| 2019-ncov diagnostic p (U0001) |
$50.40 |
$72 |
1.4× |
| 2d tee w or w/o fol w/con,in (C8925) |
$2,111.90 |
$3,017 |
2.3× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,424.50 |
$2,035 |
1.6× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$849.80 |
$1,214 |
2.1× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$5,600 |
$8,000 |
0.5× |
| Admin hepatitis b vaccine (G0010) |
$114.10 |
$163 |
2.1× |
| Admin influenza virus vac (G0008) |
$114.10 |
$163 |
2.1× |
| Admin pneumococcal vaccine (G0009) |
$114.10 |
$163 |
2.1× |
| Adv prim care mgmt lvl 1 (G0556) |
$56 |
$80 |
1.3× |
| Adv prim care mgmt lvl 2 (G0557) |
$56 |
$80 |
1.3× |
| Adv prim care mgmt lvl 3 (G0558) |
$172.90 |
$247 |
1.5× |
| Alcohol/subs interv 15-30mn (G0396) |
$67.90 |
$97 |
1.6× |
| Alcohol/subs interv >30 min (G0397) |
$196.70 |
$281 |
1.0× |
| Annual alcohol screen 15 min (G0442) |
$41.30 |
$59 |
0.9× |
| Behavior counsel obesity 15m (G0447) |
$41.30 |
$59 |
0.4× |
| Brief alcohol misuse counsel (G0443) |
$41.30 |
$59 |
0.4× |
| Ca screen;pelvic/breast exam (G0101) |
$66.50 |
$95 |
0.6× |
| Catheterize for urine spec (P9612) |
$28.35 |
$40.50 |
3.0× |
| Chemo extend iv infus w/pump (G0498) |
$1,554 |
$2,220 |
4.1× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,501.10 |
$3,573 |
2.3× |
| Colorectal scrn; hi risk ind (G0105) |
$2,379.30 |
$3,399 |
2.2× |
| Complex simulation w/pet-ct (G0562) |
$3,640.70 |
$5,201 |
1.6× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) Non-Facility… (0637T) |
$707.70 |
$1,011 |
1.7× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s)… (0636T) |
$442.40 |
$632 |
1.6× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$707.70 |
$1,011 |
1.7× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) Non-Facility… (0634T) |
$343 |
$490 |
1.7× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material Non-Facility… (0633T) |
$209.30 |
$299 |
1.7× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$343 |
$490 |
1.7× |
| Depression screen annual (G0444) |
$21.70 |
$31 |
0.5× |
| Devlopment test interpt&rep (G0451) |
$41.30 |
$59 |
0.4× |
| Diab manage trn per indiv (G0108) |
$144.90 |
$207 |
2.6× |
| Diab manage trn ind/group (G0109) |
$72.10 |
$103 |
4.5× |
| Direct refer hospital observ (G0379) |
$570.50 |
$815 |
0.8× |
| Drug test def 1-7 classes (G0480) |
$293.30 |
$419 |
2.6× |
| Drug test def 15-21 classes (G0482) |
$547.40 |
$782 |
2.8× |
| Drug test def 22+ classes (G0483) |
$547.40 |
$782 |
2.2× |
| Drug test def 8-14 classes (G0481) |
$547.40 |
$782 |
3.5× |
| Ekg tracing for initial prev (G0404) |
$15.40 |
$22 |
0.5× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) |
$179.20 |
$256 |
1.6× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) |
$179.20 |
$256 |
1.6× |
| Elec stim other than wound (G0283) |
$161 |
$230 |
12.7× |
| Elec stim unattend for press (G0281) |
$66.50 |
$95 |
5.7× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$29,986.13 |
$42,837.33 |
0.6× |
| Fecal blood scrn immunoassay (G0328) |
$20.30 |
$29 |
1.1× |
| Hep c screen high risk/other (G0472) |
$86.80 |
$124 |
1.9× |
| High inten beh couns std 30m (G0445) |
$21.70 |
$31 |
0.2× |
| Hiv combination assay (G0475) |
$44.80 |
$64 |
1.9× |
