| 2019-ncov diagnostic p (U0001) |
$40.50 |
$81 |
1.1× |
| 2d tee w or w/o fol w/con,in (C8925) |
$950 |
$1,900 |
1.2× |
| 2d tte w or w/o fol w/con,co (C8923) |
$676.50 |
$1,353 |
0.8× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$643 |
$1,286 |
1.8× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) |
$9,299 |
$18,598 |
1.0× |
| Adm tocilizu covid-19 1st (M0249) |
$346.50 |
$693 |
0.8× |
| Adm tocilizu covid-19 2nd (M0250) |
$346.50 |
$693 |
0.8× |
| Admin influenza virus vac (G0008) |
$43 |
$86 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$43 |
$86 |
0.9× |
| Ca screen;flexi sigmoidscope (G0104) |
$907 |
$1,814 |
0.9× |
| Ca screen;pelvic/breast exam (G0101) |
$106 |
$212 |
1.0× |
| Chemo extend iv infus w/pump (G0498) |
$505 |
$1,010 |
1.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,386.50 |
$2,773 |
1.4× |
| Colorectal scrn; hi risk ind (G0105) |
$1,386.50 |
$2,773 |
1.4× |
| Covid-19 lab test non-cdc (U0002) |
$57.50 |
$115 |
1.1× |
| Depression screen annual (G0444) |
$78.50 |
$157 |
2.0× |
| Diab manage trn per indiv (G0108) |
$53.50 |
$107 |
1.0× |
| Diab manage trn ind/group (G0109) |
$36.50 |
$73 |
2.3× |
| Direct refer hospital observ (G0379) |
$295.50 |
$591 |
0.5× |
| Elec stim other than wound (G0283) |
$70 |
$140 |
5.5× |
| Extrnl counterpulse, per tx (G0166) |
$154 |
$308 |
1.1× |
| Fecal blood scrn immunoassay (G0328) |
$36.50 |
$73 |
2.0× |
| Group mnt 2 or more 30 mins (G0271) |
$23 |
$46 |
1.4× |
| Hbot, full body chamber, 30m (G0277) |
$322 |
$644 |
2.3× |
| Hospital outpt clinic visit (G0463) |
$25 |
$50 |
0.2× |
| Ig paraprotein qual bld/ur (0077U) |
$73 |
$146 |
1.7× |
| Iliac Atherectomy (0238T) |
$11,750.50 |
$23,501 |
0.6× |
| Initial preventive exam (G0402) |
$137 |
$274 |
1.0× |
| Inj for sacroiliac jt anesth (G0260) |
$544.50 |
$1,089 |
0.7× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$47,027.50 |
$94,055 |
1.4× |
| Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) |
$14,958.50 |
$29,917 |
1.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$205 |
$410 |
1.7× |
| Liver Dis 10 Assays W/Nash (0003M) |
$845.50 |
$1,691 |
1.7× |
| Mnt subs tx for change dx (G0270) |
$27.50 |
$55 |
0.9× |
| Mra w/o cont, abd (C8901) |
$1,975.50 |
$3,951 |
8.0× |
| Mra w/o cont, chest (C8910) |
$1,165.50 |
$2,331 |
4.7× |
| Mra w/o cont, lwr ext (C8913) |
$1,334 |
$2,668 |
5.4× |
| Mra w/o cont, pelvis (C8919) |
$1,292.50 |
$2,585 |
5.2× |
| Mra w/o fol w/cont, abd (C8902) |
$2,390.50 |
$4,781 |
6.6× |
| Mra w/o fol w/cont, chest (C8911) |
$2,183 |
$4,366 |
6.0× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$1,270 |
$2,540 |
3.5× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,428 |
$2,856 |
4.0× |
| Nav srv peer sup 60 min pr m (G0140) |
$365.50 |
$731 |
3.5× |
| Neuro csf prion prtn qual (0035U) |
$909 |
$1,818 |
1.7× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$569.50 |
$1,139 |
1.2× |
| Obtaining screen pap smear (Q0091) |
$42.50 |
$85 |
1.4× |
| Oth resp proc, group (G0239) |
$140 |
$280 |
3.6× |
| Oth resp proc, indiv (G0238) |
$41.50 |
$83 |
1.4× |
| Pathogen test for platelets (P9100) |
$46 |
$92 |
0.8× |
| Perc d-e cor revasc chro sin (C9607) |
$10,341 |
$20,682 |
0.5× |
| Perc d-e cor revasc t cabg s (C9604) |
$10,358 |
$20,716 |
0.9× |
| Perc d-e cor stent ather s (C9602) |
$10,341 |
$20,682 |
0.5× |
| Perc drug-el cor stent sing (C9600) |
$10,885 |
$21,770 |
0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$3,786.50 |
$7,573 |
0.5× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$11,319.50 |
$22,639 |
1.5× |
| Place device/marker, non pro (C9728) |
$3,283.50 |
$6,567 |
2.3× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,361.50 |
$2,723 |
1.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$49 |
$98 |
1.3× |
| Prostate biopsy, any mthd (G0416) |
$738 |
$1,476 |
2.0× |
| Psa screening (G0103) |
$74 |
$148 |
3.8× |
| Revasc intra lithotrip-ather (C9766) |
$23,110 |
$46,220 |
1.2× |
| Revasc intra lithotrip-stent (C9765) |
$23,530 |
$47,060 |
1.2× |
| Revasc intravasc lithotripsy (C9764) |
$11,554.50 |
$23,109 |
1.0× |
| Revasc lith-sten-ath tib/per (C9775) |
$22,626 |
$45,252 |
1.2× |
| Revasc lithotr-ather tib/per (C9774) |
$22,626 |
$45,252 |
1.2× |
| Revasc lithotr-stent tib/per (C9773) |
$22,626 |
$45,252 |
1.2× |
| Revasc lithotrip tibi/perone (C9772) |
$14,145 |
$28,290 |
1.2× |
| Revasc lithotrip-stent-ather (C9767) |
$37,853.50 |
$75,707 |
2.0× |
| Rx metab warfarin rx response trgt seq alys (0030U) |
$225 |
$450 |
1.7× |
| Screen cerv/vag thin layer (G0123) |
$79.50 |
$159 |
3.9× |
| Screen pap by tech w md supv (P3000) |
$28 |
$56 |
1.5× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) |
$30 |
$60 |
1.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$25,372.50 |
$50,745 |
1.3× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$6,763.50 |
$13,527 |
1.1× |
| Therapeutic procd strg endur (G0237) |
$41.50 |
$83 |
1.4× |
| Tpmt nudt15 gene analysis common variants (0034U) |
$783.50 |
$1,567 |
1.7× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$18,165.50 |
$36,331 |
1.5× |
| Trauma respons w/hosp criti (G0390) |
$3,915 |
$7,830 |
2.8× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$17,363 |
$34,726 |
1.5× |
| Tte w or w/o fol w/con,stres (C8928) |
$902.50 |
$1,805 |
1.1× |
| Tte w or w/o fol w/cont, com (C8921) |
$950 |
$1,900 |
1.2× |
| Tte w or w/o fol w/cont, f/u (C8922) |
$676.50 |
$1,353 |
0.8× |
| Tte w or wo fol wcon,doppler (C8929) |
$864.50 |
$1,729 |
1.1× |
| Unsched dialysis esrd pt hos (G0257) |
$638 |
$1,276 |
0.9× |