| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$8,950 |
$8,950 |
2.1× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$4,172 |
$4,172 |
2.0× |
| Admin influenza virus vac (G0008) |
$182 |
$182 |
3.6× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) |
$125 |
$125 |
0.9× |
Catheterize for urine spec (P9612)
range across 3 matching MRF lines |
$24–$30 |
$24–$30 |
varies |
| Diab manage trn per indiv (G0108) |
$170 |
$170 |
3.0× |
| Diab manage trn ind/group (G0109) |
$45 |
$45 |
2.8× |
| Direct refer hospital observ (G0379) |
$375 |
$375 |
0.6× |
| Elec stim other than wound (G0283) |
$194 |
$194 |
15.3× |
| Hbot, full body chamber, 30m (G0277) |
$836 |
$836 |
5.7× |
| Hep c screen high risk/other (G0472) |
$117 |
$117 |
2.5× |
| Hpv combo assay ca screen (G0476) |
$147 |
$147 |
4.2× |
| Inj for sacroiliac jt anesth (G0260) |
$1,047 |
$1,047 |
1.4× |
Oth resp proc, group (G0239)
range across 3 matching MRF lines |
$139–$212 |
$139–$212 |
varies |
| Oth resp proc, indiv (G0238) |
$115 |
$115 |
3.7× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$16,742 |
$16,742 |
2.2× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$11,161 |
$11,161 |
1.4× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$23,646 |
$23,646 |
1.9× |
| Prostate biopsy, any mthd (G0416) |
$746 |
$746 |
1.9× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$1,533 |
$1,533 |
2.2× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$2,342 |
$2,342 |
2.3× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$1,983 |
$1,983 |
2.0× |
| Removal Ss Dfb Electrode (0573T) |
$9,418 |
$9,418 |
2.4× |
| Revasc intra lithotrip-ather (C9766) |
$33,398 |
$33,398 |
1.7× |
| Revasc intra lithotrip-stent (C9765) |
$31,443 |
$31,443 |
1.6× |
| Revasc intravasc lithotripsy (C9764) |
$15,573 |
$15,573 |
1.3× |
| Revasc lith-sten-ath tib/per (C9775) |
$41,172 |
$41,172 |
2.1× |
| Revasc lithotr-ather tib/per (C9774) |
$41,172 |
$41,172 |
2.1× |
| Revasc lithotr-stent tib/per (C9773) |
$41,006 |
$41,006 |
2.1× |
| Revasc lithotrip tibi/perone (C9772) |
$24,242 |
$24,242 |
2.0× |
| Revasc lithotrip-stent-ather (C9767) |
$41,006 |
$41,006 |
2.1× |
| Scr c/v cyto,thinlayer,rescr (G0144) |
$114 |
$114 |
2.6× |
| Screen cerv/vag thin layer (G0123) |
$168 |
$168 |
8.3× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$35,587 |
$35,587 |
1.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$12,446 |
$12,446 |
2.0× |
| Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) |
$7,775 |
$7,775 |
1.7× |
| Therapeutic procd strg endur (G0237) |
$77 |
$77 |
2.5× |
| Tomosynthesis, mammo (G0279) |
$225 |
$225 |
17.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$15,397 |
$15,397 |
2.5× |
| Transcatheter renal sympath denervation unilat (0338T) |
$19,449 |
$19,449 |
3.2× |
| Trauma respons w/hosp criti (G0390) |
$7,255 |
$7,255 |
5.1× |