| 2d tee w or w/o fol w/con,in (C8925) |
$3,807 |
$3,807 |
4.8× |
| 2d tte w or w/o fol w/con,co (C8923) |
$2,752 |
$2,752 |
3.5× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$2,576 |
$2,576 |
7.4× |
| 3d anat seg imaging preop (C8001) |
$243 |
$243 |
1.9× |
| 3D cntr simula trgt lvr les (0944T) |
$667 |
$667 |
2.8× |
| Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) |
$4,494 |
$4,494 |
2.7× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$27,070 |
$27,070 |
2.5× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$9,774 |
$9,774 |
2.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$12,235 |
$12,235 |
6.2× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$12,235 |
$12,235 |
1.4× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$12,235 |
$12,235 |
6.2× |
| Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including target… (0890T) |
$10,351 |
$10,351 |
2.8× |
| Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including… (0892T) |
$10,351 |
$10,351 |
2.8× |
| Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including… (0891T) |
$10,351 |
$10,351 |
2.8× |
| Adm of soc dtr assess 5-15 m (G0136) |
$66 |
$66 |
1.8× |
| Adm tocilizu covid-19 1st (M0249) |
$943 |
$943 |
2.1× |
| Adm tocilizu covid-19 2nd (M0250) |
$943 |
$943 |
2.1× |
| Admin hepatitis b vaccine (G0010) |
$146.79 |
$146.79 |
3.1× |
| Admin influenza virus vac (G0008) |
$142.17 |
$142.17 |
3.0× |
| Admin pneumococcal vaccine (G0009) |
$145.72 |
$145.72 |
3.1× |
| Alcohol/subs interv 15-30mn (G0396) |
$82 |
$82 |
2.2× |
| Alcohol/subs interv >30 min (G0397) |
$402 |
$402 |
2.3× |
| Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype… (0877T) |
$1,405 |
$1,405 |
2.2× |
| Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype… (0878T) |
$1,405 |
$1,405 |
2.2× |
| Bitewings four images (D0274) |
$742 |
$742 |
3.1× |
| Bone replce graft first site (D4263) |
$1,367 |
$1,367 |
2.1× |
| Ca screen;flexi sigmoidscope (G0104) |
$2,022 |
$2,022 |
2.2× |
| Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) |
$10,476 |
$10,476 |
4.4× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,845 |
$2,845 |
3.1× |
| Colorectal scrn; hi risk ind (G0105) |
$3,188.50 |
$3,188.50 |
3.4× |
| Covid-19 lab test non-cdc (U0002) |
$243.50 |
$243.50 |
4.7× |
| Dental prophylaxis adult (D1110) |
$150 |
$150 |
1.1× |
| Depression screen annual (G0444) |
$63 |
$63 |
1.7× |
| Destruction neurofibromata, extensive, (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) |
$6,588 |
$6,588 |
8.9× |
| Destruction neurofibromata, extensive, (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) |
$6,588 |
$6,588 |
8.9× |
| Diab manage trn per indiv (G0108) |
$225 |
$225 |
4.0× |
| Diab manage trn ind/group (G0109) |
$64 |
$64 |
4.0× |
| Direct refer hospital observ (G0379) |
$1,630 |
$1,630 |
2.7× |
| Drug test def 1-7 classes (G0480) |
$234 |
$234 |
2.0× |
| Drug test def 15-21 classes (G0482) |
$645 |
$645 |
3.2× |
| Drug test def 22+ classes (G0483) |
$936 |
$936 |
3.8× |
| Drug test def 8-14 classes (G0481) |
$469 |
$469 |
3.0× |
| Elec stim other than wound (G0283) |
$308 |
$308 |
24.3× |
| Elec stim unattend for press (G0281) |
$308 |
$308 |
26.3× |
| Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing only (0904T) |
$164 |
$164 |
2.8× |
| Electrophysiologic eval icds w/ss electrode (0577T) |
$3,129 |
$3,129 |
2.6× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$32,771 |
$32,771 |
0.7× |
| Ephys eval ccm-d ld 1st impl (0930T) |
$2,914 |
$2,914 |
2.4× |
| Ephys eval ccm-d ld separate (0931T) |
$2,914 |
$2,914 |
2.4× |
| Extraction erupted tooth/exr (D7140) |
$170 |
$170 |
0.3× |
| Fecal blood scrn immunoassay (G0328) |
$114 |
$114 |
6.3× |
| Fecal microbiota prep instil (G0455) |
$759 |
$759 |
0.8× |
| Full mouth debridement (D4355) |
$5,467 |
$5,467 |
8.4× |
| Group mnt 2 or more 30 mins (G0271) |
$52 |
$52 |
3.1× |
