| Admin pneumococcal vaccine (G0009) |
$148 |
$148 |
3.5× |
| Colon ca scrn not hi rsk ind (G0121) |
$854.50 |
$854.50 |
1.0× |
| Colorectal scrn; hi risk ind (G0105) |
$902 |
$902 |
1.1× |
| Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) |
$100 |
$100 |
0.0× |
| Diab manage trn per indiv (G0108) |
$122 |
$122 |
2.2× |
| Diab manage trn ind/group (G0109) |
$44 |
$44 |
2.7× |
| Direct refer hospital observ (G0379) |
$993 |
$993 |
1.8× |
| Drug test def 1-7 classes (G0480) |
$23 |
$23 |
0.2× |
| Elec stim other than wound (G0283) |
$68 |
$68 |
5.4× |
| Endo defect closure gi tract (C9901) |
$20,823 |
$20,823 |
2.2× |
| Esd endoscopy or colonoscopy (C9779) |
$3,649 |
$3,649 |
1.0× |
| Fecal blood scrn immunoassay (G0328) |
$55 |
$55 |
3.0× |
| Fecal microbiota prep instil (G0455) |
$360 |
$360 |
0.4× |
| Hbot, full body chamber, 30m (G0277) |
$343 |
$343 |
2.8× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) |
$23,250 |
$23,250 |
1.5× |
| Hospital outpt clinic visit (G0463) |
$342 |
$342 |
2.8× |
| Inj for sacroiliac jt anesth (G0260) |
$686.75 |
$686.75 |
1.1× |
| Instlj fecal microbiota ssp (0780T) |
$175 |
$175 |
1.5× |
| Intens cardiac rehab w/exerc (G0422) |
$252 |
$252 |
2.2× |
| Lev 2 hosp type b ed visit (G0381) |
$590.50 |
$590.50 |
7.0× |
| Lev 3 hosp type b ed visit (G0382) |
$984 |
$984 |
6.3× |
| Lev 4 hosp type b ed visit (G0383) |
$1,149.50 |
$1,149.50 |
4.8× |
| Lev 5 hosp type b ed visit (G0384) |
$1,302.50 |
$1,302.50 |
3.5× |
| Mra w/cont, abd (C8900) |
$348 |
$348 |
1.1× |
| Mra w/cont, chest (C8909) |
$846 |
$846 |
2.7× |
| Mra w/cont, lwr ext (C8912) |
$2,757 |
$2,757 |
8.8× |
| Mra w/cont, pelvis (C8918) |
$679 |
$679 |
2.2× |
| Mra w/o cont, abd (C8901) |
$2,680 |
$2,680 |
12.4× |
| Mra w/o cont, chest (C8910) |
$423 |
$423 |
2.0× |
| Mra w/o cont, lwr ext (C8913) |
$2,742 |
$2,742 |
12.7× |
| Mra w/o cont, pelvis (C8919) |
$850 |
$850 |
3.9× |
| Mra w/o fol w/cont, abd (C8902) |
$348 |
$348 |
1.1× |
| Mra w/o fol w/cont, chest (C8911) |
$2,680 |
$2,680 |
8.5× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,463.95 |
$2,463.95 |
7.8× |
| Mra w/o fol w/cont, pelvis (C8920) |
$1,220 |
$1,220 |
3.9× |
| Mra, w/dye, upper extremity (C8934) |
$1,838 |
$1,838 |
5.8× |
| Mra, w/o dye, upper extr (C8935) |
$1,828 |
$1,828 |
8.5× |
| Mra, w/o&w/dye, upper extr (C8936) |
$3,141 |
$3,141 |
10.0× |
| Mri w/cont, breast, bi (C8906) |
$2,018 |
$2,018 |
6.4× |
| Mri w/cont, breast, uni (C8903) |
$384 |
$384 |
2.4× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,969 |
$3,969 |
12.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$933 |
$933 |
3.0× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$394 |
$394 |
0.7× |
| Pathogen test for platelets (P9100) |
$117 |
$117 |
2.2× |
| Perc d-e cor revasc chro sin (C9607) |
$17,645 |
$17,645 |
1.1× |
| Perc d-e cor revasc t cabg s (C9604) |
$17,645 |
$17,645 |
1.7× |
| Perc d-e cor stent ather s (C9602) |
$17,645 |
$17,645 |
1.1× |
| Perc drug-el cor stent sing (C9600) |
$17,645 |
$17,645 |
1.7× |
| Psa screening (G0103) |
$342.70 |
$342.70 |
17.7× |
| Rem imp tooth w mucoper flp (D7210) |
$107 |
$107 |
0.1× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) |
$100 |
$100 |
0.6× |
| Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) |
$100 |
$100 |
0.0× |
| Revasc intra lithotrip-ather (C9766) |
$10,206 |
$10,206 |
0.6× |
| Revasc intra lithotrip-stent (C9765) |
$10,206 |
$10,206 |
0.6× |
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure |
$5,103 |
$5,103 |
0.5× |
| Revasc lithotrip tibi/perone (C9772) |
$14,528 |
$14,528 |
1.4× |
| Revasc lithotrip-stent-ather (C9767) |
$16,418 |
$16,418 |
1.0× |
| Screen cerv/vag thin layer (G0123) |
$36 |
$36 |
1.8× |
Sim ang w/prs cath rad emb (C8004)
likely a partial charge, not the full procedure |
$313 |
$313 |
0.0× |
| Slctv nzmtc dbrdmt brn eschar anes s/n/hf&/md 1 (0975T) |
$1,245 |
$1,245 |
3.4× |
| Slctv nzmtc dbrdmt brn eschar req anes t/a/l 1st (0973T) |
$1,245 |
$1,245 |
3.4× |
| Software meas of cardiac vol (G0183) |
$177 |
$177 |
2.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$38,143 |
$38,143 |
2.2× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$38,143 |
$38,143 |
2.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$38,143 |
$38,143 |
2.2× |
| Tomosynthesis, mammo (G0279) |
$141 |
$141 |
11.1× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$22,808 |
$22,808 |
4.4× |
| Transcatheter renal sympath denervation unilat (0338T) |
$11,404 |
$11,404 |
2.2× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) |
$21,248 |
$21,248 |
2.0× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$21,248 |
$21,248 |
1.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,891 |
$1,891 |
2.7× |
| Unsched dialysis esrd pt hos (G0257) |
$1,454 |
$1,454 |
2.3× |
| Vasc emb/occ w/prs cath (C9797) |
$35,914 |
$35,914 |
2.2× |