| 2d tee w or w/o fol w/con,in (C8925) |
$1,202.25 |
$1,603 |
1.4× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,155.75 |
$1,541 |
1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,222.50 |
$1,630 |
3.2× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$3,247.50 |
$4,330 |
1.5× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$13,930.50 |
$18,574 |
1.4× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$13,930.50 |
$18,574 |
6.4× |
| Chemo extend iv infus w/pump (G0498) |
$807.75 |
$1,077 |
2.2× |
| Demonstrate use home inr mon (G0248) |
$294.75 |
$393 |
2.0× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) |
$1,311 |
$1,748 |
1.6× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) |
$1,311 |
$1,748 |
1.6× |
| Diab manage trn per indiv (G0108) |
$147 |
$196 |
2.6× |
| Diab manage trn ind/group (G0109) |
$48 |
$64 |
3.0× |
| Direct refer hospital observ (G0379) |
$1,183.50 |
$1,578 |
1.8× |
| Elec stim other than wound (G0283) |
$63 |
$84 |
5.0× |
| Group mnt 2 or more 30 mins (G0271) |
$45.75 |
$61 |
2.7× |
| Hbot, full body chamber, 30m (G0277) |
$702.75 |
$937 |
4.6× |
| Hopd mntl hlt, 15-29 min (C7900) |
$60 |
$80 |
1.4× |
| Hopd mntl hlt, 30-60 min (C7901) |
$152.25 |
$203 |
1.3× |
| Hospital outpt clinic visit (G0463) |
$75 |
$100 |
0.5× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$85,524.75 |
$114,033 |
2.5× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$19,448.25 |
$25,931 |
2.1× |
| Lev 1 hosp type b ed visit (G0380) |
$132 |
$176 |
1.6× |
| Lev 2 hosp type b ed visit (G0381) |
$240.75 |
$321 |
2.3× |
| Lev 3 hosp type b ed visit (G0382) |
$420 |
$560 |
2.2× |
| Lev 4 hosp type b ed visit (G0383) |
$633.75 |
$845 |
2.2× |
| Lev 5 hosp type b ed visit (G0384) |
$744 |
$992 |
1.6× |
| Mnt subs tx for change dx (G0270) |
$93.75 |
$125 |
3.0× |
| Pathogen test for platelets (P9100) |
$156.75 |
$209 |
2.4× |
Perc d-e cor revasc chro sin (C9607)
range across 2 matching MRF lines |
$32,402.25–$40,523.25 |
$43,203–$54,031 |
varies |
Perc d-e cor revasc t cabg s (C9604)
range across 2 matching MRF lines |
$23,265.75–$40,523.25 |
$31,021–$54,031 |
varies |
Perc d-e cor stent ather s (C9602)
range across 2 matching MRF lines |
$32,498.25–$40,523.25 |
$43,331–$54,031 |
varies |
Perc drug-el cor stent sing (C9600)
range across 2 matching MRF lines |
$28,002.75–$30,000 |
$37,337–$40,000 |
varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$11,580 |
$15,440 |
0.9× |
| Provide inr test mater/equip (G0249) |
$281.25 |
$375 |
1.9× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) |
$490.50 |
$654 |
1.8× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$654 |
$872 |
2.5× |
| Revasc intra lithotrip-ather (C9766) |
$23,946 |
$31,928 |
1.2× |
| Revasc intra lithotrip-stent (C9765) |
$24,018 |
$32,024 |
1.2× |
| Revasc intravasc lithotripsy (C9764) |
$24,018 |
$32,024 |
1.9× |
| Revasc lith-sten-ath tib/per (C9775) |
$45,801 |
$61,068 |
2.2× |
| Revasc lithotrip tibi/perone (C9772) |
$29,910 |
$39,880 |
2.3× |
| Revasc lithotrip-stent-ather (C9767) |
$40,724.25 |
$54,299 |
2.0× |
| Rmvl Car Modulj Tranvns Elt (0413T) |
$8,935.50 |
$11,914 |
2.2× |
| Sim ang w/prs cath rad emb (C8004) |
$30,658.50 |
$40,878 |
2.4× |
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
range across 2 matching MRF lines |
$24,942.75–$38,734.50 |
$33,257–$51,646 |
varies |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$38,958 |
$51,944 |
1.8× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$38,734.50 |
$51,646 |
1.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$16,371 |
$21,828 |
2.6× |
| Therapeutic ultrafiltration (0692T) |
$3,329.25 |
$4,439 |
1.9× |
| Tomosynthesis, mammo (G0279) |
$87 |
$116 |
6.9× |
| Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) |
$42,473.25 |
$56,631 |
2.1× |
| Trluml perip athrc abd aorta (0236T) |
$39,351.75 |
$52,469 |
3.1× |
| Trluml Perip Athrc Brchiocph (0237T) |
$39,351.75 |
$52,469 |
3.1× |
| Trluml Perip Athrc Iliac Art (0238T) |
$39,351.75 |
$52,469 |
1.9× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,270.25 |
$3,027 |
2.6× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,451.25 |
$1,935 |
1.7× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,707.75 |
$2,277 |
2.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,682 |
$3,576 |
3.1× |
| Unsched dialysis esrd pt hos (G0257) |
$3,752.25 |
$5,003 |
4.9× |
| Vasc emb/occ w/prs cath (C9797) |
$37,548 |
$50,064 |
1.8× |