| 2d tte w or w/o fol w/con,fu (C8924) |
$491.50 |
$983 |
1.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) |
$2,307 |
$4,614 |
1.2× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) |
$2,441 |
$4,882 |
1.3× |
| Admin hepatitis b vaccine (G0010) |
$76 |
$152 |
1.7× |
| Admin influenza virus vac (G0008) |
$86 |
$172 |
1.9× |
| Admin pneumococcal vaccine (G0009) |
$86 |
$172 |
1.9× |
| Alcohol/subs interv 15-30mn (G0396) |
$35.50 |
$71 |
1.0× |
| Annual alcohol screen 15 min (G0442) |
$36 |
$72 |
1.0× |
| Antibody treponema pallidum total & rpr ia qual (0064U) |
$92 |
$184 |
2.9× |
| Ascvd rsk mng clin stf pr mo (G0538) |
$104 |
$208 |
1.1× |
| Autolog prp not diab ulcer (G0460) |
$2,053 |
$4,106 |
1.0× |
| Behavior counsel obesity 15m (G0447) |
$111.50 |
$223 |
1.1× |
| Ca screen;pelvic/breast exam (G0101) |
$55 |
$110 |
0.6× |
| Catheterize for urine spec (P9612) |
$33 |
$66 |
3.5× |
| Chemo extend iv infus w/pump (G0498) |
$363 |
$726 |
1.1× |
| Collagen crosslinking cornea (0402T) |
$2,775.50 |
$5,551 |
1.2× |
| Colon ca scrn not hi rsk ind (G0121) |
$4,194 |
$8,388 |
4.7× |
| Colorectal scrn; hi risk ind (G0105) |
$5,628.50 |
$11,257 |
6.3× |
| Covid-19 lab test non-cdc (U0002) |
$134.50 |
$269 |
2.6× |
| Depression screen annual (G0444) |
$23.75 |
$47.50 |
0.7× |
| Diab manage trn per indiv (G0108) |
$52 |
$104 |
0.9× |
| Diab manage trn ind/group (G0109) |
$58 |
$116 |
3.6× |
| Direct refer hospital observ (G0379) |
$951 |
$1,902 |
1.7× |
| Drug test def 1-7 classes (G0480) |
$65.25 |
$130.50 |
0.6× |
| Drug test def 15-21 classes (G0482) |
$211.50 |
$423 |
1.1× |
| Drug test def 22+ classes (G0483) |
$394.50 |
$789 |
1.6× |
| Drug test def 8-14 classes (G0481) |
$163.50 |
$327 |
1.0× |
| Ekg tracing for initial prev (G0404) |
$162 |
$324 |
5.8× |
| Elec stim other than wound (G0283) |
$58.50 |
$117 |
4.6× |
| Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part… (0479T) |
$762.50 |
$1,525 |
1.1× |
| Group mnt 2 or more 30 mins (G0271) |
$17 |
$34 |
1.0× |
| Hbot, full body chamber, 30m (G0277) |
$344.50 |
$689 |
2.6× |
| Hiv combination assay (G0475) |
$65.75 |
$131.50 |
2.7× |
| Home sleep test/type 2 porta (G0398) |
$253 |
$506 |
1.2× |
| Hospital outpt clinic visit (G0463) |
$117 |
$234 |
0.9× |
| Hpv combo assay ca screen (G0476) |
$71 |
$142 |
2.0× |
| Initial preventive exam (G0402) |
$103.50 |
$207 |
0.8× |
| Inj for sacroiliac jt anesth (G0260) |
$1,557 |
$3,114 |
2.3× |
| Intens behave ther cardio dx (G0446) |
$36 |
$72 |
1.0× |
| Mnt subs tx for change dx (G0270) |
$41.50 |
$83 |
1.3× |
| Mra w/cont, abd (C8900) |
$1,258 |
$2,516 |
3.8× |
| Mra w/cont, chest (C8909) |
$675.50 |
$1,351 |
2.0× |
| Mra w/o cont, pelvis (C8919) |
$336.50 |
$673 |
1.5× |
| Mra w/o fol w/cont, abd (C8902) |
$1,235.75 |
$2,471.50 |
3.7× |
| Neuro csf prion prtn qual (0035U) |
$221.75 |
$443.50 |
0.4× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) |
$508 |
$1,016 |
2.5× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) |
$1,118.50 |
$2,237 |
1.3× |
| Obtaining screen pap smear (Q0091) |
$15 |
$30 |
0.5× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) |
$310 |
$620 |
1.2× |
| Oth resp proc, indiv (G0238) |
$32 |
$64 |
1.2× |
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure |
$4,313.50 |
$8,627 |
0.4× |
| Ppps, initial visit (G0438) |
$120.50 |
$241 |
0.7× |
| Ppps, subseq visit (G0439) |
$102.50 |
$205 |
0.7× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$41.75 |
$83.50 |
1.2× |
| Prolonged iv inf, req pump (C8957) |
$416 |
$832 |
2.0× |
| Psa screening (G0103) |
$101.50 |
$203 |
5.3× |
| Risk ascvd tst once pr 12 mo (G0537) |
$33.50 |
$67 |
0.9× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$59.25 |
$118.50 |
2.2× |
| Screen cerv/vag thin layer (G0123) |
$62 |
$124 |
3.1× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) |
$3 |
$6 |
0.2× |
| Targeted genomic sequence analysis panel, cholangiocarcinoma and non-small cell lung neoplasia, DNA and RNA analysis,… (0022U) |
$2,469 |
$4,938 |
1.3× |
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
unusually low: confirm this is the full procedure |
$7,698.50 |
$15,397 |
0.4× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) |
$2,669.50 |
$5,339 |
0.9× |
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
unusually low: confirm this is the full procedure |
$7,698.50 |
$15,397 |
0.4× |
| Tomosynthesis, mammo (G0279) |
$45.25 |
$90.50 |
3.6× |
| Trauma respons w/hosp criti (G0390) |
$2,107 |
$4,214 |
1.6× |
| Trim nail(s) (G0127) |
$76.50 |
$153 |
1.4× |
| Tte w or w/o fol w/con,stres (C8928) |
$1,391 |
$2,782 |
1.8× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,434.50 |
$2,869 |
1.9× |