| 2d tee w or w/o fol w/con,in (C8925) |
$1,292.40 |
$2,154 |
1.6× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$10,915.80 |
$18,193 |
1.0× |
| Admin hepatitis b vaccine (G0010) |
$84.60 |
$141 |
1.8× |
| Admin influenza virus vac (G0008) |
$84.60 |
$141 |
1.8× |
| Admin pneumococcal vaccine (G0009) |
$84.60 |
$141 |
1.8× |
| Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide Other Diagnostic Radiology FS (0561T) |
$78.60 |
$131 |
0.6× |
| Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic… (0559T) |
$78.60 |
$131 |
0.6× |
| Chemo extend iv infus w/pump (G0498) |
$934.20 |
$1,557 |
2.8× |
| Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) |
$19,415.96 |
$32,359.92 |
8.2× |
| Diab manage trn per indiv (G0108) |
$142.20 |
$237 |
2.5× |
| Diab manage trn ind/group (G0109) |
$37.80 |
$63 |
2.4× |
| Direct refer hospital observ (G0379) |
$570 |
$950 |
1.0× |
| Drug test def 1-7 classes (G0480) |
$120 |
$200 |
1.0× |
| Drug test def 15-21 classes (G0482) |
$249 |
$415 |
1.3× |
| Drug test def 22+ classes (G0483) |
$322.80 |
$538 |
1.3× |
| Drug test def 8-14 classes (G0481) |
$184.20 |
$307 |
1.2× |
| Eia hiv-1/hiv-2 screen (G0432) |
$100.20 |
$167 |
5.1× |
| Elec stim other than wound (G0283) |
$101.40 |
$169 |
8.0× |
| Fecal blood scrn immunoassay (G0328) |
$31.80 |
$53 |
1.8× |
| Hep c screen high risk/other (G0472) |
$119.40 |
$199 |
2.6× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$20,103 |
$33,505 |
1.2× |
| Hiv combination assay (G0475) |
$61.80 |
$103 |
2.6× |
| Hospital outpt clinic visit (G0463) |
$711.60 |
$1,186 |
5.3× |
| Inj for sacroiliac jt anesth (G0260) |
$16,472.82 |
$27,454.69 |
23.3× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$327.60 |
$546 |
2.7× |
| Mra w/cont, abd (C8900) |
$2,445.60 |
$4,076 |
7.0× |
| Mra w/cont, chest (C8909) |
$4,339.20 |
$7,232 |
12.4× |
| Mra w/cont, pelvis (C8918) |
$4,403.40 |
$7,339 |
12.6× |
| Mra w/o cont, abd (C8901) |
$2,383.80 |
$3,973 |
10.0× |
| Mra w/o cont, chest (C8910) |
$4,104 |
$6,840 |
17.2× |
| Mra w/o cont, lwr ext (C8913) |
$3,697.80 |
$6,163 |
15.5× |
| Mra w/o cont, pelvis (C8919) |
$3,764.40 |
$6,274 |
15.8× |
| Mra w/o fol w/cont, abd (C8902) |
$5,733 |
$9,555 |
16.4× |
| Mra w/o fol w/cont, chest (C8911) |
$4,574.40 |
$7,624 |
13.1× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$4,863 |
$8,105 |
13.9× |
| Mra w/o fol w/cont, pelvis (C8920) |
$5,407.20 |
$9,012 |
15.5× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$4,925.40 |
$8,209 |
14.1× |
| Mra, w/o&w/dye, upper extr (C8936) |
$4,505.40 |
$7,509 |
12.9× |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) |
$2,344.20 |
$3,907 |
0.8× |
| Onc thyr DNA&mrna 112 genes fna ndul alg alys (0026U) |
$5,400.60 |
$9,001 |
1.5× |
| Opps service,sched team conf (G0175) |
$44.40 |
$74 |
0.1× |
| Oral hiv-1/hiv-2 screen (G0435) |
$100.20 |
$167 |
8.4× |
| Pathogen test for platelets (P9100) |
$1,287.60 |
$2,146 |
21.8× |
| Pemivibart infusion (M0224) |
$865.80 |
$1,443 |
2.0× |
| Psa screening (G0103) |
$28.20 |
$47 |
1.5× |
| Qmrcp w/dx MRI same anatomy (0724T) |
$1,095.60 |
$1,826 |
1.2× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$750 |
$1,250 |
1.2× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$1,092.60 |
$1,821 |
1.2× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$1,092.60 |
$1,821 |
1.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$1,080.60 |
$1,801 |
1.5× |
| Screen cerv/vag thin layer (G0123) |
$130.80 |
$218 |
6.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$4,622.40 |
$7,704 |
0.8× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$699.60 |
$1,166 |
1.5× |
| Trauma respons w/hosp criti (G0390) |
$7,092 |
$11,820 |
5.3× |