JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| #_benzodiazconfur CPT 80346 | not published | not published | $23.06 – $68.34 | 2 |
| #_fet/norfentcnfrmur CPT 80354 | not published | $42.00 | $18.13 – $55.76 | 2 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $12.01 | $143.00 | $11.00 – $56.52 | 11 |
| #acylcarnitineprfl CPT 82017 | $16.87 | $1,111.00 | $16.87 – $79.39 | 11 |
| #afb mycobacteria suscep. #1 CPT 87190 | $7.31 | $44.00 | $0.80 – $34.40 | 11 |
| #aptt mix-1:1 incubated CPT 87532 | $35.09 | not published | $35.09 – $165.14 | 12 |
| #bac vag cand-c. albicans naa CPT 87481 | $35.09 | $108.00 | $35.09 – $165.14 | 11 |
| #cbg+cort-cbg CPT 84449 | $18.00 | $260.00 | $18.00 – $84.71 | 11 |
| #celiac hla-dq2 CPT 81377 | $94.74 | $345.00 | $83.37 – $445.87 | 11 |
| #celiac hla-dq8 CPT 81383 | $109.13 | $391.00 | $96.03 – $513.59 | 11 |
| #cf-97variants CPT 81220 | $556.60 | $1,530.00 | $489.81 – $2,619.49 | 11 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $14.07 | not published | $3.30 – $66.22 | 12 |
| #cms hgb-sulfhemoglobin CPT 83060 | $8.80 | $57.00 | $3.30 – $41.41 | 11 |
| #cmvcul-virus inoculation shell CPT 87254 | $19.56 | $277.00 | $5.95 – $92.05 | 11 |
| #covid19rsv-rsv CPT 87634 | $70.20 | $194.00 | $61.78 – $330.38 | 10 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $13.03 | $198.00 | $13.03 – $61.32 | 11 |
| #creutz-prot.,western blot CPT 84182 | $29.21 | $1,200.00 | $25.85 – $137.47 | 11 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $18.13 – $55.76 | 2 |
| #fecal-sodium CPT 84302 | $4.86 | $76.00 | $4.29 – $22.87 | 11 |
| #flow interp 9 - 15 markers CPT 88188 | not published | $2,063.00 | $58.48 – $111.21 | 2 |
| #hypersens-actinomyces ab CPT 86602 | $10.18 | $182.00 | $10.18 – $47.91 | 11 |
| #mec-opiates CPT 80356 | not published | $150.00 | $18.13 – $54.33 | 2 |
| #pnh-flow cytometry interp CPT 88187 | not published | $275.00 | $34.68 – $64.29 | 2 |
| #resp virpnl dfa-adenovirus CPT 87260 | $14.43 | $79.00 | $11.00 – $67.91 | 11 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $16.43 | $80.00 | $13.40 – $77.32 | 11 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $18.33 – $18.33 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | $3.43 | $144.00 | $1.32 – $16.14 | 11 |
| 11-desoxycortisol - sendout CPT 82634 | $29.28 | $117.00 | $28.29 – $137.80 | 11 |
| 17-hydroxypregnenolone CPT 84143 | $22.81 | $226.00 | $22.81 – $107.35 | 11 |
| 17-ketosteroids CPT 83586 | $12.80 | $83.00 | $8.25 – $60.24 | 11 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $128.87 | not published | $128.87 – $239.81 | 8 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $1,496.41 – $1,496.41 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | $35.92 | $99.00 | $35.92 – $47.77 | 10 |
| 24 hr ambulatory b/p monitor CPT 93786 | $128.90 | $770.00 | $41.24 – $135.35 | 7 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $790.06 | $2,315.00 | $790.06 – $829.56 | 6 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $790.06 | $1,879.00 | $790.06 – $829.56 | 6 |
| 2nd order venous cath CPT 36012 | not published | $2,400.00 | $353.56 – $353.56 | 1 |
| 3-d radiotherapy plan CPT 77295 | $1,368.26 | $12,114.00 | $293.00 – $9,288.60 | 8 |
| 3d anat seg imaging preop HCPCS C8001 | $156.46 | not published | $156.46 – $164.28 | 6 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | $156.46 | not published | $156.46 – $164.28 | 6 |
| 3d ech img cgen car anomal CPT 93319 | not published | $1,386.00 | $38.83 – $38.83 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | not published | $550.00 | $47.92 – $48.00 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $11.15 | $117.00 | $6.60 – $52.47 | 11 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | $89.00 | $52.32 – $104.60 | 2 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | $414.00 | $104.00 – $181.00 | 3 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | $414.00 | $104.00 – $181.00 | 3 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | $414.00 | $104.00 – $181.00 | 3 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | $253.00 | $104.00 – $181.00 | 3 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | $253.00 | $104.00 – $181.00 | 3 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | $253.00 | $104.00 – $181.00 | 3 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | $253.00 | $104.00 – $181.00 | 3 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | $56.00 | $104.00 – $181.00 | 3 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $6,429.85 – $6,429.85 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $44.49 | not published | $37.82 – $106.83 | 11 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,822.30 – $1,900.40 | 2 |
| Abd aorta w/runoff s&i CPT 75630 | $3,147.50 | $7,124.00 | $261.06 – $3,304.88 | 8 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | $3,620.00 | $2,545.73 – $2,545.73 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $937.56 | $2,558.00 | $154.40 – $984.44 | 7 |
| Abd/low ext cath 1st CPT 36245 | not published | $6,050.00 | $480.06 – $480.06 | 1 |
| Abd/low ext cath 2nd CPT 36246 | not published | $3,740.00 | $513.38 – $513.38 | 1 |
| Abd/low ext cath 3rd CPT 36247 | not published | $5,720.00 | $605.37 – $605.37 | 1 |
| Abd/low ext cath addl CPT 36248 | not published | $1,760.00 | $97.68 – $97.68 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $178.02 | $3,850.00 | $178.02 – $626.72 | 8 |
| Abdominal CT scan (with contrast) CPT 74160 | $178.02 | $2,966.00 | $178.02 – $553.08 | 8 |
| Abdominal CT scan (without contrast) CPT 74150 | $106.34 | $2,200.00 | $106.34 – $268.27 | 8 |
| Abdominal MRI (with and without contrast) CPT 74183 | $357.13 | $5,438.00 | $357.13 – $4,332.00 | 9 |
| Abdominal MRI (with contrast) CPT 74182 | $357.13 | $4,044.00 | $357.13 – $4,332.00 | 9 |
| Abdominal MRI (without contrast) CPT 74181 | $241.72 | $3,422.00 | $241.72 – $4,332.00 | 9 |
| Abdominal Ultrasound (complete) CPT 76700 | $106.34 | $1,111.00 | $106.34 – $307.98 | 8 |
| Abdominal Ultrasound (limited) CPT 76705 | $106.34 | $1,020.00 | $106.34 – $231.88 | 8 |
| Abdominal paracentesis w/image guidance CPT 49083 | $937.56 | $2,640.00 | $220.05 – $984.44 | 7 |
| Abdominoplasty 15830 CPT 15830 | $6,521.46 | $14,038.00 | $2,509.73 – $6,847.53 | 7 |
| Abl1 gene CPT 81170 | $300.00 | $1,485.00 | $264.00 – $1,411.87 | 11 |
| Ablate arrhythmia add on CPT 93655 | not published | $8,470.00 | $104.00 – $503.93 | 3 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | $4,139.00 | $2,819.93 – $2,819.93 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | $5,902.00 | $3,954.71 – $3,954.71 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | $1,795.00 | $1,348.44 – $1,348.44 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | $5,605.00 | $3,794.09 – $3,794.09 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $7,143.73 | $13,439.00 | $705.31 – $7,500.92 | 7 |
| Ablate bone tumor(s) perq CPT 20982 | $12,866.82 | $17,261.00 | $759.06 – $13,510.16 | 7 |
| Ablate heart dysrhythm focus CPT 93650 | $7,588.10 | $14,401.00 | $104.00 – $7,967.51 | 7 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $1,481.28 | $3,694.00 | $445.31 – $1,555.34 | 7 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,481.28 | $3,694.00 | $338.16 – $1,555.34 | 7 |
