| 2d tee w or w/o fol w/con,in (C8925) |
$6,113 |
$6,113 |
7.8× |
| 2d tte w or w/o fol w/con,co (C8923) |
$5,247 |
$5,247 |
6.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$2,877 |
$2,877 |
8.2× |
| Adm tocilizu covid-19 1st (M0249) |
$626 |
$626 |
1.4× |
| Adm tocilizu covid-19 2nd (M0250) |
$626 |
$626 |
1.4× |
| Admin influenza virus vac (G0008) |
$66 |
$66 |
1.4× |
| Admin pneumococcal vaccine (G0009) |
$66 |
$66 |
1.4× |
| Catheterize for urine spec (P9612) |
$356 |
$356 |
38.1× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$1,685 |
$1,685 |
4.8× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$839 |
$839 |
3.5× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$2,400 |
$2,400 |
6.8× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$1,123 |
$1,123 |
6.4× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$560 |
$560 |
5.3× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$1,599 |
$1,599 |
9.1× |
| Covid-19 lab test non-cdc (U0002) |
$124 |
$124 |
2.4× |
| Diab manage trn per indiv (G0108) |
$261 |
$261 |
4.7× |
| Diab manage trn ind/group (G0109) |
$126 |
$126 |
7.9× |
| Direct refer hospital observ (G0379) |
$652 |
$652 |
1.1× |
| Drug test def 1-7 classes (G0480) |
$1,635.50 |
$1,635.50 |
14.3× |
| Drug test def 8-14 classes (G0481) |
$3,099 |
$3,099 |
19.8× |
| Eia hiv-1/hiv-2 screen (G0432) |
$1,003 |
$1,003 |
51.3× |
| Elec stim other than wound (G0283) |
$409 |
$409 |
32.2× |
| Elec stim unattend for press (G0281) |
$409 |
$409 |
35.0× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$1,003 |
$1,003 |
54.8× |
| Fern test (Q0114) |
$225 |
$225 |
23.1× |
| Hbot, full body chamber, 30m (G0277) |
$2,965 |
$2,965 |
21.4× |
| Home sleep test/type 2 porta (G0398) |
$1,965 |
$1,965 |
9.1× |
| Home sleep test/type 3 porta (G0399) |
$1,965 |
$1,965 |
9.1× |
| Home sleep test/type 4 porta (G0400) |
$1,965 |
$1,965 |
9.1× |
| Intens cardiac rehab no exer (G0423) |
$550 |
$550 |
4.2× |
| Intens cardiac rehab w/exerc (G0422) |
$550 |
$550 |
4.2× |
| Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar);… (0611T) |
$3,783 |
$3,783 |
15.8× |
| Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar);… (0609T) |
$3,783 |
$3,783 |
15.8× |
| Mra w/cont, abd (C8900) |
$7,094 |
$7,094 |
20.2× |
| Mra w/cont, chest (C8909) |
$1,386 |
$1,386 |
4.0× |
| Mra w/cont, lwr ext (C8912) |
$1,316 |
$1,316 |
3.8× |
| Mra w/cont, pelvis (C8918) |
$1,315 |
$1,315 |
3.8× |
| Mra w/o cont, abd (C8901) |
$3,186 |
$3,186 |
13.3× |
| Mra w/o cont, chest (C8910) |
$766 |
$766 |
3.2× |
| Mra w/o cont, lwr ext (C8913) |
$1,072 |
$1,072 |
4.5× |
| Mra w/o cont, pelvis (C8919) |
$1,072 |
$1,072 |
4.5× |
| Mra w/o fol w/cont, abd (C8902) |
$1,655 |
$1,655 |
4.7× |
| Mra w/o fol w/cont, chest (C8911) |
$1,545 |
$1,545 |
4.4× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,619 |
$1,619 |
4.6× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,404.50 |
$1,404.50 |
4.0× |
| Mra, w/dye, upper extremity (C8934) |
$6,585 |
$6,585 |
18.8× |
| Mra, w/o&w/dye, upper extr (C8936) |
$6,585 |
$6,585 |
18.8× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,649.50 |
$1,649.50 |
4.7× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,655 |
$1,655 |
4.7× |
| Non-ophthalmic fva (C9733) |
$1,080 |
$1,080 |
3.1× |
| Opps service,sched team conf (G0175) |
$485 |
$485 |
1.2× |
| Oral hiv-1/hiv-2 screen (G0435) |
$1,003 |
$1,003 |
83.7× |
| Perc d-e cor revasc chro sin (C9607) |
$41,999 |
$41,999 |
2.3× |
| Perc d-e cor revasc t cabg s (C9604) |
$41,999 |
$41,999 |
3.6× |
| Perc d-e cor stent ather s (C9602) |
$41,999 |
$41,999 |
2.3× |
| Perc drug-el cor stent sing (C9600) |
$41,999 |
$41,999 |
3.6× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$12,484 |
$12,484 |
1.7× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$8,653 |
$8,653 |
1.2× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$31,164 |
$31,164 |
2.7× |
| Psa screening (G0103) |
$216 |
$216 |
11.2× |
| Revasc intra lithotrip-ather (C9766) |
$55,092 |
$55,092 |
3.0× |
| Revasc intra lithotrip-stent (C9765) |
$61,400 |
$61,400 |
3.3× |
| Revasc intravasc lithotripsy (C9764) |
$53,346.50 |
$53,346.50 |
4.6× |
| Revasc lithotr-ather tib/per (C9774) |
$51,552 |
$51,552 |
2.8× |
| Revasc lithotr-stent tib/per (C9773) |
$21,250 |
$21,250 |
1.2× |
| Revasc lithotrip tibi/perone (C9772) |
$46,334 |
$46,334 |
4.0× |
| Revasc lithotrip-stent-ather (C9767) |
$61,063 |
$61,063 |
3.3× |
| Tee w or w/o fol w/cont, mon (C8927) |
$6,113 |
$6,113 |
7.8× |
| Tee w or w/o fol w/cont,cong (C8926) |
$6,113 |
$6,113 |
7.8× |
| Tomosynthesis, mammo (G0279) |
$65 |
$65 |
5.1× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$34,549 |
$34,549 |
3.0× |
| Trauma respons w/hosp criti (G0390) |
$7,404 |
$7,404 |
5.5× |
| Trluml Perip Athrc Renal Art (0234T) |
$41,266 |
$41,266 |
3.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$41,266 |
$41,266 |
3.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$51,882.50 |
$51,882.50 |
2.8× |
| Tte w or w/o fol w/con,stres (C8928) |
$6,235 |
$6,235 |
7.9× |
| Tte w or w/o fol w/cont, com (C8921) |
$5,247 |
$5,247 |
6.7× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$2,877 |
$2,877 |
3.7× |
| Unsched dialysis esrd pt hos (G0257) |
$1,244 |
$1,244 |
1.8× |
| Wet mounts/ w preparations (Q0111) |
$295.50 |
$295.50 |
15.9× |