| Admin hepatitis b vaccine (G0010) |
— |
$27 |
— |
| Admin influenza virus vac (G0008) |
— |
$29 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$27.50 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$8,140.25 |
— |
| Catheterize for urine spec (P9612) |
— |
$99 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$8,066.06 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$9,054.38 |
— |
| Covid-19 lab test non-cdc (U0002) |
— |
$205.50 |
— |
| Cysto impl 4 or more (C9740) |
— |
$43,326.02 |
— |
| Cystoscopy prostatic imp 1-3 (C9739) |
— |
$31,452.55 |
— |
| Dermal filler injection(s) (G0429) |
— |
$3,209.50 |
— |
| Diab manage trn per indiv (G0108) |
— |
$263.50 |
— |
| Diab manage trn ind/group (G0109) |
— |
$70.50 |
— |
| Direct refer hospital observ (G0379) |
— |
$1,364.50 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$1,036 |
— |
| Facility svs dental rehab (G0330) |
— |
$64,098.79 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$1,428 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$88,055 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$5,487.75 |
— |
| Intens cardiac rehab w/exerc (G0422) |
— |
$6 |
— |
| Lev 1 hosp type b ed visit (G0380) |
— |
$1,890.50 |
— |
| Lev 2 hosp type b ed visit (G0381) |
— |
$2,094.50 |
— |
| Mra w/cont, abd (C8900) |
— |
$3,125.50 |
— |
| Mra w/cont, chest (C8909) |
— |
$4,599 |
— |
| Mra w/cont, lwr ext (C8912) |
— |
$5,514 |
— |
| Mra w/cont, pelvis (C8918) |
— |
$4,172 |
— |
| Mra, w/dye, spinal canal (C8931) |
— |
$7,098.50 |
— |
| Mra, w/dye, upper extremity (C8934) |
— |
$5,097.50 |
— |
| Mra, w/o dye, spinal canal (C8932) |
— |
$6,722.50 |
— |
| Mra, w/o dye, upper extr (C8935) |
— |
$4,832 |
— |
| Mra, w/o&w/dye, spinal canal (C8933) |
— |
$7,745 |
— |
| Mra, w/o&w/dye, upper extr (C8936) |
— |
$5,908.50 |
— |
| Mri w/cont, breast, bi (C8906) |
— |
$1,873 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$3,080 |
— |
| Mri w/o fol w/cont, brst, un (C8905) |
— |
$3,099.50 |
— |
| Psa screening (G0103) |
— |
$433 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$277 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$5,511.50 |
— |