| 2d tee w or w/o fol w/con,in (C8925) |
$1,848.70 |
$2,641 |
2.2× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,997.10 |
$2,853 |
2.4× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,383.90 |
$1,977 |
3.7× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$10,148.60 |
$14,498 |
1.1× |
| Adm tocilizu covid-19 1st (M0249) |
$1,575 |
$2,250 |
3.3× |
| Admin hepatitis b vaccine (G0010) |
$50.40 |
$72 |
1.0× |
| Admin influenza virus vac (G0008) |
$42.70 |
$61 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$42.70 |
$61 |
0.9× |
| Asstv alg ECG rsk asmt prev (0765T) |
$282.10 |
$403 |
2.0× |
| Behavior counsel obesity 15m (G0447) |
$105 |
$150 |
1.0× |
| Ca screen;flexi sigmoidscope (G0104) |
$2,432.50 |
$3,475 |
2.4× |
| Colon ca scrn not hi rsk ind (G0121) |
$3,198.30 |
$4,569 |
3.2× |
| Colorectal scrn; hi risk ind (G0105) |
$3,220 |
$4,600 |
3.2× |
| Comt gene analysis c.472g>a variant (0032U) |
$856.10 |
$1,223 |
4.9× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$1,420.30 |
$2,029 |
2.1× |
| Direct refer hospital observ (G0379) |
$116.90 |
$167 |
0.2× |
Drug test def 1-7 classes (G0480)
range across 26 matching MRF lines |
$68.60–$257.60 |
$98–$368 |
varies |
| Drug test def 22+ classes (G0483) |
$405.30 |
$579 |
1.6× |
| Drug test def 8-14 classes (G0481) |
$289.80 |
$414 |
1.9× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) |
$1,959.30 |
$2,799 |
1.0× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
$3,878.70 |
$5,541 |
0.9× |
| Endo defect closure gi tract (C9901) |
$22,791.30 |
$32,559 |
2.0× |
| Endo outlet restrict w/tube (C9785) |
$17,566.50 |
$25,095 |
1.5× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$76,619.20 |
$109,456 |
1.6× |
| Esd endoscopy or colonoscopy (C9779) |
$6,483.40 |
$9,262 |
1.6× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$23,851.10 |
$34,073 |
1.9× |
| Extraction erupted tooth/exr (D7140) |
$328.30 |
$469 |
0.5× |
| Fern test (Q0114) |
$32.90 |
$47 |
3.4× |
| Hbot, full body chamber, 30m (G0277) |
$747.60 |
$1,068 |
5.1× |
| High-resolution gastric electrophysiology mapg (0868T) |
$1,161.30 |
$1,659 |
2.9× |
| Home sleep test/type 4 porta (G0400) |
$692.30 |
$989 |
3.0× |
| Hospital outpt clinic visit (G0463) |
$201.60 |
$288 |
1.4× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
$120.40 |
$172 |
2.8× |
| Inj for sacroiliac jt anesth (G0260) |
$2,727.20 |
$3,896 |
3.6× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$18,116.70 |
$25,881 |
2.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$60,389.70 |
$86,271 |
1.8× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$70,185.50 |
$100,265 |
2.1× |
| Instlj fecal microbiota ssp (0780T) |
$266.70 |
$381 |
1.9× |
| Intens behave ther cardio dx (G0446) |
$47.60 |
$68 |
1.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$357 |
$510 |
2.9× |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) |
$2,890.30 |
$4,129 |
2.1× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) |
$716.10 |
$1,023 |
2.2× |
Neuro csf prion prtn qual (0035U)
range across 2 matching MRF lines |
$447.30–$466.90 |
$639–$667 |
varies |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$1,663.90 |
$2,377 |
1.8× |
| Njx platelet plasma (0232T) |
$5,433.40 |
$7,762 |
11.3× |
| Non-blind interatrial shunt (C9760) |
$60,200.70 |
$86,001 |
2.1× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$380.10 |
$543 |
1.2× |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) |
$6,304.20 |
$9,006 |