| Hbot, full body chamber, 30m (G0277) |
$1,025 |
$1,025 |
7.4× |
| Heart symp image plnr spect (0332T) |
$3,886 |
$3,886 |
3.0× |
| Hospital outpt clinic visit (G0463) |
$282 |
$282 |
2.1× |
| Impact tooth remov comp bony (D7240) |
$911 |
$911 |
1.4× |
| Impact tooth remov part bony (D7230) |
$911 |
$911 |
1.4× |
| Impact tooth remov soft tiss (D7220) |
$911 |
$911 |
1.4× |
| Inj for sacroiliac jt anesth (G0260) |
$4,005 |
$4,005 |
5.7× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
$7,323 |
$7,323 |
2.2× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$4,862 |
$4,862 |
5.5× |
| Insert cv cath inf & sup app (C9780) |
$24,003 |
$24,003 |
3.0× |
| Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed,… (0744T) |
$12,335 |
$12,335 |
2.2× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$19,427 |
$19,427 |
2.3× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) |
$12,373 |
$12,373 |
1.2× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) |
$12,373 |
$12,373 |
1.2× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$53,871 |
$53,871 |
2.4× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$36,758 |
$36,758 |
1.6× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) |
$11,952 |
$11,952 |
2.2× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$19,862 |
$19,862 |
2.4× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$19,862 |
$19,862 |
2.4× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$76,948 |
$76,948 |
2.4× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$55,296 |
$55,296 |
1.8× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$19,566 |
$19,566 |
2.4× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$19,566 |
$19,566 |
2.4× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$55,296 |
$55,296 |
2.5× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$75,230 |
$75,230 |
2.4× |
| Instlj fecal microbiota ssp (0780T) |
$6,672 |
$6,672 |
50.0× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$102 |
$102 |
2.7× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$104 |
$104 |
2.8× |
| Interrog dev eval wcs ip (0521T) |
$71 |
$71 |
2.4× |
| Interrogation dev eval icds w/ss eltrd in person (0576T) |
$86 |
$86 |
2.3× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) |
$10,290 |
$10,290 |
2.4× |
| Iv cipaglucosidase alfa-atga (G0138) |
$1,795 |
$1,795 |
2.8× |
| Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) |
$687 |
$687 |
2.7× |
| Mnt subs tx for change dx (G0270) |
$92 |
$92 |
2.9× |
| Mra w/cont, abd (C8900) |
$2,603.50 |
$2,603.50 |
7.4× |
| Mra w/cont, chest (C8909) |
$2,603.50 |
$2,603.50 |
7.4× |
| Mra w/cont, lwr ext (C8912) |
$2,603.50 |
$2,603.50 |
7.4× |
| Mra w/cont, pelvis (C8918) |
$2,603.50 |
$2,603.50 |
7.4× |
| Mra w/o cont, abd (C8901) |
$2,054.50 |
$2,054.50 |
8.6× |
| Mra w/o cont, chest (C8910) |
$2,180 |
$2,180 |
9.1× |
| Mra w/o cont, lwr ext (C8913) |
$2,064.50 |
$2,064.50 |
8.6× |
| Mra w/o cont, pelvis (C8919) |
$2,054.50 |
$2,054.50 |
8.6× |
| Mra w/o fol w/cont, abd (C8902) |
$3,294 |
$3,294 |
9.4× |
| Mra w/o fol w/cont, chest (C8911) |
$3,026 |
$3,026 |
8.6× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$3,296 |
$3,296 |
9.4× |
| Mra w/o fol w/cont, pelvis (C8920) |
$3,296 |
$3,296 |
9.4× |
| Mra, w/dye, upper extremity (C8934) |
$2,603.50 |
$2,603.50 |
7.4× |
| Mra, w/o dye, spinal canal (C8932) |
$3,620 |
$3,620 |
15.1× |
| Mra, w/o dye, upper extr (C8935) |
$1,947.50 |
$1,947.50 |
8.1× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$5,773.50 |
$5,773.50 |
16.5× |
| Mra, w/o&w/dye, upper extr (C8936) |
$3,296 |
$3,296 |
9.4× |
| Mri w/cont, breast, bi (C8906) |
$3,839.50 |
$3,839.50 |
11.0× |
| Mri w/cont, breast, uni (C8903) |
$3,620 |
$3,620 |
20.6× |
| Mri w/o fol w/cont, breast, (C8908) |
$5,108.50 |
$5,108.50 |
14.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$4,240 |
$4,240 |
12.1× |
| N-invs det hrt fail aug echo (0932T) |
