| Asstv alg ECG rsk asmt cncrt (0764T) |
$120 |
$240 |
0.9× |
| Asstv alg ECG rsk asmt prev (0765T) |
$120 |
$240 |
0.9× |
| Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) |
$425 |
$850 |
1.8× |
| Catheterize for urine spec (P9612) |
$10 |
$20 |
1.1× |
| CT breast w/3d rendering bi with contrast (0637T) |
$2,355 |
$4,710 |
6.9× |
| CT breast w/3d rendering bi without contrast (0636T) |
$2,205 |
$4,410 |
9.5× |
| CT breast w/3d rendering uni with contrast (0634T) |
$1,570 |
$3,140 |
9.2× |
| CT breast w/3d rendering uni without contrast (0633T) |
$1,470 |
$2,940 |
14.4× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) |
$3,455 |
$6,910 |
10.2× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) |
$2,305 |
$4,610 |
13.5× |
| Direct refer hospital observ (G0379) |
$147.50 |
$295 |
0.3× |
| Drug test def 15-21 classes (G0482) |
$322.50 |
$645 |
1.6× |
| Drug test def 22+ classes (G0483) |
$140 |
$280 |
0.6× |
| Extrnl counterpulse, per tx (G0166) |
$255 |
$510 |
2.0× |
| Fecal blood scrn immunoassay (G0328) |
$30 |
$60 |
1.7× |
| Group train w/o patient (G0543) |
$37.50 |
$75 |
1.3× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
$1,095 |
$2,190 |
1.6× |
| Home sleep test/type 3 porta (G0399) |
$570 |
$1,140 |
2.7× |
| Neuro csf prion prtn qual (0035U) |
$750 |
$1,500 |
1.4× |
| No pt prsnt train initial 30 (G0541) |
$20 |
$40 |
0.7× |
| Oth resp proc, group (G0239) |
$162.50 |
$325 |
4.5× |
| Oth resp proc, indiv (G0238) |
$65 |
$130 |
2.3× |
| Prostate biopsy, any mthd (G0416) |
$207.50 |
$415 |
0.6× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$645 |
$1,290 |
0.7× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$645 |
$1,290 |
0.7× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$190 |
$380 |
2.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$192.50 |
$385 |
0.3× |
| Revasc intra lithotrip-stent (C9765) |
$12,420 |
$24,840 |
0.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$92.50 |
$185 |
3.5× |
| Therapeutic procd strg endur (G0237) |
$65 |
$130 |
2.3× |
| Therapeutic ultrafiltration (0692T) |
$3,740 |
$7,480 |
2.5× |
| Tomosynthesis, mammo (G0279) |
$62.50 |
$125 |
4.9× |
| Trauma respons w/hosp criti (G0390) |
$3,185 |
$6,370 |
2.5× |
| Trim nail(s) (G0127) |
$50 |
$100 |
0.9× |
Trluml Perip Athrc Iliac Art (0238T)
unusually low: confirm this is the full procedure |
$8,840 |
$17,680 |
0.5× |
| Unsched dialysis esrd pt hos (G0257) |
$1,240 |
$2,480 |
1.9× |