| Transforaminal epidural injection, lumbar/sacral (64483) |
$292 |
$1,168 |
0.3× |
| CT head/brain without contrast (70450) |
$590.25 |
$2,361 |
5.4× |
| MRI brain without contrast (70551) |
$854 |
$3,416 |
3.4× |
| MRI brain with contrast (70552) |
$861.75 |
$3,447 |
2.4× |
| MRI brain without and with contrast (70553) |
$990.50 |
$3,962 |
2.7× |
| X-ray lower spine, 4+ views (72110) |
$149 |
$596 |
1.4× |
| MRI lumbar spine without contrast (72148) |
$741.75 |
$2,967 |
3.0× |
| CT pelvis with contrast (72193) |
$588.75 |
$2,355 |
3.2× |
| MRI lower-extremity joint without contrast (73721) |
$742 |
$2,968 |
3.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,410 |
$5,640 |
3.9× |
| Ultrasound, abdomen complete (76700) |
$334 |
$1,336 |
3.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$178.75 |
$715 |
1.6× |
| Ultrasound, transvaginal (76830) |
$234 |
$936 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$200.25 |
$801 |
2.2× |
| Basic metabolic panel (80048) |
$25 |
$100 |
3.0× |
| Comprehensive metabolic panel (80053) |
$29 |
$116 |
2.7× |
| Lipid panel (80061) |
$18.25 |
$73 |
1.4× |
| Renal function panel (80069) |
$25.50 |
$102 |
2.9× |
| Hepatic function panel (80076) |
$25.75 |
$103 |
3.2× |
| PSA, total (84153) |
$25.50 |
$102 |
1.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$30.50 |
$122 |
1.8× |
| CBC with automated differential (85025) |
$24.50 |
$98 |
3.2× |
| CBC, automated (85027) |
$18.25 |
$73 |
2.8× |
| Prothrombin time (PT) (85610) |
$16.38 |
$65.50 |
3.8× |
| Partial thromboplastin time (PTT) (85730) |
$21.50 |
$86 |
3.6× |
| Psychotherapy, 30 minutes (90832) |
$41.75 |
$167 |
0.2× |
| Psychotherapy, 45 minutes (90834) |
$53 |
$212 |
0.3× |
| Psychotherapy, 60 minutes (90837) |
$127.25 |
$509 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$140.75 |
$563 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$105.25 |
$421 |
0.6× |
| Group psychotherapy (90853) |
$72.50 |
$290 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$56.06 |
$224.25 |
1.9× |