$828 |
$828 |
2.7× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$1,726 |
$1,726 |
3.2× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$4,862 |
$4,862 |
5.5× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$8,661 |
$8,661 |
19.3× |
| Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography… (0712T) |
$209 |
$209 |
1.0× |
| Noninvasive prostate cancer estimation map, derived from augmentative analysis of image-guided fusion biopsy and… (0898T) |
$2,808 |
$2,808 |
3.3× |
| Ortho impl mvmt alys pair CT (0946T) |
$293 |
$293 |
2.8× |
| Oth resp proc, group (G0239) |
$201 |
$201 |
5.4× |
| Oth resp proc, indiv (G0238) |
$201 |
$201 |
6.9× |
| Panoramic image (D0330) |
$151 |
$151 |
0.6× |
Pelvic ring fracture uni/bil (G0413)
likely a partial charge, not the full procedure |
$840 |
$840 |
0.1× |
| Perc d-e cor revasc chro sin (C9607) |
$13,302 |
$13,302 |
0.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$8,687 |
$8,687 |
0.8× |
| Perc d-e cor stent ather s (C9602) |
$13,302 |
$13,302 |
0.7× |
| Perc drug-el cor stent sing (C9600) |
$8,687 |
$8,687 |
0.8× |
| Periodontal scaling & root (D4341) |
$435 |
$435 |
0.7× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$13,738 |
$13,738 |
1.9× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$13,738 |
$13,738 |
1.9× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$13,684 |
$13,684 |
1.2× |
| Personalized target development for accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst… (0889T) |
$2,623 |
$2,623 |
2.8× |
| Prgrmg dev eval icds ss ip (0575T) |
$86 |
$86 |
2.3× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$99 |
$99 |
2.6× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$114 |
$114 |
3.0× |
| Prgrmg dev eval wcs ip (0522T) |
$153 |
$153 |
4.1× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$102 |
$102 |
2.7× |
| Programming device eval impl ccm-d sys in person (0926T) |
$104 |
$104 |
2.8× |
| Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) |
$117 |
$117 |
3.1× |
| Prolonged iv inf, req pump (C8957) |
$1,608 |
$1,608 |
7.5× |
| Prostate biopsy, any mthd (G0416) |
$562.50 |
$562.50 |
1.6× |
| Psa screening (G0103) |
$329.50 |
$329.50 |
17.1× |
| QTc interval derived by augmentative algorithmic analysis of input from an external, patient-activated mobile ECG device (0902T) |
$355 |
$355 |
2.7× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$770 |
$770 |
0.8× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$505 |
$505 |
2.1× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$505 |
$505 |
2.1× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$4,117 |
$4,117 |
2.0× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$4,174 |
$4,174 |
2.0× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$4,174 |
$4,174 |
2.0× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$4,558 |
$4,558 |
2.2× |
| Rem imp tooth w mucoper flp (D7210) |
$170 |
$170 |
0.1× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$104 |
$104 |
2.8× |
| Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) |
$99 |
$99 |
2.6× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) |
$36,758 |
$36,758 |
3.5× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) |
$6,386 |
$6,386 |
0.6× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$8,257 |
$8,257 |
2.2× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$8,257 |
$8,257 |
2.2× |
| Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) |
$6,386 |
$6,386 |
1.7× |
| Removal perm ccm-d system pulse generator only (0919T) |
$8,734 |
$8,734 |
2.3× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$8,989 |
$8,989 |
2.4× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$1,300 |
$1,300 |
2.1× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$8,980 |
$8,980 |
2.4× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$1,484 |
$1,484 |
2.4× |
| Revasc intra lithotrip-ather (C9766) |
