| 2019-ncov diagnostic p (U0001) |
$46.70 |
— |
1.3× |
| 2d tee w or w/o fol w/con,in (C8925) |
$980.14 |
— |
1.3× |
| 2d tte w or w/o fol w/con,co (C8923) |
$980.14 |
— |
1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$436.20 |
— |
1.3× |
| Adm of soc dtr assess 5-15 m (G0136) |
$46.85 |
— |
1.3× |
| Admin hepatitis b vaccine (G0010) |
$58.55 |
— |
1.3× |
| Admin influenza virus vac (G0008) |
$58.55 |
$19 |
1.3× |
| Admin pneumococcal vaccine (G0009) |
$58.55 |
— |
1.3× |
| Adv prim care mgmt lvl 1 (G0556) |
$46.85 |
— |
1.3× |
| Adv prim care mgmt lvl 2 (G0557) |
$46.85 |
— |
1.3× |
| Adv prim care mgmt lvl 3 (G0558) |
$127.02 |
— |
1.3× |
| Alcohol/sub misuse assess (G2011) |
$36.17 |
— |
1.3× |
| Alcohol/subs interv 15-30mn (G0396) |
$46.85 |
— |
1.3× |
| Alcohol/subs interv >30 min (G0397) |
$221.92 |
— |
1.3× |
| Annual alcohol screen 15 min (G0442) |
$46.85 |
— |
1.3× |
| Arthro/shoul surg; w/spacer (C9781) |
$16,052.22 |
— |
1.3× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$127.02 |
— |
1.3× |
| Behavior counsel obesity 15m (G0447) |
$127.02 |
— |
1.3× |
| Blind cor sinus reducer impl (C9783) |
$14,433.71 |
— |
1.3× |
| Blind interatrial shunt ide (C9758) |
$21,417.01 |
— |
1.3× |
| Blind myocar trpl bon marrow (C9782) |
$21,417.01 |
— |
1.3× |
| Blind/nonblind trans atrial (C9792) |
$11,932.61 |
— |
1.3× |
| Blood mucoprotein (P2038) |
$6.44 |
— |
1.3× |
| Blood thymol turbidity (P2033) |
$6.44 |
— |
1.3× |
| Brief alcohol misuse counsel (G0443) |
$127.02 |
— |
1.3× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,162.73 |
— |
1.3× |
| Ca screen;pelvic/breast exam (G0101) |
$127.02 |
— |
1.3× |
| Cardiac mri seg dys strain (C9762) |
$683.19 |
— |
1.3× |
| Cardiac mri seg dys stress (C9763) |
$683.19 |
— |
1.3× |
| Cardiokymography (Q0035) |
$46.70 |
— |
1.3× |
| Care manage beh svs 20mins (G0323) |
$46.85 |
— |
1.3× |
| Catheterize for urine spec (P9612) |
$12.14 |
— |
1.3× |
| Cbc without platelet (G0307) |
$8.41 |
— |
1.3× |
| Cbc/diffwbc w/o platelet (G0306) |
$10.10 |
— |
1.3× |
| Cephalin floculation test (P2028) |
$6.44 |
— |
1.3× |
| Chemo extend iv infus w/pump (G0498) |
$412.98 |
— |
1.3× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,162.73 |
— |
1.3× |
| Colorectal scrn; hi risk ind (G0105) |
$1,162.73 |
— |
1.3× |
| Colpopexy, min/inv, ex-perit (C9778) |
$6,254.56 |
— |
1.3× |
| Comm hlth intg svs sdoh 60mn (G0019) |
$127.02 |
— |
1.3× |
| Congo red blood test (P2029) |
$6.44 |
— |
1.3× |
| Covid-19 lab test non-cdc (U0002) |
$66.70 |
— |
1.3× |
| Cysto impl 4 or more (C9740) |
$11,835.93 |
— |
1.3× |
| Cysto, litho, vacuum kidney (C9761) |
$11,835.93 |
— |
1.3× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$6,703.85 |
— |
1.3× |
| Demonstrate use home inr mon (G0248) |
$166.47 |
— |
1.3× |
| Depression screen annual (G0444) |
$46.85 |
— |
1.3× |
| Dermal filler injection(s) (G0429) |
$2,579.72 |
— |
1.3× |
| Devlopment test interpt&rep (G0451) |
$127.02 |
— |
