| 2d tte w or w/o fol w/con,fu (C8924) |
$1,754.50 |
$1,754.50 |
5.6× |
| Admin hepatitis b vaccine (G0010) |
$58 |
$58 |
1.4× |
| Admin influenza virus vac (G0008) |
$58 |
$58 |
1.4× |
| Admin pneumococcal vaccine (G0009) |
$58 |
$58 |
1.4× |
| Arthro/shoul surg; w/spacer (C9781) |
$16,974 |
$16,974 |
1.5× |
| Autolog prp not diab ulcer (G0460) |
$1,301 |
$1,301 |
0.7× |
| Behavior counsel obesity 15m (G0447) |
$39 |
$39 |
0.4× |
| Ca screen;flexi sigmoidscope (G0104) |
$266 |
$266 |
0.3× |
| Ca screen;pelvic/breast exam (G0101) |
$49 |
$49 |
0.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,531 |
$1,531 |
1.8× |
| Colorectal scrn; hi risk ind (G0105) |
$1,531 |
$1,531 |
1.8× |
| Colpopexy, min/inv, ex-perit (C9778) |
$4,996 |
$4,996 |
1.1× |
| Cysto, litho, vacuum kidney (C9761) |
$23,623 |
$23,623 |
2.8× |
| Depression screen annual (G0444) |
$27 |
$27 |
0.8× |
| Diab manage trn per indiv (G0108) |
$72.50 |
$72.50 |
1.3× |
| Diab manage trn ind/group (G0109) |
$280 |
$280 |
17.5× |
| Direct refer hospital observ (G0379) |
$204 |
$204 |
0.4× |
| Drug test def 1-7 classes (G0480) |
$313 |
$313 |
2.7× |
| Drug test def 15-21 classes (G0482) |
$702 |
$702 |
3.5× |
| Drug test def 22+ classes (G0483) |
$828 |
$828 |
3.4× |
| Drug test def 8-14 classes (G0481) |
$370 |
$370 |
2.4× |
| Eia hiv-1/hiv-2 screen (G0432) |
$217 |
$217 |
11.1× |
| Elec stim other than wound (G0283) |
$88 |
$88 |
6.9× |
| Fern test (Q0114) |
$69.50 |
$69.50 |
7.1× |
| Hbot, full body chamber, 30m (G0277) |
$343 |
$343 |
2.8× |
| Hospital outpt clinic visit (G0463) |
$231 |
$231 |
1.9× |
| Initial preventive exam (G0402) |
$299 |
$299 |
2.5× |
| Inj for sacroiliac jt anesth (G0260) |
$1,498 |
$1,498 |
2.3× |
| Instlj fecal microbiota ssp (0780T) |
$330 |
$330 |
2.7× |
| Lev 1 hosp type b ed visit (G0380) |
$132 |
$132 |
2.0× |
| Lev 2 hosp type b ed visit (G0381) |
$166 |
$166 |
2.0× |
| Lev 3 hosp type b ed visit (G0382) |
$197 |
$197 |
1.3× |
| Lev 4 hosp type b ed visit (G0383) |
$268 |
$268 |
1.1× |
| Lev 5 hosp type b ed visit (G0384) |
$322 |
$322 |
0.9× |
| Mra w/cont, abd (C8900) |
$3,854.50 |
$3,854.50 |
12.2× |
| Mra w/o cont, lwr ext (C8913) |
$3,853.50 |
$3,853.50 |
17.8× |
| Mri w/cont, breast, bi (C8906) |
$2,474.50 |
$2,474.50 |
7.8× |
| Mri w/cont, breast, uni (C8903) |
$874 |
$874 |
5.5× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,644.50 |
$2,644.50 |
8.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$958 |
$958 |
3.0× |
| Obtaining screen pap smear (Q0091) |
$54 |
$54 |
2.1× |
| Oral hiv-1/hiv-2 screen (G0435) |
$63 |
$63 |
5.3× |
| Oth resp proc, group (G0239) |
$15 |
$15 |
0.4× |
| Oth resp proc, indiv (G0238) |
$14 |
$14 |
0.5× |
| Pinworm examinations (Q0113) |
$84 |
$84 |
19.7× |
| Potassium hydroxide preps (Q0112) |
$78.50 |
$78.50 |
13.5× |
| Ppps, initial visit (G0438) |
$204 |
$204 |
1.2× |
| Ppps, subseq visit (G0439) |
$139 |
$139 |
1.0× |
| Prostate biopsy, any mthd (G0416) |
$865 |
$865 |
2.7× |
| Psa screening (G0103) |
$77 |
$77 |
4.0× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$655 |
$655 |
3.3× |
| Revasc intra lithotrip-ather (C9766) |
$32,550 |
$32,550 |
2.0× |
| Revasc intra lithotrip-stent (C9765) |
$35,277 |
$35,277 |
2.1× |
| Revasc intravasc lithotripsy (C9764) |
$28,036 |
$28,036 |
2.7× |
| Revasc lithotr-ather tib/per (C9774) |
$44,828 |
$44,828 |
2.7× |
| Screen cerv/vag thin layer (G0123) |
$96 |
$96 |
4.7× |
| Therapeutic procd strg endur (G0237) |
$14 |
$14 |
0.5× |
| Tomosynthesis, mammo (G0279) |
$103 |
$103 |
8.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$43,713 |
$43,713 |
2.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,553 |
$2,553 |
3.6× |
| Unsched dialysis esrd pt hos (G0257) |
$3,202 |
$3,202 |
5.2× |
| Wet mounts/ w preparations (Q0111) |
$97 |
$97 |
5.2× |