Supplies, drugs & other prices at Valleywise Health Medical Center

Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.

981 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $41.31 — 1.2×
2d cephal radio image (D0702) $106.79 — 1.2×
2d cephalometric image (D0340) $106.79 — 1.2×
2d oral/facial photo image (D0703) $106.79 — 1.2×
2d tee w or w/o fol w/con,in (C8925) $961.98 — 1.1×
2d tte w or w/o fol w/con,co (C8923) $961.98 — 1.1×
2d tte w or w/o fol w/con,fu (C8924) $428.12 $1,020 1.1×
3d anat seg imaging preop (C8001) $157.90 — 1.2×
3d bn img algor drvd fr mri (G0566) $157.90 — 1.2×
3D cntr simula trgt lvr les (0944T) $292.80 — 1.1×
Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound… (0950T) $11,616.72 — 1.2×
Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each… (0970T) $4,804.80 — 1.1×
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) $2,026.75 — 1.2×
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) $13,044.35 — 1.2×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) $13,044.35 — 1.2×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $4,804.80 — 1.1×
Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral (0971T) $4,804.80 — 1.1×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $2,396.28 — 1.2×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $10,769.24 — 1.1×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $2,396.28 — 1.2×
Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including target… (0890T) $4,504.83 — 1.1×
Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including… (0892T) $4,504.83 — 1.1×
Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including… (0891T) $4,504.83 — 1.1×
Adapt Bhv Tx Ea 15 Min (0373T) $45.98 — 1.2×
Add proc construct new crown (D2971) $793.33 — 1.1×
Adm of soc dtr assess 5-15 m (G0136) $45.98 $40 1.2×
Adm tocilizu covid-19 1st (M0249) $541.11 $1,020 1.2×
Adm tocilizu covid-19 2nd (M0250) $541.11 $980 1.2×
Admin hepatitis b vaccine (G0010) $57.46 $80 1.1×
Admin influenza virus vac (G0008) $57.46 $69 1.1×
Admin pneumococcal vaccine (G0009) $57.46 $90 1.1×
Adrnl Cortcl Tum Bchm Asy 25 (0015M) $1,501.18 — 1.2×
Adv prim care mgmt lvl 1 (G0556) $45.98 — 1.2×
Adv prim care mgmt lvl 2 (G0557) $45.98 — 1.2×
Adv prim care mgmt lvl 3 (G0558) $124.67 — 1.2×
Air displacement plethysmography, whole-body composition assessment, with interpretation and report (1002T) $35.49 — 1.2×
Alcohol/sub misuse assess (G2011) $35.49 — 1.2×
Alcohol/subs interv 15-30mn (G0396) $45.98 $130 1.2×
Alcohol/subs interv >30 min (G0397) $217.81 $270 1.2×
Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) $164.94 — 1.1×
Alveoloplasty not w/extracts (D7321) $1,904.02 — 1.1×
Alveoloplasty w/extract 1-3 (D7311) $1,904.02 — 1.1×
Alveolus clsd reduc stblz te (D7771) $4,068.55 — 1.1×
Alveolus open reduction (D7671) $7,264.49 — 1.1×
Alveoplasty w/ extraction (D7310) $1,904.02 — 1.1×
Alveoplasty w/o extraction (D7320) $1,904.02 — 1.1×
Amalgam 4 or > surfaces perm (D2161) $793.33 — 1.1×
Amalgam one surface permanen (D2140) $793.33 — 1.1×
Amalgam three surfaces perma (D2160) $793.33 — 1.1×
Amalgam two surfaces permane (D2150) $793.33 — 1.1×
Ana crown exp 1-3 per quad (D4231) $1,904.02 — 1.1×
Ana crown exp 4 or> per quad (D4230) $4,068.55 — 1.1×
Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide Other Diagnostic Radiology FS (0561T) $163.27 — 1.2×
Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic… (0559T) $163.27 — 1.2×
Annual alcohol screen 15 min (G0442) $45.98 $110 1.2×
Anoscopy with directed submucosal injection of bulking agent into anal canal (0963T) $1,468.45 — 1.1×
Ant resin-based cmpst crown (D2390) $793.33 — 1.1×
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) $36.03 — 1.2×
Apexification/recalc final (D3353) $793.33 — 1.1×
Apexification/recalc initial (D3351) $793.33 — 1.1×
Apexification/recalc interim (D3352) $793.33 — 1.1×
Apically positioned flap (D4245) $1,904.02 — 1.1×
Apicoectomy - anterior (D3410) $793.33 — 1.1×
Arthro/shoul surg; w/spacer (C9781) $15,754.92 — 1.2×
Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement… (1003T) $15,754.92 — 1.2×
Ascvd rsk mng clin stf pr mo (G0538) $124.67 — 1.2×
Assessment of a patient (D0191) $163.38 — 1.1×
Assistive algorithmic analysis of acoustic and electrocardiogram recording for detection of cardiac dysfunction (eg,… (0962T) $163.27 — 1.2×
Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0764T) $163.27 — 1.2×
Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0765T) $163.27 — 1.2×
Augmentative AI-based facial phenotype analysis with report (0731T) $72.39 — 1.1×
Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype… (0877T) $781.33 — 1.1×
Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype… (0878T) $781.33 — 1.1×
Auto tissue graft 1st tooth (D4273) $1,904.02 — 1.1×
Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported… (0062U) $437.83 — 1.2×
Autolog prp not diab ulcer (G0460) $2,531.94 — 1.1×
Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue… (0718T) $4,348.66 — 1.1×
Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue… (0717T) $4,348.66 — 1.1×
BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative Other Outpatient (0040U) $471.39 — 1.2×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $45.80 — 1.1×
Behavior counsel obesity 15m (G0447) $124.67 $160 1.2×
Bhv id suprt assmt ea 15 min (0362T) $45.98 — 1.2×
Bia whole body composition assessment w/i&r (0358T) $35.49 — 1.2×
Bio mtrls to aid soft/os reg (D4265) $793.33 — 1.1×
Biological materials (D3431) $793.33 — 1.1×
Bitewings - three images (D0273) $292.80 — 1.1×
Bitewings four images (D0274) $292.80 — 1.1×
Blind cor sinus reducer impl (C9783) $14,166.39 — 1.2×
Blind interatrial shunt ide (C9758) $21,020.36 — 1.2×
Blind myocar trpl bon marrow (C9782) $21,020.36 — 1.2×
Blind/nonblind trans atrial (C9792) $11,711.61 — 1.1×
Blinded conv. tx mdd clin tr (G2000) $457.92 — 1.2×
Blood mucoprotein (P2038) $5.69 — 1.1×
Blood thymol turbidity (P2033) $5.69 — 1.1×
Bone graft peri per tooth (D3428) $793.33 — 1.1×
Bone replce graft first site (D4263) $793.33 — 1.1×
Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (bmd), with… (0743T) $292.80 — 1.1×
Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) $35.49 — 1.2×
Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0556T) $292.80 — 1.1×
Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG Other Outpatient (0042U) $19.79 — 1.1×
Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM Other Outpatient (0041U) $19.79 — 1.1×
Brief alcohol misuse counsel (G0443) $124.67 $160 1.2×
Brief chkin by md/qhp, 11-20 (G2252) $34.97 — 1.2×
Brief chkin, 5-10, non-e/m (G2251) $17.07 — 1.2×
Ca screen;flexi sigmoidscope (G0104) $1,141.19 $1,290 1.1×
Ca screen;pelvic/breast exam (G0101) $124.67 $150 1.2×
Canal prep/fitting of dowel (D3950) $793.33 — 1.1×
Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified… (0068U) $164.02 — 1.1×
Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score (0716T) $72.39 — 1.1×
Cardiac mri seg dys strain (C9762) $670.53 — 1.1×
Cardiac mri seg dys stress (C9763) $670.53 — 1.1×
Cardiokymography (Q0035) $45.84 — 1.2×
Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism… (0055U) $3,726 — 1.2×
Cardiology (heart transplant), mRNA gene expression progiling by microarray of 1283 genes, transplant biopsy tissue,… (0087U) $3,633.33 — 1.1×
Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray and algorithm reported as… (0019M) $819.26 — 1.2×
Care manage beh svs 20mins (G0323) $45.98 — 1.2×
Care manage serv, pr cal mo (G0570) $45.98 — 1.2×
Catheterize for urine spec (P9612) $10.74 $110 1.1×
Cbc without platelet (G0307) $7.44 — 1.1×
Cbc/diffwbc w/o platelet (G0306) $8.94 — 1.2×
Cephalin floculation test (P2028) $5.69 — 1.1×
Chemo extend iv infus w/pump (G0498) $405.33 — 1.2×
Closd rductn splint alveolus (D7670) $4,068.55 — 1.1×
Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) $2,917.52 — 1.2×
