| 2d tte w or w/o fol w/con,fu (C8924) |
$1,790 |
$1,790 |
5.8× |
| Adm tocilizu covid-19 1st (M0249) |
$669 |
$669 |
1.7× |
| Admin hepatitis b vaccine (G0010) |
$135 |
$135 |
3.2× |
| Admin influenza virus vac (G0008) |
$135 |
$135 |
3.2× |
| Admin pneumococcal vaccine (G0009) |
$135 |
$135 |
3.2× |
| Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score (0716T) |
$293 |
$293 |
5.6× |
| Covid-19 lab test non-cdc (U0002) |
$183 |
$183 |
3.6× |
| Direct refer hospital observ (G0379) |
$128 |
$128 |
0.2× |
| Drug test def 1-7 classes (G0480) |
$175 |
$175 |
1.5× |
| Elec stim other than wound (G0283) |
$214 |
$214 |
16.9× |
| Elec stim unattend for press (G0281) |
$214 |
$214 |
18.3× |
| Fern test (Q0114) |
$56 |
$56 |
5.7× |
| Hbot, full body chamber, 30m (G0277) |
$1,536 |
$1,536 |
12.5× |
| Home sleep test/type 3 porta (G0399) |
$1,619 |
$1,619 |
8.4× |
| Lev 1 hosp type b ed visit (G0380) |
$745 |
$745 |
11.3× |
| Lev 2 hosp type b ed visit (G0381) |
$1,097 |
$1,097 |
13.3× |
| Lev 3 hosp type b ed visit (G0382) |
$1,344 |
$1,344 |
8.8× |
| Lev 4 hosp type b ed visit (G0383) |
$2,742 |
$2,742 |
11.6× |
| Lev 5 hosp type b ed visit (G0384) |
$4,247 |
$4,247 |
11.6× |
| Mra w/cont, abd (C8900) |
$6,836 |
$6,836 |
22.0× |
| Mra w/cont, chest (C8909) |
$1,806 |
$1,806 |
5.8× |
| Mra w/o cont, abd (C8901) |
$4,587 |
$4,587 |
21.6× |
| Mra w/o cont, chest (C8910) |
$4,587 |
$4,587 |
21.6× |
| Mra w/o cont, lwr ext (C8913) |
$4,587 |
$4,587 |
21.6× |
| Mra w/o cont, pelvis (C8919) |
$4,587 |
$4,587 |
21.6× |
| Mra w/o fol w/cont, abd (C8902) |
$7,734 |
$7,734 |
24.9× |
| Mra w/o fol w/cont, chest (C8911) |
$7,734 |
$7,734 |
24.9× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$7,734 |
$7,734 |
24.9× |
| Mra w/o fol w/cont, pelvis (C8920) |
$7,734 |
$7,734 |
24.9× |
| Mra, w/o dye, upper extr (C8935) |
$4,587 |
$4,587 |
21.6× |
| Mra, w/o&w/dye, upper extr (C8936) |
$7,734 |
$7,734 |
24.9× |
| Mri w/o fol w/cont, breast, (C8908) |
$7,734 |
$7,734 |
24.9× |
| Mri w/o fol w/cont, brst, un (C8905) |
$7,734 |
$7,734 |
24.9× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$3,374 |
$3,374 |
6.2× |
| Oth resp proc, group (G0239) |
$392 |
$392 |
11.8× |
| Pathogen test for platelets (P9100) |
$157 |
$157 |
3.0× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$4,653 |
$4,653 |
6.1× |
| Qmrcp w/dx MRI same anatomy (0724T) |
$4,789 |
$4,789 |
5.8× |
| Qmrcp w/o dx MRI sm anat ses (0723T) |
$4,789 |
$4,789 |
5.8× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$1,292 |
$1,292 |
1.6× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$11,082 |
$11,082 |
13.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$1,385 |
$1,385 |
1.9× |
| Tomosynthesis, mammo (G0279) |
$157 |
$157 |
12.4× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$2,907 |
$2,907 |
6.2× |
| Trauma respons w/hosp criti (G0390) |
$21,600 |
$21,600 |
18.2× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,283 |
$2,283 |
3.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,536 |
$2,536 |
3.6× |
| Unsched dialysis esrd pt hos (G0257) |
$1,922.50 |
$1,922.50 |
3.1× |