| 2d tee w or w/o fol w/con,in (C8925) |
$901 |
$1,802 |
1.2× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,289.50 |
$2,579 |
1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$664 |
$1,328 |
2.0× |
| Admin hepatitis b vaccine (G0010) |
$83.75 |
$167.50 |
1.9× |
| Admin influenza virus vac (G0008) |
$83.75 |
$167.50 |
1.9× |
| Admin pneumococcal vaccine (G0009) |
$127.75 |
$255.50 |
2.8× |
| Alcohol/subs interv 15-30mn (G0396) |
$42 |
$84 |
1.2× |
Arthro/shoul surg; w/spacer (C9781)
unusually low: confirm this is the full procedure |
$5,982.66 |
$11,965.33 |
0.5× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$104 |
$208 |
1.1× |
| Autolog prp not diab ulcer (G0460) |
$2,404.50 |
$4,809 |
1.2× |
| Behavior counsel obesity 15m (G0447) |
$117 |
$234 |
1.2× |
| Bia whole body composition assessment w/i&r (0358T) |
$33 |
$66 |
1.2× |
| Ca screen;pelvic/breast exam (G0101) |
$158.50 |
$317 |
1.6× |
| Catheterize for urine spec (P9612) |
$48.50 |
$97 |
5.2× |
| Chemo extend iv infus w/pump (G0498) |
$1,672.25 |
$3,344.50 |
5.3× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,014.25 |
$4,028.50 |
2.3× |
| Colorectal scrn; hi risk ind (G0105) |
$2,988 |
$5,976 |
3.3× |
| Covid-19 lab test non-cdc (U0002) |
$73 |
$146 |
1.4× |
Cysto impl 4 or more (C9740)
unusually low: confirm this is the full procedure |
$3,193 |
$6,386 |
0.4× |
Cystoscopy prostatic imp 1-3 (C9739)
unusually low: confirm this is the full procedure |
$1,986.83 |
$3,973.66 |
0.4× |
| Depression screen annual (G0444) |
$21.75 |
$43.50 |
0.6× |
| Diab manage trn per indiv (G0108) |
$59.50 |
$119 |
1.1× |
| Diab manage trn ind/group (G0109) |
$63.50 |
$127 |
4.0× |
| Direct refer hospital observ (G0379) |
$832.25 |
$1,664.50 |
1.5× |
| Drug test def 1-7 classes (G0480) |
$57.50 |
$115 |
0.5× |
| Drug test def 15-21 classes (G0482) |
$276.75 |
$553.50 |
1.4× |
| Drug test def 22+ classes (G0483) |
$265 |
$530 |
1.1× |
| Drug test def 8-14 classes (G0481) |
$121 |
$242 |
0.8× |
| Elec stim other than wound (G0283) |
$77.50 |
$155 |
6.1× |
| Electrophysiological eval icds w/ss electrode (0577T) |
$1,468 |
$2,936 |
1.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$35,890 |
$71,780 |
0.8× |
| Ephys eval ccm-d ld 1st impl (0930T) |
$1,468 |
$2,936 |
1.3× |
| Ephys eval ccm-d ld separate (0931T) |
$1,468 |
$2,936 |
1.3× |
| Extrnl counterpulse, per tx (G0166) |
$207.50 |
$415 |
1.6× |
| Fecal blood scrn immunoassay (G0328) |
$29 |
$58 |
1.6× |
| Fecal microbiota prep instil (G0455) |
$525 |
$1,050 |
0.6× |
| Group mnt 2 or more 30 mins (G0271) |
$35 |
$70 |
2.1× |
| Hbot, full body chamber, 30m (G0277) |
$747.50 |
$1,495 |
5.7× |
| Hiv combination assay (G0475) |
$52.50 |
$105 |
2.2× |
| Home sleep test/type 2 porta (G0398) |
$243 |
$486 |
1.2× |
| Home sleep test/type 3 porta (G0399) |
$339 |
$678 |
1.6× |
| Hospital outpt clinic visit (G0463) |
$80.50 |
$161 |
0.6× |
| Hpv combo assay ca screen (G0476) |
$71 |
$142 |
2.0× |
| Ig paraprotein qual bld/ur (0077U) |
$219.50 |
$439 |
5.1× |
| Iliac Atherectomy (0238T) |
$9,903 |
$19,806 |
0.6× |
| Initial preventive exam (G0402) |
$183.25 |
$366.50 |
1.4× |
| Inj for sacroiliac jt anesth (G0260) |
$1,320.50 |
$2,641 |
2.0× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$1,017 |
$2,034 |
1.2× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
$3,101 |
$6,202 |
0.6× |
Insertion of substernal implantable defibrillator electrode (0572T)
unusually low: confirm this is the full procedure |
$3,228 |
$6,456 |
0.4× |
Insertion perm ccm-d system pulse generator only (0916T)
unusually low: confirm this is the full procedure |
$8,488.50 |
$16,977 |
0.4× |
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T)
unusually low: confirm this is the full procedure |
$3,228.50 |
$6,457 |
0.4× |
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T)
