 |
$3,027 |
5.6× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$3,986.45 |
$6,133 |
11.4× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,718.30 |
$4,182 |
7.8× |
| Mra, w/dye, spinal canal (C8931) |
$482.95 |
$743 |
1.4× |
| Mra, w/o dye, spinal canal (C8932) |
$418.60 |
$644 |
1.8× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$536.25 |
$825 |
1.5× |
| Mri w/cont, breast, bi (C8906) |
$1,925.30 |
$2,962 |
5.5× |
| Mri w/cont, breast, uni (C8903) |
$1,358.50 |
$2,090 |
7.7× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,548 |
$3,920 |
7.3× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,731.60 |
$2,664 |
5.0× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$149.50 |
$230 |
0.3× |
| Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography… (0712T) |
$1,282.45 |
$1,973 |
5.9× |
| Obtaining screen pap smear (Q0091) |
$96.20 |
$148 |
3.3× |
| Opps service,sched team conf (G0175) |
$300.30 |
$462 |
0.7× |
| Oth resp proc, group (G0239) |
$167.70 |
$258 |
4.5× |
| Oth resp proc, indiv (G0238) |
$62.40 |
$96 |
2.2× |
| Pathogen test for platelets (P9100) |
$54.60 |
$84 |
0.9× |
| Perc d-e cor revasc chro sin (C9607) |
$12,526.15 |
$19,271 |
0.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$11,186.50 |
$17,210 |
1.0× |
| Perc d-e cor stent ather s (C9602) |
$12,322.70 |
$18,958 |
0.7× |
| Perc drug-el cor stent sing (C9600) |
$10,769.85 |
$16,569 |
0.9× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) |
$8,854.95 |
$13,623 |
0.7× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$12,807.60 |
$19,704 |
1.0× |
| Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart… (0793T) |
$10,718.50 |
$16,490 |
0.6× |
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
likely a partial charge, not the full procedure |
$62.40 |
$96 |
0.0× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,227.30 |
$8,042 |
0.7× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$5,847.40 |
$8,996 |
0.8× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$14,389.70 |
$22,138 |
1.2× |
| Place device/marker, non pro (C9728) |
$1,389.70 |
$2,138 |
1.0× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$141.05 |
$217 |
3.8× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$125.45 |
$193 |
3.4× |
| Prolonged iv inf, req pump (C8957) |
$814.45 |
$1,253 |
3.8× |
| Psa screening (G0103) |
$141.05 |
$217 |
7.3× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$1,359.80 |
$2,092 |
1.5× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$1,197.30 |
$1,842 |
1.3× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$338.65 |
$521 |
3.9× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$527.80 |
$812 |
0.7× |
| Revasc intra lithotrip-stent (C9765) |
$16,497 |
$25,380 |
0.9× |
| Revasc intravasc lithotripsy (C9764) |
$6,500 |
$10,000 |
0.6× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$98.80 |
$152 |
3.7× |
| Tactile breast imaging by computer-aided tactile sensors, unilateral or bilateral Other Diagnostic Radiology FS (0422T) |
$514.80 |
$792 |
5.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$24,163.75 |
$37,175 |
1.3× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$25,435.80 |
$39,132 |
1.3× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$24,163.75 |
$37,175 |
1.3× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$25,435.80 |
$39,132 |
1.3× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$4,580.55 |
$7,047 |
1.4× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$2,819.70 |
$4,338 |
0.9× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$2,819.70 |
$4,338 |
0.9× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$1,978.60 |
$3,044 |
0.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$24,163.75 |
$37,175 |
1.3× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
likely a partial charge, not the full procedure |
$2,967.90 |
$4,566 |
0.2× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
likely a partial charge, not the full procedure |
$2,819.70 |
$4,338 |
0.1× |
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
likely a partial charge, not the full procedure |
$2,819.70 |
$4,338 |
0.1× |
| Therapeutic procd strg endur (G0237) |
$71.50 |
$110 |
2.5× |
| Tomosynthesis, mammo (G0279) |
$78 |
$120 |
6.1× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$406.90 |
$626 |
0.9× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$10,149.10 |
$15,614 |
1.8× |
| Transcatheter renal sympath denervation unilat (0338T) |
$8,284.90 |
$12,746 |
1.5× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$7,150 |
$11,000 |
0.6× |
| Trauma respons w/hosp criti (G0390) |
$6,314.10 |
$9,714 |
4.7× |
| Trluml Perip Athrc Renal Art (0234T) |
$11,082.50 |
$17,050 |
1.0× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$9,844.25 |
$15,145 |
0.9× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$11,392.55 |
$17,527 |
0.6× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,321.15 |
$3,571 |
3.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,800.20 |
$4,308 |
3.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,098.55 |
$4,767 |
3.9× |
| Unsched dialysis esrd pt hos (G0257) |
$1,086.80 |
$1,672 |
1.6× |
| Visit to determ ldct elig (G0296) |
$20.15 |
$31 |
0.2× |