| 2d tee w or w/o fol w/con,in (C8925) |
$1,807.50 |
$2,410 |
2.4× |
| 2d tte w or w/o fol w/con,co (C8923) |
$1,807.50 |
$2,410 |
2.4× |
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,569 |
$2,092 |
4.6× |
| Admin hepatitis b vaccine (G0010) |
$39 |
$52 |
0.9× |
| Admin influenza virus vac (G0008) |
$41.62 |
$55.50 |
0.9× |
| Admin pneumococcal vaccine (G0009) |
$94.88 |
$126.50 |
2.1× |
| Alcohol/subs interv 15-30mn (G0396) |
$31.50 |
$42 |
0.9× |
| Alcohol/subs interv >30 min (G0397) |
$176.25 |
$235 |
1.0× |
| Behavior counsel obesity 15m (G0447) |
$86.25 |
$115 |
0.9× |
| Brief alcohol misuse counsel (G0443) |
$24.75 |
$33 |
0.3× |
| Brief chkin, 5-10, non-e/m (G2251) |
$14.25 |
$19 |
1.0× |
| Ca screen;flexi sigmoidscope (G0104) |
$776.62 |
$1,035.50 |
0.9× |
| Ca screen;pelvic/breast exam (G0101) |
$54.75 |
$73 |
0.6× |
| Catheterize for urine spec (P9612) |
$9 |
$12 |
1.0× |
| Chemo extend iv infus w/pump (G0498) |
$1,106.25 |
$1,475 |
3.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$1,200.38 |
$1,600.50 |
1.3× |
| Colorectal scrn; hi risk ind (G0105) |
$1,567.88 |
$2,090.50 |
1.7× |
| Cysto impl 4 or more (C9740) |
$12,995.25 |
$17,327 |
1.4× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$12,995.25 |
$17,327 |
2.5× |
| Depression screen annual (G0444) |
$18 |
$24 |
0.5× |
| Diab manage trn per indiv (G0108) |
$76.50 |
$102 |
1.4× |
| Diab manage trn ind/group (G0109) |
$15.75 |
$21 |
1.0× |
| Direct refer hospital observ (G0379) |
$1,290.75 |
$1,721 |
2.2× |
| Drug test def 1-7 classes (G0480) |
$112.12 |
$149.50 |
1.0× |
| Drug test def 15-21 classes (G0482) |
$235.50 |
$314 |
1.2× |
| Drug test def 22+ classes (G0483) |
$254.25 |
$339 |
1.0× |
| Drug test def 8-14 classes (G0481) |
$205.50 |
$274 |
1.3× |
| Ekg tracing for initial prev (G0404) |
$25.50 |
$34 |
0.9× |
| Elec stim other than wound (G0283) |
$123.38 |
$164.50 |
9.7× |
| Elisa hiv-1/hiv-2 screen (G0433) |
$98.25 |
$131 |
5.4× |
| Ephys eval ccm-d ld 1st impl (0930T) |
$2,344.50 |
$3,126 |
2.0× |
| Extrnl counterpulse, per tx (G0166) |
$224.25 |
$299 |
1.7× |
| Fecal blood scrn immunoassay (G0328) |
$22.50 |
$30 |
1.2× |
| Hbot, full body chamber, 30m (G0277) |
$118.50 |
$158 |
0.9× |
| Hiv combination assay (G0475) |
$90.75 |
$121 |
3.8× |
| Home sleep test/type 3 porta (G0399) |
$480 |
$640 |
2.3× |
| Hospital outpt clinic visit (G0463) |
$196.50 |
$262 |
1.5× |
| Hpv combo assay ca screen (G0476) |
$138 |
$184 |
3.9× |
| Initial preventive exam (G0402) |
$158.25 |
$211 |
1.2× |
| Inj for sacroiliac jt anesth (G0260) |
$1,623 |
$2,164 |
2.4× |
| Insertion perm ccm-d system pulse generator only (0916T) |
$43,348.50 |
$57,798 |
2.0× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) |
$15,983.25 |
$21,311 |
2.0× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) |
$15,983.25 |
$21,311 |
2.0× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) |
$61,919.25 |
$82,559 |
2.0× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$72 |
