| 2d tee w or w/o fol w/con,in (C8925) |
$2,145.60 |
$3,576 |
2.8× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,236 |
$2,060 |
1.6× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,103.40 |
$1,839 |
3.3× |
| Adm tocilizu covid-19 1st (M0249) |
$703.20 |
$1,172 |
1.7× |
| Adm tocilizu covid-19 2nd (M0250) |
$703.20 |
$1,172 |
1.7× |
| Catheterize for urine spec (P9612) |
$90 |
$150 |
9.6× |
| Colon ca scrn not hi rsk ind (G0121) |
$676.23 |
$1,127.05 |
0.8× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$196.07 |
$326.78 |
1.9× |
| Cysto impl 4 or more (C9740) |
$11,155.01 |
$18,591.68 |
1.2× |
| Cysto, litho, vacuum kidney (C9761) |
$6,818.25 |
$11,363.75 |
0.7× |
| Direct refer hospital observ (G0379) |
$960 |
$1,600 |
1.7× |
| Drug test def 1-7 classes (G0480) |
$163.50 |
$272.50 |
1.4× |
| Drug test def 15-21 classes (G0482) |
$225 |
$375 |
1.1× |
| Drug test def 8-14 classes (G0481) |
$228.60 |
$381 |
1.5× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) |
$1,999.65 |
$3,332.75 |
1.1× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
$4,108.89 |
$6,848.15 |
1.1× |
| Electrophysiologic eval icds w/ss electrode (0577T) |
$1,168.42 |
$1,947.37 |
1.0× |
Endo outlet restrict w/tube (C9785)
unusually low: confirm this is the full procedure |
$5,010.52 |
$8,350.86 |
0.5× |
| Fern test (Q0114) |
$27.60 |
$46 |
2.8× |
| Hbot, full body chamber, 30m (G0277) |
$706.80 |
$1,178 |
5.3× |
| Home sleep test/type 3 porta (G0399) |
$1,260 |
$2,100 |
6.1× |
| Ig paraprotein qual bld/ur (0077U) |
$114 |
$190 |
2.6× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$8,238 |
$13,730 |
1.0× |
| Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) |
$8,538.08 |
$14,230.13 |
1.1× |
| Insertion/replacement complete iims (0525T) |
$10,803.67 |
$18,006.11 |
0.6× |
| Insertion/replacement iims implantable mntr only (0527T) |
$8,538.08 |
$14,230.13 |
1.1× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$15,774.62 |
$26,291.03 |
0.5× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$50,486.57 |
$84,144.28 |
1.7× |
| Interrogation dev eval icds w/ss eltrd in person (0576T) |
$39.95 |
$66.59 |
1.1× |
| Liver dis 10 assays w/nash (0003M) |
$553.50 |
$922.50 |
1.1× |
| Mra w/o fol w/cont, abd (C8902) |
$2,482.20 |
$4,137 |
7.4× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,322 |
$3,870 |
6.9× |
| Oth resp proc, group (G0239) |
$117 |
$195 |
3.3× |
| Oth resp proc, indiv (G0238) |
$129 |
$215 |
4.6× |
| Perc d-e cor revasc chro sin (C9607) |
$17,551.20 |
$29,252 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$15,048.60 |
$25,081 |
1.4× |
| Perc d-e cor stent ather s (C9602) |
$19,134 |
$31,890 |
1.1× |
| Perc drug-el cor stent sing (C9600) |
$15,679.80 |
$26,133 |
1.4× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$6,157.65 |
$10,262.75 |
0.6× |
| Prgrmg dev eval icds ss ip (0575T) |
$81 |
$135 |
2.3× |
| Psa screening (G0103) |
$94.50 |
$157.50 |
4.9× |
| Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) |
$81.55 |
$135.91 |
2.3× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$3,505 |
$5,841.66 |
1.0× |
| Revasc intra lithotrip-ather (C9766) |
$14,005.20 |
$23,342 |
0.8× |
| Revasc intra lithotrip-stent (C9765) |
$14,005.20 |
$23,342 |
0.8× |
| Revasc intravasc lithotripsy (C9764) |
$6,912.60 |
$11,521 |
0.6× |
| Revasc lith-sten-ath tib/per (C9775) |
$22,401.60 |
$37,336 |
1.3× |
| Revasc lithotr-ather tib/per (C9774) |
$22,401.60 |
$37,336 |
1.3× |
| Revasc lithotr-stent tib/per (C9773) |
$22,401.60 |
$37,336 |
1.3× |
| Revasc lithotrip tibi/perone (C9772) |
$14,005.20 |
$23,342 |
1.3× |
| Revasc lithotrip-stent-ather (C9767) |
$22,401.60 |
$37,336 |
1.3× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$3,208.20 |
$5,347 |
0.9× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$3,505 |
$5,841.66 |
1.0× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) |
$50,486.57 |
$84,144.28 |
2.4× |
| Therapeutic procd strg endur (G0237) |
$115.20 |
$192 |
4.1× |
| Tomosynthesis, mammo (G0279) |
$29.94 |
$49.90 |
2.4× |
| Trauma respons w/hosp criti (G0390) |
$1,513.80 |
$2,523 |
1.2× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$18,876.60 |
$31,461 |
1.7× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$21,677.40 |
$36,129 |
1.2× |
| Tte w or w/o fol w/cont, com (C8921) |
$2,413.80 |
$4,023 |
3.2× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$1,103.40 |
$1,839 |
1.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,508.60 |
$4,181 |
3.3× |
| Unsched dialysis esrd pt hos (G0257) |
$1,158 |
$1,930 |
1.8× |