Supplies, drugs & other prices at Henry Ford Wyandotte Hospital

Wyandotte, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $49.57 — 1.4×
2d cephal radio image (D0702) $119.66 — 1.4×
2d cephalometric image (D0340) $119.66 — 1.4×
2d oral/facial photo image (D0703) $119.66 — 1.4×
2d tee w or w/o fol w/con,in (C8925) $1,077.92 $2,116 1.4×
2d tte w or w/o fol w/con,co (C8923) $1,077.92 — 1.4×
2d tte w or w/o fol w/con,fu (C8924) $479.72 $924 1.4×
3d anat seg imaging preop (C8001) $176.93 — 1.4×
3d bn img algor drvd fr mri (G0566) $176.93 — 1.4×
3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) $328.08 — 1.4×
Ablation b9 thyroid nodule perq laser w/img gdn (0673T) $2,271.01 — 1.4×
Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound… (0950T) $13,016.74 — 1.4×
Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each… (0970T) $5,383.86 — 1.4×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) $14,616.42 — 1.4×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $5,383.86 — 1.4×
Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral (0971T) $5,383.86 — 1.4×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $2,685.07 — 1.4×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $12,067.12 — 1.4×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $2,685.07 — 1.4×
Active thoracic irrigation separate procedure (1021T) $862.57 — 1.4×
Adapt bhv tx prtcl modificaj ea 15 min tech time (0373T) $51.52 — 1.4×
Add proc construct new crown (D2971) $888.94 — 1.4×
Adm of soc dtr assess 5-15 m (G0136) $51.52 $28 1.4×
Adm tocilizu covid-19 1st (M0249) $606.32 — 1.4×
Adm tocilizu covid-19 2nd (M0250) $606.32 — 1.4×
Admin hepatitis b vaccine (G0010) $29 $43 0.6×
Admin influenza virus vac (G0008) $29 $43 0.6×
Admin pneumococcal vaccine (G0009) $64.39 $43 1.4×
Adrnl cortcl tum bchm asy 25 (0015M) $1,801.41 — 1.4×
Adv prim care mgmt lvl 1 (G0556) $51.52 — 1.4×
Adv prim care mgmt lvl 2 (G0557) $51.52 — 1.4×
Adv prim care mgmt lvl 3 (G0558) $139.68 — 1.4×
Air displacement plethysmography, whole-body composition assessment, with interpretation and report (1002T) $39.77 — 1.4×
Alcohol/sub misuse assess (G2011) $39.77 — 1.4×
Alcohol/subs interv 15-30mn (G0396) $51.52 — 1.4×
Alcohol/subs interv >30 min (G0397) $244.07 — 1.4×
Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) $184.82 — 1.4×
Alveoloplasty not w/extracts (D7321) $2,133.48 — 1.4×
Alveoloplasty w/extract 1-3 (D7311) $2,133.48 — 1.4×
Alveolus clsd reduc stblz te (D7771) $4,558.89 — 1.4×
Alveolus open reduction (D7671) $8,139.99 — 1.4×
Alveoplasty w/ extraction (D7310) $2,133.48 — 1.4×
Alveoplasty w/o extraction (D7320) $2,133.48 — 1.4×
Amalgam 4 or > surfaces perm (D2161) $888.94 — 1.4×
Amalgam one surface permanen (D2140) $888.94 — 1.4×
Amalgam three surfaces perma (D2160) $888.94 — 1.4×
Amalgam two surfaces permane (D2150) $888.94 — 1.4×
Ana crown exp 1-3 per quad (D4231) $2,133.48 — 1.4×
Ana crown exp 4 or> per quad (D4230) $4,558.89 — 1.4×
Anatomic guide 3d printed 1st anatomic guide (0561T) $182.95 $184 1.4×
Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) $182.95 $189 1.4×
Annual alcohol screen 15 min (G0442) $51.52 — 1.4×
Anoscopy with directed submucosal injection of bulking agent into anal canal (0963T) $1,645.43 — 1.4×
Ant resin-based cmpst crown (D2390) $888.94 — 1.4×
Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments Facility (0657T) $24,109.66 — 1.4×
Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments Facility (0656T) $24,109.66 — 1.4×
Antibody treponema pallidum total & rpr ia qual (0064U) $43.24 — 1.4×
Apexification/recalc final (D3353) $888.94 — 1.4×
Apexification/recalc initial (D3351) $888.94 — 1.4×
Apexification/recalc interim (D3352) $888.94 — 1.4×
Apically positioned flap (D4245) $2,133.48 — 1.4×
Apicoectomy - anterior (D3410) $888.94 — 1.4×
Arhfcmrigtbs 1st motor threshold deter 1st tx d (0890T) $5,047.75 — 1.4×
Arhfcmrigtbs sbsq motor threshld redeter pr tx d (0892T) $5,047.75 — 1.4×
Arhfcmrigtbs subsequent treatment day (0891T) $5,047.75 — 1.4×
Arthro/shoul surg; w/spacer (C9781) $17,653.66 — 1.4×
Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement… (1003T) $17,653.66 — 1.4×
Ascvd rsk mng clin stf pr mo (G0538) $139.68 — 1.4×
Assessment of a patient (D0191) $183.07 — 1.4×
Assistive algorithmic analysis of acoustic and electrocardiogram recording for detection of cardiac dysfunction (eg,… (0962T) $182.95 — 1.4×
Asstv alg ECG rsk asmt cncrt (0764T) $182.95 — 1.4×
Asstv alg ECG rsk asmt prev (0765T) $182.95 — 1.4×
Augmentative AI-based facial phenotype analysis with report Non-Facility (0731T) $81.12 — 1.4×
Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) $875.50 — 1.4×
Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) $875.50 — 1.4×
Auto tissue graft 1st tooth (D4273) $2,133.48 — 1.4×
Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported… (0062U) $525.39 — 1.4×
Autolog prp not diab ulcer (G0460) $2,837.09 — 1.4×
Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue… (0718T) $4,872.75 — 1.4×
Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue… (0717T) $4,872.75 — 1.4×
B burgdorferi antb 12 prtn grp immunoblot igg (0042U) $23.75 — 1.4×
B burgdorferi antb 5 prtn grp immunoblot igm (0041U) $23.75 — 1.4×
BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative 13,999 or fewer… (0040U) $565.66 — 1.4×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $51.32 — 1.4×
Behavior counsel obesity 15m (G0447) $139.68 $43 1.4×
Bhv id suprt assmt ea 15 min (0362T) $51.52 — 1.4×
Bia whole body composition assessment w/i&r (0358T) $39.77 — 1.4×
Bio mtrls to aid soft/os reg (D4265) $888.94 — 1.4×
Biological materials (D3431) $888.94 — 1.4×
Bitewings - three images (D0273) $328.08 — 1.4×
Bitewings four images (D0274) $328.08 — 1.4×
Blind cor sinus reducer impl (C9783) $15,873.70 $7,433 1.4×
Blind interatrial shunt ide (C9758) $23,553.69 — 1.4×
Blind myocar trpl bon marrow (C9782) $23,553.69 — 1.4×
Blind/nonblind trans atrial (C9792) $13,123.07 — 1.4×
Blinded conv. tx mdd clin tr (G2000) $513.11 — 1.4×
Blood mucoprotein (P2038) $6.83 — 1.4×
Blood thymol turbidity (P2033) $6.83 — 1.4×
Bone graft peri per tooth (D3428) $888.94 — 1.4×
Bone replce graft first site (D4263) $888.94 — 1.4×
Bone Strength & Fracture Risk Assessment (0556T) $328.08 — 1.4×
Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) $328.08 — 1.4×
Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) $39.77 — 1.4×
Brief alcohol misuse counsel (G0443) $139.68 — 1.4×
Brief chkin by md/qhp, 11-20 (G2252) $31.93 — 1.1×
Brief chkin, 5-10, non-e/m (G2251) $14.97 — 1.1×
Ca screen;flexi sigmoidscope (G0104) $1,278.72 $716 1.4×
Ca screen;pelvic/breast exam (G0101) $139.68 — 1.4×
Canal prep/fitting of dowel (D3950) $888.94 — 1.4×
Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified… (0068U) $196.83 — 1.4×
Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score… (0716T) $81.12 — 1.4×
Cardiac mri seg dys strain (C9762) $751.34 — 1.4×
Cardiac mri seg dys stress (C9763) $751.34 — 1.4×
Cardiokymography (Q0035) $51.36 — 1.4×
Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism… (0055U) $4,471.20 — 1.4×
Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray and algorithm reported as… (0019M) $983.11 — 1.4×
Care manage beh svs 20mins (G0323) $51.52 — 1.4×
Care manage serv, pr cal mo (G0570) $51.52 — 1.4×
Catheterize for urine spec (P9612) $12.89 — 1.4×
Cbc without platelet (G0307) $8.93 — 1.4×
Cbc/diffwbc w/o platelet (G0306) $10.72 — 1.4×
Cephalin floculation test (P2028) $6.83 — 1.4×
Chemo extend iv infus w/pump (G0498) $454.19 — 1.4×
Closd rductn splint alveolus (D7670) $4,558.89 — 1.4×
Collagen Cross-Linking Cornea&Pachymetry (0402T) $3,269.14 $3,252 1.4×
