| 2d tte w or w/o fol w/con,fu (C8924) |
$640 |
$640 |
1.5× |
| Adm of soc dtr assess 5-15 m (G0136) |
$45 |
$45 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$80 |
$80 |
1.4× |
| Admin influenza virus vac (G0008) |
$80 |
$80 |
1.4× |
| Admin pneumococcal vaccine (G0009) |
$68 |
$68 |
1.2× |
| Annual alcohol screen 15 min (G0442) |
$52.50 |
$52.50 |
1.2× |
| Bia whole body composition assessment w/i&r (0358T) |
$53 |
$53 |
1.5× |
| Ca screen;pelvic/breast exam (G0101) |
$95 |
$95 |
0.8× |
| Colon ca scrn not hi rsk ind (G0121) |
$3,601.40 |
$3,601.40 |
3.2× |
| Colorectal scrn; hi risk ind (G0105) |
$3,577.63 |
$3,577.63 |
3.2× |
| Demonstrate use home inr mon (G0248) |
$255 |
$255 |
1.6× |
| Diab manage trn per indiv (G0108) |
$80 |
$80 |
1.4× |
| Diab manage trn ind/group (G0109) |
$72 |
$72 |
4.5× |
| Drug test def 1-7 classes (G0480) |
$120 |
$120 |
1.0× |
| Ekg tracing for initial prev (G0404) |
$40 |
$40 |
1.2× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) |
$160 |
$160 |
1.4× |
| Followup eval of foot pt lop (G0246) |
$79 |
$79 |
0.5× |
| Group behave couns 2-10 (G0473) |
$96 |
$96 |
2.1× |
| Home sleep test/type 3 porta (G0399) |
$257 |
$257 |
1.0× |
Iliac Atherectomy (0238T)
unusually low: confirm this is the full procedure |
$10,462 |
$10,462 |
0.5× |
| Initial foot exam pt lops (G0245) |
$95 |
$95 |
0.6× |
| Initial preventive exam (G0402) |
$110 |
$110 |
0.7× |
| Intens cardiac rehab no exer (G0423) |
$189 |
$189 |
1.2× |
| Intens cardiac rehab w/exerc (G0422) |
$189 |
$189 |
1.2× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,467 |
$1,467 |
3.5× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$1,506 |
$1,506 |
1.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$200 |
$200 |
0.4× |
| Obtaining screen pap smear (Q0091) |
$29 |
$29 |
0.8× |
| Oth resp proc, group (G0239) |
$55 |
$55 |
1.2× |
| Oth resp proc, indiv (G0238) |
$55 |
$55 |
1.6× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$9,636 |
$9,636 |
1.1× |
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure |
$350 |
$350 |
0.0× |
| Place device/marker, non pro (C9728) |
$1,215 |
$1,215 |
0.7× |
| Ppps, initial visit (G0438) |
$105 |
$105 |
0.6× |
| Ppps, subseq visit (G0439) |
$105 |
$105 |
0.8× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$2,865 |
$2,865 |
2.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$60 |
$60 |
1.3× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$60 |
$60 |
1.3× |
| Provide inr test mater/equip (G0249) |
$170 |
$170 |
1.1× |
| Psa screening (G0103) |
$55 |
$55 |
2.8× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report… (0812T) |
$60 |
$60 |
0.4× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of… (0811T) |
$215 |
$215 |
1.3× |
| Routine footcare pt w lops (G0247) |
$67 |
$67 |
0.3× |
| Surgical splint (D5988) |
$58 |
$58 |
0.1× |
| Therapeutic procd strg endur (G0237) |
$89 |
$89 |
2.6× |
| Tomosynthesis, mammo (G0279) |
$75 |
$75 |
5.9× |
| Trim nail(s) (G0127) |
$102 |
$102 |
1.4× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,172 |
$1,172 |
1.2× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,172 |
$1,172 |
1.2× |
| Visit to determ ldct elig (G0296) |
$125 |
$125 |
1.0× |
| Wet mounts/ w preparations (Q0111) |
$38 |
$38 |
2.0× |