| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$919 |
— |
| Admin hepatitis b vaccine (G0010) |
— |
$81.50 |
— |
| Admin influenza virus vac (G0008) |
— |
$41 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$147 |
— |
| Alcohol/subs interv 15-30mn (G0396) |
— |
$517 |
— |
| Alcohol/subs interv >30 min (G0397) |
— |
$701 |
— |
| Chemo extend iv infus w/pump (G0498) |
— |
$435 |
— |
| Diab manage trn per indiv (G0108) |
— |
$98 |
— |
| Diab manage trn ind/group (G0109) |
— |
$59 |
— |
| Direct refer hospital observ (G0379) |
— |
$1,013 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$344 |
— |
| Drug test def 15-21 classes (G0482) |
— |
$14 |
— |
| Drug test def 22+ classes (G0483) |
— |
$210 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$64 |
— |
| Elec stim other than wound (G0283) |
— |
$181 |
— |
| Elec stim unattend for press (G0281) |
— |
$121 |
— |
| Fecal microbiota prep instil (G0455) |
— |
$1,240 |
— |
| Hepb screen high risk indiv (G0499) |
— |
$56 |
— |
| Hiv combination assay (G0475) |
— |
$107 |
— |
| Home sleep test/type 3 porta (G0399) |
— |
$707 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$259 |
— |
| Hpv combo assay ca screen (G0476) |
— |
$130 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$1,155 |
— |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) |
— |
$1,520 |
— |
| Mra w/cont, abd (C8900) |
— |
$1,975 |
— |
| Mra w/cont, chest (C8909) |
— |
$2,205 |
— |
| Mra w/cont, lwr ext (C8912) |
— |
$1,709 |
— |
| Mra w/o cont, abd (C8901) |
— |
$1,807 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$2,170 |
— |
| Mra w/o fol w/cont, chest (C8911) |
— |
$2,363 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$1,894 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$1,709 |
— |
| Mra, w/o&w/dye, upper extr (C8936) |
— |
$1,894 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$1,887 |
— |
| Mri w/o fol w/cont, brst, un (C8905) |
— |
$1,034 |
— |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
— |
$1,788 |
— |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) |
— |
$3,299.50 |
— |
| Onc Merkel Cll Carc Srm Quan (0058U) |
— |
$994 |
— |
| Oth resp proc, group (G0239) |
— |
$51 |
— |
| Oth resp proc, indiv (G0238) |
— |
$68 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$9,767 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$13,950 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$13,950 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$13,950 |
— |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
— |
$11,858 |
— |
| Place device/marker, non pro (C9728) |
— |
$1,100 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$2,136 |
— |
| Psa screening (G0103) |
— |
$69 |
— |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
— |
$650 |
— |
| Revasc intra lithotrip-ather (C9766) |
— |
$8,376 |
— |
| Revasc intra lithotrip-stent (C9765) |
— |
$6,403 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$3,465 |
— |
| Revasc lith-sten-ath tib/per (C9775) |
— |
$14,930 |
— |
| Revasc lithotr-ather tib/per (C9774) |
— |
$9,004.50 |
— |
| Revasc lithotr-stent tib/per (C9773) |
— |
$6,883.50 |
— |
| Revasc lithotrip tibi/perone (C9772) |
— |
$3,725 |
— |
| Revasc lithotrip-stent-ather (C9767) |
— |
$13,888 |
— |
| Scr c/v cyto,thinlayer,rescr (G0145) |
— |
$80 |
— |
| Screen cerv/vag thin layer (G0123) |
— |
$61 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$63 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$159 |
— |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
— |
$7,364 |
— |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
— |
$6,403 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$1,418 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$1,418 |
— |