Colon ca scrn not hi rsk ind (G0121) $1,278.72 $1,392 1.4×
Colonic lavage, 35 or more liters of water, gravity-fed, with induced defecation, including insertion of rectal catheter (0736T) $176.93 — 1.4×
Colorectal scrn; hi risk ind (G0105) $1,278.72 $975 1.4×
Colpopexy, min/inv, ex-perit (C9778) $6,878.55 — 1.4×
Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) $8,347.72 — 1.4×
Comm hlth intg svs sdoh 60mn (G0019) $139.68 — 1.4×
Commissure splint (D5987) $888.94 — 1.4×
Comp periodontal evaluation (D0180) $183.07 — 1.4×
Complete occlusal adjustment (D9952) $888.94 — 1.4×
Complex simulation w/pet-ct (G0562) $2,625.15 — 1.4×
Compre Audiom Threshold Eval & Speech Recog (0212T) $176.93 — 1.4×
Compre ful bdy cptr mrkrls 3d knmtc&kin mtn alys (0693T) $471.74 — 1.4×
Comprehensve oral evaluation (D0150) $183.07 — 1.4×
Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) $119.66 — 1.4×
Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) $275.88 — 1.4×
Comt gene analysis c.472g>a variant (0032U) $241.24 — 1.4×
Con tissue w pedicle graft (D4276) $2,133.48 — 1.4×
Cone beam ct both jaws (D0383) $143.75 — 1.4×
Cone beam ct capt & interp (D0364) $143.75 — 1.4×
Cone beam ct capt mandible (D0381) $143.75 — 1.4×
Cone beam ct capt maxilla (D0382) $143.75 — 1.4×
Cone beam ct capture limited (D0380) $143.75 — 1.4×
Cone beam ct capture tmj (D0384) $143.75 — 1.4×
Cone beam ct interp both jaw (D0367) $143.75 — 1.4×
Cone beam ct interprete man (D0365) $143.75 — 1.4×
Cone beam ct interprete max (D0366) $143.75 — 1.4×
Cone beam ct interprete tmj (D0368) $143.75 — 1.4×
Congo red blood test (P2029) $6.83 — 1.4×
Cool Quant Sensory Test (0108T) $81.12 — 1.4×
Coping (D2975) $888.94 — 1.4×
Core build-up incl any pins (D2950) $888.94 — 1.4×
Coronectomy (D7251) $2,133.48 — 1.4×
Covid-19 lab test non-cdc (U0002) $70.81 — 1.4×
Cptrizd oph alys monocular eye mvmt rta eye trck (1010T) $182.95 — 1.4×
Crd hrt trnspl mrna 1283 gen (0087U) $4,360 — 1.4×
Crown 3/4 cast base metal (D2781) $888.94 — 1.4×
Crown 3/4 cast hi noble met (D2780) $888.94 — 1.4×
Crown 3/4 cast noble metal (D2782) $888.94 — 1.4×
Crown 3/4 porcelain/ceramic (D2783) $888.94 — 1.4×
Crown 3/4 resin-based compos (D2712) $888.94 — 1.4×
Crown full cast base metal (D2791) $888.94 — 1.4×
Crown full cast high noble m (D2790) $888.94 — 1.4×
Crown full cast noble metal (D2792) $888.94 — 1.4×
Crown lengthen hard tissue (D4249) $888.94 — 1.4×
Crown porc fused to titanium (D2753) $888.94 — 1.4×
Crown porcelain fused base m (D2751) $888.94 — 1.4×
Crown porcelain w/ h noble m (D2750) $888.94 — 1.4×
Crown porcelain w/ noble met (D2752) $888.94 — 1.4×
Crown porcelain/ceramic (D2740) $888.94 — 1.4×
Crown repair (D2980) $888.94 — 1.4×
Crown resin w/ base metal (D2721) $888.94 — 1.4×
Crown resin w/ high noble me (D2720) $888.94 — 1.4×
Crown resin w/ noble metal (D2722) $888.94 — 1.4×
Crown resin-based indirect (D2710) $888.94 — 1.4×
Crown-titanium (D2794) $888.94 — 1.4×
Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) $5,720.69 — 1.4×
Crtx oral cavity temp regulated flu cooling sys (0881T) $614.27 — 1.4×
CT breast w/3d rendering bi with contrast (0637T) $479.72 — 1.4×
CT breast w/3d rendering bi without contrast (0636T) $328.08 — 1.4×
CT breast w/3d rendering uni with contrast (0634T) $241.18 — 1.4×
CT breast w/3d rendering uni without contrast (0633T) $143.75 — 1.4×
CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) $479.72 — 1.4×
CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) $241.18 — 1.4×
Cyp1a2 gene analysis common variants (0031U) $241.24 — 1.4×
Cyp2d6 3' gene dup/mlt (0076U) $622.26 — 1.4×
Cyp2d6 5' gene dup/mlt (0075U) $622.26 — 1.4×
Cyp2d6 full gene sequence (0071U) $828 — 1.4×
Cyp2d6 gen com&slct rar vrnt (0070U) $933.39 — 1.4×
Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) $622.26 — 1.4×
Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) $622.26 — 1.4×
Cyp2d6 nonduplicated gene (0074U) $622.26 — 1.4×
Cysto impl 4 or more (C9740) $13,016.74 — 1.4×
Cysto, litho, vacuum kidney (C9761) $13,016.74 — 1.4×
Cystoscopy prostatic imp 1-3 (C9739) $7,372.68 — 1.4×
Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging (0991T) $13,016.74 — 1.4×
Decor or submerg erupt tooth (D3921) $888.94 — 1.4×
Demonstrate use home inr mon (G0248) $183.07 — 1.4×
Dental bitewing single image (D0270) $119.66 — 1.4×
Dental bitewings two images (D0272) $119.66 — 1.4×
Dental connector bar (D6920) $888.94 — 1.4×
Dental gold foil one surface (D2410) $888.94 — 1.4×
Dental gold foil three surfa (D2430) $888.94 — 1.4×
Dental gold foil two surface (D2420) $888.94 — 1.4×
Dental inlay metalic 1 surf (D2510) $888.94 — 1.4×
Dental inlay metallic 2 surf (D2520) $888.94 — 1.4×
Dental inlay metl 3/more sur (D2530) $888.94 — 1.4×
Dental inlay resin 3/mre sur (D2652) $888.94 — 1.4×
Dental onlay metallic 2 surf (D2542) $888.94 — 1.4×
Dental onlay metallic 3 surf (D2543) $888.94 — 1.4×
Dental onlay metl 4/more sur (D2544) $888.94 — 1.4×
Dental onlay porc 3/more sur (D2630) $888.94 — 1.4×
Dental onlay porc 4/more sur (D2644) $888.94 — 1.4×
Dental onlay porcelin 2 surf (D2642) $888.94 — 1.4×
Dental onlay porcelin 3 surf (D2643) $888.94 — 1.4×
Dental onlay resin 2 surface (D2662) $888.94 — 1.4×
Dental onlay resin 3 surface (D2663) $888.94 — 1.4×
Dental onlay resin 4/mre sur (D2664) $888.94 — 1.4×
Dental prophylaxis adult (D1110) $183.07 — 1.4×
Dental saliography (D0310) $328.08 — 1.4×
Dental tmj arthrogram incl i (D0320) $328.08 — 1.4×
Dental tomographic survey (D0322) $143.75 — 1.4×
Dental unspec restorative pr (D2999) $888.94 — 1.4×
Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity 13,999 or fewer assigned members (0039U) $18.96 — 1.4×
Depression screen annual (G0444) $51.52 $23 1.4×
Dermal filler injection(s) (G0429) $2,837.09 $391 1.4×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $1,016.25 — 1.4×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) $1,016.25 — 1.4×
Device evaluation and interrogation of intraocular retinal electrode array (eg, retinal prosthesis), in person,… (0473T) $130.73 — 1.4×
Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal… (0472T) $422.32 — 1.4×
Devlopment test interpt&rep (G0451) $139.68 — 1.4×
Diab manage trn per indiv (G0108) $77.06 $95 1.4×
Diab manage trn ind/group (G0109) $22.08 $34 1.4×
Digital sub 2 or more images (D0394) $119.66 — 1.4×
Direct refer hospital observ (G0379) $818.88 $193 1.4×
Dist space maint, fixed unil (D1575) $888.94 — 1.4×
Drug test def 1-7 classes (G0480)
range across 4 matching MRF lines
$157.91 $15–$566 1.4×
Drug test def 15-21 classes (G0482) $274.26 $112 1.4×
Drug test def 22+ classes (G0483) $340.75 — 1.4×
Drug test def 8-14 classes (G0481) $216.09 $774 1.4×
Drug test def simple all cl (G0659) $85.75 — 1.4×
Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and… (0082U) $340.75 — 1.4×
Drug test(s), presumptive, with definitive confirmation of positive results, any number of drug classes, urine,… (0007U) $157.91 — 1.4×
Dstry eye lesn,fdr vssl tech (G0186) $756.27 — 1.4×
Each addtnl prefab post (D2957) $888.94 — 1.4×
ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) $81.12 — 1.4×
Ed svc ckd grp per session (G0421) $38.28 — 1.4×
Ed svc ckd ind per session (G0420) $158.98 — 1.4×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $2,638.57 — 1.4×
Egd flexible transnasal w/biopsy single/multiple (0653T) $2,638.57 — 1.4×
Egd flexible transnasal w/insj intral tube/cath (0654T) $5,301.42 — 1.4×
Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) $1,247.13 — 1.4×
Eia hiv-1/hiv-2 screen (G0432) $27.01 — 1.4×
Ekg tracing for initial prev (G0404) $39.77 — 1.4×
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) $130.73 $254 1.4×
Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) $130.73 — 1.4×
Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) $130.73 — 1.4×
Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) $182.95 — 1.4×
Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) $81.12 — 1.4×
Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) $130.73 — 1.4×
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) $130.73 $111 1.4×
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) $130.73 — 1.4×
Elec stim other than wound (G0283) $17.53 $76 1.4×
Elec stim unattend for press (G0281) $16.19 — 1.4×
Electrical impedence spectroscopy 1+skin lesions (0658T) $81.12 — 1.4×
Electromagntic tx for ulcers (G0329) $14.67 — 1.4×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1018T) $51.32 — 1.4×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1017T) $81.12 — 1.4×
Electrophysiologic eval ccm-d leads at 1st impl (0930T) $1,674.16 — 1.4×
Electrophysiologic eval ccm-d leads separate (0931T) $1,674.16 — 1.4×
Electrophysiologic Eval Icds W/Ss Electrode (0577T) $1,674.16 $1,820 1.4×
Elisa hiv-1/hiv-2 screen (G0433) $25.24 — 1.4×
End thxpy, anterior tooth (D3310) $888.94 — 1.4×
End thxpy, molar tooth (D3330) $888.94 — 1.4×
End thxpy, premolar tooth (D3320) $888.94 — 1.4×
Endo defect closure gi tract (C9901) $14,616.42 $12,377 1.4×
Endo outlet restrict w/tube (C9785) $14,616.42 — 1.4×
Endodontic endosseous implan (D3460) $888.94 — 1.4×
Endodontic procedure (D3999) $888.94 — 1.4×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $60,565.56 $34,704 1.4×
Esd endoscopy or colonoscopy (C9779) $5,301.42 — 1.4×
Esophag muc integ w/eso egd (C9777) $5,301.42 — 1.4×
Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) $8,347.72 — 1.4×
Esw integumentary wound healing initial wound (0512T) $275.88 $455 1.4×
Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) $4,341.66 — 1.4×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $15,873.70 — 1.4×
Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) $182.95 — 1.4×
Evacuation meibomian glands using heat bilateral (0563T) $81.12 — 1.4×
Excision benign lesion compl (D7412) $2,133.48 — 1.4×
Excision benign lesion>1.25c (D7411) $2,133.48 — 1.4×
Excision malig les complicat (D7415) $2,133.48 — 1.4×
Excision malig lesion<=1.25c (D7413) $2,133.48 — 1.4×
Excision malig lesion>1.25cm (D7414) $2,133.48 — 1.4×
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) $8,347.72 — 1.4×
Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence… (0036U) $6,596.40 — 1.4×
Exposure of unerupted tooth (D7280) $888.94 — 1.4×
Extensv oral eval prob focus (D0160) $183.07 — 1.4×
Extra oral post radio image (D0705) $119.66 — 1.4×
Extracorporeal shock wave muscskel sys nos (0101T) $339.18 — 1.4×
Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral… (0102T) $4,499.12 — 1.4×
Extraction coronal remnants (D7111) $888.94 — 1.4×
Extraction erupted tooth/exr (D7140) $888.94 — 1.4×
Extraoral 2d project image (D0250) $119.66 — 1.4×
Extraoral posterior image (D0251) $119.66 — 1.4×
Extrnl counterpulse, per tx (G0166) $182.95 $391 1.4×
Eye mvmt analysis w/o spatial calibration i&r (0615T) $182.95 — 1.4×
Facial moulage complete (D5912) $888.94 — 1.4×
Facial moulage sectional (D5911) $888.94 — 1.4×
Facility svs dental rehab (G0330) $4,558.89 — 1.4×
Fecal blood scrn immunoassay (G0328) $24.91 — 1.4×
Fecal microbiota prep instil (G0455) $1,278.72 $1,301 1.4×
Fern test (Q0114) $13.44 $46 1.4×
Fixed bilat space maint, man (D1517) $888.94 — 1.4×
Fixed bilat space maint, max (D1516) $888.94 — 1.4×
Flt3 gene int tandem dupl variants quantitative (0046U) $562.25 — 1.4×
Followup eval of foot pt lop (G0246) $183.07 — 1.4×
Fractional abl lsr fenestration first 100 sqcm (0479T) $1,016.25 $586 1.4×
Full mouth debridement (D4355) $888.94 — 1.4×
Fusion 2 or more 3d images (D0395) $119.66 — 1.4×
Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis 13,999 or fewer… (0094U) $10,463.44 — 1.4×
Gi myoelectrical activity study stmch-colon i&r (0779T) $513.11 — 1.4×
Gingival flap proc w/ planin (D4240) $4,558.89 — 1.4×
Gingival irrigation per quad (D4921) $183.07 — 1.4×
Gingivectomy/plasty 1 to 3 (D4211) $4,558.89 — 1.4×
Gingivectomy/plasty 4 or mor (D4210) $4,558.89 — 1.4×
Gingivectomy/plasty rest (D4212) $4,558.89 — 1.4×
Glaucoma scrn hgh risk direc (G0118) $51.36 — 1.4×
Glaucoma scrn hgh risk direc (G0117) $39.77 — 1.4×
Glyca nuc mr spectroscopy quantitative (0024U) $47.18 — 1.4×
Gngvl flap w rootplan 1-3 th (D4241) $2,133.48 — 1.4×
Gross pulpal debridement (D3221) $888.94 — 1.4×
Group behave couns 2-10 (G0473) $51.52 $43 1.4×
Group mnt 2 or more 30 mins (G0271) $17.19 $22 1.0×
Group train w/o patient (G0543) $39.77 — 1.4×
Guided tiss regen nonresorb (D4267) $2,133.48 — 1.4×
Guided tiss regen resorble (D4266) $2,133.48 — 1.4×
Guided tissue regeneration (D3432) $888.94 — 1.4×
Hair analysis (P2031) $6.83 — 1.4×
Hbot, full body chamber, 30m (G0277) $189.21 — 1.4×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $957.68 — 1.4×
Heart Symp Image Plnr (0331T) $1,780.19 — 1.4×
Heat Quant Sensory Test (0109T) $51.36 — 1.4×
Hep c screen high risk/other (G0472) $63.96 $229 1.4×
Hepb screen high risk indiv (G0499) $39.01 — 1.4×
High inten beh couns std 30m (G0445) $139.68 — 1.4×
High-resolution gastric electrophysiology mapg (0868T) $513.11 — 1.4×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $23,553.69 — 1.4×
Histotripsy malignant renal tissue w/img gdn (0888T) $23,553.69 — 1.4×
Hiv combination assay (G0475) $33.23 — 1.4×
Hiv prep counsel, clin staff (G0013) $51.52 — 1.4×
Home sleep test/type 2 porta (G0398) $296.91 — 1.4×
Home sleep test/type 3 porta (G0399) $296.91 — 1.4×
Home sleep test/type 4 porta (G0400) $296.91 $769 1.4×
Hopd mntl hlt, 15-29 min (C7900) $51.52 — 1.4×
Hopd mntl hlt, 30-60 min (C7901) $139.68 — 1.4×
Hopd mntl hlt, grp (C7903) $51.52 — 1.4×
Hospital outpt clinic visit (G0463) $183.07 $67 1.4×
Hpv combo assay ca screen (G0476) $48.42 — 1.4×
Hpylori Detcj Abx Rstnc Dna (0008U) $825.12 — 1.4×
Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine… (0096U) $48.42 — 1.4×
I&d absc intraoral soft tiss (D7510) $973.71 — 1.4×
I&d abscess extraoral (D7520) $973.71 — 1.4×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $59.93 — 1.4×
Imp extar knee shck absrb (C8003) $24,109.66 — 1.4×
Impact tooth rem bony w/comp (D7241) $888.94 — 1.4×
Impact tooth remov comp bony (D7240) $888.94 — 1.4×
Impact tooth remov part bony (D7230) $888.94 — 1.4×
Impact tooth remov soft tiss (D7220) $888.94 — 1.4×
Implantation of subcutaneous peritoneal ascites pump system, percutaneous, including pump-pocket creation, insertion of… (0870T) $47,106.70 — 1.4×
Impltj ant sgm io nbiodegradable rx eluting sys (0660T) $5,683.61 — 1.4×
Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0966T) $4,558.89 — 1.4×
Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0964T) $4,558.89 — 1.4×
Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial… (0965T) $4,558.89 — 1.4×
Incision/drain abscess extra (D7521) $973.71 — 1.4×
Incision/drain abscess intra (D7511) $973.71 — 1.4×
Incomplete endodontic tx (D3332) $888.94 — 1.4×
Inflammation (eosinophilic esophagitis), ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major… (0095U) $1,065.33 — 1.4×
Init/sub psych care m 1st 30 (G2214) $139.68 $67 1.4×
Initial care training 30 m (G0539) $54.88 — 1.0×
Initial foot exam pt lops (G0245) $183.07 — 1.4×
Initial preventive exam (G0402) $183.07 — 1.4×
Inj for sacroiliac jt anesth (G0260) $970.61 $972 1.4×
Injection of hiv prep drug (G0012) $99 — 1.4×
Injection posterior chamber eye medication (0699T) $3,173.34 — 1.4×
Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) $614.27 — 1.4×
Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including… (0869T) $4,499.12 — 1.4×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,216.18 — 1.4×
Inlay composite/resin one su (D2650) $888.94 — 1.4×
Inlay composite/resin two su (D2651) $888.94 — 1.4×
Inlay porcelain/ceramic 1 su (D2610) $888.94 — 1.4×
Inlay porcelain/ceramic 2 su (D2620) $888.94 — 1.4×
Inlay repair (D2981) $888.94 — 1.4×
Insert cv cath inf & sup app (C9780) $11,104.24 $364 1.4×
Insert drug del implant, >=4 (G0516) $614.27 — 1.4×
Insert palate implants (C9727) $2,133.48 — 1.4×
Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy,… (0996T) $3,173.34 — 1.4×
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T) $5,683.61 — 1.4×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) $7,316.99 — 1.4×
Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) $2,638.57 — 1.4×
Insertion of sinus tarsi implant (0335T) $9,977.57 — 1.4×
Insertion of substernal implantable defibrillator electrode (0572T) $11,378.97 $19,900 1.4×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $15,321.63 — 1.4×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $15,321.63 — 1.4×
Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system… (0680T) $26,675.88 — 1.4×
Insertion perm ccm-d system pulse generator only (0916T) $30,585.75 — 1.4×
Insertion wrls car stimulator lv pacg compl sys (0515T) $30,585.75 $11,523 1.4×
Insertion/Replacement Complete Iims (0525T) $26,485.55 — 1.4×
Insertion/Replacement Iims Electrode Only (0526T) $11,378.97 — 1.4×
Insertion/Replacement Iims Implantable Mntr Only (0527T) $11,378.97 — 1.4×
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) $7,316.99 — 1.4×
Insj bioprostc vlv fem vn (0744T) $7,651.38 — 1.4×
Insj ocular telescope prosth (0308T) $22,634.25 — 1.4×
Insj perm ccm-d sys 1 transvns lead only (0917T) $11,378.97 — 1.4×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $11,378.97 — 1.4×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $43,160.87 — 1.4×
Insj Wcs Lv Eltrd Only (0516T) $14,371.89 $7,011 1.4×
Insj Wcs Lv Pg Compnt (0517T) $14,371.89 $7,871 1.4×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $43,160.87 $35,746 1.4×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $11,378.97 $9,105 1.4×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $11,378.97 $9,105 1.4×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $30,585.75 $35,746 1.4×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $43,160.87 $64,235 1.4×
Inst pleu-perit shnt w pump (C8006) $8,901.75 — 1.4×
Instill pharm renal pelvis (C9789) $1,683.03 — 1.4×
Instlj fecal microbiota ssp (0780T) $182.95 $1,217 1.4×
Int psych care mng, 1 cal mo (G0568) $139.68 — 1.4×
Intens behave ther cardio dx (G0446) $51.52 — 1.4×
Intens cardiac rehab no exer (G0423) $177.25 — 1.4×
Intens cardiac rehab w/exerc (G0422) $177.25 — 1.4×
Intentional replantation (D3470) $888.94 — 1.4×
Interim crown (D2799) $888.94 — 1.4×
Internal root repair (D3333) $888.94 — 1.4×
Interro Device Evaluation Cardiac Modulj System (0418T) $51.32 $192 1.4×
Interrog dev eval iims ip (0529T) $51.32 — 1.4×
Interrog dev eval impl ccm-d system in person (0927T) $51.32 — 1.4×
Interrog Dev Eval Wrls Car Stimulator in Person (0521T) $39.77 $104 1.4×
Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) $51.32 $182 1.4×
Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system, remote data… (0949T) $51.32 — 1.4×
Interrogation device evaluation in person isdss (0685T) $51.32 — 1.4×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) $5,988.98 — 1.4×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0264T) $5,988.98 — 1.4×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0265T) $5,988.98 — 1.4×
Intraor comprehensive series (D0210) $328.08 — 1.4×
Intraoral bite radio image (D0708) $119.66 — 1.4×
Intraoral comp image capture (D0709) $119.66 — 1.4×
Intraoral occlus radio image (D0706) $119.66 — 1.4×
Intraoral occlusal film (D0240) $119.66 — 1.4×
Intraoral periap radio image (D0707) $119.66 — 1.4×
Intraoral periapical first (D0220) $119.66 — 1.4×
Intraorifice barrier (D3911) $888.94 — 1.4×
Intrav inf, mon anti, fir do (M0235) $606.32 — 1.4×
Intrav inf, mon anti, sec do (M0236) $606.32 — 1.4×
Intrav inf, toci, first dose (M0237) $606.32 — 1.4×
Intrav inf, toci, second dos (M0238) $606.32 — 1.4×
Ire Abltj 1+Tum Organ Perq (0600T) $14,616.42 — 1.4×
Isolation- tooth w rubb dam (D3910) $888.94 — 1.4×
Iv cipaglucosidase alfa-atga (G0138) $875.50 — 1.4×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $168.24 — 1.4×
Labial veneer porc indirect (D2962) $888.94 — 1.4×
Labial veneer resin direct (D2960) $888.94 — 1.4×
Labial veneer resin indirect (D2961) $888.94 — 1.4×
Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for… (0674T) $42,430.50 — 1.4×
Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for… (0679T) $14,616.42 — 1.4×
Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation… (0677T) $14,616.42 — 1.4×
Laparoscopic revision or removal, lower esophageal sphincter neurostimulator electrodes (1014T) $15,321.63 — 1.4×
Laparoscopy, surgical, implantation or replacement of lower esophageal sphincter neurostimulator electrode array and… (1013T) $26,675.88 — 1.4×
Laps insj new/rplcmt lead perm isdss 1st lead (0675T) $15,321.63 — 1.4×
Lev 1 hosp type b ed visit (G0380) $102.20 — 1.4×
Lev 2 hosp type b ed visit (G0381) $127.72 — 1.4×
Lev 3 hosp type b ed visit (G0382) $236.35 — 1.4×
Lev 4 hosp type b ed visit (G0383) $363.42 — 1.4×
Lev 5 hosp type b ed visit (G0384) $564.77 — 1.4×
Limit oral eval problm focus (D0140) $183.07 — 1.4×
Limited occlusal adjustment (D9951) $888.94 — 1.4×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $694.69 — 1.4×
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M) $694.69 — 1.4×
Localized delivery antimicro (D4381) $888.94 — 1.4×
Low intensity eswt corpus cavernosum low energy (0864T) $150 — 0.6×
Lpoprtn bld w/5 maj class auto prfl ucentrfugtn (0052U) $46.73 — 1.4×
Lymphovenous bypass, including robotic assistance, when performed, per extremity (1019T) $9,130.48 — 1.4×
Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) $81.12 — 1.4×
Magnetically controlled capsule endoscopy w/i&r (0651T) $1,247.13 — 1.4×
Malig tumor > 1.25 cm (D7441) $4,558.89 — 1.4×
Malig tumor exc to 1.25 cm (D7440) $4,558.89 — 1.4×
Mandible graft (D7950) $8,139.99 — 1.4×
Max mri capture & interprete (D0369) $143.75 — 1.4×
Max mri image capture (D0385) $143.75 — 1.4×
Max ultrasound capt & interp (D0370) $143.75 — 1.4×
Max ultrasound image capture (D0386) $143.75 — 1.4×
Mesial/distal wedge proc (D4274) $888.94 — 1.4×
Mnt subs tx for change dx (G0270) $30.42 $236 1.0×
Monthly tx for dmht 20mins (G0553) $183.07 — 1.4×
Motorized ab interno trephination sclera/trab mw (1012T) $5,683.61 — 1.4×
Mra w/cont, abd (C8900) $479.72 $3,355 1.4×
Mra w/cont, chest (C8909) $479.72 $3,590 1.4×
Mra w/cont, lwr ext (C8912) $479.72 $4,879 1.4×
Mra w/cont, pelvis (C8918) $479.72 $3,355 1.4×
Mra w/o cont, abd (C8901) $328.08 $3,175 1.4×
Mra w/o cont, chest (C8910) $328.08 $3,395 1.4×
Mra w/o cont, lwr ext (C8913) $328.08 $2,824 1.4×
Mra w/o cont, pelvis (C8919) $328.08 $3,175 1.4×
Mra w/o fol w/cont, abd (C8902) $479.72 $4,879 1.4×
Mra w/o fol w/cont, chest (C8911) $479.72 $4,879 1.4×
Mra w/o fol w/cont, lwr ext (C8914) $479.72 $5,444 1.4×
Mra w/o fol w/cont, pelvis (C8920) $479.72 $4,879 1.4×
Mra, w/dye, spinal canal (C8931) $479.72 $3,355 1.4×
Mra, w/dye, upper extremity (C8934) $479.72 $3,355 1.4×
Mra, w/o dye, spinal canal (C8932) $328.08 $3,175 1.4×
Mra, w/o dye, upper extr (C8935) $328.08 $3,175 1.4×
Mra, w/o&w/dye, spinal canal (C8933) $479.72 $4,879 1.4×
Mra, w/o&w/dye, upper extr (C8936) $479.72 $4,879 1.4×
