| 2d tee w or w/o fol w/con,in (C8925) |
— |
$3,698 |
— |
| 2d tte w or w/o fol w/con,co (C8923) |
— |
$1,680 |
— |
| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$1,273 |
— |
| Adm tocilizu covid-19 1st (M0249) |
— |
$450 |
— |
| Adm tocilizu covid-19 2nd (M0250) |
— |
$450 |
— |
| Admin hepatitis b vaccine (G0010) |
— |
$109.50 |
— |
| Admin influenza virus vac (G0008) |
— |
$109.50 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$112 |
— |
| Autolog prp not diab ulcer (G0460) |
— |
$3,688 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$1,359 |
— |
| Catheterize for urine spec (P9612) |
— |
$126 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$6,644 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$7,126 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$143 |
— |
| Diab manage trn per indiv (G0108) |
— |
$259 |
— |
| Diab manage trn ind/group (G0109) |
— |
$71 |
— |
| Direct refer hospital observ (G0379) |
— |
$517 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$568 |
— |
| Drug test def 22+ classes (G0483) |
— |
$1,227 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$940 |
— |
| Elec stim other than wound (G0283) |
— |
$60 |
— |
| Fecal microbiota prep instil (G0455) |
— |
$6,738.50 |
— |
| Fern test (Q0114) |
— |
$48 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$1,359 |
— |
| Hiv combination assay (G0475) |
— |
$120 |
— |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
— |
$166,562 |
— |
| Mra w/cont, abd (C8900) |
— |
$7,066 |
— |
| Mra w/cont, chest (C8909) |
— |
$6,935 |
— |
| Mra w/cont, lwr ext (C8912) |
— |
$7,882 |
— |
| Mra w/cont, pelvis (C8918) |
— |
$7,185 |
— |
| Mra w/o cont, abd (C8901) |
— |
$5,144 |
— |
| Mra w/o cont, chest (C8910) |
— |
$5,144 |
— |
| Mra w/o cont, lwr ext (C8913) |
— |
$5,144 |
— |
| Mra w/o cont, pelvis (C8919) |
— |
$5,144 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$7,783 |
— |
| Mra w/o fol w/cont, chest (C8911) |
— |
$7,553 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$8,342 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$8,258 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$8,610 |
— |
| Mra, w/o dye, upper extr (C8935) |
— |
$5,144 |
— |
| Mra, w/o&w/dye, upper extr (C8936) |
— |
$8,488 |
— |
| Mri w/cont, breast, bi (C8906) |
— |
$8,283 |
— |
| Mri w/cont, breast, uni (C8903) |
— |
$4,500 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$8,283 |
— |
| Mri w/o fol w/cont, brst, un (C8905) |
— |
$7,651 |
— |
| Nav srv peer sup 60 min pr m (G0140) |
— |
$161 |
— |
| Oth resp proc, group (G0239) |
— |
$162 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$72,200 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$64,620 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$72,348 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$64,656 |
— |
| Perq Sacral Augmt Bilat Inj (0201T) |
— |
$12,716 |
— |
| Perq Sacral Augmt Unilat Inj (0200T) |
— |
$11,037 |
— |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
— |
$29,620 |
— |
| Pin service 60m per month (G0023) |
— |
$161 |
— |
| Prolonged iv inf, req pump (C8957) |
— |
$1,576.50 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$436 |
— |
| Psa screening (G0103) |
— |
$96 |
— |
| Revasc intra lithotrip-ather (C9766) |
— |
$18,286 |
— |
| Revasc intra lithotrip-stent (C9765) |
— |
$18,286 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$9,142 |
— |
| Revasc lith-sten-ath tib/per (C9775) |
— |
$93,286 |
— |
| Revasc lithotr-ather tib/per (C9774) |
— |
$93,286 |
— |
| Revasc lithotr-stent tib/per (C9773) |
— |
$93,286 |
— |
| Revasc lithotrip tibi/perone (C9772) |
— |
$58,915 |
— |
| Revasc lithotrip-stent-ather (C9767) |
— |
$29,415 |
— |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
— |
$29,094 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$544 |
— |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
— |
$103,286 |
— |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
— |
$9,363 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$2,911 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$2,932 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$480 |
— |