| 2d tte w or w/o fol w/con,fu (C8924) |
$735 |
$1,470 |
2.3× |
| Adm tocilizu covid-19 1st (M0249) |
$408.50 |
$817 |
1.0× |
| Adm tocilizu covid-19 2nd (M0250) |
$408.50 |
$817 |
1.0× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) |
$28.50 |
$57 |
0.8× |
| Chemo extend iv infus w/pump (G0498) |
$571 |
$1,142 |
1.9× |
| Depression screen annual (G0444) |
$29.50 |
$59 |
0.9× |
| Dermal filler injection(s) (G0429) |
$1,538.50 |
$3,077 |
0.8× |
| Diab manage trn per indiv (G0108) |
$90 |
$180 |
1.6× |
| Diab manage trn ind/group (G0109) |
$51.50 |
$103 |
3.2× |
| Direct refer hospital observ (G0379) |
$2,133.50 |
$4,267 |
4.0× |
| Drug test def 1-7 classes (G0480) |
$103 |
$206 |
0.9× |
| Elec stim other than wound (G0283) |
$92.50 |
$185 |
7.3× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure |
$12,530 |
$25,060 |
0.3× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$17,250 |
$34,500 |
1.7× |
| Fecal blood scrn immunoassay (G0328) |
$32 |
$64 |
1.8× |
| Fecal microbiota prep instil (G0455) |
$1,031.50 |
$2,063 |
1.2× |
| Hbot, full body chamber, 30m (G0277) |
$517 |
$1,034 |
4.1× |
| Home sleep test/type 3 porta (G0399) |
$356 |
$712 |
1.8× |
| Hospital outpt clinic visit (G0463) |
$264 |
$528 |
2.2× |
| In-person interrogation device evaluation of permanent implantable synchronized diaphragmatic stimulation system for… (0685T) |
$158.50 |
$317 |
4.7× |
| Inj for sacroiliac jt anesth (G0260) |
$1,663.50 |
$3,327 |
2.6× |
| Lev 1 hosp type b ed visit (G0380) |
$266.50 |
$533 |
4.0× |
| Lev 2 hosp type b ed visit (G0381) |
$271 |
$542 |
3.2× |
| Lev 4 hosp type b ed visit (G0383) |
$809 |
$1,618 |
3.4× |
| Lev 5 hosp type b ed visit (G0384) |
$1,017 |
$2,034 |
2.7× |
| Liver dis 10 assays w/nash (0003M) |
$889.50 |
$1,779 |
1.8× |
| Mra w/cont, abd (C8900) |
$1,421 |
$2,842 |
4.5× |
| Mra w/cont, chest (C8909) |
$1,433.50 |
$2,867 |
4.5× |
| Mra w/cont, lwr ext (C8912) |
$1,789 |
$3,578 |
5.7× |
| Mra w/cont, pelvis (C8918) |
$1,262 |
$2,524 |
4.0× |
| Mra w/o cont, abd (C8901) |
$1,315 |
$2,630 |
6.1× |
| Mra w/o cont, chest (C8910) |
$1,246.50 |
$2,493 |
5.8× |
| Mra w/o cont, lwr ext (C8913) |
$1,719.50 |
$3,439 |
8.0× |
| Mra w/o cont, pelvis (C8919) |
$904 |
$1,808 |
4.2× |
| Mra w/o fol w/cont, abd (C8902) |
$1,537.50 |
$3,075 |
4.9× |
| Mra w/o fol w/cont, chest (C8911) |
$1,648.50 |
$3,297 |
5.2× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,970.50 |
$3,941 |
6.2× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,284 |
$2,568 |
4.1× |
| Mra, w/dye, upper extremity (C8934) |
$2,004.50 |
$4,009 |
6.3× |
| Mra, w/o dye, upper extr (C8935) |
$1,719 |
$3,438 |
8.0× |
| Oth resp proc, group (G0239) |
$92.50 |
$185 |
2.7× |
| Pattern erg w/i&r (0509T) |
$137 |
$274 |
0.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$27,369.50 |
$54,739 |
2.6× |
| Perc d-e cor stent ather s (C9602) |
$27,369.50 |
$54,739 |
1.6× |
| Perc drug-el cor stent sing (C9600) |
$26,936 |
$53,872 |
2.6× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$14,899.50 |
$29,799 |
1.4× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$27 |
$54 |
0.8× |
| Psa screening (G0103) |
$127.50 |
$255 |
6.6× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$420 |
$840 |
2.1× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$1,304.50 |
$2,609 |
0.7× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$1,304.50 |
$2,609 |
0.7× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$2,809 |
$5,618 |
0.8× |
| Revasc intra lithotrip-ather (C9766) |
$12,704 |
$25,408 |
0.8× |
| Revasc intra lithotrip-stent (C9765) |
$12,704 |
$25,408 |
0.8× |
| Revasc intravasc lithotripsy (C9764) |
$6,040 |
$12,080 |
0.6× |
| Revasc lith-sten-ath tib/per (C9775) |
$12,530 |
$25,060 |
0.8× |
| Revasc lithotr-ather tib/per (C9774) |
$12,530 |
$25,060 |
0.8× |
| Revasc lithotr-stent tib/per (C9773) |
$12,530 |
$25,060 |
0.8× |
| Revasc lithotrip tibi/perone (C9772) |
$7,833.50 |
$15,667 |
0.7× |
| Revasc lithotrip-stent-ather (C9767) |
$19,925 |
$39,850 |
1.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$13,938.50 |
$27,877 |
0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$2,280 |
$4,560 |
0.8× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$13,938.50 |
$27,877 |
0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$4,775.50 |
$9,551 |
0.9× |
| Therapeutic procd strg endur (G0237) |
$92.50 |
$185 |
3.5× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$1,231.50 |
$2,463 |
2.6× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$7,962.50 |
$15,925 |
1.5× |
| Transcatheter renal sympath denervation unilat (0338T) |
$7,962.50 |
$15,925 |
1.5× |
| Trauma respons w/hosp criti (G0390) |
$3,698.25 |
$7,396.50 |
3.1× |
| Trim nail(s) (G0127) |
$72.50 |
$145 |
1.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$11,823.50 |
$23,647 |
1.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$30,205 |
$60,410 |
1.8× |
| Unsched dialysis esrd pt hos (G0257) |
$1,383.50 |
$2,767 |
2.2× |
| Vasc emb/occ w/prs cath (C9797) |
$19,750 |
$39,500 |
1.2× |