Mri hyperpolarized xenon129 (C9791) $1,683.03 — 1.4×
Mri w/cont, breast, bi (C8906) $479.72 $4,735 1.4×
Mri w/cont, breast, uni (C8903) $241.18 $3,552 1.4×
Mri w/o fol w/cont, breast, (C8908) $479.72 $6,699 1.4×
Mri w/o fol w/cont, brst, un (C8905) $479.72 $4,566 1.4×
Mrs discogenic pain acquisj single voxel data (0609T) $328.08 — 1.4×
Mrs discogenic pain algorthmic alys bmrk data (0611T) $328.08 — 1.4×
Myocardial img by mcg detcj cardiac ischemia (0541T) $513.11 — 1.4×
Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) $1,780.19 — 1.4×
N-invas artl plaq alys quan strux&compos vsl wal (0712T) $296.91 — 1.4×
N-invas assmt bld oxy gas xchng eff&cardresp i&r (0893T) $182.95 — 1.4×
N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) $328.08 — 1.4×
N-invas assmt car rsk augmnt sw alys fat w/o CT (0992T) $328.08 — 1.4×
N-invas augmnt arrhyt alys (0897T) $1,180.80 — 1.4×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $422.32 $933 1.4×
Nav srv peer sup 60 min pr m (G0140) $139.68 — 1.4×
Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) $51.36 — 1.4×
Ncntc R-T Fluor Wnd Img 1st (0598T) $296.91 — 1.4×
Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) $81.12 — 1.4×
Neuro csf prion prtn qual (0035U) $746.57 $360.68 1.4×
Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with… (0063U) $1,035 — 1.4×
Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) $276 — 1.4×
Nfct ds strn typ whl gen seq (0010U) $589.62 — 1.4×
Njx bone sub matrl into subchondral bone defect (0707T) $4,499.12 — 1.4×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,216.18 — 1.4×
Njx platelet plasma (0232T) $614.27 $972 1.4×
No pt prsnt train initial 30 (G0541) $39.77 — 1.4×
Non-auto graft 1st tooth (D4275) $2,133.48 — 1.4×
Non-blind interatrial shunt (C9760) $37,012.55 — 1.4×
Non-cov proc, clinical trial (G0294) $51.36 — 1.4×
Non-cov surg proc,clin trial (G0293) $51.36 — 1.4×
Non-ionizing diag proc (D0600) $888.94 — 1.4×
Non-ophthalmic fva (C9733) $479.72 — 1.4×
Non-surg tx root canal obs (D3331) $888.94 — 1.4×
Noninvasive prostate cancer estimation map (0898T) $1,180.80 — 1.4×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative 13,999 or fewer assigned members (0049U) $562.25 — 1.4×
Obtaining screen pap smear (Q0091) $39.77 $34 1.4×
Occ guard, hard, full arch (D9944) $888.94 — 1.4×
Occ guard, hard, part arch (D9946) $888.94 — 1.4×
Occ guard, soft, full arch (D9945) $888.94 — 1.4×
Occlusion analysis (D9950) $888.94 — 1.4×
Oct middle ear with i&r bilateral (0486T) $51.36 — 1.4×
Oct middle ear with i&r unilateral (0485T) $51.36 — 1.4×
Ocular blood flow measure (0198T) $182.95 — 1.4×
Off base opioid tx 70min (G2086) $244.07 — 1.4×
Off base opioid tx, 60 m (G2087) $244.07 — 1.4×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $342.94 — 1.4×
Onc brst ca erbb2 amp/nonamp (0009U) $147.66 — 1.4×
Onc brst dux carc is mrna 12 genes alg rsk scor (0045U) $5,344.74 — 1.4×
Onc cns alys 30000 DNA methylation loci tum tiss (0020M) $3,450 — 1.4×
Onc hmtlmf neo jak2 mut DNA (0017U) $126.49 — 1.4×
Onc hmtlmf neo RNA bcr/abl1 bld/bne marrow (0016U) $226.26 — 1.4×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $445.68 $368.48 1.4×
Onc Merkel Cll Carc Srm Quan (0058U) $445.68 $368.48 1.4×
Onc Mrna 5 Gen Recr Urthl Ca (0013M) $1,048.80 — 1.4×
Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) $5,344.74 — 1.4×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) $4,142.88 — 1.4×
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) $4,968 — 1.4×
Oncology (bladder), mRNA, microarray gene expression profiling of 209 genes, utilizing formalin fixed paraffin-embedded… (0016M) $4,815.69 — 1.4×
Oncology (breast), immunohistochemistry, protein expression profiling of 4 biomarkers (matrix metalloproteinase-1… (0067U) $2,617.86 — 1.4×
Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue,… (0069U) $524.40 — 1.4×
Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine)… (0002U) $34.50 — 1.4×
Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping),… (0090U) $2,691 — 1.4×
Oncology (diffuse large B-cell lymphoma ºDLBCL»), mRNA, gene expression profiling by fluorescent probe hybridization of… (0017M) $3,464.09 — 1.4×
Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole… (0007M) $517.50 — 1.4×
Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with… (0006M) $207 — 1.4×
Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1… (0080U) $4,857.60 — 1.4×
Oncology (lung), three protein biomarkers, immunoassay using Q4 magnetic nanosensor technology, plasma, algorithm… (0092U) $3,433.44 — 1.4×
Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive… (0089U) $1,048.80 — 1.4×
Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone,… (0003U) $1,311 — 1.4×
Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm… (0005U) $1,048.80 — 1.4×
Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin,… (0021U) $1,048.80 — 1.4×
Oncology (solid organ neoplasia), DNA, targeted sequencing of protein-coding exons of 468 cancer-associated genes,… (0048U) $4,029.05 — 1.4×
Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2… (0012M) $1,048.80 — 1.4×
Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing… (0011M) $1,048.80 — 1.4×
Oncology, response to chemotherapy drugs using motility contrast tomography, fresh or frozen tissue, reported as… (0083U) $230.94 — 1.4×
Oncology, RNA, gene expression by whole transcriptome sequencing, formalin-fixed paraffin embedded tissue or fresh… (0019U) $5,071.50 — 1.4×
Onlay repair (D2982) $888.94 — 1.4×
Open impltj int neurostimulation sys vagus nerve (0908T) $42,430.50 — 1.4×
Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) $26,675.88 — 1.4×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T) $26,675.88 — 1.4×
Open reduc compd alveolus fx (D7770) $8,139.99 — 1.4×
Open tx iliac spine uni/bil (G0412) $9,977.57 — 1.4×
Open tx post pelvic fxcture (G0415) $4,499.12 — 1.4×
Opps service,sched team conf (G0175) $573.75 — 1.4×
Opto-acoustic img breast uni augmnt alys&reprt (0857T) $143.75 — 1.4×
Oral antral fistula closure (D7260) $888.94 — 1.4×
Oral hiv-1/hiv-2 screen (G0435) $16.53 — 1.4×
Oral/facial photo images (D0350) $119.66 — 1.4×
Ortho impl mvmt alys pair CT (0946T) $143.75 — 1.4×
Osseous surg 1 to 3 teeth (D4261) $4,558.89 — 1.4×
Osseous surgery 4 or more (D4260) $8,139.99 — 1.4×
Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T) $9,977.57 — 1.4×
Oth resp proc, group (G0239) $51.36 $181 1.4×
Oth resp proc, indiv (G0238) $39.77 — 1.4×
Other tmj images by report (D0321) $119.66 — 1.4×
Pano radio image (D0701) $119.66 — 1.4×
Panoramic image (D0330) $328.08 — 1.4×
Part pulp for apexogenesis (D3222) $888.94 — 1.4×
Partial craniectomy, channel creation, and tunneling of electrode for sub-scalp implantation of an electrode array,… (0956T) $37,310.30 — 1.4×
Pathogen test for platelets (P9100) $81.12 — 1.4×
Pattern erg w/i&r (0509T) $296.91 — 1.4×
Pedicle soft tissue graft pr (D4270) $2,133.48 — 1.4×
Pef bronch ablt 3d nav ebus (C8005) $23,553.69 — 1.4×
Pelvic ring fracture uni/bil (G0413) $9,977.57 — 1.4×
Pelvic ring fx treat int fix (G0414) $9,977.57 — 1.4×
Pemivibart infusion (M0224) $606.32 $1,323 1.4×
Perc d-e cor revasc chro sin (C9607) $25,206.69 $39,414 1.4×
Perc d-e cor revasc t cabg s (C9604) $15,873.70 $26,050 1.4×
Perc d-e cor stent ather s (C9602) $25,206.69 $39,414 1.4×
Perc drug-el cor stent sing (C9600) $15,873.70 $26,050 1.4×
Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) $8,763.11 — 1.4×
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) $9,977.57 — 1.4×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) $25,206.69 — 1.4×
Periodic oral evaluation (D0120) $183.07 — 1.4×
