| 2d tee w or w/o fol w/con,in (C8925) |
$6,407.73 |
$6,407.73 |
8.1× |
| 2d tte w or w/o fol w/con,co (C8923) |
$5,315.11 |
$5,315.11 |
6.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$2,762.74 |
$2,762.74 |
7.9× |
| Adm tocilizu covid-19 1st (M0249) |
$781.22 |
$781.22 |
1.8× |
| Adm tocilizu covid-19 2nd (M0250) |
$781.22 |
$781.22 |
1.8× |
| Admin hepatitis b vaccine (G0010) |
$132.28 |
$132.28 |
2.8× |
| Admin influenza virus vac (G0008) |
$132.28 |
$132.28 |
2.8× |
| Admin pneumococcal vaccine (G0009) |
$132.28 |
$132.28 |
2.8× |
| Catheterize for urine spec (P9612) |
$297.96 |
$297.96 |
31.9× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$8,276.30 |
$8,276.30 |
23.6× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$6,368.11 |
$6,368.11 |
26.6× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$9,944.08 |
$9,944.08 |
28.4× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$8,276.30 |
$8,276.30 |
47.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$6,368.11 |
$6,368.11 |
60.6× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$9,944.08 |
$9,944.08 |
56.4× |
| Covid-19 lab test non-cdc (U0002) |
$71.36 |
$71.36 |
1.4× |
| Direct refer hospital observ (G0379) |
$2,127 |
$2,127 |
3.6× |
| Drug test def 1-7 classes (G0480) |
$773.96 |
$773.96 |
6.8× |
| Eia hiv-1/hiv-2 screen (G0432) |
$1,200.93 |
$1,200.93 |
61.4× |
| Elec stim other than wound (G0283) |
$333.08 |
$333.08 |
26.2× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$74.50 |
$74.50 |
4.1× |
| Fecal blood scrn immunoassay (G0328) |
$261.61 |
$261.61 |
14.5× |
| Home sleep test/type 3 porta (G0399) |
$6,920.10 |
$6,920.10 |
31.9× |
| Home sleep test/type 4 porta (G0400) |
$3,013.27 |
$3,013.27 |
13.9× |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) |
$6,338.45 |
$6,338.45 |
3.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$106,602.53 |
$106,602.53 |
3.4× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$32,552.31 |
$32,552.31 |
3.9× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$32,552.31 |
$32,552.31 |
3.9× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$106,602.53 |
$106,602.53 |
4.8× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$140.83 |
$140.83 |
3.8× |
| Interrog dev eval iims ip (0529T) |
$3,413.85 |
$3,413.85 |
91.1× |
| Lev 1 hosp type b ed visit (G0380) |
$344 |
$344 |
4.6× |
| Lev 2 hosp type b ed visit (G0381) |
$607.90 |
$607.90 |
6.5× |
| Lev 3 hosp type b ed visit (G0382) |
$1,357.78 |
$1,357.78 |
7.9× |
| Lev 4 hosp type b ed visit (G0383) |
$1,781.30 |
$1,781.30 |
6.7× |
| Lev 5 hosp type b ed visit (G0384) |
$2,378.83 |
$2,378.83 |
5.8× |
| Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar);… (0611T) |
$1,086.82 |
$1,086.82 |
4.5× |
| Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar);… (0609T) |
$7,754.75 |
$7,754.75 |
32.4× |
| Mra w/cont, abd (C8900) |
$8,268.76 |
$8,268.76 |
23.6× |
| Mra w/cont, chest (C8909) |
$8,268.76 |
$8,268.76 |
23.6× |
| Mra w/cont, lwr ext (C8912) |
$10,056.93 |
$10,056.93 |
28.7× |
| Mra w/cont, pelvis (C8918) |
$10,056.93 |
$10,056.93 |
28.7× |
| Mra w/o cont, abd (C8901) |
$9,109.05 |
$9,109.05 |
38.0× |
| Mra w/o cont, chest (C8910) |
$9,109.05 |
$9,109.05 |
38.0× |
| Mra w/o cont, lwr ext (C8913) |
$9,109.05 |
$9,109.05 |
38.0× |
| Mra w/o cont, pelvis (C8919) |
$9,109.05 |
$9,109.05 |
38.0× |
| Mra w/o fol w/cont, abd (C8902) |
$10,975.15 |
$10,975.15 |
31.3× |
