| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$1,320 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$235 |
— |
| Drug test def 15-21 classes (G0482) |
— |
$261.64 |
— |
| Drug test def 22+ classes (G0483) |
— |
$325.46 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$206.77 |
— |
| Extrnl counterpulse, per tx (G0166) |
— |
$616.54 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$800 |
— |
| Hepb screen high risk indiv (G0499) |
— |
$210.70 |
— |
| Home sleep test/type 3 porta (G0399) |
— |
$787 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$242.70 |
— |
| Mra w/cont, chest (C8909) |
— |
$2,920 |
— |
| Mra w/o cont, abd (C8901) |
— |
$2,549 |
— |
| Mra w/o cont, chest (C8910) |
— |
$2,548 |
— |
| Mra w/o cont, pelvis (C8919) |
— |
$2,254.90 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$3,431 |
— |
| Mra w/o fol w/cont, chest (C8911) |
— |
$3,431 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$3,431 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$3,210 |
— |
| Mri w/cont, breast, bi (C8906) |
— |
$2,623.18 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$5,596 |
— |
| Neuro csf prion prtn qual (0035U) |
— |
$1,643.99 |
— |
| Njx platelet plasma (0232T) |
— |
$724.38 |
— |
| Onc Merkel Cll Carc Srm Quan (0058U) |
— |
$1,028.57 |
— |
| Oth resp proc, group (G0239) |
— |
$103 |
— |
| Oth resp proc, indiv (G0238) |
— |
$77.55 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$51,765.98 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$63,574.14 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$67,223.03 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$41,602.95 |
— |
| Perq Sacral Augmt Bilat Inj (0201T) |
— |
$12,839.40 |
— |
| Perq Sacral Augmt Unilat Inj (0200T) |
— |
$9,732.16 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$1,308.18 |
— |
| Psa screening (G0103) |
— |
$173 |
— |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
— |
$1,235.27 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$80 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$60 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$8,632.77 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
— |
$20,150.93 |
— |
| Tte w or w/o contr, cont ecg (C8930) |
— |
$2,831 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$3,182 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$3,728 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$2,685.92 |
— |