| 2d tte w or w/o fol w/con,fu (C8924) |
$1,049 |
$2,098 |
3.3× |
| 3D cntr simula trgt lvr les (0944T) |
$265.50 |
$531 |
1.2× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$6,284.50 |
$12,569 |
3.6× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$6,284.50 |
$12,569 |
3.6× |
| Adm tocilizu covid-19 1st (M0249) |
$409.50 |
$819 |
1.0× |
| Adm tocilizu covid-19 2nd (M0250) |
$409.50 |
$819 |
1.0× |
| Ca screen;pelvic/breast exam (G0101) |
$82 |
$164 |
0.9× |
| Chemo extend iv infus w/pump (G0498) |
$490.50 |
$981 |
1.6× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$554.50 |
$1,109 |
1.8× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$285.50 |
$571 |
1.3× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$554.50 |
$1,109 |
1.8× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$554.50 |
$1,109 |
3.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$285.50 |
$571 |
3.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$554.50 |
$1,109 |
3.5× |
| Depression screen annual (G0444) |
$25 |
$50 |
0.7× |
| Diab manage trn per indiv (G0108) |
$43.50 |
$87 |
0.8× |
| Diab manage trn ind/group (G0109) |
$28.50 |
$57 |
1.8× |
| Direct refer hospital observ (G0379) |
$1,193 |
$2,386 |
2.2× |
| Drug test def 1-7 classes (G0480) |
$200 |
$400 |
1.7× |
| Drug test def 15-21 classes (G0482) |
$400 |
$800 |
2.0× |
| Drug test def 22+ classes (G0483) |
$518.50 |
$1,037 |
2.1× |
| Drug test def 8-14 classes (G0481) |
$296.50 |
$593 |
1.9× |
| Elec stim other than wound (G0283) |
$77.50 |
$155 |
6.1× |
| Fecal blood scrn immunoassay (G0328) |
$35.50 |
$71 |
2.0× |
| Hbot, full body chamber, 30m (G0277) |
$418.50 |
$837 |
3.4× |
| Home sleep test/type 3 porta (G0399) |
$367 |
$734 |
1.9× |
| Inj for sacroiliac jt anesth (G0260) |
$2,101.50 |
$4,203 |
3.3× |
| Instill pharm renal pelvis (C9789) |
$1,519 |
$3,038 |
1.4× |
| Liver dis 10 assays w/nash (0003M) |
$904.50 |
$1,809 |
1.8× |
| Mra w/cont, abd (C8900) |
$2,253.50 |
$4,507 |
7.1× |
| Mra w/cont, chest (C8909) |
$1,458 |
$2,916 |
4.6× |
| Mra w/cont, lwr ext (C8912) |
$1,271.50 |
$2,543 |
4.0× |
| Mra w/cont, pelvis (C8918) |
$1,880 |
$3,760 |
6.0× |
| Mra w/o cont, abd (C8901) |
$1,589.50 |
$3,179 |
7.4× |
| Mra w/o cont, lwr ext (C8913) |
$882.50 |
$1,765 |
4.1× |
| Mra w/o cont, pelvis (C8919) |
$1,045 |
$2,090 |
4.8× |
| Mra w/o fol w/cont, abd (C8902) |
$2,568.50 |
$5,137 |
8.1× |
| Mra w/o fol w/cont, chest (C8911) |
$1,642.50 |
$3,285 |
5.2× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,280.50 |
$2,561 |
4.1× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,297 |
$4,594 |
7.3× |
| Mra, w/dye, upper extremity (C8934) |
$4,681.50 |
$9,363 |
14.8× |
| Mra, w/o dye, upper extr (C8935) |
$1,712 |
$3,424 |
7.9× |
| Mra, w/o&w/dye, upper extr (C8936) |
$7,205.50 |
$14,411 |
22.8× |
| Mri w/cont, breast, bi (C8906) |
$1,772 |
$3,544 |
5.6× |
| Mri w/o fol w/cont, breast, (C8908) |
$2,084.50 |
$4,169 |
6.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,610.50 |
$3,221 |
5.1× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$1,375.50 |
$2,751 |
3.4× |
| Oth resp proc, group (G0239) |
$81.50 |
$163 |
2.4× |
| Perc d-e cor revasc chro sin (C9607) |
$20,270.50 |
$40,541 |
1.2× |
| Perc d-e cor revasc t cabg s (C9604) |
$21,081.50 |
$42,163 |
2.0× |
| Perc d-e cor stent ather s (C9602) |
$21,081.50 |
$42,163 |
1.3× |
| Perc drug-el cor stent sing (C9600) |
$21,081.50 |
$42,163 |
2.0× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) |
$13,571 |
$27,142 |
1.2× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$13,571 |
$27,142 |
1.2× |
| Prolonged iv inf, req pump (C8957) |
$378.50 |
$757 |
2.0× |
| Psa screening (G0103) |
$63.25 |
$126.50 |
3.3× |
| Revasc intra lithotrip-ather (C9766) |
$13,414.50 |
$26,829 |
0.8× |
| Revasc intra lithotrip-stent (C9765) |
$13,414.50 |
$26,829 |
0.8× |
| Revasc intravasc lithotripsy (C9764) |
$7,150.50 |
$14,301 |
0.7× |
| Revasc lith-sten-ath tib/per (C9775) |
$21,580 |
$43,160 |
1.3× |
| Revasc lithotr-ather tib/per (C9774) |
$21,580 |
$43,160 |
1.3× |
| Revasc lithotr-stent tib/per (C9773) |
$21,580 |
$43,160 |
1.3× |
| Revasc lithotrip tibi/perone (C9772) |
$13,414.50 |
$26,829 |
1.3× |
| Revasc lithotrip-stent-ather (C9767) |
$21,580 |
$43,160 |
1.3× |
| Therapeutic procd strg endur (G0237) |
$80 |
$160 |
3.1× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$302.50 |
$605 |
0.6× |
| Trauma respons w/hosp criti (G0390) |
$1,568.50 |
$3,137 |
1.3× |
| Trim nail(s) (G0127) |
$79 |
$158 |
1.5× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$22,936 |
$45,872 |
2.2× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$23,233.50 |
$46,467 |
1.4× |
| Unsched dialysis esrd pt hos (G0257) |
$1,203 |
$2,406 |
1.9× |
| Vasc emb/occ w/prs cath (C9797) |
$19,750 |
$39,500 |
1.2× |