| 2019-ncov diagnostic p (U0001) |
$27.90 |
$90 |
0.8× |
| 2d tee w or w/o fol w/con,in (C8925) |
$587.45 |
$1,895 |
0.8× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$465 |
$1,500 |
1.4× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$6,767.92 |
$21,832 |
0.7× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$1,923.24 |
$6,204 |
1.0× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$5,565.12 |
$17,952 |
0.7× |
| Adm tocilizu covid-19 1st (M0249) |
$348.75 |
$1,125 |
0.8× |
| Admin hepatitis b vaccine (G0010) |
$39.37 |
$127 |
0.9× |
| Admin influenza virus vac (G0008) |
$32.86 |
$106 |
0.7× |
| Admin pneumococcal vaccine (G0009) |
$44.02 |
$142 |
1.0× |
| Adrnl Cortcl Tum Bchm Asy 25 (0015M) |
$1,694.46 |
$5,466 |
1.3× |
| Ant resin-based cmpst crown (D2390) |
$1,288.67 |
$4,157 |
2.1× |
| Autolog prp not diab ulcer (G0460) |
$1,417.94 |
$4,574 |
0.7× |
| Bitewings four images (D0274) |
$78.74 |
$254 |
0.3× |
| Ca screen;flexi sigmoidscope (G0104) |
$786.16 |
$2,536 |
0.9× |
| Ca screen;pelvic/breast exam (G0101) |
$71.61 |
$231 |
0.7× |
| Catheterize for urine spec (P9612) |
$5.27 |
$17 |
0.6× |
| Chemo extend iv infus w/pump (G0498) |
$229.71 |
$741 |
0.7× |
| Colon ca scrn not hi rsk ind (G0121) |
$974.33 |
$3,143 |
1.1× |
| Colorectal scrn; hi risk ind (G0105) |
$1,143.90 |
$3,690 |
1.3× |
| Comt gene (0032U) |
$655.03 |
$2,113 |
3.7× |
| Crown porcelain/ceramic (D2740) |
$602.95 |
$1,945 |
1.0× |
| Diab manage trn per indiv (G0108) |
$42.78 |
$138 |
0.8× |
| Diab manage trn ind/group (G0109) |
$30.07 |
$97 |
1.9× |
| Direct refer hospital observ (G0379) |
$262.72 |
$847.50 |
0.5× |
| Drug test def 1-7 classes (G0480) |
$109.74 |
$354 |
1.0× |
| Drug test def 15-21 classes (G0482) |
$1,152.58 |
$3,718 |
5.8× |
| Drug test def 22+ classes (G0483) |
$317.44 |
$1,024 |
1.3× |
| Drug test def 8-14 classes (G0481) |
$211.42 |
$682 |
1.4× |
| Elec stim other than wound (G0283) |
$56.42 |
$182 |
4.4× |
| Elec stim unattend for press (G0281) |
$56.42 |
$182 |
4.8× |
| Endo defect closure gi tract (C9901) |
$7,600.89 |
$24,519 |
0.7× |
| Endo outlet restrict w/tube (C9785) |
$7,613.60 |
$24,560 |
0.8× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure |
$19,766.84 |
$63,764 |
0.5× |
| Esd endoscopy or colonoscopy (C9779) |
$2,948.41 |
$9,511 |
0.8× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$8,524.07 |
$27,497 |
0.8× |
| Extraction coronal remnants (D7111) |
$602.95 |
$1,945 |
1.0× |
| Extraction erupted tooth/exr (D7140) |
$605.74 |
$1,954 |
1.0× |
| Fecal blood scrn immunoassay (G0328) |
$27.59 |
$89 |
1.5× |
| Fern test (Q0114) |
$24.80 |
$80 |
2.5× |
| Fixed bilat space maint, man (D1517) |
$602.95 |
$1,945 |
1.0× |
| Gastrointestinal myoelectrical activity study, stomach through colon, with interpretation and report (0779T) |
$342.86 |
$1,106 |
1.0× |
| Glyca nuc mr spectroscopy quantitative (0024U) |
$31.93 |
$103 |
0.9× |
| Gross pulpal debridement (D3221) |
$1,288.67 |
$4,157 |
2.1× |
| Hbot, full body chamber, 30m (G0277) |
$308.45 |
$995 |
2.3× |
| Hep c screen high risk/other (G0472) |
$56.11 |
$181 |
1.2× |
| Hepb screen high risk indiv (G0499) |
$62.93 |
$203 |
2.2× |
| Hiv combination assay (G0475) |
$35.65 |
$115 |
1.5× |
| Home sleep test/type 3 porta (G0399) |
$366.11 |
$1,181 |
1.8× |
| I&d absc intraoral soft tiss (D7510) |
$83.70 |
$270 |
0.1× |
| Ig paraprotein qual bld/ur (0077U) |
$91.14 |
$294 |
2.1× |
| Impact tooth remov comp bony (D7240) |
$141.67 |
$457 |
0.2× |
| Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) |
$220.41 |
$711 |
1.1× |
| Initial preventive exam (G0402) |
$96.10 |
$310 |
0.8× |
| Inj for sacroiliac jt anesth (G0260) |
$858.70 |
