| 2019-ncov diagnostic p (U0001) |
$84 |
$120 |
2.3× |
| 2d tee w or w/o fol w/con,in (C8925) |
$2,843.40 |
$4,062 |
3.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,584.10 |
$2,263 |
1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$786.10 |
$1,123 |
1.9× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$15,267.70 |
$21,811 |
1.5× |
| Admin hepatitis b vaccine (G0010) |
$35 |
$50 |
0.6× |
| Admin influenza virus vac (G0008) |
$35 |
$50 |
0.6× |
| Admin pneumococcal vaccine (G0009) |
$48.65 |
$69.50 |
0.9× |
| Alcohol/sub misuse assess (G2011) |
$68.60 |
$98 |
2.0× |
| Annual alcohol screen 15 min (G0442) |
$109.90 |
$157 |
2.4× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$231 |
$330 |
1.9× |
| Autolog prp not diab ulcer (G0460) |
$1,348.90 |
$1,927 |
0.5× |
| Bia whole body composition assessment w/i&r (0358T) |
$14 |
$20 |
0.4× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,465.80 |
$2,094 |
1.3× |
| Ca screen;pelvic/breast exam (G0101) |
$170.80 |
$244 |
1.4× |
| Catheterize for urine spec (P9612) |
$144.90 |
$207 |
15.5× |
| Chemo extend iv infus w/pump (G0498) |
$873.60 |
$1,248 |
2.2× |
| Collagen crosslinking cornea (0402T) |
$2,740.50 |
$3,915 |
1.0× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,480.50 |
$2,115 |
1.3× |
| Colorectal scrn; hi risk ind (G0105) |
$1,480.50 |
$2,115 |
1.3× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) Non-Facility… (0637T) |
$315 |
$450 |
0.8× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s)… (0636T) |
$315 |
$450 |
1.1× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$315 |
$450 |
0.8× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) Non-Facility… (0634T) |
$315 |
$450 |
1.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material Non-Facility… (0633T) |
$315 |
$450 |
2.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$315 |
$450 |
1.5× |
| Cool Quant Sensory Test (0108T) |
$52.50 |
$75 |
0.7× |
| Covid-19 lab test non-cdc (U0002) |
$84 |
$120 |
1.6× |
| Crd Hrt Trnspl Mrna 1283 Gen (0087U) |
$2,985.50 |
$4,265 |
0.9× |
| Depression screen annual (G0444) |
$109.90 |
$157 |
2.4× |
| Dermal filler injection(s) (G0429) |
$148.40 |
$212 |
0.1× |
| Device evaluation and interrogation of intraocular retinal electrode array (eg, retinal prosthesis), in person,… (0473T) |
$338.80 |
$484 |
3.0× |
| Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal… (0472T) |
$769.30 |
$1,099 |
2.1× |
| Diab manage trn per indiv (G0108) |
$128.80 |
$184 |
2.3× |
| Diab manage trn ind/group (G0109) |
$66.50 |
$95 |
4.1× |
| Direct refer hospital observ (G0379) |
$1,761.20 |
$2,516 |
2.5× |
| Drug test def 1-7 classes (G0480) |
$192.50 |
$275 |
1.7× |
| Drug test def 8-14 classes (G0481) |
$560 |
$800 |
3.6× |
| Ed svc ckd grp per session (G0421) |
$70 |
$100 |
2.6× |
| Ed svc ckd ind per session (G0420) |
$56 |
$80 |
0.5× |
| Elec stim other than wound (G0283) |
$61.60 |
$88 |
4.9× |
| Electrophysiological eval icds w/ss electrode (0577T) |
$137.90 |
$197 |
0.1× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure |
$2,144.80 |
$3,064 |
0.0× |
| Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual… (0563T) |
$52.50 |
$75 |
0.7× |
| Fecal microbiota prep instil (G0455) |
$830.90 |
$1,187 |
0.7× |
| Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to… (0072T) |
$3,703.70 |
$5,291 |
1.0× |
| Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of… (0071T) |
$3,703.70 |
$5,291 |
1.0× |
| Followup eval of foot pt lop (G0246) |
$116.90 |
$167 |
0.7× |
| Glaucoma scrn hgh risk direc (G0117) |
$184.80 |
$264 |
5.3× |
| Group mnt 2 or more 30 mins (G0271) |
$22.40 |
$32 |
1.3× |
| Hbot, full body chamber, 30m (G0277) |
$414.40 |
$592 |
2.5× |
| Heat Quant Sensory Test (0109T) |
$32.20 |
$46 |
0.7× |
| Hiv prep counsel, clin staff (G0013) |
$74.20 |
$106 |
1.7× |
| Home sleep test/type 3 porta (G0399) |
$320.78 |
$458.25 |
1.2× |
| Hospital outpt clinic visit (G0463) |
$236.60 |
$338 |
1.5× |
| Iliac Atherectomy (0238T) |
$27,783 |
$39,690 |
1.3× |
| Initial foot exam pt lops (G0245) |
$116.90 |
$167 |
0.7× |
| Initial preventive exam (G0402) |
$437.50 |
$625 |
2.7× |
| Inj for sacroiliac jt anesth (G0260) |
$2,696.75 |
$3,852.50 |
3.2× |
| Injection of hiv prep drug (G0012) |
$177.80 |
$254 |
2.1× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$18,055.10 |
$25,793 |
1.8× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$49,365.40 |
$70,522 |
1.3× |
| Instill pharm renal pelvis (C9789) |
$5,413.80 |
$7,734 |
3.7× |
| Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) |