| Ablate pulm tumor perq crybl CPT 32994 | $10,411.22 | $13,291.00 | $893.42 – $10,931.78 | 7 |
| Ablate pulm tumor perq rf CPT 32998 | $5,834.36 | $13,177.00 | $894.93 – $6,126.08 | 7 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $156.46 | $386.00 | $156.46 – $164.28 | 6 |
| Ablation cryo abd perit om CPT 49999 | $937.56 | $7,676.00 | $937.56 – $984.44 | 6 |
| Ablation cryo adrenal tumor CPT 60699 | $5,834.36 | $10,560.00 | $5,834.36 – $6,126.08 | 6 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $239.88 | $572.00 | $239.88 – $251.87 | 6 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $10,411.22 | $14,627.00 | $920.52 – $10,931.78 | 7 |
| Ablation cryo retro lymph node CPT 38999 | $437.18 | $2,373.00 | $437.18 – $459.04 | 6 |
| Ablation cryo thigh/knee CPT 27599 | $239.88 | $1,097.00 | $239.88 – $251.87 | 6 |
| Ablation of upper extremity nerves rf CPT 64999 | $295.19 | $1,672.00 | $295.19 – $309.95 | 6 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | $12,992.42 | $22,947.00 | $12,992.42 – $13,642.04 | 6 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $1,620.24 | not published | $1,620.24 – $1,701.25 | 6 |
| Abltj mal prst8 tiss hifu CPT 55880 | $9,247.15 | $28,234.00 | $2,064.50 – $9,709.51 | 7 |
| Abobotulinumtoxina HCPCS J0586 | $9.17 | not published | $7.79 – $17.85 | 11 |
| Abortion CPT 59850 | not published | $2,734.00 | $841.98 – $841.98 | 1 |
| Abortion (mpr) CPT 59866 | $304.19 | $660.00 | $304.19 – $502.21 | 7 |
| Abrasion lesion single CPT 15786 | $198.70 | $454.00 | $198.70 – $288.75 | 7 |
| Abrasion lesions add-on CPT 15787 | not published | $275.00 | $34.55 – $34.55 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,620.24 | $5,005.00 | $397.03 – $1,701.25 | 7 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | $2,750.00 | $248.48 – $248.48 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $595.10 – $595.10 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.04 – $0.63 | 3 |
| Acetaminophen level CPT 80143 | $18.64 | $222.00 | $16.40 – $87.72 | 11 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $14.65 – $48.43 | 5 |
| Acetone qualitative CPT 82009 | $4.52 | $77.00 | $4.52 – $21.27 | 11 |
| Acetylcholine receptor modulating antibody CPT 86043 | $12.05 | not published | $4.82 – $16.03 | 9 |
| Acetylcholinesterase assay CPT 82013 | $12.29 | $161.00 | $12.29 – $57.84 | 11 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.31 – $2.28 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $5.67 – $12.41 | 6 |
| Acid perfusion of esophagus CPT 91030 | $530.60 | not published | $259.45 – $942.41 | 8 |
| Acne surgery 10040 CPT 10040 | $198.70 | $298.00 | $109.90 – $208.64 | 7 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $206.14 | $517.00 | $206.14 – $300.52 | 7 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $160.69 | $410.00 | $160.69 – $237.19 | 7 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $92.50 | not published | $84.42 – $158.13 | 8 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $58.91 – $58.91 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $84.42 – $84.42 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $160.67 | not published | $151.83 – $168.70 | 8 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $128.87 | $616.00 | $104.00 – $2,793.00 | 9 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $29.79 | not published | $16.09 – $69.10 | 8 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $19.31 | $105.00 | $19.31 – $792.00 | 9 |
| Acoustic immitance testing CPT 92570 | $156.46 | $519.00 | $49.03 – $627.00 | 9 |
| Acoustic refl threshold tst CPT 92568 | $39.25 | $176.00 | $25.04 – $627.00 | 9 |
| Acromp/acromionectomy prtl CPT 23130 | $3,244.61 | $7,834.00 | $1,359.10 – $3,406.84 | 7 |
| Actigraphy testing CPT 95803 | $59.40 | $239.00 | $59.40 – $2,793.00 | 9 |
| Actinotherapy uv light CPT 96900 | $39.25 | $316.00 | $39.25 – $4,567.00 | 9 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $24.49 | not published | $24.49 – $55.77 | 7 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $24.49 | not published | $24.49 – $51.23 | 7 |
| Acute hepatitis panel CPT 80074 | $47.63 | $660.00 | $33.00 – $224.16 | 11 |
| Acute venous thrombus image CPT 78456 | $1,305.48 | not published | $561.71 – $2,544.82 | 9 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.03 – $0.12 | 5 |
| Acylcarnitines qual CPT 82016 | $16.49 | not published | $14.19 – $77.61 | 12 |
| Adapt behavior tx phys/qhp CPT 97155 | $160.67 | $206.00 | $25.46 – $851.00 | 10 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | $4,588.00 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $157.79 | not published | $59.06 – $278.66 | 8 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.39 – $0.99 | 5 |
| Adenovirus ag ia CPT 87301 | $11.98 | $80.00 | $11.98 – $56.38 | 11 |
| Adenovirus antibody,serum - quest CPT 86603 | $12.87 | $169.00 | $11.00 – $60.57 | 11 |
| Adenovirus assay w/optic CPT 87809 | $21.76 | not published | $19.15 – $102.41 | 12 |
| Adh-sendout CPT 84588 | $33.94 | $153.00 | $33.94 – $159.73 | 11 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | $4,902.00 | $1,926.99 – $1,926.99 | 1 |
| Adj gastric band via subq port CPT 43999 | $937.56 | $3,871.00 | $937.56 – $984.44 | 6 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $1,829.23 | $5,481.00 | $1,638.56 – $1,920.69 | 7 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $7,143.73 | $12,716.00 | $974.87 – $7,500.92 | 7 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $1.11 – $1.94 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $71.17 | $770.00 | $49.22 – $1,966.00 | 8 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $71.17 | $836.00 | $71.17 – $1,966.00 | 8 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $331.69 | $2,310.00 | $233.67 – $1,966.00 | 8 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $331.69 | $1,485.00 | $180.50 – $1,966.00 | 8 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $71.17 | $495.00 | $63.20 – $1,966.00 | 8 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $71.17 | $790.00 | $71.17 – $1,966.00 | 8 |
| Administration immunization 1 vaccine CPT 90471 | $71.17 | $198.00 | $36.65 – $74.73 | 7 |
| Administration immunization each additional component CPT 90461 | not published | $50.00 | $14.72 – $14.72 | 1 |
| Administration immunization each additional vaccine CPT 90472 | not published | $123.00 | $25.82 – $25.82 | 1 |
| Administration immunization first component each vaccine CPT 90460 | not published | $158.00 | $40.44 – $40.44 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $71.17 | $94.00 | $29.36 – $74.73 | 7 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | $94.00 | $20.96 – $20.96 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | $76.00 | $9.80 – $43.16 | 2 |
| Administration vaccine hepatitis b HCPCS G0010 | $46.14 | $88.00 | $46.14 – $50.98 | 7 |
| Administration vaccine influenza virus HCPCS G0008 | $46.14 | $138.00 | $20.50 – $59.59 | 7 |
| Administration vaccine pneumococcal HCPCS G0009 | $46.14 | $165.00 | $46.14 – $51.18 | 7 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $8.54 – $37.67 | 2 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $41.85 | not published | $35.57 – $73.34 | 11 |
