| 2d tee w or w/o fol w/con,in (C8925) |
$3,208.40 |
$4,936 |
4.3× |
| 2d tte w or w/o fol w/con,co (C8923) |
$996.45 |
$1,533 |
1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$825.50 |
$1,270 |
2.5× |
| Adm tocilizu covid-19 1st (M0249) |
$631.80 |
$972 |
1.5× |
| Adm tocilizu covid-19 2nd (M0250) |
$631.80 |
$972 |
1.5× |
| Admin hepatitis b vaccine (G0010) |
$70.20 |
$108 |
1.6× |
| Admin influenza virus vac (G0008) |
$48.75 |
$75 |
1.1× |
| Admin pneumococcal vaccine (G0009) |
$52.65 |
$81 |
1.2× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$71.50 |
$110 |
2.3× |
| Catheterize for urine spec (P9612) |
$52 |
$80 |
5.6× |
| Chemo extend iv infus w/pump (G0498) |
$609.70 |
$938 |
1.9× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$1,454.70 |
$2,238 |
8.6× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$2,273.05 |
$3,497 |
13.5× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$573.30 |
$882 |
3.3× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$726.70 |
$1,118 |
1.1× |
| Diab manage trn per indiv (G0108) |
$81.25 |
$125 |
1.5× |
| Diab manage trn ind/group (G0109) |
$40.95 |
$63 |
2.6× |
| Direct refer hospital observ (G0379) |
$911.30 |
$1,402 |
1.6× |
| Ekg tracing for initial prev (G0404) |
$125.45 |
$193 |
4.5× |
| Fern test (Q0114) |
$53.30 |
$82 |
5.5× |
| Hbot, full body chamber, 30m (G0277) |
$387.40 |
$596 |
2.9× |
| Ig paraprotein qual bld/ur (0077U) |
$152.75 |
$235 |
3.5× |
| Initial preventive exam (G0402) |
$116.35 |
$179 |
0.9× |
| Inj for sacroiliac jt anesth (G0260) |
$1,127.75 |
$1,735 |
1.7× |
| Intrav inf, toci, first dose (M0237) |
$868.40 |
$1,336 |
2.0× |
| Intrav inf, toci, second dos (M0238) |
$947.70 |
$1,458 |
2.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$394.55 |
$607 |
3.2× |
| Liver dis 10 assays w/nash (0003M) |
$502.45 |
$773 |
1.0× |
| Mra w/o cont, abd (C8901) |
$2,052.05 |
$3,157 |
8.9× |
| Mra w/o fol w/cont, abd (C8902) |
$2,929.55 |
$4,507 |
8.7× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$4,776.20 |
$7,348 |
14.2× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,213.60 |
$4,944 |
9.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$2,610.40 |
$4,016 |
7.8× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$274.95 |
$423 |
0.5× |
| Oth resp proc, group (G0239) |
$94.25 |
$145 |
2.6× |
| Oth resp proc, indiv (G0238) |
$99.45 |
$153 |
3.6× |
| Pathogen test for platelets (P9100) |
$71.50 |
$110 |
1.3× |
| Perc d-e cor revasc chro sin (C9607) |
$20,873.45 |
$32,113 |
1.2× |
| Perc d-e cor revasc t cabg s (C9604) |
$24,226.15 |
$37,271 |
2.2× |
| Perc d-e cor stent ather s (C9602) |
$12,359.10 |
$19,014 |
0.7× |
| Perc drug-el cor stent sing (C9600) |
$13,245.70 |
$20,378 |
1.2× |
| Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart… (0793T) |
$11,723.40 |
$18,036 |
0.7× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$14,389.70 |
$22,138 |
1.3× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$123.50 |
$190 |
3.4× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) |
$125.45 |
$193 |
3.5× |
| Prolonged iv inf, req pump (C8957) |
$795.60 |
$1,224 |
3.9× |
| Psa screening (G0103) |
$144.30 |
$222 |
7.5× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$642.85 |
$989 |
0.9× |
| Revasc intra lithotrip-ather (C9766) |
$26,274.95 |
$40,423 |
1.5× |
| Revasc intra lithotrip-stent (C9765) |
$25,469.60 |
$39,184 |
1.4× |
| Revasc intravasc lithotripsy (C9764) |
$9,451 |
$14,540 |
0.9× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$103.35 |
$159 |
3.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$17,116.45 |
$26,333 |
0.9× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$21,620.95 |
$33,263 |
1.2× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$17,116.45 |
$26,333 |
0.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$21,620.95 |
$33,263 |
1.2× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$3,817.45 |
$5,873 |
1.3× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$1,997.45 |
$3,073 |
0.7× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$1,997.45 |
$3,073 |
0.7× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$1,682.20 |
$2,588 |
0.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$17,116.45 |
$26,333 |
0.9× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
likely a partial charge, not the full procedure |
$2,523.30 |
$3,882 |
0.1× |
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
likely a partial charge, not the full procedure |
$1,997.45 |
$3,073 |
0.1× |
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
likely a partial charge, not the full procedure |
$1,997.45 |
$3,073 |
0.1× |
| Therapeutic procd strg endur (G0237) |
$118.30 |
$182 |
4.3× |
| Tomosynthesis, mammo (G0279) |
$139.75 |
$215 |
11.0× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$469.95 |
$723 |
1.0× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$22,865.70 |
$35,178 |
2.1× |
| Trauma respons w/hosp criti (G0390) |
$4,883.12 |
$7,512.50 |
3.8× |
| Trluml Perip Athrc Renal Art (0234T) |
$16,810.95 |
$25,863 |
1.5× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$23,125.70 |
$35,578 |
2.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$12,569.05 |
$19,337 |
0.7× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,463.80 |
$2,252 |
1.9× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,907.10 |
$2,934 |
2.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,081.65 |
$4,741 |
4.1× |
| Unsched dialysis esrd pt hos (G0257) |
$980.20 |
$1,508 |
1.5× |