Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T)
unusually low: confirm this is the full procedure |
$3,655.20 |
$6,092 |
0.4× |
| Catheterize for urine spec (P9612) |
$69.60 |
$116 |
7.5× |
| Chemo extend iv infus w/pump (G0498) |
$273 |
$455 |
0.8× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$1,058.40 |
$1,764 |
3.0× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$870 |
$1,450 |
3.6× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$1,058.40 |
$1,764 |
3.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$799.20 |
$1,332 |
4.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$703.80 |
$1,173 |
6.6× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$799.20 |
$1,332 |
4.5× |
| Diab manage trn per indiv (G0108) |
$90 |
$150 |
1.6× |
| Diab manage trn ind/group (G0109) |
$51 |
$85 |
3.2× |
| Direct refer hospital observ (G0379) |
$59.40 |
$99 |
0.1× |
| Elec stim other than wound (G0283) |
$83.40 |
$139 |
6.6× |
| Hbot, full body chamber, 30m (G0277) |
$426.60 |
$711 |
3.1× |
| Home sleep test/type 3 porta (G0399) |
$223.80 |
$373 |
1.0× |
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
likely a partial charge, not the full procedure |
$5,685.60 |
$9,476 |
0.2× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$37,042.20 |
$61,737 |
1.2× |
| Oth resp proc, group (G0239) |
$65.40 |
$109 |
1.7× |
| Oth resp proc, indiv (G0238) |
$33.60 |
$56 |
1.1× |
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure |
$1,794 |
$2,990 |
0.2× |
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure |
$1,085.40 |
$1,809 |
0.1× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$6,841.80 |
$11,403 |
0.6× |
| Prolonged iv inf, req pump (C8957) |
$391.20 |
$652 |
1.8× |
| Revasc intra lithotrip-ather (C9766) |
$15,961.20 |
$26,602 |
0.9× |
| Revasc intra lithotrip-stent (C9765) |
$15,961.20 |
$26,602 |
0.9× |
| Revasc intravasc lithotripsy (C9764) |
$7,980.60 |
$13,301 |
0.7× |
| Revasc lith-sten-ath tib/per (C9775) |
$20,544.60 |
$34,241 |
1.1× |
| Revasc lithotr-ather tib/per (C9774) |
$20,544.60 |
$34,241 |
1.1× |
| Revasc lithotr-stent tib/per (C9773) |
$20,544.60 |
$34,241 |
1.1× |
| Revasc lithotrip tibi/perone (C9772) |
$12,843.60 |
$21,406 |
1.1× |
| Revasc lithotrip-stent-ather (C9767) |
$25,697.40 |
$42,829 |
1.4× |
| Therapeutic procd strg endur (G0237) |
$34.80 |
$58 |
1.2× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$6,502.20 |
$10,837 |
1.1× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$9,252.90 |
$15,421.50 |
0.8× |
Trluml peripheral atherectomy iliac artery ea (0238T)
likely a partial charge, not the full procedure |
$4,729.20 |
$7,882 |
0.3× |