1.3× |
| Drug test def 1-7 classes (G0480) |
$148.76 |
— |
1.3× |
| Drug test def 15-21 classes (G0482) |
$258.36 |
— |
1.3× |
| Drug test def 22+ classes (G0483) |
$321 |
— |
1.3× |
| Drug test def 8-14 classes (G0481) |
$203.57 |
— |
1.3× |
| Drug test def simple all cl (G0659) |
$80.78 |
— |
1.3× |
| Dstry eye lesn,fdr vssl tech (G0186) |
$687.66 |
— |
1.3× |
| Eia hiv-1/hiv-2 screen (G0432) |
$25.44 |
— |
1.3× |
| Ekg tracing for initial prev (G0404) |
$36.17 |
— |
1.3× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$23.78 |
— |
1.3× |
| Endo defect closure gi tract (C9901) |
$13,290.49 |
— |
1.3× |
| Endo outlet restrict w/tube (C9785) |
$13,290.49 |
— |
1.3× |
| Esd endoscopy or colonoscopy (C9779) |
$4,820.50 |
— |
1.3× |
| Esophag muc integ w/eso egd (C9777) |
$4,820.50 |
— |
1.3× |
| Extrnl counterpulse, per tx (G0166) |
$166.35 |
— |
1.3× |
| Facility svs dental rehab (G0330) |
$4,145.32 |
— |
1.3× |
| Fecal blood scrn immunoassay (G0328) |
$23.47 |
— |
1.3× |
| Fecal microbiota prep instil (G0455) |
$1,162.73 |
— |
1.3× |
| Fern test (Q0114) |
$12.66 |
— |
1.3× |
| Followup eval of foot pt lop (G0246) |
$166.47 |
— |
1.3× |
| Glaucoma scrn hgh risk direc (G0118) |
$46.70 |
— |
1.3× |
| Glaucoma scrn hgh risk direc (G0117) |
$36.17 |
— |
1.3× |
| Group behave couns 2-10 (G0473) |
$46.85 |
— |
1.3× |
| Group train w/o patient (G0543) |
$36.17 |
— |
1.3× |
| Hair analysis (P2031) |
$6.44 |
— |
1.3× |
| Hbot, full body chamber, 30m (G0277) |
$172.06 |
— |
1.3× |
| Hep c screen high risk/other (G0472) |
$60.26 |
— |
1.3× |
| Hepb screen high risk indiv (G0499) |
$36.75 |
— |
1.3× |
| High inten beh couns std 30m (G0445) |
$127.02 |
— |
1.3× |
| Hiv combination assay (G0475) |
$31.30 |
— |
1.3× |
| Hiv prep counsel, clin staff (G0013) |
$46.85 |
— |
1.3× |
| Home sleep test/type 2 porta (G0398) |
$269.97 |
— |
1.3× |
| Home sleep test/type 4 porta (G0400) |
$269.97 |
— |
1.3× |
| Hpv combo assay ca screen (G0476) |
$45.62 |
— |
1.3× |
| Imp extar knee shck absrb (C8003) |
$21,922.55 |
— |
1.3× |
| Init/sub psych care m 1st 30 (G2214) |
$127.02 |
— |
1.3× |
| Initial foot exam pt lops (G0245) |
$166.47 |
— |
1.3× |
| Initial preventive exam (G0402) |
$166.47 |
— |
1.3× |
| Inj for sacroiliac jt anesth (G0260) |
$882.57 |
$675 |
1.3× |
| Injection of hiv prep drug (G0012) |
$90.03 |
— |
1.3× |
| Insert cv cath inf & sup app (C9780) |
$10,096.92 |
— |
1.3× |
| Insert drug del implant, >=4 (G0516) |
$558.55 |
— |
1.3× |
| Insert palate implants (C9727) |
$1,939.95 |
— |
1.3× |
| Instill pharm renal pelvis (C9789) |
$1,530.36 |
— |
1.3× |
| Intens behave ther cardio dx (G0446) |
$46.85 |
— |
1.3× |
| Intens cardiac rehab no exer (G0423) |
$161.17 |
— |
1.3× |
| Intens cardiac rehab w/exerc (G0422) |
$161.17 |
— |
1.3× |
| Iv cipaglucosidase alfa-atga (G0138) |
$796.08 |
— |
1.3× |
| Monthly tx for dmht 20mins (G0553) |
$166.47 |
— |
1.3× |
| Mra w/cont, abd (C8900) |
$436.20 |
— |
1.3× |
| Mra w/cont, chest (C8909) |
