| 2d tee w or w/o fol w/con,in (C8925) |
$695.10 |
$993 |
0.8× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$885.50 |
$1,265 |
2.3× |
| Adm tocilizu covid-19 1st (M0249) |
$441.70 |
$631 |
0.9× |
| Chemo extend iv infus w/pump (G0498) |
$795.90 |
$1,137 |
2.2× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) |
$1,439.20 |
$2,056 |
1.7× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) |
$1,439.20 |
$2,056 |
1.7× |
| Diab manage trn per indiv (G0108) |
$143.50 |
$205 |
2.6× |
| Diab manage trn ind/group (G0109) |
$88.20 |
$126 |
5.5× |
| Direct refer hospital observ (G0379) |
$688.80 |
$984 |
1.0× |
| Drug test def 1-7 classes (G0480) |
$231 |
$330 |
2.0× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$28,875.70 |
$41,251 |
0.6× |
| Hbot, full body chamber, 30m (G0277) |
$662.20 |
$946 |
4.3× |
| Home sleep test/type 3 porta (G0399) |
$614.60 |
$878 |
2.6× |
| Hospital outpt clinic visit (G0463) |
$368.90 |
$527 |
2.5× |
| Iliac Atherectomy (0238T) |
$26,036.50 |
$37,195 |
1.3× |
| Lev 1 hosp type b ed visit (G0380) |
$267.40 |
$382 |
3.2× |
| Lev 2 hosp type b ed visit (G0381) |
$387.80 |
$554 |
3.7× |
| Lev 3 hosp type b ed visit (G0382) |
$507.50 |
$725 |
2.6× |
| Lev 4 hosp type b ed visit (G0383) |
$731.50 |
$1,045 |
2.5× |
| Lev 5 hosp type b ed visit (G0384) |
$2,072 |
$2,960 |
4.5× |
| Mnt subs tx for change dx (G0270) |
$88.20 |
$126 |
2.8× |
| Oth resp proc, group (G0239) |
$178.50 |
$255 |
4.3× |
| Oth resp proc, indiv (G0238) |
$112 |
$160 |
3.5× |
| Pathogen test for platelets (P9100) |
$774.90 |
$1,107 |
11.8× |
| Perc d-e cor revasc chro sin (C9607) |
$21,732.20 |
$31,046 |
1.1× |
| Perc d-e cor revasc t cabg s (C9604) |
$25,455.50 |
$36,365 |
2.0× |
| Perc d-e cor stent ather s (C9602) |
$21,747.60 |
$31,068 |
1.1× |
| Perc drug-el cor stent sing (C9600) |
$20,396.60 |
$29,138 |
1.6× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$7,723.10 |
$11,033 |
1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$15,238.30 |
$21,769 |
1.9× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure |
$6,386.80 |
$9,124 |
0.5× |
| Place device/marker, non pro (C9728) |
$5,927.60 |
$8,468 |
3.8× |
| Prostate biopsy, any mthd (G0416) |
$525 |
$750 |
1.3× |
| Revasc intra lithotrip-ather (C9766) |
$12,392.10 |
$17,703 |
0.6× |
| Revasc intra lithotrip-stent (C9765) |
$21,282.80 |
$30,404 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$13,028.40 |
$18,612 |
1.0× |
| Revasc lithotrip tibi/perone (C9772) |
$18,272.10 |
$26,103 |
1.4× |
| Revasc lithotrip-stent-ather (C9767) |
$17,535 |
$25,050 |
0.9× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) |
$51,237.90 |
$73,197 |
2.1× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$25,991 |
$37,130 |
1.2× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$25,991 |
$37,130 |
1.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$29,397.20 |
$41,996 |
1.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$11,376.40 |
$16,252 |
1.8× |
| Therapeutic procd strg endur (G0237) |
$123.20 |
$176 |
3.8× |
| Tomosynthesis, mammo (G0279) |
$45.50 |
$65 |
3.6× |
| Trauma respons w/hosp criti (G0390) |
$6,121.50 |
$8,745 |
4.1× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$24,523.10 |
$35,033 |
1.9× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,376.20 |
$1,966 |
1.6× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,033.90 |
$1,477 |
1.2× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,687.70 |
$2,411 |
1.9× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,646.40 |
$2,352 |
1.9× |
| Unsched dialysis esrd pt hos (G0257) |
$3,631.60 |
$5,188 |
4.7× |