| 2d tte w or w/o fol w/con,fu (C8924) |
$1,125 |
$1,875 |
3.2× |
| Adm tocilizu covid-19 1st (M0249) |
$270 |
$450 |
0.6× |
| Adm tocilizu covid-19 2nd (M0250) |
$270 |
$450 |
0.6× |
| Admin hepatitis b vaccine (G0010) |
$40.20 |
$67 |
0.9× |
| Admin influenza virus vac (G0008) |
$40.20 |
$67 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$40.20 |
$67 |
0.9× |
| Ca screen;pelvic/breast exam (G0101) |
$48 |
$80 |
0.5× |
| Catheterize for urine spec (P9612) |
$67.50 |
$112.50 |
7.2× |
| Chemo extend iv infus w/pump (G0498) |
$393 |
$655 |
1.2× |
| Diab manage trn per indiv (G0108) |
$52.20 |
$87 |
0.9× |
| Diab manage trn ind/group (G0109) |
$52.20 |
$87 |
3.3× |
| Direct refer hospital observ (G0379) |
$735.60 |
$1,226 |
1.2× |
| Elec stim other than wound (G0283) |
$107.40 |
$179 |
8.5× |
| Elec stim unattend for press (G0281) |
$241.80 |
$403 |
20.7× |
| Fecal blood scrn immunoassay (G0328) |
$19.20 |
$32 |
1.1× |
| Home sleep test/type 3 porta (G0399) |
$315 |
$525 |
1.5× |
| Inj for sacroiliac jt anesth (G0260) |
$738.60 |
$1,231 |
1.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$231 |
$385 |
1.9× |
| Liver dis 10 assays w/nash (0003M) |
$396 |
$660 |
0.8× |
| Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M) |
$498.60 |
$831 |
1.0× |
| Mnt subs tx for change dx (G0270) |
$34.80 |
$58 |
1.1× |
| Mra w/cont, abd (C8900) |
$1,701 |
$2,835 |
4.9× |
| Mra w/cont, chest (C8909) |
$1,701 |
$2,835 |
4.9× |
| Mra w/cont, lwr ext (C8912) |
$1,722 |
$2,870 |
4.9× |
| Mra w/cont, pelvis (C8918) |
$1,701 |
$2,835 |
4.9× |
| Mra w/o cont, abd (C8901) |
$1,521 |
$2,535 |
6.4× |
| Mra w/o cont, chest (C8910) |
$1,521 |
$2,535 |
6.4× |
| Mra w/o cont, lwr ext (C8913) |
$1,542 |
$2,570 |
6.5× |
| Mra w/o cont, pelvis (C8919) |
$1,521 |
$2,535 |
6.4× |
| Mra w/o fol w/cont, abd (C8902) |
$2,001 |
$3,335 |
5.7× |
| Mra w/o fol w/cont, chest (C8911) |
$2,001 |
$3,335 |
5.7× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,022 |
$3,370 |
5.8× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,001 |
$3,335 |
5.7× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,542 |
$2,570 |
4.4× |
| No pt prsnt train initial 30 (G0541) |
$66 |
$110 |
2.3× |
| Obtaining screen pap smear (Q0091) |
$11.40 |
$19 |
0.4× |
| Pinworm examinations (Q0113) |
$36 |
$60 |
8.4× |
| Psa screening (G0103) |
$111 |
$185 |
5.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$432 |
$720 |
0.6× |
| Therapeutic procd strg endur (G0237) |
$90.60 |
$151 |
3.1× |
| Tomosynthesis, mammo (G0279) |
$36 |
$60 |
2.8× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,254.60 |
$2,091 |
1.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,280 |
$3,800 |
2.9× |
| Wet mounts/ w preparations (Q0111) |
$85.80 |
$143 |
4.6× |