| 2d tee w or w/o fol w/con,in (C8925) |
$4,906 |
$4,906 |
6.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$2,593.45 |
$2,593.45 |
3.2× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,158.59 |
$1,158.59 |
3.2× |
| Admin hepatitis b vaccine (G0010) |
$101.82 |
$101.82 |
2.1× |
| Admin influenza virus vac (G0008) |
$70.95 |
$70.95 |
1.5× |
| Admin pneumococcal vaccine (G0009) |
$70.95 |
$70.95 |
1.5× |
| Catheterize for urine spec (P9612) |
$10.30 |
$10.30 |
1.1× |
| Chemo extend iv infus w/pump (G0498) |
$878 |
$878 |
2.5× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$4,903.53 |
$4,903.53 |
13.5× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$4,439.57 |
$4,439.57 |
17.8× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$6,548.50 |
$6,548.50 |
18.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$2,651.77 |
$2,651.77 |
14.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$2,419.79 |
$2,419.79 |
22.2× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$3,474.25 |
$3,474.25 |
19.0× |
| Drug test def 1-7 classes (G0480) |
$74.99 |
$74.99 |
0.7× |
| Drug test def 22+ classes (G0483) |
$140.97 |
$140.97 |
0.6× |
| Hospital outpt clinic visit (G0463) |
$328.05 |
$328.05 |
2.4× |
| Insj/rplc car modulj sys ventr electrode only (0411T) |
$14,863 |
$14,863 |
1.7× |
| Insj/rplc cardiac modulj sys (0408T) |
$68,938 |
$68,938 |
2.1× |
| Insj/rplc cardiac modulj sys atr electrode only (0410T) |
$14,863 |
$14,863 |
1.7× |
| Insj/rplc cardiac modulj sys pls generator only (0409T) |
$68,938 |
$68,938 |
3.0× |
| Interro device evaluation cardiac modulj system (0418T) |
$88 |
$88 |
2.3× |
| Mra w/o cont, abd (C8901) |
$6,381.92 |
$6,381.92 |
25.6× |
| Mra w/o cont, chest (C8910) |
$3,580.15 |
$3,580.15 |
14.4× |
| Mra w/o cont, pelvis (C8919) |
$5,711.71 |
$5,711.71 |
22.9× |
| Mra w/o fol w/cont, abd (C8902) |
$6,860.86 |
$6,860.86 |
18.8× |
| Mra w/o fol w/cont, chest (C8911) |
$5,129.12 |
$5,129.12 |
14.1× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$8,667.96 |
$8,667.96 |
23.8× |
| Mra w/o fol w/cont, pelvis (C8920) |
$6,296 |
$6,296 |
17.3× |
| Mri w/cont, breast, bi (C8906) |
$5,857.39 |
$5,857.39 |
16.1× |
| Mri w/cont, breast, uni (C8903) |
$4,175.60 |
$4,175.60 |
22.8× |
| Mri w/o fol w/cont, breast, (C8908) |
$8,128.36 |
$8,128.36 |
22.3× |
| Mri w/o fol w/cont, brst, un (C8905) |
$4,444.44 |
$4,444.44 |
12.2× |
| Pemivibart infusion (M0224) |
$1,126.25 |
$1,126.25 |
2.4× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) |
$6,489 |
$6,489 |
0.9× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) |
$6,489 |
$6,489 |
0.9× |
| Place device/marker, non pro (C9728) |
$3,061.34 |
$3,061.34 |
2.1× |
| Prgrmg device evaluation cardiac modulj system (0417T) |
$88 |
$88 |
2.3× |
| Prolonged iv inf, req pump (C8957) |
$770.05 |
$770.05 |
3.5× |
| Prostate biopsy, any mthd (G0416) |
$1,552.98 |
$1,552.98 |
4.1× |
| Psa screening (G0103) |
$77.79 |
$77.79 |
4.0× |
| Reloc skin pocket pls gen (0416T) |
$7,392 |
$7,392 |
3.4× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of… (0811T) |
$371 |
$371 |
2.7× |
| Removal cardiac modulj sys pls generator only (0412T) |
$11,965 |
$11,965 |
3.1× |
| Removal cardiac modulj sys transvenous electrode (0413T) |
$10,680 |
$10,680 |
2.7× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$1,446 |
$1,446 |
2.2× |
| Revasc intra lithotrip-ather (C9766) |
$41,005.78 |
$41,005.78 |
2.1× |
| Revasc intra lithotrip-stent (C9765) |
$41,005.78 |
$41,005.78 |
2.1× |
| Revasc intravasc lithotripsy (C9764) |
$25,646.23 |
$25,646.23 |
2.1× |
| Revasc lith-sten-ath tib/per (C9775) |
$41,005.78 |
$41,005.78 |
2.1× |
| Revasc lithotr-ather tib/per (C9774) |
$41,005.78 |
$41,005.78 |
2.1× |
| Revasc lithotr-stent tib/per (C9773) |
$41,005.78 |
$41,005.78 |
2.1× |
| Revasc lithotrip tibi/perone (C9772) |
$25,646.23 |
$25,646.23 |
2.1× |
| Revasc lithotrip-stent-ather (C9767) |
$41,005.78 |
$41,005.78 |
2.1× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$57,046 |
$57,046 |
2.5× |
| Tomosynthesis, mammo (G0279) |
$161.30 |
$161.30 |
12.7× |
| Transcatheter renal sympath denervation bilat (0339T) |
$50,990 |
$50,990 |
8.6× |
| Transcatheter renal sympath denervation unilat (0338T) |
$20,965 |
$20,965 |
3.5× |
| Trluml perip athrc iliac art (0238T) |
$10,863 |
$10,863 |
0.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$10,863 |
$10,863 |
0.9× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,871.15 |
$1,871.15 |
2.3× |
| Tte w or w/o fol w/con,stres (C8928) |
$3,466.04 |
$3,466.04 |
4.2× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,427.22 |
$1,427.22 |
1.7× |
| Visit esketamine 56m or less (G2082) |
$2,465 |
$2,465 |
2.3× |
| Visit esketamine, > 56m (G2083) |
$3,390 |
$3,390 |
2.0× |