| Adrenal cortex & medulla img CPT 78075 | $1,305.48 | not published | $794.47 – $2,544.82 | 9 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | $3,748.00 | $2,646.27 – $2,646.27 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $119.64 – $119.64 | 1 |
| Aep hearing status deter i&r CPT 92651 | $311.40 | $374.00 | $116.00 – $627.00 | 9 |
| Aep neurodiagnostic i&r CPT 92653 | $311.40 | $1,811.00 | $116.00 – $627.00 | 9 |
| Aep thrshld est mlt freq i&r CPT 92652 | $311.40 | $1,811.00 | $116.00 – $627.00 | 9 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $2,943.42 | not published | $2,943.42 – $3,090.59 | 6 |
| Aflibercept injection HCPCS J0178 | $790.04 | not published | $671.53 – $1,994.53 | 11 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $310.00 – $1,132.43 | 5 |
| After cataract laser surgery CPT 66821 | $548.60 | $2,869.00 | $548.60 – $676.00 | 7 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $230.26 | not published | $195.72 – $426.82 | 11 |
| Air conduction bilat CPT 92552 | $128.90 | $279.00 | $69.19 – $627.00 | 9 |
| Air injection into abdomen 49400 CPT 49400 | not published | $293.00 | $184.52 – $184.52 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $156.46 | $696.00 | $79.21 – $164.28 | 7 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $45.12 – $112.64 | 6 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $53.08 | not published | $45.12 – $112.64 | 11 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $5.78 | $83.00 | $4.73 – $27.20 | 11 |
| Albumin body fluid quantitative each specimen CPT 82042 | $7.78 | $174.00 | $2.67 – $36.61 | 11 |
| Albumin ischemia modified CPT 82045 | $33.94 | not published | $29.87 – $159.73 | 12 |
| Albumin serum plasma or whole blood CPT 82040 | $4.95 | $408.00 | $1.98 – $23.30 | 11 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $21.23 | not published | $18.05 – $45.05 | 11 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $9.03 – $22.53 | 6 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.17 – $0.28 | 6 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.14 – $0.54 | 6 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.05 – $0.09 | 6 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $17.27 | $222.00 | $15.20 – $81.28 | 11 |
| Alcohol/sub misuse assess HCPCS G2011 | $24.49 | not published | $24.49 – $35.54 | 8 |
| Alcohol/subs interv >30 min HCPCS G0397 | $160.67 | not published | $113.31 – $168.70 | 8 |
| Aldesleukin injection HCPCS J9015 | $5,301.26 | not published | $3,481.24 – $8,565.97 | 11 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $2,440.70 | not published | $2,074.60 – $4,572.35 | 11 |
| Alkaline phosphatase CPT 84075 | $5.18 | $83.00 | $3.96 – $24.38 | 11 |
| All tstg perq&iq drugs/biol CPT 95018 | $39.25 | $165.00 | $11.90 – $41.21 | 7 |
| All tstg perq&iq w/venoms CPT 95017 | $24.49 | $96.00 | $6.22 – $25.71 | 7 |
| Allergen alpha lactalbumin ige CPT 86008 | $17.93 | $175.00 | $15.77 – $84.38 | 11 |
| Allergen egg white ige CPT 86003 | $5.22 | $814.00 | $4.40 – $24.57 | 11 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $7.97 | $65.00 | $3.56 – $37.51 | 11 |
| Allergy Skin Testing CPT 95004 | $1,017.39 | $1,542.00 | $6.55 – $1,068.26 | 7 |
| Allergy injection; single 95115 CPT 95115 | $46.14 | $111.00 | $18.76 – $48.45 | 7 |
| Allergy injections; 2 or more 95117 CPT 95117 | $46.14 | $212.00 | $22.41 – $48.45 | 7 |
| Allg patch or app # of tests 95044 CPT 95044 | $1,017.39 | $3,325.00 | $9.04 – $1,068.26 | 7 |
| Allgrft implnt knee w/scope CPT 29867 | $12,866.82 | $15,055.00 | $2,756.33 – $13,510.16 | 7 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | $1,314.40 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | $936.20 | $72.13 – $103.28 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | $1,454.52 | $85.61 – $151.19 | 2 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | $36,462.77 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | $8,002.94 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | $40,754.46 | $26.10 – $40.87 | 2 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | $5,934.89 | $160.59 – $201.63 | 2 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | $8,273.28 | $129.42 – $129.42 | 1 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | $8,680.00 | $746.53 – $746.53 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | $3,710.70 | $107.15 – $272.81 | 2 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | $539.45 | $205.59 – $326.88 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $12.31 – $16.13 | 3 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $5.19 | not published | $4.41 – $9.77 | 11 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $64.41 | $211.00 | $56.68 – $303.13 | 11 |
| Alpha-fetoprotein amniotic CPT 82106 | $17.00 | $86.00 | $11.22 – $80.01 | 11 |
| Alpha-fetoprotein tumor marker CPT 82105 | $16.77 | $253.00 | $11.22 – $78.92 | 11 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $1.11 – $11.67 | 2 |
| Alt/sgpt CPT 84460 | $5.30 | $94.00 | $3.30 – $24.94 | 11 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $94.15 | not published | $80.03 – $188.27 | 11 |
| Altuviiio per factor viii iu HCPCS J7214 | $4.67 | not published | $3.97 – $4.90 | 6 |
| Aluminum - quest CPT 82108 | $25.48 | $87.00 | $25.48 – $119.91 | 11 |
| Alveoloplasty each quadrant CPT 41874 | $3,243.07 | $7,186.00 | $529.33 – $3,405.22 | 7 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $91.79 | $705.00 | $67.24 – $96.38 | 7 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | $468.00 | $18.13 – $60.85 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | $128.90 | $770.00 | $10.26 – $135.35 | 7 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.53 – $2.80 | 5 |
| Amino acid screen, urine CPT 82128 | $13.87 | not published | $13.87 – $65.28 | 12 |
| Amino acid single qual CPT 82127 | $14.18 | not published | $14.18 – $66.73 | 12 |
| Amino acids quant 2-5 CPT 82136 | $19.61 | $250.00 | $19.61 – $92.29 | 11 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.28 – $1.28 | 1 |
| Aminolevulinic acid delta CPT 82135 | $16.45 | $140.00 | $16.45 – $77.42 | 11 |
| Aminolevulinic acid hcl top HCPCS J7308 | $393.87 | not published | $334.79 – $840.60 | 11 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | $1.81 | not published | $1.54 – $3.41 | 10 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $6.83 – $24.85 | 5 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.22 – $11.13 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.38 – $0.49 | 3 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $18.33 – $53.23 | 2 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $3.69 – $18.42 | 2 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $22.21 | not published | $18.88 – $38.46 | 9 |
| Ammonia CPT 82140 | $14.57 | $183.00 | $6.60 – $68.57 | 11 |
| Amniocentesis therapeutic CPT 59001 | $304.19 | $1,175.00 | $304.19 – $375.12 | 7 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $870.74 | $1,579.00 | $170.98 – $914.28 | 7 |
