| 2d tte w or w/o fol w/con,fu (C8924) |
$472.50 |
$630 |
1.5× |
| Admin hepatitis b vaccine (G0010) |
$75 |
$100 |
1.8× |
| Admin influenza virus vac (G0008) |
$68.25 |
$91 |
1.6× |
| Admin pneumococcal vaccine (G0009) |
$111 |
$148 |
2.6× |
| Alcohol/subs interv 15-30mn (G0396) |
$93.75 |
$125 |
2.7× |
| Alcohol/subs interv >30 min (G0397) |
$243 |
$324 |
1.5× |
| Catheterize for urine spec (P9612) |
$6.75 |
$9 |
0.7× |
| Chemo extend iv infus w/pump (G0498) |
$430.50 |
$574 |
1.4× |
| Colon ca scrn not hi rsk ind (G0121) |
$780 |
$1,040 |
0.9× |
| Colorectal scrn; hi risk ind (G0105) |
$532.50 |
$710 |
0.6× |
| Cysto impl 4 or more (C9740) |
$9,709.50 |
$12,946 |
1.1× |
| Cystoscopy prostatic imp 1-3 (C9739) |
$5,337.75 |
$7,117 |
1.1× |
| Direct refer hospital observ (G0379) |
$869.25 |
$1,159 |
1.6× |
| Drug test def 1-7 classes (G0480) |
$66 |
$88 |
0.6× |
| Drug test def 8-14 classes (G0481) |
$301.86 |
$402.48 |
1.9× |
| Elec stim other than wound (G0283) |
$79.50 |
$106 |
6.3× |
| Fecal blood scrn immunoassay (G0328) |
$54.75 |
$73 |
3.0× |
| Group mnt 2 or more 30 mins (G0271) |
$26.25 |
$35 |
1.5× |
| Hep c screen high risk/other (G0472) |
$40.50 |
$54 |
0.9× |
| Hospital outpt clinic visit (G0463) |
$112.50 |
$150 |
0.9× |
| Inj for sacroiliac jt anesth (G0260) |
$1,295.62 |
$1,727.50 |
2.0× |
| Mnt subs tx for change dx (G0270) |
$54 |
$72 |
1.7× |
| Mra w/o fol w/cont, abd (C8902) |
$735 |
$980 |
2.3× |
| Mra w/o fol w/cont, chest (C8911) |
$735 |
$980 |
2.3× |
| Mra w/o fol w/cont, pelvis (C8920) |
$735 |
$980 |
2.3× |
| Mra, w/o&w/dye, upper extr (C8936) |
$735 |
$980 |
2.3× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$405.74 |
$540.99 |
0.7× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$409.50 |
$546 |
1.0× |
| Perc d-e cor revasc t cabg s (C9604) |
$23,883.75 |
$31,845 |
2.3× |
| Perc d-e cor stent ather s (C9602) |
$37,926 |
$50,568 |
2.3× |
| Perc drug-el cor stent sing (C9600) |
$23,883.75 |
$31,845 |
2.3× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$9,835.50 |
$13,114 |
0.9× |
| Ppps, initial visit (G0438) |
$156 |
$208 |
0.9× |
| Psa screening (G0103) |
$46.50 |
$62 |
2.4× |
| Revasc intra lithotrip-ather (C9766) |
$31,773.75 |
$42,365 |
1.9× |
| Revasc intra lithotrip-stent (C9765) |
$31,773.75 |
$42,365 |
1.9× |
| Revasc intravasc lithotripsy (C9764) |
$19,871.25 |
$26,495 |
1.9× |
| Revasc lith-sten-ath tib/per (C9775) |
$31,773.75 |
$42,365 |
1.9× |
| Revasc lithotr-ather tib/per (C9774) |
$31,773.75 |
$42,365 |
1.9× |
| Revasc lithotr-stent tib/per (C9773) |
$31,773.75 |
$42,365 |
1.9× |
| Revasc lithotrip tibi/perone (C9772) |
$19,871.25 |
$26,495 |
1.9× |
| Revasc lithotrip-stent-ather (C9767) |
$31,773.75 |
$42,365 |
1.9× |
| Semen analysis (G0027) |
$35.25 |
$47 |
5.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$36,880.50 |
$49,174 |
2.1× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) |
$37,595.25 |
$50,127 |
2.1× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) |
$37,595.25 |
$50,127 |
2.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) |
$26,305.50 |
$35,074 |
1.5× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$6,241.50 |
$8,322 |
2.2× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) |
$37,817.25 |
$50,423 |
2.2× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$31,773.75 |
$42,365 |
6.1× |
| Therapeutic procd strg endur (G0237) |
$63.75 |
$85 |
2.4× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) |
$16,959 |
$22,612 |
3.3× |
| Transcatheter renal sympath denervation unilat (0338T) |
$11,306.25 |
$15,075 |
2.2× |
| Trauma respons w/hosp criti (G0390) |
$1,508.25 |
$2,011 |
1.2× |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
$31,773.75 |
$42,365 |
1.9× |
| Tte w or wo fol wcon,doppler (C8929) |
$975 |
$1,300 |
1.4× |
| Unsched dialysis esrd pt hos (G0257) |
$626.25 |
$835 |
1.0× |
| Visit to determ ldct elig (G0296) |
$150 |
$200 |
1.6× |