Colon ca scrn not hi rsk ind (G0121) $1,141.19 $1,730 1.1×
Colonic lavage, 35 or more liters of water, gravity-fed, with induced defecation, including insertion of rectal catheter (0736T) $157.90 — 1.2×
Colorectal scrn; hi risk ind (G0105) $1,141.19 — 1.1×
Colpopexy, min/inv, ex-perit (C9778) $6,138.73 — 1.1×
Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) $7,449.87 — 1.1×
Comm hlth intg svs sdoh 60mn (G0019) $124.67 — 1.2×
Commissure splint (D5987) $793.33 — 1.1×
Comp periodontal evaluation (D0180) $163.38 — 1.1×
Complete occlusal adjustment (D9952) $793.33 — 1.1×
Complex simulation w/pet-ct (G0562) $2,342.80 — 1.1×
Compre ful bdy 3d mtn alys (0693T) $421 — 1.2×
Comprehensive audiometry threshold evaluation and speech recognition (0209T, 0211T combined), automated (0212T) $157.90 — 1.2×
Comprehensve oral evaluation (D0150) $163.38 — 1.1×
Computed tomography scan taken for the purpose of biomechanical computed tomography analysis CAT Scan (0558T) $106.79 — 1.2×
Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) $428.12 — 1.1×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) $292.80 — 1.1×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) $428.12 — 1.1×
Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) $215.24 — 1.1×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) $128.29 — 1.1×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) $215.24 — 1.1×
Computerized ophthalmic analysis of monocular eye movements using retinal-based eye-tracking without spatial… (1010T) $163.27 — 1.2×
Coms ther 1st appl<=50 sq cm (0906T) $246.21 — 1.2×
Comt gene (0032U) $201.03 — 1.1×
Con tissue w pedicle graft (D4276) $1,904.02 — 1.1×
Cone beam ct both jaws (D0383) $128.29 — 1.1×
Cone beam ct capt & interp (D0364) $128.29 — 1.1×
Cone beam ct capt mandible (D0381) $128.29 — 1.1×
Cone beam ct capt maxilla (D0382) $128.29 — 1.1×
Cone beam ct capture limited (D0380) $128.29 — 1.1×
Cone beam ct capture tmj (D0384) $128.29 — 1.1×
Cone beam ct interp both jaw (D0367) $128.29 — 1.1×
Cone beam ct interprete man (D0365) $128.29 — 1.1×
Cone beam ct interprete max (D0366) $128.29 — 1.1×
Cone beam ct interprete tmj (D0368) $128.29 — 1.1×
Congo red blood test (P2029) $5.69 — 1.1×
Coping (D2975) $793.33 — 1.1×
Core build-up incl any pins (D2950) $793.33 — 1.1×
Coronectomy (D7251) $1,904.02 — 1.1×
Covid-19 lab test non-cdc (U0002) $59.01 — 1.2×
Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) $5,105.40 — 1.1×
Crown 3/4 cast base metal (D2781) $793.33 — 1.1×
Crown 3/4 cast hi noble met (D2780) $793.33 — 1.1×
Crown 3/4 cast noble metal (D2782) $793.33 — 1.1×
Crown 3/4 porcelain/ceramic (D2783) $793.33 — 1.1×
Crown 3/4 resin-based compos (D2712) $793.33 — 1.1×
Crown full cast base metal (D2791) $793.33 — 1.1×
Crown full cast high noble m (D2790) $793.33 — 1.1×
Crown full cast noble metal (D2792) $793.33 — 1.1×
Crown lengthen hard tissue (D4249) $793.33 — 1.1×
Crown porc fused to titanium (D2753) $793.33 — 1.1×
Crown porcelain fused base m (D2751) $793.33 — 1.1×
Crown porcelain w/ h noble m (D2750) $793.33 — 1.1×
Crown porcelain w/ noble met (D2752) $793.33 — 1.1×
Crown porcelain/ceramic (D2740) $793.33 — 1.1×
Crown repair (D2980) $793.33 — 1.1×
Crown resin w/ base metal (D2721) $793.33 — 1.1×
Crown resin w/ high noble me (D2720) $793.33 — 1.1×
Crown resin w/ noble metal (D2722) $793.33 — 1.1×
Crown resin-based indirect (D2710) $793.33 — 1.1×
Crown-titanium (D2794) $793.33 — 1.1×
Cryotherapy of the oral cavity using temperature regulated fluid cooling system, including placement of an oral device,… (0881T) $548.20 — 1.2×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $201.03 — 1.1×
Cyp2d6 3' gene dup/mlt (0076U) $518.55 — 1.2×
Cyp2D6 5' Gene Dup/Mlt (0075U) $518.55 — 1.2×
Cyp2d6 full gene sequence (0071U) $690 — 1.2×
Cyp2d6 gen com&slct rar vrnt (0070U) $777.83 — 1.2×
Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) $518.55 — 1.2×
Cyp2D6 Gen Cyp2D7-2D6 Hybrid (0073U) $518.55 — 1.2×
Cyp2D6 Nonduplicated Gene (0074U) $518.55 — 1.2×
Cysto impl 4 or more (C9740) $11,616.72 — 1.2×
Cysto, litho, vacuum kidney (C9761) $11,616.72 — 1.2×
Cystoscopy prostatic imp 1-3 (C9739) $6,579.70 — 1.1×
Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging (0991T) $11,616.72 — 1.2×
Decor or submerg erupt tooth (D3921) $793.33 — 1.1×
Demonstrate use home inr mon (G0248) $163.38 — 1.1×
Dental bitewing single image (D0270) $106.79 — 1.2×
Dental bitewings two images (D0272) $106.79 — 1.2×
Dental connector bar (D6920) $793.33 — 1.1×
Dental gold foil one surface (D2410) $793.33 — 1.1×
Dental gold foil three surfa (D2430) $793.33 — 1.1×
Dental gold foil two surface (D2420) $793.33 — 1.1×
Dental inlay metalic 1 surf (D2510) $793.33 — 1.1×
Dental inlay metallic 2 surf (D2520) $793.33 — 1.1×
Dental inlay metl 3/more sur (D2530) $793.33 — 1.1×
Dental inlay resin 3/mre sur (D2652) $793.33 — 1.1×
Dental onlay metallic 2 surf (D2542) $793.33 — 1.1×
Dental onlay metallic 3 surf (D2543) $793.33 — 1.1×
Dental onlay metl 4/more sur (D2544) $793.33 — 1.1×
Dental onlay porc 3/more sur (D2630) $793.33 — 1.1×
Dental onlay porc 4/more sur (D2644) $793.33 — 1.1×
Dental onlay porcelin 2 surf (D2642) $793.33 — 1.1×
Dental onlay porcelin 3 surf (D2643) $793.33 — 1.1×
Dental onlay resin 2 surface (D2662) $793.33 — 1.1×
Dental onlay resin 3 surface (D2663) $793.33 — 1.1×
Dental onlay resin 4/mre sur (D2664) $793.33 — 1.1×
Dental prophylaxis adult (D1110) $163.38 — 1.1×
Dental saliography (D0310) $292.80 — 1.1×
Dental tmj arthrogram incl i (D0320) $292.80 — 1.1×
Dental tomographic survey (D0322) $128.29 — 1.1×
Dental unspec restorative pr (D2999) $793.33 — 1.1×
Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity Other Outpatient (0039U) $15.80 — 1.1×
Depression screen annual (G0444) $45.98 $40 1.2×
Dermal filler injection(s) (G0429) $2,531.94 — 1.1×
Destruction neurofibromata, extensive, (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $906.95 — 1.2×
Destruction neurofibromata, extensive, (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) $906.95 — 1.2×
Device evaluation and interrogation of intraocular retinal electrode array (eg, retinal prosthesis), in person,… (0473T) $116.67 — 1.2×
Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal… (0472T) $376.90 — 1.1×
Devlopment test interpt&rep (G0451) $124.67 — 1.2×
Diab manage trn per indiv (G0108) $82.56 $130 1.5×
Diab manage trn ind/group (G0109) $23.62 $53 1.5×
Digital sub 2 or more images (D0394) $106.79 — 1.2×
Direct refer hospital observ (G0379) $730.80 $110 1.1×
Dist space maint, fixed unil (D1575) $793.33 — 1.1×
Drug test def 1-7 classes (G0480) $131.59 $350 1.1×
Drug test def 15-21 classes (G0482) $228.55 — 1.1×
Drug test def 22+ classes (G0483) $283.96 — 1.2×
Drug test def 8-14 classes (G0481) $180.08 $450 1.2×
Drug test def simple all cl (G0659) $71.46 — 1.1×
Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and… (0082U) $283.96 — 1.2×
Drug test(s), presumptive, with definitive confirmation of positive results, any number of drug classes, urine,… (0007U) $131.59 — 1.1×
Dstry eye lesn,fdr vssl tech (G0186) $674.93 — 1.2×
Each addtnl prefab post (D2957) $793.33 — 1.1×
Ed svc ckd grp per session (G0421) $41.31 — 1.5×
Ed svc ckd ind per session (G0420) $171.95 — 1.5×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $2,354.78 — 1.2×
Egd flexible transnasal w/biopsy single/multiple (0653T) $2,354.78 — 1.2×
Egd flexible transnasal w/insj intral tube/cath (0654T) $4,731.22 — 1.1×
Eia hiv-1/hiv-2 screen (G0432) $22.51 $50 1.2×
Ekg tracing for initial prev (G0404) $35.49 $47 1.2×
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) $116.67 — 1.2×
Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) $116.67 — 1.2×
Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) $163.27 — 1.2×
Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) $72.39 — 1.1×
Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) $116.67 — 1.2×