| Amniotic fluid scan CPT 82143 | $9.35 | $29.00 | $4.62 – $44.00 | 11 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $3,244.61 | $7,469.00 | $1,515.68 – $3,406.84 | 7 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $3,244.61 | $7,497.00 | $907.62 – $3,406.84 | 7 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | $2,239.00 | $1,509.42 – $1,509.42 | 1 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | $75.00 | $19.38 – $58.03 | 2 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $18.33 – $18.33 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $12.68 – $99.47 | 5 |
| Amphotericin b lipid complex HCPCS J0287 | $10.30 | not published | $8.76 – $21.76 | 11 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $22.62 | not published | $19.23 – $63.29 | 11 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.42 – $1.91 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.27 – $5.18 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $262.99 | not published | $262.99 – $276.14 | 8 |
| Amputate hand at wrist CPT 25922 | $1,600.41 | not published | $1,422.00 – $2,718.61 | 8 |
| Amputate metacarpal bone 26910 CPT 26910 | $3,244.61 | $7,527.00 | $1,681.53 – $3,406.84 | 7 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $1,648.10 – $1,648.10 | 1 |
| Amputation follow-up surgery CPT 24925 | $3,244.61 | $10,294.00 | $1,252.01 – $3,406.84 | 7 |
| Amputation follow-up surgery CPT 25907 | $3,244.61 | $9,404.00 | $1,348.59 – $3,406.84 | 7 |
| Amputation follow-up surgery CPT 25909 | $7,143.73 | not published | $1,495.12 – $7,500.92 | 8 |
| Amputation follow-up surgery CPT 25929 | $1,829.23 | not published | $1,314.74 – $3,206.35 | 8 |
| Amputation follow-up surgery CPT 25931 | $3,244.61 | $6,181.00 | $1,761.66 – $3,406.84 | 7 |
| Amputation follow-up surgery CPT 27594 | $3,244.61 | $8,449.00 | $1,084.19 – $3,406.84 | 7 |
| Amputation follow-up surgery CPT 27884 | $3,244.61 | $6,634.00 | $1,234.79 – $3,406.84 | 7 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | $18,695.00 | $1,888.29 – $1,888.29 | 1 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | $7,381.00 | $1,380.59 – $1,380.59 | 1 |
| Amputation of foot at ankle CPT 27889 | $7,143.73 | not published | $1,352.91 – $11,798.15 | 8 |
| Amputation of lower leg CPT 27882 | not published | not published | $1,247.31 – $1,247.31 | 1 |
| Amputation of midtarsal 28800 CPT 28800 | not published | $1,522.00 | $1,129.94 – $1,129.94 | 1 |
| Amputation thru metatarsal CPT 28805 | $3,244.61 | $5,173.00 | $1,497.01 – $3,406.84 | 7 |
| Amputation toe interphalangeal joint CPT 28825 | $3,244.61 | $7,497.00 | $363.35 – $3,406.84 | 7 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $3,244.61 | $7,497.00 | $372.39 – $3,406.84 | 7 |
| Amylase CPT 82150 | $6.48 | $478.00 | $4.95 – $30.50 | 11 |
| An cholangiogram percutaneous compl CPT 47531 | $3,529.06 | $4,730.00 | $145.45 – $3,705.51 | 7 |
| An fluoro guide for cvp CPT 77001 | not published | $888.00 | $191.84 – $313.05 | 2 |
| Ana ds-dna CPT 86226 | $12.11 | $35.00 | $12.11 – $56.99 | 11 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | $58.32 | not published | $58.32 – $61.24 | 6 |
| Anal pressure record CPT 91122 | $311.40 | $903.00 | $311.40 – $492.31 | 7 |
| Anal/urinary muscle study CPT 51784 | $156.46 | $743.00 | $139.91 – $164.28 | 7 |
| Anal/urinary muscle study CPT 51785 | $243.21 | $740.00 | $243.21 – $976.25 | 7 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $18.13 – $67.65 | 2 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $91.79 | $410.00 | $86.81 – $2,793.00 | 9 |
| Analysis gene f2 20210g>a variant CPT 81240 | $65.69 | $221.00 | $57.81 – $309.15 | 11 |
| Analysis gene f5 leiden variant CPT 81241 | $73.37 | $275.00 | $64.57 – $345.30 | 11 |
| Analysis nerve CPT 88356 | $53.43 | not published | $53.43 – $446.40 | 9 |
| Analysis tumor CPT 88358 | $171.36 | $441.00 | $65.68 – $263.46 | 8 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $37.29 | $120.00 | $37.29 – $65.28 | 7 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $91.79 | $1,430.00 | $65.00 – $96.38 | 7 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $35.09 | not published | $14.04 – $36.84 | 8 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $4,741.91 – $4,741.91 | 1 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $5,205.90 – $5,205.90 | 1 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $2,136.27 – $2,136.27 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | $15.05 | $552.00 | $9.90 – $70.83 | 11 |
| Androstanediol CPT 82154 | $28.83 | $303.00 | $28.83 – $135.68 | 11 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | not published | $10,945.00 | $296.23 – $296.23 | 1 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $11,340.57 | $14,740.00 | $1,092.41 – $14,806.00 | 8 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | not published | $1,324.00 | $351.13 – $351.13 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $5,701.52 | $15,601.00 | $705.73 – $5,986.60 | 7 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | not published | $3,157.00 | $294.96 – $294.96 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $5,701.52 | $15,601.00 | $603.70 – $9,684.56 | 8 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $5,701.52 | $12,925.00 | $899.01 – $14,806.00 | 9 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | not published | $14,293.00 | $402.31 – $14,806.00 | 2 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $5,701.52 | $13,874.00 | $808.94 – $14,806.00 | 9 |
| Angiotensin ii CPT 82163 | $20.52 | not published | $20.52 – $96.57 | 12 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.41 – $1.31 | 5 |
| Ankle X-ray CPT 73610 | $88.05 | $508.00 | $71.11 – $103.78 | 8 |
| Ankle arthroscopy/surgery CPT 29891 | $3,244.61 | $7,582.00 | $1,463.10 – $3,406.84 | 7 |
| Ankle arthroscopy/surgery CPT 29892 | $7,143.73 | $11,161.00 | $1,384.06 – $7,500.92 | 7 |
| Ankle arthroscopy/surgery CPT 29894 | $3,244.61 | $7,582.00 | $1,094.24 – $3,406.84 | 7 |
| Ankle arthroscopy/surgery CPT 29895 | $3,244.61 | $7,582.00 | $1,001.42 – $3,406.84 | 7 |
| Ankle arthroscopy/surgery CPT 29897 | $3,244.61 | $7,582.00 | $1,073.56 – $5,430.31 | 8 |
| Ankle arthroscopy/surgery CPT 29898 | $3,244.61 | $7,582.00 | $1,211.39 – $3,406.84 | 7 |
| Ankle arthroscopy/surgery CPT 29899 | $7,143.73 | $10,934.00 | $2,159.22 – $7,500.92 | 7 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $299.91 | $939.00 | $95.61 – $314.91 | 7 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | $75.00 | $104.00 – $181.00 | 3 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | $75.00 | $104.00 – $181.00 | 3 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | $173.00 | $104.00 – $181.00 | 3 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | $132.00 | $104.00 – $190.70 | 3 |
| Annual alcohol screen 15 min HCPCS G0442 | $29.79 | not published | $16.09 – $69.10 | 8 |
| Anodyne therapy charges pt CPT 97026 | $8.81 | $108.00 | $8.81 – $558.00 | 17 |
| Anogenital exam child w imag CPT 99170 | $201.17 | $262.00 | $141.84 – $211.23 | 7 |
| Anora (draw only) CPT 99001 | not published | not published | $26.63 – $26.63 | 1 |
| Anorectal myomectomy CPT 45108 | $2,742.39 | $5,815.00 | $811.02 – $2,879.51 | 7 |
| Anoscopy CPT 46611 | $911.71 | $2,395.00 | $171.27 – $957.30 | 7 |
