| 2d tee w or w/o fol w/con,in (C8925) |
$1,021.44 |
$2,128 |
1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$646.56 |
$1,347 |
1.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$5,493.60 |
$11,445 |
2.2× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$15,301.44 |
$31,878 |
1.4× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$5,493.60 |
$11,445 |
2.2× |
| Adm tocilizu covid-19 1st (M0249) |
$239.04 |
$498 |
0.4× |
| Adm tocilizu covid-19 2nd (M0250) |
$239.04 |
$498 |
0.4× |
| Catheterize for urine spec (P9612) |
$24.96 |
$52 |
2.7× |
| Chemo extend iv infus w/pump (G0498) |
$323.52 |
$674 |
0.8× |
| CT breast w/3d rendering bi with contrast (0637T) |
$716.64 |
$1,493 |
1.6× |
| CT breast w/3d rendering bi without contrast (0636T) |
$448.80 |
$935 |
1.5× |
| CT breast w/3d rendering uni with contrast (0634T) |
$347.52 |
$724 |
1.5× |
| CT breast w/3d rendering uni without contrast (0633T) |
$213.12 |
$444 |
1.6× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) |
$716.64 |
$1,493 |
1.6× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) |
$347.52 |
$724 |
1.5× |
| Direct refer hospital observ (G0379) |
$568.80 |
$1,185 |
0.7× |
| Elec stim other than wound (G0283) |
$43.20 |
$90 |
3.4× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
$1,814.40 |
$3,780 |
1.2× |
| Hbot, full body chamber, 30m (G0277) |
$219.84 |
$458 |
1.2× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$30,086.40 |
$62,680 |
1.4× |
| Histotripsy malignant renal tissue w/img gdn (0888T) |
$24,853.92 |
$51,779 |
1.1× |
| Home sleep test/type 3 porta (G0399) |
$699.36 |
$1,457 |
2.5× |
| Home sleep test/type 4 porta (G0400) |
$699.36 |
$1,457 |
2.5× |
Hospital outpt clinic visit (G0463)
range across 24 matching MRF lines |
$31.20–$340.80 |
$65–$710 |
varies |
| Insertion perm ccm-d system pulse generator only (0916T) |
$33,553.44 |
$69,903 |
1.2× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) |
$12,370.56 |
$25,772 |
1.2× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$12,370.56 |
$25,772 |
1.2× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$33,553.44 |
$69,903 |
0.8× |
| Intens cardiac rehab no exer (G0423) |
$300.48 |
$626 |
1.8× |
| Intens cardiac rehab w/exerc (G0422) |
$300.48 |
$626 |
1.8× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$45.60 |
$95 |
1.0× |
| Mrs discogenic pain acquisj single voxel data (0609T) |
$382.56 |
$797 |
1.2× |
| Mrs discogenic pain algorthmic alys bmrk data (0611T) |
$382.56 |
$797 |
1.2× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) |
$170.88 |
$356 |
0.9× |
| Oth resp proc, group (G0239) |
$249.60 |
$520 |
5.2× |
| Oth resp proc, indiv (G0238) |
$100.32 |
$209 |
2.7× |
| Pathogen test for platelets (P9100) |
$75.84 |
$158 |
1.0× |
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure |
$9,060 |
$18,875 |
0.4× |
| Perc d-e cor revasc t cabg s (C9604) |
$9,060 |
$18,875 |
0.6× |
| Perc d-e cor stent ather s (C9602) |
$13,269.12 |
$27,644 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$9,060 |
$18,875 |
0.6× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$6,208.32 |
$12,934 |
0.7× |
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure |
$4,587.84 |
$9,558 |
0.5× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$8,522.88 |
$17,756 |
0.6× |
| Programming device eval impl ccm-d sys in person (0926T) |
$45.60 |
$95 |
1.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$158.88 |
$331 |
0.2× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,733.60 |
$5,695 |
1.0× |
| Removal perm ccm-d system pulse generator only (0919T) |
$5,439.84 |
$11,333 |
1.1× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$924.48 |
$1,926 |
1.1× |
| Revasc intra lithotrip-ather (C9766) |
$21,320.64 |
$44,418 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$21,319.68 |
$44,416 |
0.9× |
| Revasc intravasc lithotripsy (C9764) |
$10,522.56 |
$21,922 |
0.7× |
| Revasc lithotr-stent tib/per (C9773) |
$34,102.56 |
$71,047 |
1.4× |
| Revasc lithotrip-stent-ather (C9767) |
$26,938.08 |
$56,121 |
1.1× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) |
$5,439.84 |
$11,333 |
1.1× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$5,439.84 |
$11,333 |
1.1× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) |
$5,439.84 |
$11,333 |
1.1× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$33,553.44 |
$69,903 |
1.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$37,624.80 |
$78,385 |
1.5× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$33,597.12 |
$69,994 |
1.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$33,597.12 |
$69,994 |
1.4× |
| Therapeutic procd strg endur (G0237) |
$80.64 |
$168 |
2.2× |
| Tomosynthesis, mammo (G0279) |
$192.96 |
$402 |
15.2× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,092 |
$2,275 |
1.1× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,210.56 |
$2,522 |
1.2× |
| Unsched dialysis esrd pt hos (G0257) |
$1,469.76 |
$3,062 |
1.7× |
| Visit to determ ldct elig (G0296) |
$119.52 |
$249 |
0.9× |