| Adm tocilizu covid-19 1st (M0249) |
$1,149.75 |
$1,533 |
2.5× |
| Adm tocilizu covid-19 2nd (M0250) |
$1,149.75 |
$1,533 |
2.5× |
| Admin influenza virus vac (G0008) |
$129.75 |
$173 |
2.6× |
| Admin pneumococcal vaccine (G0009) |
$129.75 |
$173 |
2.6× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$72 |
$96 |
2.3× |
| Behavior counsel obesity 15m (G0447) |
$80.62 |
$107.50 |
0.8× |
| Ca screen;flexi sigmoidscope (G0104) |
$367.88 |
$490.50 |
0.4× |
| Ca screen;pelvic/breast exam (G0101) |
$107.25 |
$143 |
1.0× |
| Cardiokymography (Q0035) |
$32.25 |
$43 |
0.8× |
| Colon ca scrn not hi rsk ind (G0121) |
$733.88 |
$978.50 |
0.7× |
| Colorectal scrn; hi risk ind (G0105) |
$1,031.25 |
$1,375 |
1.1× |
| Covid-19 lab test non-cdc (U0002) |
$135 |
$180 |
2.6× |
| Cysto, litho, vacuum kidney (C9761) |
$9,361.61 |
$12,482.14 |
0.9× |
| Direct refer hospital observ (G0379) |
$1,041 |
$1,388 |
1.7× |
| Drug test def 1-7 classes (G0480) |
$111 |
$148 |
1.0× |
| Fecal blood scrn immunoassay (G0328) |
$169.50 |
$226 |
9.4× |
| Hep c screen high risk/other (G0472) |
$128.25 |
$171 |
2.8× |
| Hiv combination assay (G0475) |
$72 |
$96 |
3.0× |
| Home sleep test/type 3 porta (G0399) |
$596.25 |
$795 |
2.6× |
| Hospital outpt clinic visit (G0463) |
$229.50 |
$306 |
1.6× |
| Hpv combo assay ca screen (G0476) |
$135.75 |
$181 |
3.9× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
$63.75 |
$85 |
1.5× |
| Inj for sacroiliac jt anesth (G0260) |
$2,022.38 |
$2,696.50 |
2.7× |
| JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15 Other… (0027U) |
$450 |
$600 |
3.7× |
| Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0003M) |
$378 |
$504 |
0.8× |
| Mra w/o fol w/cont, abd (C8902) |
$1,977.75 |
$2,637 |
5.4× |
| Mra w/o fol w/cont, chest (C8911) |
$2,073.75 |
$2,765 |
5.6× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,028 |
$2,704 |
5.5× |
| Mra w/o fol w/cont, pelvis (C8920) |
$3,894 |
$5,192 |
10.6× |
| Mri w/cont, breast, bi (C8906) |
$2,288.25 |
$3,051 |
6.2× |
| Mri w/cont, breast, uni (C8903) |
$1,956 |
$2,608 |
10.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,956 |
$2,608 |
5.3× |
| Obtaining screen pap smear (Q0091) |
$115.50 |
$154 |
3.8× |
| Oth resp proc, group (G0239) |
$157.50 |
$210 |
4.0× |
| Oth resp proc, indiv (G0238) |
$108.75 |
$145 |
3.6× |
| Perc d-e cor revasc t cabg s (C9604) |
$23,181.75 |
$30,909 |
1.9× |
| Perc drug-el cor stent sing (C9600) |
$19,143 |
$25,524 |
1.6× |
| Prostate biopsy, any mthd (G0416) |
$226.50 |
$302 |
0.6× |
| Psa screening (G0103) |
$138 |
$184 |
7.1× |
| Scr c/v cyto,thinlayer,rescr (G0144) |
$101.25 |
$135 |
2.3× |
| Trauma respons w/hosp criti (G0390) |
$3,584.62 |
$4,779.50 |
2.5× |
| Visit to determ ldct elig (G0296) |
$68.25 |
$91 |
0.6× |