| 2d tee w or w/o fol w/con,in (C8925) |
$3,175.80 |
$5,293 |
4.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,631.40 |
$2,719 |
2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$466.20 |
$777 |
1.3× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$32,234.46 |
$53,724.10 |
3.7× |
| Adm tocilizu covid-19 1st (M0249) |
$517.80 |
$863 |
1.2× |
| Adm tocilizu covid-19 2nd (M0250) |
$517.80 |
$863 |
1.2× |
| Admin hepatitis b vaccine (G0010) |
$82.20 |
$137 |
1.8× |
| Admin influenza virus vac (G0008) |
$82.20 |
$137 |
1.8× |
| Admin pneumococcal vaccine (G0009) |
$82.20 |
$137 |
1.8× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$61.20 |
$102 |
2.0× |
| Chemo extend iv infus w/pump (G0498) |
$793.80 |
$1,323 |
2.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$2,581.80 |
$4,303 |
7.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$2,323.80 |
$3,873 |
9.7× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$2,839.80 |
$4,733 |
8.1× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$1,446 |
$2,410 |
8.2× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$1,301.40 |
$2,169 |
12.4× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$1,590.60 |
$2,651 |
9.1× |
| Covid-19 lab test non-cdc (U0002) |
$77.40 |
$129 |
1.5× |
| Diab manage trn per indiv (G0108) |
$138.60 |
$231 |
2.5× |
| Direct refer hospital observ (G0379) |
$570 |
$950 |
1.0× |
| Drug test def 1-7 classes (G0480) |
$125.40 |
$209 |
1.1× |
| Drug test def 15-21 classes (G0482) |
$298.80 |
$498 |
1.5× |
| Drug test def 22+ classes (G0483) |
$370.80 |
$618 |
1.5× |
| Drug test def 8-14 classes (G0481) |
$235.20 |
$392 |
1.5× |
| Eia hiv-1/hiv-2 screen (G0432) |
$69.60 |
$116 |
3.6× |
| Elec stim other than wound (G0283) |
$136.20 |
$227 |
10.7× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$30,014.06 |
$50,023.44 |
2.6× |
| Fecal blood scrn immunoassay (G0328) |
$56.40 |
$94 |
3.1× |
| Fecal microbiota prep instil (G0455) |
$1,046.40 |
$1,744 |
1.1× |
| Fern test (Q0114) |
$19.80 |
$33 |
2.0× |
| Group train w/o patient (G0543) |
$23.40 |
$39 |
0.8× |
| Hbot, full body chamber, 30m (G0277) |
$880.80 |
$1,468 |
6.4× |
| Hep c screen high risk/other (G0472) |
$79.80 |
$133 |
1.7× |
| Hepb screen high risk indiv (G0499) |
$94.80 |
$158 |
3.4× |
| Hiv combination assay (G0475) |
$57.79 |
$96.32 |
2.4× |
| Hospital outpt clinic visit (G0463) |
$656.10 |
$1,093.50 |
4.9× |
| Hpv combo assay ca screen (G0476) |
$58.20 |
$97 |
1.7× |
| Inj for sacroiliac jt anesth (G0260) |
$6,070.08 |
$10,116.78 |
8.6× |
| Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed,… (0744T) |
$5,200.20 |
$8,667 |
0.9× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$498.60 |
$831 |
4.1× |
| Mnt subs tx for change dx (G0270) |
$69.60 |
$116 |
2.2× |
| Mra w/cont, chest (C8909) |
$1,519.80 |
$2,533 |
4.3× |
| Mra w/cont, pelvis (C8918) |
$1,707.60 |
$2,846 |
4.9× |
| Mra w/o cont, abd (C8901) |
$1,586.40 |
$2,644 |
6.6× |
| Mra w/o cont, chest (C8910) |
$1,736.40 |
$2,894 |
7.3× |
| Mra w/o cont, pelvis (C8919) |
$1,590.60 |
$2,651 |
6.7× |
| Mra w/o fol w/cont, abd (C8902) |
$2,157 |
$3,595 |
6.2× |
| Mra w/o fol w/cont, chest (C8911) |
$2,364 |
$3,940 |
6.8× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,618.20 |
$2,697 |
4.6× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,121 |
$3,535 |
6.1× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$2,098.20 |
$3,497 |
6.0× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,840.20 |
$3,067 |
