| 2d tee w or w/o fol w/con,in (C8925) |
$730.80 |
$1,827 |
1.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$730.80 |
$1,827 |
1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$376 |
$940 |
1.2× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$5,100 |
$12,750 |
0.6× |
| Adm tocilizu covid-19 1st (M0249) |
$450.40 |
$1,126 |
1.1× |
| Adm tocilizu covid-19 2nd (M0250) |
$450.40 |
$1,126 |
1.1× |
| Admin hepatitis b vaccine (G0010) |
$40 |
$100 |
0.9× |
| Admin influenza virus vac (G0008) |
$40 |
$100 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$40 |
$100 |
0.9× |
| Blind interatrial shunt ide (C9758) |
$17,500.40 |
$43,751 |
1.1× |
| Ca screen;flexi sigmoidscope (G0104) |
$800 |
$2,000 |
1.0× |
| Ca screen;pelvic/breast exam (G0101) |
$76.40 |
$191 |
0.8× |
| Catheterize for urine spec (P9612) |
$10 |
$25 |
1.1× |
| Colon ca scrn not hi rsk ind (G0121) |
$800 |
$2,000 |
1.0× |
| Colorectal scrn; hi risk ind (G0105) |
$832 |
$2,080 |
1.0× |
| Covid-19 lab test non-cdc (U0002) |
$51.20 |
$128 |
1.0× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$174.80 |
$437 |
1.0× |
| Cyp2d6 3' gene dup/mlt (0076U) |
$450.80 |
$1,127 |
1.0× |
| Cyp2D6 5' Gene Dup/Mlt (0075U) |
$450.80 |
$1,127 |
1.0× |
| Cyp2d6 full gene sequence (0071U) |
$600 |
$1,500 |
1.0× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$676.40 |
$1,691 |
1.0× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) |
$450.80 |
$1,127 |
1.0× |
| Cyp2D6 Gen Cyp2D7-2D6 Hybrid (0073U) |
$450.80 |
$1,127 |
1.0× |
| Cyp2D6 Nonduplicated Gene (0074U) |
$450.80 |
$1,127 |
1.0× |
| Diab manage trn per indiv (G0108) |
$52 |
$130 |
0.9× |
| Diab manage trn ind/group (G0109) |
$16 |
$40 |
1.0× |
| Direct refer hospital observ (G0379) |
$440 |
$1,100 |
0.8× |
| Drug test def 1-7 classes (G0480) |
$68.80 |
$172 |
0.6× |
| Drug test def 15-21 classes (G0482) |
$198.40 |
$496 |
1.0× |
| Drug test def 22+ classes (G0483) |
$246.80 |
$617 |
1.0× |
| Drug test def 8-14 classes (G0481) |
$125.20 |
$313 |
0.8× |
| Elec stim other than wound (G0283) |
$23.80 |
$59.50 |
1.9× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$18.40 |
$46 |
1.0× |
| Endo defect closure gi tract (C9901) |
$10,411.20 |
$26,028 |
1.1× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$27,500.40 |
$68,751 |
0.7× |
| Esd endoscopy or colonoscopy (C9779) |
$3,260.80 |
$8,152 |
0.9× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$14,000 |
$35,000 |
1.3× |
| Extraction erupted tooth/exr (D7140) |
$680 |
$1,700 |
1.2× |
| Extrnl counterpulse, per tx (G0166) |
$100 |
$250 |
0.8× |
| Glaucoma scrn hgh risk direc (G0118) |
$30 |
$75 |
0.9× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
$720 |
$1,800 |
1.1× |
| Home sleep test/type 3 porta (G0399) |
$140 |
$350 |
0.7× |
| Ig paraprotein qual bld/ur (0077U) |
$92.40 |
$231 |
2.1× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$22,446 |
$56,115 |
1.1× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$8,276 |
$20,690 |
1.1× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$8,276 |
$20,690 |
1.1× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$32,061.60 |
$80,154 |
1.1× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$21,930 |
$54,825 |
0.8× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$8,000 |
$20,000 |
1.1× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$8,000 |
$20,000 |
1.1× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$21,930 |
