| 2d tee w or w/o fol w/con,in (C8925) |
$3,626.70 |
$5,181 |
3.1× |
| 2d tte w or w/o fol w/con,co (C8923) |
$3,636.50 |
$5,195 |
3.2× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$2,534.70 |
$3,621 |
4.9× |
| 3d anat seg imaging preop (C8001) |
$449.40 |
$642 |
2.4× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) |
$1,233.40 |
$1,762 |
3.5× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) |
$7,295.40 |
$10,422 |
3.0× |
| Adm of soc dtr assess 5-15 m (G0136) |
$102.90 |
$147 |
1.9× |
| Adv prim care mgmt lvl 1 (G0556) |
$152.60 |
$218 |
2.8× |
| Adv prim care mgmt lvl 2 (G0557) |
$152.60 |
$218 |
2.8× |
| Adv prim care mgmt lvl 3 (G0558) |
$472.50 |
$675 |
3.2× |
| Alcohol/sub misuse assess (G2011) |
$116.20 |
$166 |
2.7× |
| Alcohol/subs interv 15-30mn (G0396) |
$142.10 |
$203 |
2.6× |
| Alcohol/subs interv >30 min (G0397) |
$763.70 |
$1,091 |
2.9× |
| Annual alcohol screen 15 min (G0442) |
$439.60 |
$628 |
8.0× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$472.50 |
$675 |
3.2× |
| Asstv alg ECG rsk asmt cncrt (0764T) |
$50,817.90 |
$72,597 |
259.7× |
| Asstv alg ECG rsk asmt prev (0765T) |
$656.60 |
$938 |
3.4× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$193.20 |
$276 |
3.5× |
| Behavior counsel obesity 15m (G0447) |
$401.80 |
$574 |
2.7× |
| Brief alcohol misuse counsel (G0443) |
$401.80 |
$574 |
2.7× |
| Ca screen;flexi sigmoidscope (G0104) |
$3,764.60 |
$5,378 |
2.8× |
| Ca screen;pelvic/breast exam (G0101) |
$401.80 |
$574 |
2.7× |
| Care manage beh svs 20mins (G0323) |
$138.60 |
$198 |
2.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$3,764.60 |
$5,378 |
2.8× |
| Colorectal scrn; hi risk ind (G0105) |
$3,764.60 |
$5,378 |
2.8× |
| Comm hlth intg svs sdoh 60mn (G0019) |
$431.20 |
$616 |
2.9× |
| Complex simulation w/pet-ct (G0562) |
$9,953.30 |
$14,219 |
3.5× |
| Compre ful bdy cptr mrkrls 3d knmtc&kin mtn alys (0693T) |
$1,780.10 |
$2,543 |
3.5× |
| Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) |
$1,013.60 |
$1,448 |
3.4× |
| Depression screen annual (G0444) |
$439.60 |
$628 |
8.0× |
| Diab manage trn per indiv (G0108) |
$205.10 |
$293 |
3.7× |
Direct refer hospital observ (G0379)
range across 13 matching MRF lines |
$375.20–$1,050.70 |
$536–$1,501 |
varies |
Drug test def 1-7 classes (G0480)
range across 10 matching MRF lines |
$34.30–$543.90 |
$49–$777 |
varies |
| Drug test def 15-21 classes (G0482) |
$945.70 |
$1,351 |
4.8× |
| Drug test def 22+ classes (G0483) |
$1,173.20 |
$1,676 |
4.8× |
| Drug test def 8-14 classes (G0481) |
$744.10 |
$1,063 |
4.8× |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) |
$303.10 |
$433 |
3.5× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) |
$4,034.10 |
$5,763 |
1.4× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) |
$4,377.80 |
$6,254 |
3.3× |
| Eia hiv-1/hiv-2 screen (G0432) |
$90.30 |
$129 |
4.6× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) |
$466.90 |
$667 |
3.3× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) |
$466.90 |
$667 |
3.3× |
| Elec stim other than wound (G0283) |
$135.80 |
$194 |
10.7× |
| Elec stim unattend for press (G0281) |
$79.10 |
$113 |
6.8× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
$6,195 |
$8,850 |
3.5× |
| Electrophysiologic eval ccm-d leads separate (0931T) |
$6,195 |
$8,850 |
3.5× |
| Esd endoscopy or colonoscopy (C9779) |
$12,777.10 |
$18,253 |
2.3× |
| Esw integumentary wound healing initial wound (0512T) |
$1,650.60 |
$2,358 |
5.6× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$50,817.90 |
$72,597 |
3.0× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) |
$23,631.30 |
$33,759 |
2.6× |
| Fern test (Q0114) |
