| 2019-ncov diagnostic p (U0001) |
$82.60 |
$118 |
2.3× |
Admin hepatitis b vaccine (G0010)
range across 3 matching MRF lines |
$55.11–$116.90 |
$78.72–$167 |
varies |
| Admin influenza virus vac (G0008) |
$116.90 |
$167 |
2.0× |
| Admin pneumococcal vaccine (G0009) |
$116.90 |
$167 |
2.0× |
| Annual alcohol screen 15 min (G0442) |
$81.90 |
$117 |
1.8× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$1,820 |
$2,600 |
39.1× |
| Brief alcohol misuse counsel (G0443) |
$208.60 |
$298 |
1.6× |
| Ca screen;pelvic/breast exam (G0101) |
$208.60 |
$298 |
1.6× |
| Cbc without platelet (G0307) |
$16.80 |
$24 |
2.6× |
| Cbc/diffwbc w/o platelet (G0306) |
$19.60 |
$28 |
2.5× |
| Depression screen annual (G0444) |
$81.90 |
$117 |
1.8× |
| Direct refer hospital observ (G0379) |
$1,505 |
$2,150 |
2.0× |
| Dstry eye lesn,fdr vssl tech (G0186) |
$2,020.93 |
$2,887.03 |
2.9× |
| Elec stim other than wound (G0283) |
$83.01 |
$118.58 |
6.5× |
| Elec stim unattend for press (G0281) |
$35.70 |
$51 |
3.1× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$29,140.30 |
$41,629 |
2.0× |
| Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) |
$319.20 |
$456 |
1.9× |
Followup eval of foot pt lop (G0246)
range across 2 matching MRF lines |
$96.94–$331.80 |
$138.48–$474 |
varies |
| Hbot, full body chamber, 30m (G0277) |
$582.07 |
$831.52 |
3.4× |
| Hepb screen high risk indiv (G0499) |
$65.10 |
$93 |
2.3× |
Initial foot exam pt lops (G0245)
range across 2 matching MRF lines |
$96.94–$331.80 |
$138.48–$474 |
varies |
| Injection posterior chamber eye medication (0699T) |
$5,928.30 |
$8,469 |
2.1× |
Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system… (0680T)
likely a partial charge, not the full procedure |
$1,820 |
$2,600 |
0.1× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$62,638.10 |
$89,483 |
2.3× |
| Insj bioprostc vlv fem vn (0744T) |
$14,109.20 |
$20,156 |
2.0× |
| Insj Wcs Lv Eltrd Only (0516T) |
$22,407.70 |
$32,011 |
1.7× |
| Insj Wcs Lv Pg Compnt (0517T) |
$22,407.70 |
$32,011 |
1.7× |
| Interrog dev eval iims ip (0529T) |
$1,802.50 |
$2,575 |
38.7× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) |
$1,802.50 |
$2,575 |
49.9× |
| Interrogation device evaluation in person isdss (0685T) |
$1,820 |
$2,600 |
39.1× |
Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for… (0679T)
likely a partial charge, not the full procedure |
$1,820 |
$2,600 |
0.1× |
| Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) |
$158.20 |
$226 |
2.1× |
| Mra w/cont, lwr ext (C8912) |
$1,047.62 |
$1,496.59 |
2.4× |
| Mri w/cont, breast, bi (C8906) |
$3,485.40 |
$4,979.14 |
8.0× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,942.15 |
$4,203.06 |
6.8× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) |
$1,820 |
$2,600 |
6.8× |
| Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) |
$158.20 |
$226 |
2.1× |
| Obtaining screen pap smear (Q0091) |
$68.60 |
$98 |
1.9× |
| Pattern erg w/i&r (0509T) |
$769.30 |
$1,099 |
2.9× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$18,158 |
$25,940 |
2.0× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$18,158 |
$25,940 |
2.0× |
| Prgrmg dev eval iims ip (0528T) |
$1,802.50 |
$2,575 |
38.7× |
| Prgrmg device eval wrls car stimulator in person (0522T) |
$1,802.50 |
$2,575 |
38.7× |
| Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of… (0683T) |
$1,820 |
$2,600 |
39.1× |
| Prolonged iv inf, req pump (C8957) |
$913.50 |
$1,305 |
3.4× |
Psa screening (G0103)
range across 2 matching MRF lines |
$48.99–$50.45 |
$69.98–$72.07 |
varies |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$641.20 |
$916 |
0.6× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$411.25 |
$587.50 |
0.4× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$238.70 |
$341 |
2.2× |
| Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) |
$1,820 |
$2,600 |
0.4× |
| Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) |
$1,820 |
$2,600 |
0.4× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) |
$9,198.70 |
$13,141 |
0.7× |
| Rmvl Pg Compnt Wcs (0518T) |
$9,198.70 |
$13,141 |
2.0× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) |
$62,638.10 |
$89,483 |
4.8× |
Routine footcare pt w lops (G0247)
range across 2 matching MRF lines |
$111.86–$496.30 |
$159.79–$709 |
varies |
Smmg cncrnt appl imu snr (0778T)
range across 2 matching MRF lines |
$399.22–$399.70 |
$570.31–$571 |
varies |
Tc Auricular Nstimj Setup Calibration &Pt Educaj (0783T)
range across 2 matching MRF lines |
$399.22–$399.70 |
$570.31–$571 |
varies |
Tc mag stimj pn 1st tx 1nrv (0766T)
range across 2 matching MRF lines |
$399.22–$399.70 |
$570.31–$571 |
varies |
| Trauma respons w/hosp criti (G0390) |
$3,161.20 |
$4,516 |
1.9× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$29,140.30 |
$41,629 |
2.0× |
Tte w or w/o contr, cont ecg (C8930)
range across 2 matching MRF lines |
$2,033.41–$2,033.50 |
$2,904.87–$2,905 |
varies |
Tte w or wo fol wcon,doppler (C8929)
range across 2 matching MRF lines |
$2,033.41–$2,033.50 |
$2,904.87–$2,905 |
varies |