| Anoscopy ablation lesion 46615 CPT 46615 | $2,742.39 | $6,337.00 | $192.46 – $2,879.51 | 7 |
| Anoscopy and biopsy CPT 46606 | $1,179.08 | $3,011.00 | $160.54 – $1,238.03 | 7 |
| Anoscopy and dilation 46604 CPT 46604 | $1,179.08 | $2,707.00 | $140.84 – $1,238.03 | 7 |
| Anoscopy control bleeding 46614 CPT 46614 | $1,179.08 | $2,803.00 | $137.45 – $1,238.03 | 7 |
| Anoscopy remove fb 46608 CPT 46608 | $911.71 | $2,419.00 | $179.83 – $957.30 | 7 |
| Anoscopy remove lesion 46610 CPT 46610 | $2,742.39 | $5,646.00 | $170.29 – $2,879.51 | 7 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $2,742.39 | $6,027.00 | $202.17 – $2,879.51 | 7 |
| Ans parasymp & symp w/tilt CPT 95924 | $311.40 | $534.00 | $104.00 – $4,550.00 | 9 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $4,936.45 | $8,789.00 | $1,314.48 – $5,183.27 | 7 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | $3,740.00 | $1,523.26 – $1,523.26 | 1 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | $3,080.00 | $1,585.60 – $1,585.60 | 1 |
| Ant sgm img i&r speclr mic CPT 92286 | $128.90 | not published | $68.70 – $220.41 | 8 |
| Ant sgm img ir flrscn angrph CPT 92287 | $128.90 | not published | $128.90 – $257.67 | 8 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $4,936.45 | $10,032.00 | $1,856.45 – $5,183.27 | 7 |
| Anti mog serum - sendout CPT 86362 | $12.05 | $1,460.00 | $10.60 – $16.03 | 10 |
| Anti-inhibitor HCPCS J7198 | $2.45 | not published | $2.08 – $4.72 | 11 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $5,013.11 | not published | $2,439.11 – $5,263.77 | 11 |
| Antibody CPT 86744 | $15.99 | not published | $13.20 – $75.25 | 12 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $12.88 | $204.00 | $11.00 – $60.62 | 11 |
| Antibody elution rbc reference CPT 86860 | $171.36 | $319.00 | $4.62 – $179.93 | 7 |
| Antibody htlv-i CPT 86687 | $9.09 | not published | $9.09 – $42.78 | 12 |
| Antibody htlv-ii CPT 86688 | $14.00 | not published | $14.00 – $65.89 | 12 |
| Antibody htlv/hiv confirm test CPT 86689 | $19.35 | $281.00 | $19.35 – $91.07 | 11 |
| Antibody id rbc panel CPT 86870 | $359.72 | $495.00 | $9.90 – $377.71 | 7 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $18.37 | $982.00 | $9.90 – $86.45 | 11 |
| Antibody influenza virus CPT 86710 | $13.55 | $143.00 | $13.20 – $63.77 | 11 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $12.87 | $215.00 | $12.87 – $60.57 | 11 |
| Antibody screen rbc CPT 86850 | $53.43 | $275.00 | $4.62 – $56.10 | 11 |
| Antibody tetanus CPT 86774 | $14.80 | $64.00 | $5.94 – $69.65 | 11 |
| Antidepressant not specified CPT 80338 | not published | $142.00 | $18.33 – $18.33 | 1 |
| Antigen therapy services CPT 95145 | $46.14 | $221.00 | $5.06 – $48.45 | 7 |
| Antigen therapy services CPT 95146 | $46.14 | $378.00 | $5.06 – $48.45 | 7 |
| Antigen therapy services CPT 95147 | $71.17 | $429.00 | $5.06 – $74.73 | 7 |
| Antigen therapy services CPT 95148 | $71.17 | $373.00 | $5.06 – $74.73 | 7 |
| Antigen therapy services CPT 95149 | $71.17 | $529.00 | $5.06 – $74.73 | 7 |
| Antigen therapy services CPT 95165 | $46.14 | $88.00 | $5.67 – $48.45 | 7 |
| Antigen therapy services CPT 95170 | $46.14 | not published | $5.06 – $78.41 | 8 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $1.49 | not published | $1.27 – $2.71 | 11 |
| Antihemophilic viii/vwf comp HCPCS J7186 | $1.23 | not published | $1.05 – $2.43 | 11 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $12.05 | $331.00 | $10.60 – $16.03 | 10 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $12.05 | $303.00 | $10.60 – $16.03 | 10 |
| Antinuclear antibodies CPT 86038 | $12.09 | $254.00 | $8.58 – $56.90 | 11 |
| Antinuclear antibodies titer CPT 86039 | $11.16 | $248.00 | $11.16 – $52.52 | 11 |
| Antiphosphatidylserine antibody CPT 86148 | $16.07 | $98.00 | $16.07 – $75.63 | 11 |
| Antistreptolysin o screen CPT 86063 | $5.77 | not published | $1.32 – $27.16 | 12 |
| Antistreptolysin o titer CPT 86060 | $7.30 | $158.00 | $3.96 – $34.36 | 11 |
| Antithrombin iii activity CPT 85300 | $11.85 | $249.00 | $11.85 – $55.77 | 11 |
| Antithrombin iii injection HCPCS J7197 | $4.09 | not published | $3.48 – $7.62 | 11 |
| Antithymocyte globuln rabbit HCPCS J7511 | $996.39 | not published | $846.93 – $1,800.31 | 11 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $1,473.81 – $1,473.81 | 1 |
| Aortic dysfunction/dilation CPT 81410 | $504.00 | $6,703.00 | $443.52 – $2,371.94 | 11 |
| Aortic dysfunction/dilation CPT 81411 | $1,350.19 | $6,703.00 | $1,188.17 – $6,354.32 | 11 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $1,869.41 – $1,869.41 | 1 |
| Apc gene dup/delet variants CPT 81203 | $200.00 | $1,403.00 | $176.00 – $941.25 | 11 |
| Apc gene full sequence CPT 81201 | $780.00 | $2,145.00 | $686.40 – $3,670.87 | 11 |
| Apc gene known fam variants CPT 81202 | $280.00 | $736.00 | $246.40 – $1,317.75 | 11 |
| Aphakia prosth service temp CPT 92358 | $59.40 | not published | $21.19 – $115.71 | 8 |
| Apheresis immunoads slctv CPT 36516 | $4,685.17 | $9,984.00 | $104.00 – $4,919.43 | 9 |
| Apheresis plasma CPT 36514 | $1,639.28 | $6,386.00 | $104.00 – $4,567.00 | 9 |
| Apheresis platelets CPT 36513 | $437.18 | $5,865.00 | $104.00 – $4,567.00 | 10 |
| Apheresis rbc CPT 36512 | $1,639.28 | $5,865.00 | $104.00 – $4,567.00 | 10 |
| Apheresis wbc CPT 36511 | $1,639.28 | $5,865.00 | $104.00 – $4,567.00 | 10 |
| Apl(pml-rara) quant - sendout CPT 81315 | $207.31 | $1,387.00 | $182.44 – $975.65 | 11 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | $1,650.00 | $51.81 – $51.81 | 1 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,829.23 | $4,463.00 | $465.18 – $1,920.69 | 7 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | $1,650.00 | $115.93 – $115.93 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | $2,372.00 | $35.04 – $35.04 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $3,660.97 | $7,150.00 | $408.17 – $3,844.02 | 7 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | $3,300.00 | $92.65 – $92.65 | 1 |
| App mltpln uni xtrnl fix 1st CPT 20696 | $18,390.05 | $30,109.00 | $2,502.02 – $19,309.55 | 7 |
| App mltpln uni xtrnl fix xch CPT 20697 | $1,600.41 | $4,257.00 | $1,600.41 – $4,012.64 | 7 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | $1,829.23 | $5,386.00 | $1,829.23 – $1,920.69 | 6 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | $1,829.23 | not published | $1,829.23 – $1,920.69 | 6 |
| Appendectomy CPT 44950 | $6,239.75 | $9,493.00 | $1,362.68 – $6,551.74 | 7 |
| Appendectomy add-on 44955 CPT 44955 | not published | $7,510.00 | $173.70 – $173.70 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | $5,306.00 | $1,857.59 – $1,857.59 | 1 |
| Appendix Removal (Laparoscopic) CPT 44970 | $5,834.36 | $13,534.00 | $1,286.98 – $6,126.08 | 7 |
| Appl bdy cst sho to hip 1thi CPT 29044 | $157.79 | not published | $157.79 – $363.00 | 8 |
| Appl bdy cst sho to hip b th CPT 29046 | $265.58 | not published | $265.58 – $487.65 | 8 |
| Appl bdy cst sho to hip head CPT 29040 | $265.58 | not published | $265.58 – $487.65 | 8 |
| Appl body cast sho to hips CPT 29035 | $265.58 | not published | $265.58 – $487.65 | 8 |
| Appl cast figure-of-eight CPT 29049 | $265.58 | $631.00 | $151.64 – $278.86 | 7 |
