| Admin pneumococcal vaccine (G0009) |
— |
$95 |
— |
| Demonstrate use home inr mon (G0248) |
— |
$264 |
— |
| Diab manage trn ind/group (G0109) |
— |
$133 |
— |
| Direct refer hospital observ (G0379) |
— |
$675 |
— |
Drug test def 1-7 classes (G0480)
range across 21 matching MRF lines |
— |
$40–$462 |
— |
Drug test def 22+ classes (G0483)
range across 29 matching MRF lines |
— |
$86–$373 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$75 |
— |
| Eia hiv-1/hiv-2 screen (G0432) |
— |
$41 |
— |
| Ekg tracing for initial prev (G0404) |
— |
$237 |
— |
| Elec stim other than wound (G0283) |
— |
$105 |
— |
| Elec stim unattend for press (G0281) |
— |
$757 |
— |
Esophag muc integ w/eso egd (C9777)
range across 5 matching MRF lines |
— |
$7,975–$9,317 |
— |
| Fern test (Q0114) |
— |
$22 |
— |
| Followup eval of foot pt lop (G0246) |
— |
$173 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$1,348 |
— |
| Hep c screen high risk/other (G0472) |
— |
$179 |
— |
| Hepb screen high risk indiv (G0499) |
— |
$124 |
— |
| Home sleep test/type 3 porta (G0399) |
— |
$752 |
— |
Hospital outpt clinic visit (G0463)
range across 31 matching MRF lines |
— |
$172–$440 |
— |
Inj for sacroiliac jt anesth (G0260)
range across 4 matching MRF lines |
— |
$1,224–$2,283 |
— |
| Non-ophthalmic fva (C9733) |
— |
$871 |
— |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) |
— |
$2,138 |
— |
| Oth resp proc, group (G0239) |
— |
$223 |
— |
| Oth resp proc, indiv (G0238) |
— |
$223 |
— |
| Pathogen test for platelets (P9100) |
— |
$72 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$32,623 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$23,188 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$31,827 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$23,188 |
— |
| Prolonged iv inf, req pump (C8957) |
— |
$848 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$375 |
— |
| Provide inr test mater/equip (G0249) |
— |
$208 |
— |
| Psa screening (G0103) |
— |
$205 |
— |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
— |
$401 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$223 |
— |
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines |
— |
$3,160–$3,360 |
— |
| Trim nail(s) (G0127) |
— |
$170 |
— |
| Trluml perip athrc abd aorta (0236T) |
— |
$18,408 |
— |
| Trluml Perip Athrc Brchiocph (0237T) |
— |
$18,408 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
— |
$18,408 |
— |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
— |
$39,283 |
— |