| 2019-ncov diagnostic p (U0001) |
$39 |
$65 |
1.1× |
| 2d tee w or w/o fol w/con,in (C8925) |
$1,952.40 |
$3,254 |
2.5× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,045.80 |
$1,743 |
3.0× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) |
$380.40 |
$634 |
1.6× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) |
$12,094.78 |
$20,157.96 |
7.3× |
| Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound… (0950T) |
$14,507.40 |
$24,179 |
1.5× |
| Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each… (0970T) |
$6,000.60 |
$10,001 |
1.5× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$1,736.40 |
$2,894 |
0.4× |
| Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral (0971T) |
$6,000.60 |
$10,001 |
1.5× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$11,473 |
$19,121.66 |
1.3× |
| Admin hepatitis b vaccine (G0010) |
$12.60 |
$21 |
0.3× |
Admin influenza virus vac (G0008)
range across 2 matching MRF lines |
$518.40–$526.20 |
$864–$877 |
varies |
| Admin pneumococcal vaccine (G0009) |
$12.60 |
$21 |
0.3× |
| Adrnl cortcl tum bchm asy 25 (0015M) |
$949.80 |
$1,583 |
0.7× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$60 |
$100 |
1.6× |
| Bia whole body composition assessment w/i&r (0358T) |
$37.80 |
$63 |
1.3× |
| Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) |
$315 |
$525 |
1.3× |
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines |
$630.74–$647.02 |
$1,051.24–$1,078.36 |
varies |
| Chemo extend iv infus w/pump (G0498) |
$937.20 |
$1,562 |
2.8× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) |
$1,543.80 |
$2,573 |
0.6× |
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines |
$2,912.85–$2,917.24 |
$4,854.75–$4,862.07 |
varies |
| Colorectal scrn; hi risk ind (G0105) |
$2,938.84 |
$4,898.06 |
3.1× |
| Colpopexy, min/inv, ex-perit (C9778) |
$38,944.21 |
$64,907.01 |
7.8× |
| Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) |
$9,375.60 |
$15,626 |
1.5× |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) |
$2,881.20 |
$4,802 |
0.7× |
| Cyp1a2 gene analysis common variants (0031U) |
$361.20 |
$602 |
2.1× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$532.20 |
$887 |
0.8× |
Cysto impl 4 or more (C9740)
range across 2 matching MRF lines |
$20,368.25–$20,988.51 |
$33,947.08–$34,980.85 |
varies |
Cysto, litho, vacuum kidney (C9761)
range across 3 matching MRF lines |
$15,403.28–$19,031.92 |
$25,672.14–$31,719.87 |
varies |
| Cystoscopy prostatic imp 1-3 (C9739) |
$5,670 |
$9,450 |
1.1× |
Diab manage trn per indiv (G0108)
range across 4 matching MRF lines |
$109.80–$277.80 |
$183–$463 |
varies |
Diab manage trn ind/group (G0109)
range across 2 matching MRF lines |
$28.20–$81 |
$47–$135 |
varies |
| Direct refer hospital observ (G0379) |
$897 |
$1,495 |
1.5× |
| Drug test def 1-7 classes (G0480) |
$373.21 |
$622.01 |
3.3× |
| Drug test def 22+ classes (G0483) |
$1,647 |
$2,745 |
6.7× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) |
$1,300.20 |
$2,167 |
0.7× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
$2,731.20 |
$4,552 |
0.7× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) |
$145.80 |
$243 |
1.5× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) |
$145.80 |
$243 |
1.5× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
$1,912.20 |
$3,187 |
1.6× |
| Electrophysiologic eval ccm-d leads separate (0931T) |
$1,912.20 |
$3,187 |
1.6× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) |
$3,538.92 |
$5,898.20 |
2.9× |
| Endo outlet restrict w/tube (C9785) |
$26,293.24 |
$43,822.06 |
2.5× |
| Esd endoscopy or colonoscopy (C9779) |
$21,146.09 |
$35,243.48 |
5.5× |
| Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) |
$9,375.60 |
$15,626 |
1.5× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) |
$8,752.20 |
$14,587 |
2.8× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) |
$11,559.95 |
$19,266.59 |
1.9× |
| Extraction erupted tooth/exr (D7140) |
$23,187.59 |
$38,645.99 |
35.8× |
| Fecal microbiota prep instil (G0455) |
$1,201.51 |
$2,002.51 |
1.3× |
| Glyca nuc mr spectroscopy quantitative (0024U) |
$36.60 |
$61 |
1.1× |
| Hbot, full body chamber, 30m (G0277) |
$1,081.20 |
$1,802 |
7.8× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
$1,171.80 |
$1,953 |
1.7× |
Histotripsy mal hepatocellular tiss w/img gdn (0686T)
range across 2 matching MRF lines |
$36,402.68–$36,428.94 |
$60,671.14–$60,714.90 |
varies |
| Histotripsy malignant renal tissue w/img gdn (0888T) |
$27,563.40 |
$45,939 |
1.6× |
| Home sleep test/type 2 porta (G0398) |
$156 |
$260 |
0.7× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
$118.20 |
$197 |
2.7× |
| Imp extar knee shck absrb (C8003) |
$33,754.45 |
$56,257.41 |
1.9× |
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines |
$528.60–$1,912.80 |
$881–$3,188 |
varies |
| Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy,… (0996T) |
$3,537 |
$5,895 |
1.5× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
$4,695.60 |
$7,826 |
0.9× |
| Insertion of sinus tarsi implant (0335T) |
$7,607.40 |
$12,679 |
1.0× |
| Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) |
$19,018.77 |
$31,697.95 |
1.7× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$35,352.60 |
$58,921 |
1.6× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) |
$13,035 |
$21,725 |
1.6× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$13,035 |
$21,725 |
1.6× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$50,497.20 |
$84,162 |
1.6× |
| Insj Wcs Lv Eltrd Only (0516T) |
$6,420 |
$10,700 |
0.6× |
| Insj Wcs Lv Pg Compnt (0517T) |
$12,839.40 |
$21,399 |
1.2× |
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
range across 2 matching MRF lines |
$85,226.73–$85,441.81 |
$142,044.55–$142,403.01 |
varies |
| Instlj fecal microbiota ssp (0780T) |
$191.40 |
$319 |
1.4× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$78.60 |
$131 |
2.1× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) |
$87 |
$145 |
2.3× |
| Ire Abltj 1+Tum Organ Perq (0600T) |
$16,064.36 |
$26,773.94 |
1.5× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$520.80 |
$868 |
4.3× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) |
$506.40 |
$844 |
1.0× |
Low intensity eswt corpus cavernosum low energy (0864T)
range across 2 matching MRF lines |
$372–$382.80 |
$620–$638 |
varies |
| Mnt subs tx for change dx (G0270) |
$52.20 |
$87 |
1.6× |
| Mri hyperpolarized xenon129 (C9791) |
$19,693.80 |
$32,823 |
16.0× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) |
$130.80 |
$218 |
0.6× |
| N-invas augmnt arrhyt alys (0897T) |
$1,602 |
$2,670 |
1.9× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) |
$472.80 |
$788 |
1.5× |
| Neuro csf prion prtn qual (0035U) |
$338.40 |
$564 |
0.6× |
| Njx platelet plasma (0232T) |
$1,076.40 |
$1,794 |
2.4× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
$300 |
$500 |
0.9× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$300 |
$500 |
0.9× |
| Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) |
$1,074.60 |
$1,791 |
0.3× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) |
$21,935.10 |
$36,558.50 |
1.1× |
| Ortho impl mvmt alys pair CT (0946T) |
$167.40 |
$279 |
1.6× |
| Oth resp proc, group (G0239) |
$116.40 |
$194 |
3.1× |
| Oth resp proc, indiv (G0238) |
