| 2d tee w or w/o fol w/con,in (C8925) |
— |
$1,444 |
— |
| 2d tte w or w/o fol w/con,co (C8923) |
— |
$1,444 |
— |
| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$849 |
— |
| Admin influenza virus vac (G0008) |
— |
$104 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$104 |
— |
| Arthro/shoul surg; w/spacer (C9781) |
— |
$14,459 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$264 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$2,146.50 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$2,166.50 |
— |
| Cysto impl 4 or more (C9740) |
— |
$23,417.50 |
— |
| Cysto, litho, vacuum kidney (C9761) |
— |
$21,990 |
— |
| Cystoscopy prostatic imp 1-3 (C9739) |
— |
$12,516.50 |
— |
| Direct refer hospital observ (G0379) |
— |
$1,206 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$529 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$359 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$343 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$1,243.75 |
— |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
— |
$6,983 |
— |
| Insertion of sinus tarsi implant (0335T) |
— |
$17,765 |
— |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) |
— |
$29,389 |
— |
| Intens cardiac rehab w/exerc (G0422) |
— |
$343 |
— |
| Mra w/cont, chest (C8909) |
— |
$830 |
— |
| Mra w/o cont, abd (C8901) |
— |
$682 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$1,025 |
— |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
— |
$1,031.50 |
— |
| Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) |
— |
$47,195 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$28,479 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$28,478.75 |
— |
| Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T) |
— |
$43,732 |
— |
| Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) |
— |
$11,407 |
— |
| Revasc intra lithotrip-stent (C9765) |
— |
$37,074 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$14,056.50 |
— |
| Revasc lithotrip tibi/perone (C9772) |
— |
$23,187 |
— |
| Spine device implant surgery (C9757) |
— |
$29,097 |
— |
| Tee w or w/o fol w/cont, mon (C8927) |
— |
$1,805 |
— |
| Tee w or w/o fol w/cont,cong (C8926) |
— |
$1,805 |
— |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
— |
$13,558 |
— |
| Tte w or w/o contr, cont ecg (C8930) |
— |
$2,029 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$1,805 |
— |
| Tte w or w/o fol w/cont, com (C8921) |
— |
$1,805 |
— |
| Tte w or w/o fol w/cont, f/u (C8922) |
— |
$1,805 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$1,805 |
— |
| Xenograft implantation into the articular surface (0737T) |
— |
$30,598 |
— |