| Appl cast plaster velpeau CPT 29058 | $265.58 | $631.00 | $201.64 – $278.86 | 7 |
| Appl cast shoulder spica CPT 29055 | $265.58 | $631.00 | $265.58 – $298.65 | 7 |
| Appl halo type body cast CPT 29000 | $265.58 | not published | $265.58 – $487.65 | 8 |
| Appl hip spica cast 1 leg CPT 29305 | $265.58 | $631.00 | $265.58 – $343.40 | 7 |
| Appl hip spica cast1&1/2 CPT 29325 | $265.58 | $631.00 | $265.58 – $383.91 | 7 |
| Appl long leg cast brace CPT 29358 | $265.58 | $733.00 | $222.36 – $278.86 | 7 |
| Appl mltpln uni ext fixj sys CPT 20692 | $12,866.82 | $17,050.00 | $2,436.97 – $13,510.16 | 7 |
| Appl modality 1+lllt po pain CPT 97037 | $39.25 | not published | $39.25 – $41.21 | 6 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $7.89 | $114.00 | $7.89 – $558.00 | 17 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $14.87 | $202.00 | $14.87 – $558.00 | 17 |
| Appl multlay comprs arm/hand CPT 29584 | $157.79 | $407.00 | $32.24 – $165.68 | 7 |
| Appl patllr tdn bearing cast CPT 29435 | $265.58 | $631.00 | $186.86 – $278.86 | 7 |
| Appl unipln uni ext fixj sys CPT 20690 | $7,143.73 | $12,728.00 | $1,286.66 – $7,500.92 | 7 |
| Application clubfoot cast CPT 29450 | $157.79 | $367.00 | $157.79 – $238.12 | 7 |
| Application finger splntstatic 29130 CPT 29130 | $128.90 | $536.00 | $61.45 – $135.35 | 7 |
| Application halo femoral CPT 20663 | $3,244.61 | not published | $1,060.87 – $5,430.31 | 8 |
| Application halo pelvic CPT 20662 | $1,600.41 | not published | $1,146.86 – $2,718.61 | 8 |
| Application long leg splint 29505 CPT 29505 | $157.79 | $715.00 | $113.52 – $278.66 | 8 |
| Application lower leg splint 29515 CPT 29515 | $157.79 | $715.00 | $107.28 – $278.66 | 8 |
| Application multi layer compression below knee (both sides) CPT 29581 | $157.79 | $616.00 | $55.43 – $278.66 | 8 |
| Application of body cast CPT 29010 | $265.58 | $631.00 | $265.58 – $347.63 | 7 |
| Application of body cast CPT 29015 | $265.58 | $631.00 | $265.58 – $389.91 | 7 |
| Application of cylinder cast 29365 CPT 29365 | $265.58 | $631.00 | $189.88 – $278.86 | 7 |
| Application of forearm cast 29075 CPT 29075 | $265.58 | $721.00 | $136.12 – $278.86 | 7 |
| Application of long arm cast 29065 CPT 29065 | $265.58 | $778.00 | $148.09 – $278.86 | 7 |
| Application of long leg cast CPT 29355 | $265.58 | $631.00 | $228.47 – $278.86 | 7 |
| Application of long leg cast 29345 CPT 29345 | $265.58 | $770.00 | $213.11 – $278.86 | 7 |
| Application of paste boot 29580 CPT 29580 | $157.79 | $516.00 | $54.48 – $624.69 | 9 |
| Application short leg cast 29405 CPT 29405 | $265.58 | $715.00 | $127.02 – $278.86 | 7 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,829.23 | $5,844.00 | $194.88 – $1,920.69 | 7 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,829.23 | $5,432.00 | $176.50 – $1,920.69 | 7 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | not published | $110.83 | not published | 0 |
| Apply finger cast 29086 CPT 29086 | $157.79 | $385.00 | $107.65 – $165.68 | 7 |
| Apply forearm splintdynamic 29126 CPT 29126 | $128.90 | $622.00 | $106.96 – $135.35 | 7 |
| Apply halo w/removal cranial CPT 20661 | not published | $2,945.00 | $1,160.27 – $1,160.27 | 1 |
| Apply hand/wrist cast 29085 CPT 29085 | $157.79 | $385.00 | $146.67 – $165.68 | 7 |
| Apply interstit radiat compl CPT 77778 | $693.81 | $8,492.00 | $293.00 – $1,758.51 | 7 |
| Apply intrcav radiat compl CPT 77763 | $693.81 | not published | $693.81 – $1,486.81 | 8 |
| Apply intrcav radiat interm CPT 77762 | $578.47 | $6,282.00 | $578.47 – $1,054.79 | 7 |
| Apply intrcav radiat simple CPT 77761 | $578.47 | $4,121.00 | $578.47 – $806.24 | 7 |
| Apply of finger splint 29131 CPT 29131 | $59.40 | $358.00 | $59.40 – $73.95 | 7 |
| Apply rem fixation device CPT 20660 | $1,600.41 | $2,945.00 | $504.71 – $1,680.43 | 7 |
| Apply rigid leg cast 29445 CPT 29445 | $265.58 | $854.00 | $208.74 – $278.86 | 7 |
| Apply short leg castambul type 29425 CPT 29425 | $265.58 | $596.00 | $116.71 – $278.86 | 7 |
| Apply surf ldr radionuclide CPT 77789 | $109.50 | not published | $109.50 – $255.43 | 8 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1.77 | not published | $1.50 – $4.37 | 10 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $37.73 | $1,513.00 | $10.60 – $50.18 | 10 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $46.97 | $243.00 | $46.97 – $558.00 | 17 |
| Aquaporin-4 antibody cba each CPT 86052 | $12.05 | $1,205.00 | $10.60 – $16.03 | 10 |
| Aquaporin-4 antibody elisa CPT 86051 | $11.53 | $158.00 | $10.14 – $15.33 | 10 |
| Aquatic exercise - group charge CPT 97150 | $22.65 | $178.00 | $22.65 – $558.00 | 17 |
| Aqueous shunt eye w/graft CPT 66180 | $5,159.71 | $12,151.00 | $2,442.17 – $5,417.70 | 7 |
| Aqueous shunt eye without graft CPT 66179 | $5,159.71 | $13,182.00 | $2,320.54 – $5,417.70 | 7 |
| Argatroban nonesrd (accord) HCPCS J0891 | $1.82 | not published | $1.82 – $2.42 | 7 |
| Argatroban nonesrd (auromed) HCPCS J0898 | $1.45 | not published | $1.23 – $6.16 | 7 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $0.74 | not published | $0.63 – $7.64 | 11 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $3.33 | not published | $2.83 – $6.34 | 9 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $1.10 – $1.24 | 2 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $5.86 | not published | $4.98 – $159.20 | 11 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $3,766.47 – $3,766.47 | 1 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $3,154.98 – $3,154.98 | 1 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $3,364.59 – $3,364.59 | 1 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $2,077.02 – $2,077.02 | 1 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $4,944.24 – $4,944.24 | 1 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $4,728.96 – $4,728.96 | 1 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $2,530.48 – $2,530.48 | 1 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | $4,272.00 | $2,834.20 – $2,834.20 | 1 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $2,479.67 – $2,479.67 | 1 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $2,691.97 – $2,691.97 | 1 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $3,249.46 – $3,249.46 | 1 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $3,526.12 – $3,526.12 | 1 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | $4,761.00 | $3,466.13 – $3,466.13 | 1 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $2,774.23 – $2,774.23 | 1 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $2,232.48 – $2,232.48 | 1 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | $3,818.00 | $2,396.78 – $2,396.78 | 1 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $2,848.89 – $2,848.89 | 1 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $2,631.99 – $2,631.99 | 1 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | $3,222.00 | $2,209.19 – $2,209.19 | 1 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | $3,207.00 | $2,184.57 – $2,184.57 | 1 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $2,393.07 – $2,393.07 | 1 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $2,131.08 – $2,131.08 | 1 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $421.35 – $421.35 | 1 |
