| 2d tee w or w/o fol w/con,in (C8925) |
$2,115.75 |
$3,255 |
2.5× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,122.55 |
$1,727 |
3.0× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$6,902.35 |
$10,619 |
1.6× |
| Adm tocilizu covid-19 1st (M0249) |
$694.85 |
$1,069 |
1.5× |
| Adm tocilizu covid-19 2nd (M0250) |
$694.85 |
$1,069 |
1.5× |
| Admin hepatitis b vaccine (G0010) |
$223.60 |
— |
4.4× |
| Admin influenza virus vac (G0008) |
$211.25 |
— |
4.2× |
| Admin pneumococcal vaccine (G0009) |
$267.48 |
— |
5.3× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$70.20 |
$108 |
0.6× |
| Behavior counsel obesity 15m (G0447) |
$124.80 |
— |
1.1× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,913.27 |
— |
1.9× |
| Ca screen;pelvic/breast exam (G0101) |
$70.20 |
$108 |
0.6× |
| Catheterize for urine spec (P9612) |
$20.80 |
$32 |
2.2× |
| Chemo extend iv infus w/pump (G0498) |
$692.90 |
$1,066 |
1.9× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,861.76 |
— |
2.8× |
| Colorectal scrn; hi risk ind (G0105) |
$2,823.26 |
— |
2.8× |
| Depression screen annual (G0444) |
$283.40 |
— |
7.0× |
| Direct refer hospital observ (G0379) |
$271.05 |
$417 |
0.4× |
| Drug test def 1-7 classes (G0480) |
$463.45 |
— |
4.1× |
| Ekg tracing for initial prev (G0404) |
$70.85 |
$109 |
2.3× |
| Elec stim other than wound (G0283) |
$58.50 |
$90 |
4.6× |
| Fecal blood scrn immunoassay (G0328) |
$111.15 |
$171 |
6.2× |
| Fecal microbiota prep instil (G0455) |
$4,238 |
$6,520 |
4.2× |
| Hbot, full body chamber, 30m (G0277) |
$1,726.40 |
— |
11.6× |
| Hep c screen high risk/other (G0472) |
$69.22 |
$106.50 |
1.5× |
| Hepb screen high risk indiv (G0499) |
$91 |
$140 |
3.2× |
| Hiv combination assay (G0475) |
$88.40 |
$136 |
3.7× |
| Home sleep test/type 2 porta (G0398) |
$534.95 |
$823 |
2.3× |
| Home sleep test/type 3 porta (G0399) |
$504.40 |
$776 |
2.2× |
| Hopd mntl hlt, 15-29 min (C7900) |
$133.90 |
$206 |
3.3× |
| Hopd mntl hlt, 30-60 min (C7901) |
$267.80 |
$412 |
2.4× |
| Hospital outpt clinic visit (G0463) |
$247.65 |
— |
1.7× |
| Iliac Atherectomy (0238T) |
$11,488.10 |
$17,674 |
0.6× |
| Init/sub psych care m 1st 30 (G2214) |
$70.20 |
$108 |
0.6× |
| Initial preventive exam (G0402) |
$293.15 |
— |
2.0× |
| Inj for sacroiliac jt anesth (G0260) |
$1,577.55 |
$2,427 |
2.1× |
| Injection of hiv prep drug (G0012) |
$57.85 |
$89 |
0.7× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$4,579.90 |
$7,046 |
0.5× |
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
unusually low: confirm this is the full procedure |
$11,743.55 |
$18,067 |
0.3× |
| Intens behave ther cardio dx (G0446) |
$22.75 |
$35 |
0.6× |
| Intens cardiac rehab no exer (G0423) |
$239.20 |
$368 |
1.7× |
| Intens cardiac rehab w/exerc (G0422) |
$250.90 |
$386 |
1.8× |
| Liver Dis 10 Assays W/Nash (0003M) |
$799.50 |
— |
1.6× |
| Mnt subs tx for change dx (G0270) |
$46.80 |
$72 |
1.5× |
| Mra w/cont, chest (C8909) |
$1,453.40 |
$2,236 |
3.9× |
| Mra w/o cont, abd (C8901) |
$1,571.70 |
$2,418 |
6.1× |
| Mra w/o cont, chest (C8910) |
$1,080.95 |
$1,663 |
4.2× |
| Mra w/o fol w/cont, abd (C8902) |
$2,262 |
$3,480 |
6.0× |
| Mra w/o fol w/cont, chest (C8911) |
$1,598.35 |
$2,459 |
4.2× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,096.55 |
$1,687 |
