| 2019-ncov diagnostic p (U0001) |
$175 |
$250 |
4.9× |
| Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) |
$6,648.55 |
$9,497.93 |
3.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$2,989.08 |
$4,270.11 |
1.3× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$12,214.02 |
$17,448.60 |
1.2× |
| Adm of soc dtr assess 5-15 m (G0136) |
$80.01 |
$114.30 |
1.8× |
| Adm tocilizu covid-19 1st (M0249) |
$706.60 |
$1,009.43 |
1.4× |
| Adm tocilizu covid-19 2nd (M0250) |
$1,077.30 |
$1,539 |
2.1× |
| Admin hepatitis b vaccine (G0010) |
$54 |
$77.14 |
1.0× |
| Admin influenza virus vac (G0008) |
$70.85 |
$101.21 |
1.3× |
| Admin pneumococcal vaccine (G0009) |
$68.28 |
$97.55 |
1.3× |
| Alcohol/sub misuse assess (G2011) |
$89.33 |
$127.62 |
2.7× |
| Alcohol/subs interv 15-30mn (G0396) |
$56.12 |
$80.17 |
1.3× |
| Alcohol/subs interv >30 min (G0397) |
$241.81 |
$345.44 |
1.2× |
| Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic… (0559T) |
$5,589.38 |
$7,984.82 |
36.3× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$54.48 |
$77.83 |
1.3× |
| Behavior counsel obesity 15m (G0447) |
$87.36 |
$124.80 |
0.7× |
| Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) |
$252.04 |
$360.05 |
0.9× |
| Ca screen;flexi sigmoidscope (G0104) |
$2,191.95 |
$3,131.36 |
2.0× |
| Ca screen;pelvic/breast exam (G0101) |
$72.07 |
$102.96 |
0.6× |
| Catheterize for urine spec (P9612) |
$122.30 |
$174.72 |
13.1× |
| Chemo extend iv infus w/pump (G0498) |
$1,483.92 |
$2,119.89 |
3.9× |
| Colon ca scrn not hi rsk ind (G0121) |
$3,157.10 |
$4,510.14 |
2.9× |
| Colorectal scrn; hi risk ind (G0105) |
$3,220.77 |
$4,601.10 |
3.0× |
| Compre ful bdy cptr mrkrls 3d knmtc&kin mtn alys (0693T) |
$1,399.44 |
$1,999.20 |
3.5× |
| Cool Quant Sensory Test (0108T) |
$155.39 |
$221.99 |
2.3× |
| Covid-19 lab test non-cdc (U0002) |
$221.55 |
$316.50 |
4.3× |
| Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) |
$1,440.59 |
$2,057.98 |
0.3× |
| Devlopment test interpt&rep (G0451) |
$247.52 |
$353.60 |
2.1× |
| Diab manage trn per indiv (G0108) |
$148.30 |
$211.85 |
2.7× |
| Diab manage trn ind/group (G0109) |
$65.15 |
$93.07 |
4.1× |
| Direct refer hospital observ (G0379) |
$832.90 |
$1,189.86 |
1.2× |
| Drug test def 1-7 classes (G0480) |
$246.74 |
$352.48 |
2.2× |
| Drug test def 15-21 classes (G0482) |
$87.50 |
$125 |
0.4× |
| Drug test def 22+ classes (G0483) |
$449.90 |
$642.72 |
1.8× |
| Drug test def 8-14 classes (G0481) |
$366.80 |
$523.99 |
2.3× |
| Ed svc ckd grp per session (G0421) |
$49.14 |
$70.20 |
1.8× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) |
$936.31 |
$1,337.59 |
0.9× |
| Ekg tracing for initial prev (G0404) |
$19.65 |
$28.07 |
0.6× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) |
$232.40 |
$332 |
2.1× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) |
$313.60 |
$448 |
2.8× |
| Elec stim other than wound (G0283) |
$80.23 |
$114.62 |
6.3× |
| Elec stim unattend for press (G0281) |
$58.05 |
$82.93 |
5.0× |
| Electrophysiological eval icds w/ss electrode (0577T) |
$3,567.37 |
$5,096.24 |
2.5× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$197.29 |
$281.84 |
10.8× |
Endo defect closure gi tract (C9901)
unusually low: confirm this is the full procedure |
$5,009.19 |
$7,155.99 |
0.4× |
| Endodontic endosseous implan (D3460) |
$1,263.21 |
$1,804.58 |
1.7× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure |
$7,642.25 |
$10,917.50 |
0.1× |
| Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) |
$6,584.80 |
$9,406.86 |
1.8× |
| Esd endoscopy or colonoscopy (C9779) |
