| 2019-ncov diagnostic p (U0001) |
$58.50 |
$90 |
1.6× |
| 2d tee w or w/o fol w/con,in (C8925) |
$1,231.75 |
$1,895 |
1.6× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,691.30 |
$2,602 |
5.1× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$14,190.80 |
$21,832 |
1.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$4,032.60 |
$6,204 |
2.2× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$11,668.80 |
$17,952 |
1.4× |
| Adm tocilizu covid-19 1st (M0249) |
$731.25 |
$1,125 |
1.7× |
| Admin hepatitis b vaccine (G0010) |
$82.55 |
$127 |
1.9× |
| Admin influenza virus vac (G0008) |
$91 |
$140 |
2.0× |
| Admin pneumococcal vaccine (G0009) |
$82.55 |
$127 |
1.9× |
| Adrnl Cortcl Tum Bchm Asy 25 (0015M) |
$3,552.90 |
$5,466 |
2.7× |
| Ant resin-based cmpst crown (D2390) |
$2,702.05 |
$4,157 |
4.4× |
| Autolog prp not diab ulcer (G0460) |
$2,973.10 |
$4,574 |
1.5× |
| Bitewings four images (D0274) |
$165.10 |
$254 |
0.7× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,648.40 |
$2,536 |
1.9× |
| Ca screen;pelvic/breast exam (G0101) |
$150.15 |
$231 |
1.6× |
| Catheterize for urine spec (P9612) |
$120.25 |
$185 |
12.9× |
| Chemo extend iv infus w/pump (G0498) |
$481.65 |
$741 |
1.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,042.95 |
$3,143 |
2.3× |
| Colorectal scrn; hi risk ind (G0105) |
$2,398.50 |
$3,690 |
2.7× |
| Comprehensve oral evaluation (D0150) |
$209.30 |
$322 |
1.6× |
| Comt gene (0032U) |
$1,373.45 |
$2,113 |
7.9× |
| Crown porcelain/ceramic (D2740) |
$1,264.25 |
$1,945 |
2.1× |
| Dental bitewings two images (D0272) |
$143.65 |
$221 |
1.7× |
| Diab manage trn per indiv (G0108) |
$89.70 |
$138 |
1.6× |
| Diab manage trn ind/group (G0109) |
$63.05 |
$97 |
3.9× |
| Direct refer hospital observ (G0379) |
$996.45 |
$1,533 |
1.8× |
| Drug test def 1-7 classes (G0480) |
$202.15 |
$311 |
1.8× |
| Drug test def 15-21 classes (G0482) |
$468 |
$720 |
2.4× |
| Drug test def 22+ classes (G0483) |
$665.60 |
$1,024 |
2.7× |
| Drug test def 8-14 classes (G0481) |
$443.30 |
$682 |
2.8× |
| Elec stim other than wound (G0283) |
$135.85 |
$209 |
10.7× |
| Elec stim unattend for press (G0281) |
$133.25 |
$205 |
11.4× |
| Endo defect closure gi tract (C9901) |
$15,937.35 |
$24,519 |
1.6× |
| Endo outlet restrict w/tube (C9785) |
$15,964 |
$24,560 |
1.6× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$41,446.60 |
$63,764 |
1.0× |
| Esd endoscopy or colonoscopy (C9779) |
$6,182.15 |
$9,511 |
1.7× |
| Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) |
$9,673.95 |
$14,883 |
1.7× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$17,873.05 |
$27,497 |
1.6× |
| Extraction coronal remnants (D7111) |
$1,264.25 |
$1,945 |
2.1× |
| Extraction erupted tooth/exr (D7140) |
$1,270.10 |
$1,954 |
2.1× |
| Fecal blood scrn immunoassay (G0328) |
$51.35 |
$79 |
2.8× |
| Fern test (Q0114) |
$52 |
$80 |
5.3× |
| Fixed bilat space maint, man (D1517) |
$1,264.25 |
$1,945 |
2.1× |
| Fixed bilat space maint, max (D1516) |
$2,702.05 |
$4,157 |
4.4× |
| Gastrointestinal myoelectrical activity study, stomach through colon, with interpretation and report (0779T) |
$718.90 |
$1,106 |
2.0× |
| Glyca nuc mr spectroscopy quantitative (0024U) |
$66.95 |
$103 |
2.0× |
| Gross pulpal debridement (D3221) |
$2,702.05 |
$4,157 |
4.4× |
| Hbot, full body chamber, 30m (G0277) |
$646.75 |
$995 |
4.9× |
| Hep c screen high risk/other (G0472) |
$117.65 |
$181 |
2.5× |
| Hepb screen high risk indiv (G0499) |
$131.95 |
$203 |
4.7× |
| Hiv combination assay (G0475) |
$74.75 |
$115 |
3.1× |
| I&d absc intraoral soft tiss (D7510) |
$175.50 |
$270 |
0.3× |
| Ig paraprotein qual bld/ur (0077U) |
$191.10 |
$294 |
4.4× |
| Impact tooth remov comp bony (D7240) |
$297.05 |
$457 |
0.5× |
| Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) |
$462.15 |
$711 |
2.3× |
| Initial preventive exam (G0402) |
$201.50 |