2.9× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,223.65 |
$3,421 |
5.9× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$1,929.20 |
$2,968 |
5.1× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,096.55 |
$1,687 |
2.9× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,802.48 |
$4,311.50 |
7.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,883.70 |
$2,898 |
5.0× |
| Neuro csf prion prtn qual (0035U) |
$410.15 |
$631 |
0.8× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$374.08 |
— |
0.8× |
| Obtaining screen pap smear (Q0091) |
$372.45 |
— |
11.9× |
| Oth resp proc, group (G0239) |
$76.70 |
$118 |
1.9× |
| Perc d-e cor revasc chro sin (C9607) |
$17,332.90 |
$26,666 |
0.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$14,084.85 |
$21,669 |
1.1× |
| Perc d-e cor stent ather s (C9602) |
$14,084.85 |
$21,669 |
0.7× |
| Perc drug-el cor stent sing (C9600) |
$17,041.70 |
$26,218 |
1.4× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$10,073.05 |
$15,497 |
1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$6,100.90 |
$9,386 |
0.8× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$9,687.60 |
$14,904 |
0.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$73.45 |
$113 |
1.8× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$74.75 |
$115 |
1.9× |
| Prolonged iv inf, req pump (C8957) |
$657.15 |
$1,011 |
2.9× |
| Psa screening (G0103) |
$49.40 |
$76 |
2.6× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$1,334.45 |
$2,053 |
1.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$309.40 |
$476 |
0.4× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$3,306.55 |
$5,087 |
1.5× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$3,306.55 |
$5,087 |
1.5× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$3,999.45 |
$6,153 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$10,993.45 |
$16,913 |
0.6× |
| Revasc intravasc lithotripsy (C9764) |
$17,540.25 |
$26,985 |
1.4× |
Revasc lithotrip-stent-ather (C9767)
likely a partial charge, not the full procedure |
$5,677.75 |
$8,735 |
0.3× |
| Risk ascvd tst once pr 12 mo (G0537) |
$24.05 |
$37 |
0.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$15,148.25 |
$23,305 |
0.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$22,722.70 |
$34,958 |
1.1× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$3,363.75 |
$5,175 |
1.0× |
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T)
unusually low: confirm this is the full procedure |
$9,243.65 |
$14,221 |
0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$22,722.70 |
$34,958 |
1.1× |
| Tomosynthesis, mammo (G0279) |
$39 |
$60 |
3.1× |
| Trauma respons w/hosp criti (G0390) |
$11,619.40 |
$17,876 |
8.1× |
| Trim nail(s) (G0127) |
$274.30 |
— |
4.3× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,603.90 |
$4,006 |
3.1× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,673.10 |
$2,574 |
2.0× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,539.85 |
$2,369 |
1.8× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,157.35 |
$3,319 |
2.5× |
| Unsched dialysis esrd pt hos (G0257) |
$874.25 |
$1,345 |
1.2× |
| Ven blood coll snf/hha (G0471) |
$7.15 |
$11 |
0.6× |
| Visit to determ ldct elig (G0296) |
$58.50 |
$90 |
0.5× |
| Wet mounts/ w preparations (Q0111) |
$42.25 |
$65 |
2.3× |