| 2d tee w or w/o fol w/con,in (C8925) |
$3,615.30 |
$5,562 |
4.8× |
| 2d tte w or w/o fol w/con,co (C8923) |
$2,029.30 |
$3,122 |
2.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,165.45 |
$1,793 |
3.5× |
| Adm tocilizu covid-19 1st (M0249) |
$377.65 |
$581 |
0.9× |
| Adm tocilizu covid-19 2nd (M0250) |
$947.70 |
$1,458 |
2.2× |
| Admin hepatitis b vaccine (G0010) |
$82.55 |
$127 |
1.8× |
| Admin influenza virus vac (G0008) |
$43.55 |
$67 |
1.0× |
| Admin pneumococcal vaccine (G0009) |
$98.80 |
$152 |
2.2× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$101.40 |
$156 |
3.2× |
| Catheterize for urine spec (P9612) |
$65 |
$100 |
7.0× |
| Chemo extend iv infus w/pump (G0498) |
$521.30 |
$802 |
1.6× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$874.25 |
$1,345 |
5.0× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$802.10 |
$1,234 |
1.2× |
| Diab manage trn per indiv (G0108) |
$150.15 |
$231 |
2.7× |
| Diab manage trn ind/group (G0109) |
$85.80 |
$132 |
5.4× |
| Direct refer hospital observ (G0379) |
$642.20 |
$988 |
1.1× |
| Esd endoscopy or colonoscopy (C9779) |
$5,556.85 |
$8,549 |
1.5× |
| Fecal microbiota prep instil (G0455) |
$235.95 |
$363 |
0.3× |
| Fern test (Q0114) |
$47.45 |
$73 |
4.9× |
| Group mnt 2 or more 30 mins (G0271) |
$72.80 |
$112 |
4.3× |
| Hbot, full body chamber, 30m (G0277) |
$620.10 |
$954 |
4.7× |
| Home sleep test/type 3 porta (G0399) |
$1,126.45 |
$1,733 |
5.4× |
| Ig paraprotein qual bld/ur (0077U) |
$164.45 |
$253 |
3.8× |
| Inj for sacroiliac jt anesth (G0260) |
$1,910.35 |
$2,939 |
2.8× |
| Instlj fecal microbiota ssp (0780T) |
$1,327.30 |
$2,042 |
10.4× |
| 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) |
$476.45 |
$733 |
3.9× |
| Liver dis 10 assays w/nash (0003M) |
$679.25 |
$1,045 |
1.3× |
| Mnt subs tx for change dx (G0270) |
$52 |
$80 |
1.6× |
| Mra w/cont, abd (C8900) |
$1,750.45 |
$2,693 |
5.2× |
| Mra w/cont, chest (C8909) |
$1,740.70 |
$2,678 |
5.2× |
| Mra w/cont, pelvis (C8918) |
$2,817.75 |
$4,335 |
8.4× |
| Mra w/o cont, abd (C8901) |
$2,019.55 |
$3,107 |
8.8× |
| Mra w/o cont, chest (C8910) |
$1,963 |
$3,020 |
8.6× |
| Mra w/o cont, pelvis (C8919) |
$1,428.05 |
$2,197 |
6.2× |
| Mra w/o fol w/cont, abd (C8902) |
$2,321.15 |
$3,571 |
6.9× |
| Mra w/o fol w/cont, chest (C8911) |
$2,174.25 |
$3,345 |
6.5× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$7,178.60 |
$11,044 |
21.4× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,976.65 |
$3,041 |
5.9× |
| Mri w/cont, breast, bi (C8906) |
$1,841.45 |
$2,833 |
5.5× |
| Mri w/cont, breast, uni (C8903) |
$1,698.45 |
$2,613 |
10.1× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,415.75 |
$5,255 |
10.2× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$194.35 |
$299 |
0.4× |
| Oth resp proc, group (G0239) |
$145.60 |
$224 |
4.1× |
| Oth resp proc, indiv (G0238) |
$107.90 |
$166 |
3.9× |
| Pathogen test for platelets (P9100) |
$55.90 |
$86 |
1.0× |
| Perc d-e cor revasc chro sin (C9607) |
$18,730.40 |
$28,816 |
1.1× |
| Perc d-e cor revasc t cabg s (C9604) |
$19,018.35 |
$29,259 |
1.7× |
| Perc d-e cor stent ather s (C9602) |
$26,606.45 |
$40,933 |
1.5× |
| Perc drug-el cor stent sing (C9600) |
$28,210.65 |
$43,401 |
2.5× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$8,769.15 |
$13,491 |
1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$8,138.65 |
$12,521 |
1.2× |
| Place device/marker, non pro (C9728) |
$1,530.10 |
$2,354 |
1.1× |
| Psa screening (G0103) |
$137.80 |
$212 |
7.1× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$489.45 |
$753 |
0.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$79.30 |
$122 |
3.0× |
| Therapeutic procd strg endur (G0237) |
$143.65 |
$221 |
5.2× |
| Tomosynthesis, mammo (G0279) |
$124.80 |
$192 |
9.8× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$456.95 |
$703 |
1.0× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$32,869.20 |
$50,568 |
3.0× |
| Trauma respons w/hosp criti (G0390) |
$6,261.78 |
$9,633.50 |
4.9× |
| Trluml Perip Athrc Renal Art (0234T) |
$19,146.40 |
$29,456 |
1.7× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$22,161.75 |
$34,095 |
2.0× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$28,059.20 |
$43,168 |
1.6× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,966.90 |
$3,026 |
2.6× |
| Tte w or w/o fol w/cont, com (C8921) |
$4,416.75 |
$6,795 |
5.9× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,536.30 |
$3,902 |
3.4× |
| Unsched dialysis esrd pt hos (G0257) |
$1,329.90 |
$2,046 |
2.0× |