| 2019-ncov diagnostic p (U0001) |
— |
$65.10 |
— |
| 2d tee w or w/o fol w/con,in (C8925) |
— |
$1,022.94 |
— |
| Adm tocilizu covid-19 1st (M0249) |
— |
$630 |
— |
| Adm tocilizu covid-19 2nd (M0250) |
— |
$630 |
— |
| Admin influenza virus vac (G0008) |
— |
$175.18 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$175.18 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$11,543.78 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$13,352.82 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$13,540.21 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$98.77 |
— |
| Direct refer hospital observ (G0379) |
— |
$525 |
— |
| Elec stim other than wound (G0283) |
— |
$140 |
— |
| Elisa hiv-1/hiv-2 screen (G0433) |
— |
$202.71 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$548.48 |
— |
| Hiv combination assay (G0475) |
— |
$12.70 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$465.09 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$2,323.95 |
— |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
— |
$26,540.40 |
— |
| Mra w/cont, chest (C8909) |
— |
$6,647.50 |
— |
| Mra w/cont, pelvis (C8918) |
— |
$6,647.50 |
— |
| Mra w/o cont, abd (C8901) |
— |
$5,415.15 |
— |
| Mra w/o cont, pelvis (C8919) |
— |
$5,415.15 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$8,377.85 |
— |
| Mra w/o fol w/cont, chest (C8911) |
— |
$8,377.85 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$8,377.85 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$8,377.85 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$8,377.85 |
— |
| Mri w/cont, breast, bi (C8906) |
— |
$6,647.50 |
— |
| Mri w/cont, breast, uni (C8903) |
— |
$6,647.50 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$8,377.85 |
— |
| Mri w/o fol w/cont, brst, un (C8905) |
— |
$8,377.85 |
— |
| Oral hiv-1/hiv-2 screen (G0435) |
— |
$273.85 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$28,103.87 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$28,103.87 |
— |
| Place device/marker, non pro (C9728) |
— |
$198.80 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$1,026.44 |
— |
| Psa screening (G0103) |
— |
$421.49 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$904.56 |
— |
| Trluml perip athrc iliac art (0238T) |
— |
$80,943.85 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$1,155 |
— |