| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$1,355.57 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$3,414.61 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$3,491.63 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$124.55 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$124.52 |
— |
| Drug test def 15-21 classes (G0482) |
— |
$268.69 |
— |
| Drug test def 22+ classes (G0483) |
— |
$334.23 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$212.34 |
— |
| Extrnl counterpulse, per tx (G0166) |
— |
$633.16 |
— |
| Followup eval of foot pt lop (G0246) |
— |
$374.97 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$891.78 |
— |
| Hepb screen high risk indiv (G0499) |
— |
$216.38 |
— |
| Home sleep test/type 3 porta (G0399) |
— |
$808.21 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$482.47 |
— |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
— |
$70,552.50 |
— |
| Mra w/cont, chest (C8909) |
— |
$2,998.69 |
— |
| Mra w/o cont, abd (C8901) |
— |
$2,617.70 |
— |
| Mra w/o cont, chest (C8910) |
— |
$2,616.67 |
— |
| Mra w/o cont, pelvis (C8919) |
— |
$2,315.67 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$3,774.10 |
— |
| Mra w/o fol w/cont, chest (C8911) |
— |
$3,774.10 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$3,523.47 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$3,531 |
— |
| Mri w/cont, breast, bi (C8906) |
— |
$2,693.87 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$6,155.60 |
— |
| Neuro csf prion prtn qual (0035U) |
— |
$1,688.30 |
— |
| Njx platelet plasma (0232T) |
— |
$743.90 |
— |
| Onc Merkel Cll Carc Srm Quan (0058U) |
— |
$1,056.29 |
— |
| Oth resp proc, group (G0239) |
— |
$103 |
— |
| Oth resp proc, indiv (G0238) |
— |
$77.55 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$53,161.07 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$65,287.46 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$69,034.69 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$42,724.15 |
— |
| Perq Sacral Augmt Bilat Inj (0201T) |
— |
$13,185.42 |
— |
| Perq Sacral Augmt Unilat Inj (0200T) |
— |
$9,994.44 |
— |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) |
— |
$34,115.85 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$1,343.44 |
— |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
— |
$1,268.56 |
— |
| Revasc intra lithotrip-ather (C9766) |
— |
$29,002.81 |
— |
| Revasc intra lithotrip-stent (C9765) |
— |
$30,344.32 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$15,262.53 |
— |
| Revasc lith-sten-ath tib/per (C9775) |
— |
$65,478.33 |
— |
| Revasc lithotr-ather tib/per (C9774) |
— |
$30,808.50 |
— |
| Revasc lithotr-stent tib/per (C9773) |
— |
$25,767.20 |
— |
| Revasc lithotrip tibi/perone (C9772) |
— |
$20,627.32 |
— |
| Revasc lithotrip-stent-ather (C9767) |
— |
$45,956.21 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$80 |
— |
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines |
— |
$12,813.59–$15,631.88 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
— |
$20,694 |
— |
| Tte w or w/o contr, cont ecg (C8930) |
— |
$2,907.30 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$3,267.75 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$3,828.47 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$2,758.31 |
— |
| Vasc emb/occ w/prs cath (C9797) |
— |
$31,771.05 |
— |