$310 |
1.6× |
| Inj for sacroiliac jt anesth (G0260) |
$1,800.50 |
$2,770 |
2.7× |
| Insert cv cath inf & sup app (C9780) |
$13,406.90 |
$20,626 |
1.7× |
| Insertion/replacement complete iims (0525T) |
$21,125 |
$32,500 |
1.2× |
| Insertion/replacement iims implantable mntr only (0527T) |
$12,809.55 |
$19,707 |
1.6× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$52,100.10 |
$80,154 |
1.7× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$52,100.10 |
$80,154 |
1.7× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$13,447.20 |
$20,688 |
1.7× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$49,604.10 |
$76,314 |
1.7× |
| Instlj fecal microbiota ssp (0780T) |
$2,030.60 |
$3,124 |
16.0× |
| Intraor comprehensive series (D0210) |
$351.65 |
$541 |
1.5× |
| Intraoral occlusal film (D0240) |
$143 |
$220 |
1.7× |
| Intraoral periapical first (D0220) |
$143 |
$220 |
1.7× |
| Mra w/cont, abd (C8900) |
$592.80 |
$912 |
1.8× |
| Mra w/cont, chest (C8909) |
$1,389.05 |
$2,137 |
4.2× |
| Mra w/cont, lwr ext (C8912) |
$552.50 |
$850 |
1.7× |
| Mra w/cont, pelvis (C8918) |
$625.30 |
$962 |
1.9× |
| Mra w/o cont, abd (C8901) |
$2,309.45 |
$3,553 |
10.2× |
| Mra w/o cont, chest (C8910) |
$734.50 |
$1,130 |
3.2× |
| Mra w/o cont, lwr ext (C8913) |
$968.50 |
$1,490 |
4.3× |
| Mra w/o fol w/cont, abd (C8902) |
$2,363.40 |
$3,636 |
7.1× |
| Mra w/o fol w/cont, chest (C8911) |
$3,067.35 |
$4,719 |
9.2× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$622.70 |
$958 |
1.9× |
| Mra w/o fol w/cont, pelvis (C8920) |
$594.10 |
$914 |
1.8× |
| Mra, w/o&w/dye, upper extr (C8936) |
$3,173.95 |
$4,883 |
9.5× |
| Mri w/cont, breast, bi (C8906) |
$3,148.60 |
$4,844 |
9.5× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,305.25 |
$5,085 |
9.9× |
| Mri w/o fol w/cont, brst, un (C8905) |
$2,206.10 |
$3,394 |
6.6× |
| Nav srv peer sup 60 min pr m (G0140) |
$169 |
$260 |
1.7× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$441.35 |
$679 |
0.8× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$3,643.90 |
$5,606 |
8.6× |
| Non-ophthalmic fva (C9733) |
$746.85 |
$1,149 |
2.2× |
| Obtaining screen pap smear (Q0091) |
$23.40 |
$36 |
0.8× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
$646.10 |
$994 |
2.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$665.60 |
$1,024 |
2.1× |
| Oth resp proc, group (G0239) |
$172.25 |
$265 |
4.8× |
| Oth resp proc, indiv (G0238) |
$145.60 |
$224 |
5.3× |
| Pef bronch ablt 3d nav ebus (C8005) |
$11,375 |
$17,500 |
0.7× |
| Perc d-e cor revasc chro sin (C9607) |
$29,025.10 |
$44,654 |
1.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$26,937.30 |
$41,442 |
2.4× |
| Perc d-e cor stent ather s (C9602) |
$21,419.45 |
$32,953 |
1.2× |
| Perc drug-el cor stent sing (C9600) |
$28,735.20 |
$44,208 |
2.6× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$22,844.90 |
$35,146 |
1.9× |
| Periodic oral evaluation (D0120) |
$209.30 |
$322 |
1.6× |
| Periodontal scaling 1-3teeth (D4342) |
$1,264.25 |
$1,945 |
2.1× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$11,649.30 |
$17,922 |
1.7× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$11,608.35 |
$17,859 |
1.7× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$8,966.10 |
$13,794 |
0.8× |
| Pin service 60m per month (G0023) |
$169 |
$260 |
1.7× |
| Place direct restoration (D2940) |
$2,702.05 |
$4,157 |
4.4× |
| Post 1 srfc resinbased cmpst (D2391) |
$2,702.05 |
$4,157 |
4.4× |
| Post 2 srfc resinbased cmpst (D2392) |
$2,702.05 |
$4,157 |
4.4× |
| Post 3 srfc resinbased cmpst (D2393) |
$2,702.05 |
$4,157 |
4.4× |
| Post >=4srfc resinbase cmpst (D2394) |
$2,702.05 |
$4,157 |
4.4× |
| Ppps, initial visit (G0438) |
$128.70 |
$198 |
0.7× |
| Ppps, subseq visit (G0439) |
$91 |
$140 |
0.7× |
| Prefab porc/ceram crown pri (D2929) |
$2,702.05 |
$4,157 |
4.4× |
| Prefab steel crown primary (D2934) |