$54,825 |
1.1× |
| Instlj fecal microbiota ssp (0780T) |
$130 |
$325 |
1.1× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$38 |
$95 |
1.1× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$37.20 |
$93 |
1.1× |
| Lev 1 hosp type b ed visit (G0380) |
$196.40 |
$491 |
2.9× |
| Lev 2 hosp type b ed visit (G0381) |
$376 |
$940 |
4.5× |
| Lev 3 hosp type b ed visit (G0382) |
$860 |
$2,150 |
5.5× |
| Lev 4 hosp type b ed visit (G0383) |
$1,817.60 |
$4,544 |
7.6× |
| Lev 5 hosp type b ed visit (G0384) |
$2,014.40 |
$5,036 |
5.4× |
| Mra w/cont, abd (C8900) |
$772.80 |
$1,932 |
2.5× |
| Mra w/cont, chest (C8909) |
$772.80 |
$1,932 |
2.5× |
| Mra w/cont, lwr ext (C8912) |
$772.80 |
$1,932 |
2.5× |
| Mra w/cont, pelvis (C8918) |
$772.80 |
$1,932 |
2.5× |
| Mra w/o cont, abd (C8901) |
$600 |
$1,500 |
2.8× |
| Mra w/o cont, chest (C8910) |
$478.80 |
$1,197 |
2.2× |
| Mra w/o cont, lwr ext (C8913) |
$600 |
$1,500 |
2.8× |
| Mra w/o cont, pelvis (C8919) |
$478.80 |
$1,197 |
2.2× |
| Mra w/o fol w/cont, abd (C8902) |
$772.80 |
$1,932 |
2.5× |
| Mra w/o fol w/cont, chest (C8911) |
$772.80 |
$1,932 |
2.5× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$772.80 |
$1,932 |
2.5× |
| Mra w/o fol w/cont, pelvis (C8920) |
$772.80 |
$1,932 |
2.5× |
| Mra, w/dye, upper extremity (C8934) |
$772.80 |
$1,932 |
2.5× |
| Mra, w/o dye, upper extr (C8935) |
$600 |
$1,500 |
2.8× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$772.80 |
$1,932 |
2.5× |
| Mra, w/o&w/dye, upper extr (C8936) |
$772.80 |
$1,932 |
2.5× |
| Mri w/cont, breast, bi (C8906) |
$772.80 |
$1,932 |
2.5× |
| Mri w/cont, breast, uni (C8903) |
$600 |
$1,500 |
3.8× |
| Mri w/o fol w/cont, breast, (C8908) |
$772.80 |
$1,932 |
2.5× |
| Mri w/o fol w/cont, brst, un (C8905) |
$772.80 |
$1,932 |
2.5× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$262.80 |
$657 |
0.5× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$260 |
$650 |
0.6× |
| Non-blind interatrial shunt (C9760) |
$27,500.40 |
$68,751 |
1.1× |
| Obtaining screen pap smear (Q0091) |
$25.20 |
$63 |
1.0× |
| Oth resp proc, group (G0239) |
$30 |
$75 |
0.9× |
| Pemivibart infusion (M0224) |
$450.40 |
$1,126 |
1.1× |
| Perc d-e cor revasc chro sin (C9607) |
$14,780 |
$36,950 |
0.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$8,000 |
$20,000 |
0.8× |
| Perc d-e cor stent ather s (C9602) |
$14,780 |
$36,950 |
0.9× |
| Perc drug-el cor stent sing (C9600) |
$9,752.40 |
$24,381 |
0.9× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$12,540 |
$31,350 |
1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,600 |
$14,000 |
0.9× |
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure |
$1,600 |
$4,000 |
0.2× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$5,701.60 |
$14,254 |
0.5× |
| Place device/marker, non pro (C9728) |
$1,289.60 |
$3,224 |
1.0× |
| Pne flu hepb cov home admin (M0201) |
$35.60 |
$89 |
1.1× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$36 |
$90 |
1.1× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$38 |
$95 |
1.1× |
| Programming device eval impl ccm-d sys in person (0926T) |
$37.20 |
$93 |
1.1× |
| Prolonged iv inf, req pump (C8957) |
$325.60 |
$814 |
1.7× |
| Prostate biopsy, any mthd (G0416) |
$297.60 |
$744 |
0.9× |
| Psa screening (G0103) |
$46.80 |
$117 |
2.4× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$233.60 |
$584 |
0.4× |
| Quan CT tiss charac w/o CT (0721T) |
