| 2d tte w or w/o fol w/con,fu (C8924) |
$500 |
$1,000 |
1.5× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$8,249.50 |
$16,499 |
0.8× |
| Admin hepatitis b vaccine (G0010) |
$64.50 |
$129 |
1.4× |
| Admin influenza virus vac (G0008) |
$64.50 |
$129 |
1.4× |
| Admin pneumococcal vaccine (G0009) |
$64.50 |
$129 |
1.4× |
| Catheterize for urine spec (P9612) |
$93.50 |
$187 |
10.0× |
| Direct refer hospital observ (G0379) |
$326.50 |
$653 |
0.6× |
| Ephys eval ccm-d ld 1st impl (0930T) |
$1,127 |
$2,254 |
1.0× |
| Ephys eval ccm-d ld separate (0931T) |
$1,127 |
$2,254 |
1.0× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$10,610.50 |
$21,221 |
1.0× |
| Hbot, full body chamber, 30m (G0277) |
$124.50 |
$249 |
0.9× |
| Insertion/replacement complete iims (0525T) |
$10,299.50 |
$20,599 |
0.6× |
| Intens cardiac rehab no exer (G0423) |
$137.50 |
$275 |
1.1× |
| Intens cardiac rehab w/exerc (G0422) |
$137.50 |
$275 |
1.1× |
| Liver dis 10 assays w/nash (0003M) |
$595 |
$1,190 |
1.2× |
| Mra w/cont, pelvis (C8918) |
$1,726.50 |
$3,453 |
5.1× |
| Mra w/o fol w/cont, abd (C8902) |
$1,525 |
$3,050 |
4.5× |
| Mra w/o fol w/cont, chest (C8911) |
$1,756 |
$3,512 |
5.2× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,525 |
$3,050 |
4.5× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,726.50 |
$3,453 |
5.1× |
| Mra, w/dye, upper extremity (C8934) |
$1,664.50 |
$3,329 |
4.9× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,525 |
$3,050 |
4.5× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$696.50 |
$1,393 |
1.3× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) |
$17,263 |
$34,526 |
0.9× |
| Oth resp proc, group (G0239) |
$69.50 |
$139 |
1.9× |
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure |
$5,293 |
$10,586 |
0.5× |
| Prostate biopsy, any mthd (G0416) |
$187 |
$374 |
0.5× |
| Psa screening (G0103) |
$102 |
$204 |
5.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$192 |
$384 |
0.3× |
| Revasc intra lithotrip-ather (C9766) |
$19,666.50 |
$39,333 |
1.1× |
| Revasc intra lithotrip-stent (C9765) |
$25,285 |
$50,570 |
1.4× |
| Revasc intravasc lithotripsy (C9764) |
$11,466.50 |
$22,933 |
1.0× |
| Revasc lith-sten-ath tib/per (C9775) |
$16,912.50 |
$33,825 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$16,912.50 |
$33,825 |
1.0× |
| Revasc lithotr-stent tib/per (C9773) |
$16,912.50 |
$33,825 |
1.0× |
| Revasc lithotrip tibi/perone (C9772) |
$10,610.50 |
$21,221 |
1.0× |
| Revasc lithotrip-stent-ather (C9767) |
$17,878.50 |
$35,757 |
1.0× |
| Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient (0065U) |
$32.50 |
$65 |
1.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$17,705 |
$35,410 |
1.0× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$3,074.50 |
$6,149 |
1.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$7,125 |
$14,250 |
1.3× |
| Transcatheter renal sympath denervation unilat (0338T) |
$4,586.50 |
$9,173 |
0.8× |
| Trluml Perip Athrc Renal Art (0234T) |
$11,369 |
$22,738 |
1.0× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$14,780 |
$29,560 |
1.3× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$14,780 |
$29,560 |
0.8× |
| Unsched dialysis esrd pt hos (G0257) |
$497 |
$994 |
0.7× |
| Visit to determ ldct elig (G0296) |
$128.50 |
$257 |
1.3× |