| 2019-ncov diagnostic p (U0001) |
$34.50 |
$115 |
1.0× |
| 2d tee w or w/o fol w/con,in (C8925) |
$787.20 |
$2,624 |
1.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$772.80 |
$2,576 |
1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$558.60 |
$1,862 |
1.7× |
| Adm tocilizu covid-19 1st (M0249) |
$468.60 |
$1,562 |
1.1× |
| Adm tocilizu covid-19 2nd (M0250) |
$468.60 |
$1,562 |
1.1× |
| Admin hepatitis b vaccine (G0010) |
$6.90 |
$23 |
0.2× |
| Admin influenza virus vac (G0008) |
$49.50 |
$165 |
1.1× |
| Admin pneumococcal vaccine (G0009) |
$49.50 |
$165 |
1.1× |
| Ca screen;flexi sigmoidscope (G0104) |
$939.60 |
$3,132 |
1.1× |
| Catheterize for urine spec (P9612) |
$31.80 |
$106 |
3.4× |
| Chemo extend iv infus w/pump (G0498) |
$835.80 |
$2,786 |
2.6× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,424.40 |
$4,748 |
1.6× |
| Colorectal scrn; hi risk ind (G0105) |
$1,424.40 |
$4,748 |
1.6× |
| Covid-19 lab test non-cdc (U0002) |
$59.10 |
$197 |
1.2× |
| Diab manage trn per indiv (G0108) |
$132.90 |
$443 |
2.4× |
| Diab manage trn ind/group (G0109) |
$59.40 |
$198 |
3.7× |
| Direct refer hospital observ (G0379) |
$769.80 |
$2,566 |
1.3× |
| Drug test def 1-7 classes (G0480) |
$285.90 |
$953 |
2.5× |
| Elec stim other than wound (G0283) |
$120.30 |
$401 |
9.5× |
| Elec stim unattend for press (G0281) |
$134.40 |
$448 |
11.5× |
| Electrophysiologic eval icds w/ss electrode (0577T) |
$1,158.30 |
$3,861 |
1.0× |
| Group mnt 2 or more 30 mins (G0271) |
$108.30 |
$361 |
6.4× |
| Hbot, full body chamber, 30m (G0277) |
$174.90 |
$583 |
1.3× |
| Home sleep test/type 2 porta (G0398) |
$626.70 |
$2,089 |
3.0× |
| Home sleep test/type 3 porta (G0399) |
$413.10 |
$1,377 |
2.0× |
| Home sleep test/type 4 porta (G0400) |
$892.20 |
$2,974 |
4.3× |
| Hospital outpt clinic visit (G0463) |
$378 |
$1,260 |
3.0× |
| Inj for sacroiliac jt anesth (G0260) |
$918.90 |
$3,063 |
1.4× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$7,895.40 |
$26,318 |
1.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$34,409.40 |
$114,698 |
1.1× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$8,757 |
$29,190 |
1.1× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$8,757 |
$29,190 |
1.1× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$24,477.90 |
$81,593 |
1.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$30,587.10 |
$101,957 |
1.0× |
| Mnt subs tx for change dx (G0270) |
$108.30 |
$361 |
3.4× |
| Mra w/cont, abd (C8900) |
$1,364.40 |
$4,548 |
4.1× |
| Mra w/cont, chest (C8909) |
$1,399.80 |
$4,666 |
4.2× |
| Mra w/cont, lwr ext (C8912) |
$2,912.62 |
$9,708.75 |
8.7× |
| Mra w/cont, pelvis (C8918) |
$1,544.10 |
$5,147 |
4.6× |
| Mra w/o cont, abd (C8901) |
$1,240.20 |
$4,134 |
5.4× |
| Mra w/o cont, chest (C8910) |
$1,379.70 |
$4,599 |
6.0× |
| Mra w/o cont, lwr ext (C8913) |
$610.20 |
$2,034 |
2.7× |
| Mra w/o fol w/cont, abd (C8902) |
$1,848.90 |
$6,163 |
5.5× |
| Mra w/o fol w/cont, chest (C8911) |
$1,539.30 |
$5,131 |
4.6× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$3,199.50 |
$10,665 |
9.5× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,704.90 |
$5,683 |
5.1× |
| Mri w/cont, breast, bi (C8906) |
$1,419.60 |
$4,732 |
4.2× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,689.90 |
$5,633 |
5.0× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,349.10 |
$4,497 |
4.0× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$580.80 |
$1,936 |
1.1× |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) |
$3,382.20 |
$11,274 |
1.1× |
| Oth resp proc, indiv (G0238) |
$27.30 |
$91 |
1.0× |
| Pathogen test for platelets (P9100) |
$93.90 |
$313 |
1.7× |
| Perc d-e cor revasc chro sin (C9607) |
$10,881.90 |
$36,273 |
0.6× |
| Perc d-e cor revasc t cabg s (C9604) |
$12,090.90 |
$40,303 |
1.1× |
| Perc d-e cor stent ather s (C9602) |
$12,090.90 |
$40,303 |
0.7× |
| Perc drug-el cor stent sing (C9600) |
$12,090.90 |
$40,303 |
1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$9,671.70 |
$32,239 |
1.4× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$9,671.70 |
$32,239 |
1.4× |
| Place device/marker, non pro (C9728) |
$1,340.10 |
$4,467 |
1.0× |
| Prostate biopsy, any mthd (G0416) |
$1,556.40 |
$5,188 |
4.5× |
| Psa screening (G0103) |
$22.20 |
$74 |
1.1× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$855.60 |
$2,852 |
1.0× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$855.60 |
$2,852 |
1.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$648 |
$2,160 |
0.9× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$1,851.90 |
$6,173 |
0.9× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$3,595.20 |
$11,984 |
1.0× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$3,595.20 |
$11,984 |
1.0× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$621 |
$2,070 |
1.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$3,472.20 |
$11,574 |
1.0× |
| Revasc intra lithotrip-ather (C9766) |
$11,340.30 |
$37,801 |
0.6× |
| Revasc intra lithotrip-stent (C9765) |
$14,175.38 |
$47,251.25 |
0.8× |
| Revasc intravasc lithotripsy (C9764) |
$6,997.12 |
$23,323.75 |
0.6× |
| Revasc lith-sten-ath tib/per (C9775) |
$19,953.30 |
$66,511 |
1.1× |
| Revasc lithotr-ather tib/per (C9774) |
$18,139.20 |
$60,464 |
1.0× |
| Revasc lithotr-stent tib/per (C9773) |
$18,139.20 |
$60,464 |
1.0× |
| Revasc lithotrip tibi/perone (C9772) |
$11,340.30 |
$37,801 |
1.0× |
| Revasc lithotrip-stent-ather (C9767) |
$18,139.20 |
$60,464 |
1.0× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$24,477.90 |
$81,593 |
1.1× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$3,472.20 |
$11,574 |
1.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$3,472.20 |
$11,574 |
1.0× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) |
$21,414 |
$71,380 |
1.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$18,194.10 |
$60,647 |
1.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$19,254.90 |
$64,183 |
1.0× |
| Therapeutic procd strg endur (G0237) |
$27.30 |
$91 |
1.0× |
| Trauma respons w/hosp criti (G0390) |
$1,877.70 |
$6,259 |
1.5× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$5,535.30 |
$18,451 |
1.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$25,425.60 |
$84,752 |
1.4× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,781.40 |
$5,938 |
2.4× |
| Unsched dialysis esrd pt hos (G0257) |
$1,616.40 |
$5,388 |
2.4× |
| Vasc emb/occ w/prs cath (C9797) |
$16,908.30 |
$56,361 |
1.0× |