| 2d tee w or w/o fol w/con,in (C8925) |
$2,392.80 |
$3,988 |
2.9× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$979.20 |
$1,632 |
2.7× |
| Admin hepatitis b vaccine (G0010) |
$87 |
$145 |
1.8× |
| Admin influenza virus vac (G0008) |
$87 |
$145 |
1.8× |
| Admin pneumococcal vaccine (G0009) |
$87 |
$145 |
1.8× |
| Blind/nonblind trans atrial (C9792) |
$15,444.60 |
$25,741 |
1.5× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,099.20 |
$1,832 |
1.1× |
| Chemo extend iv infus w/pump (G0498) |
$719.40 |
$1,199 |
2.1× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,511.40 |
$2,519 |
1.5× |
| Colorectal scrn; hi risk ind (G0105) |
$1,511.40 |
$2,519 |
1.5× |
| Covid-19 lab test non-cdc (U0002) |
$60 |
$100 |
1.2× |
| Devlopment test interpt&rep (G0451) |
$228 |
$380 |
2.1× |
| Direct refer hospital observ (G0379) |
$880.80 |
$1,468 |
1.4× |
| Drug test def 1-7 classes (G0480) |
$132.44 |
$220.72 |
1.2× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$124.20 |
$207 |
6.8× |
| Endo outlet restrict w/tube (C9785) |
$14,783.40 |
$24,639 |
1.3× |
| Esd endoscopy or colonoscopy (C9779) |
$5,330.40 |
$8,884 |
1.3× |
| Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter (0654T) |
$5,125.80 |
$8,543 |
1.3× |
| Fecal microbiota prep instil (G0455) |
$2,437.80 |
$4,063 |
2.5× |
| Fern test (Q0114) |
$48.60 |
$81 |
5.0× |
| FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants,… (0046U) |
$3,337.50 |
$5,562.50 |
8.2× |
| Hbot, full body chamber, 30m (G0277) |
$563.40 |
$939 |
3.9× |
| Hep c screen high risk/other (G0472) |
$112.80 |
$188 |
2.4× |
| High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic… (0395T) |
$1,863 |
$3,105 |
2.5× |
| Home sleep test/type 3 porta (G0399) |
$495.60 |
$826 |
2.2× |
| Home sleep test/type 4 porta (G0400) |
$446.40 |
$744 |
2.0× |
| Hospital outpt clinic visit (G0463) |
$213 |
$355 |
1.5× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
$146.67 |
$244.45 |
3.4× |
| Inj for sacroiliac jt anesth (G0260) |
$1,005.60 |
$1,676 |
1.4× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$14,095.20 |
$23,492 |
1.3× |
| Insj wcs lv compl sys (0515T) |
$41,874 |
$69,790 |
1.8× |
| Insj wcs lv eltrd only (0516T) |
$14,095.20 |
$23,492 |
1.3× |
| Insj/rplcmt icds w/substernal electrode (0571T) |
$49,650.60 |
$82,751 |
1.5× |
| Mra w/cont, abd (C8900) |
$2,496.60 |
$4,161 |
6.8× |
| Mra w/cont, chest (C8909) |
$2,785.20 |
$4,642 |
7.6× |
| Mra w/cont, lwr ext (C8912) |
$2,246.40 |
$3,744 |
6.1× |
| Mra w/o cont, abd (C8901) |
$1,939.20 |
$3,232 |
7.7× |
| Mra w/o cont, chest (C8910) |
$2,067.60 |
$3,446 |
8.2× |
| Mra w/o cont, lwr ext (C8913) |
$1,446 |
$2,410 |
5.7× |
| Mra w/o cont, pelvis (C8919) |
$2,195.40 |
$3,659 |
8.7× |
| Mra w/o fol w/cont, abd (C8902) |
$2,785.20 |
$4,642 |
7.6× |
| Mra w/o fol w/cont, chest (C8911) |
$2,961.60 |
$4,936 |
8.0× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,559 |
$4,265 |
7.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,944.80 |
$4,908 |
8.0× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$4,284 |
$7,140 |
11.6× |
| Mra, w/o&w/dye, upper extr (C8936) |
$4,284.60 |
$7,141 |
11.6× |
| Mri w/cont, breast, bi (C8906) |
$1,251 |
$2,085 |
3.4× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,261.40 |
$3,769 |
6.1× |
| Mri w/o fol w/cont, brst, un (C8905) |
$2,072.40 |
$3,454 |
5.6× |
| Neuro csf prion prtn qual (0035U) |
$949.32 |
$1,582.20 |
1.8× |
| Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue… (0640T) |
$69.60 |
$116 |
1.8× |
| Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T… (0058U) |
$307.01 |
$511.68 |
1.0× |
| Oral hiv-1/hiv-2 screen (G0435) |
$48.60 |
$81 |
4.1× |
| Oth resp proc, group (G0239) |
$196.80 |
$328 |
5.0× |
| Pathogen test for platelets (P9100) |
$71.40 |
$119 |
1.1× |
| Perc d-e cor revasc chro sin (C9607) |
$29,540.40 |
$49,234 |
1.5× |
| Perc d-e cor revasc t cabg s (C9604) |
$14,401.20 |
$24,002 |
1.2× |
| Perc d-e cor stent ather s (C9602) |
$19,402.20 |
$32,337 |
1.0× |
| Perc drug-el cor stent sing (C9600) |
$28,485 |
$47,475 |
2.3× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) |
$8,419.20 |
$14,032 |
1.1× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) |
$6,860.40 |
$11,434 |
0.9× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low — confirm this is the full procedure |
$4,858.80 |
$8,098 |
0.4× |
| Prolonged iv inf, req pump (C8957) |
$434.40 |
$724 |
1.9× |
| Prostate biopsy, any mthd (G0416) |
$2,529.60 |
$4,216 |
6.7× |
| Psa screening (G0103) |
$228.60 |
$381 |
11.8× |
| Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR)… (0865T) |
$364.80 |
$608 |
1.4× |
| Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR)… (0866T) |
$364.80 |
$608 |
1.4× |
| Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including… (0519T) |
$8,066.40 |
$13,444 |
0.7× |
| Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including… (0520T) |
$41,874 |
$69,790 |
3.8× |
| Removal of pulse generator components of wireless heart stimulator system for pacing of lower left chamber of heart (0518T) |
$5,959.80 |
$9,933 |
1.5× |
| Revasc intra lithotrip-ather (C9766) |
$17,988 |
$29,980 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$17,409 |
$29,015 |
0.9× |
| Revasc intravasc lithotripsy (C9764) |
$11,620.20 |
$19,367 |
1.0× |
| Revasc lithotr-stent tib/per (C9773) |
$28,092.60 |
$46,821 |
1.5× |
| Revasc lithotrip tibi/perone (C9772) |
$23,709.60 |
$39,516 |
1.9× |
| Revasc lithotrip-stent-ather (C9767) |
$25,248.60 |
$42,081 |
1.3× |
| Screen cerv/vag thin layer (G0123) |
$98.61 |
$164.34 |
4.9× |
| Screen pap by tech w md supv (P3000) |
$50.62 |
$84.36 |
2.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$29,230.20 |
$48,717 |
1.4× |
| Tcat insj perm dual chamber ldls pm compl sys (0795T) |
$27,983.40 |
$46,639 |
1.4× |
| Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg,… (0824T) |
$5,028.60 |
$8,381 |
1.5× |
| Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter… (0339T) |
$8,595 |
$14,325 |
1.4× |
| Trauma respons w/hosp criti (G0390) |
$4,140 |
$6,900 |
2.9× |
| Trim nail(s) (G0127) |
$123 |
$205 |
2.0× |
| Trluml perip athrc brchiocph (0237T) |
$15,734.40 |
$26,224 |
1.3× |
| Trluml perip athrc iliac art (0238T) |
$18,979.80 |
$31,633 |
1.0× |
| Trnscth renal symp denrv unl (0338T) |
$4,858.80 |
$8,098 |
0.8× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,756.20 |
$2,927 |
2.1× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,459.20 |
$2,432 |
1.8× |
| Tte w or w/o fol w/cont, com (C8921) |
$985.80 |
$1,643 |
1.2× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$954 |
$1,590 |
1.2× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,297.40 |
$3,829 |
2.8× |
| Unsched dialysis esrd pt hos (G0257) |
$1,467 |
$2,445 |
2.0× |
| Visit esketamine 56m or less (G2082) |
$1,734.60 |
$2,891 |
1.6× |
| Visit esketamine, > 56m (G2083) |
$2,186.40 |
$3,644 |
1.3× |