| Home sleep test/type 3 porta (G0399) |
$831.60 |
$1,188 |
3.3× |
| Home sleep test/type 4 porta (G0400) |
— |
$457 |
— |
| Hospital outpt clinic visit (G0463) |
$320.60 |
$458 |
2.1× |
| Hpv combo assay ca screen (G0476) |
$65.80 |
$94 |
1.9× |
| Iliac Atherectomy (0238T) |
$15,778.67 |
$22,540.96 |
0.7× |
| Initial preventive exam (G0402) |
$187.25 |
$267.50 |
1.2× |
| Inj for sacroiliac jt anesth (G0260) |
$2,094.40 |
$2,992 |
2.6× |
| Insertion of sinus tarsi implant (0335T) |
$11,559.10 |
$16,513 |
1.4× |
| Intens behave ther cardio dx (G0446) |
$21.70 |
$31 |
0.5× |
| Lev 1 hosp type b ed visit (G0380) |
$326.90 |
$467 |
3.8× |
| Lev 2 hosp type b ed visit (G0381) |
$520.80 |
$744 |
4.8× |
| Lev 3 hosp type b ed visit (G0382) |
$1,171.10 |
$1,673 |
5.9× |
| Lev 4 hosp type b ed visit (G0383) |
$1,823.50 |
$2,605 |
5.9× |
| Lev 5 hosp type b ed visit (G0384) |
$2,443 |
$3,490 |
5.1× |
| Mnt subs tx for change dx (G0270) |
$55.30 |
$79 |
1.7× |
| Mra w/cont, abd (C8900) |
$1,010.10 |
$1,443 |
2.5× |
| Mra w/cont, chest (C8909) |
$1,179.50 |
$1,685 |
2.9× |
| Mra w/cont, lwr ext (C8912) |
$704.20 |
$1,006 |
1.7× |
| Mra w/cont, pelvis (C8918) |
$798 |
$1,140 |
2.0× |
| Mra w/o cont, abd (C8901) |
$1,050 |
$1,500 |
3.8× |
| Mra w/o cont, chest (C8910) |
$1,179.50 |
$1,685 |
4.3× |
| Mra w/o cont, lwr ext (C8913) |
$704.20 |
$1,006 |
2.5× |
| Mra w/o cont, pelvis (C8919) |
$798 |
$1,140 |
2.9× |
| Mra w/o fol w/cont, abd (C8902) |
$1,018.50 |
$1,455 |
2.5× |
| Mra w/o fol w/cont, chest (C8911) |
$1,227.10 |
$1,753 |
3.0× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$704.20 |
$1,006 |
1.7× |
| Mra w/o fol w/cont, pelvis (C8920) |
$798.70 |
$1,141 |
2.0× |
| Mra, w/dye, spinal canal (C8931) |
$872.20 |
$1,246 |
2.2× |
| Mra, w/dye, upper extremity (C8934) |
$734.30 |
$1,049 |
1.8× |
| Mra, w/o dye, spinal canal (C8932) |
$872.20 |
$1,246 |
3.1× |
| Mra, w/o dye, upper extr (C8935) |
$734.30 |
$1,049 |
2.7× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$907.20 |
$1,296 |
2.2× |
| Mra, w/o&w/dye, upper extr (C8936) |
$734.30 |
$1,049 |
1.8× |
| Mri w/cont, breast, bi (C8906) |
$1,859.20 |
$2,656 |
4.6× |
| Mri w/cont, breast, uni (C8903) |
$1,354.50 |
$1,935 |
6.7× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,170.40 |
$1,672 |
2.9× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,355.20 |
$1,936 |
3.3× |
| Obtaining screen pap smear (Q0091) |
$64.40 |
$92 |
1.9× |
| Oth resp proc, group (G0239) |
$105.70 |
$151 |
2.4× |
| Oth resp proc, indiv (G0238) |
$129.50 |
$185 |
3.9× |
| Perc d-e cor revasc chro sin (C9607) |
$17,710.70 |
$25,301 |
0.8× |
| Perc d-e cor revasc t cabg s (C9604) |
$18,714.50 |
$26,735 |
1.4× |
| Perc d-e cor stent ather s (C9602) |
$21,058.80 |
$30,084 |
1.0× |
| Perc drug-el cor stent sing (C9600) |
$18,912.60 |
$27,018 |
1.4× |
| Periodic oral evaluation (D0120) |
$21 |
$30 |
0.1× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$11,559.10 |
$16,513 |
1.4× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$11,559.10 |
$16,513 |
1.4× |
| Ppps, initial visit (G0438) |
$307.30 |
$439 |
1.8× |
| Ppps, subseq visit (G0439) |
$207.20 |
$296 |
1.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$67.20 |
$96 |
