| 2d tte w or w/o fol w/con,co (C8923) |
$537 |
$895 |
0.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$352.50 |
$587.50 |
1.1× |
| Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound… (0950T) |
$10,151.40 |
$16,919 |
1.1× |
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T)
unusually low: confirm this is the full procedure |
$3,631.50 |
$6,052.50 |
0.4× |
| Adm tocilizu covid-19 1st (M0249) |
$412.80 |
$688 |
1.0× |
| Adm tocilizu covid-19 2nd (M0250) |
$412.80 |
$688 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$38.10 |
$63.50 |
0.9× |
| Admin influenza virus vac (G0008) |
$39.60 |
$66 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$38.10 |
$63.50 |
0.9× |
| Anoscopy with directed submucosal injection of bulking agent into anal canal (0963T) |
$1,294.20 |
$2,157 |
1.2× |
Arthro/shoul surg; w/spacer (C9781)
likely a partial charge, not the full procedure |
$1,175 |
$1,958.33 |
0.1× |
| Behavior counsel obesity 15m (G0447) |
$86.40 |
$144 |
0.9× |
| Brief chkin, 5-10, non-e/m (G2251) |
$25.80 |
$43 |
1.8× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,098.53 |
$1,830.88 |
1.3× |
| Ca screen;pelvic/breast exam (G0101) |
$68.40 |
$114 |
0.7× |
| Chemo extend iv infus w/pump (G0498) |
$307.50 |
$512.50 |
1.0× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,120.50 |
$1,867.50 |
1.3× |
| Colorectal scrn; hi risk ind (G0105) |
$1,195.10 |
$1,991.83 |
1.4× |
| Covid-19 lab test non-cdc (U0002) |
$109.80 |
$183 |
2.1× |
| Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) |
$1,665.60 |
$2,776 |
0.4× |
Cysto impl 4 or more (C9740)
likely a partial charge, not the full procedure |
$1,809.30 |
$3,015.50 |
0.2× |
| Cysto, litho, vacuum kidney (C9761) |
$4,649.10 |
$7,748.50 |
0.5× |
Cystoscopy prostatic imp 1-3 (C9739)
unusually low: confirm this is the full procedure |
$1,863 |
$3,105 |
0.4× |
| Diab manage trn per indiv (G0108) |
$172.80 |
$288 |
3.1× |
| Diab manage trn ind/group (G0109) |
$172.80 |
$288 |
10.8× |
| Direct refer hospital observ (G0379) |
$756.60 |
$1,261 |
1.4× |
| Drug test def 1-7 classes (G0480) |
$62.18 |
$103.63 |
0.5× |
| Drug test def 15-21 classes (G0482) |
$81 |
$135 |
0.4× |
| Drug test def 22+ classes (G0483) |
$129 |
$215 |
0.5× |
| Drug test def 8-14 classes (G0481) |
$39.30 |
$65.50 |
0.3× |
| Eia hiv-1/hiv-2 screen (G0432) |
$12.30 |
$20.50 |
0.6× |
| Ekg tracing for initial prev (G0404) |
$40.80 |
$68 |
1.5× |
| Elec stim other than wound (G0283) |
$879.25 |
$1,465.42 |
69.3× |
| Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing only (0904T) |
$37.20 |
$62 |
0.7× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure |
$18,389.40 |
$30,649 |
0.4× |
| Esd endoscopy or colonoscopy (C9779) |
$2,962.80 |
$4,938 |
0.8× |
| Eye mvmt alys w/o calbrj i&r (0615T) |
$102.60 |
$171 |
0.8× |
| Facility svs dental rehab (G0330) |
$4,221 |
$7,035 |
1.4× |
| Fecal blood scrn immunoassay (G0328) |
$61.20 |
$102 |
3.4× |
| Flt3 gene itd variants quan (0046U) |
$966.60 |
$1,611 |
2.4× |
| Group behave couns 2-10 (G0473) |
$25.80 |
$43 |
0.7× |
| Group mnt 2 or more 30 mins (G0271) |
$93 |
$155 |
5.5× |
| Hep c screen high risk/other (G0472) |
$33 |
$55 |
0.7× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$19,154.73 |
$31,924.55 |
1.2× |
| Hiv combination assay (G0475) |
$37.80 |
$63 |
1.6× |
| Hiv prep counsel, clin staff (G0013) |
$54 |
$90 |
1.5× |
| Hospital outpt clinic visit (G0463) |
$494.40 |
$824 |
4.0× |
| Hpv combo assay ca screen (G0476) |
$36 |
$60 |
1.0× |
| Ig paraprotein qual bld/ur (0077U) |
$159.30 |
$265.50 |
3.7× |
| Initial preventive exam (G0402) |
$108.60 |
$181 |
0.9× |
| Inj for sacroiliac jt anesth (G0260) |
$960 |
$1,600 |
1.4× |
| Injection of hiv prep drug (G0012) |
$49.20 |
$82 |
