Medical Procedure Costs

G0248

Demonstrate use home inr mon

HCPCS - Temporary Procedures

$106

—

G0249

Provide inr test mater/equip

HCPCS - Temporary Procedures

$66

—

G0250

Md inr test revie inter mgmt

HCPCS - Temporary Procedures

$9

—

G0268

Removal of impacted wax md

HCPCS - Temporary Procedures

$27

—

G0270

Mnt subs tx for change dx

HCPCS - Temporary Procedures

$22

—

G0271

Group mnt 2 or more 30 mins

HCPCS - Temporary Procedures

$12

—

G0276

Pild/placebo control clin tr

HCPCS - Temporary Procedures

$359

—

G0277

Hbot, full body chamber, 30m

HCPCS - Temporary Procedures

$194

—

G0278

Iliac art angio,cardiac cath

HCPCS - Temporary Procedures

$12

—

G0279

Tomosynthesis, mammo

HCPCS - Temporary Procedures

$40

—

G0281

Elec stim unattend for press

HCPCS - Temporary Procedures

$12

—

G0283

Elec stim other than wound

HCPCS - Temporary Procedures

$13

—

G0288

Recon, cta for surg plan

HCPCS - Temporary Procedures

$46

—

G0289

Arthro, loose body + chondro

HCPCS - Temporary Procedures

$73

—

G0296

Visit to determ ldct elig

HCPCS - Temporary Procedures

$22

—

G0306

Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and

Pathology/Laboratory

$8

—

G0307

Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)

Pathology/Laboratory

$6

—

G0316

Prolong inpt eval add15 m

HCPCS - Temporary Procedures

$28

—

G0317

Prolong nursin fac eval 15m

HCPCS - Temporary Procedures

$27

—

G0318

Prolong home eval add 15m

HCPCS - Temporary Procedures

$27

—

G0323

Care manage beh svs 20mins

HCPCS - Temporary Procedures

$38

—

G0328

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3

Pathology/Laboratory

$18

—

G0329

Electromagntic tx for ulcers

HCPCS - Temporary Procedures

$11

—

G0341

Percutaneous islet celltrans

HCPCS - Temporary Procedures

$284

—

G0342

Laparoscopy islet cell trans

HCPCS - Temporary Procedures

$718

—

G0343

Laparotomy islet cell transp

HCPCS - Temporary Procedures

$1,165

—

G0372

Md service required for pmd

HCPCS - Temporary Procedures

$8

—

G0396

Alcohol/subs interv 15-30mn

HCPCS - Temporary Procedures

$29

—

G0397

Alcohol/subs interv >30 min

HCPCS - Temporary Procedures

$55

—

G0402

Initial preventive exam

HCPCS - Temporary Procedures

$114

—

G0403

Ekg for initial prevent exam

HCPCS - Temporary Procedures

$15

—

G0404

Ekg tracing for initial prev

HCPCS - Temporary Procedures

$7

—

G0405

Ekg interpret & report preve

HCPCS - Temporary Procedures

$8

—

G0406

Inpt/tele follow up 15

HCPCS - Temporary Procedures

$36

—

G0407

Inpt/tele follow up 25

HCPCS - Temporary Procedures

$64

—

G0408

Inpt/tele follow up 35

HCPCS - Temporary Procedures

$94

—

G0409

Corf related serv 15 mins ea

HCPCS - Temporary Procedures

$24

—

G0412

Open tx iliac spine uni/bil

HCPCS - Temporary Procedures

$669

—

G0413

Pelvic ring fracture uni/bil

HCPCS - Temporary Procedures

$978

—

G0414

Pelvic ring fx treat int fix

HCPCS - Temporary Procedures

$924

—

G0415

Open tx post pelvic fxcture

HCPCS - Temporary Procedures

$1,239

—

G0416

Prostate biopsy, any mthd

HCPCS - Temporary Procedures

$357

—

G0420

Ed svc ckd ind per session

HCPCS - Temporary Procedures

$114

—

G0421

Ed svc ckd grp per session

HCPCS - Temporary Procedures

$27

—

G0422

Intens cardiac rehab w/exerc

HCPCS - Temporary Procedures

$132

—

G0423

Intens cardiac rehab no exer

HCPCS - Temporary Procedures

$132

—

G0425

Inpt/ed teleconsult30

HCPCS - Temporary Procedures

$84

—

G0426

Inpt/ed teleconsult50

HCPCS - Temporary Procedures

$117

—

G0427

Inpt/ed teleconsult70

HCPCS - Temporary Procedures

$168

—

G0429

Dermal filler injection(s)

HCPCS - Temporary Procedures

$56

—

My Cost List