| 2d tee w or w/o fol w/con,in (C8925) |
$935.04 |
$1,948 |
0.9× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$463.20 |
$965 |
1.0× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$3,239.52 |
$6,749 |
1.3× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$11,531.04 |
$24,023 |
1.0× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$3,239.52 |
$6,749 |
1.3× |
| Adm tocilizu covid-19 1st (M0249) |
$313.92 |
$654 |
0.6× |
| Adm tocilizu covid-19 2nd (M0250) |
$313.92 |
$654 |
0.6× |
| Catheterize for urine spec (P9612) |
$21.60 |
$45 |
2.3× |
| Chemo extend iv infus w/pump (G0498) |
$313.92 |
$654 |
0.7× |
| CT breast w/3d rendering bi with contrast (0637T) |
$618.24 |
$1,288 |
1.4× |
| CT breast w/3d rendering bi without contrast (0636T) |
$386.88 |
$806 |
1.3× |
| CT breast w/3d rendering uni with contrast (0634T) |
$300.48 |
$626 |
1.3× |
| CT breast w/3d rendering uni without contrast (0633T) |
$183.36 |
$382 |
1.4× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) |
$618.24 |
$1,288 |
1.4× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) |
$300.48 |
$626 |
1.3× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) |
$971.04 |
$2,023 |
1.0× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) |
$971.04 |
$2,023 |
1.0× |
| Direct refer hospital observ (G0379) |
$384.48 |
$801 |
0.5× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
$1,577.76 |
$3,287 |
1.0× |
| Hbot, full body chamber, 30m (G0277) |
$621.12 |
$1,294 |
3.5× |
Hospital outpt clinic visit (G0463)
range across 24 matching MRF lines |
$199.68–$535.20 |
$416–$1,115 |
varies |
| Insertion perm ccm-d system pulse generator only (0916T) |
$29,176.80 |
$60,785 |
1.0× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) |
$10,756.80 |
$22,410 |
1.0× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$10,756.80 |
$22,410 |
1.0× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$29,176.80 |
$60,785 |
0.7× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$48 |
$100 |
1.0× |
| Mrs discogenic pain acquisj single voxel data (0609T) |
$400.32 |
$834 |
1.3× |
| Mrs discogenic pain algorthmic alys bmrk data (0611T) |
$400.32 |
$834 |
1.3× |
| Oth resp proc, indiv (G0238) |
$221.76 |
$462 |
6.0× |
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure |
$8,603.52 |
$17,924 |
0.4× |
| Perc d-e cor revasc t cabg s (C9604) |
$8,603.52 |
$17,924 |
0.6× |
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure |
$11,153.28 |
$23,236 |
0.5× |
| Perc drug-el cor stent sing (C9600) |
$7,743.84 |
$16,133 |
0.5× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure |
$7,411.20 |
$15,440 |
0.5× |
| Programming device eval impl ccm-d sys in person (0926T) |
$48 |
$100 |
1.0× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,376.96 |
$4,952 |
0.9× |
| Removal perm ccm-d system pulse generator only (0919T) |
$4,730.40 |
$9,855 |
1.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$804 |
$1,675 |
1.0× |
| Revasc intra lithotrip-ather (C9766) |
$16,850.88 |
$35,106 |
0.7× |
| Revasc intra lithotrip-stent (C9765) |
$16,850.40 |
$35,105 |
0.7× |
| Revasc intravasc lithotripsy (C9764) |
$8,316.96 |
$17,327 |
0.6× |
| Revasc lithotr-stent tib/per (C9773) |
$26,953.44 |
$56,153 |
1.1× |
| Revasc lithotrip-stent-ather (C9767) |
$26,614.08 |
$55,446 |
1.1× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) |
$4,730.40 |
$9,855 |
1.0× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$4,730.40 |
$9,855 |
1.0× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) |
$4,730.40 |
$9,855 |
1.0× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$29,176.80 |
$60,785 |
1.0× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$15,201.60 |
$31,670 |
0.6× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$29,214.72 |
$60,864 |
1.2× |
| Therapeutic procd strg endur (G0237) |
$115.20 |
$240 |
3.1× |
| Tomosynthesis, mammo (G0279) |
$29.28 |
$61 |
2.3× |
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines |
$15,422.40–$30,844.80 |
$32,130–$64,260 |
varies |
| Trluml Perip Athrc Brchiocph (0237T) |
$19,427.04 |
$40,473 |
1.3× |
| Trluml Perip Athrc Iliac Art (0238T) |
$15,455.04 |
$32,198 |
0.7× |
| Tte w or w/o contr, cont ecg (C8930) |
$999.84 |
$2,083 |
1.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,108.32 |
$2,309 |
1.1× |
| Tte w or wo fol wcon,doppler (C8929) |
$999.84 |
$2,083 |
1.0× |
| Unsched dialysis esrd pt hos (G0257) |
$830.40 |
$1,730 |
0.9× |