$1,264.25 |
$1,945 |
2.1× |
| Prefab stnlss steel crown pe (D2931) |
$2,702.05 |
$4,157 |
4.4× |
| Prefab stnlss steel crwn pri (D2930) |
$2,702.05 |
$4,157 |
4.4× |
| Prefabricated resin crown (D2932) |
$180.05 |
$277 |
0.3× |
| Prolonged iv inf, req pump (C8957) |
$624.65 |
$961 |
3.1× |
| Prostate biopsy, any mthd (G0416) |
$234 |
$360 |
0.7× |
| Psa screening (G0103) |
$131.30 |
$202 |
6.8× |
| Pulp cap indirect (D3120) |
$2,702.05 |
$4,157 |
4.4× |
| Rbc DNA gnotyp 10 bld groups (0084U) |
$2,632.50 |
$4,050 |
3.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$1,512.55 |
$2,327 |
2.1× |
| Rem imp tooth w mucoper flp (D7210) |
$156 |
$240 |
0.1× |
| Removal iims implt mntr only (0532T) |
$7,109.05 |
$10,937 |
2.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$1,004.90 |
$1,546 |
1.7× |
| Resin 4/> surf or w incis an (D2335) |
$2,702.05 |
$4,157 |
4.4× |
| Resin one surface-anterior (D2330) |
$2,702.05 |
$4,157 |
4.4× |
| Resin three surfaces-anterio (D2332) |
$2,702.05 |
$4,157 |
4.4× |
| Resin two surfaces-anterior (D2331) |
$2,702.05 |
$4,157 |
4.4× |
| Revasc intra lithotrip-ather (C9766) |
$21,353.15 |
$32,851 |
1.2× |
| Revasc intra lithotrip-stent (C9765) |
$37,683.10 |
$57,974 |
2.2× |
| Revasc intravasc lithotripsy (C9764) |
$12,642.50 |
$19,450 |
1.1× |
| Revasc lithotrip tibi/perone (C9772) |
$26,153.40 |
$40,236 |
2.4× |
| Revasc lithotrip-stent-ather (C9767) |
$29,179.80 |
$44,892 |
1.7× |
| Rx Metab Advrs Trgt Seq Alys (0029U) |
$1,447.55 |
$2,227 |
2.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$83.85 |
$129 |
3.2× |
| Sim ang w/prs cath rad emb (C8004) |
$18,428.80 |
$28,352 |
1.7× |
| Space maintainer fxd unilat (D1510) |
$2,702.05 |
$4,157 |
4.4× |
| Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) |
$5,226.65 |
$8,041 |
1.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$29,379.35 |
$45,199 |
1.6× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$30,990.70 |
$47,678 |
1.7× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$30,990.70 |
$47,678 |
1.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$32,540.30 |
$50,062 |
1.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$4,940 |
$7,600 |
1.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$30,168.45 |
$46,413 |
1.6× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$30,990.70 |
$47,678 |
1.7× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$32,540.30 |
$50,062 |
1.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$9,285.90 |
$14,286 |
1.7× |
| Therapeutic procd strg endur (G0237) |
$146.25 |
$225 |
5.3× |
| Therapeutic pulpotomy (D3220) |
$2,702.05 |
$4,157 |
4.4× |
| Therapeutic ultrafiltration (0692T) |
$2,663.70 |
$4,098 |
1.8× |
| Tomosynthesis, mammo (G0279) |
$79.95 |
$123 |
6.3× |
| Tooth root removal (D7250) |
$2,702.05 |
$4,157 |
4.4× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$308.75 |
$475 |
0.7× |
| Transcatheter implantation of wireless inferior vena cava sensor for long-term hemodynamic monitoring, including… (0981T) |
$29,179.80 |
$44,892 |
1.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$9,292.40 |
$14,296 |
1.7× |
| Transcatheter renal sympath denervation unilat (0338T) |
$9,292.40 |
$14,296 |
1.7× |
| Trauma respons w/hosp criti (G0390) |
$7,241.65 |
$11,141 |
5.7× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$2,661.75 |
$4,095 |
0.8× |
| Trim nail(s) (G0127) |
$125.12 |
$192.50 |
2.2× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$25,179.70 |
$38,738 |
1.4× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,944.15 |
$2,991 |
2.6× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,858.35 |
$2,859 |
2.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,984.45 |
$3,053 |
2.7× |
| Unsched dialysis esrd pt hos (G0257) |
$1,685.45 |
$2,593 |
2.6× |
| Vasc emb/occ w/prs cath (C9797) |
$29,179.80 |
$44,892 |
1.7× |