| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
$3,950.65 |
$7,183 |
0.8× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$22,510.64 |
$40,928.43 |
9.0× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
$18,092.16 |
$32,894.84 |
1.6× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$11,962.82 |
$21,750.59 |
4.8× |
| Active thoracic irrigation separate procedure (1021T) |
$1,119.80 |
$2,036 |
1.4× |
| Adapt bhv tx prtcl modificaj ea 15 min tech time (0373T) |
$35.75 |
$65 |
0.7× |
| Adrnl cortcl tum bchm asy 25 (0015M) |
$845.87 |
$1,537.95 |
0.6× |
| Air displacement plethysmography, whole-body composition assessment, with interpretation and report (1002T) |
$51.70 |
$94 |
1.4× |
| Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) |
$239.80 |
$436 |
1.4× |
| Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement… (1003T) |
$22,915.75 |
$41,665 |
1.4× |
| Bhv id suprt assmt ea 15 min (0362T) |
$140.25 |
$255 |
2.9× |
| Blind interatrial shunt ide (C9758) |
$18,345.25 |
$33,355 |
0.8× |
| Bone Strength & Fracture Risk Assessment (0556T) |
$27.50 |
$50 |
0.1× |
| Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) |
$27.50 |
$50 |
0.7× |
| Ca screen;flexi sigmoidscope (G0104) |
$3,442.40 |
$6,258.90 |
2.9× |
| Ca screen;pelvic/breast exam (G0101) |
$120.45 |
$219 |
0.9× |
| Cardiac mri seg dys strain (C9762) |
$1,375 |
$2,500 |
2.0× |
| Cardiac mri seg dys stress (C9763) |
$1,375 |
$2,500 |
2.0× |
| Care manage serv, pr cal mo (G0570) |
$67.10 |
$122 |
1.4× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) |
$2,405.76 |
$4,374.10 |
0.8× |
| Colon ca scrn not hi rsk ind (G0121) |
$4,209.39 |
$7,653.44 |
3.5× |
| Colorectal scrn; hi risk ind (G0105) |
$4,309.66 |
$7,835.74 |
3.6× |
| Complex simulation w/pet-ct (G0562) |
$1,890.90 |
$3,438 |
0.8× |
| Cool Quant Sensory Test (0108T) |
$127.60 |
$232 |
1.7× |
| Cptrizd oph alys monocular eye mvmt rta eye trck (1010T) |
$237.60 |
$432 |
1.4× |
Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T)
unusually low: confirm this is the full procedure |
$1,746.25 |
$3,175 |
0.3× |
| Cysto impl 4 or more (C9740) |
$22,651.39 |
$41,184.35 |
1.9× |
| Cysto, litho, vacuum kidney (C9761) |
$6,829.90 |
$12,418 |
0.6× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$18,483.49 |
$33,606.34 |
2.7× |
| Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging (0991T) |
$16,897.10 |
$30,722 |
1.4× |
| Diab manage trn per indiv (G0108) |
$80.85 |
$147 |
1.4× |
| Direct refer hospital observ (G0379) |
$1,071.13 |
$1,947.50 |
1.4× |
| Ed svc ckd ind per session (G0420) |
$165 |
$300 |
1.5× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) |
$3,212 |
$5,840 |
0.6× |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) |
$210.65 |
$383 |
1.7× |
| Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) |
$169.95 |
$309 |
1.4× |
| Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) |
$237.60 |
$432 |
1.4× |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) |
$189.75 |
$345 |
1.6× |
| Elec stim other than wound (G0283) |
$101.20 |
$184 |
8.0× |
| Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1018T) |
$66.55 |
$121 |
1.4× |
| Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1017T) |
$105.05 |
$191 |
1.4× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) |
$1,654.40 |
$3,008 |
1.1× |
| Electrophysiologic eval ccm-d leads separate (0931T) |
$1,654.40 |
$3,008 |
1.1× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) |
$1,654.40 |
$3,008 |
1.1× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure |
$17,187.50 |
$31,250 |
0.3× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) |
$1,677.50 |
$3,050 |
0.4× |
| Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) |
$440 |
$800 |
2.6× |
| Evacuation meibomian glands using heat bilateral (0563T) |
$2,599.30 |
$4,726 |
34.3× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) |
$57,218.12 |
$104,032.95 |
7.3× |
| Eye mvmt analysis w/o spatial calibration i&r (0615T) |
$135.30 |
$246 |
0.8× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) |
