| 2d tee w or w/o fol w/con,in (C8925) |
$1,300.43 |
$3,251.06 |
1.6× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,384.50 |
$3,461.25 |
1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$384.06 |
$960.13 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$20.78 |
$51.94 |
0.4× |
| Admin influenza virus vac (G0008) |
$44.74 |
$111.85 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$44.74 |
$111.85 |
0.9× |
| Catheterize for urine spec (P9612) |
$195.50 |
$488.74 |
20.9× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$3,085.22 |
$7,713.05 |
8.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$1,583.74 |
$3,959.34 |
6.3× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$3,085.22 |
$7,713.05 |
8.4× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$2,143.88 |
$5,359.68 |
11.6× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$1,015.51 |
$2,538.77 |
9.2× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$2,143.88 |
$5,359.68 |
11.6× |
| Direct refer hospital observ (G0379) |
$296.83 |
$742.06 |
0.5× |
| Drug test def 1-7 classes (G0480) |
$98.40 |
$246 |
0.9× |
| Hospital outpt clinic visit (G0463) |
$182.12 |
$455.28 |
1.3× |
| Mra w/cont, abd (C8900) |
$2,607.72 |
$6,519.29 |
7.1× |
| Mra w/cont, chest (C8909) |
$2,078.85 |
$5,197.12 |
5.6× |
| Mra w/cont, pelvis (C8918) |
$2,607.72 |
$6,519.29 |
7.1× |
| Mra w/o cont, abd (C8901) |
$2,078.85 |
$5,197.12 |
8.3× |
| Mra w/o cont, chest (C8910) |
$2,078.85 |
$5,197.12 |
8.3× |
| Mra w/o cont, lwr ext (C8913) |
$3,100.42 |
$7,751.06 |
12.3× |
| Mra w/o cont, pelvis (C8919) |
$2,607.72 |
$6,519.29 |
10.4× |
| Mra w/o fol w/cont, abd (C8902) |
$2,607.72 |
$6,519.29 |
7.1× |
| Mra w/o fol w/cont, chest (C8911) |
$2,607.72 |
$6,519.29 |
7.1× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$3,911.58 |
$9,778.93 |
10.6× |
| Mra w/o fol w/cont, pelvis (C8920) |
$2,078.85 |
$5,197.12 |
5.6× |
| Mri w/cont, breast, bi (C8906) |
$1,455.62 |
$3,639.03 |
4.0× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,235.18 |
$8,087.94 |
8.8× |
| Mri w/o fol w/cont, brst, un (C8905) |
$2,331.40 |
$5,828.49 |
6.3× |
| Pathogen test for platelets (P9100) |
$68.92 |
$172.28 |
1.1× |
| Prolonged iv inf, req pump (C8957) |
$256.94 |
$642.33 |
1.1× |
| Psa screening (G0103) |
$107.53 |
$268.81 |
5.6× |
| Screen pap by tech w md supv (P3000) |
$58.12 |
$145.29 |
3.1× |
| Trauma respons w/hosp criti (G0390) |
$2,992.38 |
$7,480.95 |
2.1× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,237.59 |
$3,093.96 |
1.5× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,226.62 |
$3,066.54 |
1.5× |
| Tte w or w/o fol w/cont, com (C8921) |
$1,088.96 |
$2,722.39 |
1.3× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$683.02 |
$1,707.54 |
0.8× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,464.22 |
$3,660.54 |
1.8× |