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) $116.67 — 1.2×
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) $116.67 — 1.2×
Elec stim other than wound (G0283) $18.40 — 1.4×
Elec stim unattend for press (G0281) $17.12 — 1.5×
Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score Other Diagnostic… (0658T) $72.39 — 1.1×
Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing only (0904T) $72.39 — 1.1×
Electromagntic tx for ulcers (G0329) $16.61 — 1.6×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1018T) $45.80 — 1.1×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1017T) $72.39 — 1.1×
Electronic analysis with complex programming of implanted integrated neurostimulation system (eg, electrode array and… (0789T) $116.67 — 1.2×
Electrophysiologic eval icds w/ss electrode (0577T) $1,494.10 — 1.2×
Elisa hiv-1/hiv-2 screen (G0433) $21.03 $50 1.1×
End thxpy, anterior tooth (D3310) $793.33 — 1.1×
End thxpy, molar tooth (D3330) $793.33 — 1.1×
End thxpy, premolar tooth (D3320) $793.33 — 1.1×
Endo defect closure gi tract (C9901) $13,044.35 — 1.2×
Endo outlet restrict w/tube (C9785) $13,044.35 — 1.2×
Endodontic endosseous implan (D3460) $793.33 — 1.1×
Endodontic procedure (D3999) $793.33 — 1.1×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $54,051.41 — 1.2×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $3,874.69 — 1.2×
Ephys eval ccm-d ld 1st impl (0930T) $1,494.10 — 1.2×
Ephys eval ccm-d ld separate (0931T) $1,494.10 — 1.2×
Esd endoscopy or colonoscopy (C9779) $4,731.22 — 1.1×
Esophag muc integ w/eso egd (C9777) $4,731.22 — 1.1×
Esophagogastroduodenoscopy , flexible, transoral, with volume adjustment of intragastric bariatric balloon (0813T) $1,113 — 1.1×
Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) $7,449.87 — 1.1×
Esw integ wnd hlg 1st wnd (0512T) $246.21 — 1.2×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $14,166.39 — 1.2×
Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral (0207T) $163.27 — 1.2×
Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual… (0563T) $72.39 — 1.1×
Excision benign lesion compl (D7412) $1,904.02 — 1.1×
Excision benign lesion>1.25c (D7411) $1,904.02 — 1.1×
Excision malig les complicat (D7415) $1,904.02 — 1.1×
Excision malig lesion<=1.25c (D7413) $1,904.02 — 1.1×
Excision malig lesion>1.25cm (D7414) $1,904.02 — 1.1×
Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence… (0036U) $5,497 — 1.2×
Exposure of unerupted tooth (D7280) $793.33 — 1.1×
Extensv oral eval prob focus (D0160) $163.38 — 1.1×
Extra oral post radio image (D0705) $106.79 — 1.2×
Extracorporeal shock wave muscskel sys nos (0101T) $302.70 — 1.2×
Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral… (0102T) $4,015.22 — 1.2×
Extraction coronal remnants (D7111) $793.33 — 1.1×
Extraction erupted tooth/exr (D7140) $793.33 — 1.1×
Extraoral 2d project image (D0250) $106.79 — 1.2×
Extraoral posterior image (D0251) $106.79 — 1.2×
Extrnl counterpulse, per tx (G0166) $163.27 — 1.2×
Eye mvmt alys w/o calbrj i&r (0615T) $163.27 — 1.2×
Facial moulage complete (D5912) $793.33 — 1.1×
Facial moulage sectional (D5911) $793.33 — 1.1×
Facility svs dental rehab (G0330) $4,068.55 — 1.1×
Fecal blood scrn immunoassay (G0328) $20.76 $100 1.2×
Fecal microbiota prep instil (G0455) $1,141.19 — 1.1×
Fern test (Q0114) $11.20 $37 1.1×
Fixed bilat space maint, man (D1517) $793.33 — 1.1×
Fixed bilat space maint, max (D1516) $793.33 — 1.1×
Flt3 gene itd variants quan (0046U) $468.54 — 1.1×
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to… (0072T) $3,972.42 — 1.1×
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of… (0071T) $3,972.42 — 1.1×
Followup eval of foot pt lop (G0246) $163.38 — 1.1×
Fractional abl lsr fenestration first 100 sqcm (0479T) $906.95 — 1.2×
Full mouth debridement (D4355) $793.33 — 1.1×
Fusion 2 or more 3d images (D0395) $106.79 — 1.2×
Gastrointestinal myoelectrical activity study, stomach through colon, with interpretation and report (0779T) $457.92 — 1.2×
Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis Other Outpatient (0094U) $8,719.53 — 1.2×
Gingival flap proc w/ planin (D4240) $4,068.55 — 1.1×
Gingival irrigation per quad (D4921) $163.38 — 1.1×
Gingivectomy/plasty 1 to 3 (D4211) $4,068.55 — 1.1×
Gingivectomy/plasty 4 or mor (D4210) $4,068.55 — 1.1×
Gingivectomy/plasty rest (D4212) $4,068.55 — 1.1×
Glaucoma scrn hgh risk direc (G0118) $45.84 — 1.2×
Glaucoma scrn hgh risk direc (G0117) $35.49 — 1.2×
Glyca nuc mr spectroscopy quantitative (0024U) $39.32 — 1.2×
Gngvl flap w rootplan 1-3 th (D4241) $1,904.02 — 1.1×
Gross pulpal debridement (D3221) $793.33 — 1.1×
Group behave couns 2-10 (G0473) $45.98 — 1.2×
Group mnt 2 or more 30 mins (G0271) $19.11 — 1.1×
Group train w/o patient (G0543) $35.49 — 1.2×
Guided tiss regen nonresorb (D4267) $1,904.02 — 1.1×
Guided tiss regen resorble (D4266) $1,904.02 — 1.1×
Guided tissue regeneration (D3432) $793.33 — 1.1×
Hbot, full body chamber, 30m (G0277) $168.87 $820 1.2×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $854.68 — 1.2×
Heart symp image plnr (0331T) $1,588.72 — 1.1×
Heart symp image plnr spect (0332T) $1,588.72 — 1.1×
Hep c screen high risk/other (G0472) $53.30 — 1.1×
Hepb screen high risk indiv (G0499) $32.51 — 1.1×
High inten beh couns std 30m (G0445) $124.67 — 1.2×
High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling, with interpretation and… (0868T) $457.92 — 1.2×
Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging… (0888T) $21,020.36 — 1.2×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $21,020.36 — 1.2×
Hiv combination assay (G0475) $27.69 — 1.1×
Hiv prep counsel, clin staff (G0013) $45.98 — 1.2×
Home sleep test/type 2 porta (G0398) $264.97 — 1.1×
Home sleep test/type 3 porta (G0399) $264.97 — 1.1×
Home sleep test/type 4 porta (G0400) $264.97 — 1.1×
Hopd mntl hlt, 15-29 min (C7900) $45.98 $250 1.2×
Hopd mntl hlt, 30-60 min (C7901) $124.67 $500 1.2×
Hopd mntl hlt, grp (C7903) $45.98 — 1.2×
Hospital outpt clinic visit (G0463) $163.38 — 1.1×
Hpv combo assay ca screen (G0476) $40.35 — 1.1×
Hpylori Detcj Abx Rstnc Dna (0008U) $687.60 — 1.2×
Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine… (0096U) $40.35 — 1.1×
I&d absc intraoral soft tiss (D7510) $868.98 — 1.1×
I&d abscess extraoral (D7520) $868.98 — 1.1×
Ig paraprotein qual bld/ur (0077U) $49.94 — 1.1×
Imp extar knee shck absrb (C8003) $21,516.53 — 1.1×
Impact tooth rem bony w/comp (D7241) $793.33 — 1.1×
Impact tooth remov comp bony (D7240) $793.33 — 1.1×
Impact tooth remov part bony (D7230) $793.33 — 1.1×
Impact tooth remov soft tiss (D7220) $793.33 — 1.1×
Implantation of subcutaneous peritoneal ascites pump system, percutaneous, including pump-pocket creation, insertion of… (0870T) $42,040.12 — 1.2×
Impltj ant sgm io nbiodegradable rx eluting sys (0660T) $5,072.31 — 1.2×
Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0966T) $4,068.55 — 1.1×
Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0964T) $4,068.55 — 1.1×
Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0965T) $4,068.55 — 1.1×
In-person interrogation device evaluation of permanent implantable synchronized diaphragmatic stimulation system for… (0685T) $45.80 — 1.1×
In-person programming device evaluation of permanent implantable synchronized diaphragmatic stimulation system for… (0683T) $45.80 — 1.1×
Incision/drain abscess extra (D7521) $868.98 — 1.1×
Incision/drain abscess intra (D7511) $868.98 — 1.1×
Incomplete endodontic tx (D3332) $793.33 — 1.1×
Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) $230 — 1.2×
Inflammation (eosinophilic esophagitis), ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major… (0095U) $887.78 — 1.2×
Init/sub psych care m 1st 30 (G2214) $124.67 — 1.2×
Initial care training 30 m (G0539) $65.19 — 1.2×
Initial foot exam pt lops (G0245) $163.38 — 1.1×
Initial preventive exam (G0402) $163.38 $230 1.1×
Inj for sacroiliac jt anesth (G0260) $866.22 $1,900 1.2×
