| 2d tte w or w/o fol w/con,fu (C8924) |
$1,120 |
$1,600 |
3.2× |
| Admin hepatitis b vaccine (G0010) |
$98 |
$140 |
2.1× |
| Admin influenza virus vac (G0008) |
$17.50 |
$25 |
0.4× |
| Admin pneumococcal vaccine (G0009) |
$38.50 |
$55 |
0.8× |
| Catheterize for urine spec (P9612) |
$122.50 |
$175 |
13.1× |
| Chemo extend iv infus w/pump (G0498) |
$682.50 |
$975 |
2.1× |
| Direct refer hospital observ (G0379) |
$1,120 |
$1,600 |
1.9× |
| Drug test def 1-7 classes (G0480) |
$245 |
$350 |
2.1× |
| Drug test def 15-21 classes (G0482) |
$1,750 |
$2,500 |
8.8× |
| Drug test def 8-14 classes (G0481) |
$1,155 |
$1,650 |
7.4× |
| Elec stim other than wound (G0283) |
$105 |
$150 |
8.3× |
| Fecal blood scrn immunoassay (G0328) |
$31.50 |
$45 |
1.7× |
| Hbot, full body chamber, 30m (G0277) |
$700 |
$1,000 |
5.1× |
| Hep c screen high risk/other (G0472) |
$164.50 |
$235 |
3.5× |
| Hepb screen high risk indiv (G0499) |
$171.50 |
$245 |
6.1× |
| Hospital outpt clinic visit (G0463) |
$245 |
$350 |
1.8× |
| Inj for sacroiliac jt anesth (G0260) |
$1,610 |
$2,300 |
2.3× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) |
$14,000 |
$20,000 |
1.3× |
| Intens cardiac rehab w/exerc (G0422) |
$210 |
$300 |
1.6× |
| Mnt subs tx for change dx (G0270) |
$42 |
$60 |
1.3× |
| Mra w/o fol w/cont, abd (C8902) |
$3,990 |
$5,700 |
11.4× |
| Mra w/o fol w/cont, pelvis (C8920) |
$3,453.80 |
$4,934 |
9.9× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,470 |
$2,100 |
4.2× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,258.50 |
$4,655 |
9.3× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) |
$53.90 |
$77 |
1.4× |
| Oth resp proc, group (G0239) |
$126 |
$180 |
3.4× |
| Pathogen test for platelets (P9100) |
$80.50 |
$115 |
1.4× |
| Perc d-e cor revasc chro sin (C9607) |
$18,900 |
$27,000 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$21,000 |
$30,000 |
1.8× |
| Perc d-e cor stent ather s (C9602) |
$17,500 |
$25,000 |
1.0× |
| Perc drug-el cor stent sing (C9600) |
$24,500 |
$35,000 |
2.1× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
$10,500 |
$15,000 |
0.8× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$13,118 |
$18,740 |
1.1× |
| Prolonged iv inf, req pump (C8957) |
$630 |
$900 |
2.9× |
| Psa screening (G0103) |
$210 |
$300 |
10.9× |
| Revasc intra lithotrip-stent (C9765) |
$23,800 |
$34,000 |
1.3× |
| Revasc intravasc lithotripsy (C9764) |
$11,200 |
$16,000 |
1.0× |
| Revasc lithotrip tibi/perone (C9772) |
$14,000 |
$20,000 |
1.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$31,038 |
$44,340 |
1.6× |
| Tomosynthesis, mammo (G0279) |
$227.50 |
$325 |
17.9× |
| Trauma respons w/hosp criti (G0390) |
$1,400 |
$2,000 |
1.0× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$29,400 |
$42,000 |
1.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,450 |
$3,500 |
3.1× |