$535.15 |
$973 |
0.6× |
| Hbot, full body chamber, 30m (G0277) |
$4,545.20 |
$8,264 |
25.7× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) |
$1,020.25 |
$1,855 |
1.1× |
| Heart Symp Image Plnr (0331T) |
$1,368.95 |
$2,489 |
0.8× |
| Heat Quant Sensory Test (0109T) |
$72.05 |
$131 |
1.5× |
| Hiv prep counsel, clin staff (G0013) |
$91.30 |
$166 |
1.9× |
| Home sleep test/type 2 porta (G0398) |
$350.90 |
$638 |
1.3× |
| Hospital outpt clinic visit (G0463) |
$1,496 |
$2,720 |
8.7× |
| Initial preventive exam (G0402) |
$186.45 |
$339 |
1.1× |
| Inj for sacroiliac jt anesth (G0260) |
$496.10 |
$902 |
0.5× |
| Injection of hiv prep drug (G0012) |
$224.95 |
$409 |
2.4× |
| Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) |
$222.75 |
$405 |
0.4× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$1,228.70 |
$2,234 |
1.1× |
| Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy,… (0996T) |
$4,119.50 |
$7,490 |
1.4× |
| Insertion of sinus tarsi implant (0335T) |
$35,029.19 |
$63,689.44 |
3.8× |
| Insertion of substernal implantable defibrillator electrode (0572T) |
$6,875 |
$12,500 |
0.6× |
Insertion wrls car stimulator lv pacg compl sys (0515T)
unusually low: confirm this is the full procedure |
$14,025 |
$25,500 |
0.5× |
Insertion/Replacement Complete Iims (0525T)
likely a partial charge, not the full procedure |
$6,250.75 |
$11,365 |
0.3× |
Insertion/Replacement Iims Electrode Only (0526T)
unusually low: confirm this is the full procedure |
$4,683.25 |
$8,515 |
0.4× |
Insertion/Replacement Iims Implantable Mntr Only (0527T)
unusually low: confirm this is the full procedure |
$4,683.25 |
$8,515 |
0.4× |
Insj Wcs Lv Eltrd Only (0516T)
unusually low: confirm this is the full procedure |
$4,683.25 |
$8,515 |
0.3× |
Insj Wcs Lv Pg Compnt (0517T)
unusually low: confirm this is the full procedure |
$4,683.25 |
$8,515 |
0.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) |
$63,317.11 |
$115,122.01 |
1.6× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) |
$6,652.80 |
$12,096 |
0.6× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) |
$6,652.80 |
$12,096 |
0.6× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) |
$18,802.30 |
$34,186 |
0.7× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$27,500 |
$50,000 |
0.7× |
| Int psych care mng, 1 cal mo (G0568) |
$181.50 |
$330 |
1.4× |
| Intens cardiac rehab no exer (G0423) |
$217.80 |
$396 |
1.3× |
| Intens cardiac rehab w/exerc (G0422) |
$242 |
$440 |
1.5× |
| Interro Device Evaluation Cardiac Modulj System (0418T) |
$108.90 |
$198 |
2.3× |
| Interrog dev eval iims ip (0529T) |
$105.60 |
$192 |
2.2× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) |
$97.90 |
$178 |
2.6× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) |
$97.90 |
$178 |
2.0× |
| Ire Abltj 1+Tum Organ Perq (0600T) |
$9,961.05 |
$18,111 |
0.7× |
| Laparoscopic revision or removal, lower esophageal sphincter neurostimulator electrodes (1014T) |
$19,888.55 |
$36,161 |
1.4× |
| Laparoscopy, surgical, implantation or replacement of lower esophageal sphincter neurostimulator electrode array and… (1013T) |
$34,627.45 |
$62,959 |
1.4× |
| Lymphovenous bypass, including robotic assistance, when performed, per extremity (1019T) |
$11,851.95 |
$21,549 |
1.4× |
| Motorized ab interno trephination sclera/trab mw (1012T) |
$7,377.70 |
$13,414 |
1.4× |
| Mra w/cont, chest (C8909) |
$3,279.10 |
$5,962 |
7.3× |
| Mra w/o cont, abd (C8901) |
$2,228.05 |
$4,051 |
7.3× |
| Mra w/o cont, chest (C8910) |
$2,687.30 |
$4,886 |
8.8× |
| Mra w/o cont, pelvis (C8919) |
$4,005.65 |
$7,283 |
13.1× |
| Mra w/o fol w/cont, abd (C8902) |
$6,677.55 |
$12,141 |
14.9× |
| Mra w/o fol w/cont, chest (C8911) |
$5,562.15 |
$10,113 |
12.4× |
| Mra w/o fol w/cont, pelvis (C8920) |
$6,781.50 |
$12,330 |
15.1× |
| Mra, w/dye, spinal canal (C8931) |
$3,163.05 |
$5,751 |
7.0× |
| Mra, w/dye, upper extremity (C8934) |
$4,689.30 |
$8,526 |
10.5× |
| Mra, w/o dye, spinal canal (C8932) |
$3,012.90 |
$5,478 |
9.8× |
| Mra, w/o dye, upper extr (C8935) |
$4,466 |
$8,120 |