Periodontal maint procedures (D4910) $888.94 — 1.4×
Periodontal scaling & root (D4341) $888.94 — 1.4×
Periodontal scaling 1-3teeth (D4342) $888.94 — 1.4×
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) $17,653.66 — 1.4×
Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) $17,653.66 — 1.4×
Perq Sacral Augmt Bilat Inj (0201T) $9,977.57 — 1.4×
Perq Sacral Augmt Unilat Inj (0200T) $9,977.57 — 1.4×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $15,873.70 $13,865 1.4×
Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) $25,206.69 — 1.4×
Personalized target development arhfcmrigtbs (0889T) $1,279.26 — 1.4×
Pet not otherwise specified (G0235) $549.70 — 1.4×
Pild/placebo control clin tr (G0276) $9,977.57 — 1.4×
Pin service 60m per month (G0023) $139.68 — 1.4×
Pinworm examinations (Q0113) $5.89 — 1.4×
Place device/marker, non pro (C9728) $1,903.23 — 1.4×
Place direct restoration (D2940) $888.94 — 1.4×
Place endorectal app (C9725) $1,278.72 — 1.4×
Place intra-socket bio dress (D7922) $888.94 — 1.4×
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) $9,977.57 — 1.4×
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0219T) $17,653.66 — 1.4×
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0220T) $17,653.66 — 1.4×
Placement of interstitial device(s) in bone for radiostereometric analysis (RSA) (0347T) $81.12 — 1.4×
Pne flu hepb cov home admin (M0201) $49.60 $106 1.4×
Post 1 srfc resinbased cmpst (D2391) $888.94 — 1.4×
Post 2 srfc resinbased cmpst (D2392) $888.94 — 1.4×
Post 3 srfc resinbased cmpst (D2393) $888.94 — 1.4×
Post >=4srfc resinbase cmpst (D2394) $888.94 — 1.4×
Post and core cast + crown (D2952) $888.94 — 1.4×
Post d/c phone follow up (G0544) $139.68 — 1.4×
Post op service lvrs min 6 (G0305) $513.11 — 1.4×
Post-coital mucous exam (Q0115) $34.50 — 1.4×
Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T) $17,653.66 — 1.4×
Potassium hydroxide preps (Q0112) $8.05 $29 1.4×
Ppps, initial visit (G0438) $242.02 $244 1.4×
Ppps, subseq visit (G0439) $190.67 $194 1.4×
Pre 3d mdl w/ccta and/or mri (C9793) $1,180.80 — 1.4×
Pre-op service lvrs 1-9 dos (G0304) $513.11 — 1.4×
Pre-op service lvrs 10-15dos (G0303) $296.91 — 1.4×
Pre-op service lvrs complete (G0302) $513.11 — 1.4×
Prefab porc/cer crown perm (D2928) $888.94 — 1.4×
Prefab porc/ceram crown pri (D2929) $888.94 — 1.4×
Prefab post/core + crown (D2954) $888.94 — 1.4×
Prefab stainless steel crown (D2933) $888.94 — 1.4×
Prefab steel crown primary (D2934) $888.94 — 1.4×
Prefab stnlss steel crown pe (D2931) $888.94 — 1.4×
Prefab stnlss steel crwn pri (D2930) $888.94 — 1.4×
Prefabricated resin crown (D2932) $888.94 — 1.4×
Prep skin cell susp, automtd (C8002) $9,758.35 — 1.4×
Prescription drug monitoring, 14 or more classes of drugs and substances, definitive tandem mass spectrometry with… (0054U) $274.26 — 1.4×
Prescription drug monitoring, evaluation of 65 common drug by LCMS/MS, urine, each drug reported detected or not… (0093U) $85.75 — 1.4×
Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, urine, 31 drug panel, reported as quantitative… (0051U) $340.75 — 1.4×
Prgrmg dev eval iims ip (0528T) $51.32 — 1.4×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $51.32 $180 1.4×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $51.32 $196 1.4×
Prgrmg dev eval scrms phys/qhp remote (0650T) $51.32 $195 1.4×
Prgrmg device eval wrls car stimulator in person (0522T) $51.32 $182 1.4×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $51.32 $242 1.4×
Primary closure sinus perf (D7261) $888.94 — 1.4×
Programming dev eval icds w/ss eltrd in person (0575T) $51.32 $182 1.4×
Programming device eval impl ccm-d sys in person (0926T) $51.32 — 1.4×
Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of… (0683T) $51.32 — 1.4×
Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care… (0875T) $51.32 — 1.4×
Prolonged iv inf, req pump (C8957) $292.48 — 1.4×
Prostate biopsy, any mthd (G0416) $492.88 $430 1.4×
Provide inr test mater/equip (G0249) $183.07 — 1.4×
Psa screening (G0103) $26.65 $124 1.4×
Pt spec alg rx-onc tx option (0794T) $81.12 — 1.4×
Pulm tiss vntj alys prev CT (0807T) $296.91 — 1.4×
Pulm tiss vntj alys w/CT (0808T) $296.91 — 1.4×
Pulp cap direct (D3110) $888.94 — 1.4×
Pulp cap indirect (D3120) $888.94 — 1.4×
Pulp vitality test (D0460) $888.94 — 1.4×
Pulpal regeneration complete (D3357) $888.94 — 1.4×
Pulpal regeneration initial (D3355) $888.94 — 1.4×
Pulpal regeneration interim (D3356) $888.94 — 1.4×
Pulpal therapy anterior prim (D3230) $888.94 — 1.4×
Pulpal therapy posterior pri (D3240) $888.94 — 1.4×
Pure tone audiometry (threshold), automated; air and bone Non-Facility Physician Technical Component (0209T) $51.36 — 1.4×
Pure tone audiometry (threshold), automated; air only Non-Facility Physician Technical Component (0208T) $51.36 — 1.4×
Qmrcp W/Diagnostic MRI Same Anatomy (0724T) $1,279.26 — 1.4×
Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) $1,279.26 — 1.4×
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) $182.95 — 1.4×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $875.50 — 1.4×
Quan CT tiss charac w/o CT (0721T) $875.50 — 1.4×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $1,279.26 — 1.4×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $1,279.26 — 1.4×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,279.26 — 1.4×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $1,279.26 — 1.4×
Quan MRI alys brain w/o diagnostic MRI same sess (0865T) $328.08 $3,451 1.4×
Quan MRI alys brain with diagnostic MRI (0866T) $328.08 $3,451 1.4×
Quan us tiss charac i&r w/o dx us same anat (0689T) $119.66 — 1.4×
Quant sensory test&interpj/xtr w/vibrj stimuli (0107T) $51.36 — 1.4×
Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation… (0110T) $182.95 — 1.4×
Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) $51.36 — 1.4×
Rad exc lesion up to 1.25 cm (D7410) $2,133.48 — 1.4×
Radiation applicator (D5983) $888.94 — 1.4×
Radiation cone locator (D5985) $888.94 — 1.4×
Radiation shield (D5984) $888.94 — 1.4×
Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee,… (0350T) $119.66 — 1.4×
Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when… (0348T) $143.75 — 1.4×
Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist,… (0349T) $143.75 — 1.4×
Raman spectroscopy 1+skin les prob score mal rsk (1020T) $81.12 — 1.4×
Rbc DNA gnotyp 10 bld groups (0084U) $993.60 — 1.4×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $993.60 — 1.4×
Re-cement or re-bond crown (D2920) $888.94 — 1.4×
Re-eval post-op visit (D0171) $183.07 — 1.4×
Re-eval,est pt,problem focus (D0170) $183.07 — 1.4×
Reattach tooth fragment (D2921) $888.94 — 1.4×
Recement cast or prefab post (D2915) $888.94 — 1.4×
Recement inlay onlay or part (D2910) $888.94 — 1.4×
Recement space maint - man (D1552) $888.94 — 1.4×
Recement space maint - max (D1551) $888.94 — 1.4×
Recement unilat space maint (D1553) $888.94 — 1.4×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $2,837.09 $4,550 1.4×
Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) $4,807.27 — 1.4×
Relocation pg wcs lv pacg battery component only (0862T) $2,837.09 $2,792 1.4×
Relocation pg wcs lv pacg transmittr compnt only (0863T) $2,837.09 $2,792 1.4×
Relocation skin pocket implanted ccm-d pg (0925T) $2,837.09 — 1.4×
Rem auton alg nsln cal setup (0740T) $81.12 — 1.4×
Rem auton alg nsln data coll (0741T) $51.32 — 1.4×
Rem exostosis any site (D7471) $4,558.89 — 1.4×
Rem imp tooth w mucoper flp (D7210) $2,133.48 — 1.4×
Rem interrog dev eval ss ld icds < 90d tech (0579T) $51.32 $280 1.4×
Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) $183.07 — 1.4×
Rem multi day cplx uroflowmetry dev sply w/reprt (0812T) $176.93 — 1.4×
