| 2d tee w or w/o fol w/con,in (C8925) |
$3,426 |
$3,426 |
3.6× |
| 2d tte w or w/o fol w/con,co (C8923) |
$3,426 |
$3,426 |
3.6× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,645 |
$1,645 |
3.9× |
| Adm tocilizu covid-19 1st (M0249) |
$1,408 |
$1,408 |
2.7× |
| Adm tocilizu covid-19 2nd (M0250) |
$1,408 |
$1,408 |
2.7× |
| Amalgam 4 or > surfaces perm (D2161) |
$727 |
$727 |
0.9× |
| Amalgam one surface permanen (D2140) |
$346 |
$346 |
0.4× |
| Amalgam three surfaces perma (D2160) |
$528 |
$528 |
0.7× |
| Amalgam two surfaces permane (D2150) |
$414 |
$414 |
0.5× |
| Autolog prp not diab ulcer (G0460) |
$6,530 |
$6,530 |
2.6× |
| Bitewings four images (D0274) |
$174 |
$174 |
0.6× |
| Covid-19 lab test non-cdc (U0002) |
$122 |
$122 |
2.4× |
| Crown porcelain fused base m (D2751) |
$2,930 |
$2,930 |
3.8× |
| Demonstrate use home inr mon (G0248) |
$395 |
$395 |
2.5× |
| Dental bitewings two images (D0272) |
$116 |
$116 |
1.1× |
| Dental prophylaxis adult (D1110) |
$232 |
$232 |
1.5× |
| Diab manage trn per indiv (G0108) |
$203 |
$203 |
3.6× |
| Diab manage trn ind/group (G0109) |
$108 |
$108 |
6.7× |
| Direct refer hospital observ (G0379) |
$427 |
$427 |
0.6× |
| Drug test def 1-7 classes (G0480) |
$479 |
$479 |
4.2× |
| Drug test def 8-14 classes (G0481) |
$656 |
$656 |
4.2× |
| End thxpy, anterior tooth (D3310) |
$2,143 |
$2,143 |
2.8× |
| End thxpy, molar tooth (D3330) |
$3,185 |
$3,185 |
4.1× |
| End thxpy, premolar tooth (D3320) |
$2,756 |
$2,756 |
3.6× |
| Extraction erupted tooth/exr (D7140) |
$418 |
$418 |
0.5× |
| Group mnt 2 or more 30 mins (G0271) |
$157 |
$157 |
9.2× |
| Hbot, full body chamber, 30m (G0277) |
$1,008 |
$1,008 |
6.1× |
| Impact tooth remov comp bony (D7240) |
$1,367 |
$1,367 |
1.8× |
| Impact tooth remov part bony (D7230) |
$1,046 |
$1,046 |
1.3× |
| Impact tooth remov soft tiss (D7220) |
$828 |
$828 |
1.1× |
| Inj for sacroiliac jt anesth (G0260) |
$2,368 |
$2,368 |
2.8× |
| Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed,… (0744T) |
$21,093 |
$21,093 |
3.2× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$61,518 |
$61,518 |
1.6× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$20,874 |
$20,874 |
2.1× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$20,874 |
$20,874 |
2.1× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$43,763 |
$43,763 |
1.6× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$128 |
$128 |
2.9× |
| Intraor comprehensive series (D0210) |
$368 |
$368 |
1.3× |
| Intraoral occlusal film (D0240) |
$69 |
$69 |
0.7× |
| Intraoral periapical first (D0220) |
$69 |
$69 |
0.7× |
| Limit oral eval problm focus (D0140) |
$174 |
$174 |
1.1× |
| Mnt subs tx for change dx (G0270) |
$64 |
$64 |
2.0× |
| Panoramic image (D0330) |
$317 |
$317 |
1.1× |
| Pemivibart infusion (M0224) |
$1,325 |
$1,325 |
2.5× |
| Perc d-e cor revasc chro sin (C9607) |
$24,361 |
$24,361 |
1.1× |
| Perc d-e cor revasc t cabg s (C9604) |
$33,784 |
$33,784 |
2.4× |
| Perc d-e cor stent ather s (C9602) |
$33,784 |
$33,784 |
1.5× |
| Perc drug-el cor stent sing (C9600) |
$17,758 |
$17,758 |
1.3× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) |
$87,696 |
$87,696 |
4.0× |
| Periodic oral evaluation (D0120) |
$128 |
$128 |
0.8× |
| Periodontal scaling & root (D4341) |
$177 |
$177 |
0.2× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$10,175 |
$10,175 |
1.2× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$8,426 |
$8,426 |
1.0× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$21,338 |
$21,338 |
1.5× |
| Place direct restoration (D2940) |
$182 |
$182 |
0.2× |
| Post 1 srfc resinbased cmpst (D2391) |
$474 |
$474 |
0.6× |
| Post 2 srfc resinbased cmpst (D2392) |
$582 |
$582 |
0.8× |
| Post 3 srfc resinbased cmpst (D2393) |
$727 |
$727 |
0.9× |
| Post >=4srfc resinbase cmpst (D2394) |
$911 |
$911 |
1.2× |
| Prefab post/core + crown (D2954) |
$838 |
$838 |
1.1× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) |
$128 |
$128 |
2.9× |
| Prostate biopsy, any mthd (G0416) |
$1,476 |
$1,476 |
3.4× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$368 |
$368 |
1.3× |
| Rad exc lesion up to 1.25 cm (D7410) |
$323 |
$323 |
0.2× |
| Re-cement or re-bond crown (D2920) |
$153 |
$153 |
0.2× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$6,620 |
$6,620 |
2.7× |
| Rem exostosis any site (D7471) |
$361 |
$361 |
0.1× |
| Rem odontogen cyst to 1.25cm (D7450) |
$1,593 |
$1,593 |
0.4× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) |
$12,853 |
$12,853 |
2.9× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) |
$12,853 |
$12,853 |
2.9× |
| Removal fb skin/areolar tiss (D7530) |
$304 |
$304 |
0.4× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$2,218 |
$2,218 |
2.9× |
| Resin 4/> surf or w incis an (D2335) |
$862 |
$862 |
1.1× |
| Resin one surface-anterior (D2330) |
$363 |
$363 |
0.5× |
| Resin three surfaces-anterio (D2332) |
$617 |
$617 |
0.8× |
| Resin two surfaces-anterior (D2331) |
$497 |
$497 |
0.6× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$43,763 |
$43,763 |
1.6× |
| Therapeutic pulpotomy (D3220) |
$483 |
$483 |
0.6× |
| Trauma respons w/hosp criti (G0390) |
$9,958 |
$9,958 |
6.2× |
| Trim nail(s) (G0127) |
$212 |
$212 |
3.0× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$33,168 |
$33,168 |
2.4× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$31,826 |
$31,826 |
1.4× |
| Tte w or w/o contr, cont ecg (C8930) |
$3,426 |
$3,426 |
3.6× |
| Tte w or w/o fol w/con,stres (C8928) |
$3,426 |
$3,426 |
3.6× |
| Tte w or w/o fol w/cont, com (C8921) |
$3,426 |
$3,426 |
3.6× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$3,426 |
$3,426 |
3.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$3,426 |
$3,426 |
3.6× |
| Unsched dialysis esrd pt hos (G0257) |
$2,350 |
$2,350 |
2.9× |