| Admin influenza virus vac (G0008) |
$42.40 |
$53 |
1.0× |
| Admin pneumococcal vaccine (G0009) |
$48 |
$60 |
1.1× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$684.16 |
$855.20 |
2.1× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$360.18 |
$450.22 |
1.6× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$684.16 |
$855.20 |
2.1× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$684.16 |
$855.20 |
4.2× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$522.17 |
$652.71 |
5.3× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$684.16 |
$855.20 |
4.2× |
| Covid-19 lab test non-cdc (U0002) |
$200 |
$250 |
3.9× |
| Direct refer hospital observ (G0379) |
$880 |
$1,100 |
1.6× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$12,200 |
$15,250 |
1.1× |
| Hbot, full body chamber, 30m (G0277) |
$200 |
$250 |
1.5× |
| Insertion/replacement complete iims (0525T) |
$26,548 |
$33,185 |
1.5× |
| Mra w/o cont, abd (C8901) |
$847.20 |
$1,059 |
3.8× |
| Mra w/o cont, chest (C8910) |
$640 |
$800 |
2.9× |
| Mra w/o cont, lwr ext (C8913) |
$640 |
$800 |
2.9× |
| Mra w/o fol w/cont, abd (C8902) |
$1,000 |
$1,250 |
3.1× |
| Mra w/o fol w/cont, chest (C8911) |
$1,000 |
$1,250 |
3.1× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,000 |
$1,250 |
3.1× |
| Perc d-e cor revasc chro sin (C9607) |
$15,880 |
$19,850 |
0.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$10,300 |
$12,875 |
0.9× |
| Perc d-e cor stent ather s (C9602) |
$11,940 |
$14,925 |
0.7× |
| Perc drug-el cor stent sing (C9600) |
$12,540 |
$15,675 |
1.2× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$9,122.43 |
$11,403.04 |
0.8× |
| Revasc intra lithotrip-ather (C9766) |
$20,000 |
$25,000 |
1.2× |
| Revasc intra lithotrip-stent (C9765) |
$20,000 |
$25,000 |
1.2× |
| Revasc intravasc lithotripsy (C9764) |
$11,080 |
$13,850 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$26,565.85 |
$33,207.31 |
1.5× |
| Revasc lithotrip tibi/perone (C9772) |
$15,400 |
$19,250 |
1.4× |
| Revasc lithotrip-stent-ather (C9767) |
$26,731.70 |
$33,414.62 |
1.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$28,000 |
$35,000 |
1.5× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$27,157.70 |
$33,947.12 |
1.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$29,704.56 |
$37,130.70 |
1.6× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$4,620 |
$5,775 |
1.6× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$4,442.59 |
$5,553.24 |
1.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$7,568 |
$9,460 |
1.4× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$9,612.11 |
$12,015.14 |
1.8× |