Rem multi day cplx uroflowmetry setup&pt educaj (0811T) $183.07 — 1.4×
Rem nonodonto cyst > 1.25 cm (D7461) $888.94 — 1.4×
Rem nonodonto cyst to 1.25cm (D7460) $888.94 — 1.4×
Rem odontogen cyst > 1.25 cm (D7451) $4,558.89 — 1.4×
Rem odontogen cyst to 1.25cm (D7450) $4,558.89 — 1.4×
Remot img sub by pt, non e/m (G2250) $11.30 — 0.9×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $51.32 — 1.4×
Remote monitoring of an implanted inferior vena cava sensor for up to 30 days, including at least weekly downloads of… (0983T) $51.32 — 1.4×
Remote monitoring of implantable inferior vena cava pressure sensor, physiologic parameter(s) (eg, weight, blood… (0982T) $183.07 — 1.4×
Remote real-time, motion capture-based neurorehabilitative therapy ordered by a physician or other qualified health… (0733T) $471.74 — 1.4×
Removal and reinsertion of sinus tarsi implant (0511T) $9,977.57 — 1.4×
Removal complete iims (0530T) $5,138.46 — 1.4×
Removal fb skin/areolar tiss (D7530) $888.94 — 1.4×
Removal iims electrode only (0531T) $5,138.46 — 1.4×
Removal iims implt mntr only (0532T) $5,138.46 — 1.4×
Removal int neurostimulation sys vagus nerve (0910T) $4,807.27 — 1.4×
Removal of a peritoneal ascites pump system, including implanted peritoneal ascites pump and indwelling bladder and… (0874T) $4,923.19 — 1.4×
Removal of fb reaction (D7540) $888.94 — 1.4×
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) $275.88 — 1.4×
Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) $4,807.27 — 1.4×
Removal of sinus tarsi implant (0510T) $4,499.12 — 1.4×
Removal of sloughed off bone (D7550) $888.94 — 1.4×
Removal of sub-scalp implanted electrode array, receiver, and telemetry unit for continuous bilateral… (0958T) $4,499.12 — 1.4×
Removal of torus palatinus (D7472) $888.94 — 1.4×
Removal or replacement of magnet from coil assembly that is connected to continuous bilateral electroencephalography… (0959T) $2,271.01 — 1.4×
Removal perm ccm-d system pulse generator only (0919T) $5,138.46 — 1.4×
Removal pg wcs lv pacing both components (0861T) $5,138.46 $6,012 1.4×
Removal Ss Dfb Electrode (0573T) $5,138.46 $6,552 1.4×
Remove bilat space main, man (D1527) $888.94 — 1.4×
Remove bilat space main, max (D1526) $888.94 — 1.4×
Remove drug implant (G0517) $614.27 — 1.4×
Remove torus mandibularis (D7473) $888.94 — 1.4×
Remove unilat space maintain (D1520) $888.94 — 1.4×
Remove w insert drug implant (G0518) $614.27 — 1.4×
Replacement int neurostimulation sys vagus nerve (0909T) $42,430.50 — 1.4×
Replacement of a subcutaneous peritoneal ascites pump, including reconnection between pump and indwelling bladder and… (0871T) $37,012.55 — 1.4×
Replacement of sub-scalp implanted electrode array, receiver, and telemetry unit with tunneling of electrode for… (0960T) $37,310.30 — 1.4×
Replacment pt electronic sys (G0555) $1,180.80 — 1.4×
Repos Cardiac Modulj Transvenous Electrode (0415T) $862.57 $4,087 1.4×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $5,138.46 $6,552 1.4×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $862.57 — 1.4×
Reshaping bone orthognathic (D7940) $888.94 — 1.4×
Resin 4/> surf or w incis an (D2335) $888.94 — 1.4×
Resin infiltration of lesion (D2990) $888.94 — 1.4×
Resin one surface-anterior (D2330) $888.94 — 1.4×
Resin three surfaces-anterio (D2332) $888.94 — 1.4×
Resin two surfaces-anterior (D2331) $888.94 — 1.4×
Restorative foundation (D2949) $888.94 — 1.4×
Retreat root canal anterior (D3346) $888.94 — 1.4×
Retreat root canal molar (D3348) $888.94 — 1.4×
Retreat root canal premolar (D3347) $888.94 — 1.4×
Retrograde filling (D3430) $888.94 — 1.4×
Rev/Rmv Lw Esoph Sphnc Npg/R (1015T) $4,807.27 — 1.4×
Revasc intra lithotrip-ather (C9766)
range across 4 matching MRF lines
$25,206.69 $11,188–$26,390 1.4×
Revasc intra lithotrip-stent (C9765)
range across 8 matching MRF lines
$25,206.69 $8,203–$21,548 1.4×
Revasc intravasc lithotripsy (C9764)
range across 7 matching MRF lines
$15,873.70 $5,352–$11,661 1.4×
Revasc lith-sten-ath tib/per (C9775)
range across 3 matching MRF lines
$25,206.69 $17,851–$27,000 1.4×
Revasc lithotr-ather tib/per (C9774)
range across 3 matching MRF lines
$25,206.69 $17,851–$27,000 1.4×
Revasc lithotr-stent tib/per (C9773)
range across 3 matching MRF lines
$25,206.69 $17,851–$27,000 1.4×
Revasc lithotrip tibi/perone (C9772)
range across 3 matching MRF lines
$15,873.70 $11,498–$16,500 1.4×
Revasc lithotrip-stent-ather (C9767)
range across 4 matching MRF lines
$25,206.69 $26,390–$35,298 1.4×
Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body… (0790T) $24,109.66 — 1.4×
Revision of a subcutaneously implanted peritoneal ascites pump system, any component (ascites pump, associated… (0873T) $4,923.19 — 1.4×
Revision of sub-scalp implanted electrode array, receiver, and telemetry unit for electrode, when required, including… (0957T) $2,211.05 — 1.4×
Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) $4,807.27 — 1.4×
Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) $4,807.27 — 1.4×
Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) $4,807.27 — 1.4×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $4,807.27 — 1.4×
Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) $4,807.27 — 1.4×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $4,807.27 — 1.4×
Risk ascvd tst once pr 12 mo (G0537) $51.52 — 1.4×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $30,585.75 — 1.4×
Rmvl & Rplcmt Pg Compnt Wcs (0519T) $14,371.89 $13,593 1.4×
Rmvl Car Modulj Tranvns Elt (0413T) $5,138.46 $6,782 1.4×
Rmvl Cardiac Modulj Pls Gen (0412T) $5,138.46 $4,925 1.4×
Rmvl insj impltbl gluc sensor dif anatomic site (0448T) $5,720.69 — 1.4×
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) $5,138.46 — 1.4×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $5,138.46 — 1.4×
Rmvl perm ccm-d sys dual transvns leads only (0922T) $5,138.46 — 1.4×
Rmvl Pg Compnt Wcs (0518T) $5,138.46 $6,440 1.4×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $5,138.46 $5,171 1.4×
Rmvl&rimpltj ant sgm io nbiodgrd rx elut implt (0661T) $5,683.61 — 1.4×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $30,585.75 — 1.4×
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) $14,371.89 $6,660 1.4×
Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) $30,585.75 $54,150 1.4×
Root amputation (D3450) $888.94 — 1.4×
Root surgery molar (D3425) $888.94 — 1.4×
Root surgery premolar (D3421) $888.94 — 1.4×
Routine footcare pt w lops (G0247) $275.88 — 1.4×
Rplcmt indwelling bladder & peritoneal catheters (0872T) $4,923.19 — 1.4×
Rpr intst excl anrect fist (C9796) $3,816.64 — 1.4×
Rx Metab Advrs Trgt Seq Alys (0029U) $1,024.33 — 1.4×
Rx metab warfarin rx response trgt seq alys (0030U) $185.10 — 1.4×
Rx Mntr Lc-Ms/Ms Oral Fluid (0011U) $157.91 — 1.4×
Safety plan interven (G0560) $54.58 — 1.3×
Sbrt w/positron emission del (G0563) $4,374.81 — 1.4×
Scaling gingiv inflammation (D4346) $888.94 — 1.4×
Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a… (0004M) $109.02 — 1.4×
Scr c/v cyto, automated sys (G0147) $25.59 — 1.4×
Scr c/v cyto, autosys, rescr (G0148) $44.08 — 1.4×
Scr c/v cyto,thinlayer,rescr (G0144) $60.68 — 1.4×
Scr c/v cyto,thinlayer,rescr (G0145) $36.56 — 1.4×
Scr c/v cyto,thinlayer,rescr (G0143) $37.33 — 1.4×
Screen cerv/vag thin layer (G0123) $27.96 $137 1.4×
Screen pap by tech w md supv (P3000) $25.59 — 1.4×
Screening hep c detect (G0567) $48.42 — 1.4×
Semen analysis (G0027) $8.97 — 1.4×
Sialoendoscopy capt & interp (D0371) $119.66 — 1.4×
Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) $8,347.72 — 1.4×
Sim ang w/prs cath rad emb (C8004) $15,873.70 — 1.4×
Single energy x-ray study (G0130) $143.75 — 1.4×
Slctv nzmtc dbrdmt brn eschar anes s/n/hf&/md 1 (0975T) $558.97 — 1.4×
