| 2019-ncov diagnostic p (U0001) |
$28.35 |
$40.50 |
0.8× |
| Admin hepatitis b vaccine (G0010) |
$27.30 |
$39 |
0.6× |
| Admin influenza virus vac (G0008) |
$42.70 |
$61 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$58.80 |
$84 |
1.2× |
| Ca screen;pelvic/breast exam (G0101) |
$58.10 |
$83 |
0.5× |
| Covid-19 lab test non-cdc (U0002) |
$38.50 |
$55 |
0.8× |
| Crown porcelain w/ h noble m (D2750) |
$10,972.50 |
$15,675 |
16.3× |
| Crown porcelain/ceramic (D2740) |
$10.50 |
$15 |
0.0× |
Cystoscopy prostatic imp 1-3 (C9739)
likely a partial charge, not the full procedure |
$1,390.20 |
$1,986 |
0.2× |
| Diab manage trn per indiv (G0108) |
$259.70 |
$371 |
4.7× |
| Diab manage trn ind/group (G0109) |
$137.90 |
$197 |
8.6× |
| Direct refer hospital observ (G0379) |
$312.20 |
$446 |
0.5× |
| Drug test def 1-7 classes (G0480) |
$44.20 |
$63.14 |
0.4× |
| Elec stim other than wound (G0283) |
$200.90 |
$287 |
15.8× |
| Fecal blood scrn immunoassay (G0328) |
$212.80 |
$304 |
11.8× |
| Fecal microbiota prep instil (G0455) |
$3,409.70 |
$4,871 |
3.5× |
| FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants,… (0046U) |
$1,557.50 |
$2,225 |
3.8× |
| Hbot, full body chamber, 30m (G0277) |
$951.30 |
$1,359 |
6.6× |
| Hopd mntl hlt, 15-29 min (C7900) |
$99.40 |
$142 |
2.5× |
| Hopd mntl hlt, 30-60 min (C7901) |
$254.10 |
$363 |
2.4× |
| Inj for sacroiliac jt anesth (G0260) |
$2,681.70 |
$3,831 |
3.6× |
| Liver dis 10 assays w/nash (0003M) |
$291.55 |
$416.50 |
0.6× |
| Mnt subs tx for change dx (G0270) |
$140.70 |
$201 |
4.4× |
| Mra w/cont, abd (C8900) |
$9,629.20 |
$13,756 |
26.4× |
| Mra w/cont, chest (C8909) |
$7,704.20 |
$11,006 |
21.1× |
| Mra w/cont, lwr ext (C8912) |
$11,715.20 |
$16,736 |
32.2× |
| Mra w/cont, pelvis (C8918) |
$9,629.20 |
$13,756 |
26.4× |
| Mra w/o cont, abd (C8901) |
$6,815.90 |
$9,737 |
27.4× |
| Mra w/o cont, chest (C8910) |
$6,026.30 |
$8,609 |
24.2× |
| Mra w/o cont, lwr ext (C8913) |
$9,542.05 |
$13,631.50 |
38.3× |
| Mra w/o cont, pelvis (C8919) |
$6,815.90 |
$9,737 |
27.4× |
| Mra w/o fol w/cont, abd (C8902) |
$9,445.10 |
$13,493 |
25.9× |
| Mra w/o fol w/cont, chest (C8911) |
$9,445.10 |
$13,493 |
25.9× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$14,764.40 |
$21,092 |
40.5× |
| Mra w/o fol w/cont, pelvis (C8920) |
$11,805.85 |
$16,865.50 |
32.4× |
| Mra, w/dye, spinal canal (C8931) |
$9,207.45 |
$13,153.50 |
25.3× |
| Mra, w/dye, upper extremity (C8934) |
$14,242.90 |
$20,347 |
39.1× |
| Mra, w/o dye, spinal canal (C8932) |
$6,815.90 |
$9,737 |
27.4× |
| Mra, w/o dye, upper extr (C8935) |
$8,508.85 |
$12,155.50 |
34.1× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$11,602.15 |
$16,574.50 |
31.8× |
| Mra, w/o&w/dye, upper extr (C8936) |
$18,191.95 |
$25,988.50 |
49.9× |
| Mri w/cont, breast, bi (C8906) |
$9,824.15 |
$14,034.50 |
27.0× |
| Mri w/cont, breast, uni (C8903) |
$10,844.40 |
$15,492 |
59.2× |
| Mri w/o fol w/cont, breast, (C8908) |
$12,063.45 |
$17,233.50 |
33.1× |