$154 |
$220 |
3.4× |
| Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) |
$124.60 |
$178 |
2.8× |
| Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) |
$25,964.40 |
$37,092 |
2.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$499.10 |
$713 |
4.1× |
| Liver Dis 10 Assays W/Nash (0003M) |
$475.30 |
$679 |
0.9× |
| Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) |
$566.30 |
$809 |
1.9× |
| Mnt subs tx for change dx (G0270) |
$43.40 |
$62 |
1.4× |
| Nav srv peer sup 60 min pr m (G0140) |
$231 |
$330 |
1.9× |
| Neuro csf prion prtn qual (0035U) |
$488.60 |
$698 |
0.9× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) |
$231.70 |
$331 |
1.2× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$1,339.80 |
$1,914 |
2.5× |
| Obtaining screen pap smear (Q0091) |
$52.50 |
$75 |
1.5× |
| Ocular blood flow measure (0198T) |
$102.90 |
$147 |
0.6× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) |
$269.50 |
$385 |
1.1× |
| Pattern erg w/i&r (0509T) |
$128.80 |
$184 |
0.5× |
| Perc d-e cor revasc chro sin (C9607) |
$13,059.20 |
$18,656 |
0.6× |
| Perc d-e cor revasc t cabg s (C9604) |
$25,214.70 |
$36,021 |
1.8× |
| Perc d-e cor stent ather s (C9602) |
$28,698.60 |
$40,998 |
1.3× |
| Perc drug-el cor stent sing (C9600) |
$17,686.20 |
$25,266 |
1.3× |
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T)
likely a partial charge, not the full procedure |
$2,144.80 |
$3,064 |
0.1× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$17,815.70 |
$25,451 |
2.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$14,219.10 |
$20,313 |
1.0× |
| Pin service 60m per month (G0023) |
$231 |
$330 |
1.9× |
| Ppps, initial visit (G0438) |
$148.40 |
$212 |
0.9× |
| Prep skin cell susp, automtd (C8002) |
$18,081.70 |
$25,831 |
2.1× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$86.10 |
$123 |
1.9× |
| Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) |
$124.60 |
$178 |
2.8× |
| Prostate biopsy, any mthd (G0416) |
$560 |
$800 |
1.3× |
| Psa screening (G0103) |
$53.90 |
$77 |
2.8× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report… (0812T) |
$86.10 |
$123 |
0.6× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of… (0811T) |
$303.10 |
$433 |
1.9× |
| Removal of substernal implantable defibrillator electrode (0573T) |
$547.40 |
$782 |
0.1× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$3,336.90 |
$4,767 |
0.7× |
| Revasc intravasc lithotripsy (C9764) |
$28,282.10 |
$40,403 |
2.0× |
Revasc lith-sten-ath tib/per (C9775)
likely a partial charge, not the full procedure |
$302.40 |
$432 |
0.0× |
| Revasc lithotr-ather tib/per (C9774) |
$34,631.80 |
$49,474 |
1.6× |
| Risk ascvd tst once pr 12 mo (G0537) |
$74.20 |
$106 |
1.7× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$4,449.20 |
$6,356 |
1.0× |
| Routine footcare pt w lops (G0247) |
$286.30 |
$409 |
1.2× |
| Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T) |
$38.50 |
$55 |
0.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$44,660 |
$63,800 |
1.9× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$35,343.70 |
$50,491 |
1.5× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$35,343.70 |
$50,491 |
1.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$35,343.70 |
$50,491 |
1.5× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$7,305.90 |
$10,437 |
1.9× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$7,849.80 |
$11,214 |
2.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$44,660 |
$63,800 |
1.9× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$10,566.50 |
$15,095 |
1.5× |
| Therapeutic procd strg endur (G0237) |
$415.80 |
$594 |
12.0× |
| Tomosynthesis, mammo (G0279) |
$78.40 |
$112 |
6.2× |
| Tpmt nudt15 gene analysis common variants (0034U) |
$448.70 |
$641 |
1.0× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$7,067.90 |
$10,097 |
0.5× |
| Trauma respons w/hosp criti (G0390) |
$1,769.60 |
$2,528 |
1.1× |
| Trim nail(s) (G0127) |
$263.90 |
$377 |
3.7× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$7,067.90 |
$10,097 |
0.5× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$12,543.30 |
$17,919 |
0.9× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,264.20 |
$1,806 |
1.3× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,781.50 |
$2,545 |
1.9× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,856 |
$4,080 |
3.0× |
| Unsched dialysis esrd pt hos (G0257) |
$2,010.40 |
$2,872 |
2.4× |
| Urine specimen collect mult (P9615) |
$67.20 |
$96 |
7.2× |
| Vibrate Quant Sensory Test (0107T) |
$32.20 |
$46 |
0.7× |