| 2d tee w or w/o fol w/con,in (C8925) |
$1,975.35 |
$3,039 |
2.7× |
| 2d tte w or w/o fol w/con,co (C8923) |
$698.75 |
$1,075 |
1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$612.30 |
$942 |
1.9× |
| Admin hepatitis b vaccine (G0010) |
$75.40 |
$116 |
1.7× |
| Admin influenza virus vac (G0008) |
$55.25 |
$85 |
1.3× |
| Arthro/shoul surg; w/spacer (C9781) |
$45,498.99 |
$75,831.65 |
3.8× |
| Autolog prp not diab ulcer (G0460) |
$3,121.30 |
$4,802 |
1.6× |
| Catheterize for urine spec (P9612) |
$49.40 |
$76 |
5.3× |
| Colon ca scrn not hi rsk ind (G0121) |
$5,126.02 |
$8,543.38 |
5.9× |
| Colorectal scrn; hi risk ind (G0105) |
$5,266.56 |
$8,777.60 |
6.1× |
| Cysto impl 4 or more (C9740) |
$23,867.87 |
$39,779.78 |
2.7× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$16,275.48 |
$27,125.80 |
3.3× |
| Direct refer hospital observ (G0379) |
$299 |
$460 |
0.5× |
| Drug test def 1-7 classes (G0480) |
$247 |
$380 |
2.2× |
| Elec stim other than wound (G0283) |
$133.90 |
$206 |
10.6× |
| Hbot, full body chamber, 30m (G0277) |
$1,215.50 |
$1,870 |
9.5× |
| Inj for sacroiliac jt anesth (G0260) |
$2,687.10 |
$4,478.50 |
4.1× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) |
$47,363.55 |
$72,867 |
2.3× |
| Insertion/replacement iims implantable mntr only (0527T) |
$17,071.60 |
$26,264 |
2.2× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$66,106.30 |
$101,702 |
2.3× |
| Mra w/cont, abd (C8900) |
$2,837.25 |
$4,365 |
8.7× |
| Mra w/cont, chest (C8909) |
$2,694.90 |
$4,146 |
8.3× |
| Mra w/cont, lwr ext (C8912) |
$2,837.25 |
$4,365 |
8.7× |
| Mra w/cont, pelvis (C8918) |
$2,837.25 |
$4,365 |
8.7× |
| Mra w/o cont, abd (C8901) |
$2,837.25 |
$4,365 |
12.8× |
| Mra w/o cont, chest (C8910) |
$2,694.90 |
$4,146 |
12.1× |
| Mra w/o cont, lwr ext (C8913) |
$2,837.25 |
$4,365 |
12.8× |
| Mra w/o cont, pelvis (C8919) |
$2,837.25 |
$4,365 |
12.8× |
| Mra w/o fol w/cont, abd (C8902) |
$1,836.90 |
$2,826 |
5.7× |
| Mra w/o fol w/cont, chest (C8911) |
$2,694.90 |
$4,146 |
8.3× |
| Mra w/o fol w/cont, pelvis (C8920) |
$3,180.45 |
$4,893 |
9.8× |
| Mra, w/dye, upper extremity (C8934) |
$2,837.25 |
$4,365 |
8.7× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,657.55 |
$5,627 |
11.3× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$409.50 |
$630 |
0.8× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$17,253.57 |
$28,755.95 |
41.5× |
| Oth resp proc, group (G0239) |
$81.25 |
$125 |
2.3× |
| Oth resp proc, indiv (G0238) |
$62.40 |
$96 |
2.3× |
| Pathogen test for platelets (P9100) |
$91 |
$140 |
1.7× |
| Perc d-e cor revasc chro sin (C9607) |
$15,544.75 |
$23,915 |
0.9× |
| Perc d-e cor revasc t cabg s (C9604) |
$15,544.75 |
$23,915 |
1.4× |
| Perc d-e cor stent ather s (C9602) |
$13,524.55 |
$20,807 |
0.8× |
| Perc drug-el cor stent sing (C9600) |
$11,658.40 |
$17,936 |
1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$10,047.05 |
$15,457 |
1.5× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$4,772.30 |
$7,342 |
0.7× |
| Prostate biopsy, any mthd (G0416) |
$1,833.65 |
$2,821 |
5.5× |
| Psa screening (G0103) |
$222.95 |
$343 |
11.5× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$873.60 |
$1,344 |
3.9× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$873.60 |
$1,344 |
3.9× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$656.50 |
$1,010 |
3.3× |
| Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) |
$37,500.16 |
$62,500.27 |
6.6× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$6,540.95 |
$10,063 |
3.4× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$6,540.95 |
$10,063 |
3.4× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$6,540.95 |
$10,063 |
1.9× |
| Revasc intra lithotrip-ather (C9766) |
$51,632.93 |
$83,663.01 |
3.0× |
| Revasc intra lithotrip-stent (C9765) |
$54,874.94 |
$89,066.35 |
3.2× |
| Revasc intravasc lithotripsy (C9764) |
$43,670.11 |
$72,783.52 |
4.1× |
| Revasc lithotr-ather tib/per (C9774) |
$37,313.25 |
$57,405 |
2.2× |
| Revasc lithotrip tibi/perone (C9772) |
$48,328.01 |
$80,546.68 |
4.5× |
| Revasc lithotrip-stent-ather (C9767) |
$35,234.55 |
$54,207 |
2.1× |
| Rpr intst excl anrect fist (C9796) |
$5,647.85 |
$8,689 |
2.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$36,697.05 |
$56,457 |
2.0× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$6,540.95 |
$10,063 |
2.2× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$36,697.05 |
$56,457 |
2.0× |
| Tomosynthesis, mammo (G0279) |
$81.90 |
$126 |
6.5× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$9,728.55 |
$14,967 |
1.8× |
| Transcatheter renal sympath denervation unilat (0338T) |
$9,728.55 |
$14,967 |
1.8× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$6,588.40 |
$10,136 |
0.6× |
| Trluml Perip Athrc Renal Art (0234T) |
$6,588.40 |
$10,136 |
0.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$6,588.40 |
$10,136 |
0.6× |
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure |
$6,588.40 |
$10,136 |
0.4× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,263.60 |
$1,944 |
1.7× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,120.60 |
$1,724 |
1.5× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$565.50 |
$870 |
0.8× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,144.35 |
$3,299 |
2.9× |
| Unsched dialysis esrd pt hos (G0257) |
$526.50 |
$810 |
0.8× |
| Vasc emb/occ w/prs cath (C9797) |
$35,234.55 |
$54,207 |
2.1× |