| 2019-ncov diagnostic p (U0001) |
$87 |
$116 |
2.4× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$975 |
$1,300 |
2.4× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$16,190.25 |
$21,587 |
1.6× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$4,709.25 |
$6,279 |
2.0× |
| Admin influenza virus vac (G0008) |
$87.75 |
$117 |
1.6× |
| Admin pneumococcal vaccine (G0009) |
$87.75 |
$117 |
1.6× |
| Blood mucoprotein (P2038) |
$16.50 |
$22 |
3.3× |
| Blood thymol turbidity (P2033) |
$16.50 |
$22 |
3.3× |
| Cbc without platelet (G0307) |
$19.50 |
$26 |
3.0× |
| Cbc/diffwbc w/o platelet (G0306) |
$24 |
$32 |
3.1× |
| Cephalin floculation test (P2028) |
$16.50 |
$22 |
3.3× |
| Colon ca scrn not hi rsk ind (G0121) |
$3,452.25 |
$4,603 |
3.1× |
| Colorectal scrn; hi risk ind (G0105) |
$4,625.25 |
$6,167 |
4.2× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) Non-Facility… (0637T) |
$1,027.50 |
$1,370 |
2.5× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s)… (0636T) |
$652.50 |
$870 |
2.3× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$1,027.50 |
$1,370 |
2.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) Non-Facility… (0634T) |
$547.50 |
$730 |
2.6× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material Non-Facility… (0633T) |
$502.50 |
$670 |
4.1× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$570 |
$760 |
2.8× |
| Congo red blood test (P2029) |
$16.50 |
$22 |
3.3× |
| Covid-19 lab test non-cdc (U0002) |
$126.75 |
$169 |
2.5× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$535.50 |
$714 |
3.1× |
| Cyp2d6 full gene sequence (0071U) |
$1,581 |
$2,108 |
2.6× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$2,010 |
$2,680 |
3.0× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) |
$1,341 |
$1,788 |
3.0× |
| Cyp2D6 Gen Cyp2D7-2D6 Hybrid (0073U) |
$1,341 |
$1,788 |
3.0× |
| Direct refer hospital observ (G0379) |
$570.75 |
$761 |
0.8× |
| Drug test def 1-7 classes (G0480) |
$501.75 |
$669 |
4.4× |
| Drug test def 15-21 classes (G0482) |
$1,008.75 |
$1,345 |
5.1× |
| Drug test def 22+ classes (G0483) |
$1,254 |
$1,672 |
5.1× |
| Drug test def 8-14 classes (G0481) |
$795 |
$1,060 |
5.1× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) |
$3,070.50 |
$4,094 |
1.4× |
| Eia hiv-1/hiv-2 screen (G0432) |
$60 |
$80 |
3.1× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$57 |
$76 |
3.1× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$102,687 |
$136,916 |
2.0× |
| Fecal blood scrn immunoassay (G0328) |
$78.75 |
$105 |
4.4× |
| Fern test (Q0114) |
$37.50 |
$50 |
3.9× |
| Hair analysis (P2031) |
$16.50 |
$22 |
3.3× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
$2,070.75 |
$2,761 |
2.5× |
| Hep c screen high risk/other (G0472) |
$150 |
$200 |
3.2× |
| Hiv combination assay (G0475) |
$74.25 |
$99 |
3.1× |
| Hospital outpt clinic visit (G0463) |
$163.50 |
$218 |
1.0× |
| Hpv combo assay ca screen (G0476) |
$117.75 |
$157 |
3.4× |
| Init/sub psych care m 1st 30 (G2214) |
$246.75 |
$329 |
2.1× |
| Inj for sacroiliac jt anesth (G0260) |
$2,031.75 |
$2,709 |
2.4× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$38,035.50 |
$50,714 |
1.4× |
| Insertion/replacement iims implantable mntr only (0527T) |
$13,708.50 |
$18,278 |
