| 2d tee w or w/o fol w/con,in (C8925) |
$2,647.45 |
$4,073 |
3.4× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$945.10 |
$1,454 |
2.7× |
| Adm tocilizu covid-19 1st (M0249) |
$351 |
$540 |
0.8× |
| Adm tocilizu covid-19 2nd (M0250) |
$526.50 |
$810 |
1.2× |
| Admin influenza virus vac (G0008) |
$58.50 |
$90 |
1.2× |
| Admin pneumococcal vaccine (G0009) |
$57.85 |
$89 |
1.2× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$81.25 |
$125 |
2.6× |
| Catheterize for urine spec (P9612) |
$29.90 |
$46 |
3.2× |
| Chemo extend iv infus w/pump (G0498) |
$772.85 |
$1,189 |
2.3× |
| Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) |
$2,824.25 |
$4,345 |
1.2× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$2,887.30 |
$4,442 |
8.3× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$2,747.55 |
$4,227 |
11.5× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$3,661.45 |
$5,633 |
10.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$1,568.45 |
$2,413 |
8.9× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$1,379.95 |
$2,123 |
13.2× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$2,693.60 |
$4,144 |
15.3× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$585 |
$900 |
3.3× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$572 |
$880 |
0.8× |
| Diab manage trn per indiv (G0108) |
$117 |
$180 |
2.1× |
| Diab manage trn ind/group (G0109) |
$79.95 |
$123 |
5.0× |
| Direct refer hospital observ (G0379) |
$479.70 |
$738 |
0.8× |
| Ekg tracing for initial prev (G0404) |
$29.25 |
$45 |
1.0× |
| Esophagogastroduodenoscopy , flexible, transoral, with volume adjustment of intragastric bariatric balloon (0813T) |
$2,091.05 |
$3,217 |
2.3× |
| Extrnl counterpulse, per tx (G0166) |
$208 |
$320 |
1.6× |
| Fern test (Q0114) |
$48.10 |
$74 |
4.9× |
| Group mnt 2 or more 30 mins (G0271) |
$54.60 |
$84 |
3.2× |
| Hbot, full body chamber, 30m (G0277) |
$534.95 |
$823 |
3.9× |
| Home sleep test/type 3 porta (G0399) |
$746.20 |
$1,148 |
3.5× |
| Ig paraprotein qual bld/ur (0077U) |
$168.35 |
$259 |
3.9× |
| Inj for sacroiliac jt anesth (G0260) |
$2,492.42 |
$3,834.50 |
3.5× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$33.80 |
$52 |
0.9× |
| Intrav inf, toci, first dose (M0237) |
$377 |
$580 |
0.9× |
| Intrav inf, toci, second dos (M0238) |
$526.50 |
$810 |
1.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$553.80 |
$852 |
4.5× |
| Liver dis 10 assays w/nash (0003M) |
$358.15 |
$551 |
0.7× |
| Mnt subs tx for change dx (G0270) |
$46.80 |
$72 |
1.5× |
| Mra w/cont, pelvis (C8918) |
$2,274.35 |
$3,499 |
6.5× |
| Mra w/o cont, abd (C8901) |
$1,990.95 |
$3,063 |
8.3× |
| Mra w/o cont, chest (C8910) |
$2,193.10 |
$3,374 |
9.2× |
| Mra w/o cont, pelvis (C8919) |
$1,988.35 |
$3,059 |
8.3× |
| Mra w/o fol w/cont, abd (C8902) |
$2,340 |
$3,600 |
6.7× |
| Mra w/o fol w/cont, chest (C8911) |
$2,605.20 |
$4,008 |
7.5× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,687.10 |
$4,134 |
7.7× |
| Mra w/o fol w/cont, pelvis (C8920) |
$3,445 |
$5,300 |
9.9× |
| Mri w/cont, breast, bi (C8906) |
$2,492.75 |
$3,835 |
7.1× |
| Mri w/cont, breast, uni (C8903) |
$1,903.20 |
$2,928 |
10.8× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,589.60 |
$3,984 |
7.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$2,071.55 |
$3,187 |
5.9× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) |
$47.45 |
$73 |
1.3× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$527.80 |
$812 |
1.0× |
| Oth resp proc, group (G0239) |
$124.80 |
$192 |
3.3× |
| Oth resp proc, indiv (G0238) |
$81.90 |
$126 |
2.8× |
| Pathogen test for platelets (P9100) |
$66.95 |
$103 |
1.1× |
| Perc d-e cor revasc chro sin (C9607) |
$14,250.60 |
$21,924 |
0.8× |
| Perc d-e cor revasc t cabg s (C9604) |
$10,018.45 |
$15,413 |
0.9× |
| Perc d-e cor stent ather s (C9602) |
$11,050 |
$17,000 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$15,996.50 |
$24,610 |
1.4× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$14,389.70 |
$22,138 |
1.2× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$42.90 |
$66 |
1.1× |
| Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) |
$40.95 |
$63 |
1.1× |
| Psa screening (G0103) |
$130 |
$200 |
6.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$682.50 |
$1,050 |
0.9× |
| Revasc intra lithotrip-ather (C9766) |
$11,128 |
$17,120 |
0.6× |
| Revasc intra lithotrip-stent (C9765) |
$11,707.80 |
$18,012 |
0.6× |
| Revasc intravasc lithotripsy (C9764) |
$6,630 |
$10,200 |
0.6× |
| Revasc lithotrip tibi/perone (C9772) |
$10,951.20 |
$16,848 |
0.9× |
| Revasc lithotrip-stent-ather (C9767) |
$12,688 |
$19,520 |
0.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$58.50 |
$90 |
2.2× |
| Therapeutic procd strg endur (G0237) |
$81.90 |
$126 |
2.8× |
| Tomosynthesis, mammo (G0279) |
$102.70 |
$158 |
8.1× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$1,636.70 |
$2,518 |
3.5× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$25,152.40 |
$38,696 |
2.2× |
| Trauma respons w/hosp criti (G0390) |
$6,519.18 |
$10,029.50 |
4.9× |
| 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) |
$13,756.60 |
$21,164 |
0.7× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,646.45 |
$2,533 |
2.1× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,320.20 |
$5,108 |
4.2× |
| Unsched dialysis esrd pt hos (G0257) |
$1,278.55 |
$1,967 |
1.9× |
| Visit to determ ldct elig (G0296) |
$20.80 |
$32 |
0.2× |