| 2d tee w or w/o fol w/con,in (C8925) |
$852 |
$3,493.25 |
1.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$852 |
$1,501 |
1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$379 |
$1,063.67 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$50 |
$92.44 |
1.0× |
| Admin influenza virus vac (G0008) |
$50 |
$240.43 |
1.0× |
| Admin pneumococcal vaccine (G0009) |
$50 |
$240.43 |
1.0× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,011 |
$2,850.50 |
1.0× |
| Chemo extend iv infus w/pump (G0498) |
$359 |
$840.81 |
1.0× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,011 |
$2,755 |
1.0× |
| Colorectal scrn; hi risk ind (G0105) |
$1,011 |
$2,755 |
1.0× |
| Devlopment test interpt&rep (G0451) |
$110 |
$329.12 |
1.0× |
| Diab manage trn per indiv (G0108) |
$55 |
$62.50 |
1.0× |
| Diab manage trn ind/group (G0109) |
$15 |
$84 |
0.9× |
| Direct refer hospital observ (G0379) |
$647 |
$3,194.80 |
1.0× |
| Drug test def 1-7 classes (G0480) |
$114 |
$169.74 |
1.0× |
| Drug test def 15-21 classes (G0482) |
$198 |
$592.59 |
1.0× |
| Drug test def 22+ classes (G0483) |
$246 |
$736.22 |
1.0× |
| Drug test def 8-14 classes (G0481) |
$156 |
$353.68 |
1.0× |
| Eia hiv-1/hiv-2 screen (G0432) |
$19 |
$270.01 |
1.0× |
| Elec stim other than wound (G0283) |
$12 |
$107 |
0.9× |
| Elec stim unattend for press (G0281) |
$11 |
$125 |
0.9× |
| Fecal blood scrn immunoassay (G0328) |
$18 |
$92 |
1.0× |
| Fecal microbiota prep instil (G0455) |
$1,011 |
$568 |
1.0× |
| Fern test (Q0114) |
$9 |
$470.98 |
0.9× |
| Hbot, full body chamber, 30m (G0277) |
$149 |
$785.90 |
1.0× |
| Hepb screen high risk indiv (G0499) |
$28 |
$175.33 |
1.0× |
| Home sleep test/type 4 porta (G0400) |
$234 |
$389.25 |
1.0× |
| Hospital outpt clinic visit (G0463) |
$144 |
$206 |
1.0× |
| Iliac Atherectomy (0238T) |
$19,939 |
$18,714.10 |
1.0× |
| Initial foot exam pt lops (G0245) |
$144 |
$568.45 |
1.0× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
$3,559 |
$14,470.08 |
1.0× |
| Liver Dis 10 Assays W/Nash (0003M) |
$503 |
$2,517 |
1.0× |
| Mra w/cont, abd (C8900) |
$379 |
$3,184.67 |
1.0× |
| Mra w/cont, chest (C8909) |
$379 |
$3,016 |
1.0× |
| Mra w/cont, lwr ext (C8912) |
$379 |
$3,086.18 |
1.0× |
| Mra w/cont, pelvis (C8918) |
$379 |
$3,066 |
1.0× |
| Mra w/o cont, abd (C8901) |
$259 |
$3,184.67 |
1.0× |
| Mra w/o cont, chest (C8910) |
$259 |
$3,016 |
1.0× |
| Mra w/o cont, lwr ext (C8913) |
$259 |
$3,086.18 |
1.0× |
| Mra w/o cont, pelvis (C8919) |
$259 |
$3,066 |
1.0× |
| Mra w/o fol w/cont, abd (C8902) |
$379 |
$3,184.67 |
1.0× |
| Mra w/o fol w/cont, chest (C8911) |
$379 |
$3,016 |
1.0× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$379 |
$3,086.18 |
1.0× |
| Mra w/o fol w/cont, pelvis (C8920) |
$379 |
$3,066 |
1.0× |
| Mra, w/dye, spinal canal (C8931) |
$379 |
$3,638 |
1.0× |
| Mra, w/dye, upper extremity (C8934) |
$379 |
$3,482 |
1.0× |
| Mra, w/o dye, spinal canal (C8932) |
$259 |
$3,638 |
1.0× |
| Mra, w/o dye, upper extr (C8935) |
$259 |
$3,482 |
1.0× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$379 |
$3,638 |
1.0× |
| Mra, w/o&w/dye, upper extr (C8936) |
$379 |
$3,482 |
1.0× |
| Mri w/cont, breast, bi (C8906) |
$379 |
$6,509.70 |
1.0× |
| Mri w/cont, breast, uni (C8903) |
$190 |
$3,346.40 |
1.0× |
| Mri w/o fol w/cont, breast, (C8908) |
$379 |
$6,509.70 |
1.0× |
| Mri w/o fol w/cont, brst, un (C8905) |
$379 |
$3,346.40 |
1.0× |
| Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; (0331T) |
$1,408 |
$3,325.38 |
1.0× |
| Myocrd symp innervaj img plnr qual&quant w/spect (0332T) |
$1,408 |
$3,325.38 |
1.0× |
| Oral hiv-1/hiv-2 screen (G0435) |
$11 |
$202.55 |
0.9× |
| Oth resp proc, group (G0239) |
$40 |
$794.18 |
1.0× |
| Perc d-e cor revasc chro sin (C9607) |
$19,939 |
$20,599 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$12,556 |
$19,916.40 |
1.0× |
| Perc d-e cor stent ather s (C9602) |
$19,939 |
$19,886.40 |
1.0× |
| Perc drug-el cor stent sing (C9600) |
$12,556 |
$17,416.60 |
1.0× |
| Potassium hydroxide preps (Q0112) |
$5 |
$86.50 |
0.9× |
| Psa screening (G0103) |
$19 |
$216.18 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$12,556 |
$52,409.10 |
1.0× |
| Routine footcare pt w lops (G0247) |
$218 |
$844.75 |
1.0× |
| Screen cerv/vag thin layer (G0123) |
$20 |
$215.98 |
1.0× |
| Screen pap by tech w md supv (P3000) |
$18 |
$80 |
1.0× |
| Therapeutic procd strg endur (G0237) |
$31 |
$455.90 |
1.0× |
| Tomosynthesis, mammo (G0279) |
$12 |
$311.62 |
0.9× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$12,556 |
$11,818.90 |
1.0× |
| Trim nail(s) (G0127) |
$64 |
$309.53 |
1.0× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$12,556 |
$15,557.60 |
1.0× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$12,556 |
$11,818.90 |
1.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$852 |
$2,857.14 |
1.0× |
| Unsched dialysis esrd pt hos (G0257) |
$746 |
$1,993.22 |
1.0× |
| Wet mounts/ w preparations (Q0111) |
$18 |
$470.98 |
1.0× |