| 2d tte w or w/o fol w/con,co (C8923) |
$1,696.80 |
$2,828 |
2.2× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$606 |
$1,010 |
1.7× |
| Adm tocilizu covid-19 1st (M0249) |
$862.20 |
$1,437 |
2.0× |
| Admin hepatitis b vaccine (G0010) |
$153.60 |
$256 |
3.3× |
| Admin influenza virus vac (G0008) |
$84.60 |
$141 |
1.8× |
| Admin pneumococcal vaccine (G0009) |
$84.60 |
$141 |
1.8× |
| Alveolus clsd reduc stblz te (D7771) |
$5,073 |
$8,455 |
1.5× |
| Ca screen;flexi sigmoidscope (G0104) |
$3,714.12 |
$6,190.20 |
4.0× |
| Catheterize for urine spec (P9612) |
$14.40 |
$24 |
1.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$3,701.82 |
$6,169.70 |
4.0× |
| Colorectal scrn; hi risk ind (G0105) |
$3,747.66 |
$6,246.10 |
4.1× |
| Covid-19 lab test non-cdc (U0002) |
$111.60 |
$186 |
2.2× |
| Direct refer hospital observ (G0379) |
$439.20 |
$732 |
0.7× |
| Drug test def 1-7 classes (G0480) |
$112.80 |
$188 |
1.0× |
| Ekg tracing for initial prev (G0404) |
$342 |
$570 |
11.9× |
| Elec stim other than wound (G0283) |
$181.80 |
$303 |
14.3× |
| Facility svs dental rehab (G0330) |
$6,553.68 |
$10,922.80 |
2.0× |
| Fern test (Q0114) |
$40.80 |
$68 |
4.2× |
| Hbot, full body chamber, 30m (G0277) |
$886.80 |
$1,478 |
6.5× |
| Hepb screen high risk indiv (G0499) |
$47.40 |
$79 |
1.7× |
| Home sleep test/type 3 porta (G0399) |
$594 |
$990 |
2.8× |
| Inj for sacroiliac jt anesth (G0260) |
$1,960.20 |
$3,267 |
2.8× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$13,035 |
$21,725 |
1.6× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$55,699.20 |
$92,832 |
1.8× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$50,497.20 |
$84,162 |
1.6× |
| Mra w/cont, abd (C8900) |
$2,722.80 |
$4,538 |
7.9× |
| Mra w/o cont, abd (C8901) |
$2,178.60 |
$3,631 |
9.2× |
| Mra w/o fol w/cont, abd (C8902) |
$1,691.40 |
$2,819 |
4.9× |
| Mra w/o fol w/cont, chest (C8911) |
$1,691.40 |
$2,819 |
4.9× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,691.40 |
$2,819 |
4.9× |
| Mri w/cont, breast, bi (C8906) |
$1,390.80 |
$2,318 |
4.0× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,691.40 |
$2,819 |
4.9× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$430.20 |
$717 |
0.8× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) |
$337.80 |
$563 |
1.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) |
$320.40 |
$534 |
1.0× |
| Oth resp proc, group (G0239) |
$58.80 |
$98 |
1.6× |
| Oth resp proc, indiv (G0238) |
$47.40 |
$79 |
1.6× |
| Pathogen test for platelets (P9100) |
$66 |
$110 |
1.1× |
| Perc d-e cor revasc chro sin (C9607) |
$27,629.40 |
$46,049 |
1.5× |
| Perc d-e cor revasc t cabg s (C9604) |
$17,334.60 |
$28,891 |
1.5× |
| Perc d-e cor stent ather s (C9602) |
$26,379.60 |
$43,966 |
1.4× |
| Perc drug-el cor stent sing (C9600) |
$7,524 |
$12,540 |
0.7× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$8,980.20 |
$14,967 |
0.8× |
| Potassium hydroxide preps (Q0112) |
$54.60 |
$91 |
9.4× |
| Prolonged iv inf, req pump (C8957) |
$609 |
$1,015 |
2.9× |
| Psa screening (G0103) |
$144 |
$240 |
7.5× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$380.70 |
$634.50 |
0.5× |
| Revasc intra lithotrip-stent (C9765) |
$27,629.40 |
$46,049 |
1.5× |
| Revasc intravasc lithotripsy (C9764) |
$18,703.20 |
$31,172 |
1.6× |
| Revasc lithotrip tibi/perone (C9772) |
$17,334.60 |
$28,891 |
1.5× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$5,731.80 |
$9,553 |
1.5× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$5,731.80 |
$9,553 |
1.5× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) |
$35,352.60 |
$58,921 |
1.6× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$35.40 |
$59 |
1.3× |
| Screen cerv/vag thin layer (G0123) |
$33.60 |
$56 |
1.7× |
| Screen pap by tech w md supv (P3000) |
$84.60 |
$141 |
4.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$30,702.60 |
$51,171 |
1.6× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$30,702.60 |
$51,171 |
1.6× |
| Therapeutic procd strg endur (G0237) |
$47.40 |
$79 |
1.6× |
| Tomosynthesis, mammo (G0279) |
$52.20 |
$87 |
4.1× |
| Tooth reimplantation (D7270) |
$1,387.20 |
$2,312 |
2.2× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$6,381 |
$10,635 |
1.8× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$29,905.20 |
$49,842 |
1.6× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,983.60 |
$3,306 |
2.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,322.60 |
$3,871 |
3.0× |
| Unsched dialysis esrd pt hos (G0257) |
$2,458.20 |
$4,097 |
3.6× |
| Wet mounts/ w preparations (Q0111) |
$37.80 |
$63 |
2.0× |