| 2d tte w or w/o fol w/con,fu (C8924) |
$468.50 |
$937 |
1.4× |
| Admin hepatitis b vaccine (G0010) |
$54.50 |
$109 |
1.2× |
| Admin influenza virus vac (G0008) |
$27.25 |
$54.50 |
0.6× |
| Admin pneumococcal vaccine (G0009) |
$26.50 |
$53 |
0.6× |
| Alcohol/subs interv 15-30mn (G0396) |
$28 |
$56 |
0.8× |
| Autolog prp not diab ulcer (G0460) |
$1,824.50 |
$3,649 |
0.9× |
| Ca screen;flexi sigmoidscope (G0104) |
$819 |
$1,638 |
0.9× |
| Ca screen;pelvic/breast exam (G0101) |
$54.50 |
$109 |
0.6× |
| Catheterize for urine spec (P9612) |
$41.75 |
$83.50 |
4.5× |
| Chemo extend iv infus w/pump (G0498) |
$318 |
$636 |
1.0× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,394.75 |
$2,789.50 |
1.6× |
| Colorectal scrn; hi risk ind (G0105) |
$1,948.75 |
$3,897.50 |
2.2× |
| Covid-19 lab test non-cdc (U0002) |
$83.50 |
$167 |
1.6× |
| Depression screen annual (G0444) |
$17.75 |
$35.50 |
0.5× |
| Diab manage trn per indiv (G0108) |
$46 |
$92 |
0.8× |
| Drug test def 1-7 classes (G0480) |
$91.25 |
$182.50 |
0.8× |
| Drug test def 15-21 classes (G0482) |
$160 |
$320 |
0.8× |
| Drug test def 22+ classes (G0483) |
$232 |
$464 |
0.9× |
| Drug test def 8-14 classes (G0481) |
$176 |
$352 |
1.1× |
| Elec stim other than wound (G0283) |
$94.50 |
$189 |
7.4× |
| Hiv combination assay (G0475) |
$62.75 |
$125.50 |
2.6× |
| Hospital outpt clinic visit (G0463) |
$63 |
$126 |
0.5× |
| Hpv combo assay ca screen (G0476) |
$71 |
$142 |
2.0× |
| Ig paraprotein qual bld/ur (0077U) |
$93.88 |
$187.75 |
2.2× |
| Initial preventive exam (G0402) |
$79 |
$158 |
0.6× |
| Inj for sacroiliac jt anesth (G0260) |
$1,067.50 |
$2,135 |
1.6× |
| Intens behave ther cardio dx (G0446) |
$36 |
$72 |
1.0× |
| Lev 3 hosp type b ed visit (G0382) |
$585.50 |
$1,171 |
3.6× |
| Liver Dis 10 Assays W/Nash (0003M) |
$686.55 |
$1,373.10 |
1.4× |
| Mra w/cont, abd (C8900) |
$526.50 |
$1,053 |
1.6× |
| Mra w/o fol w/cont, abd (C8902) |
$1,352 |
$2,704 |
4.0× |
| Neuro csf prion prtn qual (0035U) |
$202 |
$404 |
0.4× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) |
$370 |
$740 |
1.9× |
| Obtaining screen pap smear (Q0091) |
$18 |
$36 |
0.6× |
| Oth resp proc, group (G0239) |
$81 |
$162 |
2.3× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$6,180 |
$12,360 |
0.5× |
| Ppps, initial visit (G0438) |
$127.50 |
$255 |
0.7× |
| Ppps, subseq visit (G0439) |
$102 |
$204 |
0.7× |
| Psa screening (G0103) |
$80.50 |
$161 |
4.2× |
| Risk ascvd tst once pr 12 mo (G0537) |
$28 |
$56 |
0.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$58 |
$116 |
2.2× |
| Screen cerv/vag thin layer (G0123) |
$95 |
$190 |
4.7× |
| Therapeutic procd strg endur (G0237) |
$134 |
$268 |
4.8× |
| Tomosynthesis, mammo (G0279) |
$51.75 |
$103.50 |
4.1× |
| Trauma respons w/hosp criti (G0390) |
$735 |
$1,470 |
0.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,466 |
$2,932 |
1.9× |