| 2019-ncov diagnostic p (U0001) |
$35 |
$150 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$49 |
$84 |
1.0× |
| Admin influenza virus vac (G0008) |
$49 |
$84 |
1.0× |
| Admin pneumococcal vaccine (G0009) |
$49 |
$84 |
1.0× |
| Alcohol/subs interv >30 min (G0397) |
$189 |
$565 |
1.0× |
| Catheterize for urine spec (P9612) |
$9 |
$237 |
1.0× |
| Chemo extend iv infus w/pump (G0498) |
$352 |
$927 |
1.0× |
| Covid-19 lab test non-cdc (U0002) |
$51 |
$216 |
1.0× |
| Cysto impl 4 or more (C9740) |
$10,094 |
$8,846.45 |
1.0× |
| Direct refer hospital observ (G0379) |
$635 |
$934 |
1.0× |
Drug test def 1-7 classes (G0480)
range across 99 matching MRF lines |
$114 |
$66–$798 |
1.0× |
| Elec stim other than wound (G0283) |
$12 |
$148 |
0.9× |
| 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 |
$62 |
1.0× |
| Hbot, full body chamber, 30m (G0277) |
$146 |
$1,745 |
1.0× |
| Home sleep test/type 3 porta (G0399) |
$230 |
$1,125 |
1.0× |
| Home sleep test/type 4 porta (G0400) |
$230 |
$783 |
1.0× |
Hospital outpt clinic visit (G0463)
range across 11 matching MRF lines |
$141 |
$318–$1,403 |
1.0× |
| Inj for sacroiliac jt anesth (G0260) |
$752 |
$1,847 |
1.0× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$23,719 |
$78,562 |
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× |
| Mra w/cont, abd (C8900) |
$372 |
$3,718 |
1.0× |
| Mra w/cont, chest (C8909) |
$372 |
$2,415 |
1.0× |
| Mra w/cont, lwr ext (C8912) |
$372 |
$8,815 |
1.0× |
| Mra w/o cont, abd (C8901) |
$254 |
$3,718 |
1.0× |
| Mra w/o cont, chest (C8910) |
$254 |
$2,415 |
1.0× |
| Mra w/o cont, lwr ext (C8913) |
$254 |
$8,815 |
1.0× |
| Mra w/o fol w/cont, abd (C8902) |
$372 |
$3,718 |
1.0× |
| Mra w/o fol w/cont, chest (C8911) |
$372 |
$2,415 |
1.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$372 |
$2,770 |
1.0× |
| Mra, w/o&w/dye, upper extr (C8936) |
$372 |
$3,277 |
1.0× |
| Mri w/o fol w/cont, breast, (C8908) |
$372 |
$2,424 |
1.0× |
| Mri w/o fol w/cont, brst, un (C8905) |
$372 |
$1,985 |
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 |
$130 |
1.0× |
| Oth resp proc, indiv (G0238) |
$30 |
$223 |
1.0× |
| Perc d-e cor revasc chro sin (C9607) |
$19,548 |
$26,174 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$12,310 |
$18,710 |
1.0× |
| Perc d-e cor stent ather s (C9602) |
$19,548 |
$19,632 |
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× |
| Prolonged iv inf, req pump (C8957) |
$226 |
$589 |
1.0× |
| Prostate biopsy, any mthd (G0416) |
$382 |
$712 |
1.0× |
| Psa screening (G0103) |
$19 |
$243 |
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 |
$64,454.50 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$19,548 |
$62,318 |
1.0× |
Revasc intravasc lithotripsy (C9764)
range across 2 matching MRF lines |
$12,310 |
$35,971.50–$35,971.54 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$19,548 |
$63,435 |
1.0× |
| Revasc lithotrip-stent-ather (C9767) |
$19,548 |
$41,200.50 |
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 |
$167 |
1.0× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) |
$3,457 |
$11,257 |
1.0× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$20,540 |
$64,497 |
1.0× |
| Therapeutic procd strg endur (G0237) |
$30 |
$243 |
1.0× |
Tomosynthesis, mammo (G0279)
range across 3 matching MRF lines |
$11 |
$104–$158 |
0.9× |
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines |
— |
$5,647–$10,347 |
— |
| Trim nail(s) (G0127) |
$62 |
$96 |
1.0× |
| Unsched dialysis esrd pt hos (G0257) |
$731 |
$2,118 |
1.0× |