| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,328.32 |
$2,372 |
1.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$577.36 |
$1,031 |
1.1× |
| CT head/brain without contrast (70450) |
$1,437.52 |
$2,567 |
14.4× |
| MRI brain without contrast (70551) |
$3,175.20 |
$5,670 |
13.9× |
| MRI brain with contrast (70552) |
$4,132.24 |
$7,379 |
12.4× |
| MRI brain without and with contrast (70553) |
$4,310.88 |
$7,698 |
12.9× |
| X-ray lower spine, 4+ views (72110) |
$702.80 |
$1,255 |
7.0× |
| MRI lumbar spine without contrast (72148) |
$3,151.68 |
$5,628 |
13.8× |
| CT pelvis with contrast (72193) |
$2,917.60 |
$5,210 |
17.4× |
| MRI lower-extremity joint without contrast (73721) |
$3,046.96 |
$5,441 |
13.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,931.20 |
$7,020 |
11.8× |
| Ultrasound, abdomen complete (76700) |
$2,074.24 |
$3,704 |
20.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$703.92 |
$1,257 |
7.0× |
| Ultrasound, transvaginal (76830) |
$832.16 |
$1,486 |
8.3× |
| Mammography, one breast (diagnostic) (77065) |
$377.44 |
$674 |
4.4× |
| Mammography, both breasts (diagnostic) (77066) |
$754.88 |
$1,348 |
6.8× |
| Mammography, screening (bilateral) (77067) |
$107.52 |
$192 |
1.2× |
| Basic metabolic panel (80048) |
$160.72 |
$287 |
19.0× |
| Comprehensive metabolic panel (80053) |
$158.48 |
$283 |
15.0× |
| Lipid panel (80061) |
$142.24 |
$254 |
10.6× |
| Renal function panel (80069) |
$160.72 |
$287 |
18.5× |
| Hepatic function panel (80076) |
$235.76 |
$421 |
28.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$58.52 |
$104.50 |
16.8× |
| PSA, total (84153) |
$109.20 |
$195 |
5.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$152.32 |
$272 |
9.1× |
| CBC with automated differential (85025) |
$138.32 |
$247 |
17.8× |
| CBC, automated (85027) |
$86.52 |
$154.50 |
13.4× |
| Prothrombin time (PT) (85610) |
$53.76 |
$96 |
12.5× |
| Partial thromboplastin time (PTT) (85730) |
$40.88 |
$73 |
6.8× |
| Psychotherapy, 30 minutes (90832) |
$91.84 |
$164 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$122.64 |
$219 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$129.92 |
$232 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$103.04 |
$184 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$164.64 |
$294 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$2,797.20 |
$4,995 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$106.40 |
$190 |
3.7× |