$584 |
$1,460 |
1.0× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$100 |
$250 |
0.1× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$720 |
$1,800 |
1.0× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$1,640 |
$4,100 |
0.9× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$1,737.60 |
$4,344 |
0.9× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$1,737.60 |
$4,344 |
0.9× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$1,901.20 |
$4,753 |
1.0× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$37.20 |
$93 |
1.1× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$2,489.60 |
$6,224 |
0.7× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$2,400 |
$6,000 |
0.7× |
| Removal perm ccm-d system pulse generator only (0919T) |
$3,639.20 |
$9,098 |
1.1× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$3,741.60 |
$9,354 |
1.1× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$520 |
$1,300 |
0.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$618.40 |
$1,546 |
1.1× |
| Revasc intra lithotrip-ather (C9766) |
$17,200 |
$43,000 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$17,200 |
$43,000 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$10,000 |
$25,000 |
1.0× |
| Revasc lith-sten-ath tib/per (C9775) |
$17,200 |
$43,000 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$17,200 |
$43,000 |
1.0× |
| Revasc lithotr-stent tib/per (C9773) |
$17,200 |
$43,000 |
1.0× |
| Revasc lithotrip tibi/perone (C9772) |
$10,482 |
$26,205 |
1.0× |
| Revasc lithotrip-stent-ather (C9767) |
$17,200 |
$43,000 |
1.0× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$21,930 |
$54,825 |
1.1× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) |
$3,639.20 |
$9,098 |
1.1× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$3,639.20 |
$9,098 |
1.1× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) |
$3,639.20 |
$9,098 |
1.1× |
| Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) |
$22,446 |
$56,115 |
1.1× |
| Rx Metab Advrs Trgt Seq Alys (0029U) |
$220 |
$550 |
0.3× |
| Screen cerv/vag thin layer (G0123) |
$40 |
$100 |
2.0× |
| Screen pap by tech w md supv (P3000) |
$16 |
$40 |
0.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$18,565.20 |
$46,413 |
1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$19,071.20 |
$47,678 |
1.1× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$3,037.20 |
$7,593 |
1.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$18,565.20 |
$46,413 |
1.1× |
| Tee w or w/o fol w/cont,cong (C8926) |
$730.80 |
$1,827 |
1.0× |
| Therapeutic procd strg endur (G0237) |
$25.20 |
$63 |
1.0× |
| Tomosynthesis, mammo (G0279) |
$31.40 |
$78.50 |
2.5× |
| Tooth reimplantation (D7270) |
$227.20 |
$568 |
0.4× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$7,200 |
$18,000 |
0.7× |
| Trauma respons w/hosp criti (G0390) |
$4,716 |
$11,790 |
3.9× |
| Trluml Perip Athrc Renal Art (0234T) |
$7,200 |
$18,000 |
0.7× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$7,200 |
$18,000 |
0.7× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$12,000 |
$30,000 |
0.7× |
| Tte w or w/o contr, cont ecg (C8930) |
$730.80 |
$1,827 |
1.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$730.80 |
$1,827 |
1.0× |
| Unsched dialysis esrd pt hos (G0257) |
$668.80 |
$1,672 |
1.1× |
| Vasc emb/occ w/prs cath (C9797) |
$17,956.80 |
$44,892 |
1.1× |
| Warfarin response genotype (0030U) |
$134 |
$335 |
1.0× |