| 2d tee w or w/o fol w/con,in (C8925) |
$1,232.16 |
$2,567 |
1.2× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$634.08 |
$1,321 |
1.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$3,077.76 |
$6,412 |
1.2× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$9,861.60 |
$20,545 |
0.9× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$3,077.76 |
$6,412 |
1.2× |
| Adm tocilizu covid-19 1st (M0249) |
$299.52 |
$624 |
0.5× |
| Adm tocilizu covid-19 2nd (M0250) |
$299.52 |
$624 |
0.5× |
| Catheterize for urine spec (P9612) |
$44.64 |
$93 |
4.8× |
| Chemo extend iv infus w/pump (G0498) |
$1,075.68 |
$2,241 |
2.5× |
| CT breast w/3d rendering bi with contrast (0637T) |
$732 |
$1,525 |
1.6× |
| CT breast w/3d rendering bi without contrast (0636T) |
$457.44 |
$953 |
1.5× |
| CT breast w/3d rendering uni with contrast (0634T) |
$355.20 |
$740 |
1.6× |
| CT breast w/3d rendering uni without contrast (0633T) |
$217.44 |
$453 |
1.6× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) |
$732 |
$1,525 |
1.6× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) |
$355.20 |
$740 |
1.6× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) |
$842.88 |
$1,756 |
0.9× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) |
$842.88 |
$1,756 |
0.9× |
| Diab manage trn per indiv (G0108) |
$144.48 |
$301 |
2.6× |
| Diab manage trn ind/group (G0109) |
$52.80 |
$110 |
3.3× |
| Direct refer hospital observ (G0379) |
$619.68 |
$1,291 |
0.8× |
| Elec stim other than wound (G0283) |
$43.20 |
$90 |
3.4× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure |
$9,813.12 |
$20,444 |
0.2× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$14,938.08 |
$31,121 |
1.0× |
| Hbot, full body chamber, 30m (G0277) |
$588.48 |
$1,226 |
3.3× |
| Home sleep test/type 3 porta (G0399) |
$437.76 |
$912 |
1.6× |
| Home sleep test/type 4 porta (G0400) |
$437.76 |
$912 |
1.6× |
Hospital outpt clinic visit (G0463)
range across 38 matching MRF lines |
$41.28–$1,986.72 |
$86–$4,139 |
varies |
| Insert cv cath inf & sup app (C9780) |
$14,324.16 |
$29,842 |
1.4× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$13,863.36 |
$28,882 |
1.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$48,885.12 |
$101,844 |
1.2× |
| Mrs discogenic pain acquisj single voxel data (0609T) |
$333.60 |
$695 |
1.1× |
| Mrs discogenic pain algorthmic alys bmrk data (0611T) |
$333.60 |
$695 |
1.1× |
| Oth resp proc, group (G0239) |
$118.08 |
$246 |
2.5× |
| Oth resp proc, indiv (G0238) |
$129.60 |
$270 |
3.5× |
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure |
$11,220.48 |
$23,376 |
0.5× |
| Perc d-e cor revasc t cabg s (C9604) |
$10,404.48 |
$21,676 |
0.7× |
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure |
$10,099.20 |
$21,040 |
0.4× |
| Perc drug-el cor stent sing (C9600) |
$9,364.80 |
$19,510 |
0.6× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$6,703.20 |
$13,965 |
0.7× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$5,928.96 |
$12,352 |
0.6× |
| Place device/marker, non pro (C9728) |
$2,415.84 |
$5,033 |
1.4× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,567.68 |
$3,266 |
1.4× |
| Revasc intra lithotrip-ather (C9766) |
$13,581.60 |
$28,295 |
0.6× |
| Revasc intra lithotrip-stent (C9765) |
$13,581.60 |
$28,295 |
0.6× |
| Revasc intravasc lithotripsy (C9764) |
$8,382.72 |
$17,464 |
0.6× |
| Revasc lithotr-stent tib/per (C9773) |
$27,316.32 |
$56,909 |
1.2× |
| Revasc lithotrip tibi/perone (C9772) |
$15,370.56 |
$32,022 |
1.0× |
| Revasc lithotrip-stent-ather (C9767) |
$24,275.52 |
$50,574 |
1.0× |
Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T)
unusually low: confirm this is the full procedure |
$14,067.36 |
$29,307 |
0.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$40,315.68 |
$83,991 |
1.6× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$34,327.68 |
$71,516 |
1.4× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$29,078.40 |
$60,580 |
1.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$14,885.28 |
$31,011 |
0.6× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$6,595.20 |
$13,740 |
1.6× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$8,590.56 |
$17,897 |
1.2× |
| Tee w or w/o fol w/cont,cong (C8926) |
$1,232.16 |
$2,567 |
1.2× |
| Therapeutic procd strg endur (G0237) |
$129.60 |
$270 |
3.5× |
| Tomosynthesis, mammo (G0279) |
$31.20 |
$65 |
2.5× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$8,693.28 |
$18,111 |
1.2× |
| Transcatheter renal sympath denervation unilat (0338T) |
$8,693.28 |
$18,111 |
1.2× |
| Trluml Perip Athrc Brchiocph (0237T) |
$8,057.76 |
$16,787 |
0.5× |
| Trluml Perip Athrc Iliac Art (0238T) |
$13,267.20 |
$27,640 |
0.6× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,368.48 |
$2,851 |
1.4× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,521.92 |
$5,254 |
2.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,369.76 |
$4,937 |
2.4× |
| Unsched dialysis esrd pt hos (G0257) |
$1,807.68 |
$3,766 |
2.0× |
| Vasc emb/occ w/prs cath (C9797) |
$27,379.20 |
$57,040 |
1.2× |
| Visit esketamine 56m or less (G2082) |
$1,239.36 |
$2,582 |
0.9× |
| Visit esketamine, > 56m (G2083) |
$1,829.76 |
$3,812 |
0.9× |
| Visit to determ ldct elig (G0296) |
$135.84 |
$283 |
1.0× |