Injection of hiv prep drug (G0012) $88.36 — 1.2×
Injection posterior chamber eye medication (0699T) $2,832.03 — 1.1×
Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) $548.20 — 1.2×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $4,015.22 — 1.2×
Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including… (0869T) $4,015.22 — 1.2×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,085.38 — 1.1×
Inlay composite/resin one su (D2650) $793.33 — 1.1×
Inlay composite/resin two su (D2651) $793.33 — 1.1×
Inlay porcelain/ceramic 1 su (D2610) $793.33 — 1.1×
Inlay porcelain/ceramic 2 su (D2620) $793.33 — 1.1×
Inlay repair (D2981) $793.33 — 1.1×
Insert cv cath inf & sup app (C9780) $9,909.91 — 1.1×
Insert drug del implant, >=4 (G0516) $548.20 — 1.2×
Insert palate implants (C9727) $1,904.02 — 1.1×
Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy,… (0996T) $2,832.03 — 1.1×
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T) $5,072.31 — 1.2×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) $6,530.01 — 1.1×
Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed,… (0744T) $6,828.43 — 1.1×
Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) $2,354.78 — 1.2×
Insertion of sinus tarsi implant (0335T) $8,904.43 — 1.2×
Insertion of substernal implantable defibrillator electrode (0572T) $10,155.10 — 1.2×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $12,826.11 — 1.1×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $12,826.11 — 1.1×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) $10,155.10 — 1.2×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $13,673.70 — 1.2×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $13,673.70 — 1.2×
Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system… (0680T) $23,806.75 — 1.2×
Insertion perm ccm-d system pulse generator only (0916T) $27,296.09 — 1.2×
Insertion wrls car stimulator lv pacg compl sys (0515T) $27,296.09 — 1.2×
Insertion/replacement complete iims (0525T) $23,636.89 — 1.2×
Insertion/replacement iims implantable mntr only (0527T) $10,155.10 — 1.2×
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) $6,530.01 — 1.1×
Insj ocular telescope prosth (0308T) $20,199.82 — 1.2×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $10,155.10 — 1.2×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $10,155.10 — 1.2×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $38,518.68 — 1.1×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $38,518.68 — 1.1×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $10,155.10 — 1.2×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $10,155.10 — 1.2×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $27,296.09 — 1.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $38,518.68 — 1.1×
Inst pleu-perit shnt w pump (C8006) $7,944.32 — 1.2×
Instill pharm renal pelvis (C9789) $1,502.01 — 1.1×
Instlj fecal microbiota ssp (0780T) $163.27 — 1.2×
Int psych care mng, 1 cal mo (G0568) $124.67 — 1.2×
Intens behave ther cardio dx (G0446) $45.98 $64 1.2×
Intens cardiac rehab no exer (G0423) $158.19 — 1.1×
Intens cardiac rehab w/exerc (G0422) $158.19 — 1.1×
Intentional replantation (D3470) $793.33 — 1.1×
Interim crown (D2799) $793.33 — 1.1×
Internal root repair (D3333) $793.33 — 1.1×
Interro Device Evaluation Cardiac Modulj System (0418T) $45.80 — 1.1×
Interrog dev eval iims ip (0529T) $45.80 — 1.1×
Interrog dev eval impl ccm-d system in person (0927T) $45.80 — 1.1×
Interrog dev eval wcs ip (0521T) $35.49 — 1.2×
Interrogation dev eval icds w/ss eltrd in person (0576T) $45.80 — 1.1×
Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system, remote data… (0949T) $45.80 — 1.1×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) $5,344.83 — 1.1×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0264T) $5,344.83 — 1.1×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0265T) $5,344.83 — 1.1×
Intraor comprehensive series (D0210) $292.80 — 1.1×
Intraoral bite radio image (D0708) $106.79 — 1.2×
Intraoral comp image capture (D0709) $106.79 — 1.2×
Intraoral occlus radio image (D0706) $106.79 — 1.2×
Intraoral occlusal film (D0240) $106.79 — 1.2×
Intraoral periap radio image (D0707) $106.79 — 1.2×
Intraoral periapical first (D0220) $106.79 — 1.2×
Intraorifice barrier (D3911) $793.33 — 1.1×
Intrav inf, mon anti, fir do (M0235) $541.11 — 1.2×
Intrav inf, mon anti, sec do (M0236) $541.11 — 1.2×
Intrav inf, toci, first dose (M0237) $541.11 — 1.2×
Intrav inf, toci, second dos (M0238) $541.11 — 1.2×
Isolation- tooth w rubb dam (D3910) $793.33 — 1.1×
Iv cipaglucosidase alfa-atga (G0138) $781.33 — 1.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $140.20 — 1.2×
Labial veneer porc indirect (D2962) $793.33 — 1.1×
Labial veneer resin direct (D2960) $793.33 — 1.1×
Labial veneer resin indirect (D2961) $793.33 — 1.1×
Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic… (0675T) $13,673.70 — 1.2×
Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for… (0674T) $37,866.86 — 1.1×
Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for… (0679T) $13,044.35 — 1.2×
Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation… (0677T) $13,044.35 — 1.2×
Laparoscopic revision or removal, lower esophageal sphincter neurostimulator electrodes (1014T) $13,673.70 — 1.2×
Laparoscopy, surgical, implantation or replacement of lower esophageal sphincter neurostimulator electrode array and… (1013T) $23,806.75 — 1.2×
Laser incision of drainage tissue within eye (trabecular meshwork) (0621T) $5,072.31 — 1.2×
Lev 1 hosp type b ed visit (G0380) $91.21 — 1.1×
Lev 2 hosp type b ed visit (G0381) $113.99 — 1.2×
Lev 3 hosp type b ed visit (G0382) $210.93 — 1.1×
Lev 4 hosp type b ed visit (G0383) $324.34 — 1.1×
Lev 5 hosp type b ed visit (G0384) $504.02 — 1.1×
Limit oral eval problm focus (D0140) $163.38 — 1.1×
Limited occlusal adjustment (D9951) $793.33 — 1.1×
Lipoprotein, blood, high resolution fractionation and quantitation of lipoproteins, including all five major… (0052U) $38.94 — 1.2×
Liver dis 10 assays w/nash (0003M) $578.91 — 1.2×
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M) $578.91 — 1.2×
Localized delivery antimicro (D4381) $793.33 — 1.1×
Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) $306.60 — 1.1×
Lymphovenous bypass, including robotic assistance, when performed, per extremity (1019T) $8,148.45 — 1.1×
Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) $72.39 — 1.1×
Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar);… (0611T) $292.80 — 1.1×
Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar);… (0609T) $292.80 — 1.1×
Magnetically controlled capsule endoscopy w/i&r (0651T) $1,113 — 1.1×
Malig tumor > 1.25 cm (D7441) $4,068.55 — 1.1×
Malig tumor exc to 1.25 cm (D7440) $4,068.55 — 1.1×
Mandible graft (D7950) $7,264.49 — 1.1×
Max mri capture & interprete (D0369) $128.29 — 1.1×
Max mri image capture (D0385) $128.29 — 1.1×
Max ultrasound capt & interp (D0370) $128.29 — 1.1×
Max ultrasound image capture (D0386) $128.29 — 1.1×
Mesial/distal wedge proc (D4274) $793.33 — 1.1×
Mnt subs tx for change dx (G0270) $34.32 — 1.1×
Monthly tx for dmht 20mins (G0553) $163.38 — 1.1×
Motorized ab interno trephination of sclera (sclerostomy), or trabecular meshwork (trabeculostomy), 1 or more,… (1012T) $5,072.31 — 1.2×
Mra w/cont, abd (C8900) $428.12 $1,600 1.1×
Mra w/cont, chest (C8909) $428.12 $1,000 1.1×
Mra w/cont, lwr ext (C8912) $428.12 $989 1.1×
Mra w/cont, pelvis (C8918) $428.12 $900 1.1×
Mra w/o cont, abd (C8901) $292.80 $1,800 1.1×
Mra w/o cont, chest (C8910) $292.80 $1,000 1.1×
Mra w/o cont, lwr ext (C8913) $292.80 $989 1.1×
Mra w/o cont, pelvis (C8919) $292.80 $900 1.1×
Mra w/o fol w/cont, abd (C8902) $428.12 $2,300 1.1×
Mra w/o fol w/cont, chest (C8911) $428.12 $1,300 1.1×
Mra w/o fol w/cont, lwr ext (C8914) $428.12 — 1.1×
Mra w/o fol w/cont, pelvis (C8920) $428.12 $900 1.1×
Mra, w/dye, spinal canal (C8931) $428.12 — 1.1×