14.6× |
| Mra, w/o&w/dye, spinal canal (C8933) |
$4,264.70 |
$7,754 |
9.5× |
| Mra, w/o&w/dye, upper extr (C8936) |
$7,163.75 |
$13,025 |
16.0× |
| Mrs discogenic pain acquisj single voxel data (0609T) |
$1,141.80 |
$2,076 |
3.7× |
| Mrs discogenic pain algorthmic alys bmrk data (0611T) |
$642.40 |
$1,168 |
2.1× |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) |
$7,451.62 |
$13,548.40 |
4.5× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) |
$139.15 |
$253 |
0.5× |
| N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) |
$425.70 |
$774 |
1.4× |
| N-invas assmt car rsk augmnt sw alys fat w/o CT (0992T) |
$425.70 |
$774 |
1.4× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) |
$330 |
$600 |
1.2× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$2,719.67 |
$4,944.86 |
2.4× |
| Njx platelet plasma (0232T) |
$453.75 |
$825 |
0.8× |
| Non-blind interatrial shunt (C9760) |
$28,827.70 |
$52,414 |
0.8× |
| Oct middle ear with i&r bilateral (0486T) |
$66 |
$120 |
1.4× |
| Oct middle ear with i&r unilateral (0485T) |
$36.85 |
$67 |
0.8× |
| Opps service,sched team conf (G0175) |
$467.50 |
$850 |
0.9× |
| Oth resp proc, indiv (G0238) |
$76.45 |
$139 |
2.1× |
| Pattern erg w/i&r (0509T) |
$242 |
$440 |
0.9× |
| Pemivibart infusion (M0224) |
$336.05 |
$611 |
0.6× |
| Perc d-e cor revasc chro sin (C9607) |
$28,961.85 |
$52,657.91 |
1.2× |
| Perc d-e cor revasc t cabg s (C9604) |
$23,563.78 |
$42,843.23 |
1.6× |
| Perc d-e cor stent ather s (C9602) |
$39,692.27 |
$72,167.77 |
1.7× |
| Perc drug-el cor stent sing (C9600) |
$23,880.55 |
$43,419.19 |
1.6× |
| Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) |
$5,026.45 |
$9,139 |
0.6× |
| Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) |
$6,353.60 |
$11,552 |
0.7× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) |
$10,312.50 |
$18,750 |
0.6× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$8,049.80 |
$14,636 |
0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) |
$89,814.16 |
$163,298.48 |
9.6× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure |
$5,723.30 |
$10,406 |
0.4× |
| Place device/marker, non pro (C9728) |
$1,428.90 |
$2,598 |
0.8× |
| Ppps, initial visit (G0438) |
$254.65 |
$463 |
1.5× |
| Ppps, subseq visit (G0439) |
$173.80 |
$316 |
1.3× |
| Prgrmg dev eval iims ip (0528T) |
$99 |
$180 |
2.1× |
| Prgrmg device eval wrls car stimulator in person (0522T) |
$99 |
$180 |
2.1× |
| Programming dev eval icds w/ss eltrd in person (0575T) |
$99 |
$180 |
2.1× |
| Prolonged iv inf, req pump (C8957) |
$437.25 |
$795 |
1.6× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) |
$1,521.30 |
$2,766 |
1.3× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) |
$1,521.30 |
$2,766 |
1.3× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) |
$1,041.15 |
$1,893 |
1.3× |
| Quan CT tiss charac w/o CT (0721T) |
$1,041.15 |
$1,893 |
1.3× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) |
$411.40 |
$748 |
0.3× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) |
$1,521.85 |
$2,767 |
1.3× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) |
$1,521.85 |
$2,767 |
1.3× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) |
$605 |
$1,100 |
0.5× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$422.31 |
$767.83 |
1.4× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) |
$518.10 |
$942 |
4.6× |
| Quant sensory test&interpj/xtr w/vibrj stimuli (0107T) |
$72.05 |
$131 |
1.5× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation… (0110T) |
$112.20 |
$204 |
0.7× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) |
$72.05 |
$131 |
1.5× |
| Raman spectroscopy 1+skin les prob score mal rsk (1020T) |
$105.05 |
$191 |
1.4× |
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U)
range across 2 matching MRF lines |
$112.20–$176 |
$204–$320 |
varies |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) |
$1,913.45 |
$3,479 |
0.7× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) |
$98.45 |
$179 |
2.1× |
| Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) |
$237.60 |
$432 |
