| 2d tee w or w/o fol w/con,in (C8925) |
$2,100.75 |
$2,801 |
2.6× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,448.25 |
$1,931 |
1.8× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,668.75 |
$2,225 |
4.7× |
| Adm tocilizu covid-19 1st (M0249) |
$886.50 |
$1,182 |
2.0× |
| Adm tocilizu covid-19 2nd (M0250) |
$886.50 |
$1,182 |
2.0× |
| Admin hepatitis b vaccine (G0010) |
$46.50 |
$62 |
1.0× |
| Admin influenza virus vac (G0008) |
$46.50 |
$62 |
1.0× |
| Admin pneumococcal vaccine (G0009) |
$46.50 |
$62 |
1.0× |
| Blind interatrial shunt ide (C9758) |
$30,702 |
$40,936 |
1.8× |
| Chemo extend iv infus w/pump (G0498) |
$920.25 |
$1,227 |
2.7× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$1,037.25 |
$1,383 |
2.9× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$648 |
$864 |
2.7× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$1,037.25 |
$1,383 |
2.9× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$503.25 |
$671 |
2.8× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$308.25 |
$411 |
2.9× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$503.25 |
$671 |
2.8× |
| Diab manage trn per indiv (G0108) |
$138 |
$184 |
2.5× |
| Diab manage trn ind/group (G0109) |
$67.50 |
$90 |
4.2× |
| Direct refer hospital observ (G0379) |
$306 |
$408 |
0.5× |
| Drug test def 1-7 classes (G0480) |
$405 |
$540 |
3.5× |
| Drug test def 15-21 classes (G0482) |
$525.75 |
$701 |
2.6× |
| Drug test def 22+ classes (G0483) |
$600.75 |
$801 |
2.4× |
| Drug test def 8-14 classes (G0481) |
$431.62 |
$575.50 |
2.8× |
| Ekg tracing for initial prev (G0404) |
$108.75 |
$145 |
3.7× |
| Elec stim other than wound (G0283) |
$219 |
$292 |
17.3× |
| Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) |
$8,364 |
$11,152 |
2.6× |
| Fecal blood scrn immunoassay (G0328) |
$114.75 |
$153 |
6.4× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
$4,072.50 |
$5,430 |
5.8× |
| Hepb screen high risk indiv (G0499) |
$85.50 |
$114 |
3.0× |
| Home sleep test/type 3 porta (G0399) |
$699.75 |
$933 |
3.2× |
| Home sleep test/type 4 porta (G0400) |
$666.75 |
$889 |
3.0× |
| Hospital outpt clinic visit (G0463) |
$224.25 |
$299 |
1.7× |
| Inj for sacroiliac jt anesth (G0260) |
$2,188.12 |
$2,917.50 |
3.1× |
| Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) |
$18,600.75 |
$24,801 |
2.2× |
| Insertion/replacement complete iims (0525T) |
$21,621 |
$28,828 |
1.1× |
| Insertion/replacement iims implantable mntr only (0527T) |
$11,087.25 |
$14,783 |
1.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$53,570.25 |
$71,427 |
1.7× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$20,449.50 |
$27,266 |
2.4× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$20,449.50 |
$27,266 |
2.4× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$38,109.75 |
$50,813 |
1.7× |
| Instlj fecal microbiota ssp (0780T) |
$288 |
$384 |
2.1× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$294 |
$392 |
7.8× |
| Interrog dev eval iims ip (0529T) |
$294 |
$392 |
7.8× |
| Mra w/cont, abd (C8900) |
$5,654.25 |
$7,539 |
16.0× |
| Mra w/cont, chest (C8909) |
$5,654.25 |
$7,539 |
16.0× |
| Mra w/cont, lwr ext (C8912) |
$8,476.50 |
$11,302 |
23.9× |
| Mra w/cont, pelvis (C8918) |
$5,654.25 |
$7,539 |
16.0× |
| Mra w/o cont, abd (C8901) |
$4,989.75 |
$6,653 |
20.6× |
| Mra w/o cont, chest (C8910) |
$4,989.75 |
$6,653 |
20.6× |
| Mra w/o cont, lwr ext (C8913) |
$7,486.50 |
$9,982 |
30.9× |
| Mra w/o cont, pelvis (C8919) |
$4,989.75 |
$6,653 |
20.6× |
| Mra w/o fol w/cont, abd (C8902) |
$6,133.50 |
$8,178 |
17.3× |
| Mra w/o fol w/cont, chest (C8911) |
$6,133.50 |
$8,178 |
17.3× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$9,202.12 |
$12,269.50 |
26.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$6,133.50 |
$8,178 |
17.3× |
| Mra, w/dye, spinal canal (C8931) |
$5,135.25 |
$6,847 |
14.5× |
| Mra, w/dye, upper extremity (C8934) |
$7,703.62 |
$10,271.50 |
21.7× |
| Mra, w/o dye, spinal canal (C8932) |
$4,989.75 |
$6,653 |
20.6× |
| Mra, w/o dye, upper extr (C8935) |
$7,486.50 |
$9,982 |
30.9× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$5,577 |
$7,436 |
15.7× |
| Mra, w/o&w/dye, upper extr (C8936) |
$8,365.88 |
$11,154.50 |
23.6× |
| Mri w/cont, breast, bi (C8906) |
$10,564.50 |
$14,086 |
29.8× |
| Mri w/cont, breast, uni (C8903) |
$5,286 |
$7,048 |
29.7× |
| Mri w/o fol w/cont, breast, (C8908) |
$11,474.25 |
$15,299 |
32.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$5,735.25 |
$7,647 |
16.2× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$470.25 |
$627 |
0.9× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$2,712 |
$3,616 |
6.0× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) |
$2,844 |
$3,792 |
11.4× |
| Oth resp proc, group (G0239) |
$293.25 |
$391 |
7.7× |
| Oth resp proc, indiv (G0238) |
$72.75 |
$97 |
2.5× |
| Pathogen test for platelets (P9100) |
$96.75 |
$129 |
1.6× |
| Pemivibart infusion (M0224) |
$886.50 |
$1,182 |
2.0× |
| Perc d-e cor revasc chro sin (C9607) |
$28,521.75 |
$38,029 |
1.5× |
| Perc d-e cor revasc t cabg s (C9604) |
