| Admin hepatitis b vaccine (G0010) |
— |
$40 |
— |
| Admin influenza virus vac (G0008) |
— |
$40 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$40 |
— |
| Chemo extend iv infus w/pump (G0498) |
— |
$328 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$5,712.95 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$5,551.52 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$169.50 |
— |
| Diab manage trn per indiv (G0108) |
— |
$92.50 |
— |
| Diab manage trn ind/group (G0109) |
— |
$50 |
— |
| Direct refer hospital observ (G0379) |
— |
$478 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$101 |
— |
| Eia hiv-1/hiv-2 screen (G0432) |
— |
$129 |
— |
| Ekg tracing for initial prev (G0404) |
— |
$232 |
— |
| Elec stim other than wound (G0283) |
— |
$92.50 |
— |
| Hep c screen high risk/other (G0472) |
— |
$179 |
— |
| Hiv combination assay (G0475) |
— |
$229.50 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$464.40 |
— |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
— |
$330.50 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$710 |
— |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
— |
$1,182.50 |
— |
| Mnt subs tx for change dx (G0270) |
— |
$62 |
— |
| Mra w/cont, lwr ext (C8912) |
— |
$2,685 |
— |
| Mra w/cont, pelvis (C8918) |
— |
$2,656.50 |
— |
| Mra w/o cont, lwr ext (C8913) |
— |
$2,685 |
— |
| Mra w/o cont, pelvis (C8919) |
— |
$2,656.50 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$2,685 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$2,656.50 |
— |
| Mra, w/dye, spinal canal (C8931) |
— |
$2,977 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$2,412.50 |
— |
| Mra, w/o dye, spinal canal (C8932) |
— |
$2,977 |
— |
| Mra, w/o dye, upper extr (C8935) |
— |
$2,412.50 |
— |
| Mra, w/o&w/dye, spinal canal (C8933) |
— |
$2,977 |
— |
| Mra, w/o&w/dye, upper extr (C8936) |
— |
$2,412.50 |
— |
| Psa screening (G0103) |
— |
$182.50 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$232 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$136.50 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$2,319.50 |
— |
| Tte w or w/o contr, cont ecg (C8930) |
— |
$1,880 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$1,312 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$3,101.50 |
— |