| Adm tocilizu covid-19 1st (M0249) |
— |
$4,131.02 |
— |
| Adm tocilizu covid-19 2nd (M0250) |
— |
$4,130.22 |
— |
| Admin hepatitis b vaccine (G0010) |
— |
$275.52 |
— |
| Admin influenza virus vac (G0008) |
— |
$275.52 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$275.52 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$11,425.15 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$14,127.41 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$16,259.71 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$308.50 |
— |
| Direct refer hospital observ (G0379) |
— |
$1,435.09 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$809.52 |
— |
| Drug test def 15-21 classes (G0482) |
— |
$730.08 |
— |
| Elec stim other than wound (G0283) |
— |
$408.34 |
— |
| Facility svs dental rehab (G0330) |
— |
$58,841.74 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$1,100.91 |
— |
| Home sleep test/type 3 porta (G0399) |
— |
$1,014.73 |
— |
| Home sleep test/type 4 porta (G0400) |
— |
$2,542.96 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$3,056.04 |
— |
| Mra w/cont, abd (C8900) |
— |
$4,048.21 |
— |
| Mra w/cont, lwr ext (C8912) |
— |
$10,409.70 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$10,409.70 |
— |
| Mri w/cont, breast, bi (C8906) |
— |
$6,379.37 |
— |
| Mri w/cont, breast, uni (C8903) |
— |
$5,434.96 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$6,836.47 |
— |
| Mri w/o fol w/cont, brst, un (C8905) |
— |
$5,978.25 |
— |
| Oth resp proc, group (G0239) |
— |
$110.16 |
— |
| Oth resp proc, indiv (G0238) |
— |
$51.83 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$125,017.02 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$78,725.74 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$20,925.05 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$143,264.08 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$51.83 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$124.95 |
— |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
— |
$132,168.53 |
— |
| Transcatheter renal sympath denervation unilat (0338T) |
— |
$45,361.99 |
— |
| Trluml Perip Athrc Renal Art (0234T) |
— |
$78,725.74 |
— |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
— |
$78,725.74 |
— |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
— |
$125,017.02 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$1,668.54 |
— |