$27,163.50 |
$36,218 |
2.3× |
| Perc d-e cor stent ather s (C9602) |
$28,521.75 |
$38,029 |
1.5× |
| Perc drug-el cor stent sing (C9600) |
$27,163.50 |
$36,218 |
2.3× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$15,444 |
$20,592 |
2.1× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$10,296.75 |
$13,729 |
1.4× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$14,964 |
$19,952 |
1.3× |
| Place device/marker, non pro (C9728) |
$4,328.25 |
$5,771 |
3.1× |
| Ppps, subseq visit (G0439) |
$270 |
$360 |
2.0× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$2,355.75 |
$3,141 |
2.7× |
| Prgrmg dev eval iims ip (0528T) |
$294 |
$392 |
7.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$294 |
$392 |
7.8× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$294 |
$392 |
7.8× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$294 |
$392 |
7.8× |
| Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) |
$294 |
$392 |
7.8× |
| Prolonged iv inf, req pump (C8957) |
$886.50 |
$1,182 |
4.1× |
| Prostate biopsy, any mthd (G0416) |
$1,118.25 |
$1,491 |
3.1× |
| Psa screening (G0103) |
$139.12 |
$185.50 |
7.2× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$1,538.25 |
$2,051 |
2.4× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$2,600.25 |
$3,467 |
2.8× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$2,600.25 |
$3,467 |
2.8× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$2,600.25 |
$3,467 |
2.8× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$2,600.25 |
$3,467 |
2.8× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$342.75 |
$457 |
0.5× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$6,165 |
$8,220 |
2.9× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$8,394.75 |
$11,193 |
2.2× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$8,394.75 |
$11,193 |
2.2× |
| Removal complete iims (0530T) |
$11,083.50 |
$14,778 |
2.9× |
| Removal iims electrode only (0531T) |
$4,135.50 |
$5,514 |
1.1× |
| Removal iims implt mntr only (0532T) |
$7,227.75 |
$9,637 |
1.9× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$1,451.25 |
$1,935 |
2.3× |
| Revasc intra lithotrip-ather (C9766) |
$29,877 |
$39,836 |
1.6× |
| Revasc intra lithotrip-stent (C9765) |
$29,877 |
$39,836 |
1.6× |
| Revasc intravasc lithotripsy (C9764) |
$14,936.25 |
$19,915 |
1.3× |
| Revasc lith-sten-ath tib/per (C9775) |
$30,753.75 |
$41,005 |
1.7× |
| Revasc lithotr-ather tib/per (C9774) |
$30,753.75 |
$41,005 |
1.7× |
| Revasc lithotr-stent tib/per (C9773) |
$30,753.75 |
$41,005 |
1.7× |
| Revasc lithotrip tibi/perone (C9772) |
$19,227 |
$25,636 |
1.6× |
| Revasc lithotrip-stent-ather (C9767) |
$32,039.25 |
$42,719 |
1.7× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$38,109.75 |
$50,813 |
1.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$32,407.50 |
$43,210 |
1.7× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$32,407.50 |
$43,210 |
1.7× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$32,407.50 |
$43,210 |
1.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$32,407.50 |
$43,210 |
1.7× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$8,364 |
$11,152 |
2.6× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$8,364 |
$11,152 |
2.6× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$8,364 |
$11,152 |
2.6× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$8,364 |
$11,152 |
2.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$32,407.50 |
$43,210 |
1.7× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$32,407.50 |
$43,210 |
1.7× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
$32,407.50 |
$43,210 |
1.7× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$32,407.50 |
$43,210 |
1.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$13,401 |
$17,868 |
2.3× |
| Therapeutic procd strg endur (G0237) |
$116.25 |
$155 |
4.0× |
| Therapeutic ultrafiltration (0692T) |
$6,367.50 |
$8,490 |
4.0× |
| Tomosynthesis, mammo (G0279) |
$243 |
$324 |
19.1× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$17,665.50 |
$23,554 |
3.1× |
| Transcatheter renal sympath denervation unilat (0338T) |
$17,665.50 |
$23,554 |
3.1× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$29,845.50 |
$39,794 |
2.5× |
| Trauma respons w/hosp criti (G0390) |
$7,280.25 |
$9,707 |
5.4× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$3,228 |
$4,304 |
0.9× |
| Trluml Perip Athrc Renal Art (0234T) |
$29,845.50 |
$39,794 |
2.5× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$29,845.50 |
$39,794 |
2.5× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$29,845.50 |
$39,794 |
1.6× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,890 |
$2,520 |
2.4× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,910 |
$3,880 |
3.7× |
| Unsched dialysis esrd pt hos (G0257) |
$2,346.75 |
$3,129 |
3.4× |
| Vasc emb/occ w/prs cath (C9797) |
$36,020.25 |
$48,027 |
1.9× |
| Visit esketamine 56m or less (G2082) |
$2,853 |
$3,804 |
2.7× |
| Visit esketamine, > 56m (G2083) |
$4,589.25 |
$6,119 |
2.8× |
| Wet mounts/ w preparations (Q0111) |
$199.50 |
$266 |
10.8× |