2.1× |
| Oth resp proc, group (G0239) |
$149.10 |
$213 |
3.7× |
| Pathogen test for platelets (P9100) |
$1,036.70 |
$1,481 |
16.4× |
| Pef bronch ablt 3d nav ebus (C8005) |
$38,548.30 |
$55,069 |
2.1× |
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure |
$7,501.20 |
$10,716 |
0.4× |
| Perc d-e cor revasc t cabg s (C9604) |
$7,501.20 |
$10,716 |
0.6× |
| Perc d-e cor stent ather s (C9602) |
$17,039.40 |
$24,342 |
0.9× |
| Perc drug-el cor stent sing (C9600) |
$10,000.90 |
$14,287 |
0.8× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) |
$39,308.50 |
$56,155 |
2.0× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$9,764.30 |
$13,949 |
1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$7,732.90 |
$11,047 |
1.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$12,481 |
$17,830 |
1.0× |
Place device/marker, non pro (C9728)
range across 2 matching MRF lines |
$3,132.50–$3,236.10 |
$4,475–$4,623 |
varies |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$2,227.40 |
$3,182 |
2.4× |
| Prolonged iv inf, req pump (C8957) |
$922.60 |
$1,318 |
4.0× |
| Psa screening (G0103) |
$134.40 |
$192 |
7.0× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$2,093.70 |
$2,991 |
2.1× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$192.50 |
$275 |
2.1× |
| Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee,… (0350T) |
$134.40 |
$192 |
1.4× |
| Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist,… (0349T) |
$564.20 |
$806 |
5.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$613.20 |
$876 |
0.9× |
| Re-cement or re-bond crown (D2920) |
$3,639.30 |
$5,199 |
5.3× |
| Revasc intra lithotrip-ather (C9766) |
$20,512.80 |
$29,304 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$13,102.60 |
$18,718 |
0.7× |
| Revasc intravasc lithotripsy (C9764) |
$12,307.40 |
$17,582 |
1.0× |
Revasc lith-sten-ath tib/per (C9775)
likely a partial charge, not the full procedure |
$1,314.60 |
$1,878 |
0.1× |
| Revasc lithotr-ather tib/per (C9774) |
$16,375.80 |
$23,394 |
0.8× |
| Revasc lithotr-stent tib/per (C9773) |
$16,375.80 |
$23,394 |
0.8× |
| Revasc lithotrip tibi/perone (C9772) |
$15,291.50 |
$21,845 |
1.2× |
| Revasc lithotrip-stent-ather (C9767) |
$16,375.80 |
$23,394 |
0.8× |
| Rx Metab Advrs Trgt Seq Alys (0029U) |
$1,558.90 |
$2,227 |
2.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$91 |
$130 |
3.4× |
| Sim ang w/prs cath rad emb (C8004) |
$24,825.50 |
$35,465 |
2.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$39,480.70 |
$56,401 |
1.9× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$42,288.40 |
$60,412 |
2.0× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$41,748 |
$59,640 |
2.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$42,288.40 |
$60,412 |
2.0× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$12,825.40 |
$18,322 |
2.1× |
| Tomosynthesis, mammo (G0279) |
$95.90 |
$137 |
7.6× |
| Tpmt and Nudt15 Genotype (0034U) |
$420 |
$600 |
0.9× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$10,423 |
$14,890 |
1.7× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$8,452.50 |
$12,075 |
2.4× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$24,825.50 |
$35,465 |
2.0× |
| Tte w or w/o contr, cont ecg (C8930) |
$4,760 |
$6,800 |
5.7× |
| Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal… (0060U) |
$1,593.90 |
$2,277 |
2.1× |
| Unsched dialysis esrd pt hos (G0257) |
$1,262.80 |
$1,804 |
1.7× |
| Vasc emb/occ w/prs cath (C9797) |
$31,976 |
$45,680 |
1.6× |