5.3× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,357 |
$5,595 |
9.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,554.60 |
$2,591 |
4.4× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$771.60 |
$1,286 |
1.4× |
| No pt prsnt train initial 30 (G0541) |
$97.20 |
$162 |
3.4× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) |
$1,869 |
$3,115 |
4.6× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
$484.80 |
$808 |
1.5× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$484.80 |
$808 |
1.5× |
| Pathogen test for platelets (P9100) |
$1,287.60 |
$2,146 |
21.8× |
| Perc d-e cor revasc chro sin (C9607) |
$42,478.27 |
$70,797.11 |
2.3× |
| Perc d-e cor revasc t cabg s (C9604) |
$29,243.83 |
$48,739.72 |
2.5× |
| Perc d-e cor stent ather s (C9602) |
$38,170.13 |
$63,616.89 |
2.1× |
| Perc drug-el cor stent sing (C9600) |
$33,449.75 |
$55,749.59 |
2.9× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$8,990.05 |
$14,983.41 |
1.2× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$7,480.20 |
$12,467 |
0.6× |
| Pet not otherwise specified (G0235) |
$858.60 |
$1,431 |
2.1× |
| Place device/marker, non pro (C9728) |
$8,827.04 |
$14,711.74 |
6.4× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$43.20 |
$72 |
1.2× |
| Prostate biopsy, any mthd (G0416) |
$742.80 |
$1,238 |
2.1× |
| Psa screening (G0103) |
$46.34 |
$77.24 |
2.4× |
| Qmrcp w/dx MRI same anatomy (0724T) |
$1,095.60 |
$1,826 |
1.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$789.60 |
$1,316 |
1.1× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$358.20 |
$597 |
1.7× |
| Revasc intra lithotrip-ather (C9766) |
$60,881.59 |
$101,469.31 |
3.3× |
| Revasc intra lithotrip-stent (C9765) |
$44,985 |
$74,975 |
2.4× |
| Revasc intravasc lithotripsy (C9764) |
$46,181.66 |
$76,969.44 |
4.0× |
| Revasc lithotrip tibi/perone (C9772) |
$35,570.98 |
$59,284.97 |
3.1× |
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T)
unusually low: confirm this is the full procedure |
$8,194.20 |
$13,657 |
0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$127.20 |
$212 |
4.8× |
| Screen cerv/vag thin layer (G0123) |
$72.60 |
$121 |
3.6× |
| Screen pap by tech w md supv (P3000) |
$32.40 |
$54 |
1.7× |
| Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient (0065U) |
$34.80 |
$58 |
1.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$50,635.15 |
$84,391.91 |
2.6× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$52,758.16 |
$87,930.26 |
2.7× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$37,178.85 |
$61,964.75 |
1.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$77,411.83 |
$129,019.71 |
4.0× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$3,006 |
$5,010 |
1.0× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$3,534.60 |
$5,891 |
1.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$11,277.60 |
$18,796 |
0.6× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
unusually low: confirm this is the full procedure |
$9,108.60 |
$15,181 |
0.5× |
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
unusually low: confirm this is the full procedure |
$9,108.60 |
$15,181 |
0.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$4,622.40 |
$7,704 |
0.8× |
| Tomosynthesis, mammo (G0279) |
$30 |
$50 |
2.4× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$39,869.99 |
$66,449.99 |
2.2× |
| Tte w or w/o fol w/con,stres (C8928) |
$4,407 |
$7,345 |
5.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$5,880.60 |
$9,801 |
7.5× |
| Unsched dialysis esrd pt hos (G0257) |
$875.40 |
$1,459 |
1.3× |