| Mra w/o fol w/cont, chest (C8911) |
$10,975.15 |
$10,975.15 |
31.3× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$10,975.15 |
$10,975.15 |
31.3× |
| Mra w/o fol w/cont, pelvis (C8920) |
$10,975.15 |
$10,975.15 |
31.3× |
| Mra, w/dye, upper extremity (C8934) |
$10,056.93 |
$10,056.93 |
28.7× |
| Mra, w/o dye, upper extr (C8935) |
$9,109.05 |
$9,109.05 |
38.0× |
| Mra, w/o&w/dye, upper extr (C8936) |
$10,975.15 |
$10,975.15 |
31.3× |
| Mri w/cont, breast, bi (C8906) |
$3,993.40 |
$3,993.40 |
11.4× |
| Mri w/cont, breast, uni (C8903) |
$3,906.79 |
$3,906.79 |
22.2× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,993.40 |
$3,993.40 |
11.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$3,600.72 |
$3,600.72 |
10.3× |
| Oral hiv-1/hiv-2 screen (G0435) |
$1,200.93 |
$1,200.93 |
100.2× |
| Oth resp proc, indiv (G0238) |
$624.76 |
$624.76 |
21.5× |
| Perc d-e cor revasc chro sin (C9607) |
$49,964.18 |
$49,964.18 |
2.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$49,964.18 |
$49,964.18 |
4.3× |
| Perc d-e cor stent ather s (C9602) |
$49,964.18 |
$49,964.18 |
2.7× |
| Perc drug-el cor stent sing (C9600) |
$49,964.18 |
$49,964.18 |
4.3× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$45,519.55 |
$45,519.55 |
3.5× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) |
$54,908.85 |
$54,908.85 |
3.0× |
| Prgrmg dev eval iims ip (0528T) |
$3,030.20 |
$3,030.20 |
80.8× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$140.83 |
$140.83 |
3.8× |
| Psa screening (G0103) |
$710.37 |
$710.37 |
36.8× |
| Qmrcp w/dx MRI same anatomy (0724T) |
$1,085.86 |
$1,085.86 |
1.2× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$6,859.71 |
$6,859.71 |
3.3× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$12,102.41 |
$12,102.41 |
3.2× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$12,102.41 |
$12,102.41 |
3.2× |
| Removal complete iims (0530T) |
$34,913.51 |
$34,913.51 |
9.3× |
| Removal iims electrode only (0531T) |
$18,274.67 |
$18,274.67 |
4.9× |
| Removal iims implt mntr only (0532T) |
$16,638.83 |
$16,638.83 |
4.4× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$4,192.52 |
$4,192.52 |
6.7× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$106,602.53 |
$106,602.53 |
4.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$40,615.14 |
$40,615.14 |
7.1× |
| Tee w or w/o fol w/cont, mon (C8927) |
$8,991.31 |
$8,991.31 |
11.4× |
| Tee w or w/o fol w/cont,cong (C8926) |
$8,592.93 |
$8,592.93 |
10.9× |
| Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) |
$55,999.77 |
$55,999.77 |
3.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$20,954.18 |
$20,954.18 |
3.7× |
| Transcatheter renal sympath denervation unilat (0338T) |
$12,278.48 |
$12,278.48 |
2.1× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$51,335.23 |
$51,335.23 |
4.4× |
| Trauma respons w/hosp criti (G0390) |
$10,279.24 |
$10,279.24 |
7.7× |
| Trluml Perip Athrc Renal Art (0234T) |
$51,335.23 |
$51,335.23 |
4.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$51,335.23 |
$51,335.23 |
4.4× |
| Tte w or w/o fol w/con,stres (C8928) |
$6,974.52 |
$6,974.52 |
8.9× |
| Tte w or w/o fol w/cont, com (C8921) |
$6,575.27 |
$6,575.27 |
8.3× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$5,315.11 |
$5,315.11 |
6.7× |
| Tte w or wo fol wcon,doppler (C8929) |
$10,088.35 |
$10,088.35 |
12.8× |
| Unsched dialysis esrd pt hos (G0257) |
$4,342.95 |
$4,342.95 |
6.3× |