| 2d tte w or w/o fol w/con,co (C8923) |
— |
$2,141 |
— |
| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$1,421 |
— |
| 3d anat seg imaging preop (C8001) |
— |
$4,086 |
— |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) |
— |
$5,851 |
— |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) |
— |
$8,726 |
— |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) |
— |
$6,009 |
— |
| Admin hepatitis b vaccine (G0010) |
— |
$75 |
— |
| Admin influenza virus vac (G0008) |
— |
$75 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$75 |
— |
| Alcohol/subs interv >30 min (G0397) |
— |
$139 |
— |
| Anatomic guide 3d printed 1st anatomic guide (0561T) |
— |
$5,530 |
— |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) |
— |
$6,683 |
— |
| Behavior counsel obesity 15m (G0447) |
— |
$121 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$1,243 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$273 |
— |
| Chemo extend iv infus w/pump (G0498) |
— |
$1,223 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$3,056 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$3,307 |
— |
| Cool Quant Sensory Test (0108T) |
— |
$29 |
— |
| Dermal filler injection(s) (G0429) |
— |
$698 |
— |
| Diab manage trn per indiv (G0108) |
— |
$229 |
— |
| Diab manage trn ind/group (G0109) |
— |
$229 |
— |
| Elec stim other than wound (G0283) |
— |
$100 |
— |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) |
— |
$35,056 |
— |
| Esd endoscopy or colonoscopy (C9779) |
— |
$7,309 |
— |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) |
— |
$8,495 |
— |
| Extraction erupted tooth/exr (D7140) |
— |
$370 |
— |
| Fecal microbiota prep instil (G0455) |
— |
$3,468 |
— |
| Heat Quant Sensory Test (0109T) |
— |
$29 |
— |
| Hepb screen high risk indiv (G0499) |
— |
$152 |
— |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
— |
$61,516 |
— |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) |
— |
$365 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$2,463 |
— |
| Instlj fecal microbiota ssp (0780T) |
— |
$560 |
— |
| Ire Abltj 1+Tum Organ Perq (0600T) |
— |
$6,978 |
— |
| Lev 1 hosp type b ed visit (G0380) |
— |
$521 |
— |
| Lev 2 hosp type b ed visit (G0381) |
— |
$692 |
— |
| Lev 3 hosp type b ed visit (G0382) |
— |
$925 |
— |
| Lev 4 hosp type b ed visit (G0383) |
— |
$1,232 |
— |
| Lev 5 hosp type b ed visit (G0384) |
— |
$1,643 |
— |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) |
— |
$969 |
— |
| Mra w/cont, abd (C8900) |
— |
$2,734 |
— |
| Mra w/cont, chest (C8909) |
— |
$3,339 |
— |
| Mra w/cont, pelvis (C8918) |
— |
$3,973 |
— |
| Mra w/o cont, abd (C8901) |
— |
$2,514 |
— |
| Mra w/o cont, chest (C8910) |
— |
$2,920 |
— |
| Mra w/o cont, pelvis (C8919) |
— |
$3,455 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$3,359 |
— |
| Mra w/o fol w/cont, chest (C8911) |
— |
$3,569 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$4,658 |
— |
| Mra, w/o&w/dye, upper extr (C8936) |
— |
$3,228 |
— |
| Mri w/cont, breast, bi (C8906) |
— |
$4,993 |
— |
| Mri w/cont, breast, uni (C8903) |
— |
$3,949 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$4,993 |
— |
| Mri w/o fol w/cont, brst, un (C8905) |
— |
$4,151 |
— |
| Neuro csf prion prtn qual (0035U) |
— |
$478 |
— |
| Obtaining screen pap smear (Q0091) |
— |
$50 |
— |
| Pathogen test for platelets (P9100) |
— |
$157 |
— |
| Pef bronch ablt 3d nav ebus (C8005) |
— |
$4,396 |
— |
| Perq Sacral Augmt Bilat Inj (0201T) |
— |
$8,962 |
— |
| Perq Sacral Augmt Unilat Inj (0200T) |
— |
$8,814 |
— |
| Pet not otherwise specified (G0235) |
— |
$8,836 |
— |
| Pin service 60m per month (G0023) |
— |
$358 |
— |
| Place device/marker, non pro (C9728) |
— |
$4,022 |
— |
| Pre 3d mdl w/ccta and/or mri (C9793) |
— |
$4,086 |
— |
| Prolonged iv inf, req pump (C8957) |
— |
$801 |
— |
| Psa screening (G0103) |
— |
$234 |
— |
| Quan MRI alys brain with diagnostic MRI (0866T) |
— |
$731 |
— |
| Quant sensory test&interpj/xtr w/vibrj stimuli (0107T) |
— |
$29 |
— |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) |
— |
$220 |
— |
| Surgical revision procedure (D4268) |
— |
$2,085 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$182 |
— |
| Tpmt and Nudt15 Genotype (0034U) |
— |
$1,282 |
— |
| Trluml perip athrc abd aorta (0236T) |
— |
$24,856 |
— |
| Trluml Perip Athrc Brchiocph (0237T) |
— |
$24,856 |
— |
| Trluml Perip Athrc Iliac Art (0238T) |
— |
$24,856 |
— |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) |
— |
$24,856 |
— |
| Tte w or w/o contr, cont ecg (C8930) |
— |
$2,829 |
— |
| Tte w or wo fol wcon,doppler (C8929) |
— |
$2,925 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$2,802 |
— |
| Vasc emb/occ w/prs cath (C9797) |
— |
$6,864 |
— |
| Visit to determ ldct elig (G0296) |
— |
$141 |
— |