| 2d tte w or w/o fol w/con,co (C8923) |
— |
$2,090.90 |
— |
| 2d tte w or w/o fol w/con,fu (C8924) |
— |
$405.35 |
— |
| Admin hepatitis b vaccine (G0010) |
— |
$207 |
— |
| Admin influenza virus vac (G0008) |
— |
$140.60 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$127.70 |
— |
| Behavior counsel obesity 15m (G0447) |
— |
$61.80 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$635.50 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$88.60 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$879.60 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$1,072.20 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$282.20 |
— |
| Devlopment test interpt&rep (G0451) |
— |
$274 |
— |
| Diab manage trn per indiv (G0108) |
— |
$74.20 |
— |
| Diab manage trn ind/group (G0109) |
— |
$35 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$95.80 |
— |
| Drug test def simple all cl (G0659) |
— |
$185.40 |
— |
| Ed svc ckd ind per session (G0420) |
— |
$207 |
— |
| Ekg tracing for initial prev (G0404) |
— |
$12.40 |
— |
| Elec stim other than wound (G0283) |
— |
$48.40 |
— |
| Eye mvmt alys w/o calbrj i&r (0615T) |
— |
$294.60 |
— |
| Fecal blood scrn immunoassay (G0328) |
— |
$36.05 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$479 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$239 |
— |
| Initial preventive exam (G0402) |
— |
$205 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$602.60 |
— |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
— |
$1,647 |
— |
| Mnt subs tx for change dx (G0270) |
— |
$37.10 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$1,862.20 |
— |
| Mra, w/o dye, upper extr (C8935) |
— |
$1,862.20 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$2,606.90 |
— |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$500 |
$401.70 |
1.1× |
| Obtaining screen pap smear (Q0091) |
— |
$84.15 |
— |
| Potassium hydroxide preps (Q0112) |
— |
$29 |
— |
| Ppps, initial visit (G0438) |
— |
$351.20 |
— |
| Ppps, subseq visit (G0439) |
— |
$235.90 |
— |
| Psa screening (G0103) |
— |
$46.90 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$9,100.10 |
— |
| Trim nail(s) (G0127) |
— |
$25.80 |
— |
| Tte w or w/o fol w/con,stres (C8928) |
— |
$2,402 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$2,479.20 |
— |
| Wet mounts/ w preparations (Q0111) |
— |
$23 |
— |