| 2d tte w or w/o fol w/con,fu (C8924) |
$891.80 |
$1,372 |
2.6× |
| Adm tocilizu covid-19 1st (M0249) |
$304.85 |
$469 |
0.7× |
| Adm tocilizu covid-19 2nd (M0250) |
$572 |
$880 |
1.3× |
| Admin influenza virus vac (G0008) |
$42.25 |
$65 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$45.50 |
$70 |
1.0× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$93.60 |
$144 |
3.0× |
| Catheterize for urine spec (P9612) |
$68.90 |
$106 |
7.4× |
| Chemo extend iv infus w/pump (G0498) |
$670.80 |
$1,032 |
2.0× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$447.20 |
$688 |
2.6× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$552.50 |
$850 |
0.8× |
| Direct refer hospital observ (G0379) |
$694.85 |
$1,069 |
1.2× |
| Elec stim other than wound (G0283) |
$106.60 |
$164 |
8.4× |
| Esophagogastroduodenoscopy , flexible, transoral, with volume adjustment of intragastric bariatric balloon (0813T) |
$2,156.05 |
$3,317 |
2.4× |
| Fecal microbiota prep instil (G0455) |
$505.05 |
$86 |
0.5× |
| Fern test (Q0114) |
$47.45 |
$73 |
4.9× |
| Hbot, full body chamber, 30m (G0277) |
$664.30 |
$1,022 |
4.8× |
| Home sleep test/type 4 porta (G0400) |
$575.90 |
$886 |
2.7× |
| Ig paraprotein qual bld/ur (0077U) |
$124.15 |
$191 |
2.9× |
| Inj for sacroiliac jt anesth (G0260) |
$2,211.95 |
$3,403 |
3.1× |
| Intrav inf, toci, first dose (M0237) |
$421.20 |
$648 |
1.0× |
| Intrav inf, toci, second dos (M0238) |
$526.50 |
$810 |
1.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$214.50 |
$330 |
1.8× |
| Liver dis 10 assays w/nash (0003M) |
$567.45 |
$873 |
1.1× |
| Mra w/cont, abd (C8900) |
$1,604.85 |
$2,469 |
4.6× |
| Mra w/cont, chest (C8909) |
$1,929.20 |
$2,968 |
5.5× |
| Mra w/cont, lwr ext (C8912) |
$2,436.20 |
$3,748 |
7.0× |
| Mra w/cont, pelvis (C8918) |
$2,464.80 |
$3,792 |
7.1× |
| Mra w/o cont, abd (C8901) |
$2,016.30 |
$3,102 |
8.4× |
| Mra w/o cont, chest (C8910) |
$1,866.80 |
$2,872 |
7.8× |
| Mra w/o cont, lwr ext (C8913) |
$2,151.50 |
$3,310 |
9.0× |
| Mra w/o cont, pelvis (C8919) |
$2,339.35 |
$3,599 |
9.8× |
| Mra w/o fol w/cont, abd (C8902) |
$1,602.25 |
$2,465 |
4.6× |
| Mra w/o fol w/cont, chest (C8911) |
$1,967.55 |
$3,027 |
5.6× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$3,986.45 |
$6,133 |
11.4× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,824.25 |
$4,345 |
8.1× |
| Mri w/cont, breast, bi (C8906) |
$2,626 |
$4,040 |
7.5× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,566.20 |
$3,948 |
7.3× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,710.80 |
$2,632 |
4.9× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) |
$72.80 |
$112 |
1.9× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$596.70 |
$918 |
1.1× |
| Oth resp proc, group (G0239) |
$159.25 |
$245 |
4.3× |
| Oth resp proc, indiv (G0238) |
$64.35 |
$99 |
2.2× |
| Pathogen test for platelets (P9100) |
$59.80 |
$92 |
1.0× |
| Perc d-e cor revasc chro sin (C9607) |
$13,127.40 |
$20,196 |
0.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$8,776.95 |
$13,503 |
0.8× |
| Perc d-e cor stent ather s (C9602) |
$11,358.75 |
$17,475 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$16,808.35 |
$25,859 |
1.5× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,227.30 |
$8,042 |
0.7× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$14,389.70 |
$22,138 |
1.2× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$135.20 |
$208 |
3.6× |
| Psa screening (G0103) |
$159.25 |
$245 |
8.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$527.80 |
$812 |
0.7× |
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure |
$8,320 |
$12,800 |
0.5× |
| Revasc intra lithotrip-stent (C9765) |
$12,168 |
$18,720 |
0.7× |
| Revasc intravasc lithotripsy (C9764) |
$6,500 |
$10,000 |
0.6× |
| Revasc lith-sten-ath tib/per (C9775) |
$23,790 |
$36,600 |
1.3× |
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure |
$8,320 |
$12,800 |
0.5× |
| Revasc lithotr-stent tib/per (C9773) |
$13,941.20 |
$21,448 |
0.8× |
| Revasc lithotrip tibi/perone (C9772) |
$7,351.50 |
$11,310 |
0.6× |
| Revasc lithotrip-stent-ather (C9767) |
$12,688 |
$19,520 |
0.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$141.70 |
$218 |
5.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$16,149.90 |
$24,846 |
0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$4,580.55 |
$7,047 |
1.4× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$16,149.90 |
$24,846 |
0.8× |
| Tomosynthesis, mammo (G0279) |
$145.60 |
$224 |
11.5× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$448.50 |
$690 |
1.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$10,149.10 |
$15,614 |
1.8× |
| Transcatheter renal sympath denervation unilat (0338T) |
$9,113.65 |
$14,021 |
1.6× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$25,152.40 |
$38,696 |
2.2× |
| Trluml Perip Athrc Renal Art (0234T) |
$14,651 |
$22,540 |
1.3× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$25,438.40 |
$39,136 |
2.2× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$11,254.75 |
$17,315 |
0.6× |
| Tte w or w/o contr, cont ecg (C8930) |
$2,353.65 |
$3,621 |
3.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,979.30 |
$6,122 |
5.1× |
| Unsched dialysis esrd pt hos (G0257) |
$1,303.90 |
$2,006 |
1.9× |
| Visit to determ ldct elig (G0296) |
$20.15 |
$31 |
0.2× |