Mra, w/dye, upper extremity (C8934) $428.12 $906 1.1×
Mra, w/o dye, spinal canal (C8932) $292.80 — 1.1×
Mra, w/o dye, upper extr (C8935) $292.80 $900 1.1×
Mra, w/o&w/dye, spinal canal (C8933) $428.12 — 1.1×
Mra, w/o&w/dye, upper extr (C8936) $428.12 — 1.1×
Mri hyperpolarized xenon129 (C9791) $1,502.01 — 1.1×
Mri w/cont, breast, bi (C8906) $428.12 $1,400 1.1×
Mri w/cont, breast, uni (C8903) $215.24 $1,400 1.1×
Mri w/o fol w/cont, breast, (C8908) $428.12 $1,900 1.1×
Mri w/o fol w/cont, brst, un (C8905) $428.12 $1,700 1.1×
Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia, by signal acquisition using minimum… (0541T) $457.92 — 1.2×
N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) $292.80 — 1.1×
N-Invas Augmnt Arrhyt Alys (0897T) $1,053.80 — 1.1×
N-invs det hrt fail aug echo (0932T) $376.90 — 1.1×
Nav srv peer sup 60 min pr m (G0140) $124.67 — 1.2×
Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) $45.84 — 1.2×
Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) $72.39 — 1.1×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $622.14 — 1.2×
Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with… (0063U) $862.50 — 1.2×
Nfct ds strn typ whl gen seq (0010U) $491.35 — 1.2×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,085.38 — 1.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $548.20 — 1.2×
No pt prsnt train initial 30 (G0541) $35.49 — 1.2×
Non-auto graft 1st tooth (D4275) $1,904.02 — 1.1×
Non-blind interatrial shunt (C9760) $33,031.65 — 1.2×
Non-cov proc, clinical trial (G0294) $45.84 — 1.2×
Non-cov surg proc,clin trial (G0293) $45.84 — 1.2×
Non-ionizing diag proc (D0600) $793.33 — 1.1×
Non-ophthalmic fva (C9733) $428.12 — 1.1×
Non-surg tx root canal obs (D3331) $793.33 — 1.1×
Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography… (0712T) $264.97 — 1.1×
Noninvasive assessment of blood oxygenation, gas exchange efficiency, and cardiorespiratory status, with physician or… (0893T) $163.27 — 1.2×
Noninvasive assessment of cardiac risk derived from augmentative software analysis of perivascular fat without… (0992T) $292.80 — 1.1×
Noninvasive prostate cancer estimation map, derived from augmentative analysis of image-guided fusion biopsy and… (0898T) $1,053.80 — 1.1×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) $468.54 — 1.1×
Obtaining screen pap smear (Q0091) $35.49 $72 1.2×
Occ guard, hard, full arch (D9944) $793.33 — 1.1×
Occ guard, hard, part arch (D9946) $793.33 — 1.1×
Occ guard, soft, full arch (D9945) $793.33 — 1.1×
Occlusion analysis (D9950) $793.33 — 1.1×
Ocular blood flow measure (0198T) $163.27 — 1.2×
Off base opioid tx 70min (G2086) $217.81 — 1.2×
Off base opioid tx, 60 m (G2087) $217.81 — 1.2×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $285.79 — 1.2×
Onc Hmtlmf Neo Jak2 Mut Dna (0017U) $105.41 — 1.2×
Onc hmtlmf neo RNA bcr/abl1 bld/bne marrow (0016U) $188.55 — 1.1×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $371.40 — 1.1×
Onc Merkel Cll Carc Srm Quan (0058U) $371.40 — 1.1×
Onc Mrna 5 Gen Recr Urthl Ca (0013M) $874 — 1.2×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) $3,452.40 — 1.1×
Onc thyr DNA&mrna 112 genes fna ndul alg alys (0026U) $4,140 — 1.2×
Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded… (0016M) $4,013.07 — 1.1×
Oncology (breast cancer), ERBB2 (HER2) copy number by FISH, tumor cells from formalin fixed paraffin embedded tissue… (0009U) $123.05 — 1.2×
Oncology (breast ductal carcinoma in situ), mRNA, gene expression progiling by real-time RT-PCR of 12 genes (7 content… (0045U) $4,453.95 — 1.2×
Oncology (breast), immunohistochemistry, protein expression profiling of 4 biomarkers (matrix metalloproteinase-1… (0067U) $2,181.55 — 1.2×
Oncology (central nervous system), analysis of 30,000 DNA methylation loci by methylation array, utilizing DNA… (0020M) $2,875 — 1.2×
Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue,… (0069U) $437 — 1.2×
Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine)… (0002U) $28.75 — 1.2×
Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping),… (0090U) $2,242.50 — 1.2×
Oncology (diffuse large B-cell lymphoma ºDLBCL»), mRNA, gene expression profiling by fluorescent probe hybridization of… (0017M) $2,886.74 — 1.1×
Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole… (0007M) $431.25 — 1.2×
Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with… (0006M) $172.50 — 1.2×
Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1… (0080U) $4,048 — 1.2×
Oncology (lung), three protein biomarkers, immunoassay using Q4 magnetic nanosensor technology, plasma, algorithm… (0092U) $2,861.20 — 1.2×
Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive… (0089U) $874 — 1.2×
Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone,… (0003U) $1,092.50 — 1.2×
Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm… (0005U) $874 — 1.2×
Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin,… (0021U) $874 — 1.2×
Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping),… (0047U) $4,453.95 — 1.2×
Oncology (solid organ neoplasia), DNA, targeted sequencing of protein-coding exons of 468 cancer-associated genes,… (0048U) $3,357.54 — 1.2×
Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2… (0012M) $874 — 1.2×
Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing… (0011M) $874 — 1.2×
Oncology, response to chemotherapy drugs using motility contrast tomography, fresh or frozen tissue, reported as… (0083U) $192.45 — 1.1×
Oncology, RNA, gene expression by whole transcriptome sequencing, formalin-fixed paraffin embedded tissue or fresh… (0019U) $4,226.25 — 1.2×
Onlay repair (D2982) $793.33 — 1.1×
Open impltj int neurostimulation sys vagus nerve (0908T) $37,866.86 — 1.1×
Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) $23,806.75 — 1.2×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T) $23,806.75 — 1.2×
Open reduc compd alveolus fx (D7770) $7,264.49 — 1.1×
Open tx iliac spine uni/bil (G0412) $8,904.43 — 1.2×
Open tx post pelvic fxcture (G0415) $4,015.22 — 1.2×
Opps service,sched team conf (G0175) $512.04 — 1.2×
Optical coherence tomography (OCT) of middle ear, with interpretation and report; bilateral (0486T) $45.84 — 1.2×
Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral (0485T) $45.84 — 1.2×
Opto-acoustic img breast uni augmnt alys&reprt (0857T) $128.29 — 1.1×
Oral antral fistula closure (D7260) $793.33 — 1.1×
Oral hiv-1/hiv-2 screen (G0435) $13.78 $42 1.2×
Oral/facial photo images (D0350) $106.79 — 1.2×
Ortho impl mvmt alys pair CT (0946T) $128.29 — 1.1×
Osseous surg 1 to 3 teeth (D4261) $4,068.55 — 1.1×
Osseous surgery 4 or more (D4260) $7,264.49 — 1.1×
Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T) $8,904.43 — 1.2×
Oth resp proc, group (G0239) $45.84 — 1.2×
Oth resp proc, indiv (G0238) $35.49 — 1.2×
Other tmj images by report (D0321) $106.79 — 1.2×
Pano radio image (D0701) $106.79 — 1.2×
Panoramic image (D0330) $292.80 — 1.1×
Part pulp for apexogenesis (D3222) $793.33 — 1.1×
Partial craniectomy, channel creation, and tunneling of electrode for sub-scalpimplantation of an electrode array,… (0956T) $33,297.37 — 1.1×
Pathogen test for platelets (P9100) $72.39 — 1.1×
Patient-specific, assistive, rules-based algorithm for ranking pharmaco-oncologic treatment options based on the… (0794T) $72.39 — 1.1×
Pattern erg w/i&r (0509T) $264.97 — 1.1×
Pedicle soft tissue graft pr (D4270) $1,904.02 — 1.1×
Pef bronch ablt 3d nav ebus (C8005) $21,020.36 — 1.2×
Pelvic ring fracture uni/bil (G0413) $8,904.43 — 1.2×
Pelvic ring fx treat int fix (G0414) $8,904.43 — 1.2×
Pemivibart infusion (M0224) $541.11 — 1.2×
Perc d-e cor revasc chro sin (C9607) $22,495.57 $42,000 1.1×
Perc d-e cor revasc t cabg s (C9604) $14,166.39 $31,000 1.2×
Perc d-e cor stent ather s (C9602) $22,495.57 $43,000 1.1×
Perc drug-el cor stent sing (C9600) $14,166.39 $33,000 1.2×
Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) $7,820.59 — 1.2×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) $15,754.92 — 1.2×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $15,754.92 — 1.2×
