| 2d tte w or w/o fol w/con,co (C8923) |
$850.12 |
$1,133.50 |
1.1× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$825 |
$1,100 |
2.4× |
| Admin hepatitis b vaccine (G0010) |
$57.75 |
$77 |
1.2× |
| Admin pneumococcal vaccine (G0009) |
$57.75 |
$77 |
1.2× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,036.50 |
$1,382 |
1.1× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,292.25 |
$1,723 |
1.4× |
| Colorectal scrn; hi risk ind (G0105) |
$1,318.50 |
$1,758 |
1.4× |
Cysto, litho, vacuum kidney (C9761)
likely a partial charge, not the full procedure |
$2,674.88 |
$3,566.50 |
0.3× |
| Direct refer hospital observ (G0379) |
$175.50 |
$234 |
0.3× |
| Drug test def 1-7 classes (G0480) |
$255 |
$340 |
2.2× |
| Drug test def 15-21 classes (G0482) |
$268.50 |
$358 |
1.4× |
| Drug test def 22+ classes (G0483) |
$530.25 |
$707 |
2.1× |
| Drug test def 8-14 classes (G0481) |
$268.50 |
$358 |
1.7× |
| Elec stim other than wound (G0283) |
$57.38 |
$76.50 |
4.5× |
| Home sleep test/type 2 porta (G0398) |
$449.25 |
$599 |
2.1× |
| Home sleep test/type 3 porta (G0399) |
$449.25 |
$599 |
2.1× |
| Home sleep test/type 4 porta (G0400) |
$449.25 |
$599 |
2.1× |
| Hospital outpt clinic visit (G0463) |
$209.62 |
$279.50 |
1.6× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
$4,077.75 |
$5,437 |
1.3× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$717.75 |
$957 |
1.6× |
| Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) |
$8,877.75 |
$11,837 |
1.4× |
| Prostate biopsy, any mthd (G0416) |
$321.38 |
$428.50 |
0.9× |
| Psa screening (G0103) |
$75.75 |
$101 |
3.9× |
| Trauma respons w/hosp criti (G0390) |
$977.62 |
$1,303.50 |
0.7× |
| Tte w or w/o fol w/cont, com (C8921) |
$870 |
$1,160 |
1.1× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$809.25 |
$1,079 |
1.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,564.12 |
$2,085.50 |
2.0× |