| 2d tee w or w/o fol w/con,in (C8925) |
$1,375.05 |
$2,291.75 |
1.7× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,691.40 |
$2,819 |
2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,375.05 |
$2,291.75 |
3.9× |
| 3d anat seg imaging preop (C8001) |
$1,067.10 |
$1,778.50 |
8.3× |
| Admin influenza virus vac (G0008) |
$113.70 |
$189.50 |
2.4× |
| Admin pneumococcal vaccine (G0009) |
$113.70 |
$189.50 |
2.4× |
| Catheterize for urine spec (P9612) |
$148.80 |
$248 |
15.9× |
| Diab manage trn per indiv (G0108) |
$144.60 |
$241 |
2.6× |
| Diab manage trn ind/group (G0109) |
$84 |
$140 |
5.2× |
| Direct refer hospital observ (G0379) |
$304.35 |
$507.25 |
0.5× |
| Drug test def 1-7 classes (G0480) |
$113.85 |
$189.75 |
1.0× |
| Drug test def 15-21 classes (G0482) |
$442.80 |
$738 |
2.2× |
| Drug test def 8-14 classes (G0481) |
$405.90 |
$676.50 |
2.6× |
| Elec stim other than wound (G0283) |
$93.90 |
$156.50 |
7.4× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
$33,752.25 |
$56,253.75 |
0.8× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) |
$25,057.80 |
$41,763 |
2.2× |
| Fecal microbiota prep instil (G0455) |
$1,489.50 |
$2,482.50 |
1.6× |
| Hbot, full body chamber, 30m (G0277) |
$362.40 |
$604 |
2.6× |
| Hep c screen high risk/other (G0472) |
$225.45 |
$375.75 |
4.9× |
| Insert cv cath inf & sup app (C9780) |
$13,385.85 |
$22,309.75 |
1.7× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$50,039.25 |
$83,398.75 |
1.6× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) |
$6,969.75 |
$11,616.25 |
1.6× |
| Mnt subs tx for change dx (G0270) |
$90 |
$150 |
2.8× |
| Mra w/cont, abd (C8900) |
$2,394.15 |
$3,990.25 |
6.8× |
| Mra w/cont, pelvis (C8918) |
$2,929.95 |
$4,883.25 |
8.4× |
| Mra w/o cont, abd (C8901) |
$2,274.45 |
$3,790.75 |
9.5× |
| Mra w/o cont, chest (C8910) |
$2,939.25 |
$4,898.75 |
12.3× |
| Mra w/o cont, lwr ext (C8913) |
$3,082.65 |
$5,137.75 |
12.9× |
| Mra w/o cont, pelvis (C8919) |
$3,047.25 |
$5,078.75 |
12.7× |
| Mra w/o fol w/cont, abd (C8902) |
$2,394.15 |
$3,990.25 |
6.8× |
| Mra w/o fol w/cont, chest (C8911) |
$2,939.25 |
$4,898.75 |
8.4× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$3,023.32 |
$5,038.88 |
8.6× |
| Mra w/o fol w/cont, pelvis (C8920) |
$3,047.25 |
$5,078.75 |
8.7× |
| Mri w/cont, breast, bi (C8906) |
$2,574.45 |
$4,290.75 |
7.3× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,209.55 |
$5,349.25 |
9.2× |
| Mri w/o fol w/cont, brst, un (C8905) |
$2,610.75 |
$4,351.25 |
7.4× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$409.50 |
$682.50 |
0.8× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$1,278.90 |
$2,131.50 |
1.4× |
| Opto-acoustic img breast uni augmnt alys&reprt (0857T) |
$184.20 |
$307 |
1.8× |
| Oth resp proc, group (G0239) |
$79.95 |
$133.25 |
2.1× |
| Oth resp proc, indiv (G0238) |
$76.80 |
$128 |
2.6× |
| Perc d-e cor revasc chro sin (C9607) |
$18,808.65 |
$31,347.75 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$18,808.65 |
$31,347.75 |
1.6× |
| Perc d-e cor stent ather s (C9602) |
$18,808.65 |
$31,347.75 |
1.0× |
| Perc drug-el cor stent sing (C9600) |
$18,808.65 |
$31,347.75 |
1.6× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$6,284.40 |
$10,474 |
0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$4,580.70 |
$7,634.50 |
0.6× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$18,228 |
$30,380 |
1.6× |
| Pre 3d mdl w/ccta and/or mri (C9793) |
$1,904.25 |
$3,173.75 |
2.2× |
| Prostate biopsy, any mthd (G0416) |
$361.05 |
$601.75 |
1.0× |
| Psa screening (G0103) |
$154.95 |
$258.25 |
8.0× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$1,203.90 |
$2,006.50 |
5.0× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$364.80 |
$608 |
1.5× |
| Rbc DNA gnotyp 10 bld groups (0084U) |
$680.55 |
$1,134.25 |
0.9× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$736.05 |
$1,226.75 |
1.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$5,837.10 |
$9,728.50 |
1.6× |
| Revasc intra lithotrip-ather (C9766) |
$18,808.65 |
$31,347.75 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$18,808.65 |
$31,347.75 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$9,041.40 |
$15,069 |
0.8× |
| Revasc lith-sten-ath tib/per (C9775) |
$18,085.20 |
$30,142 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$18,808.65 |
$31,347.75 |
1.0× |
| Revasc lithotr-stent tib/per (C9773) |
$28,152.45 |
$46,920.75 |
1.5× |
| Revasc lithotrip tibi/perone (C9772) |
$18,808.65 |
$31,347.75 |
1.6× |
| Revasc lithotrip-stent-ather (C9767) |
$18,808.65 |
$31,347.75 |
1.0× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$8,726.55 |
$14,544.25 |
2.3× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$8,182.80 |
$13,638 |
2.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$40,546.80 |
$67,578 |
2.1× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$40,546.80 |
$67,578 |
2.1× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$40,546.80 |
$67,578 |
2.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$40,546.80 |
$67,578 |
2.1× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$6,633 |
$11,055 |
2.1× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) |
$6,633 |
$11,055 |
2.1× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$6,633 |
$11,055 |
2.1× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) |
$6,633 |
$11,055 |
2.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$40,546.80 |
$67,578 |
2.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) |
$40,546.80 |
$67,578 |
2.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) |
$40,546.80 |
$67,578 |
2.1× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$40,546.80 |
$67,578 |
2.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$8,541 |
$14,235 |
1.5× |
| Therapeutic procd strg endur (G0237) |
$113.70 |
$189.50 |
3.9× |
| Tomosynthesis, mammo (G0279) |
$71.40 |
$119 |
5.6× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) |
$17,591.70 |
$29,319.50 |
1.5× |
| Trauma respons w/hosp criti (G0390) |
$4,764.68 |
$7,941.12 |
3.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$17,253.38 |
$28,755.62 |
0.9× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,348.88 |
$2,248.12 |
1.7× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,859.40 |
$3,099 |
2.4× |
| Unsched dialysis esrd pt hos (G0257) |
$2,127.45 |
$3,545.75 |
3.1× |