| 2019-ncov diagnostic p (U0001) |
$35 |
$150 |
1.0× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) |
$254 |
$847 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$49 |
$86 |
1.0× |
| Admin influenza virus vac (G0008) |
$49 |
$86 |
1.0× |
| Admin pneumococcal vaccine (G0009) |
$49 |
$86 |
1.0× |
| Catheterize for urine spec (P9612) |
$9 |
$11 |
1.0× |
| Covid-19 lab test non-cdc (U0002) |
$51 |
$216 |
1.0× |
| Cysto impl 4 or more (C9740) |
$10,094 |
$8,909 |
1.0× |
| Diab manage trn per indiv (G0108) |
$57 |
$267 |
1.0× |
Diab manage trn ind/group (G0109)
range across 2 matching MRF lines |
$16 |
$101–$132 |
1.0× |
| Direct refer hospital observ (G0379) |
$635 |
$3,195 |
1.0× |
Drug test def 1-7 classes (G0480)
range across 98 matching MRF lines |
$114 |
$53–$798 |
1.0× |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) |
$101 |
$476 |
1.0× |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) |
$101 |
$476 |
1.0× |
| Elec stim other than wound (G0283) |
$13 |
$178 |
1.0× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
$1,298 |
$4,249 |
1.0× |
| Electrophysiologic eval ccm-d leads separate (0931T) |
$1,298 |
$4,249 |
1.0× |
| Fecal blood scrn immunoassay (G0328) |
$18 |
$51 |
1.0× |
| Group mnt 2 or more 30 mins (G0271) |
$12 |
$78 |
0.7× |
| Hbot, full body chamber, 30m (G0277) |
$146 |
$1,745 |
1.0× |
Hospital outpt clinic visit (G0463)
range across 49 matching MRF lines |
$141 |
$175–$1,345 |
1.0× |
Inj for sacroiliac jt anesth (G0260)
range across 4 matching MRF lines |
$752 |
$1,380–$2,072 |
1.0× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$23,719 |
$78,562 |
1.0× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$23,719 |
$70,712 |
1.0× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) |
$8,824 |
$28,966 |
1.0× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$8,824 |
$28,966 |
1.0× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$33,472 |
$112,216 |
1.0× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$39 |
$131 |
1.0× |
| Mnt subs tx for change dx (G0270) |
$22 |
$141 |
0.7× |
| Mra w/cont, abd (C8900) |
$372 |
$6,193 |
1.0× |
| Mra w/cont, chest (C8909) |
$372 |
$4,085 |
1.0× |
| Mra w/cont, lwr ext (C8912) |
$372 |
$5,687 |
1.0× |
| Mra w/cont, pelvis (C8918) |
$372 |
$3,030 |
1.0× |
| Mra w/o cont, abd (C8901) |
$254 |
$5,504 |
1.0× |
| Mra w/o cont, chest (C8910) |
$254 |
$3,269 |
1.0× |
| Mra w/o cont, lwr ext (C8913) |
$254 |
$5,300 |
1.0× |
| Mra w/o cont, pelvis (C8919) |
$254 |
$2,655 |
1.0× |
| Mra w/o fol w/cont, abd (C8902) |
$372 |
$6,880 |
1.0× |
| Mra w/o fol w/cont, chest (C8911) |
$372 |
$5,109 |
1.0× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$372 |
$6,333 |
1.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$372 |
$3,151 |
1.0× |
| Mra, w/dye, upper extremity (C8934) |
$372 |
$5,186 |
1.0× |
| Mra, w/o dye, upper extr (C8935) |
$254 |
$4,713 |
1.0× |
| Mra, w/o&w/dye, upper extr (C8936) |
$372 |
$5,656 |
1.0× |
| Mri w/o fol w/cont, breast, (C8908) |
$372 |
$2,424 |
1.0× |
Mri w/o fol w/cont, brst, un (C8905)
range across 2 matching MRF lines |
$372 |
$2,380–$2,625 |
1.0× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) |
$327 |
$1,050 |
1.0× |
| Neuro csf prion prtn qual (0035U) |
$540 |
$1,963 |
1.0× |
| Oth resp proc, group (G0239) |
$39 |
$186 |
1.0× |
| Oth resp proc, indiv (G0238) |
$30 |
$148 |
1.0× |
| Perc d-e cor revasc chro sin (C9607) |
$19,548 |
$42,268 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$12,310 |
$13,880 |
1.0× |
| Perc d-e cor stent ather s (C9602) |
$19,548 |
$26,372 |
1.0× |
| Perc drug-el cor stent sing (C9600) |
$12,310 |
$51,488 |
1.0× |
| Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) |
$6,795 |
$2,613 |
1.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$12,310 |
$19,956 |
1.0× |
| Pin service 60m per month (G0023) |
$108 |
$309 |
1.0× |
| Programming device eval impl ccm-d sys in person (0926T) |
$39 |
$131 |
1.0× |
| Prostate biopsy, any mthd (G0416) |
$382 |
$987 |
1.0× |
Psa screening (G0103)
range across 2 matching MRF lines |
$19 |
$97–$472 |
1.0× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$678 |
$3,389 |
1.0× |
| Quan CT tiss charac w/o CT (0721T) |
$678 |
$3,389 |
1.0× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,200 |
$6,403 |
1.0× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$39 |
$131 |
1.0× |
| Removal perm ccm-d system pulse generator only (0919T) |
$3,984 |
$12,738 |
1.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$668 |
$2,164 |
1.0× |
| Revasc intra lithotrip-ather (C9766) |
$19,548 |
$63,435 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$19,548 |
$63,435 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$12,310 |
$38,276 |
1.0× |
| Revasc lithotrip-stent-ather (C9767) |
$19,548 |
$61,201 |
1.0× |
| Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) |
$3,728 |
$1,096 |
1.0× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) |
$3,984 |
$12,738 |
1.0× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$3,984 |
$12,738 |
1.0× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) |
$3,984 |
$12,738 |
1.0× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$23,719 |
$78,562 |
1.0× |
| Screen cerv/vag thin layer (G0123) |
$20 |
$104 |
1.0× |
| Screen pap by tech w md supv (P3000) |
$18 |
$103 |
1.0× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) |
$3,457 |
$11,257 |
1.0× |
Tomosynthesis, mammo (G0279)
range across 3 matching MRF lines |
$13 |
$195–$216 |
1.0× |
| Trauma respons w/hosp criti (G0390) |
— |
$3,469 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
$19,548 |
$36,109 |
1.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$835 |
$4,884 |
1.0× |
| Unsched dialysis esrd pt hos (G0257) |
$731 |
$3,126 |
1.0× |