| 2019-ncov diagnostic p (U0001) |
$63.60 |
$212 |
1.8× |
| 2d tte w or w/o fol w/con,co (C8923) |
$885.90 |
$2,953 |
1.1× |
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T)
unusually low: confirm this is the full procedure |
$3,291.30 |
$10,971 |
0.4× |
| Adm tocilizu covid-19 1st (M0249) |
$279.07 |
$930.25 |
0.6× |
| Adm tocilizu covid-19 2nd (M0250) |
$289.80 |
$966 |
0.6× |
| Admin hepatitis b vaccine (G0010) |
$62.10 |
$207 |
1.3× |
| Admin influenza virus vac (G0008) |
$42.39 |
$141.30 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$42.39 |
$141.30 |
0.9× |
| Autolog prp not diab ulcer (G0460) |
$1,038.30 |
$3,461 |
0.5× |
| Blind interatrial shunt ide (C9758) |
$10,945.80 |
$36,486 |
0.6× |
| Ca screen;flexi sigmoidscope (G0104) |
$865.20 |
$2,884 |
0.9× |
| Cardiac mri seg dys strain (C9762) |
$347.82 |
$1,159.40 |
0.6× |
| Cardiac mri seg dys stress (C9763) |
$316.20 |
$1,054 |
0.6× |
| Catheterize for urine spec (P9612) |
$53.10 |
$177 |
5.7× |
| Chemo extend iv infus w/pump (G0498) |
$712.47 |
$2,374.90 |
2.1× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,525.29 |
$5,084.30 |
1.6× |
| Colorectal scrn; hi risk ind (G0105) |
$1,525.29 |
$5,084.30 |
1.6× |
| Covid-19 lab test non-cdc (U0002) |
$72.90 |
$243 |
1.4× |
| Diab manage trn per indiv (G0108) |
$54.90 |
$183 |
1.0× |
| Diab manage trn ind/group (G0109) |
$32.40 |
$108 |
2.0× |
| Direct refer hospital observ (G0379) |
$139.80 |
$466 |
0.2× |
| Drug test def 1-7 classes (G0480) |
$153.04 |
$510.15 |
1.3× |
| Drug test def 15-21 classes (G0482) |
$125.10 |
$417 |
0.6× |
| Drug test def 22+ classes (G0483) |
$156.30 |
$521 |
0.6× |
| Drug test def 8-14 classes (G0481) |
$93.90 |
$313 |
0.6× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
$1,089.60 |
$3,632 |
0.3× |
| Elec stim other than wound (G0283) |
$62.10 |
$207 |
4.9× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure |
$8,149.20 |
$27,164 |
0.2× |
| Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) |
$3,689.40 |
$12,298 |
1.2× |
| Esd endoscopy or colonoscopy (C9779) |
$1,528.20 |
$5,094 |
0.4× |
| Esw integ wnd hlg 1st wnd (0512T) |
$129.60 |
$432 |
0.6× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$9,452.70 |
$31,509 |
0.8× |
| Extracorporeal shock wave muscskel sys nos (0101T) |
$1,862.10 |
$6,207 |
7.4× |
| Extraction erupted tooth/exr (D7140) |
$275.10 |
$917 |
0.4× |
| Fecal blood scrn immunoassay (G0328) |
$49.50 |
$165 |
2.7× |
| Group mnt 2 or more 30 mins (G0271) |
$16.80 |
$56 |
1.0× |
| Hbot, full body chamber, 30m (G0277) |
$720.60 |
$2,402 |
5.2× |
| Hpv combo assay ca screen (G0476) |
$128.10 |
$427 |
3.7× |
| Initial care training 30 m (G0539) |
$27 |
$90 |
0.5× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) |
$6,629.40 |
$22,098 |
0.6× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$6,629.40 |
$22,098 |
0.6× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$13,467.90 |
$44,893 |
0.6× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$19,885.20 |
$66,284 |
0.9× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$4,965.60 |
$16,552 |
0.6× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$4,965.60 |
$16,552 |
0.6× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$19,237.20 |
$64,124 |
0.6× |
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
unusually low: confirm this is the full procedure |
$14,543.40 |
$48,478 |
0.5× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$6,629.40 |
$22,098 |
0.8× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$6,629.40 |
$22,098 |
0.8× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$14,926.50 |
$49,755 |
0.7× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$116.70 |
$389 |
3.1× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$22.50 |