$32.40 |
$54 |
1.1× |
| Pathogen test for platelets (P9100) |
$161.40 |
$269 |
2.7× |
| Pelvic ring fracture uni/bil (G0413) |
$28,576.01 |
$47,626.69 |
3.9× |
| Pelvic ring fx treat int fix (G0414) |
$15,908.92 |
$26,514.86 |
2.2× |
| Pemivibart infusion (M0224) |
$708.60 |
$1,181 |
1.6× |
Perc d-e cor revasc chro sin (C9607)
range across 2 matching MRF lines |
$64,839.21–$64,917.41 |
$108,065.35–$108,195.68 |
varies |
Perc d-e cor revasc t cabg s (C9604)
range across 2 matching MRF lines |
$34,961.73–$35,421.67 |
$58,269.55–$59,036.11 |
varies |
Perc d-e cor stent ather s (C9602)
range across 2 matching MRF lines |
$38,973.82–$40,533.16 |
$64,956.36–$67,555.26 |
varies |
Perc drug-el cor stent sing (C9600)
range across 2 matching MRF lines |
$40,047.31–$40,133.96 |
$66,745.52–$66,889.93 |
varies |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,544 |
$9,240 |
0.8× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
range across 2 matching MRF lines |
$36,766.69–$37,806.15 |
$61,277.82–$63,010.25 |
varies |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) |
$27,054.60 |
$45,091 |
1.5× |
| Place device/marker, non pro (C9728) |
$1,491 |
$2,485 |
1.1× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$57 |
$95 |
1.5× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$55.20 |
$92 |
1.5× |
| Prgrmg dev eval scrms phys/qhp remote (0650T) |
$60 |
$100 |
1.6× |
| Programming device eval impl ccm-d sys in person (0926T) |
$78.60 |
$131 |
2.1× |
| Prolonged iv inf, req pump (C8957) |
$497.40 |
$829 |
2.3× |
| Psa screening (G0103) |
$88.80 |
$148 |
4.6× |
| Pulm tiss vntj alys prev CT (0807T) |
$229.20 |
$382 |
1.1× |
| Pulm tiss vntj alys w/CT (0808T) |
$441 |
$735 |
2.0× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) |
$945 |
$1,575 |
1.0× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) |
$1,134 |
$1,890 |
1.2× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$945 |
$1,575 |
1.0× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$1,474.20 |
$2,457 |
1.6× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$661.80 |
$1,103 |
0.7× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$945 |
$1,575 |
1.0× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$135.60 |
$226 |
1.6× |
| Relocation pg wcs lv pacg battery component only (0862T) |
$2,739 |
$4,565 |
1.3× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) |
$2,739 |
$4,565 |
1.3× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,881.20 |
$4,802 |
1.4× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) |
$87 |
$145 |
2.3× |
| Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) |
$204 |
$340 |
1.5× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$78.60 |
$131 |
2.1× |
| Remote monitoring of an implanted inferior vena cava sensor for up to 30 days, including at least weekly downloads of… (0983T) |
$57 |
$95 |
1.5× |
| Remote monitoring of implantable inferior vena cava pressure sensor, physiologic parameter(s) (eg, weight, blood… (0982T) |
$204 |
$340 |
1.5× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) |
$313.20 |
$522 |
1.6× |
| Removal perm ccm-d system pulse generator only (0919T) |
$5,731.80 |
$9,553 |
1.5× |
| Removal pg wcs lv pacing both components (0861T) |
$5,899.20 |
$9,832 |
1.6× |
| Removal Ss Dfb Electrode (0573T) |
$5,727 |
$9,545 |
1.5× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$973.80 |
$1,623 |
1.5× |
Revasc intra lithotrip-stent (C9765)
range across 2 matching MRF lines |
$37,614.86–$81,865.48 |
$62,691.43–$136,442.46 |
varies |
| Revasc intravasc lithotripsy (C9764) |
$32,232.93 |
$53,721.55 |
2.8× |
