| 2d tee w or w/o fol w/con,in (C8925) |
$562.10 |
$1,022 |
0.7× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,026.30 |
$1,866 |
1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,026.30 |
$1,866 |
2.9× |
| Admin hepatitis b vaccine (G0010) |
$49.50 |
$90 |
1.1× |
| Admin influenza virus vac (G0008) |
$31.76 |
$57.75 |
0.7× |
| Admin pneumococcal vaccine (G0009) |
$32.92 |
$59.85 |
0.7× |
| Alcohol/subs interv 15-30mn (G0396) |
$17.05 |
$31 |
0.5× |
| Alcohol/subs interv >30 min (G0397) |
$59.40 |
$108 |
0.3× |
| Arthro/shoul surg; w/spacer (C9781) |
$7,210.50 |
$13,110 |
0.6× |
| Chemo extend iv infus w/pump (G0498) |
$362.45 |
$659 |
1.1× |
| Coronectomy (D7251) |
$792.55 |
$1,441 |
0.5× |
| Diab manage trn per indiv (G0108) |
$47.93 |
$87.15 |
0.9× |
| Diab manage trn ind/group (G0109) |
$27.50 |
$50 |
1.7× |
| Drug test def 1-7 classes (G0480) |
$27.50 |
$50 |
0.2× |
| Elec stim other than wound (G0283) |
$64.35 |
$117 |
5.1× |
| Elec stim unattend for press (G0281) |
$64.35 |
$117 |
5.5× |
| Ephys eval ccm-d ld 1st impl (0930T) |
$1,915.65 |
$3,483 |
1.6× |
| Ephys eval ccm-d ld separate (0931T) |
$1,915.65 |
$3,483 |
1.6× |
| Exposure of unerupted tooth (D7280) |
$252.45 |
$459 |
0.4× |
| Extraction erupted tooth/exr (D7140) |
$126.50 |
$230 |
0.2× |
| Facility svs dental rehab (G0330) |
$2,263.25 |
$4,115 |
0.7× |
| Fern test (Q0114) |
$39.60 |
$72 |
4.1× |
| Gingivectomy/plasty 4 or mor (D4210) |
$448.25 |
$815 |
0.1× |
| Group mnt 2 or more 30 mins (G0271) |
$39.60 |
$72 |
2.3× |
| Hospital outpt clinic visit (G0463) |
$144.10 |
$262 |
1.1× |
| Impact tooth rem bony w/comp (D7241) |
$297 |
$540 |
0.5× |
| Impact tooth remov comp bony (D7240) |
$313.50 |
$570 |
0.5× |
| Impact tooth remov part bony (D7230) |
$313.50 |
$570 |
0.5× |
| Impact tooth remov soft tiss (D7220) |
$209.55 |
$381 |
0.3× |
| Inj for sacroiliac jt anesth (G0260) |
$874.50 |
$1,590 |
1.2× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
$4,386.25 |
$7,975 |
0.8× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$35,395.25 |
$64,355 |
1.6× |
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T)
unusually low: confirm this is the full procedure |
$2,005.30 |
$3,646 |
0.4× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$13,048.75 |
$23,725 |
1.6× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$13,048.75 |
$23,725 |
1.6× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$50,557.10 |
$91,922 |
1.6× |
| Mnt subs tx for change dx (G0270) |
$23.65 |
$43 |
0.7× |
| Mra w/cont, chest (C8909) |
$1,002.65 |
$1,823 |
2.9× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,180.30 |
$2,146 |
3.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$825.55 |
$1,501 |
2.4× |
| N-Invas Augmnt Arrhyt Alys (0897T) |
$1,603.25 |
$2,915 |
1.9× |
| N-invs det hrt fail aug echo (0932T) |
$473 |
$860 |
1.5× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$349.25 |
$635 |
0.8× |
| Perc d-e cor revasc chro sin (C9607) |
$10,280.60 |
$18,692 |
0.6× |
| Perc d-e cor revasc t cabg s (C9604) |
$10,280.60 |
$18,692 |
0.9× |
| Perc d-e cor stent ather s (C9602) |
$10,280.60 |
$18,692 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$10,280.60 |
$18,692 |
0.9× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$8,989.75 |
$16,345 |
0.8× |
| Programming device eval impl ccm-d sys in person (0926T) |
$59.40 |
$108 |
1.6× |
| Rem imp tooth w mucoper flp (D7210) |
$184.25 |
$335 |
0.1× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$59.40 |
$108 |
1.6× |
| Removal perm ccm-d system pulse generator only (0919T) |
$5,737.60 |
$10,432 |
1.5× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) |
$5,737.60 |
$10,432 |
1.5× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$5,737.60 |
$10,432 |
1.5× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) |
$5,737.60 |
$10,432 |
1.5× |
| Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) |
$35,395.25 |
$64,355 |
1.6× |
| Screen cerv/vag thin layer (G0123) |
$46.75 |
$85 |
2.3× |
| Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) |
$5,368 |
$9,760 |
1.7× |
| Tomosynthesis, mammo (G0279) |
$27.50 |
$50 |
2.2× |
| Tooth root removal (D7250) |
$159.50 |
$290 |
0.2× |
| Trauma respons w/hosp criti (G0390) |
$2,017.40 |
$3,668 |
1.5× |
| Trim nail(s) (G0127) |
$73.15 |
$133 |
1.2× |
| Tte w or w/o contr, cont ecg (C8930) |
$669.35 |
$1,217 |
0.9× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,026.30 |
$1,866 |
1.3× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,026.30 |
$1,866 |
1.3× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$639.10 |
$1,162 |
0.8× |
| Tte w or wo fol wcon,doppler (C8929) |
$742.50 |
$1,350 |
0.9× |
| Unsched dialysis esrd pt hos (G0257) |
$623.15 |
$1,133 |
0.9× |
| Visit esketamine 56m or less (G2082) |
$854.70 |
$1,554 |
0.8× |
| Visit esketamine, > 56m (G2083) |
$1,249.05 |
$2,271 |
0.8× |