| Admin hepatitis b vaccine (G0010) |
$31.12 |
$41.50 |
0.6× |
| Admin influenza virus vac (G0008) |
$11.25 |
$15 |
0.2× |
| Admin pneumococcal vaccine (G0009) |
$31.12 |
$41.50 |
0.6× |
| Adrnl Cortcl Tum Bchm Asy 25 (0015M) |
$1,155.75 |
$1,541 |
0.9× |
| Antibody treponema pallidum total & rpr ia qual (0064U) |
$99.75 |
$133 |
3.2× |
| Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0764T) |
$39 |
$52 |
0.3× |
| Behavior counsel obesity 15m (G0447) |
$88.50 |
$118 |
0.8× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,108.12 |
$1,477.50 |
1.1× |
| Ca screen;pelvic/breast exam (G0101) |
$125.25 |
$167 |
1.2× |
| Catheterize for urine spec (P9612) |
$154.50 |
$206 |
16.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,539.75 |
$2,053 |
1.6× |
| Colorectal scrn; hi risk ind (G0105) |
$1,539.75 |
$2,053 |
1.6× |
| Comt gene analysis c.472g>a variant (0032U) |
$450 |
$600 |
2.6× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$450 |
$600 |
2.6× |
| Cyp2d6 3' gene dup/mlt (0076U) |
$450 |
$600 |
1.0× |
| Cyp2d6 full gene sequence (0071U) |
$450 |
$600 |
0.8× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$450 |
$600 |
0.7× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) |
$450 |
$600 |
1.0× |
| Demonstrate use home inr mon (G0248) |
$575.25 |
$767 |
4.1× |
| Diab manage trn per indiv (G0108) |
$87.75 |
$117 |
1.6× |
| Direct refer hospital observ (G0379) |
$72 |
$96 |
0.1× |
| Drug test def 1-7 classes (G0480) |
$173.25 |
$231 |
1.5× |
| Drug test def 15-21 classes (G0482) |
$295.50 |
$394 |
1.5× |
| Drug test def 8-14 classes (G0481) |
$218.62 |
$291.50 |
1.4× |
| Ekg tracing for initial prev (G0404) |
$85.50 |
$114 |
2.8× |
| Elec stim other than wound (G0283) |
$36 |
$48 |
2.8× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$32,855.25 |
$43,807 |
0.7× |
| Fern test (Q0114) |
$40.50 |
$54 |
4.2× |
| Hbot, full body chamber, 30m (G0277) |
$484.50 |
$646 |
3.4× |
| Home sleep test/type 3 porta (G0399) |
$864.75 |
$1,153 |
3.8× |
| Ig paraprotein qual bld/ur (0077U) |
$137.25 |
$183 |
3.2× |
Iliac Atherectomy (0238T)
unusually low: confirm this is the full procedure |
$7,971.75 |
$10,629 |
0.4× |
| Init/sub psych care m 1st 30 (G2214) |
$233.25 |
$311 |
2.2× |
| Initial preventive exam (G0402) |
$249.75 |
$333 |
1.8× |
| Inj for sacroiliac jt anesth (G0260) |
$1,028.25 |
$1,371 |
1.4× |
| Intens behave ther cardio dx (G0446) |
$36 |
$48 |
0.9× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$300 |
$400 |
2.5× |
| Liver Dis 10 Assays W/Nash (0003M) |
$975.75 |
$1,301 |
1.9× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$2,301.75 |
$3,069 |
4.9× |
| Obtaining screen pap smear (Q0091) |
$90.75 |
$121 |
3.0× |
| Oth resp proc, group (G0239) |
$170.25 |
$227 |
4.4× |
| Oth resp proc, indiv (G0238) |
$116.25 |
$155 |
3.8× |
| Perc d-e cor revasc chro sin (C9607) |
$28,065 |
$37,420 |
1.5× |
| Perc d-e cor revasc t cabg s (C9604) |
$21,288.75 |
$28,385 |
1.8× |
| Perc d-e cor stent ather s (C9602) |
$27,196.50 |
$36,262 |
1.4× |
| Perc drug-el cor stent sing (C9600) |
$21,149.25 |
$28,199 |
1.7× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$9,678.75 |
$12,905 |
1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$8,301 |
$11,068 |
1.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
$9,084.75 |
$12,113 |
0.8× |
| Potassium hydroxide preps (Q0112) |
$18.75 |
$25 |
3.2× |
| Ppps, initial visit (G0438) |
$313.50 |
$418 |
1.8× |
| Ppps, subseq visit (G0439) |
$142.50 |
$190 |
1.0× |
| Prostate biopsy, any mthd (G0416) |
$142.50 |
$190 |
0.4× |
| Provide inr test mater/equip (G0249) |
$247.50 |
$330 |
1.8× |
| Psa screening (G0103) |
$116.25 |
$155 |
6.0× |
| Revasc intra lithotrip-ather (C9766) |
$21,844.50 |
$29,126 |
1.1× |
| Revasc intra lithotrip-stent (C9765) |
$17,876.25 |
$23,835 |
0.9× |
| Revasc intravasc lithotripsy (C9764) |
$16,119.75 |
$21,493 |
1.3× |
| Revasc lithotrip tibi/perone (C9772) |
$17,790.75 |
$23,721 |
1.5× |
| Revasc lithotrip-stent-ather (C9767) |
$28,788.75 |
$38,385 |
1.5× |
| Rx Metab Advrs Trgt Seq Alys (0029U) |
$450 |
$600 |
0.6× |
| Rx metab warfarin rx response trgt seq alys (0030U) |
$525 |
$700 |
3.9× |
| Screen cerv/vag thin layer (G0123) |
$81 |
$108 |
4.0× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) |
$49.50 |
$66 |
2.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$9,123.75 |
$12,165 |
1.5× |
| Therapeutic procd strg endur (G0237) |
$106.50 |
$142 |
3.5× |
| Tpmt nudt15 gene analysis common variants (0034U) |
$450 |
$600 |
1.0× |
| Trauma respons w/hosp criti (G0390) |
$2,617.12 |
$3,489.50 |
1.9× |
| Trim nail(s) (G0127) |
$84 |
$112 |
1.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$7,753.50 |
$10,338 |
0.6× |
| Visit to determ ldct elig (G0296) |
$103.50 |
$138 |
1.0× |