unusually low: confirm this is the full procedure |
$3,228.50 |
$6,457 |
0.4× |
Insj perm ccm-d sys pg&eltrd (0915T)
unusually low: confirm this is the full procedure |
$11,268.50 |
$22,537 |
0.4× |
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
unusually low: confirm this is the full procedure |
$11,268 |
$22,536 |
0.4× |
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T)
unusually low: confirm this is the full procedure |
$3,228 |
$6,456 |
0.4× |
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T)
unusually low: confirm this is the full procedure |
$3,228 |
$6,456 |
0.4× |
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T)
unusually low: confirm this is the full procedure |
$8,489 |
$16,978 |
0.4× |
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
unusually low: confirm this is the full procedure |
$11,268 |
$22,536 |
0.4× |
| Intens cardiac rehab no exer (G0423) |
$199 |
$398 |
1.6× |
| Intens cardiac rehab w/exerc (G0422) |
$199 |
$398 |
1.6× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$45.50 |
$91 |
1.3× |
| Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) |
$45.50 |
$91 |
1.3× |
| Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) |
$45.50 |
$91 |
1.3× |
| Lev 1 hosp type b ed visit (G0380) |
$146.50 |
$293 |
2.1× |
| Lev 2 hosp type b ed visit (G0381) |
$195.50 |
$391 |
2.2× |
| Lev 3 hosp type b ed visit (G0382) |
$371 |
$742 |
2.3× |
| Lev 4 hosp type b ed visit (G0383) |
$469 |
$938 |
1.8× |
| Lev 5 hosp type b ed visit (G0384) |
$652.50 |
$1,305 |
1.7× |
| Mnt subs tx for change dx (G0270) |
$68.50 |
$137 |
2.2× |
| Mra w/cont, abd (C8900) |
$1,460.50 |
$2,921 |
4.4× |
| Mra w/cont, chest (C8909) |
$945 |
$1,890 |
2.8× |
| Mra w/cont, lwr ext (C8912) |
$1,464.50 |
$2,929 |
4.4× |
| Mra w/cont, pelvis (C8918) |
$1,464 |
$2,928 |
4.4× |
| Mra w/o cont, abd (C8901) |
$1,136 |
$2,272 |
5.0× |
| Mra w/o cont, lwr ext (C8913) |
$1,391.50 |
$2,783 |
6.1× |
| Mra w/o cont, pelvis (C8919) |
$1,391 |
$2,782 |
6.1× |
| Mra w/o fol w/cont, abd (C8902) |
$1,073.50 |
$2,147 |
3.2× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,546 |
$3,092 |
4.6× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,240.75 |
$4,481.50 |
6.7× |
| Neuro csf prion prtn qual (0035U) |
$202 |
$404 |
0.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$560 |
$1,120 |
1.3× |
| Obtaining screen pap smear (Q0091) |
$36.75 |
$73.50 |
1.3× |
| Oth resp proc, group (G0239) |
$63 |
$126 |
1.8× |
| Oth resp proc, indiv (G0238) |
$44.50 |
$89 |
1.6× |
| Perc d-e cor revasc chro sin (C9607) |
$33,572 |
$67,144 |
1.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$23,789 |
$47,578 |
2.1× |
| Perc d-e cor stent ather s (C9602) |
$9,514 |
$19,028 |
0.5× |
| Perc drug-el cor stent sing (C9600) |
$22,822 |
$45,644 |
2.1× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$8,104.75 |
$16,209.50 |
0.7× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure |
$4,637.50 |
$9,275 |
0.4× |
| Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) |
$8,721.50 |
$17,443 |
1.3× |
| Ppps, initial visit (G0438) |
$90 |
$180 |
0.5× |
| Ppps, subseq visit (G0439) |
$67.50 |
$135 |
0.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$44 |
$88 |
1.2× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$45.50 |
$91 |
1.3× |
| Programming device eval impl ccm-d sys in person (0926T) |
$45.50 |
$91 |
1.3× |
| Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) |
$45.50 |
$91 |
1.3× |
| Prolonged iv inf, req pump (C8957) |
$414 |
$828 |
2.0× |
| Psa screening (G0103) |
$49 |
$98 |
2.5× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$2,212.50 |
$4,425 |
1.1× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,212.50 |
$4,425 |
1.1× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$3,274 |
$6,548 |