1.4× |
| Removal complete iims (0530T) |
$1,982.75 |
$3,605 |
0.4× |
| Removal iims electrode only (0531T) |
$1,982.75 |
$3,605 |
0.4× |
| Removal iims implt mntr only (0532T) |
$1,982.75 |
$3,605 |
0.4× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) |
$209 |
$380 |
0.8× |
| Removal Ss Dfb Electrode (0573T) |
$3,005.75 |
$5,465 |
0.6× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) |
$2,409 |
$4,380 |
3.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$3,005.75 |
$5,465 |
0.6× |
| Rev/Rmv Lw Esoph Sphnc Npg/R (1015T) |
$6,240.30 |
$11,346 |
1.4× |
| Revasc intra lithotrip-ather (C9766) |
$17,810.65 |
$32,383 |
0.8× |
| Revasc intra lithotrip-stent (C9765) |
$16,349.85 |
$29,727 |
0.7× |
| Revasc intravasc lithotripsy (C9764) |
$10,154.10 |
$18,462 |
0.7× |
| Revasc lith-sten-ath tib/per (C9775) |
$23,100 |
$42,000 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$15,449.50 |
$28,090 |
0.7× |
| Revasc lithotr-stent tib/per (C9773) |
$19,831.35 |
$36,057 |
0.8× |
| Revasc lithotrip tibi/perone (C9772) |
$9,176.75 |
$16,685 |
0.6× |
| Revasc lithotrip-stent-ather (C9767) |
$20,334.05 |
$36,971 |
0.9× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) |
$6,240.30 |
$11,346 |
1.4× |
| Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) |
$3,317.60 |
$6,032 |
0.7× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) |
$18,802.30 |
$34,186 |
0.7× |
Rmvl & Rplcmt Pg Compnt Wcs (0519T)
likely a partial charge, not the full procedure |
$1,982.75 |
$3,605 |
0.1× |
| Rmvl Car Modulj Tranvns Elt (0413T) |
$3,005.75 |
$5,465 |
0.6× |
| Rmvl Cardiac Modulj Pls Gen (0412T) |
$3,005.75 |
$5,465 |
0.6× |
Rmvl insj impltbl gluc sensor dif anatomic site (0448T)
unusually low: confirm this is the full procedure |
$1,746.25 |
$3,175 |
0.3× |
| Rmvl Pg Compnt Wcs (0518T) |
$1,982.75 |
$3,605 |
0.4× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$3,005.75 |
$5,465 |
0.6× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) |
$14,025 |
$25,500 |
1.0× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) |
$18,802.30 |
$34,186 |
0.7× |
| Sbrt w/positron emission del (G0563) |
$3,437.50 |
$6,250 |
0.8× |
| Subs psych care mng, subs mo (G0569) |
$181.50 |
$330 |
1.4× |
| Tactile breast img uni/bi (0422T) |
$110 |
$200 |
1.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$18,982.15 |
$34,513 |
0.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$22,778.25 |
$41,415 |
0.9× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) |
$3,286.25 |
$5,975 |
0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$5,723.30 |
$10,406 |
0.8× |
| Tear film imaging unilateral or bilateral w/i&r (0330T) |
$24.75 |
$45 |
0.5× |
| Temp female intraurethral valve-pump 1st insj (0596T) |
$914.10 |
$1,662 |
1.0× |
| Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) |
$698.50 |
$1,270 |
0.8× |
Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T)
likely a partial charge, not the full procedure |
$34.65 |
$63 |
0.0× |
| Tomosynthesis, mammo (G0279) |
$1,312.30 |
$2,386 |
103.4× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$31,043.25 |
$56,442.28 |
4.2× |
| Transcatheter renal sympath denervation unilat (0338T) |
$4,561.70 |
$8,294 |
0.6× |
Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative… (0582T)
likely a partial charge, not the full procedure |
$3,300 |
$6,000 |
0.2× |
| Trim nail(s) (G0127) |
$81.95 |
$149 |
1.1× |
| Trluml perip athrc abd aorta (0236T) |
$8,915.50 |
$16,210 |
0.6× |
| Trluml Perip Athrc Brchiocph (0237T) |
$10,196.45 |
$18,539 |
0.7× |
| Trluml Perip Athrc Iliac Art (0238T) |
$51,347.62 |
$93,359.30 |
2.2× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
$8,915.50 |
$16,210 |
0.6× |
| Tte w or wo fol wcon,doppler (C8929) |
$22,686.85 |
$41,248.81 |
22.5× |
| Tympanostomy Automated Tube Delivery System (0583T) |
$1,379.40 |
$2,508 |
0.7× |
| US Ablat Uter Leiomyom <200 (0071T) |
$6,567 |
$11,940 |
1.6× |
| US Ablat Uter Leiomyom >200 (0072T) |
$7,552.05 |
$13,731 |
1.8× |
| Vasc emb/occ w/prs cath (C9797) |
$13,750 |
$25,000 |
0.6× |