| 2d tee w or w/o fol w/con,in (C8925) |
$2,582.40 |
$3,228 |
3.2× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,649.60 |
$2,062 |
2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,597.60 |
$1,997 |
4.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$4,400 |
$5,500 |
2.2× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$8,475.20 |
$10,594 |
0.9× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$4,880 |
$6,100 |
2.4× |
| Ca screen;flexi sigmoidscope (G0104) |
$2,358.40 |
$2,948 |
2.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,427.20 |
$3,034 |
2.6× |
| Colorectal scrn; hi risk ind (G0105) |
$2,427.20 |
$3,034 |
2.6× |
| Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) |
$3,131.20 |
$3,914 |
0.5× |
| Direct refer hospital observ (G0379) |
$114.40 |
$143 |
0.2× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) |
$1,330.40 |
$1,663 |
1.1× |
| Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) |
$4,202.40 |
$5,253 |
0.7× |
| Extrnl counterpulse, per tx (G0166) |
$396 |
$495 |
2.9× |
| Group train w/o patient (G0543) |
$55.20 |
$69 |
1.9× |
| Hbot, full body chamber, 30m (G0277) |
$473.60 |
$592 |
3.4× |
| Home sleep test/type 2 porta (G0398) |
$358.40 |
$448 |
1.6× |
| Home sleep test/type 3 porta (G0399) |
$297.60 |
$372 |
1.3× |
| Home sleep test/type 4 porta (G0400) |
$448 |
$560 |
2.0× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$9,070.40 |
$11,338 |
1.1× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$52,243.20 |
$65,304 |
1.6× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$35,139.20 |
$43,924 |
1.1× |
| No pt prsnt train initial 30 (G0541) |
$132 |
$165 |
4.5× |
| Opps service,sched team conf (G0175) |
$684 |
$855 |
1.6× |
| Oth resp proc, group (G0239) |
$174.40 |
$218 |
4.6× |
| Oth resp proc, indiv (G0238) |
$116.80 |
$146 |
4.0× |
| Pemivibart infusion (M0224) |
$783.20 |
$979 |
1.7× |
| Perc d-e cor revasc chro sin (C9607) |
$17,990.40 |
$22,488 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$16,113.60 |
$20,142 |
1.4× |
| Perc d-e cor stent ather s (C9602) |
$26,470.40 |
$33,088 |
1.4× |
| Perc drug-el cor stent sing (C9600) |
$17,790.40 |
$22,238 |
1.5× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$16,176.80 |
$20,221 |
1.4× |
| Post op service lvrs min 6 (G0305) |
$1,383.20 |
$1,729 |
3.6× |
| Pre-op service lvrs 10-15dos (G0303) |
$1,118.40 |
$1,398 |
5.1× |
| Prostate biopsy, any mthd (G0416) |
$492.80 |
$616 |
1.3× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$1,760.80 |
$2,201 |
1.9× |
| Removal Ss Dfb Electrode (0573T) |
$3,988.80 |
$4,986 |
1.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$3,988.80 |
$4,986 |
1.0× |
| Revasc intra lithotrip-ather (C9766) |
$26,845.60 |
$33,557 |
1.4× |
| Revasc intra lithotrip-stent (C9765) |
$26,919.20 |
$33,649 |
1.4× |
| Revasc intravasc lithotripsy (C9764) |
$15,855.20 |
$19,819 |
1.3× |
| Revasc lithotr-ather tib/per (C9774) |
$24,000 |
$30,000 |
1.3× |
| Revasc lithotrip-stent-ather (C9767) |
$34,768 |
$43,460 |
1.9× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$3,988.80 |
$4,986 |
1.0× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) |
$24,600.80 |
$30,751 |
1.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$84.80 |
$106 |
3.2× |
| Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) |
$3,131.20 |
$3,914 |
0.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$5,552.80 |
$6,941 |
1.0× |
| Tee w or w/o fol w/cont,cong (C8926) |
$1,977.60 |
$2,472 |
2.5× |
| Therapeutic procd strg endur (G0237) |
$124.80 |
$156 |
4.2× |
| Tomosynthesis, mammo (G0279) |
$86.40 |
$108 |
6.8× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$15,984.80 |
$19,981 |
2.7× |
| Transcatheter renal sympath denervation unilat (0338T) |
$12,092.80 |
$15,116 |
2.1× |
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines |
$1,755.20–$6,764 |
$2,194–$8,455 |
varies |
| Trluml Perip Athrc Brchiocph (0237T) |
$15,820.80 |
$19,776 |
1.3× |
| Trluml Perip Athrc Iliac Art (0238T) |
$20,764.80 |
$25,956 |
1.1× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$13,305.60 |
$16,632 |
1.1× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,543.20 |
$3,179 |
3.2× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,320 |
$2,900 |
2.9× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,914.40 |
$2,393 |
2.4× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,444 |
$1,805 |
1.8× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,504.80 |
$3,131 |
3.1× |
| Unsched dialysis esrd pt hos (G0257) |
$1,620 |
$2,025 |
2.3× |
| Vasc emb/occ w/prs cath (C9797) |
$27,533.60 |
$34,417 |
1.5× |