$3,258.70 |
$4,655.29 |
0.7× |
| Extracorporeal shock wave involving musculoskeletal system, not otherwise specified (0101T) |
$99.26 |
$141.80 |
0.3× |
| Extrnl counterpulse, per tx (G0166) |
$417.87 |
$596.96 |
2.7× |
| Fecal blood scrn immunoassay (G0328) |
$58.97 |
$84.24 |
3.3× |
| Fecal microbiota prep instil (G0455) |
$1,313.38 |
$1,876.25 |
1.2× |
| Fern test (Q0114) |
$41.03 |
$58.61 |
4.2× |
| Followup eval of foot pt lop (G0246) |
$71.04 |
$101.49 |
0.5× |
| Group behave couns 2-10 (G0473) |
$102.30 |
$146.15 |
2.4× |
| Group mnt 2 or more 30 mins (G0271) |
$55.03 |
$78.62 |
3.2× |
| Hbot, full body chamber, 30m (G0277) |
$552.68 |
$789.55 |
3.5× |
| Heat Quant Sensory Test (0109T) |
$63.41 |
$90.59 |
1.5× |
| Hep c screen high risk/other (G0472) |
$152.15 |
$217.36 |
3.3× |
| Hepb screen high risk indiv (G0499) |
$160.86 |
$229.80 |
5.7× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$24,985.15 |
$35,693.07 |
1.3× |
| Home sleep test/type 3 porta (G0399) |
$1,167.60 |
$1,668 |
4.7× |
| Home sleep test/type 4 porta (G0400) |
$685.11 |
$978.73 |
2.7× |
| Hopd mntl hlt, 15-29 min (C7900) |
$86.32 |
$123.32 |
2.0× |
| Hopd mntl hlt, 30-60 min (C7901) |
$220.66 |
$315.23 |
1.9× |
| Hopd mntl hlt, grp (C7903) |
$95.93 |
$137.04 |
2.2× |
| Hospital outpt clinic visit (G0463) |
$149.72 |
$213.88 |
1.0× |
| Iliac Atherectomy (0238T) |
$22,295.24 |
$31,850.35 |
1.1× |
| Init/sub psych care m 1st 30 (G2214) |
$110.66 |
$158.08 |
0.9× |
| Initial foot exam pt lops (G0245) |
$78.25 |
$111.79 |
0.5× |
| Initial preventive exam (G0402) |
$245.34 |
$350.48 |
1.6× |
| Inj for sacroiliac jt anesth (G0260) |
$2,083.84 |
$2,976.92 |
2.5× |
| Injection posterior chamber eye medication (0699T) |
$5,311.40 |
$7,587.72 |
2.0× |
| Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) |
$1,120.49 |
$1,600.70 |
2.2× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$2,287.34 |
$3,267.62 |
2.2× |
| Insertion of sinus tarsi implant (0335T) |
$9,842.40 |
$14,060.57 |
1.2× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$22,971.47 |
$32,816.38 |
0.9× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) |
$9,854.55 |
$14,077.92 |
1.6× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$6,391.26 |
$9,130.37 |
0.7× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$7,708.57 |
$11,012.24 |
0.8× |
| Insj perm ccm-d sys pg&eltrd (0915T) |
$36,514.81 |
$52,164.02 |
1.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$45,619.39 |
$65,170.56 |
1.3× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$7,684.33 |
$10,977.61 |
0.8× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$7,684.33 |
$10,977.61 |
0.8× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$22,899.24 |
$32,713.20 |
0.9× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$26,619.30 |
$38,027.57 |
0.7× |
| Instill pharm renal pelvis (C9789) |
$646.48 |
$923.54 |
0.5× |
| Intens behave ther cardio dx (G0446) |
$69.52 |
$99.31 |
1.6× |
| Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) |
$37.92 |
$54.17 |
0.9× |
| Intrav inf, mon anti, fir do (M0235) |
$785.11 |
$1,121.59 |
1.5× |
| Intrav inf, mon anti, sec do (M0236) |
$1,077.30 |
$1,539 |
2.1× |
| Intrav inf, toci, first dose (M0237) |
$785.11 |
$1,121.59 |
1.5× |
| Intrav inf, toci, second dos (M0238) |
$1,077.30 |
$1,539 |
2.1× |
| Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) |
$12,510.68 |
$17,872.40 |
1.0× |
| Mnt subs tx for change dx (G0270) |
$56.24 |
$80.34 |
1.8× |
| Myocrd symp innervaj img plnr qual&quant w/spect (0332T) |
$2,026.77 |
