| 2d tee w or w/o fol w/con,in (C8925) |
$3,175.80 |
$5,293 |
4.0× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,631.40 |
$2,719 |
2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$466.20 |
$777 |
1.3× |
| Admin hepatitis b vaccine (G0010) |
$82.20 |
$137 |
1.8× |
| Admin influenza virus vac (G0008) |
$82.20 |
$137 |
1.8× |
| Admin pneumococcal vaccine (G0009) |
$82.20 |
$137 |
1.8× |
| Adrnl Cortcl Tum Bchm Asy 25 (0015M) |
$1,958.40 |
$3,264 |
1.5× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$61.20 |
$102 |
2.0× |
| Direct refer hospital observ (G0379) |
$570 |
$950 |
1.0× |
| Drug test def 1-7 classes (G0480) |
$127.50 |
$212.50 |
1.1× |
| Drug test def 15-21 classes (G0482) |
$298.80 |
$498 |
1.5× |
| Drug test def 22+ classes (G0483) |
$370.80 |
$618 |
1.5× |
| Drug test def 8-14 classes (G0481) |
$235.20 |
$392 |
1.5× |
| Drug test(s), presumptive, with definitive confirmation of positive results, any number of drug classes, urine,… (0007U) |
$172.20 |
$287 |
1.5× |
| Eia hiv-1/hiv-2 screen (G0432) |
$69.60 |
$116 |
3.6× |
| Fecal blood scrn immunoassay (G0328) |
$56.40 |
$94 |
3.1× |
| Hbot, full body chamber, 30m (G0277) |
$880.80 |
$1,468 |
6.4× |
| Hep c screen high risk/other (G0472) |
$79.80 |
$133 |
1.7× |
| Hepb screen high risk indiv (G0499) |
$94.80 |
$158 |
3.4× |
| Hiv combination assay (G0475) |
$101.40 |
$169 |
4.2× |
| Hospital outpt clinic visit (G0463) |
$1,025.70 |
$1,709.50 |
7.7× |
| Hpv combo assay ca screen (G0476) |
$58.20 |
$97 |
1.7× |
| Hpylori Detcj Abx Rstnc Dna (0008U) |
$897.60 |
$1,496 |
1.5× |
| Inj for sacroiliac jt anesth (G0260) |
$51,773.63 |
$86,289.39 |
73.2× |
Insertion perm ccm-d system pulse generator only (0916T)
unusually low: confirm this is the full procedure |
$11,089.20 |
$18,482 |
0.5× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$6,502.80 |
$10,838 |
0.8× |
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T)
unusually low: confirm this is the full procedure |
$10,901.40 |
$18,169 |
0.3× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$53.40 |
$89 |
1.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$498.60 |
$831 |
4.1× |
| Liver dis 10 assays w/nash (0003M) |
$756 |
$1,260 |
1.5× |
| Mra w/o fol w/cont, abd (C8902) |
$2,157 |
$3,595 |
6.2× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,121 |
$3,535 |
6.1× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,357 |
$5,595 |
9.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$1,554.60 |
$2,591 |
4.4× |
| Onc Hmtlmf Neo Jak2 Mut Dna (0017U) |
$170.40 |
$284 |
1.9× |
| Onc hmtlmf neo RNA bcr/abl1 bld/bne marrow (0016U) |
$304.20 |
$507 |
1.9× |
| Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm… (0005U) |
$1,164 |
$1,940 |
1.5× |
| Pathogen test for platelets (P9100) |
$1,287.60 |
$2,146 |
21.8× |
| Perc d-e cor revasc chro sin (C9607) |
$15,614.40 |
$26,024 |
0.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$32,744.53 |
$54,574.22 |
2.8× |
| Perc d-e cor stent ather s (C9602) |
$59,421.46 |
$99,035.76 |
3.2× |
| Perc drug-el cor stent sing (C9600) |
$27,376.24 |
$45,627.07 |
2.4× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$7,480.20 |
$12,467 |
0.6× |
| Programming device eval impl ccm-d sys in person (0926T) |
$53.40 |
$89 |
1.4× |
| Prostate biopsy, any mthd (G0416) |
$742.80 |
$1,238 |
2.1× |
| Psa screening (G0103) |
$166.80 |
$278 |
8.6× |
| Qmrcp w/dx MRI same anatomy (0724T) |
$1,095.60 |
$1,826 |
1.2× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$750 |
$1,250 |
1.2× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$2,097 |
$3,495 |
1.0× |
| Removal perm ccm-d system pulse generator only (0919T) |
$7,263 |
$12,105 |
1.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$2,875.80 |
$4,793 |
4.6× |
| Revasc intra lithotrip-ather (C9766) |
$15,614.40 |
$26,024 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$47,084.90 |
$78,474.83 |
2.6× |
| Revasc intravasc lithotripsy (C9764) |
$9,861.60 |
$16,436 |
0.9× |
| Revasc lith-sten-ath tib/per (C9775) |
$60,801.89 |
$101,336.48 |
3.3× |
| Revasc lithotr-stent tib/per (C9773) |
$43,938.32 |
$73,230.53 |
2.4× |
| Revasc lithotrip tibi/perone (C9772) |
$86,476.37 |
$144,127.28 |
7.5× |
| Revasc lithotrip-stent-ather (C9767) |
$60,801.89 |
$101,336.48 |
3.3× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) |
$3,313.20 |
$5,522 |
0.9× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) |
$3,313.20 |
$5,522 |
0.9× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) |
$3,313.20 |
$5,522 |
0.9× |
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T)
unusually low: confirm this is the full procedure |
$10,018.80 |
$16,698 |
0.4× |
| Rx Mntr Lc-Ms/Ms Oral Fluid (0011U) |
$172.20 |
$287 |
1.5× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$127.20 |
$212 |
4.8× |
| Screen cerv/vag thin layer (G0123) |
$72.60 |
$121 |
3.6× |
| Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient (0065U) |
$34.80 |
$58 |
1.9× |
| Tomosynthesis, mammo (G0279) |
$30 |
$50 |
2.4× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$640.80 |
$1,068 |
1.4× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$9,779.40 |
$16,299 |
0.5× |
| Tte w or w/o fol w/con,stres (C8928) |
$4,407 |
$7,345 |
5.6× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,579.80 |
$2,633 |
2.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$5,880.60 |
$9,801 |
7.5× |
| Unsched dialysis esrd pt hos (G0257) |
$875.40 |
$1,459 |
1.3× |