| Revasc lithotrip tibi/perone (C9772) |
$24,666.24 |
$41,110.40 |
2.1× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) |
$5,358 |
$8,930 |
1.5× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) |
$2,989.20 |
$4,982 |
0.9× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) |
$23,911.82 |
$39,853.04 |
6.8× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) |
$9,646.80 |
$16,078 |
0.9× |
| Rmvl insj impltbl gluc sensor dif anatomic site (0448T) |
$2,881.20 |
$4,802 |
0.7× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) |
$5,731.80 |
$9,553 |
1.5× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$5,731.80 |
$9,553 |
1.5× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) |
$5,731.80 |
$9,553 |
1.5× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$5,727 |
$9,545 |
1.5× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) |
$35,352.60 |
$58,921 |
1.6× |
| Rx Metab Advrs Trgt Seq Alys (0029U) |
$313.20 |
$522 |
0.4× |
| Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) |
$9,375.60 |
$15,626 |
1.5× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) |
$41.40 |
$69 |
2.3× |
| Tactile breast img uni/bi (0422T) |
$194.40 |
$324 |
2.2× |
| Tcat Impl Wrls Ivc Snr L-T Hemodyn Mntr (0981T) |
$28,093.20 |
$46,822 |
1.5× |
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
range across 2 matching MRF lines |
$44,624.45–$47,326.73 |
$74,374.08–$78,877.88 |
varies |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$29,271.60 |
$48,786 |
1.5× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$27,054.60 |
$45,091 |
1.4× |
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
range across 2 matching MRF lines |
$62,921.09–$63,462.10 |
$104,868.48–$105,770.16 |
varies |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$4,788 |
$7,980 |
1.5× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$4,788 |
$7,980 |
1.5× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$4,691.40 |
$7,819 |
1.5× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) |
$4,788 |
$7,980 |
1.5× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$29,271.60 |
$48,786 |
1.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$29,271.60 |
$48,786 |
1.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
$29,271.60 |
$48,786 |
1.5× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$27,054.60 |
$45,091 |
1.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$3,348.60 |
$5,581 |
0.6× |
| Tee w or w/o fol w/cont, mon (C8927) |
$2,008.20 |
$3,347 |
2.6× |
| Tee w or w/o fol w/cont,cong (C8926) |
$2,008.20 |
$3,347 |
2.6× |
| Therapeutic procd strg endur (G0237) |
$82.80 |
$138 |
2.9× |
| Therapeutic ultrafiltration (0692T) |
$642.60 |
$1,071 |
0.4× |
| Tpmt and Nudt15 Genotype (0034U) |
$505.20 |
$842 |
1.1× |
Transcatheter Renal Sympath Denervation Bilat (0339T)
range across 2 matching MRF lines |
$26,378.67–$27,154.96 |
$43,964.45–$45,258.26 |
varies |
| Trauma respons w/hosp criti (G0390) |
$7,186.80 |
$11,978 |
5.4× |
| Trluml Perip Athrc Brchiocph (0237T) |
$16,331.40 |
$27,219 |
1.4× |
| Trluml Perip Athrc Iliac Art (0238T) |
$11,431.80 |
$19,053 |
0.6× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$15,553.80 |
$25,923 |
1.3× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,372.40 |
$3,954 |
3.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$5,419.20 |
$9,032 |
6.9× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,603.40 |
$4,339 |
3.3× |
| Unsched dialysis esrd pt hos (G0257) |
$1,073.40 |
$1,789 |
1.6× |
| US Ablat Uter Leiomyom <200 (0071T) |
$8,596.20 |
$14,327 |
2.6× |
| US Ablat Uter Leiomyom >200 (0072T) |
$11,695.80 |
$19,493 |
3.6× |