$2,895.38 |
1.4× |
| Nav srv peer sup 60 min pr m (G0140) |
$225.68 |
$322.40 |
1.9× |
| Neuro csf prion prtn qual (0035U) |
$568.40 |
$812 |
1.1× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$2,405.89 |
$3,436.99 |
2.3× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$661.75 |
$945.36 |
1.3× |
| Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography… (0712T) |
$124.98 |
$178.54 |
0.5× |
| Obtaining screen pap smear (Q0091) |
$67.70 |
$96.72 |
2.0× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
$587.50 |
$839.28 |
1.8× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$444.63 |
$635.18 |
1.4× |
| Opps service,sched team conf (G0175) |
$548.98 |
$784.26 |
1.1× |
| Oral hiv-1/hiv-2 screen (G0435) |
$134.75 |
$192.50 |
11.2× |
| Oth resp proc, indiv (G0238) |
$153.85 |
$219.78 |
4.6× |
| Pathogen test for platelets (P9100) |
$112.04 |
$160.06 |
1.6× |
| Pemivibart infusion (M0224) |
$982.80 |
$1,404 |
1.9× |
| Perc d-e cor revasc chro sin (C9607) |
$21,690.02 |
$30,985.74 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$22,549.60 |
$32,213.71 |
1.7× |
| Perc d-e cor stent ather s (C9602) |
$23,321.28 |
$33,316.11 |
1.1× |
| Perc drug-el cor stent sing (C9600) |
$20,966.65 |
$29,952.36 |
1.6× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$9,740.64 |
$13,915.20 |
1.2× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$8,798.99 |
$12,569.99 |
1.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$12,491.72 |
$17,845.31 |
0.9× |
| Pet not otherwise specified (G0235) |
$9,628.84 |
$13,755.48 |
20.8× |
| Pin service 60m per month (G0023) |
$149.24 |
$213.20 |
1.3× |
| Place device/marker, non pro (C9728) |
$3,970.39 |
$5,671.99 |
2.5× |
| Potassium hydroxide preps (Q0112) |
$39.52 |
$56.46 |
6.8× |
| Ppps, initial visit (G0438) |
$291.93 |
$417.04 |
1.7× |
| Ppps, subseq visit (G0439) |
$230.05 |
$328.64 |
1.7× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,955.77 |
$2,793.96 |
2.0× |
| Prgrmg Dev Eval Scrms Phys/Qhp Remote (0650T) |
$84.20 |
$120.29 |
1.9× |
| Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) |
$124.64 |
$178.06 |
2.9× |
| Prostate biopsy, any mthd (G0416) |
$777.20 |
$1,110.29 |
1.9× |
| Psa screening (G0103) |
$83.01 |
$118.58 |
4.3× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$1,415.48 |
$2,022.11 |
1.3× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$2,956.59 |
$4,223.70 |
2.7× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$2,601.80 |
$3,716.85 |
2.4× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$1,179.56 |
$1,685.09 |
1.1× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$512.86 |
$732.65 |
1.9× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$379.89 |
$542.70 |
1.4× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$329.84 |
$471.20 |
3.3× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation… (0110T) |
$176.22 |
$251.75 |
1.1× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) |
$84.54 |
$120.77 |
2.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$705.60 |
$1,008 |
1.0× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$3,129.83 |
$4,471.18 |
1.3× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$3,803.80 |
$5,434 |
0.9× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$4,806.98 |
$6,867.12 |
1.1× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) |
$525.40 |
$750.57 |
2.3× |
| Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) |
$2,031.73 |
$2,902.47 |
0.4× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$2,513.11 |
$3,590.16 |
3.5× |