0.9× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$3,274 |
$6,548 |
0.9× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$3,274 |
$6,548 |
0.9× |
| Removal of substernal implantable defibrillator electrode (0573T) |
$3,274 |
$6,548 |
0.9× |
| Removal perm ccm-d system pulse generator only (0919T) |
$3,273.50 |
$6,547 |
0.9× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$705 |
$1,410 |
1.2× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$3,274 |
$6,548 |
0.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$748 |
$1,496 |
1.2× |
| Revasc intra lithotrip-stent (C9765) |
$23,744.75 |
$47,489.50 |
1.4× |
| Revasc intravasc lithotripsy (C9764) |
$7,673 |
$15,346 |
0.7× |
| Revasc lithotr-ather tib/per (C9774) |
$9,515 |
$19,030 |
0.5× |
| Revasc lithotr-stent tib/per (C9773) |
$9,848.50 |
$19,697 |
0.6× |
| Revasc lithotrip tibi/perone (C9772) |
$8,248.50 |
$16,497 |
0.7× |
| Revasc lithotrip-stent-ather (C9767) |
$9,515 |
$19,030 |
0.5× |
| Risk ascvd tst once pr 12 mo (G0537) |
$33.50 |
$67 |
0.9× |
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T)
unusually low: confirm this is the full procedure |
$8,489 |
$16,978 |
0.4× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) |
$3,273.50 |
$6,547 |
0.9× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$3,273.50 |
$6,547 |
0.9× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) |
$3,273.50 |
$6,547 |
0.9× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$3,274 |
$6,548 |
0.9× |
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T)
unusually low: confirm this is the full procedure |
$8,488.50 |
$16,977 |
0.4× |
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T)
unusually low: confirm this is the full procedure |
$8,489 |
$16,978 |
0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$89 |
$178 |
3.4× |
| Screen cerv/vag thin layer (G0123) |
$32.50 |
$65 |
1.6× |
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure |
$8,536.50 |
$17,073 |
0.5× |
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
unusually low: confirm this is the full procedure |
$8,536.50 |
$17,073 |
0.5× |
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure |
$8,536.50 |
$17,073 |
0.5× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$2,980.50 |
$5,961 |
1.0× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$2,980.50 |
$5,961 |
1.0× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$2,980.50 |
$5,961 |
1.0× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$2,980.50 |
$5,961 |
1.0× |
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T)
unusually low: confirm this is the full procedure |
$8,536.50 |
$17,073 |
0.5× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
unusually low: confirm this is the full procedure |
$8,536.50 |
$17,073 |
0.5× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
unusually low: confirm this is the full procedure |
$8,536.50 |
$17,073 |
0.5× |
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
unusually low: confirm this is the full procedure |
$8,536.50 |
$17,073 |
0.5× |
| Therapeutic procd strg endur (G0237) |
$44.50 |
$89 |
1.6× |
| Tomosynthesis, mammo (G0279) |
$592 |
$1,184 |
46.7× |
| Trauma respons w/hosp criti (G0390) |
$2,119.75 |
$4,239.50 |
1.7× |
| Trim nail(s) (G0127) |
$133.50 |
$267 |
2.4× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,540.25 |
$3,080.50 |
2.0× |
| Tte w or w/o fol w/cont, com (C8921) |
$922.50 |
$1,845 |
1.2× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$922.50 |
$1,845 |
1.2× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,443.75 |
$2,887.50 |
1.9× |
| Unsched dialysis esrd pt hos (G0257) |
$984.75 |
$1,969.50 |
1.5× |
| Vasc emb/occ w/prs cath (C9797) |
$9,903 |
$19,806 |
0.6× |
| Visit to determ ldct elig (G0296) |
$59 |
$118 |
0.6× |
| Wet mounts/ w preparations (Q0111) |
$55 |
$110 |
3.0× |