| 2d tte w or w/o fol w/con,co (C8923) |
$1,608.67 |
$2,298.10 |
2.0× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,254.98 |
$1,792.82 |
3.5× |
| Chemo extend iv infus w/pump (G0498) |
$1,087.78 |
$1,553.97 |
3.2× |
| Direct refer hospital observ (G0379) |
$174.53 |
$249.32 |
0.3× |
Evasc ven artlz tibl/prnl vn (0620T)
likely a partial charge — not the full procedure |
$13,300 |
$19,000 |
0.3× |
| Hbot, full body chamber, 30m (G0277) |
$892.33 |
$1,274.75 |
6.3× |
| Inj for sacroiliac jt anesth (G0260) |
$1,663.22 |
$2,376.02 |
2.3× |
| Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when… (0409T) |
$15,435 |
$22,050 |
0.7× |
| Insj/rplc car modulj sys pls gen transvns eltrd (0408T) |
$18,375 |
$26,250 |
0.6× |
| Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and… (0418T) |
$38.60 |
$55.13 |
1.0× |
| Mri w/cont, breast, bi (C8906) |
$3,451.03 |
$4,930.04 |
9.7× |
| Mri w/cont, breast, uni (C8903) |
$2,532.17 |
$3,617.38 |
14.1× |
| Mri w/o fol w/cont, brst, un (C8905) |
$3,435.61 |
$4,908.01 |
9.6× |
| Oth resp proc, group (G0239) |
$241.31 |
$344.72 |
6.3× |
| Oth resp proc, indiv (G0238) |
$55.49 |
$79.27 |
1.9× |
| Perc d-e cor revasc chro sin (C9607) |
$28,518 |
$40,740 |
1.5× |
| Perc d-e cor revasc t cabg s (C9604) |
$22,463.64 |
$32,090.91 |
1.9× |
| Perc d-e cor stent ather s (C9602) |
$28,903.64 |
$41,290.91 |
1.5× |
| Perc drug-el cor stent sing (C9600) |
$23,746.94 |
$33,924.20 |
2.0× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low — confirm this is the full procedure |
$3,990 |
$5,700 |
0.3× |
| Prgrmg device evaluation cardiac modulj system (0417T) |
$38.60 |
$55.13 |
1.0× |
| Quan mr tis wo MRI 1orgn (0648T) |
$1,610 |
$2,300 |
1.7× |
| Quan mr tiss w/MRI 1orgn (0649T) |
$1,610 |
$2,300 |
1.7× |
| Red blood cell antigen typing, DNA, genotyping of 10 blood groups with phenotype pdediction of 37 red blood cell… (0084U) |
$700 |
$1,000 |
1.0× |
| Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups,… (0001U) |
$682.73 |
$975.32 |
0.9× |
| Reloc skin pocket pls gen (0416T) |
$3,858.75 |
$5,512.50 |
1.8× |
| Removal and replacement of permanent cardiac contractility modulation system pulse generator only (0414T) |
$13,891.50 |
$19,845 |
0.6× |
| Revasc intra lithotrip-ather (C9766) |
$22,341.06 |
$31,915.79 |
1.2× |
| Revasc intra lithotrip-stent (C9765) |
$21,502.69 |
$30,718.12 |
1.1× |
| Revasc intravasc lithotripsy (C9764) |
$12,495.45 |
$17,850.64 |
1.1× |
| Revasc lith-sten-ath tib/per (C9775) |
$30,558.71 |
$43,655.29 |
1.6× |
| Revasc lithotr-ather tib/per (C9774) |
$21,896.02 |
$31,280.02 |
1.2× |
| Revasc lithotr-stent tib/per (C9773) |
$20,693.47 |
$29,562.09 |
1.1× |
| Revasc lithotrip tibi/perone (C9772) |
$11,943.81 |
$17,062.58 |
1.0× |
| Revasc lithotrip-stent-ather (C9767) |
$34,651.19 |
$49,501.70 |
1.9× |
| Therapeutic procd strg endur (G0237) |
$55.49 |
$79.27 |
1.9× |
| Trluml perip athrc iliac art (0238T) |
$15,178.89 |
$21,684.12 |
0.8× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,726.74 |
$3,895.33 |
3.4× |
| Tte w or w/o fol w/con,stres (C8928) |
$2,514.80 |
$3,592.56 |
3.1× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,341.17 |
$3,344.52 |
2.9× |