| Revasc intra lithotrip-ather (C9766) |
$22,915.78 |
$32,736.83 |
1.1× |
| Revasc intra lithotrip-stent (C9765) |
$25,609.30 |
$36,584.71 |
1.2× |
| Revasc intravasc lithotripsy (C9764) |
$15,242.74 |
$21,775.35 |
1.1× |
| Revasc lith-sten-ath tib/per (C9775) |
$23,307.43 |
$33,296.33 |
1.1× |
| Revasc lithotr-ather tib/per (C9774) |
$23,651.56 |
$33,787.94 |
1.1× |
| Revasc lithotr-stent tib/per (C9773) |
$20,506.41 |
$29,294.87 |
1.0× |
| Revasc lithotrip tibi/perone (C9772) |
$17,779.39 |
$25,399.13 |
1.3× |
| Revasc lithotrip-stent-ather (C9767) |
$27,431.02 |
$39,187.17 |
1.3× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) |
$4,382 |
$6,260 |
1.1× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$22,899.24 |
$32,713.20 |
0.9× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$22,971.47 |
$32,816.38 |
0.9× |
| Routine footcare pt w lops (G0247) |
$109.14 |
$155.91 |
0.5× |
| Scr c/v cyto,thinlayer,rescr (G0143) |
$162.34 |
$231.92 |
6.0× |
| Screen cerv/vag thin layer (G0123) |
$133.04 |
$190.06 |
6.6× |
| Screen pap by tech w md supv (P3000) |
$70.73 |
$101.04 |
3.8× |
| Sim ang w/prs cath rad emb (C8004) |
$15,780.87 |
$22,544.10 |
1.2× |
| Slctv nzmtc dbrdmt brn eschar anes s/n/hf&/md 1 (0975T) |
$1,344.62 |
$1,920.88 |
2.9× |
| Slctv nzmtc dbrdmt brn eschar req anes t/a/l 1st (0973T) |
$1,344.62 |
$1,920.88 |
2.9× |
| Tcat Impl Wrls Ivc Snr L-T Hemodyn Mntr (0981T) |
$32,294.81 |
$46,135.44 |
1.5× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) |
$6,780.40 |
$9,686.29 |
1.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$33,334.27 |
$47,620.39 |
1.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$18,374.71 |
$26,249.59 |
0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$4,242.04 |
$6,060.05 |
1.2× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$18,290.41 |
$26,129.16 |
0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$8,382.04 |
$11,974.35 |
1.3× |
| Therapeutic procd strg endur (G0237) |
$148.74 |
$212.48 |
4.4× |
| Tomosynthesis, mammo (G0279) |
$74.96 |
$107.08 |
5.9× |
| Tpmt nudt15 gene analysis common variants (0034U) |
$367.50 |
$525 |
0.8× |
| Trabeculostomy ab interno by laser (0621T) |
$2,375.15 |
$3,393.08 |
0.5× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$14,746.73 |
$21,066.76 |
2.2× |
| Transcatheter renal sympath denervation unilat (0338T) |
$10,382.04 |
$14,831.48 |
1.6× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$21,222.59 |
$30,317.98 |
1.6× |
| Trauma respons w/hosp criti (G0390) |
$4,709.12 |
$6,727.30 |
3.1× |
| Trim nail(s) (G0127) |
$73.26 |
$104.65 |
1.1× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$15,692.37 |
$22,417.67 |
1.2× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$18,315.46 |
$26,164.94 |
1.4× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,709.32 |
$2,441.88 |
1.9× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,608.15 |
$2,297.36 |
1.8× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,092.27 |
$2,988.96 |
2.3× |
| Unsched dialysis esrd pt hos (G0257) |
$2,108.06 |
$3,011.52 |
2.7× |
| Upper gastrointestinal blood detection, sensor capsule, with interpretation and report (0977T) |
$1,658.06 |
$2,368.65 |
1.6× |
| Vasc emb/occ w/prs cath (C9797) |
$17,672.93 |
$25,247.04 |
0.8× |
| Vibrate Quant Sensory Test (0107T) |
$63.41 |
$90.59 |
1.5× |
| Visit to determ ldct elig (G0296) |
$68.43 |
$97.76 |
0.6× |
| Visual Field Assessment Tech Support W/Instruct (0379T) |
$746.56 |
$1,066.51 |
17.3× |
| Wet mounts/ w preparations (Q0111) |
$43.78 |
$62.55 |
2.4× |