| 2d tee w or w/o fol w/con,in (C8925) |
$2,852.81 |
$5,186.92 |
3.5× |
| 2d tte w or w/o fol w/con,co (C8923) |
$2,060.09 |
$3,745.61 |
2.5× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,104.64 |
$2,008.43 |
3.0× |
| Adm of soc dtr assess 5-15 m (G0136) |
$32.03 |
$58.23 |
0.8× |
| Adm tocilizu covid-19 1st (M0249) |
$682.93 |
$1,241.69 |
1.5× |
| Adm tocilizu covid-19 2nd (M0250) |
$682.93 |
$1,241.69 |
1.5× |
| Admin hepatitis b vaccine (G0010) |
$97.77 |
$177.77 |
2.0× |
| Admin influenza virus vac (G0008) |
$64.76 |
$117.76 |
1.3× |
| Admin pneumococcal vaccine (G0009) |
$64.76 |
$117.76 |
1.3× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,259.80 |
$2,290.55 |
1.3× |
| Catheterize for urine spec (P9612) |
$26.10 |
$47.45 |
2.8× |
| Chemo extend iv infus w/pump (G0498) |
$504.23 |
$916.79 |
1.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,259.80 |
$2,290.55 |
1.3× |
| Colorectal scrn; hi risk ind (G0105) |
$1,330.17 |
$2,418.49 |
1.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$558.52 |
$1,015.49 |
1.5× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$354 |
$643.64 |
1.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$799.56 |
$1,453.75 |
2.2× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$273.38 |
$497.06 |
1.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$162.02 |
$294.59 |
1.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$385.07 |
$700.13 |
2.1× |
| Diab manage trn per indiv (G0108) |
$112.97 |
$205.40 |
2.0× |
| Diab manage trn ind/group (G0109) |
$58.17 |
$105.76 |
3.6× |
| Drug test def 1-7 classes (G0480) |
$12.10 |
$22 |
0.1× |
| Drug test def 15-21 classes (G0482) |
$301.27 |
$547.77 |
1.5× |
| Drug test def 22+ classes (G0483) |
$386.81 |
$703.29 |
1.6× |
| Drug test def 8-14 classes (G0481) |
$237.38 |
$431.60 |
1.5× |
| Elec stim other than wound (G0283) |
$229.98 |
$418.15 |
18.1× |
| Fecal blood scrn immunoassay (G0328) |
$35.73 |
$64.96 |
2.0× |
| Fern test (Q0114) |
$23.30 |
$42.37 |
2.4× |
| Group mnt 2 or more 30 mins (G0271) |
$85.22 |
$154.94 |
5.0× |
| Home sleep test/type 3 porta (G0399) |
$326.40 |
$593.46 |
1.4× |
| Hospital outpt clinic visit (G0463) |
$343.61 |
$624.75 |
2.5× |
| Initial preventive exam (G0402) |
$183.22 |
$333.12 |
1.3× |
| Inj for sacroiliac jt anesth (G0260) |
$2,301.52 |
$4,184.59 |
3.1× |
| Intens cardiac rehab no exer (G0423) |
$228.80 |
$416 |
1.7× |
| Intens cardiac rehab w/exerc (G0422) |
$254.47 |
$462.67 |
1.9× |
| Interro device evaluation cardiac modulj system (0418T) |
$42.09 |
$76.53 |
1.1× |
| Mnt subs tx for change dx (G0270) |
$81.71 |
$148.56 |
2.6× |
| Mra w/cont, abd (C8900) |
$3,707.18 |
$6,740.32 |
10.2× |
| Mra w/cont, chest (C8909) |
$5,017.61 |
$9,122.93 |
13.8× |
| Mra w/cont, lwr ext (C8912) |
$3,537.87 |
$6,432.49 |
9.7× |
| Mra w/cont, pelvis (C8918) |
$3,983.16 |
$7,242.11 |
10.9× |
| Mra w/o cont, abd (C8901) |
$3,707.18 |
$6,740.32 |
14.9× |
| Mra w/o cont, chest (C8910) |
$4,755.33 |
$8,646.05 |
19.1× |
| Mra w/o cont, lwr ext (C8913) |
$3,729.69 |
$6,781.25 |
15.0× |
| Mra w/o cont, pelvis (C8919) |
$3,983.16 |
$7,242.11 |
16.0× |
| Mra w/o fol w/cont, abd (C8902) |
$3,707.18 |
$6,740.32 |
10.2× |
| Mra w/o fol w/cont, chest (C8911) |
$5,017.61 |
$9,122.93 |
13.8× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$4,663.33 |
$8,478.79 |
12.8× |
| Mra w/o fol w/cont, pelvis (C8920) |
$4,202.38 |
$7,640.69 |
11.5× |
| Mra, w/dye, spinal canal (C8931) |
$955.17 |
$1,736.68 |
2.6× |
| Mra, w/dye, upper extremity (C8934) |
$955.17 |
$1,736.68 |
2.6× |
| Mra, w/o dye, spinal canal (C8932) |
$785.87 |
$1,428.85 |
3.2× |
| Mra, w/o dye, upper extr (C8935) |
$785.87 |
$1,428.85 |
3.2× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$1,203.76 |
$2,188.65 |
3.3× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,203.76 |
$2,188.65 |
3.3× |
| Mri w/cont, breast, bi (C8906) |
$1,531.61 |
$2,784.74 |
4.2× |
| Mri w/cont, breast, uni (C8903) |
$1,531.61 |
$2,784.74 |
8.4× |
| Non-ophthalmic fva (C9733) |
$644.42 |
$1,171.68 |
1.8× |
| Ocular blood flow measure (0198T) |
$246.63 |
$448.41 |
1.8× |
| Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) |
$24,421.78 |
$44,403.23 |
1.2× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) |
$24,421.78 |
$44,403.23 |
1.2× |
| Oth resp proc, indiv (G0238) |
$42.47 |
$77.22 |
1.4× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$14,153.50 |
$25,733.64 |
1.1× |
| Place device/marker, non pro (C9728) |
$4,743.58 |
$8,624.69 |
3.3× |
| Ppps, initial visit (G0438) |
$253.33 |
$460.60 |
1.5× |
| Ppps, subseq visit (G0439) |
$197.27 |
$358.68 |
1.4× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$42.09 |
$76.53 |
1.1× |
| Prgrmg device evaluation cardiac modulj system (0417T) |
$42.09 |
$76.53 |
1.1× |
| Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) |
$42.09 |
$76.53 |
1.1× |
| Psa screening (G0103) |
$124.28 |
$225.96 |
6.4× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) |
$3,798.56 |
$6,906.48 |
1.0× |
| Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) |
$3,798.56 |
$6,906.48 |
1.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$21,753.22 |
$39,551.31 |
1.1× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$3,558.50 |
$6,470 |
1.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$21,753.22 |
$39,551.31 |
1.1× |
| Therapeutic procd strg endur (G0237) |
$42.47 |
$77.22 |
1.4× |
| Trauma respons w/hosp criti (G0390) |
$9,351.13 |
$17,002.06 |
6.7× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,904.76 |
$5,281.38 |
3.5× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,904.76 |
$5,281.38 |
3.5× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,544.33 |
$2,807.88 |
1.9× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,122.93 |
$2,041.69 |
1.4× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,544.53 |
$4,626.41 |
3.1× |
| Unsched dialysis esrd pt hos (G0257) |
$833.23 |
$1,514.96 |
1.2× |