$57.40 |
$82 |
5.9× |
| Followup eval of foot pt lop (G0246) |
$609 |
$870 |
3.1× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) |
$3,017 |
$4,310 |
2.8× |
| Gi myoelectrical activity study stmch-colon i&r (0779T) |
$2,366.70 |
$3,381 |
4.3× |
| Glaucoma scrn hgh risk direc (G0118) |
$170.10 |
$243 |
3.1× |
| Glaucoma scrn hgh risk direc (G0117) |
$170.10 |
$243 |
4.0× |
| Hbot, full body chamber, 30m (G0277) |
$578.20 |
$826 |
2.9× |
| Hepb screen high risk indiv (G0499) |
$145.60 |
$208 |
5.2× |
| High inten beh couns std 30m (G0445) |
$401.80 |
$574 |
2.7× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$63,461.30 |
$90,659 |
2.5× |
| Hiv prep counsel, clin staff (G0013) |
$42 |
$60 |
0.8× |
| Home sleep test/type 2 porta (G0398) |
$714.70 |
$1,021 |
2.3× |
| Home sleep test/type 3 porta (G0399) |
$687.40 |
$982 |
2.2× |
| Home sleep test/type 4 porta (G0400) |
$714.70 |
$1,021 |
2.3× |
| Hopd mntl hlt, 15-29 min (C7900) |
$145.60 |
$208 |
2.6× |
| Hopd mntl hlt, 30-60 min (C7901) |
$371.70 |
$531 |
2.5× |
| Initial foot exam pt lops (G0245) |
$609 |
$870 |
3.1× |
| Initial preventive exam (G0402) |
$648.90 |
$927 |
3.3× |
| Inj for sacroiliac jt anesth (G0260) |
$3,336.20 |
$4,766 |
3.2× |
| Injection of hiv prep drug (G0012) |
$77 |
$110 |
0.7× |
| Injection posterior chamber eye medication (0699T) |
$10,767.40 |
$15,382 |
3.2× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$4,020.10 |
$5,743 |
3.1× |
| Insert cv cath inf & sup app (C9780) |
$41,491.80 |
$59,274 |
3.5× |
| Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system… (0680T) |
$152,623.10 |
$218,033 |
5.3× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$114,538.90 |
$163,627 |
3.5× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) |
$10,767.40 |
$15,382 |
1.4× |
| Insj bioprostc vlv fem vn (0744T) |
$25,161.50 |
$35,945 |
3.1× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) |
$42,231 |
$60,330 |
3.5× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$42,231 |
$60,330 |
3.5× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$163,604.70 |
$233,721 |
3.5× |
| Instlj fecal microbiota ssp (0780T) |
$3,915.10 |
$5,593 |
20.0× |
| Intens behave ther cardio dx (G0446) |
$313.60 |
$448 |
5.7× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$190.40 |
$272 |
3.5× |
| Interrogation device evaluation in person isdss (0685T) |
$128.80 |
$184 |
2.3× |
| Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for… (0674T) |
$58,298.10 |
$83,283 |
1.3× |
| Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for… (0679T) |
$16,985.50 |
$24,265 |
1.1× |
| Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation… (0677T) |
$16,985.50 |
$24,265 |
1.1× |
| Laps insj new/rplcmt lead perm isdss 1st lead (0675T) |
$58,298.10 |
$83,283 |
3.6× |
| Low intensity eswt corpus cavernosum low energy (0864T) |
$1,193.50 |
$1,705 |
3.2× |
| Mnt subs tx for change dx (G0270) |
$254.10 |
$363 |
8.0× |
| Mra w/cont, abd (C8900) |
$2,534.70 |
$3,621 |
4.9× |
| Mra w/cont, chest (C8909) |
$2,027.20 |
$2,896 |
4.0× |
| Mra w/cont, lwr ext (C8912) |
$2,027.20 |
$2,896 |
4.0× |
| Mra w/cont, pelvis (C8918) |
$2,027.20 |
$2,896 |
4.0× |
| Mra w/o cont, abd (C8901) |
$1,516.20 |
$2,166 |
4.3× |
| Mra w/o cont, chest (C8910) |
$1,516.20 |
$2,166 |
4.3× |
Mra w/o cont, lwr ext (C8913)
range across 2 matching MRF lines |
$1,212.40–$1,516.20 |
$1,732–$2,166 |
varies |
| Mra w/o cont, pelvis (C8919) |
$1,212.40 |
$1,732 |
3.5× |
| Mra w/o fol w/cont, abd (C8902) |
$2,534.70 |
$3,621 |
4.9× |
| Mra w/o fol w/cont, chest (C8911) |
$2,534.70 |
$3,621 |
4.9× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,027.20 |