$75 |
0.6× |
| Interrog dev eval wcs ip (0521T) |
$225.60 |
$752 |
7.7× |
| Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system, remote data… (0949T) |
$22.50 |
$75 |
0.6× |
| Lev 1 hosp type b ed visit (G0380) |
$172.20 |
$574 |
2.3× |
| Lev 2 hosp type b ed visit (G0381) |
$278.40 |
$928 |
3.0× |
| Lev 3 hosp type b ed visit (G0382) |
$489.60 |
$1,632 |
2.8× |
| Lev 4 hosp type b ed visit (G0383) |
$704.10 |
$2,347 |
2.6× |
| Lev 5 hosp type b ed visit (G0384) |
$1,088.40 |
$3,628 |
2.6× |
| Liver dis 10 assays w/nash (0003M) |
$269.70 |
$899 |
0.5× |
| Mnt subs tx for change dx (G0270) |
$29.40 |
$98 |
0.9× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) |
$23.40 |
$78 |
0.6× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$456.30 |
$1,521 |
0.8× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$824.40 |
$2,748 |
1.8× |
| No pt prsnt train initial 30 (G0541) |
$27 |
$90 |
0.9× |
| Non-ophthalmic fva (C9733) |
$707.40 |
$2,358 |
2.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$204.60 |
$682 |
0.6× |
| Oth resp proc, group (G0239) |
$155.70 |
$519 |
4.1× |
| Oth resp proc, indiv (G0238) |
$110.43 |
$368.10 |
3.8× |
| Pathogen test for platelets (P9100) |
$93.90 |
$313 |
1.6× |
| Perc d-e cor revasc chro sin (C9607) |
$10,864.84 |
$36,216.13 |
0.6× |
| Perc d-e cor revasc t cabg s (C9604) |
$10,864.84 |
$36,216.13 |
0.9× |
| Perc d-e cor stent ather s (C9602) |
$10,864.84 |
$36,216.13 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$12,168.88 |
$40,562.93 |
1.0× |
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T)
likely a partial charge, not the full procedure |
$1,043.10 |
$3,477 |
0.1× |
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T)
likely a partial charge, not the full procedure |
$1,043.10 |
$3,477 |
0.1× |
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
likely a partial charge, not the full procedure |
$1,249.80 |
$4,166 |
0.1× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$9,562.02 |
$31,873.40 |
1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$3,852.60 |
$12,842 |
0.5× |
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure |
$3,677.79 |
$12,259.30 |
0.3× |
| Pet not otherwise specified (G0235) |
$3,878.16 |
$12,927.20 |
9.6× |
| Place device/marker, non pro (C9728) |
$1,556.70 |
$5,189 |
1.1× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$22.50 |
$75 |
0.6× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$104.10 |
$347 |
2.7× |
| Prgrmg dev eval wcs ip (0522T) |
$116.70 |
$389 |
3.1× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$116.70 |
$389 |
3.1× |
| Programming device eval impl ccm-d sys in person (0926T) |
$22.50 |
$75 |
0.6× |
| Psa screening (G0103) |
$80.08 |
$266.95 |
4.1× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$161.70 |
$539 |
0.2× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$161.70 |
$539 |
0.2× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$57.30 |
$191 |
0.6× |
| Rbc DNA gnotyp 10 bld groups (0084U) |
$180 |
$600 |
0.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$607.50 |
$2,025 |
0.8× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$213.90 |
$713 |
1.0× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$1,066.50 |
$3,555 |
0.5× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$1,088.10 |
$3,627 |
0.5× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$1,088.10 |
$3,627 |
0.5× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$1,097.70 |
$3,659 |
0.5× |
| Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and… (0740T) |
$49.50 |
$165 |
0.8× |
| Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of… (0741T) |
$112.50 |
$375 |
3.0× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) |
$19,885.20 |
$66,284 |
1.9× |