$436.20 |
— |
1.3× |
| Mra w/cont, lwr ext (C8912) |
$436.20 |
— |
1.3× |
| Mra w/cont, pelvis (C8918) |
$436.20 |
— |
1.3× |
| Mra w/o cont, abd (C8901) |
$298.32 |
— |
1.3× |
| Mra w/o cont, chest (C8910) |
$298.32 |
— |
1.3× |
| Mra w/o cont, lwr ext (C8913) |
$298.32 |
— |
1.3× |
| Mra w/o cont, pelvis (C8919) |
$298.32 |
— |
1.3× |
| Mra w/o fol w/cont, abd (C8902) |
$436.20 |
— |
1.3× |
| Mra w/o fol w/cont, chest (C8911) |
$436.20 |
— |
1.3× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$436.20 |
— |
1.3× |
| Mra w/o fol w/cont, pelvis (C8920) |
$436.20 |
— |
1.3× |
| Mra, w/dye, spinal canal (C8931) |
$436.20 |
— |
1.3× |
| Mra, w/dye, upper extremity (C8934) |
$436.20 |
— |
1.3× |
| Mra, w/o dye, spinal canal (C8932) |
$298.32 |
— |
1.3× |
| Mra, w/o dye, upper extr (C8935) |
$298.32 |
— |
1.3× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$436.20 |
— |
1.3× |
| Mra, w/o&w/dye, upper extr (C8936) |
$436.20 |
— |
1.3× |
| Mri w/cont, breast, bi (C8906) |
$436.20 |
— |
1.3× |
| Mri w/cont, breast, uni (C8903) |
$219.31 |
— |
1.3× |
| Mri w/o fol w/cont, breast, (C8908) |
$436.20 |
— |
1.3× |
| Mri w/o fol w/cont, brst, un (C8905) |
$436.20 |
— |
1.3× |
| Nav srv peer sup 60 min pr m (G0140) |
$127.02 |
— |
1.3× |
| No pt prsnt train initial 30 (G0541) |
$36.17 |
— |
1.3× |
| Non-blind interatrial shunt (C9760) |
$33,654.95 |
— |
1.3× |
| Non-ophthalmic fva (C9733) |
$436.20 |
— |
1.3× |
| Obtaining screen pap smear (Q0091) |
$36.17 |
— |
1.3× |
| Off base opioid tx 70min (G2086) |
$221.92 |
— |
1.3× |
| Off base opioid tx, 60 m (G2087) |
$221.92 |
— |
1.3× |
| Open tx iliac spine uni/bil (G0412) |
$9,072.45 |
— |
1.3× |
| Open tx post pelvic fxcture (G0415) |
$4,090.98 |
— |
1.3× |
| Opps service,sched team conf (G0175) |
$521.70 |
— |
1.3× |
| Oral hiv-1/hiv-2 screen (G0435) |
$15.57 |
— |
1.3× |
| Oth resp proc, group (G0239) |
$46.70 |
— |
1.3× |
| Oth resp proc, indiv (G0238) |
$36.17 |
— |
1.3× |
| Pathogen test for platelets (P9100) |
$73.76 |
$107 |
1.3× |
| Pef bronch ablt 3d nav ebus (C8005) |
$21,417.01 |
— |
1.3× |
| Pelvic ring fracture uni/bil (G0413) |
$9,072.45 |
— |
1.3× |
| Pelvic ring fx treat int fix (G0414) |
$9,072.45 |
— |
1.3× |
| Perc d-e cor revasc chro sin (C9607) |
$22,920.05 |
— |
1.3× |
| Perc d-e cor revasc t cabg s (C9604) |
$14,433.71 |
— |
1.3× |
| Perc d-e cor stent ather s (C9602) |
$22,920.05 |
— |
1.3× |
| Perc drug-el cor stent sing (C9600) |
$14,433.71 |
— |
1.3× |
| Pet not otherwise specified (G0235) |
$499.84 |
— |
1.3× |
| Pild/placebo control clin tr (G0276) |
$9,072.45 |
— |
1.3× |
| Pin service 60m per month (G0023) |
$127.02 |
— |
1.3× |
| Pinworm examinations (Q0113) |
$5.55 |
— |
1.3× |
| Place device/marker, non pro (C9728) |
$1,730.57 |
— |
1.3× |
| Place endorectal app (C9725) |
$1,162.73 |
— |
1.3× |
| Post d/c phone follow up (G0544) |
$127.02 |
— |
1.3× |
| Post op service lvrs min 6 (G0305) |
$466.56 |
— |
1.3× |
| Post-coital mucous exam (Q0115) |