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) $8,904.43 — 1.2×
Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart… (0793T) $22,495.57 — 1.1×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) $22,495.57 — 1.1×
Periodic oral evaluation (D0120) $163.38 — 1.1×
Periodontal maint procedures (D4910) $793.33 — 1.1×
Periodontal scaling & root (D4341) $793.33 — 1.1×
Periodontal scaling 1-3teeth (D4342) $793.33 — 1.1×
Perq Sacral Augmt Bilat Inj (0201T) $8,904.43 — 1.2×
Perq Sacral Augmt Unilat Inj (0200T) $8,904.43 — 1.2×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $14,166.39 — 1.2×
Personalized target development for accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst… (0889T) $1,141.67 — 1.1×
Pet not otherwise specified (G0235) $490.58 $4,000 1.2×
Pild/placebo control clin tr (G0276) $8,904.43 — 1.2×
Pin service 60m per month (G0023) $124.67 — 1.2×
Pinworm examinations (Q0113) $4.91 — 1.1×
Place device/marker, non pro (C9728) $1,698.53 — 1.2×
Place direct restoration (D2940) $793.33 — 1.1×
Place endorectal app (C9725) $1,141.19 — 1.1×
Place intra-socket bio dress (D7922) $793.33 — 1.1×
Placement of a posterior intrafacet implant(s), unilateral or bi lateral, including imaging and placement of bone… (0219T) $15,754.92 — 1.2×
Placement of a posterior intrafacet implant(s), unilateral or bi lateral, including imaging and placement of bone… (0220T) $15,754.92 — 1.2×
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) $8,904.43 — 1.2×
Placement of interstitial device(s) in bone for radiostereometric analysis (RSA) (0347T) $72.39 — 1.1×
Pne flu hepb cov home admin (M0201) $44.26 — 1.1×
Post 1 srfc resinbased cmpst (D2391) $793.33 — 1.1×
Post 2 srfc resinbased cmpst (D2392) $793.33 — 1.1×
Post 3 srfc resinbased cmpst (D2393) $793.33 — 1.1×
Post >=4srfc resinbase cmpst (D2394) $793.33 — 1.1×
Post and core cast + crown (D2952) $793.33 — 1.1×
Post d/c phone follow up (G0544) $124.67 — 1.2×
Post op service lvrs min 6 (G0305) $457.92 — 1.2×
Post-coital mucous exam (Q0115) $28.75 — 1.2×
Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T) $15,754.92 — 1.2×
Potassium hydroxide preps (Q0112) $6.70 $16 1.1×
Ppps, initial visit (G0438) $253.62 $280 1.5×
Ppps, subseq visit (G0439) $199.19 $230 1.4×
Pr active thoracic irrigation separate procedure (1021T) $769.79 — 1.2×
Pre 3d mdl w/ccta and/or mri (C9793) $1,053.80 — 1.1×
Pre-op service lvrs 1-9 dos (G0304) $457.92 — 1.2×
Pre-op service lvrs 10-15dos (G0303) $264.97 — 1.1×
Pre-op service lvrs complete (G0302) $457.92 — 1.2×
Prefab porc/cer crown perm (D2928) $793.33 — 1.1×
Prefab porc/ceram crown pri (D2929) $793.33 — 1.1×
Prefab post/core + crown (D2954) $793.33 — 1.1×
Prefab stainless steel crown (D2933) $793.33 — 1.1×
Prefab steel crown primary (D2934) $793.33 — 1.1×
Prefab stnlss steel crown pe (D2931) $793.33 — 1.1×
Prefab stnlss steel crwn pri (D2930) $793.33 — 1.1×
Prefabricated resin crown (D2932) $793.33 — 1.1×
Prep skin cell susp, automtd (C8002) $8,708.79 $9,000 1.2×
Prescription drug monitoring, 14 or more classes of drugs and substances, definitive tandem mass spectrometry with… (0054U) $228.55 — 1.1×
Prescription drug monitoring, evaluation of 65 common drug by LCMS/MS, urine, each drug reported detected or not… (0093U) $71.46 — 1.1×
Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, urine, 31 drug panel, reported as quantitative… (0051U) $283.96 — 1.2×
Prgrmg dev eval icds ss ip (0575T) $45.80 — 1.1×
Prgrmg dev eval iims ip (0528T) $45.80 — 1.1×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $45.80 — 1.1×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $45.80 — 1.1×
Prgrmg dev eval wcs ip (0522T) $45.80 — 1.1×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $45.80 — 1.1×
Primary closure sinus perf (D7261) $793.33 — 1.1×
Programming device eval impl ccm-d sys in person (0926T) $45.80 — 1.1×
Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) $45.80 — 1.1×
Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care… (0875T) $45.80 — 1.1×
Prolonged iv inf, req pump (C8957) $261.02 $700 1.2×
Prostate biopsy, any mthd (G0416) $439.87 — 1.2×
Provide inr test mater/equip (G0249) $163.38 — 1.1×
Psa screening (G0103) $22.21 $160 1.2×
Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph… (0808T) $264.97 — 1.1×
Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph… (0807T) $264.97 — 1.1×
Pulp cap direct (D3110) $793.33 — 1.1×
Pulp cap indirect (D3120) $793.33 — 1.1×
Pulp vitality test (D0460) $793.33 — 1.1×
Pulpal regeneration complete (D3357) $793.33 — 1.1×
Pulpal regeneration initial (D3355) $793.33 — 1.1×
Pulpal regeneration interim (D3356) $793.33 — 1.1×
Pulpal therapy anterior prim (D3230) $793.33 — 1.1×
Pulpal therapy posterior pri (D3240) $793.33 — 1.1×
Pure tone audiometry (threshold), automated; air and bone (0209T) $45.84 — 1.2×
Pure tone audiometry (threshold), automated; air only (0208T) $45.84 — 1.2×
Qmrcp w/dx MRI same anatomy (0724T) $1,141.67 — 1.1×
Qmrcp w/o dx MRI sm anat ses (0723T) $1,141.67 — 1.1×
QTc interval derived by augmentative algorithmic analysis of input from an external, patient-activated mobile ECG device (0902T) $163.27 — 1.2×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $781.33 — 1.1×
Quan CT tiss charac w/o CT (0721T) $781.33 — 1.1×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $1,141.67 — 1.1×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $1,141.67 — 1.1×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,141.67 — 1.1×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $1,141.67 — 1.1×
Quan MRI alys brain with diagnostic MRI (0866T) $292.80 $600 1.1×
Quan MRI alys brn w/o dx MRI (0865T) $292.80 $600 1.1×
Quan us tiss charac i&r w/o dx us same anat (0689T) $106.79 — 1.2×
Quantitative sensory testing (QST), testing and interpretation per extremity; using cooling stimuli to assess small… (0108T) $72.39 — 1.1×
Quantitative sensory testing (QST), testing and interpretation per extremity; using heat-pain stimuli to assess small… (0109T) $45.84 — 1.2×
Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation (0110T) $163.27 — 1.2×
Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) $45.84 — 1.2×
Quantitative sensory testing (QST), testing and interpretation per extremity; using vibration stimuli to assess large… (0107T) $45.84 — 1.2×
Rad exc lesion up to 1.25 cm (D7410) $1,904.02 — 1.1×
Radiation applicator (D5983) $793.33 — 1.1×
Radiation cone locator (D5985) $793.33 — 1.1×
Radiation shield (D5984) $793.33 — 1.1×
Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee,… (0350T) $106.79 — 1.2×
Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when… (0348T) $128.29 — 1.1×
Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist,… (0349T) $128.29 — 1.1×
Raman spectroscopy of 1 or more skin lesions, with probability score for malignant risk derived by algorithmic analysis… (1020T) $72.39 — 1.1×
Rbc DNA gnotyp 10 bld groups (0084U) $828 — 1.2×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $828 $1,600 1.2×
Re-cement or re-bond crown (D2920) $793.33 — 1.1×
Re-eval post-op visit (D0171) $163.38 — 1.1×
Re-eval,est pt,problem focus (D0170) $163.38 — 1.1×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $264.97 — 1.1×
Reattach tooth fragment (D2921) $793.33 — 1.1×
Recement cast or prefab post (D2915) $793.33 — 1.1×
Recement inlay onlay or part (D2910) $793.33 — 1.1×
Recement space maint - man (D1552) $793.33 — 1.1×
Recement space maint - max (D1551) $793.33 — 1.1×
Recement unilat space maint (D1553) $793.33 — 1.1×
Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) $7,449.87 — 1.1×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $2,531.94 — 1.1×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $2,531.94 — 1.1×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $2,531.94 — 1.1×
Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) $4,290.23 — 1.2×
Relocation skin pocket implanted ccm-d pg (0925T) $2,531.94 — 1.1×
Rem exostosis any site (D7471) $4,068.55 — 1.1×
Rem imp tooth w mucoper flp (D7210) $1,904.02 — 1.1×
Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) $163.38 — 1.1×
Rem nonodonto cyst > 1.25 cm (D7461) $793.33 — 1.1×
Rem nonodonto cyst to 1.25cm (D7460) $793.33 — 1.1×
Rem odontogen cyst > 1.25 cm (D7451) $4,068.55 — 1.1×
Rem odontogen cyst to 1.25cm (D7450) $4,068.55 — 1.1×
Remot img sub by pt, non e/m (G2250) $12.63 — 1.0×
Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and… (0740T) $72.39 — 1.1×
Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of… (0741T) $45.80 — 1.1×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $45.80 — 1.1×
Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) $45.80 — 1.1×
Remote monitoring of an implanted inferior vena cava sensor for up to 30 days, including at least weekly downloads of… (0983T) $45.80 — 1.1×
Remote monitoring of implantable inferior vena cava sensor, physiologic parameter(s) (eg, weight, blood pressure, pulse… (0982T) $163.38 — 1.1×
Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report… (0812T) $157.90 — 1.2×
Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of… (0811T) $163.38 — 1.1×
Remote real-time, motion capture-based neurorehabilitative therapy ordered by a physician or other qualified health… (0733T) $421 — 1.2×
Removal and reinsertion of implant from tunnel on outer side of foot (sinus tarsi) (0511T) $8,904.43 — 1.2×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $12,826.11 — 1.1×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $12,826.11 — 1.1×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $4,585.79 — 1.2×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $4,585.79 — 1.2×
Removal complete iims (0530T) $4,585.79 — 1.2×
Removal fb skin/areolar tiss (D7530) $793.33 — 1.1×
Removal iims electrode only (0531T) $4,585.79 — 1.2×
Removal iims implt mntr only (0532T) $4,585.79 — 1.2×
Removal int neurostimulation sys vagus nerve (0910T) $4,290.23 — 1.2×
Removal of a peritoneal ascites pump system, including implanted peritoneal ascites pump and indwelling bladder and… (0874T) $4,393.67 — 1.2×
Removal of fb reaction (D7540) $793.33 — 1.1×
Removal of implant from tunnel on outer side of foot (sinus tarsi) (0510T) $4,015.22 — 1.2×
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) $246.21 — 1.2×
Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) $5,105.40 — 1.1×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $4,585.79 — 1.2×
Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) $4,290.23 — 1.2×
Removal of sloughed off bone (D7550) $793.33 — 1.1×
Removal of sub-scalp implanted electrode array, receiver, and telemetry unit for continuous bilateral… (0958T) $4,015.22 — 1.2×
Removal of torus palatinus (D7472) $793.33 — 1.1×
Removal or replacement of magnet from coil assembly that is connected to continuous bilateral electroencephalography… (0959T) $2,026.75 — 1.2×
Removal perm ccm-d system pulse generator only (0919T) $4,585.79 — 1.2×
Removal Pg Wcs Lv Pacing Both Components (0861T) $4,585.79 — 1.2×
Remove bilat space main, man (D1527) $793.33 — 1.1×
Remove bilat space main, max (D1526) $793.33 — 1.1×
Remove drug implant (G0517) $548.20 — 1.2×
Remove torus mandibularis (D7473) $793.33 — 1.1×
Remove unilat space maintain (D1520) $793.33 — 1.1×
Remove w insert drug implant (G0518) $548.20 — 1.2×
Replacement int neurostimulation sys vagus nerve (0909T) $37,866.86 — 1.1×
Replacement of a subcutaneous peritoneal ascites pump, including reconnection between pump and indwelling bladder and… (0871T) $33,031.65 — 1.2×
Replacement of indwelling bladder and peritoneal catheters, including tunneling of catheter(s) and connection with… (0872T) $4,393.67 — 1.2×
Replacement of sub-scalp implanted electrode array, receiver, and telemetry unit with tunneling of electrode for… (0960T) $33,297.37 — 1.1×
Replacment pt electronic sys (G0555) $1,053.80 — 1.1×
Repos Cardiac Modulj Transvenous Electrode (0415T) $769.79 — 1.2×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $4,585.79 — 1.2×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $769.79 — 1.2×
Reshaping bone orthognathic (D7940) $793.33 — 1.1×
Resin 4/> surf or w incis an (D2335) $793.33 — 1.1×
Resin infiltration of lesion (D2990) $793.33 — 1.1×
Resin one surface-anterior (D2330) $793.33 — 1.1×
Resin three surfaces-anterio (D2332) $793.33 — 1.1×
Resin two surfaces-anterior (D2331) $793.33 — 1.1×
Restorative foundation (D2949) $793.33 — 1.1×
Retreat root canal anterior (D3346) $793.33 — 1.1×
Retreat root canal molar (D3348) $793.33 — 1.1×
Retreat root canal premolar (D3347) $793.33 — 1.1×
Retrograde filling (D3430) $793.33 — 1.1×
Revasc intra lithotrip-ather (C9766) $22,495.57 — 1.1×
Revasc intra lithotrip-stent (C9765) $22,495.57 — 1.1×
Revasc intravasc lithotripsy (C9764) $14,166.39 — 1.2×
Revasc lith-sten-ath tib/per (C9775) $22,495.57 — 1.1×
Revasc lithotr-ather tib/per (C9774) $22,495.57 — 1.1×
Revasc lithotr-stent tib/per (C9773) $22,495.57 — 1.1×
Revasc lithotrip tibi/perone (C9772) $14,166.39 — 1.2×
Revasc lithotrip-stent-ather (C9767) $22,495.57 — 1.1×
Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body… (0790T) $21,516.53 — 1.1×
Revision of a subcutaneously implanted peritoneal ascites pump system, any component (ascites pump, associated… (0873T) $4,393.67 — 1.2×
Revision of sub-scalp implanted electrode array, receiver, and telemetry unit for electrode, when required, including… (0957T) $1,973.24 — 1.2×
Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) $4,290.23 — 1.2×
Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) $4,290.23 — 1.2×
Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) $4,290.23 — 1.2×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $4,290.23 — 1.2×
Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator (0785T) $4,290.23 — 1.2×
Revision or removal, lower esophageal sphincter neurostimulator pulse generator or receiver (1015T) $4,290.23 — 1.2×
Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) $4,290.23 — 1.2×
Risk ascvd tst once pr 12 mo (G0537) $45.98 — 1.2×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $27,296.09 — 1.2×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $4,585.79 — 1.2×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $4,585.79 — 1.2×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $4,585.79 — 1.2×
Rmvl substernal implantable defibrillator eltrd (0573T) $4,585.79 — 1.2×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $4,585.79 — 1.2×
Rmvl&rimpltj ant sgm io nbiodgrd rx elut implt (0661T) $5,072.31 — 1.2×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) $27,296.09 — 1.2×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $27,296.09 — 1.2×
Root amputation (D3450) $793.33 — 1.1×
Root surgery molar (D3425) $793.33 — 1.1×
Root surgery premolar (D3421) $793.33 — 1.1×
Routine footcare pt w lops (G0247) $246.21 — 1.2×
Rpr intst excl anrect fist (C9796) $3,406.14 — 1.2×
Rx Metab Advrs Trgt Seq Alys (0029U) $853.61 — 1.1×
Rx Mntr Lc-Ms/Ms Oral Fluid (0011U) $131.59 — 1.1×
Safety plan interven (G0560) $66.29 — 1.6×
Sbrt w/positron emission del (G0563) $3,904.27 — 1.1×
Scaling gingiv inflammation (D4346) $793.33 — 1.1×
Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a… (0004M) $90.85 — 1.2×
Scr c/v cyto, automated sys (G0147) $21.32 — 1.1×
Scr c/v cyto, autosys, rescr (G0148) $36.73 — 1.1×
Scr c/v cyto,thinlayer,rescr (G0144) $50.57 — 1.2×
Scr c/v cyto,thinlayer,rescr (G0145) $30.46 — 1.1×
Scr c/v cyto,thinlayer,rescr (G0143) $31.11 — 1.2×
Screen cerv/vag thin layer (G0123) $23.30 — 1.2×
Screen pap by tech w md supv (P3000) $21.32 — 1.1×
Screening hep c detect (G0567) $40.35 — 1.1×
Semen analysis (G0027) $7.48 $16 1.2×
Sialoendoscopy capt & interp (D0371) $106.79 — 1.2×
Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) $7,449.87 — 1.1×
Sim ang w/prs cath rad emb (C8004) $14,166.39 — 1.2×
Single energy x-ray study (G0130) $128.29 — 1.1×
Slctv nzmtc dbrdmt brn eschar anes s/n/hf&/md 1 (0975T) $498.85 — 1.1×
Slctv nzmtc dbrdmt brn eschar req anes t/a/l 1st (0973T) $498.85 — 1.1×
Smmg cncrnt appl imu snr (0778T) $157.90 — 1.2×
Soft tissue graft firsttooth (D4277) $1,904.02 — 1.1×
Software meas of cardiac vol (G0183) $106.79 — 1.2×
Space maintainer fxd unilat (D1510) $793.33 — 1.1×
Speech audiometry threshold, automated; (0210T) $45.84 — 1.2×
Speech audiometry threshold, automated; with speech recognition (0211T) $45.84 — 1.2×
Spine device implant surgery (C9757) $15,754.92 — 1.2×
Splint extra-coronal (D4323) $793.33 — 1.1×
Splint intra-coronal (D4322) $793.33 — 1.1×
Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies (0810T) $5,105.40 — 1.1×
Subs psych care mng, subs mo (G0569) $124.67 — 1.2×
Supply of digital device (G0552) $163.38 — 1.1×
Surg exp root surf anterior (D3501) $793.33 — 1.1×
Surg exp root surf molar (D3503) $793.33 — 1.1×
Surg exp root surf premolar (D3502) $793.33 — 1.1×
Surg reduct osseoustuberosit (D7485) $7,264.49 — 1.1×
Surg rep root res anterior (D3471) $793.33 — 1.1×
Surg rep root res molar (D3473) $793.33 — 1.1×
Surg rep root res premolar (D3472) $793.33 — 1.1×
Surgical revision procedure (D4268) $793.33 — 1.1×
Surgical splint (D5988) $793.33 — 1.1×
Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient (0065U) $20.80 — 1.1×
Tactile breast imaging by computer-aided tactile sensors, unilateral or bilateral Other Diagnostic Radiology FS (0422T) $106.79 — 1.2×
Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for… (0050U) $3,354.09 — 1.2×
Targeted genomic sequence analysis panel, cholangiocarcinoma and non-small cell lung neoplasia, DNA and RNA analysis,… (0022U) $2,242.50 — 1.2×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $3,978.32 — 1.1×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $23,636.89 $38,000 1.2×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $23,636.89 — 1.2×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $23,636.89 — 1.2×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $23,636.89 $40,000 1.2×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $3,874.69 — 1.2×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $3,874.69 — 1.2×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $3,874.69 — 1.2×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $3,874.69 — 1.2×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $23,636.89 — 1.2×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $23,636.89 — 1.2×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $23,636.89 — 1.2×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $23,636.89 — 1.2×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $6,984.37 — 1.1×
Tear film imaging, unilateral or bilateral, with interpretation and report (0330T) $45.84 — 1.2×
Tee w or w/o fol w/cont, mon (C8927) $961.98 — 1.1×
Tee w or w/o fol w/cont,cong (C8926) $961.98 — 1.1×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); initial insertion, including urethral measurement (0596T) $855.68 — 1.1×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) $855.68 — 1.1×
Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative Other Outpatient (0025U) $131.59 — 1.1×
Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) $5,344.83 — 1.1×
Therapeutic procd strg endur (G0237) $35.49 — 1.2×
Therapeutic pulpotomy (D3220) $793.33 — 1.1×
Therapeutic ultrafiltration (0692T) $1,911.19 — 1.2×
Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM Other… (0043U) $17.09 — 1.2×
Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG… (0044U) $17.09 — 1.2×
Tmj arthroscopy disc reposit (D7874) $4,015.22 — 1.2×
Tmpst auto tube dlvr sys (0583T) $1,904.02 — 1.1×
Tomosynthesis, mammo (G0279) $58.77 $90 4.6×
Tooth pin retention (D2951) $793.33 — 1.1×
Tooth reimplantation (D7270) $793.33 — 1.1×
Tooth root removal (D7250) $793.33 — 1.1×
Tooth splitting (D3920) $793.33 — 1.1×
Tooth transplantation (D7272) $793.33 — 1.1×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $536.10 — 1.2×
Train for caregiver add 15 (G0540) $34.80 — 1.3×
Transanal insertion of endoluminal temporary colorectal anastomosis protection device, including vacuum anchoring… (0967T) $1,468.45 — 1.1×
Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) $22,495.57 — 1.1×
Transcatheter implantation of wireless inferior vena cava sensor for long-term hemodynamic monitoring, including… (0981T) $22,495.57 — 1.1×
Transcatheter Renal Sympath Denervation Bilat (0339T) $6,984.37 — 1.1×
Transcatheter renal sympath denervation unilat (0338T) $6,984.37 — 1.1×
Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment (0783T) $157.90 — 1.2×
Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes… (0278T) $157.90 — 1.2×
Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, initial… (0766T) $264.97 — 1.1×
Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral… (0061U) $28.87 — 1.2×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $14,166.39 $25,000 1.2×
Transperineal focal laser abltj mal prst8 tiss (0655T) $6,579.70 — 1.1×
Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater or… (0867T) $6,579.70 — 1.1×
Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume less than 50… (0714T) $6,579.70 — 1.1×
Transplantation medicine (allograft rejection, renal), measurement of donor and third-party-induced CD154+T-cytotoxic… (0018M) $736.84 — 1.2×
Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing… (0088U) $3,633.33 — 1.1×
Transseptal fiberotomy (D7291) $793.33 — 1.1×
Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative… (0582T) $16,190.28 — 1.1×
Trauma respons w/hosp criti (G0390) $1,635.67 $17,100 1.2×
Treatment of complications (D9930) $793.33 — 1.1×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $4,025 — 1.2×
Trim nail(s) (G0127) $72.39 $170 1.1×
Trluml Perip Athrc Renal Art (0234T) $14,166.39 $25,000 1.2×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $14,166.39 $25,000 1.2×
Trluml peripheral atherectomy iliac artery ea (0238T) $22,495.57 $37,000 1.1×
Trtmnt simulation 3d image (D0393) $106.79 — 1.2×
Tte w or w/o contr, cont ecg (C8930) $961.98 $2,140 1.1×
Tte w or w/o fol w/con,stres (C8928) $961.98 — 1.1×
Tte w or w/o fol w/cont, com (C8921) $961.98 $900 1.1×
Tte w or w/o fol w/cont, f/u (C8922) $961.98 — 1.1×
Tte w or wo fol wcon,doppler (C8929) $961.98 $1,940 1.1×
Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal… (0060U) $872.91 — 1.2×
U/s trtmt, not leiomyomata (C9734) $15,754.92 — 1.2×
Unsched dialysis esrd pt hos (G0257) $842.21 $2,000 1.2×
Unscheduled dressing change (D4920) $793.33 — 1.1×
Unspecified periodontal proc (D4999) $290.65 — 1.1×
Upper gastrointestinal blood detection, sensor capsule, with interpretation and report (0977T) $1,113 — 1.1×
Vasc emb/occ w/prs cath (C9797) $22,495.57 $42,395 1.1×
Ven blood coll snf/hha (G0471) $13.04 — 1.1×
Veneer repair (D2983) $793.33 — 1.1×
Vert bitewings 7 to 8 images (D0277) $292.80 — 1.1×
Vertebral body tethering, anterior; 8 or more vertebral segments (0657T) $21,516.53 — 1.1×
Vertebral body tethering, anterior; up to 7 vertebral segments (0656T) $21,516.53 — 1.1×
Vestibuloplasty exten graft (D7350) $7,264.49 — 1.1×
Vestibuloplasty ridge extens (D7340) $7,264.49 — 1.1×
Visit esketamine 56m or less (G2082) $1,261.79 — 1.1×
Visit esketamine, > 56m (G2083) $1,982.46 — 1.1×
Visit to determ ldct elig (G0296) $124.67 — 1.2×
Visual ep test for glaucoma (0464T) $157.90 — 1.2×
Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated… (0379T) $45.84 — 1.2×
Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative Other Outpatient (0038U) $34.04 — 1.2×
Warfarin response genotype (0030U) $154.25 — 1.2×
Wet mounts/ w preparations (Q0111) $21.32 — 1.1×
Xenograft implantation into the articular surface (0737T) $15,754.92 — 1.2×