| 2d tte w or w/o fol w/con,fu (C8924) |
$760 |
$1,520 |
2.4× |
| Catheterize for urine spec (P9612) |
$34 |
$68 |
3.6× |
| Chemo extend iv infus w/pump (G0498) |
$599 |
$1,198 |
2.0× |
| Diab manage trn ind/group (G0109) |
$26.50 |
$53 |
1.7× |
| Direct refer hospital observ (G0379) |
$320.50 |
$641 |
0.6× |
| Drug test def 1-7 classes (G0480) |
$49.50 |
$99 |
0.4× |
| Elec stim other than wound (G0283) |
$55 |
$110 |
4.3× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure |
$14,055.50 |
$28,111 |
0.4× |
| Hbot, full body chamber, 30m (G0277) |
$380 |
$760 |
3.1× |
| Inj for sacroiliac jt anesth (G0260) |
$2,536 |
$5,072 |
4.0× |
| Instlj fecal microbiota ssp (0780T) |
$175.50 |
$351 |
1.5× |
| Mra w/cont, abd (C8900) |
$1,514.50 |
$3,029 |
4.8× |
| Mra w/o cont, abd (C8901) |
$1,188 |
$2,376 |
5.5× |
| Mra w/o cont, lwr ext (C8913) |
$1,445 |
$2,890 |
6.7× |
| Mra w/o cont, pelvis (C8919) |
$1,355.50 |
$2,711 |
6.3× |
| Mra w/o fol w/cont, abd (C8902) |
$1,847 |
$3,694 |
5.9× |
| Mra w/o fol w/cont, chest (C8911) |
$2,088 |
$4,176 |
6.6× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,088 |
$4,176 |
6.6× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,766.50 |
$3,533 |
5.6× |
| Mra, w/o dye, upper extr (C8935) |
$1,468.50 |
$2,937 |
6.8× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,468.50 |
$2,937 |
4.7× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$1,435 |
$2,870 |
3.6× |
| Oth resp proc, group (G0239) |
$115.50 |
$231 |
3.4× |
| Perc d-e cor revasc chro sin (C9607) |
$11,264 |
$22,528 |
0.7× |
| Perc d-e cor revasc t cabg s (C9604) |
$11,264 |
$22,528 |
1.1× |
| Perc d-e cor stent ather s (C9602) |
$11,264 |
$22,528 |
0.7× |
| Perc drug-el cor stent sing (C9600) |
$11,264 |
$22,528 |
1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$12,792 |
$25,584 |
2.0× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$4,851.50 |
$9,703 |
0.7× |
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure |
$5,156.93 |
$10,313.85 |
0.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$31 |
$62 |
0.9× |
| Psa screening (G0103) |
$88.50 |
$177 |
4.6× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) |
$1,346.50 |
$2,693 |
0.7× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) |
$1,346.50 |
$2,693 |
0.7× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) |
$2,899.50 |
$5,799 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$13,812 |
$27,624 |
0.8× |
| Revasc intravasc lithotripsy (C9764) |
$8,342 |
$16,684 |
0.8× |
| Revasc lith-sten-ath tib/per (C9775) |
$14,055.50 |
$28,111 |
0.8× |
| Revasc lithotr-ather tib/per (C9774) |
$14,055.50 |
$28,111 |
0.8× |
| Revasc lithotr-stent tib/per (C9773) |
$14,055.50 |
$28,111 |
0.8× |
| Revasc lithotrip tibi/perone (C9772) |
$8,786.50 |
$17,573 |
0.8× |
| Scr c/v cyto, automated sys (G0147) |
$66 |
$132 |
3.6× |
| Screen cerv/vag thin layer (G0123) |
$61.50 |
$123 |
3.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$14,388 |
$28,776 |
0.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$16,131.30 |
$32,262.59 |
0.9× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$2,353.50 |
$4,707 |
0.8× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$14,388 |
$28,776 |
0.8× |
| Therapeutic procd strg endur (G0237) |
$96 |
$192 |
3.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$6,406.50 |
$12,813 |
1.2× |
| Transcatheter renal sympath denervation unilat (0338T) |
$6,406.50 |
$12,813 |
1.2× |
| Trauma respons w/hosp criti (G0390) |
$1,970 |
$3,940 |
1.6× |
| Trim nail(s) (G0127) |
$76.50 |
$153 |
1.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$6,526 |
$13,052 |
0.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$13,471.50 |
$26,943 |
0.8× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,073.50 |
$2,147 |
1.5× |
| Unsched dialysis esrd pt hos (G0257) |
$1,449.50 |
$2,899 |
2.3× |
| Vasc emb/occ w/prs cath (C9797) |
$19,750 |
$39,500 |
1.2× |