| 2d tee w or w/o fol w/con,in (C8925) |
— |
$3,649.75 |
— |
| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$1,019.75 |
— |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
— |
$4,218 |
— |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
— |
$13,697.75 |
— |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
— |
$4,218 |
— |
| Admin hepatitis b vaccine (G0010) |
— |
$37 |
— |
| Admin influenza virus vac (G0008) |
— |
$63.25 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$45.75 |
— |
| Chemo extend iv infus w/pump (G0498) |
— |
$881.25 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$99 |
— |
| Cysto, litho, vacuum kidney (C9761) |
— |
$22,425 |
— |
| Depression screen annual (G0444) |
— |
$29 |
— |
| Diab manage trn ind/group (G0109) |
— |
$52.50 |
— |
| Direct refer hospital observ (G0379) |
— |
$1,282 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$62 |
— |
| Elec stim other than wound (G0283) |
— |
$81.75 |
— |
| Fecal microbiota prep instil (G0455) |
— |
$1,889.88 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$514 |
— |
| Hep c screen high risk/other (G0472) |
— |
$53 |
— |
| Hiv combination assay (G0475) |
— |
$101.50 |
— |
| Home sleep test/type 3 porta (G0399) |
— |
$414.25 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$259.75 |
— |
| Initial preventive exam (G0402) |
— |
$260.15 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$312.50 |
— |
| Mra w/cont, lwr ext (C8912) |
— |
$3,657.25 |
— |
| Mra w/o cont, abd (C8901) |
— |
$3,265 |
— |
| Mra w/o cont, lwr ext (C8913) |
— |
$3,265 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$3,657.25 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$1,683.50 |
— |
| Mra, w/o dye, upper extr (C8935) |
— |
$1,321.25 |
— |
| Mra, w/o&w/dye, upper extr (C8936) |
— |
$3,265 |
— |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
— |
$650 |
— |
| Obtaining screen pap smear (Q0091) |
— |
$66 |
— |
| Oth resp proc, group (G0239) |
— |
$146.38 |
— |
| Oth resp proc, indiv (G0238) |
— |
$154.75 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$19,256 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$19,256 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$19,256 |
— |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
— |
$28,964.75 |
— |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
— |
$13,827 |
— |
| Ppps, initial visit (G0438) |
— |
$276.80 |
— |
| Ppps, subseq visit (G0439) |
— |
$184.17 |
— |
| Psa screening (G0103) |
— |
$104.88 |
— |
| Qmrcp w/o dx MRI sm anat ses (0723T) |
— |
$2,235.75 |
— |
| Quan CT tiss charac w/o CT (0721T) |
— |
$1,530.25 |
— |
| Revasc intra lithotrip-ather (C9766) |
— |
$22,950 |
— |
| Revasc intra lithotrip-stent (C9765) |
— |
$24,171.75 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$11,930.50 |
— |
| Revasc lith-sten-ath tib/per (C9775) |
— |
$38,664.25 |
— |
| Revasc lithotr-ather tib/per (C9774) |
— |
$38,664.25 |
— |
| Revasc lithotr-stent tib/per (C9773) |
— |
$38,664.25 |
— |
| Revasc lithotrip tibi/perone (C9772) |
— |
$24,171.75 |
— |
| Revasc lithotrip-stent-ather (C9767) |
— |
$38,664.25 |
— |
| Scr c/v cyto,thinlayer,rescr (G0145) |
— |
$149.75 |
— |
| Screen pap by tech w md supv (P3000) |
— |
$60.25 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$251.25 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$79.50 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$5,553.50 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$1,245 |
— |
| Tte w or w/o fol w/cont, com (C8921) |
— |
$1,752.50 |
— |
| Tte w or w/o fol w/cont, f/u (C8922) |
— |
$918.75 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$3,173.50 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$641.25 |
— |