1.6× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$67.20 |
$96 |
1.6× |
| Prostate biopsy, any mthd (G0416) |
$698.60 |
$998 |
1.7× |
| Psa screening (G0103) |
$36.40 |
$52 |
1.9× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$451.50 |
$645 |
0.4× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$483 |
$690 |
0.4× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$579.60 |
$828 |
0.5× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$451.50 |
$645 |
0.4× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$448.70 |
$641 |
1.6× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$448.70 |
$641 |
1.6× |
| Revasc intra lithotrip-ather (C9766) |
$21,639.07 |
$30,912.96 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$23,723.70 |
$33,891 |
1.1× |
| Revasc intravasc lithotripsy (C9764) |
$14,070 |
$20,100 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$32,692.80 |
$46,704 |
1.5× |
| Revasc lithotrip tibi/perone (C9772) |
$21,959.39 |
$31,370.56 |
1.6× |
| Revasc lithotrip-stent-ather (C9767) |
$29,010.80 |
$41,444 |
1.4× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) |
$6,133.40 |
$8,762 |
1.5× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) |
$6,133.40 |
$8,762 |
1.5× |
| Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) |
$6,133.40 |
$8,762 |
1.5× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) |
$6,133.40 |
$8,762 |
1.5× |
| Sbrt w/positron emission del (G0563) |
$7,000.70 |
$10,001 |
1.9× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$5,901.70 |
$8,431 |
1.6× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$5,901.70 |
$8,431 |
1.6× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$5,901.70 |
$8,431 |
1.6× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$5,901.70 |
$8,431 |
1.6× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$11,070.50 |
$15,815 |
1.7× |
| Tee w or w/o fol w/cont, mon (C8927) |
$1,424.50 |
$2,035 |
1.6× |
| Tee w or w/o fol w/cont,cong (C8926) |
$2,011.80 |
$2,874 |
2.2× |
| Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) |
$3,298.40 |
$4,712 |
0.7× |
| Therapeutic procd strg endur (G0237) |
$103.60 |
$148 |
3.1× |
| Therapeutic ultrafiltration (0692T) |
$1,607.20 |
$2,296 |
0.9× |
| Tomosynthesis, mammo (G0279) |
$76.30 |
$109 |
6.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$10,166.10 |
$14,523 |
1.5× |
| Transcatheter renal sympath denervation unilat (0338T) |
$10,166.10 |
$14,523 |
1.5× |
| Trauma respons w/hosp criti (G0390) |
$3,080 |
$4,400 |
2.0× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$2,485 |
$3,550 |
0.7× |
| Trim nail(s) (G0127) |
$41.68 |
$59.55 |
0.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$13,856.02 |
$19,794.32 |
1.0× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,572.20 |
$2,246 |
1.7× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,400.70 |
$2,001 |
1.5× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,424.50 |
$2,035 |
1.6× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,400.70 |
$2,001 |
1.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,361.40 |
$4,802 |
3.7× |
| Unsched dialysis esrd pt hos (G0257) |
$2,682.40 |
$3,832 |
3.4× |
| Visit to determ ldct elig (G0296) |
$210 |
$300 |
1.8× |