1.4× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$34,857 |
$46,476 |
0.9× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$363 |
$484 |
3.0× |
| Liver Dis 10 Assays W/Nash (0003M) |
$1,497.75 |
$1,997 |
3.0× |
| Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M) |
$1,497.75 |
$1,997 |
3.0× |
| Lpoprtn bld w/5 maj class auto prfl ucentrfugtn (0052U) |
$100.50 |
$134 |
3.0× |
| Neuro csf prion prtn qual (0035U) |
$1,656.75 |
$2,209 |
3.1× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$990.75 |
$1,321 |
1.9× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) |
$738.75 |
$985 |
3.0× |
| Onc brst dux carc is mrna 12 genes alg rsk scor (0045U) |
$11,517 |
$15,356 |
3.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$989.25 |
$1,319 |
3.1× |
| Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) |
$11,517 |
$15,356 |
3.0× |
| Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole… (0007M) |
$1,115.25 |
$1,487 |
3.0× |
| Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with… (0006M) |
$445.50 |
$594 |
3.0× |
| Oral hiv-1/hiv-2 screen (G0435) |
$36.75 |
$49 |
3.1× |
| Pathogen test for platelets (P9100) |
$164.25 |
$219 |
2.4× |
| Perc d-e cor revasc chro sin (C9607) |
$23,970.75 |
$31,961 |
1.1× |
| Perc d-e cor revasc t cabg s (C9604) |
$11,535 |
$15,380 |
0.8× |
| Perc d-e cor stent ather s (C9602) |
$26,080.50 |
$34,774 |
1.2× |
| Perc drug-el cor stent sing (C9600) |
$23,668.50 |
$31,558 |
1.7× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) |
$36,221.25 |
$48,295 |
2.4× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$36,221.25 |
$48,295 |
2.4× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$9,420 |
$12,560 |
1.1× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$9,420 |
$12,560 |
1.1× |
| Pinworm examinations (Q0113) |
$13.50 |
$18 |
3.2× |
| Place device/marker, non pro (C9728) |
$3,445.50 |
$4,594 |
2.1× |
| Pne flu hepb cov home admin (M0201) |
$98.25 |
$131 |
2.3× |
| Post-coital mucous exam (Q0115) |
$77.25 |
$103 |
3.1× |
| Potassium hydroxide preps (Q0112) |
$21.75 |
$29 |
3.7× |
| Prostate biopsy, any mthd (G0416) |
$837 |
$1,116 |
2.0× |
| Psa screening (G0103) |
$123 |
$164 |
6.4× |
| Revasc intravasc lithotripsy (C9764) |
$19,527 |
$26,036 |
1.4× |
| Revasc lith-sten-ath tib/per (C9775) |
$45,417 |
$60,556 |
2.1× |
| Revasc lithotr-ather tib/per (C9774) |
$45,417 |
$60,556 |
2.1× |
| Revasc lithotr-stent tib/per (C9773) |
$45,417 |
$60,556 |
2.1× |
| Revasc lithotrip tibi/perone (C9772) |
$28,395 |
$37,860 |
2.1× |
| Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a… (0004M) |
$234.75 |
$313 |
3.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$90 |
$120 |
3.4× |
| Screen cerv/vag thin layer (G0123) |
$123.75 |
$165 |
6.1× |
| Semen analysis (G0027) |
$19.50 |
$26 |
3.0× |
| Single energy x-ray study (G0130) |
$296.25 |
$395 |
2.4× |
| Tomosynthesis, mammo (G0279) |
$102.75 |
$137 |
8.1× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$10,409.25 |
$13,879 |
3.0× |
| Unsched dialysis esrd pt hos (G0257) |
$825 |
$1,100 |
1.0× |
| Ven blood coll snf/hha (G0471) |
$30 |
$40 |
2.6× |
| Warfarin respon genetic test (G9143) |
$372.75 |
$497 |
3.1× |
| Wet mounts/ w preparations (Q0111) |
$54 |
$72 |
2.9× |