$96 |
2.0× |
| Mra w/cont, abd (C8900) |
$1,302.75 |
$1,737 |
3.9× |
| Mra w/o fol w/cont, abd (C8902) |
$1,302.75 |
$1,737 |
3.9× |
| Mra w/o fol w/cont, chest (C8911) |
$1,302.75 |
$1,737 |
3.9× |
| Mri w/o fol w/cont, breast, (C8908) |
$1,452 |
$1,936 |
4.3× |
| Mri w/o fol w/cont, brst, un (C8905) |
$726 |
$968 |
2.1× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$410.25 |
$547 |
0.9× |
| Obtaining screen pap smear (Q0091) |
$42 |
$56 |
1.5× |
| Oth resp proc, group (G0239) |
$69 |
$92 |
1.9× |
| Oth resp proc, indiv (G0238) |
$125.25 |
$167 |
4.5× |
| Perc d-e cor revasc chro sin (C9607) |
$18,034.50 |
$24,046 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$18,034.50 |
$24,046 |
1.6× |
| Perc d-e cor stent ather s (C9602) |
$18,034.50 |
$24,046 |
1.0× |
| Perc drug-el cor stent sing (C9600) |
$18,034.50 |
$24,046 |
1.6× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$11,011.50 |
$7,702 |
1.0× |
| Ppps, initial visit (G0438) |
$160.88 |
$214.50 |
0.9× |
| Ppps, subseq visit (G0439) |
$142.50 |
$190 |
1.0× |
| Programming device eval impl ccm-d sys in person (0926T) |
$72 |
$96 |
2.0× |
| Prostate biopsy, any mthd (G0416) |
$574.50 |
$766 |
1.7× |
| Psa screening (G0103) |
$148.50 |
$198 |
7.7× |
| Relocation skin pocket implanted ccm-d pg (0925T) |
$3,532.50 |
$4,710 |
1.8× |
| Remot img sub by pt, non e/m (G2250) |
$10.50 |
$14 |
0.8× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) |
$72 |
$96 |
2.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) |
$1,194 |
$1,592 |
2.0× |
| Revasc intra lithotrip-ather (C9766) |
$18,034.50 |
$24,046 |
1.0× |
| Revasc intra lithotrip-stent (C9765) |
$18,034.50 |
$24,046 |
1.0× |
| Revasc intravasc lithotripsy (C9764) |
$18,034.50 |
$24,046 |
1.6× |
| Revasc lith-sten-ath tib/per (C9775) |
$18,034.50 |
$24,046 |
1.0× |
| Revasc lithotr-ather tib/per (C9774) |
$18,034.50 |
$24,046 |
1.0× |
| Revasc lithotr-stent tib/per (C9773) |
$18,034.50 |
$24,046 |
1.0× |
| Revasc lithotrip tibi/perone (C9772) |
$18,034.50 |
$24,046 |
1.6× |
| Revasc lithotrip-stent-ather (C9767) |
$18,034.50 |
$24,046 |
1.0× |
| Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) |
$43,348.50 |
$57,798 |
2.0× |
| Screen cerv/vag thin layer (G0123) |
$90.75 |
$121 |
4.5× |
| Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) |
$6,211.50 |
$8,282 |
2.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$35,758.50 |
$47,678 |
1.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$35,853.75 |
$47,805 |
1.9× |
| Therapeutic procd strg endur (G0237) |
$204 |
$272 |
7.3× |
| Tomosynthesis, mammo (G0279) |
$127.50 |
$170 |
10.0× |
| Trim nail(s) (G0127) |
$63 |
$84 |
1.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$10,016.62 |
$13,355.50 |
0.6× |
| Tte w or w/o contr, cont ecg (C8930) |
$1,800.75 |
$2,401 |
2.4× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,800 |
$2,400 |
2.4× |
| Unsched dialysis esrd pt hos (G0257) |
$1,719.75 |
$2,293 |
2.6× |