$20,213 |
$20,213 |
1.1× |
| Revasc intra lithotrip-stent (C9765) |
$20,213 |
$20,213 |
1.1× |
| Revasc intravasc lithotripsy (C9764) |
$10,106 |
$10,106 |
0.9× |
| Revasc lith-sten-ath tib/per (C9775) |
$41,226 |
$41,226 |
2.2× |
| Revasc lithotr-ather tib/per (C9774) |
$40,674 |
$40,674 |
2.2× |
| Revasc lithotr-stent tib/per (C9773) |
$40,674 |
$40,674 |
2.2× |
| Revasc lithotrip tibi/perone (C9772) |
$25,429 |
$25,429 |
2.2× |
| Revasc lithotrip-stent-ather (C9767) |
$32,518 |
$32,518 |
1.8× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$55,296 |
$55,296 |
2.5× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) |
$8,734 |
$8,734 |
2.3× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$8,734 |
$8,734 |
2.3× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) |
$8,734 |
$8,734 |
2.3× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$8,980 |
$8,980 |
2.4× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$8,980 |
$8,980 |
2.4× |
| Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) |
$53,871 |
$53,871 |
2.4× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) |
$53,901 |
$53,901 |
2.4× |
| Rpr intst excl anrect fist (C9796) |
$7,569 |
$7,569 |
2.7× |
| Screen cerv/vag thin layer (G0123) |
$462.50 |
$462.50 |
22.8× |
| Screen pap by tech w md supv (P3000) |
$172 |
$172 |
9.3× |
| Speech audiometry threshold, automated; with speech recognition (0211T) |
$108 |
$108 |
2.9× |
| Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies (0810T) |
$11,731 |
$11,731 |
2.8× |
| Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) |
$7,719 |
$7,719 |
2.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$44,603 |
$44,603 |
2.3× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$44,557 |
$44,557 |
2.3× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$44,557 |
$44,557 |
2.3× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$44,557 |
$44,557 |
2.3× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$7,296 |
$7,296 |
2.3× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$7,289 |
$7,289 |
2.3× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$7,289 |
$7,289 |
2.3× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$7,289 |
$7,289 |
2.3× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$44,603 |
$44,603 |
2.3× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$44,557 |
$44,557 |
2.3× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
$44,557 |
$44,557 |
2.3× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$44,557 |
$44,557 |
2.3× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$11,896 |
$11,896 |
2.1× |
| Tee w or w/o fol w/cont, mon (C8927) |
$5,285 |
$5,285 |
6.7× |
| Tee w or w/o fol w/cont,cong (C8926) |
$6,055 |
$6,055 |
7.7× |
| Therapeutic procd strg endur (G0237) |
$201 |
$201 |
6.9× |
| Tomosynthesis, mammo (G0279) |
$308 |
$308 |
24.3× |
| Tooth root removal (D7250) |
$170 |
$170 |
0.3× |
| Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) |
$40,098 |
$40,098 |
2.2× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$18,433 |
$18,433 |
3.2× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$12,994 |
$12,994 |
1.1× |
| Trluml Perip Athrc Renal Art (0234T) |
$30,883 |
$30,883 |
2.7× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$21,667 |
$21,667 |
1.9× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$9,592 |
$9,592 |
0.5× |
| Tte w or w/o contr, cont ecg (C8930) |
$5,737 |
$5,737 |
7.3× |
| Tte w or w/o fol w/cont, com (C8921) |
$4,757 |
$4,757 |
6.0× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$2,621 |
$2,621 |
3.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$5,737 |
$5,737 |
7.3× |
| Unsched dialysis esrd pt hos (G0257) |
$4,290 |
$4,290 |
6.2× |
| Vasc emb/occ w/prs cath (C9797) |
$46,160 |
$46,160 |
2.5× |
| Visit esketamine 56m or less (G2082) |
$2,178 |
$2,178 |
2.1× |
| Visit esketamine, > 56m (G2083) |
$3,182 |
$3,182 |
2.0× |