$2,896 |
4.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,027.20 |
$2,896 |
4.0× |
| Mra, w/dye, spinal canal (C8931) |
$2,027.20 |
$2,896 |
4.0× |
Mra, w/dye, upper extremity (C8934)
range across 3 matching MRF lines |
$2,027.20–$4,185.30 |
$2,896–$5,979 |
varies |
| Mra, w/o dye, spinal canal (C8932) |
$1,212.40 |
$1,732 |
3.5× |
Mra, w/o dye, upper extr (C8935)
range across 3 matching MRF lines |
$1,212.40–$4,185.30 |
$1,732–$5,979 |
varies |
| Mra, w/o&w/dye, spinal canal (C8933) |
$2,027.20 |
$2,896 |
4.0× |
Mra, w/o&w/dye, upper extr (C8936)
range across 3 matching MRF lines |
$2,027.20–$4,185.30 |
$2,896–$5,979 |
varies |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) |
$420 |
$600 |
1.3× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) |
$1,531.60 |
$2,188 |
3.4× |
| Nav srv peer sup 60 min pr m (G0140) |
$240.10 |
$343 |
1.6× |
| Neuro csf prion prtn qual (0035U) |
$418.75 |
$598.22 |
0.8× |
| Njx bone sub matrl into subchondral bone defect (0707T) |
$14,683.20 |
$20,976 |
3.1× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$4,020.10 |
$5,743 |
3.1× |
| Njx platelet plasma (0232T) |
$2,006.90 |
$2,867 |
3.1× |
| Non-ophthalmic fva (C9733) |
$2,027.20 |
$2,896 |
4.0× |
| Obtaining screen pap smear (Q0091) |
$342.30 |
$489 |
8.0× |
| Opto-acoustic img breast uni augmnt alys&reprt (0857T) |
$532 |
$760 |
3.5× |
| Ortho impl mvmt alys pair CT (0946T) |
$543.20 |
$776 |
3.5× |
| Oth resp proc, group (G0239) |
$212.80 |
$304 |
3.9× |
| Oth resp proc, indiv (G0238) |
$170.10 |
$243 |
4.0× |
| Pattern erg w/i&r (0509T) |
$714.70 |
$1,021 |
2.3× |
| Perc d-e cor revasc chro sin (C9607) |
$80,066.70 |
$114,381 |
3.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$57,031.10 |
$81,473 |
3.4× |
| Perc d-e cor stent ather s (C9602) |
$80,066.70 |
$114,381 |
3.0× |
| Perc drug-el cor stent sing (C9600) |
$29,206.80 |
$41,724 |
1.7× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$29,955.80 |
$42,794 |
2.8× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$29,955.80 |
$42,794 |
2.8× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$29,094.10 |
$41,563 |
1.7× |
| Pin service 60m per month (G0023) |
$240.10 |
$343 |
1.6× |
| Place endorectal app (C9725) |
$3,915.10 |
$5,593 |
2.9× |
| Pne flu hepb cov home admin (M0201) |
$38.50 |
$55 |
0.7× |
| Potassium hydroxide preps (Q0112) |
$28 |
$40 |
4.8× |
| Ppps, initial visit (G0438) |
$844.20 |
$1,206 |
4.8× |
| Ppps, subseq visit (G0439) |
$670.60 |
$958 |
4.9× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,515.50 |
$2,165 |
1.2× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$182.70 |
$261 |
3.3× |
| Programming device eval impl ccm-d sys in person (0926T) |
$190.40 |
$272 |
3.5× |
| Prolonged iv inf, req pump (C8957) |
$1,501.50 |
$2,145 |
4.8× |
| Psa screening (G0103) |
$65.10 |
$93 |
3.4× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$1,193.50 |
$1,705 |
0.9× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) |
$1,183.70 |
$1,691 |
3.4× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$1,183.70 |
$1,691 |
3.4× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$420 |
$600 |
3.3× |
| Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) |
$152,623.10 |
$218,033 |
29.7× |
| Relocation pg wcs lv pacg battery component only (0862T) |
$18,964.40 |
$27,092 |
6.2× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) |
$8,807.40 |
$12,582 |
2.9× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$9,334.50 |
$13,335 |
3.1× |
| Rem auton alg nsln cal setup (0740T) |
$282.80 |
$404 |
3.3× |
| Rem auton alg nsln data coll (0741T) |
$171.50 |
$245 |
3.1× |
