| Adm tocilizu covid-19 1st (M0249) |
$450 |
$450 |
1.0× |
| Adm tocilizu covid-19 2nd (M0250) |
$450 |
$450 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$88 |
$88 |
1.9× |
| Admin influenza virus vac (G0008) |
$88 |
$88 |
1.9× |
| Admin pneumococcal vaccine (G0009) |
$88 |
$88 |
1.9× |
| Alcohol/subs interv 15-30mn (G0396) |
$128 |
$128 |
3.4× |
| Alcohol/subs interv >30 min (G0397) |
$266 |
$266 |
1.5× |
| Autolog prp not diab ulcer (G0460) |
$4,058 |
$4,058 |
2.0× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,471 |
$1,471 |
1.6× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,405 |
$2,405 |
2.6× |
| Colorectal scrn; hi risk ind (G0105) |
$2,405 |
$2,405 |
2.6× |
| Diab manage trn per indiv (G0108) |
$112 |
$112 |
2.0× |
| Diab manage trn ind/group (G0109) |
$63 |
$63 |
3.9× |
| Direct refer hospital observ (G0379) |
$82 |
$82 |
0.1× |
| Drug test def 1-7 classes (G0480) |
$83 |
$83 |
0.7× |
| Drug test def 8-14 classes (G0481) |
$264 |
$264 |
1.7× |
| Elec stim other than wound (G0283) |
$91 |
$91 |
7.2× |
| Electrophysiologic eval icds w/ss electrode (0577T) |
$1,214 |
$1,214 |
1.0× |
| Fern test (Q0114) |
$39 |
$39 |
4.0× |
| Group mnt 2 or more 30 mins (G0271) |
$47 |
$47 |
2.8× |
| Hbot, full body chamber, 30m (G0277) |
$582 |
$582 |
4.2× |
| Hospital outpt clinic visit (G0463) |
$202 |
$202 |
1.5× |
| Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) |
$349 |
$349 |
1.7× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$8,276 |
$8,276 |
1.0× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$32,062 |
$32,062 |
1.0× |
| Mnt subs tx for change dx (G0270) |
$56 |
$56 |
1.8× |
| Mra w/cont, pelvis (C8918) |
$2,771 |
$2,771 |
7.9× |
| Mra w/o fol w/cont, pelvis (C8920) |
$3,355 |
$3,355 |
9.6× |
| Mra, w/dye, upper extremity (C8934) |
$1,827 |
$1,827 |
5.2× |
| Mra, w/o&w/dye, upper extr (C8936) |
$3,351 |
$3,351 |
9.6× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,648 |
$3,648 |
10.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$2,104 |
$2,104 |
4.7× |
| Oth resp proc, group (G0239) |
$149 |
$149 |
4.0× |
| Oth resp proc, indiv (G0238) |
$110 |
$110 |
3.8× |
| Perc d-e cor revasc chro sin (C9607) |
$20,418 |
$20,418 |
1.1× |
| Perc d-e cor revasc t cabg s (C9604) |
$23,332 |
$23,332 |
2.0× |
| Perc d-e cor stent ather s (C9602) |
$24,882 |
$24,882 |
1.4× |
| Perc drug-el cor stent sing (C9600) |
$22,657 |
$22,657 |
2.0× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$8,982 |
$8,982 |
1.2× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$7,795 |
$7,795 |
1.1× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$8,499.15 |
$8,499.15 |
0.7× |
| Ppps, initial visit (G0438) |
$242 |
$242 |
1.4× |
| Ppps, subseq visit (G0439) |
$188 |
$188 |
1.4× |
| Prolonged iv inf, req pump (C8957) |
$659 |
$659 |
3.1× |
| Psa screening (G0103) |
$199 |
$199 |
10.3× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$3,639 |
$3,639 |
1.0× |
| Revasc intra lithotrip-ather (C9766) |
$22,147 |
$22,147 |
1.2× |
| Revasc intra lithotrip-stent (C9765) |
$23,679 |
$23,679 |
1.3× |
| Revasc intravasc lithotripsy (C9764) |
$14,302 |
$14,302 |
1.2× |
| Revasc lith-sten-ath tib/per (C9775) |
$38,712 |
$38,712 |
2.1× |
| Revasc lithotr-ather tib/per (C9774) |
$38,712 |
$38,712 |
2.1× |
| Revasc lithotr-stent tib/per (C9773) |
$38,712 |
$38,712 |
2.1× |
| Revasc lithotrip tibi/perone (C9772) |
$24,211 |
$24,211 |
2.1× |
| Revasc lithotrip-stent-ather (C9767) |
$30,270 |
$30,270 |
1.6× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$3,639 |
$3,639 |
1.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$3,639 |
$3,639 |
1.0× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) |
$22,446 |
$22,446 |
1.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$19,071 |
$19,071 |
1.0× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$3,148 |
$3,148 |
1.0× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$3,148 |
$3,148 |
1.0× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$3,148 |
$3,148 |
1.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$19,071 |
$19,071 |
1.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
$19,071 |
$19,071 |
1.0× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$19,071 |
$19,071 |
1.0× |
| Therapeutic procd strg endur (G0237) |
$114 |
$114 |
3.9× |
| Tomosynthesis, mammo (G0279) |
$68 |
$68 |
5.4× |
| Trauma respons w/hosp criti (G0390) |
$5,190.50 |
$5,190.50 |
3.9× |
| Unsched dialysis esrd pt hos (G0257) |
$840.50 |
$840.50 |
1.2× |