$2,770 |
1.3× |
| Insert cv cath inf & sup app (C9780) |
$6,394.06 |
$20,626 |
0.8× |
| Insertion/replacement complete iims (0525T) |
$10,075 |
$32,500 |
0.5× |
| Insertion/replacement iims implantable mntr only (0527T) |
$6,109.17 |
$19,707 |
0.8× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$24,847.74 |
$80,154 |
0.8× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$24,847.74 |
$80,154 |
0.8× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$6,413.28 |
$20,688 |
0.8× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$23,657.34 |
$76,314 |
0.8× |
| Instlj fecal microbiota ssp (0780T) |
$968.44 |
$3,124 |
7.6× |
| Intraor comprehensive series (D0210) |
$167.71 |
$541 |
0.7× |
| Mra w/cont, abd (C8900) |
$282.72 |
$912 |
0.8× |
| Mra w/cont, chest (C8909) |
$662.47 |
$2,137 |
2.0× |
| Mra w/cont, lwr ext (C8912) |
$263.50 |
$850 |
0.8× |
| Mra w/cont, pelvis (C8918) |
$298.22 |
$962 |
0.9× |
| Mra w/o cont, abd (C8901) |
$1,101.43 |
$3,553 |
4.8× |
| Mra w/o cont, chest (C8910) |
$350.30 |
$1,130 |
1.5× |
| Mra w/o cont, lwr ext (C8913) |
$461.90 |
$1,490 |
2.0× |
| Mra w/o fol w/cont, abd (C8902) |
$1,164.98 |
$3,758 |
3.5× |
| Mra w/o fol w/cont, chest (C8911) |
$1,114.76 |
$3,596 |
3.3× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$296.98 |
$958 |
0.9× |
| Mra w/o fol w/cont, pelvis (C8920) |
$283.34 |
$914 |
0.9× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,513.73 |
$4,883 |
4.5× |
| Mri w/cont, breast, bi (C8906) |
$1,501.64 |
$4,844 |
4.5× |
| Mri w/o fol w/cont, breast, (C8908) |
$969.99 |
$3,129 |
2.9× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,052.14 |
$3,394 |
3.2× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$210.49 |
$679 |
0.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$1,737.86 |
$5,606 |
4.1× |
| Non-ophthalmic fva (C9733) |
$356.19 |
$1,149 |
1.1× |
| Obtaining screen pap smear (Q0091) |
$11.16 |
$36 |
0.4× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
$308.14 |
$994 |
1.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$317.44 |
$1,024 |
1.0× |
| Oth resp proc, group (G0239) |
$82.15 |
$265 |
2.3× |
| Oth resp proc, indiv (G0238) |
$69.44 |
$224 |
2.5× |
Pef bronch ablt 3d nav ebus (C8005)
unusually low: confirm this is the full procedure |
$5,425 |
$17,500 |
0.3× |
| Perc d-e cor revasc chro sin (C9607) |
$13,842.74 |
$44,654 |
0.8× |
| Perc d-e cor revasc t cabg s (C9604) |
$12,847.02 |
$41,442 |
1.2× |
| Perc d-e cor stent ather s (C9602) |
$10,215.43 |
$32,953 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$8,168.50 |
$26,350 |
0.7× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$10,895.26 |
$35,146 |
0.9× |
| Periodic oral evaluation (D0120) |
$99.82 |
$322 |
0.8× |
| Periodontal scaling 1-3teeth (D4342) |
$602.95 |
$1,945 |
1.0× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,555.82 |
$17,922 |
0.8× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$5,536.29 |
$17,859 |
0.8× |
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure |
$4,276.14 |
$13,794 |
0.4× |
| Place direct restoration (D2940) |
$1,288.67 |
$4,157 |
2.1× |
| Post 1 srfc resinbased cmpst (D2391) |
$1,288.67 |
$4,157 |
2.1× |
| Post 2 srfc resinbased cmpst (D2392) |
$1,288.67 |
$4,157 |
2.1× |
| Post 3 srfc resinbased cmpst (D2393) |
$1,288.67 |
$4,157 |
2.1× |
| Post >=4srfc resinbase cmpst (D2394) |
$1,288.67 |
$4,157 |
2.1× |
| Ppps, initial visit (G0438) |
$61.38 |
$198 |
0.4× |
| Ppps, subseq visit (G0439) |
$43.40 |
$140 |
0.3× |
| Prefab porc/ceram crown pri (D2929) |
$1,288.67 |
$4,157 |
2.1× |
| Prefab steel crown primary (D2934) |
$602.95 |
$1,945 |
1.0× |
| Prefab stnlss steel crown pe (D2931) |
$1,288.67 |
$4,157 |
2.1× |