| Rem multi day cplx uroflowmetry dev sply w/reprt (0812T) |
$182.70 |
$261 |
1.0× |
| Rem multi day cplx uroflowmetry setup&pt educaj (0811T) |
$638.40 |
$912 |
3.3× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$190.40 |
$272 |
3.5× |
| Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) |
$16,985.50 |
$24,265 |
3.3× |
| Removal perm ccm-d system pulse generator only (0919T) |
$18,571 |
$26,530 |
3.4× |
| Removal pg wcs lv pacing both components (0861T) |
$18,964.40 |
$27,092 |
3.5× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$3,154.90 |
$4,507 |
3.4× |
| Revasc intra lithotrip-ather (C9766) |
$83,269.20 |
$118,956 |
3.1× |
| Revasc intra lithotrip-stent (C9765) |
$83,269.20 |
$118,956 |
3.1× |
| Revasc intravasc lithotripsy (C9764) |
$50,075.90 |
$71,537 |
2.9× |
| Revasc lith-sten-ath tib/per (C9775) |
$83,269.20 |
$118,956 |
3.1× |
| Revasc lithotr-ather tib/per (C9774) |
$83,269.20 |
$118,956 |
3.1× |
| Revasc lithotr-stent tib/per (C9773) |
$88,296.60 |
$126,138 |
3.3× |
| Revasc lithotrip tibi/perone (C9772) |
$52,078.60 |
$74,398 |
3.1× |
| Revasc lithotrip-stent-ather (C9767) |
$83,269.20 |
$118,956 |
3.1× |
| Risk ascvd tst once pr 12 mo (G0537) |
$152.60 |
$218 |
2.8× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) |
$18,571 |
$26,530 |
3.4× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$18,571 |
$26,530 |
3.4× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) |
$18,571 |
$26,530 |
3.4× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$114,538.90 |
$163,627 |
3.5× |
| Routine footcare pt w lops (G0247) |
$928.20 |
$1,326 |
3.1× |
| Sbrt w/positron emission del (G0563) |
$19,138 |
$27,340 |
4.1× |
| Smmg cncrnt appl imu snr (0778T) |
$711.90 |
$1,017 |
3.8× |
| Tc Auricular Nstimj Setup Calibration &Pt Educaj (0783T) |
$711.90 |
$1,017 |
3.8× |
| Tc mag stimj pn 1st tx 1nrv (0766T) |
$711.90 |
$1,017 |
2.2× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) |
$16,412.90 |
$23,447 |
3.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$94,096.80 |
$134,424 |
3.3× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$15,393 |
$21,990 |
3.3× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$94,096.80 |
$134,424 |
3.3× |
| Tee w or w/o fol w/cont, mon (C8927) |
$3,530.10 |
$5,043 |
3.1× |
| Tee w or w/o fol w/cont,cong (C8926) |
$3,636.50 |
$5,195 |
3.2× |
| Therapeutic procd strg endur (G0237) |
$170.10 |
$243 |
4.0× |
| Therapeutic ultrafiltration (0692T) |
$2,058 |
$2,940 |
0.9× |
| Tomosynthesis, mammo (G0279) |
$363.30 |
$519 |
28.6× |
| Tooth reimplantation (D7270) |
$4,247.60 |
$6,068 |
4.5× |
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines |
$11,425.40–$17,588.20 |
$16,322–$25,126 |
varies |
| Trim nail(s) (G0127) |
$293.30 |
$419 |
3.4× |
| Trluml Perip Athrc Iliac Art (0238T) |
$77,596.40 |
$110,852 |
2.9× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$50,817.90 |
$72,597 |
3.0× |
| Tte w or w/o contr, cont ecg (C8930) |
$3,636.50 |
$5,195 |
3.2× |
| Tte w or w/o fol w/con,stres (C8928) |
$3,496.50 |
$4,995 |
3.0× |
| Tte w or w/o fol w/cont, com (C8921) |
$3,636.50 |
$5,195 |
3.2× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$3,636.50 |
$5,195 |
3.2× |
| Tte w or wo fol wcon,doppler (C8929) |
$4,326.70 |
$6,181 |
3.8× |
| Tympanostomy Automated Tube Delivery System (0583T) |
$7,449.40 |
$10,642 |
3.3× |
| Unsched dialysis esrd pt hos (G0257) |
$3,091.90 |
$4,417 |
3.1× |
| Visit to determ ldct elig (G0296) |
$401.80 |
$574 |
2.7× |
| Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative 13,999 or fewer assigned members (0038U) |
$104.30 |
$149 |
3.5× |
| Wet mounts/ w preparations (Q0111) |
$68.60 |
$98 |
3.7× |