| Mri w/o fol w/cont, brst, un (C8905) |
$11,431.35 |
$16,330.50 |
31.4× |
| Neuro csf prion prtn qual (0035U) |
$378.69 |
$540.99 |
0.7× |
| Non-auto graft 1st tooth (D4275) |
$2,419.20 |
$3,456 |
1.5× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) |
$1,557.50 |
$2,225 |
3.8× |
| Obtaining screen pap smear (Q0091) |
$98 |
$140 |
3.2× |
| Oth resp proc, group (G0239) |
$332.50 |
$475 |
8.5× |
| Oth resp proc, indiv (G0238) |
$321.65 |
$459.50 |
10.7× |
| Pathogen test for platelets (P9100) |
$72.10 |
$103 |
1.2× |
| Perc d-e cor revasc chro sin (C9607) |
$35,006.30 |
$50,009 |
1.8× |
| Perc d-e cor revasc t cabg s (C9604) |
$25,506.60 |
$36,438 |
2.1× |
| Perc d-e cor stent ather s (C9602) |
$35,919.80 |
$51,314 |
1.9× |
| Perc drug-el cor stent sing (C9600) |
$14,334.60 |
$20,478 |
1.2× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) |
$15,467.90 |
$22,097 |
2.0× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) |
$7,735 |
$11,050 |
1.0× |
| Place device/marker, non pro (C9728) |
$5,121.90 |
$7,317 |
3.5× |
| Pne flu hepb cov home admin (M0201) |
$35.70 |
$51 |
0.9× |
| Psa screening (G0103) |
$191.10 |
$273 |
9.9× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$168 |
$240 |
0.2× |
| Red blood cell antigen typing, DNA, genotyping of 10 blood groups with phenotype pdediction of 37 red blood cell… (0084U) |
$242.30 |
$346.14 |
0.3× |
| Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and… (0740T) |
$219.80 |
$314 |
3.6× |
| Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of… (0741T) |
$134.40 |
$192 |
3.4× |
| Revasc intra lithotrip-ather (C9766) |
$41,706 |
$59,580 |
2.2× |
| Revasc intra lithotrip-stent (C9765) |
$44,625.70 |
$63,751 |
2.3× |
| Revasc lith-sten-ath tib/per (C9775) |
$71,790.60 |
$102,558 |
3.8× |
| Revasc lithotr-ather tib/per (C9774) |
$71,790.60 |
$102,558 |
3.8× |
| Revasc lithotr-stent tib/per (C9773) |
$71,790.60 |
$102,558 |
3.8× |
| Revasc lithotrip tibi/perone (C9772) |
$44,625.70 |
$63,751 |
3.7× |
| Revasc lithotrip-stent-ather (C9767) |
$67,093.60 |
$95,848 |
3.5× |
| Therapeutic procd strg endur (G0237) |
$133.70 |
$191 |
4.4× |
| Therapeutic ultrafiltration (0692T) |
$2,269.40 |
$3,242 |
1.4× |
| Tomosynthesis, mammo (G0279) |
$175.70 |
$251 |
13.8× |
| Transcatheter renal sympath denervation bilat (0339T) |
$7,364 |
$10,520 |
1.2× |
| Transcatheter renal sympath denervation unilat (0338T) |
$7,364 |
$10,520 |
1.2× |
| Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, with… (0766T) |
$1,129.10 |
$1,613 |
5.0× |
| Trauma respons w/hosp criti (G0390) |
$6,716.50 |
$9,595 |
4.8× |
Trluml perip athrc iliac art (0238T)
likely a partial charge, not the full procedure |
$2,689.40 |
$3,842 |
0.1× |
| Tte w or wo fol wcon,doppler (C8929) |
$8,900.50 |
$12,715 |
10.9× |
| Unsched dialysis esrd pt hos (G0257) |
$2,333.10 |
$3,333 |
3.3× |
| Visit esketamine 56m or less (G2082) |
$2,108.40 |
$3,012 |
2.0× |
| Visit esketamine, > 56m (G2083) |
$3,080 |
$4,400 |
1.8× |