| Prefab stnlss steel crwn pri (D2930) |
$1,288.67 |
$4,157 |
2.1× |
| Prefabricated resin crown (D2932) |
$85.87 |
$277 |
0.1× |
| Prolonged iv inf, req pump (C8957) |
$297.91 |
$961 |
1.5× |
| Prostate biopsy, any mthd (G0416) |
$226.30 |
$730 |
0.7× |
| Psa screening (G0103) |
$58.90 |
$190 |
3.1× |
| Rbc DNA gnotyp 10 bld groups (0084U) |
$1,255.50 |
$4,050 |
1.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$721.37 |
$2,327 |
1.0× |
| Rem imp tooth w mucoper flp (D7210) |
$74.40 |
$240 |
0.1× |
| Removal iims implt mntr only (0532T) |
$3,390.47 |
$10,937 |
1.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$479.26 |
$1,546 |
0.8× |
| Resin 4/> surf or w incis an (D2335) |
$1,288.67 |
$4,157 |
2.1× |
| Resin one surface-anterior (D2330) |
$1,288.67 |
$4,157 |
2.1× |
| Resin three surfaces-anterio (D2332) |
$1,288.67 |
$4,157 |
2.1× |
| Resin two surfaces-anterior (D2331) |
$1,288.67 |
$4,157 |
2.1× |
| Revasc intra lithotrip-ather (C9766) |
$10,183.81 |
$32,851 |
0.6× |
| Revasc intra lithotrip-stent (C9765) |
$17,971.94 |
$57,974 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$6,029.50 |
$19,450 |
0.5× |
| Revasc lithotr-ather tib/per (C9774) |
$14,514.82 |
$46,822 |
0.8× |
| Revasc lithotrip tibi/perone (C9772) |
$12,473.16 |
$40,236 |
1.1× |
| Revasc lithotrip-stent-ather (C9767) |
$13,916.52 |
$44,892 |
0.8× |
| Rx Metab Advrs Trgt Seq Alys (0029U) |
$690.37 |
$2,227 |
0.9× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$39.99 |
$129 |
1.5× |
| Sim ang w/prs cath rad emb (C8004) |
$8,789.12 |
$28,352 |
0.8× |
| Space maintainer fxd unilat (D1510) |
$1,288.67 |
$4,157 |
2.1× |
| Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) |
$2,492.71 |
$8,041 |
0.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$14,011.69 |
$45,199 |
0.8× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$14,780.18 |
$47,678 |
0.8× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$14,780.18 |
$47,678 |
0.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$15,519.22 |
$50,062 |
0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$2,356 |
$7,600 |
0.8× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$14,388.03 |
$46,413 |
0.8× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$14,780.18 |
$47,678 |
0.8× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$15,519.22 |
$50,062 |
0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$4,428.66 |
$14,286 |
0.8× |
| Therapeutic procd strg endur (G0237) |
$69.75 |
$225 |
2.5× |
| Therapeutic pulpotomy (D3220) |
$1,288.67 |
$4,157 |
2.1× |
| Therapeutic ultrafiltration (0692T) |
$1,270.38 |
$4,098 |
0.9× |
| Tomosynthesis, mammo (G0279) |
$28.83 |
$93 |
2.3× |
| Tooth root removal (D7250) |
$1,288.67 |
$4,157 |
2.1× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$147.25 |
$475 |
0.3× |
| Transcatheter implantation of wireless inferior vena cava sensor for long-term hemodynamic monitoring, including… (0981T) |
$13,916.52 |
$44,892 |
0.8× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$4,431.76 |
$14,296 |
0.8× |
| Transcatheter renal sympath denervation unilat (0338T) |
$4,431.76 |
$14,296 |
0.8× |
| Trauma respons w/hosp criti (G0390) |
$3,453.71 |
$11,141 |
2.7× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$1,269.45 |
$4,095 |
0.4× |
| Trim nail(s) (G0127) |
$59.68 |
$192.50 |
1.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$12,008.78 |
$38,738 |
0.7× |
| Tte w or w/o contr, cont ecg (C8930) |
$927.21 |
$2,991 |
1.2× |
| Tte w or w/o fol w/con,stres (C8928) |
$898.38 |
$2,898 |
1.2× |
| Tte w or wo fol wcon,doppler (C8929) |
$744.93 |
$2,403 |
1.0× |
| Unsched dialysis esrd pt hos (G0257) |
$414.47 |
$1,337 |
0.6× |