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T)
likely a partial charge, not the full procedure |
$2,579.40 |
$8,598 |
0.2× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$2,579.40 |
$8,598 |
0.7× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$2,579.40 |
$8,598 |
0.7× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$2,579.40 |
$8,598 |
0.7× |
| Removal perm ccm-d system pulse generator only (0919T) |
$2,183.70 |
$7,279 |
0.6× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$2,343 |
$7,810 |
0.6× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$649.50 |
$2,165 |
1.0× |
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure |
$6,511.80 |
$21,706 |
0.3× |
Revasc intra lithotrip-stent (C9765)
unusually low: confirm this is the full procedure |
$6,511.80 |
$21,706 |
0.3× |
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure |
$3,759.60 |
$12,532 |
0.3× |
| Revasc lith-sten-ath tib/per (C9775) |
$11,052.30 |
$36,841 |
0.6× |
| Revasc lithotr-ather tib/per (C9774) |
$11,052.30 |
$36,841 |
0.6× |
| Revasc lithotr-stent tib/per (C9773) |
$11,052.30 |
$36,841 |
0.6× |
| Revasc lithotrip tibi/perone (C9772) |
$6,909.90 |
$23,033 |
0.6× |
| Revasc lithotrip-stent-ather (C9767) |
$10,474.80 |
$34,916 |
0.6× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$14,926.50 |
$49,755 |
0.7× |
| Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) |
$13,467.90 |
$44,893 |
0.6× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$89.40 |
$298 |
3.4× |
| Screen pap by tech w md supv (P3000) |
$33.90 |
$113 |
1.8× |
| Semen analysis (G0027) |
$77.10 |
$257 |
11.9× |
| Sim ang w/prs cath rad emb (C8004) |
$6,804.60 |
$22,682 |
0.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$11,624.10 |
$38,747 |
0.6× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$10,660.50 |
$35,535 |
0.5× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$10,660.50 |
$35,535 |
0.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$13,858.80 |
$46,196 |
0.7× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$1,901.70 |
$6,339 |
0.6× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$1,863.30 |
$6,211 |
0.6× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$1,863.30 |
$6,211 |
0.6× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$2,422.50 |
$8,075 |
0.8× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$11,624.10 |
$38,747 |
0.6× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$13,858.80 |
$46,196 |
0.7× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
$10,660.50 |
$35,535 |
0.5× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$10,660.50 |
$35,535 |
0.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$3,410.40 |
$11,368 |
0.6× |
| Therapeutic procd strg endur (G0237) |
$80.70 |
$269 |
2.7× |
| Tooth reimplantation (D7270) |
$503.40 |
$1,678 |
0.8× |
| Tooth root removal (D7250) |
$275.10 |
$917 |
0.4× |
| Train for caregiver add 15 (G0540) |
$14.40 |
$48 |
0.6× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$3,799.50 |
$12,665 |
0.7× |
| Transcatheter renal sympath denervation unilat (0338T) |
$3,799.50 |
$12,665 |
0.7× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$7,223.40 |
$24,078 |
0.6× |
| Trauma respons w/hosp criti (G0390) |
$3,353.40 |
$11,178 |
2.5× |
| Trluml Perip Athrc Renal Art (0234T) |
$7,223.40 |
$24,078 |
0.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$6,322.20 |
$21,074 |
0.5× |
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure |
$5,794.20 |
$19,314 |
0.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,437.60 |
$4,792 |
1.8× |
| Unsched dialysis esrd pt hos (G0257) |
$1,352.70 |
$4,509 |
1.9× |
Vasc emb/occ w/prs cath (C9797)
unusually low: confirm this is the full procedure |
$8,313.10 |
$27,710.35 |
0.4× |