| Adm of soc dtr assess 5-15 m (G0136) |
$91 |
— |
1.9× |
| Adm tocilizu covid-19 1st (M0249) |
$1,827 |
— |
3.3× |
| Adm tocilizu covid-19 2nd (M0250) |
$1,827 |
— |
3.3× |
| Admin hepatitis b vaccine (G0010) |
$117 |
— |
2.0× |
| Admin influenza virus vac (G0008) |
$117 |
— |
2.0× |
| Admin pneumococcal vaccine (G0009) |
$117 |
— |
2.0× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) |
$250 |
— |
1.5× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) |
$250 |
— |
1.5× |
| Ca screen;pelvic/breast exam (G0101) |
$254 |
— |
2.0× |
| CT breast w/3d rendering bi with contrast (0637T) |
$1,748 |
— |
4.0× |
| CT breast w/3d rendering bi without contrast (0636T) |
$900 |
— |
3.0× |
| CT breast w/3d rendering uni with contrast (0634T) |
$1,748 |
— |
8.0× |
| CT breast w/3d rendering uni without contrast (0633T) |
$900 |
— |
6.9× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) |
$1,748 |
— |
4.0× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) |
$1,748 |
— |
8.0× |
| Depression screen annual (G0444) |
$107 |
— |
2.3× |
| Diab manage trn per indiv (G0108) |
$338 |
— |
6.1× |
| Diab manage trn ind/group (G0109) |
$226 |
— |
14.1× |
| Drug test def 1-7 classes (G0480) |
$169 |
— |
1.5× |
| Elec stim other than wound (G0283) |
$232 |
— |
18.3× |
| Hbot, full body chamber, 30m (G0277) |
$1,847 |
— |
10.8× |
| High inten beh couns std 30m (G0445) |
$285 |
— |
2.2× |
| Hiv combination assay (G0475) |
$125 |
— |
5.2× |
| Home sleep test/type 3 porta (G0399) |
$4,106 |
— |
15.2× |
| Home sleep test/type 4 porta (G0400) |
$946 |
— |
3.5× |
| Hopd mntl hlt, 15-29 min (C7900) |
$105 |
— |
2.2× |
| Hopd mntl hlt, 30-60 min (C7901) |
$267 |
— |
2.1× |
| Hopd mntl hlt, grp (C7903) |
$527 |
— |
11.3× |
| Hospital outpt clinic visit (G0463) |
$579 |
— |
3.5× |
| Initial preventive exam (G0402) |
$579 |
— |
3.5× |
| Intens behave ther cardio dx (G0446) |
$91 |
— |
1.9× |
| Mnt subs tx for change dx (G0270) |
$102 |
— |
3.2× |
| Neuro csf prion prtn qual (0035U) |
$2,169 |
— |
4.0× |
| Obtaining screen pap smear (Q0091) |
$82 |
— |
2.3× |
| Oth resp proc, group (G0239) |
$123 |
— |
2.6× |
| Oth resp proc, indiv (G0238) |
$288 |
— |
8.0× |
| Place device/marker, non pro (C9728) |
$6,476 |
— |
3.7× |
| Prolonged iv inf, req pump (C8957) |
$1,846 |
— |
7.0× |
| Prostate biopsy, any mthd (G0416) |
$1,339 |
— |
3.0× |
| Psa screening (G0103) |
$194 |
— |
10.0× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$308 |
— |
2.8× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$308 |
— |
0.4× |
| Therapeutic procd strg endur (G0237) |
$277 |
— |
7.7× |
U/s trtmt, not leiomyomata (C9734)
unusually low: confirm this is the full procedure |
$5,229 |
— |
0.3× |
| Visit to determ ldct elig (G0296) |
$285 |
— |
2.2× |