$32.50 |
— |
1.3× |
| Potassium hydroxide preps (Q0112) |
$7.58 |
— |
1.3× |
| Pre-op service lvrs 1-9 dos (G0304) |
$466.56 |
— |
1.3× |
| Pre-op service lvrs 10-15dos (G0303) |
$269.97 |
— |
1.3× |
| Pre-op service lvrs complete (G0302) |
$466.56 |
— |
1.3× |
| Prostate biopsy, any mthd (G0416) |
$448.16 |
— |
1.3× |
| Provide inr test mater/equip (G0249) |
$166.47 |
— |
1.3× |
| Psa screening (G0103) |
$25.10 |
— |
1.3× |
| Remove drug implant (G0517) |
$558.55 |
— |
1.3× |
| Remove w insert drug implant (G0518) |
$558.55 |
— |
1.3× |
| Revasc intra lithotrip-ather (C9766) |
$22,920.05 |
— |
1.3× |
| Revasc intra lithotrip-stent (C9765) |
$22,920.05 |
— |
1.3× |
| Revasc intravasc lithotripsy (C9764) |
$14,433.71 |
— |
1.3× |
| Revasc lith-sten-ath tib/per (C9775) |
$22,920.05 |
— |
1.3× |
| Revasc lithotr-ather tib/per (C9774) |
$22,920.05 |
— |
1.3× |
| Revasc lithotr-stent tib/per (C9773) |
$22,920.05 |
— |
1.3× |
| Revasc lithotrip tibi/perone (C9772) |
$14,433.71 |
— |
1.3× |
| Revasc lithotrip-stent-ather (C9767) |
$22,920.05 |
— |
1.3× |
| Risk ascvd tst once pr 12 mo (G0537) |
$46.85 |
— |
1.3× |
| Routine footcare pt w lops (G0247) |
$250.85 |
— |
1.3× |
| Rpr intst excl anrect fist (C9796) |
$3,470.42 |
— |
1.3× |
| Scr c/v cyto, automated sys (G0147) |
$24.10 |
— |
1.3× |
| Scr c/v cyto, autosys, rescr (G0148) |
$41.52 |
— |
1.3× |
| Scr c/v cyto,thinlayer,rescr (G0144) |
$57.16 |
— |
1.3× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$34.44 |
— |
1.3× |
| Scr c/v cyto,thinlayer,rescr (G0143) |
$35.17 |
— |
1.3× |
| Screen cerv/vag thin layer (G0123) |
$26.34 |
— |
1.3× |
| Screen pap by tech w md supv (P3000) |
$24.10 |
— |
1.3× |
| Semen analysis (G0027) |
$8.45 |
— |
1.3× |
| Single energy x-ray study (G0130) |
$130.72 |
— |
1.3× |
| Spine device implant surgery (C9757) |
$16,052.22 |
$4,737 |
1.3× |
| Tee w or w/o fol w/cont, mon (C8927) |
$980.14 |
— |
1.3× |
| Tee w or w/o fol w/cont,cong (C8926) |
$980.14 |
— |
1.3× |
| Therapeutic procd strg endur (G0237) |
$36.17 |
— |
1.3× |
| Trim nail(s) (G0127) |
$73.76 |
— |
1.3× |
| Tte w or w/o contr, cont ecg (C8930) |
$980.14 |
— |
1.3× |
| Tte w or w/o fol w/con,stres (C8928) |
$980.14 |
— |
1.3× |
| Tte w or w/o fol w/cont, com (C8921) |
$980.14 |
— |
1.3× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$980.14 |
— |
1.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$980.14 |
— |
1.3× |
| U/s trtmt, not leiomyomata (C9734) |
$16,052.22 |
— |
1.3× |
| Urine specimen collect mult (P9615) |
$12.14 |
— |
1.3× |
| Vasc emb/occ w/prs cath (C9797) |
$22,920.05 |
— |
1.3× |
| Ven blood coll snf/hha (G0471) |
$14.74 |
— |
1.3× |
| Visit esketamine 56m or less (G2082) |
$1,285.60 |
— |
1.3× |
| Visit esketamine, > 56m (G2083) |
$2,019.88 |
— |
1.3× |
| Visit to determ ldct elig (G0296) |
$127.02 |
— |
1.3× |
| Warfarin respon genetic test (G9143) |
$156.94 |
— |
1.3× |
| Wet mounts/ w preparations (Q0111) |
$24.10 |
— |
1.3× |