| 2d tee w or w/o fol w/con,in (C8925) |
— |
$3,301 |
— |
| 2d tte w or w/o fol w/con,co (C8923) |
— |
$1,498 |
— |
| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$2,597 |
— |
| Adm tocilizu covid-19 1st (M0249) |
— |
$450 |
— |
| Adm tocilizu covid-19 2nd (M0250) |
— |
$450 |
— |
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines |
— |
$98–$106 |
— |
Admin influenza virus vac (G0008)
range across 3 matching MRF lines |
— |
$98–$106 |
— |
Admin pneumococcal vaccine (G0009)
range across 3 matching MRF lines |
— |
$98–$106 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$1,001 |
— |
| Catheterize for urine spec (P9612) |
— |
$138 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$5,363 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$143 |
— |
| Diab manage trn per indiv (G0108) |
— |
$210 |
— |
| Diab manage trn ind/group (G0109) |
— |
$58 |
— |
| Direct refer hospital observ (G0379) |
— |
$517 |
— |
Drug test def 1-7 classes (G0480)
range across 112 matching MRF lines |
— |
$309–$732 |
— |
| Drug test def 22+ classes (G0483) |
— |
$1,227 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$940 |
— |
Elec stim other than wound (G0283)
range across 5 matching MRF lines |
— |
$64–$73 |
— |
| Fecal microbiota prep instil (G0455) |
— |
$5,071 |
— |
| Fern test (Q0114) |
— |
$48 |
— |
| Group mnt 2 or more 30 mins (G0271) |
— |
$54 |
— |
| Mnt subs tx for change dx (G0270) |
— |
$96 |
— |
| Mra w/cont, abd (C8900) |
— |
$7,789 |
— |
| Mra w/cont, chest (C8909) |
— |
$7,646 |
— |
| Mra w/cont, lwr ext (C8912) |
— |
$8,689 |
— |
| Mra w/cont, pelvis (C8918) |
— |
$7,921 |
— |
| Mra w/o cont, abd (C8901) |
— |
$5,671 |
— |
| Mra w/o cont, chest (C8910) |
— |
$5,671 |
— |
| Mra w/o cont, lwr ext (C8913) |
— |
$5,671 |
— |
| Mra w/o cont, pelvis (C8919) |
— |
$5,671 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$8,580 |
— |
| Mra w/o fol w/cont, chest (C8911) |
— |
$8,327 |
— |
Mra w/o fol w/cont, lwr ext (C8914)
range across 2 matching MRF lines |
— |
$7,997–$9,197 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$9,105 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$9,492 |
— |
| Mra, w/o dye, upper extr (C8935) |
— |
$5,671 |
— |
| Mra, w/o&w/dye, upper extr (C8936) |
— |
$9,358 |
— |
| Nav srv peer sup 60 min pr m (G0140) |
— |
$161 |
— |
| Oth resp proc, group (G0239) |
— |
$137 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$64,430 |
— |
Perc d-e cor revasc t cabg s (C9604)
range across 5 matching MRF lines |
— |
$56,688–$57,666 |
— |
| Perc d-e cor stent ather s (C9602) |
— |
$64,563 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$57,699 |
— |
| Perq Sacral Augmt Bilat Inj (0201T) |
— |
$10,509 |
— |
| Perq Sacral Augmt Unilat Inj (0200T) |
— |
$9,121 |
— |
| 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) |
— |
$1,488 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$425 |
— |
| Psa screening (G0103) |
— |
$96 |
— |
| Revasc intra lithotrip-ather (C9766) |
— |
$16,711 |
— |
| Revasc intra lithotrip-stent (C9765) |
— |
$16,711 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$8,355 |
— |
| Revasc lithotrip-stent-ather (C9767) |
— |
$26,882 |
— |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
— |
$29,094 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$121 |
— |
| Trluml Perip Athrc Brchiocph (0237T) |
— |
$92,172 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
— |
$8,356 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$2,597 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$2,616 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$480 |
— |