Slctv nzmtc dbrdmt brn eschar req anes t/a/l 1st (0973T) $558.97 — 1.4×
Smmg cncrnt appl imu snr (0778T) $176.93 — 1.4×
Soft tissue graft firsttooth (D4277) $2,133.48 — 1.4×
Software meas of cardiac vol (G0183) $119.66 — 1.4×
Space maintainer fxd unilat (D1510) $888.94 — 1.4×
Speech audiometry threshold, automated; Non-Facility Physician Technical Component (0210T) $51.36 — 1.4×
Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T) $51.36 — 1.4×
Spine device implant surgery (C9757) $17,653.66 — 1.4×
Splint extra-coronal (D4323) $888.94 — 1.4×
Splint intra-coronal (D4322) $888.94 — 1.4×
Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies (0810T) $5,720.69 — 1.4×
Subs psych care mng, subs mo (G0569) $139.68 — 1.4×
Supply of digital device (G0552) $183.07 — 1.4×
Surg exp root surf anterior (D3501) $888.94 — 1.4×
Surg exp root surf molar (D3503) $888.94 — 1.4×
Surg exp root surf premolar (D3502) $888.94 — 1.4×
Surg reduct osseoustuberosit (D7485) $8,139.99 — 1.4×
Surg rep root res anterior (D3471) $888.94 — 1.4×
Surg rep root res molar (D3473) $888.94 — 1.4×
Surg rep root res premolar (D3472) $888.94 — 1.4×
Surgical revision procedure (D4268) $888.94 — 1.4×
Surgical splint (D5988) $888.94 — 1.4×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $24.96 — 1.4×
Tactile breast img uni/bi (0422T) $119.66 — 1.4×
Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for… (0050U) $4,024.91 — 1.4×
Targeted genomic sequence analysis panel, non-small cell lung neoplasia, DNA and RNA analysis, 23 genes, interrogation… (0022U) $2,691 — 1.4×
Tbrf b grp antb detcj 4 recomb prtn imunoblt igg (0044U) $20.51 — 1.4×
Tbrf b grp antb detcj 4 recomb prtn imunoblt igm (0043U) $20.51 — 1.4×
Tc Auricular Nstimj Setup Calibration &Pt Educaj (0783T) $176.93 — 1.4×
Tc mag stimj pn 1st tx 1nrv (0766T) $296.91 — 1.4×
Tcat Impl Wrls Ivc Snr L-T Hemodyn Mntr (0981T) $25,206.69 — 1.4×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $4,457.77 — 1.4×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $26,485.55 $13,378 1.4×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $26,485.55 $19,586 1.4×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $26,485.55 $19,586 1.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $26,485.55 $19,586 1.4×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $4,341.66 $4,880 1.4×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $4,341.66 $8,227 1.4×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $4,341.66 $8,227 1.4×
Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) $4,341.66 $8,780 1.4×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $26,485.55 $13,378 1.4×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $26,485.55 $19,586 1.4×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $26,485.55 $19,586 1.4×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $26,485.55 $19,586 1.4×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $7,826.12 $7,082 1.4×
Tear film imaging unilateral or bilateral w/i&r (0330T) $51.36 — 1.4×
Tee w or w/o fol w/cont, mon (C8927) $1,077.92 — 1.4×
Tee w or w/o fol w/cont,cong (C8926) $1,077.92 $2,441 1.4×
Temp female intraurethral valve-pump 1st insj (0596T) $958.81 — 1.4×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) $958.81 — 1.4×
Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative 13,999 or fewer… (0025U) $157.91 — 1.4×
Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) $5,988.98 — 1.4×
Therapeutic procd strg endur (G0237) $39.77 — 1.4×
Therapeutic pulpotomy (D3220) $888.94 — 1.4×
Therapeutic ultrafiltration (0692T) $2,141.53 — 1.4×
Tmj arthroscopy disc reposit (D7874) $4,499.12 — 1.4×
Tomosynthesis, mammo (G0279) $16.91 — 1.3×
Tooth pin retention (D2951) $888.94 — 1.4×
Tooth reimplantation (D7270) $888.94 — 1.4×
Tooth root removal (D7250) $888.94 — 1.4×
Tooth splitting (D3920) $888.94 — 1.4×
Tooth transplantation (D7272) $888.94 — 1.4×
Tpmt and Nudt15 Genotype (0034U) $643.31 — 1.4×
Trabeculostomy ab interno by laser (0621T) $5,683.61 — 1.4×
Train for caregiver add 15 (G0540) $28.90 — 1.1×
Transanal insertion of endoluminal temporary colorectal anastomosis protection device, including vacuum anchoring… (0967T) $1,645.43 — 1.4×
Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) $25,206.69 $17,978 1.4×
Transcatheter Renal Sympath Denervation Bilat (0339T) $7,826.12 — 1.4×
Transcatheter renal sympath denervation unilat (0338T) $7,826.12 — 1.4×
Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2], oxyhemoglobin [ctHbO2], deoxyhemoglobin… (0061U) $34.64 — 1.4×
Transperineal focal laser abltj mal prst8 tiss (0655T) $7,372.68 — 1.4×
Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater than… (0867T) $7,372.68 — 1.4×
Transperineal laser destruction of benign prostatic enlargement using imaging guidance for prostate volume less than 50… (0714T) $7,372.68 — 1.4×
Transplantation medicine (allograft rejection, renal), measurement of donor and third-party-induced CD154+T-cytotoxic… (0018M) $884.21 — 1.4×
Transseptal fiberotomy (D7291) $888.94 — 1.4×
Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative… (0582T) $18,141.49 — 1.4×
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$1,832.81 $2,809–$9,551 1.4×
Treatment of complications (D9930) $888.94 — 1.4×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $4,830 — 1.4×
Trim nail(s) (G0127) $81.12 $110 1.4×
Trluml perip athrc abd aorta (0236T) $15,873.70 — 1.4×
Trluml Perip Athrc Brchiocph (0237T) $15,873.70 — 1.4×
Trluml Perip Athrc Iliac Art (0238T) $25,206.69 $21,409 1.4×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $15,873.70 — 1.4×
Trnscut elect modlation pain reproces ea tx sess (0278T) $176.93 — 1.4×
Trnsplj med kdn algrft rej 1494 genes alg (0088U) $4,360 — 1.4×
Trtmnt simulation 3d image (D0393) $119.66 — 1.4×
Tte w or w/o contr, cont ecg (C8930) $1,077.92 — 1.4×
Tte w or w/o fol w/con,stres (C8928) $1,077.92 $3,835 1.4×
Tte w or w/o fol w/cont, com (C8921) $1,077.92 $1,366 1.4×
Tte w or w/o fol w/cont, f/u (C8922) $1,077.92 $1,079 1.4×
Tte w or wo fol wcon,doppler (C8929) $1,077.92 $3,532 1.4×
Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal… (0060U) $1,047.49 — 1.4×
Tympanostomy Automated Tube Delivery System (0583T) $2,133.48 — 1.4×
U/s trtmt, not leiomyomata (C9734) $17,653.66 — 1.4×
Unsched dialysis esrd pt hos (G0257)
range across 2 matching MRF lines
$943.71 $1,184–$1,392 1.4×
Unscheduled dressing change (D4920) $888.94 — 1.4×
Unspecified periodontal proc (D4999) $325.68 — 1.4×
Upper GI Blood Detection Sensor Capsule I&R (0977T) $1,247.13 — 1.4×
Urine specimen collect mult (P9615) $12.89 — 1.4×
US Ablat Uter Leiomyom <200 (0071T) $4,451.18 — 1.4×
US Ablat Uter Leiomyom >200 (0072T) $4,451.18 — 1.4×
Vasc emb/occ w/prs cath (C9797) $25,206.69 $25,440 1.4×
Ven blood coll snf/hha (G0471) $15.65 — 1.4×
Veneer repair (D2983) $888.94 — 1.4×
Vert bitewings 7 to 8 images (D0277) $328.08 — 1.4×
Vestibuloplasty exten graft (D7350) $8,139.99 — 1.4×
Vestibuloplasty ridge extens (D7340) $8,139.99 — 1.4×
Visit esketamine 56m or less (G2082) $1,413.85 $1,056 1.4×
Visit esketamine, > 56m (G2083) $2,221.39 $1,543 1.4×
Visit to determ ldct elig (G0296) $139.68 $84 1.4×
Visual ep test for glaucoma (0464T) $176.93 — 1.4×
Visual Field Assessment Tech Support W/Instruct (0379T) $51.36 — 1.4×
Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative 13,999 or fewer assigned members (0038U) $40.85 — 1.4×
Warfarin respon genetic test (G9143) $166.59 — 1.4×
Wet mounts/ w preparations (Q0111) $25.59 $73 1.4×
Xenograft implantation into the articular surface Non-Facility (0737T) $17,653.66 — 1.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.