| 2d tee w or w/o fol w/con,in (C8925) |
$3,218.80 |
$4,952 |
4.1× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$884.65 |
$1,361 |
2.5× |
| Adm tocilizu covid-19 1st (M0249) |
$421.20 |
$648 |
1.0× |
| Adm tocilizu covid-19 2nd (M0250) |
$526.50 |
$810 |
1.2× |
| Admin influenza virus vac (G0008) |
$57.52 |
$88.50 |
1.2× |
| Admin pneumococcal vaccine (G0009) |
$36.40 |
$56 |
0.8× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$102.05 |
$157 |
3.3× |
| Ca screen;pelvic/breast exam (G0101) |
$122.20 |
$188 |
1.2× |
| Catheterize for urine spec (P9612) |
$63.05 |
$97 |
6.8× |
| Chemo extend iv infus w/pump (G0498) |
$783.25 |
$1,205 |
2.4× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$499.20 |
$768 |
2.9× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$603.20 |
$928 |
0.9× |
| Demonstrate use home inr mon (G0248) |
$355.55 |
$547 |
2.7× |
| Diab manage trn per indiv (G0108) |
$107.90 |
$166 |
1.9× |
| Diab manage trn ind/group (G0109) |
$59.15 |
$91 |
3.7× |
| Direct refer hospital observ (G0379) |
$487.50 |
$750 |
0.8× |
| Extrnl counterpulse, per tx (G0166) |
$603.20 |
$928 |
4.5× |
| Fern test (Q0114) |
$47.45 |
$73 |
4.9× |
| Hbot, full body chamber, 30m (G0277) |
$778.05 |
$1,197 |
5.6× |
| Ig paraprotein qual bld/ur (0077U) |
$203.45 |
$313 |
4.7× |
| Inj for sacroiliac jt anesth (G0260) |
$1,931.48 |
$2,971.50 |
2.7× |
| 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) |
$276.90 |
$426 |
2.3× |
| Lev 1 hosp type b ed visit (G0380) |
$236.60 |
$364 |
3.2× |
| Lev 2 hosp type b ed visit (G0381) |
$284.70 |
$438 |
3.1× |
| Lev 3 hosp type b ed visit (G0382) |
$343.20 |
$528 |
2.0× |
| Lev 4 hosp type b ed visit (G0383) |
$482.95 |
$743 |
1.8× |
| Lev 5 hosp type b ed visit (G0384) |
$568.75 |
$875 |
1.4× |
| Liver dis 10 assays w/nash (0003M) |
$567.45 |
$873 |
1.1× |
| Mra w/cont, abd (C8900) |
$2,161.90 |
$3,326 |
6.2× |
| 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) |
$2,640.95 |
$4,063 |
7.6× |
| Mra w/o cont, abd (C8901) |
$1,184.30 |
$1,822 |
5.0× |
| Mra w/o cont, chest (C8910) |
$1,493.70 |
$2,298 |
6.3× |
| 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) |
$2,344.55 |
$3,607 |
6.7× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$3,986.45 |
$6,133 |
11.4× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,542.15 |
$3,911 |
7.3× |
| Mri w/cont, breast, bi (C8906) |
$1,969.50 |
$3,030 |
5.6× |
| Mri w/cont, breast, uni (C8903) |
$1,618.50 |
$2,490 |
9.2× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,038.40 |
$3,136 |
5.8× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,882.40 |
$2,896 |
5.4× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) |
$59.15 |
$91 |
1.6× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$199.55 |
$307 |
0.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$3,985.15 |
$6,131 |
8.9× |
| Obtaining screen pap smear (Q0091) |
$110.50 |
$170 |
3.8× |
| Oth resp proc, group (G0239) |
$188.50 |
$290 |
5.0× |
| Oth resp proc, indiv (G0238) |
$85.15 |
$131 |
2.9× |
| Pathogen test for platelets (P9100) |
$65 |
$100 |
1.1× |
| Perc d-e cor revasc chro sin (C9607) |
$12,796.55 |
$19,687 |
0.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$8,136.05 |
$12,517 |
0.7× |
| Perc d-e cor stent ather s (C9602) |
$10,947.95 |
$16,843 |
0.6× |
| Perc drug-el cor stent sing (C9600) |
$15,551.90 |
$23,926 |
1.3× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$11,740.30 |
$18,062 |
0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$4,182.10 |
$6,434 |
0.6× |
| Provide inr test mater/equip (G0249) |
$306.80 |
$472 |
2.3× |
| Psa screening (G0103) |
$139.75 |
$215 |
7.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$527.80 |
$812 |
0.7× |
| Revasc intra lithotrip-ather (C9766) |
$15,600 |
$24,000 |
0.8× |
| Revasc intra lithotrip-stent (C9765) |
$9,734.40 |
$14,976 |
0.5× |
| 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) |
$10,400 |
$16,000 |
0.6× |
| Revasc lithotr-stent tib/per (C9773) |
$13,941.20 |
$21,448 |
0.8× |
| Revasc lithotrip tibi/perone (C9772) |
$9,750 |
$15,000 |
0.8× |
| Revasc lithotrip-stent-ather (C9767) |
$12,688 |
$19,520 |
0.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$79.30 |
$122 |
3.0× |
| Tomosynthesis, mammo (G0279) |
$53.30 |
$82 |
4.2× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$490.10 |
$754 |
1.1× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$9,688.25 |
$14,905 |
1.7× |
| Transcatheter renal sympath denervation unilat (0338T) |
$8,177 |
$12,580 |
1.4× |
| 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) |
$2,956.85 |
$4,549 |
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) |
$9,370.40 |
$14,416 |
0.5× |
| Tte w or w/o contr, cont ecg (C8930) |
$3,890.25 |
$5,985 |
5.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$5,162.30 |
$7,942 |
6.6× |