| 2d tte w or w/o fol w/con,co (C8923) |
$1,768.80 |
$2,211 |
2.2× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$984 |
$1,230 |
2.7× |
| Admin hepatitis b vaccine (G0010) |
$52.80 |
$66 |
1.1× |
| Catheterize for urine spec (P9612) |
$40.80 |
$51 |
4.4× |
| Covid-19 lab test non-cdc (U0002) |
$213.60 |
$267 |
4.2× |
| Diab manage trn per indiv (G0108) |
$156 |
$195 |
2.8× |
| Diab manage trn ind/group (G0109) |
$75.20 |
$94 |
4.7× |
| Direct refer hospital observ (G0379) |
$896 |
$1,120 |
1.4× |
| Drug test def 1-7 classes (G0480) |
$118.40 |
$148 |
1.0× |
| Drug test def 15-21 classes (G0482) |
$198.40 |
$248 |
1.0× |
| Drug test def 22+ classes (G0483) |
$247.20 |
$309 |
1.0× |
| Drug test def 8-14 classes (G0481) |
$156.80 |
$196 |
1.0× |
| Esd endoscopy or colonoscopy (C9779) |
$5,616 |
$7,020 |
1.4× |
| Fecal blood scrn immunoassay (G0328) |
$29.60 |
$37 |
1.6× |
| Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to… (0072T) |
$7,072 |
$8,840 |
2.1× |
| Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of… (0071T) |
$4,900 |
$6,125 |
1.4× |
| Hbot, full body chamber, 30m (G0277) |
$496.80 |
$621 |
3.5× |
| Insj/rplcmt compl iims (0525T) |
$16,132 |
$20,165 |
0.8× |
Insj/rplcmt iims eltrd only (0526T) unusually low: confirm this is the full procedure |
$4,132 |
$5,165 |
0.5× |
| Insj/rplcmt iims implt mntr (0527T) |
$5,908 |
$7,385 |
0.7× |
| Mnt subs tx for change dx (G0270) |
$30.80 |
$38.50 |
1.0× |
| Mra w/cont, abd (C8900) |
$3,076 |
$3,845 |
8.4× |
| Mra w/cont, lwr ext (C8912) |
$3,216 |
$4,020 |
8.8× |
| Mra w/cont, pelvis (C8918) |
$2,660 |
$3,325 |
7.3× |
| Mra w/o cont, abd (C8901) |
$1,616 |
$2,020 |
6.5× |
| Mra w/o cont, chest (C8910) |
$2,216 |
$2,770 |
8.9× |
| Mra w/o cont, lwr ext (C8913) |
$2,684 |
$3,355 |
10.8× |
| Mra w/o cont, pelvis (C8919) |
$2,216 |
$2,770 |
8.9× |
| Mra w/o fol w/cont, abd (C8902) |
$4,448 |
$5,560 |
12.2× |
| Mra w/o fol w/cont, chest (C8911) |
$4,448 |
$5,560 |
12.2× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$5,376 |
$6,720 |
14.8× |
| Mra w/o fol w/cont, pelvis (C8920) |
$4,448 |
$5,560 |
12.2× |
| Pathogen test for platelets (P9100) |
$87.20 |
$109 |
1.4× |
| Perc d-e cor revasc chro sin (C9607) |
$19,456 |
$24,320 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$18,800 |
$23,500 |
1.6× |
| Perc d-e cor stent ather s (C9602) |
$21,568 |
$26,960 |
1.1× |
| Perc drug-el cor stent sing (C9600) |
$26,820 |
$33,525 |
2.2× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) |
$4,752 |
$5,940 |
0.6× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) |
$4,752 |
$5,940 |
0.6× |
| Place device/marker, non pro (C9728) |
$920 |
$1,150 |
0.6× |
| Prolonged iv inf, req pump (C8957) |
$736 |
$920 |
3.3× |
| Prostate biopsy, any mthd (G0416) |
$435.60 |
$544.50 |
1.2× |
| Psa screening (G0103) |
$136.80 |
$171 |
7.1× |
| Removal complete iims (0530T) |
$1,644 |
$2,055 |
0.4× |
| Revasc intra lithotrip-ather (C9766) |
$17,716 |
$22,145 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$18,944 |
$23,680 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$14,300 |
$17,875 |
1.2× |
| Revasc lith-sten-ath tib/per (C9775) |
$36,928 |
$46,160 |
1.9× |
| Revasc lithotr-ather tib/per (C9774) |
$36,928 |
$46,160 |
1.9× |
| Revasc lithotr-stent tib/per (C9773) |
$36,928 |
$46,160 |
1.9× |
| Revasc lithotrip tibi/perone (C9772) |
$23,096 |
$28,870 |
1.9× |
| Revasc lithotrip-stent-ather (C9767) |
$24,216 |
$30,270 |
1.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$43,052 |
$53,815 |
2.1× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$43,052 |
$53,815 |
2.1× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$43,052 |
$53,815 |
2.1× |
| Tcat insj perm dual chamber ldls pm compl sys (0795T) |
$43,052 |
$53,815 |
2.1× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$7,044 |
$8,805 |
2.1× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$7,044 |
$8,805 |
2.1× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$7,044 |
$8,805 |
2.1× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$7,044 |
$8,805 |
2.1× |
| Tee w or w/o fol w/cont, mon (C8927) |
$1,768.80 |
$2,211 |
2.2× |
| Trluml perip athrc abd aorta (0236T) |
$17,808 |
$22,260 |
1.5× |
| Trluml perip athrc iliac art (0238T) |
$12,580 |
$15,725 |
0.7× |
| Trluml perip athrc renal art (0234T) |
$12,380 |
$15,475 |
1.0× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$12,580 |
$15,725 |
1.0× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,724 |
$2,155 |
2.1× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,768.80 |
$2,211 |
2.2× |