| Art pressure waveform analys CPT 93050 | $24.49 | not published | $24.49 – $66.49 | 8 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $2,013.34 – $2,013.34 | 1 |
| Arterial blood draw/perc 36620 CPT 36620 | not published | $405.00 | $90.47 – $90.47 | 1 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $2,672.61 – $2,672.61 | 1 |
| Artery to vein shunt CPT 36835 | $3,147.50 | not published | $1,020.09 – $5,467.95 | 8 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $1,608.45 – $1,608.45 | 1 |
| Artery x-rays adrenal gland CPT 75731 | $3,147.50 | $4,461.00 | $294.70 – $3,304.88 | 8 |
| Artery x-rays adrenals CPT 75733 | $3,147.50 | $7,635.00 | $331.21 – $3,304.88 | 8 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,147.50 | $7,150.00 | $278.83 – $3,304.88 | 8 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,147.50 | $7,733.00 | $286.22 – $3,304.88 | 8 |
| Artery x-rays chest CPT 75756 | $3,147.50 | $5,094.00 | $317.31 – $3,304.88 | 8 |
| Artery x-rays lung CPT 75741 | $3,147.50 | $8,507.00 | $246.85 – $3,304.88 | 8 |
| Artery x-rays lung CPT 75746 | $3,147.50 | $3,832.00 | $257.90 – $3,304.88 | 8 |
| Artery x-rays lungs CPT 75743 | $3,147.50 | $8,800.00 | $279.33 – $3,304.88 | 8 |
| Artery x-rays spine CPT 75705 | $5,405.70 | $11,367.00 | $476.66 – $5,675.99 | 8 |
| Artery xray each vessel 7577426 CPT 75774 | not published | $5,775.00 | $183.11 – $211.58 | 2 |
| Artery xray of abdomen 75726-26 CPT 75726 | $5,405.70 | $10,450.00 | $309.06 – $5,675.99 | 8 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $5,405.70 | $10,758.00 | $274.75 – $5,675.99 | 8 |
| Artery-vein nonautograft CPT 36830 | $5,405.70 | $12,925.00 | $1,369.12 – $5,675.99 | 7 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | $4,666.00 | $359.29 – $359.29 | 1 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $12,866.82 | $17,479.00 | $2,721.27 – $13,510.16 | 7 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | $18,695.00 | $3,257.40 – $3,257.40 | 1 |
| Arthrd ant ntrbdy cervical CPT 22551 | $12,866.82 | $17,478.00 | $3,642.69 – $13,510.16 | 7 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $18,390.05 | $30,109.00 | $3,870.15 – $19,309.55 | 7 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | $7,143.73 | $16,268.00 | $2,263.39 – $7,500.92 | 7 |
| Arthrd elbow jt autog graft CPT 24802 | $12,866.82 | not published | $2,165.85 – $22,177.73 | 8 |
| Arthrd glenohumeral jt w/grf CPT 23802 | $12,866.82 | $17,477.00 | $2,765.86 – $13,510.16 | 7 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $18,390.05 | $30,109.00 | $3,356.14 – $19,309.55 | 7 |
| Arthrd si jt perq/min nvas CPT 27279 | $18,390.05 | $30,109.00 | $1,719.42 – $19,309.55 | 7 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | $18,390.05 | $72,247.00 | $998.30 – $19,309.55 | 7 |
| Arthrd wrist complete wo grf CPT 25800 | $7,143.73 | $16,451.00 | $1,592.70 – $7,500.92 | 7 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | $7,143.73 | $13,553.00 | $1,429.02 – $7,500.92 | 7 |
| Arthrd wrist w/sliding graft CPT 25805 | $7,143.73 | $13,327.00 | $1,842.55 – $7,500.92 | 7 |
| Arthrd wrist with autograft CPT 25825 | $7,143.73 | $17,133.00 | $1,740.41 – $7,500.92 | 7 |
| Arthrd wrst iliac/oth agrft CPT 25810 | $12,866.82 | $16,853.00 | $1,886.96 – $13,510.16 | 7 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $3,244.61 | $5,642.00 | $1,477.52 – $3,406.84 | 7 |
| Arthro/shoul surg; w/spacer HCPCS C9781 | $12,866.82 | $21,209.00 | $12,866.82 – $13,510.16 | 6 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $295.19 | $2,355.00 | $95.68 – $512.28 | 8 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $295.19 | $1,573.00 | $96.10 – $512.28 | 8 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $692.52 | $2,449.00 | $109.00 – $727.15 | 7 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $295.19 | $1,379.00 | $77.58 – $512.28 | 8 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $295.19 | $1,980.00 | $123.99 – $512.28 | 8 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $295.19 | $1,430.00 | $75.45 – $512.28 | 8 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | $3,575.00 | $831.04 – $831.04 | 1 |
| Arthrodesis big toe joint 28760 CPT 28760 | $7,143.73 | $11,161.00 | $1,235.03 – $7,500.92 | 7 |
| Arthrodesis elbw joint local CPT 24800 | $7,143.73 | not published | $1,814.34 – $11,798.15 | 8 |
| Arthrodesis glenohumeral jt CPT 23800 | $7,143.73 | $16,344.00 | $2,218.02 – $7,500.92 | 7 |
| Arthrodesis pantalar CPT 28705 | $18,390.05 | $35,180.00 | $2,605.46 – $19,309.55 | 7 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | $52,718.00 | $4,382.36 – $4,382.36 | 1 |
| Arthrodesis subtalar CPT 28725 | $12,866.82 | $15,055.00 | $1,685.74 – $13,510.16 | 7 |
| Arthrodesis triple CPT 28715 | $12,866.82 | $15,055.00 | $2,031.29 – $13,510.16 | 7 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | $3,575.00 | $679.23 – $679.23 | 1 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | $3,850.00 | $1,016.32 – $1,016.32 | 1 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | $3,850.00 | $674.05 – $674.05 | 1 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | $18,695.00 | $2,823.81 – $2,823.81 | 1 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | $3,850.00 | $820.64 – $820.64 | 1 |
| Arthroplasty finger joint 26535 CPT 26535 | $3,244.61 | $8,034.00 | $970.69 – $3,406.84 | 7 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | $1,600.41 | $4,052.00 | $719.85 – $1,680.43 | 7 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | $3,244.61 | $8,449.00 | $1,118.91 – $3,406.84 | 7 |
| Arthrotomy glenohumeral jt CPT 23105 | $7,143.73 | $11,365.00 | $1,404.37 – $7,500.92 | 7 |
| Arthrotomy strnclav joint CPT 23106 | $3,244.61 | not published | $1,110.51 – $5,430.31 | 8 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $3,244.61 | $5,899.00 | $1,055.30 – $3,406.84 | 7 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $3,244.61 | $7,582.00 | $1,816.87 – $3,406.84 | 7 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $3,244.61 | $9,553.00 | $3,244.61 – $3,406.84 | 6 |
| Arthrp prostc dstl scph crpl CPT 25443 | $7,143.73 | not published | $1,712.84 – $11,798.15 | 8 |
| Arthrp w/prostc dst rds&crps CPT 25446 | $18,390.05 | not published | $2,524.43 – $31,883.09 | 8 |
| Arthrp w/prostc dstl rds CPT 25441 | $12,866.82 | not published | $2,031.24 – $22,177.73 | 8 |
| Arthrp w/prostc dstl ulna CPT 25442 | $18,390.05 | not published | $1,761.09 – $31,883.09 | 8 |
| Arthrp w/prostc lunate CPT 25444 | $12,866.82 | not published | $1,788.69 – $22,177.73 | 8 |
| Arthrp w/prostc trapezium CPT 25445 | $7,143.73 | $14,463.00 | $1,571.44 – $7,500.92 | 7 |
| Arthrs kne srg drlg ost diss CPT 29885 | $7,143.73 | $14,169.00 | $1,648.02 – $7,500.92 | 7 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | $3,244.61 | $7,527.00 | $1,234.82 – $3,406.84 | 7 |
| Arthrt acrmclv/strnclav jt CPT 23101 | $3,244.61 | $6,908.00 | $1,011.13 – $3,406.84 | 7 |
| Arthrt elbow w/synovectomy CPT 24102 | $3,244.61 | $6,681.00 | $1,351.82 – $3,406.84 | 7 |
| Arthrt elbw capsl exc rls CPT 24006 | $3,244.61 | $7,165.00 | $1,557.97 – $3,406.84 | 7 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | $3,244.61 | $6,706.00 | $1,110.35 – $3,406.84 | 7 |