0.7× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
$1,521 |
$2,535 |
0.3× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$14,160 |
$23,600 |
0.7× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$5,220.60 |
$8,701 |
0.7× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$5,220.60 |
$8,701 |
0.7× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$20,226 |
$33,710 |
0.7× |
| Intens behave ther cardio dx (G0446) |
$25.80 |
$43 |
0.7× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$260.28 |
$433.80 |
2.1× |
| Laser incision of drainage tissue within eye (trabecular meshwork) (0621T) |
$2,590.20 |
$4,317 |
0.7× |
| Mnt subs tx for change dx (G0270) |
$93 |
$155 |
2.9× |
| Mra w/cont, abd (C8900) |
$354 |
$590 |
1.1× |
| Mra w/cont, chest (C8909) |
$855 |
$1,425 |
2.6× |
| Mra w/cont, lwr ext (C8912) |
$442.50 |
$737.50 |
1.3× |
| Mra w/cont, pelvis (C8918) |
$906.60 |
$1,511 |
2.8× |
| Mra w/o cont, abd (C8901) |
$345 |
$575 |
1.5× |
| Mra w/o cont, chest (C8910) |
$855 |
$1,425 |
3.8× |
| Mra w/o cont, lwr ext (C8913) |
$280.50 |
$467.50 |
1.3× |
| Mra w/o cont, pelvis (C8919) |
$855 |
$1,425 |
3.8× |
| Mra w/o fol w/cont, abd (C8902) |
$495 |
$825 |
1.5× |
| Mra w/o fol w/cont, chest (C8911) |
$1,039.80 |
$1,733 |
3.2× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$510.60 |
$851 |
1.6× |
| Mra w/o fol w/cont, pelvis (C8920) |
$942.60 |
$1,571 |
2.9× |
| Mra, w/dye, spinal canal (C8931) |
$1,018.80 |
$1,698 |
3.1× |
| Mra, w/dye, upper extremity (C8934) |
$442.50 |
$737.50 |
1.3× |
| Mra, w/o dye, spinal canal (C8932) |
$869.40 |
$1,449 |
3.9× |
| Mra, w/o dye, upper extr (C8935) |
$264.60 |
$441 |
1.2× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$1,153.80 |
$1,923 |
3.5× |
| Mra, w/o&w/dye, upper extr (C8936) |
$414.90 |
$691.50 |
1.3× |
| Mri w/cont, breast, bi (C8906) |
$1,513.20 |
$2,522 |
4.6× |
| Mri w/cont, breast, uni (C8903) |
$185.40 |
$309 |
1.1× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,548 |
$2,580 |
4.7× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,390.80 |
$2,318 |
4.2× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$345.59 |
$575.99 |
0.6× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$724.01 |
$1,206.68 |
1.7× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) |
$1,395 |
$2,325 |
3.4× |
| Obtaining screen pap smear (Q0091) |
$23.40 |
$39 |
0.9× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$222.79 |
$371.32 |
0.7× |
| Opps service,sched team conf (G0175) |
$333 |
$555 |
0.8× |
| Oth resp proc, indiv (G0238) |
$1,592.30 |
$2,653.84 |
58.6× |
| Pattern erg w/i&r (0509T) |
$242.40 |
$404 |
1.2× |
| Pelvic ring fracture uni/bil (G0413) |
$4,530 |
$7,550 |
0.7× |
| Perc d-e cor revasc chro sin (C9607) |
$14,718 |
$24,530 |
0.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$9,201.60 |
$15,336 |
0.8× |
| Perc d-e cor stent ather s (C9602) |
$14,718 |
$24,530 |
0.9× |
| Perc drug-el cor stent sing (C9600) |
$10,029.60 |
$16,716 |
0.9× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) |
$14,039.20 |
$23,398.66 |
1.2× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$7,617.50 |
$12,695.83 |
0.6× |
| Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) |
$6,084.60 |
$10,141 |
0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$6,084.60 |
$10,141 |
0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$6,084.60 |
$10,141 |
0.9× |
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure |
$3,597 |
$5,995 |
0.3× |
| Place device/marker, non pro (C9728) |
$1,549.80 |
$2,583 |
1.2× |
| Ppps, initial visit (G0438) |
$110.40 |
$184 |
0.6× |
| Ppps, subseq visit (G0439) |
$110.40 |
$184 |
0.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$22.80 |
$38 |
0.7× |
| Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) |
$33.60 |
$56 |
1.0× |
| Prolonged iv inf, req pump (C8957) |
$334.80 |
$558 |
1.7× |
| Psa screening (G0103) |
$77.40 |
$129 |
4.0× |
| QTc interval derived by augmentative algorithmic analysis of input from an external, patient-activated mobile ECG device (0902T) |
$81.60 |
$136 |
0.7× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$1,114.80 |
$1,858 |
1.3× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$831.60 |
$1,386 |
1.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$165 |
$275 |
0.2× |
| Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) |
$8,403 |
$14,005 |
1.5× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$1,099.20 |
$1,832 |
0.6× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$1,099.20 |
$1,832 |
0.6× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$1,153.80 |
$1,923 |
0.6× |
| Remot img sub by pt, non e/m (G2250) |
$22.20 |
$37 |
1.7× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) |
$496.20 |
$827 |
2.6× |
| Removal perm ccm-d system pulse generator only (0919T) |
$2,295.60 |
$3,826 |
0.7× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$2,366.40 |
$3,944 |
0.7× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$390 |
$650 |
0.7× |
| Revasc intra lithotrip-ather (C9766) |
$10,890.45 |
$18,150.75 |
0.6× |
| Revasc intra lithotrip-stent (C9765) |
$17,059.20 |
$28,432 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$9,286.61 |
$15,477.69 |
0.9× |
Revasc lithotrip-stent-ather (C9767)
unusually low: confirm this is the full procedure |
$5,316 |
$8,860 |
0.3× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) |
$2,295.60 |
$3,826 |
0.7× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$2,295.60 |
$3,826 |
0.7× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) |
$2,295.60 |
$3,826 |
0.7× |
| Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) |
$14,160 |
$23,600 |
0.7× |
| Screen cerv/vag thin layer (G0123) |
$31.50 |
$52.50 |
1.6× |
| Screen pap by tech w md supv (P3000) |
$10.80 |
$18 |
0.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$11,742.60 |
$19,571 |
0.6× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$1,921.20 |
$3,202 |
0.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$11,742.60 |
$19,571 |
0.6× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$5,623.80 |
$9,373 |
1.1× |
| Therapeutic procd strg endur (G0237) |
$97.20 |
$162 |
3.6× |
| Tomosynthesis, mammo (G0279) |
$230.40 |
$384 |
18.2× |
| Transanal insertion of endoluminal temporary colorectal anastomosis protection device, including vacuum anchoring… (0967T) |
$1,294.20 |
$2,157 |
1.2× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$6,265.12 |
$10,441.87 |
1.2× |
| Transcatheter renal sympath denervation unilat (0338T) |
$6,265.12 |
$10,441.87 |
1.2× |
| Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment (0783T) |
$128.33 |
$213.89 |
1.1× |
| Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, initial… (0766T) |
$128.40 |
$214 |
0.6× |
| Transperineal focal laser abltj mal prst8 tiss (0655T) |
$3,435 |
$5,725 |
0.7× |
| Trauma respons w/hosp criti (G0390) |
$2,610.90 |
$4,351.50 |
2.1× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$3,501 |
$5,835 |
1.0× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,210.80 |
$2,018 |
1.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,227 |
$2,045 |
1.7× |
| Unsched dialysis esrd pt hos (G0257) |
$759 |
$1,265 |
1.2× |
| Upper gastrointestinal blood detection, sensor capsule, with interpretation and report (0977T) |
$1,029 |
$1,715 |
1.2× |
| Visit esketamine 56m or less (G2082) |
$1,095.60 |
$1,826 |
1.1× |
| Visit esketamine, > 56m (G2083) |
$1,381.20 |
$2,302 |
0.9× |
| Visit to determ ldct elig (G0296) |
$97.20 |
$162 |
1.0× |