| 2019-ncov diagnostic p (U0001) |
$54.50 |
$109 |
1.5× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$790.50 |
$1,581 |
2.4× |
| 3D cntr simula trgt lvr les (0944T) |
$224 |
$448 |
1.0× |
| Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) |
$1,669.50 |
$3,339 |
1.1× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$11,556 |
$23,112 |
1.2× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$7,669 |
$15,338 |
0.9× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$2,177.50 |
$4,355 |
1.2× |
| Adm tocilizu covid-19 1st (M0249) |
$497.50 |
$995 |
1.2× |
| Adm tocilizu covid-19 2nd (M0250) |
$497.50 |
$995 |
1.2× |
| Admin hepatitis b vaccine (G0010) |
$15 |
$30 |
0.3× |
| Admin influenza virus vac (G0008) |
$15 |
$30 |
0.3× |
| Admin pneumococcal vaccine (G0009) |
$15 |
$30 |
0.3× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$103 |
$206 |
3.3× |
| Catheterize for urine spec (P9612) |
$45.50 |
$91 |
4.9× |
| Chemo extend iv infus w/pump (G0498) |
$192 |
$384 |
0.6× |
| Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) |
$1,151.50 |
$2,303 |
0.5× |
| Diab manage trn per indiv (G0108) |
$68.50 |
$137 |
1.2× |
| Diab manage trn ind/group (G0109) |
$42 |
$84 |
2.6× |
| Direct refer hospital observ (G0379) |
$354.50 |
$709 |
0.6× |
| Elec stim unattend for press (G0281) |
$79 |
$158 |
6.8× |
| 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) |
$9,646 |
$19,292 |
0.9× |
| Fecal microbiota prep instil (G0455) |
$503.50 |
$1,007 |
0.6× |
| Group mnt 2 or more 30 mins (G0271) |
$22.50 |
$45 |
1.3× |
| Hbot, full body chamber, 30m (G0277) |
$142 |
$284 |
1.1× |
| Home sleep test/type 3 porta (G0399) |
$345 |
$690 |
1.7× |
| Home sleep test/type 4 porta (G0400) |
$345 |
$690 |
1.7× |
| Init/sub psych care m 1st 30 (G2214) |
$72 |
$144 |
0.8× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$20,838 |
$41,676 |
1.0× |
| Insertion/replacement complete iims (0525T) |
$9,363 |
$18,726 |
0.5× |
| Intens cardiac rehab no exer (G0423) |
$127 |
$254 |
1.1× |
| Intens cardiac rehab w/exerc (G0422) |
$127 |
$254 |
1.1× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$442 |
$884 |
3.6× |
| Liver dis 10 assays w/nash (0003M) |
$552 |
$1,104 |
1.1× |
| Mnt subs tx for change dx (G0270) |
$18.50 |
$37 |
0.6× |
| Mra w/cont, abd (C8900) |
$1,050.50 |
$2,101 |
3.2× |
| Mra w/cont, chest (C8909) |
$829 |
$1,658 |
2.6× |
| Mra w/cont, lwr ext (C8912) |
$1,034.50 |
$2,069 |
3.2× |
| Mra w/cont, pelvis (C8918) |
$653.50 |
$1,307 |
2.0× |
| Mra w/o cont, abd (C8901) |
$874.50 |
$1,749 |
3.9× |
| Mra w/o cont, chest (C8910) |
$714.50 |
$1,429 |
3.2× |
| Mra w/o cont, lwr ext (C8913) |
$942 |
$1,884 |
4.2× |
| Mra w/o fol w/cont, abd (C8902) |
$1,156 |
$2,312 |
3.6× |
| Mra w/o fol w/cont, chest (C8911) |
$911.50 |
$1,823 |
2.8× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,138.50 |
$2,277 |
3.5× |
| Mra w/o fol w/cont, pelvis (C8920) |
$789.50 |
$1,579 |
2.4× |
| Mra, w/dye, upper extremity (C8934) |
$829 |
$1,658 |
2.6× |
| Mra, w/o&w/dye, upper extr (C8936) |
$911.50 |
$1,823 |
2.8× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,104.50 |
$2,209 |
3.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$684 |
$1,368 |
2.1× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$733.50 |
$1,467 |
1.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$370.50 |
$741 |
0.9× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) |
$23,017.50 |
$46,035 |
1.3× |
| Ortho impl mvmt alys pair CT (0946T) |
$98.50 |
$197 |
1.0× |
| Oth resp proc, group (G0239) |
$200.50 |
$401 |
5.8× |
| Pemivibart infusion (M0224) |
$497.50 |
$995 |
1.2× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,023 |
$10,046 |
0.7× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$4,816 |
$9,632 |
0.7× |
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× |
| Personalized target development for accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst… (0889T) |
$594.06 |
$1,188.13 |
0.7× |
| Place device/marker, non pro (C9728) |
$2,196.50 |
$4,393 |
1.7× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,100 |
$2,200 |
1.4× |
| Prostate biopsy, any mthd (G0416) |
$208 |
$416 |
0.6× |
| Psa screening (G0103) |
$126.50 |
$253 |
6.6× |
| Quan CT tiss charac w/o CT (0721T) |
$603.50 |
$1,207 |
1.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$174.50 |
$349 |
0.2× |
| Revasc intra lithotrip-ather (C9766) |
$16,253 |
$32,506 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$16,253 |
$32,506 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$9,476.50 |
$18,953 |
0.9× |
| Revasc lith-sten-ath tib/per (C9775) |
$15,375 |
$30,750 |
0.9× |
| Revasc lithotr-ather tib/per (C9774) |
$15,375 |
$30,750 |
0.9× |
| Revasc lithotr-stent tib/per (C9773) |
$15,375 |
$30,750 |
0.9× |
| Revasc lithotrip tibi/perone (C9772) |
$9,646 |
$19,292 |
0.9× |
| Revasc lithotrip-stent-ather (C9767) |
$16,253 |
$32,506 |
1.0× |
| Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) |
$3,192.50 |
$6,385 |
1.0× |
| Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient (0065U) |
$41 |
$82 |
2.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$17,705 |
$35,410 |
1.0× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$17,085 |
$34,170 |
1.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$17,085 |
$34,170 |
1.0× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$2,795 |
$5,590 |
1.0× |
| Therapeutic procd strg endur (G0237) |
$90.50 |
$181 |
3.4× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$8,836 |
$17,672 |
1.7× |
| Transcatheter renal sympath denervation unilat (0338T) |
$5,892 |
$11,784 |
1.1× |
| Trauma respons w/hosp criti (G0390) |
$5,520.50 |
$11,041 |
4.5× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$15,035.50 |
$30,071 |
0.9× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,111.50 |
$2,223 |
1.5× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$851.50 |
$1,703 |
1.2× |
| Unsched dialysis esrd pt hos (G0257) |
$791 |
$1,582 |
1.2× |
| Vasc emb/occ w/prs cath (C9797) |
$16,670.50 |
$33,341 |
1.0× |
| Visit to determ ldct elig (G0296) |
$58 |
$116 |
0.6× |
| Visual ep test for glaucoma (0464T) |
$782 |
$1,564 |
6.5× |