| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$561 |
$561 |
0.2× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$11,745.32 |
$11,745.32 |
1.6× |
| Catheterize for urine spec (P9612) |
$442.86 |
$442.86 |
47.4× |
| Covid-19 lab test non-cdc (U0002) |
$2,176 |
$2,176 |
42.4× |
| Demonstrate use home inr mon (G0248) |
$136.50 |
$136.50 |
1.2× |
| Diab manage trn per indiv (G0108) |
$99 |
$99 |
1.8× |
| Diab manage trn ind/group (G0109) |
$58 |
$58 |
3.6× |
| Direct refer hospital observ (G0379) |
$853.50 |
$853.50 |
1.7× |
| Drug test def 1-7 classes (G0480) |
$446 |
$446 |
3.9× |
| Drug test def 8-14 classes (G0481) |
$16,306.50 |
$16,306.50 |
104.1× |
| Elec stim other than wound (G0283) |
$93 |
$93 |
7.3× |
| Hbot, full body chamber, 30m (G0277) |
$462 |
$462 |
3.9× |
| Hiv combination assay (G0475) |
$140 |
$140 |
5.8× |
| Hospital outpt clinic visit (G0463) |
$215 |
$215 |
1.9× |
| Hpv combo assay ca screen (G0476) |
$393 |
$393 |
11.2× |
| Inj for sacroiliac jt anesth (G0260) |
$530.01 |
$530.01 |
0.9× |
| Mnt subs tx for change dx (G0270) |
$53.50 |
$53.50 |
1.7× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$237.50 |
$237.50 |
0.8× |
| Mri w/o fol w/cont, breast, (C8908) |
$7,340 |
$7,340 |
24.4× |
| Mri w/o fol w/cont, brst, un (C8905) |
$528 |
$528 |
1.8× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$800 |
$800 |
2.1× |
| Oral hiv-1/hiv-2 screen (G0435) |
$984.50 |
$984.50 |
82.2× |
| Oth resp proc, group (G0239) |
$61 |
$61 |
1.9× |
| Perc d-e cor revasc chro sin (C9607) |
$17,512.50 |
$17,512.50 |
1.1× |
| Perc d-e cor revasc t cabg s (C9604) |
$17,512.50 |
$17,512.50 |
1.8× |
| Perc d-e cor stent ather s (C9602) |
$26,817 |
$26,817 |
1.7× |
| Perc drug-el cor stent sing (C9600) |
$17,512.50 |
$17,512.50 |
1.8× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$5,212 |
$5,212 |
0.8× |
| Place device/marker, non pro (C9728) |
$2,413 |
$2,413 |
2.0× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$2,799 |
$2,799 |
3.8× |
| Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) |
$63 |
$63 |
2.0× |
| Psa screening (G0103) |
$141 |
$141 |
7.3× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$522.50 |
$522.50 |
2.8× |
| Revasc intravasc lithotripsy (C9764) |
$18,435.50 |
$18,435.50 |
1.9× |
| Revasc lith-sten-ath tib/per (C9775) |
$29,476 |
$29,476 |
1.9× |
| Revasc lithotr-ather tib/per (C9774) |
$29,476 |
$29,476 |
1.9× |
| Revasc lithotr-stent tib/per (C9773) |
$29,476 |
$29,476 |
1.9× |
| Revasc lithotrip-stent-ather (C9767) |
$29,476 |
$29,476 |
1.9× |
| Screen cerv/vag thin layer (G0123) |
$170.13 |
$170.13 |
8.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$34,977.28 |
$34,977.28 |
2.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$9,096.50 |
$9,096.50 |
1.9× |
| Therapeutic procd strg endur (G0237) |
$270 |
$270 |
10.8× |
| Therapeutic ultrafiltration (0692T) |
$8,219.50 |
$8,219.50 |
6.1× |
| Tomosynthesis, mammo (G0279) |
$2,751.47 |
$2,751.47 |
216.8× |
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
likely a partial charge, not the full procedure |
$1,179 |
$1,179 |
0.1× |
| Trauma respons w/hosp criti (G0390) |
$1,700 |
$1,700 |
1.5× |
| Trluml Perip Athrc Renal Art (0234T) |
$9,224.06 |
$9,224.06 |
0.9× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$9,383 |
$9,383 |
0.9× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$27,070.50 |
$27,070.50 |
1.7× |