| Arthrt elbw synovial bx only CPT 24100 | $3,244.61 | $6,706.00 | $932.28 – $3,406.84 | 7 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | $3,244.61 | $7,527.00 | $1,562.74 – $3,406.84 | 7 |
| Arthrt glenhumrl jt w/expl CPT 23107 | $7,143.73 | $11,609.00 | $1,453.84 – $7,500.92 | 7 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | $7,143.73 | $12,122.00 | $2,094.64 – $7,500.92 | 7 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | $3,244.61 | $7,886.00 | $1,223.86 – $3,406.84 | 7 |
| Artific inseminationintrauterine 58322 CPT 58322 | $201.17 | not published | $120.61 – $343.48 | 8 |
| Artificial insemination CPT 58321 | $304.19 | not published | $100.97 – $565.11 | 8 |
| Artiss fibrin sealant HCPCS C9250 | $142.07 | not published | $142.07 – $336.81 | 10 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $6,565.29 – $6,565.29 | 1 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | $7,305.00 | $4,990.90 – $4,990.90 | 1 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | $10,480.00 | $6,936.87 – $6,936.87 | 1 |
| Ascenda two piece catheter HCPCS C1772 | not published | $35,689.68 | not published | 0 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $3,377.99 – $3,377.99 | 1 |
| Asp & inj bone cyst CPT 20615 | $703.59 | $3,621.00 | $351.19 – $738.77 | 7 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $618.26 | $1,891.00 | $618.26 – $649.17 | 6 |
| Asp core fat pad CPT 17999 | $198.70 | $4,804.00 | $198.70 – $208.64 | 6 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $890.29 | $2,660.00 | $702.07 – $934.80 | 7 |
| Aspa gene CPT 81200 | $47.25 | $1,057.00 | $41.58 – $222.37 | 11 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $703.59 | $1,253.00 | $100.41 – $738.77 | 7 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $2,048.51 | $5,730.00 | $297.32 – $2,150.94 | 7 |
| Aspirate pleura without imaging 32554 CPT 32554 | $618.26 | $2,012.00 | $182.67 – $649.17 | 7 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $295.19 | $837.00 | $87.18 – $309.95 | 7 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $703.59 | $3,300.00 | $151.62 – $738.77 | 7 |
| Aspiration orbital contents CPT 67415 | $2,332.96 | $4,454.00 | $215.46 – $2,449.61 | 7 |
| Aspiration peritonsillar abscess CPT 42999 | $232.22 | $1,008.00 | $232.22 – $243.83 | 6 |
| Assay acid phosphatase CPT 84060 | $7.64 | $330.00 | $3.96 – $35.96 | 11 |
| Assay alkaline phosphatase CPT 84078 | $8.26 | $72.00 | $3.96 – $38.87 | 11 |
| Assay blood catecholamines CPT 82383 | $29.08 | not published | $13.20 – $136.86 | 12 |
| Assay chondroitin sulfate CPT 82485 | $20.65 | not published | $20.65 – $97.18 | 12 |
| Assay dir meas fr estradiol CPT 82681 | $27.94 | $197.00 | $24.59 – $131.49 | 11 |
| Assay duodenal fluid trypsin CPT 84485 | $7.20 | not published | $3.63 – $33.88 | 12 |
| Assay free hydroxyproline CPT 83500 | $22.65 | $206.00 | $22.65 – $106.60 | 11 |
| Assay malate dehydrogenase CPT 83775 | $7.37 | not published | $6.49 – $34.68 | 12 |
| Assay myeloperoxidase CPT 83876 | $50.86 | $169.00 | $44.76 – $239.36 | 11 |
| Assay of PSA complexed CPT 84152 | $18.39 | not published | $18.39 – $86.55 | 12 |
| Assay of adp & amp CPT 82030 | $25.80 | $180.00 | $25.80 – $121.42 | 11 |
| Assay of androsterone CPT 82160 | $25.55 | not published | $25.55 – $120.24 | 12 |
| Assay of blood lipoprotein CPT 83719 | $12.75 | not published | $12.75 – $60.00 | 12 |
| Assay of bradykinin CPT 82286 | $5.16 | not published | $5.16 – $24.28 | 12 |
| Assay of breath ethanol CPT 82075 | $30.00 | not published | $9.68 – $141.19 | 12 |
| Assay of cathepsin-d CPT 82387 | $18.06 | not published | $18.06 – $84.99 | 12 |
| Assay of chloramphenicol CPT 82415 | $12.67 | not published | $12.67 – $59.63 | 12 |
| Assay of corticosterone CPT 82528 | $22.52 | $171.00 | $21.67 – $105.98 | 11 |
| Assay of digoxin free CPT 80163 | $13.28 | not published | $11.68 – $62.50 | 12 |
| Assay of endocrine hormone CPT 84235 | $71.23 | not published | $69.52 – $335.23 | 12 |
| Assay of estrogen CPT 84233 | $87.88 | not published | $17.60 – $413.58 | 12 |
| Assay of etiocholanolone CPT 82696 | $26.24 | not published | $24.20 – $123.49 | 12 |
| Assay of feces for trypsin CPT 84490 | $9.93 | not published | $3.63 – $46.73 | 12 |
| Assay of feces porphyrins CPT 84126 | $39.11 | $290.00 | $37.95 – $184.06 | 11 |
| Assay of feces/urobilinogen CPT 84577 | $16.80 | not published | $6.60 – $79.06 | 12 |
| Assay of fluoride CPT 82735 | $18.54 | $230.00 | $18.54 – $87.25 | 11 |
| Assay of galactose CPT 82760 | $11.20 | $934.00 | $11.20 – $52.71 | 11 |
| Assay of gdh enzyme CPT 82965 | $13.15 | not published | $6.93 – $61.89 | 12 |
| Assay of glucosidase CPT 82963 | $21.48 | $1,135.00 | $21.48 – $101.09 | 11 |
| Assay of glutathione CPT 82978 | $15.45 | $168.00 | $13.20 – $72.71 | 11 |
| Assay of haptoglobins CPT 83012 | $26.89 | not published | $13.20 – $126.55 | 12 |
| Assay of idh enzyme CPT 83570 | $8.85 | not published | $6.60 – $41.65 | 12 |
| Assay of interleukin-6 (il-6) CPT 83529 | $17.27 | $224.00 | $15.20 – $22.97 | 10 |
| Assay of intrinsic factor CPT 83528 | $19.82 | not published | $19.82 – $93.28 | 12 |
| Assay of lap enzyme CPT 83670 | $9.81 | $57.00 | $2.31 – $46.17 | 11 |
| Assay of leflunomide CPT 80193 | $38.57 | $354.00 | $33.95 – $181.52 | 11 |
| Assay of lrh hormone CPT 83727 | $17.19 | $275.00 | $17.19 – $80.90 | 11 |
| Assay of methemalbumin CPT 83857 | $10.74 | not published | $10.74 – $50.55 | 12 |
| Assay of neonatal thyroxine CPT 84437 | $6.47 | not published | $6.47 – $30.45 | 12 |
| Assay of osteocalcin CPT 83937 | $29.85 | $140.00 | $29.85 – $140.48 | 11 |
| Assay of phenylketones CPT 84035 | $3.98 | not published | $3.98 – $18.73 | 12 |
| Assay of pregnanediol CPT 84135 | $21.27 | not published | $13.20 – $100.10 | 12 |
| Assay of pregnanetriol CPT 84138 | $21.05 | not published | $13.20 – $99.07 | 12 |
| Assay of procainamide w/metab CPT 80192 | $16.75 | $55.00 | $16.50 – $78.83 | 11 |
| Assay of progesterone CPT 84234 | $64.88 | not published | $22.00 – $305.34 | 12 |
| Assay of prostaglandin CPT 84150 | $41.77 | $832.00 | $33.00 – $196.58 | 11 |
| Assay of quinine CPT 84228 | $11.63 | not published | $11.63 – $54.73 | 12 |
| Assay of rbc pg6d enzyme CPT 84085 | $9.44 | not published | $8.69 – $44.43 | 12 |
| Assay of salicylate CPT 80179 | $18.64 | $222.00 | $16.40 – $87.72 | 11 |
| Assay of semen fructose CPT 82757 | $17.34 | not published | $17.34 – $81.61 | 12 |
| Assay of sialic acid CPT 84275 | $13.44 | not published | $13.44 – $63.25 | 12 |
| Assay of silica CPT 84285 | $25.21 | $215.00 | $25.21 – $118.64 | 11 |
| Assay of somatostatin CPT 84307 | $18.28 | $437.00 | $17.60 – $86.03 | 11 |
| Assay of thiocyanate CPT 84430 | $11.63 | not published | $3.96 – $54.73 | 12 |
| Assay of troponin qual CPT 84512 | $10.09 | not published | $10.09 – $47.49 | 12 |
| Assay of tyrosine CPT 84510 | $10.63 | $295.00 | $10.63 – $50.03 | 11 |
| Assay of urine sulfate CPT 84392 | $5.49 | $317.00 | $5.49 – $25.84 | 11 |
| Assay of urine urobilinogen CPT 84580 | $9.55 | not published | $2.31 – $44.94 | 12 |
| Assay of urine urobilinogen CPT 84583 | $6.05 | not published | $2.31 – $28.47 | 12 |
| