| 2d tee w or w/o fol w/con,in (C8925) |
$2,986.56 |
$6,222 |
3.0× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$930.72 |
$1,939 |
2.1× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) |
$2,895.84 |
$6,033 |
1.4× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$7,006.08 |
$14,596 |
1.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$10,452 |
$21,775 |
4.2× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$10,765.44 |
$22,428 |
1.0× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$10,765.44 |
$22,428 |
4.3× |
| Adm tocilizu covid-19 1st (M0249) |
$252.96 |
$527 |
0.4× |
| Adm tocilizu covid-19 2nd (M0250) |
$252.96 |
$527 |
0.4× |
| Catheterize for urine spec (P9612) |
$12 |
$25 |
1.3× |
| Chemo extend iv infus w/pump (G0498) |
$558.24 |
$1,163 |
1.3× |
| CT breast w/3d rendering bi with contrast (0637T) |
$753.12 |
$1,569 |
1.7× |
| CT breast w/3d rendering bi without contrast (0636T) |
$471.36 |
$982 |
1.5× |
| CT breast w/3d rendering uni with contrast (0634T) |
$365.76 |
$762 |
1.6× |
| CT breast w/3d rendering uni without contrast (0633T) |
$223.68 |
$466 |
1.7× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) |
$801.60 |
$1,670 |
1.8× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) |
$414.24 |
$863 |
1.8× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) |
$1,317.60 |
$2,745 |
1.4× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) |
$1,317.60 |
$2,745 |
1.4× |
| Direct refer hospital observ (G0379) |
$449.76 |
$937 |
0.6× |
| Elec stim other than wound (G0283) |
$43.20 |
$90 |
3.4× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
$1,499.04 |
$3,123 |
1.0× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$12,133.92 |
$25,279 |
0.8× |
| Hbot, full body chamber, 30m (G0277) |
$290.88 |
$606 |
1.6× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$24,853.92 |
$51,779 |
1.1× |
| Histotripsy malignant renal tissue w/img gdn (0888T) |
$26,161.92 |
$54,504 |
1.2× |
| Home sleep test/type 3 porta (G0399) |
$807.84 |
$1,683 |
2.9× |
| Home sleep test/type 4 porta (G0400) |
$807.84 |
$1,683 |
2.9× |
Hospital outpt clinic visit (G0463)
range across 21 matching MRF lines |
$133.92–$322.08 |
$279–$671 |
varies |
| Insertion perm ccm-d system pulse generator only (0916T) |
$27,718.08 |
$57,746 |
1.0× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) |
$10,219.20 |
$21,290 |
1.0× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$10,219.20 |
$21,290 |
1.0× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$27,718.08 |
$57,746 |
0.7× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$48.48 |
$101 |
1.0× |
| Ire Abltj 1+Tum Organ Perq (0600T) |
$21,298.56 |
$44,372 |
1.6× |
| Mrs discogenic pain acquisj single voxel data (0609T) |
$582.72 |
$1,214 |
1.9× |
| Mrs discogenic pain algorthmic alys bmrk data (0611T) |
$582.72 |
$1,214 |
1.9× |
| Oth resp proc, group (G0239) |
$130.08 |
$271 |
2.7× |
| Oth resp proc, indiv (G0238) |
$95.04 |
$198 |
2.6× |
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure |
$9,551.04 |
$19,898 |
0.4× |
| Perc d-e cor revasc t cabg s (C9604) |
$9,551.04 |
$19,898 |
0.6× |
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure |
$9,551.04 |
$19,898 |
0.4× |
| Perc drug-el cor stent sing (C9600) |
$7,896.96 |
$16,452 |
0.5× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$7,656 |
$15,950 |
0.8× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$14,260.80 |
$29,710 |
1.5× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure |
$7,040.64 |
$14,668 |
0.5× |
| Place device/marker, non pro (C9728) |
$3,389.76 |
$7,062 |
1.9× |
| Programming device eval impl ccm-d sys in person (0926T) |
$48.48 |
$101 |
1.0× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,257.92 |
$4,704 |
0.9× |
| Removal perm ccm-d system pulse generator only (0919T) |
$4,493.76 |
$9,362 |
0.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$763.68 |
$1,591 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$13,333.92 |
$27,779 |
0.6× |
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure |
$6,774.24 |
$14,113 |
0.5× |
| Revasc lithotr-stent tib/per (C9773) |
$21,953.76 |
$45,737 |
0.9× |
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure |
$7,130.88 |
$14,856 |
0.5× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) |
$4,493.76 |
$9,362 |
0.9× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$4,493.76 |
$9,362 |
0.9× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) |
$4,493.76 |
$9,362 |
0.9× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$27,718.08 |
$57,746 |
1.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$34,894.08 |
$72,696 |
1.4× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$33,304.80 |
$69,385 |
1.3× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$34,893.60 |
$72,695 |
1.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$6,056.16 |
$12,617 |
0.8× |
| Therapeutic procd strg endur (G0237) |
$94.08 |
$196 |
2.5× |
| Tomosynthesis, mammo (G0279) |
$217.92 |
$454 |
17.2× |
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines |
$15,384.96–$32,602.56 |
$32,052–$67,922 |
varies |
| Trluml Perip Athrc Brchiocph (0237T) |
$30,183.36 |
$62,882 |
2.0× |
| Trluml Perip Athrc Iliac Art (0238T) |
$33,201.60 |
$69,170 |
1.4× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,006.88 |
$4,181 |
2.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,006.40 |
$4,180 |
2.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,127.84 |
$4,433 |
2.1× |
| Unsched dialysis esrd pt hos (G0257) |
$1,951.20 |
$4,065 |
2.2× |
| Visit to determ ldct elig (G0296) |
$233.28 |
$486 |
1.8× |