| 2019-ncov diagnostic p (U0001) |
$27.51 |
$131 |
0.8× |
| 2d tee w or w/o fol w/con,in (C8925) |
$787.29 |
$3,749 |
1.1× |
| 2d tte w or w/o fol w/con,co (C8923) |
$590.31 |
$2,811 |
0.8× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$475.65 |
$2,265 |
1.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$1,418.34 |
$6,754 |
0.8× |
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T)
unusually low: confirm this is the full procedure |
$3,745.35 |
$17,835 |
0.5× |
| Adm tocilizu covid-19 1st (M0249) |
$331.59 |
$1,579 |
0.8× |
| Adm tocilizu covid-19 2nd (M0250) |
$331.59 |
$1,579 |
0.8× |
| Admin hepatitis b vaccine (G0010) |
$14.91 |
$71 |
0.4× |
| Admin influenza virus vac (G0008) |
$24.99 |
$119 |
0.6× |
| Admin pneumococcal vaccine (G0009) |
$24.99 |
$119 |
0.6× |
| Annual alcohol screen 15 min (G0442) |
$49.56 |
$236 |
1.5× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$768.39 |
$3,659 |
2.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$643.86 |
$3,066 |
3.0× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$919.59 |
$4,379 |
2.9× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$712.32 |
$3,392 |
4.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$614.04 |
$2,924 |
6.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$859.74 |
$4,094 |
5.4× |
| Covid-19 lab test non-cdc (U0002) |
$39.06 |
$186 |
0.8× |
| Depression screen annual (G0444) |
$19.32 |
$92 |
0.6× |
| Diab manage trn per indiv (G0108) |
$22.26 |
$106 |
0.4× |
| Diab manage trn ind/group (G0109) |
$15.12 |
$72 |
0.9× |
| Direct refer hospital observ (G0379) |
$230.58 |
$1,098 |
0.4× |
| Drug test def 1-7 classes (G0480) |
$67.41 |
$321 |
0.6× |
| Drug test def 8-14 classes (G0481) |
$83.37 |
$397 |
0.5× |
| Elec stim other than wound (G0283) |
$22.26 |
$106 |
1.8× |
| Hbot, full body chamber, 30m (G0277) |
$124.74 |
$594 |
1.0× |
| Hep c screen high risk/other (G0472) |
$70.35 |
$335 |
1.5× |
| Hepb screen high risk indiv (G0499) |
$20.16 |
$96 |
0.7× |
| Hospital outpt clinic visit (G0463) |
$68.67 |
$327 |
0.6× |
| Hpv combo assay ca screen (G0476) |
$36.75 |
$175 |
1.0× |
| Initial preventive exam (G0402) |
$81.69 |
$389 |
0.7× |
| Inj for sacroiliac jt anesth (G0260) |
$231.84 |
$1,104 |
0.4× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$16,689.75 |
$79,475 |
0.6× |
| Mra w/cont, abd (C8900) |
$787.29 |
$3,749 |
2.5× |
| Mra w/cont, lwr ext (C8912) |
$787.50 |
$3,750 |
2.5× |
| Mra w/cont, pelvis (C8918) |
$787.29 |
$3,749 |
2.5× |
| Mra w/o cont, abd (C8901) |
$656.25 |
$3,125 |
3.0× |
| Mra w/o cont, pelvis (C8919) |
$656.25 |
$3,125 |
3.0× |
| Mra w/o fol w/cont, abd (C8902) |
$951.51 |
$4,531 |
3.0× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$623.70 |
$2,970 |
2.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$951.51 |
$4,531 |
3.0× |
| Mri w/cont, breast, bi (C8906) |
$1,016.82 |
$4,842 |
3.2× |
| Mri w/cont, breast, uni (C8903) |
$771.12 |
$3,672 |
4.9× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,439.02 |
$6,852.50 |
4.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,082.34 |
$5,154 |
3.4× |
| Obtaining screen pap smear (Q0091) |
$9.76 |
$46.50 |
0.4× |
| Pathogen test for platelets (P9100) |
$23.31 |
$111 |
0.4× |
| Pemivibart infusion (M0224) |
$294.84 |
$1,404 |
0.7× |
Perc d-e cor revasc chro sin (C9607)
likely a partial charge, not the full procedure |
$4,506.18 |
$21,458 |
0.3× |
Perc d-e cor revasc t cabg s (C9604)
unusually low: confirm this is the full procedure |
$5,019.42 |
$23,902 |
0.5× |
| Perc d-e cor stent ather s (C9602) |
$8,734.53 |
$41,593 |
0.5× |
| Perc drug-el cor stent sing (C9600) |
$5,911.29 |
$28,149 |
0.6× |
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
likely a partial charge, not the full procedure |
$1,212.54 |
$5,774 |
0.1× |
| Pin service 60m per month (G0023) |
$50.19 |
$239 |
0.5× |
| Place device/marker, non pro (C9728) |
$527.73 |
$2,513 |
0.4× |
| Pne flu hepb cov home admin (M0201) |
$26.25 |
$125 |
0.8× |
| Ppps, initial visit (G0438) |
$79.59 |
$379 |
0.5× |
| Ppps, subseq visit (G0439) |
$53.76 |
$256 |
0.4× |
| Prolonged iv inf, req pump (C8957) |
$166.32 |
$792 |
0.9× |
| Prostate biopsy, any mthd (G0416) |
$289.80 |
$1,380 |
0.9× |
| Psa screening (G0103) |
$55.65 |
$265 |
2.9× |
| Revasc intra lithotrip-ather (C9766) |
$11,062.80 |
$52,680 |
0.7× |
| Revasc intra lithotrip-stent (C9765) |
$12,953.22 |
$61,682 |
0.8× |
| Revasc intravasc lithotripsy (C9764) |
$7,072.17 |
$33,677 |
0.7× |
| Revasc lith-sten-ath tib/per (C9775) |
$19,750.50 |
$94,050 |
1.2× |
| Revasc lithotr-ather tib/per (C9774) |
$13,176.87 |
$62,747 |
0.8× |
| Revasc lithotr-stent tib/per (C9773) |
$11,112.57 |
$52,917 |
0.7× |
| Revasc lithotrip tibi/perone (C9772) |
$6,286.98 |
$29,938 |
0.6× |
| Revasc lithotrip-stent-ather (C9767) |
$19,667.97 |
$93,657 |
1.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$34.02 |
$162 |
1.3× |
| Tomosynthesis, mammo (G0279) |
$22.05 |
$105 |
1.7× |
| Trauma respons w/hosp criti (G0390) |
$777.52 |
$3,702.50 |
0.6× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$2,789.85 |
$13,285 |
0.8× |
| Trim nail(s) (G0127) |
$20.37 |
$97 |
0.4× |
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure |
$5,591.04 |
$26,624 |
0.3× |
| Tte w or w/o fol w/con,stres (C8928) |
$387.03 |
$1,843 |
0.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$791.49 |
$3,769 |
1.1× |
| Unsched dialysis esrd pt hos (G0257) |
$431.55 |
$2,055 |
0.7× |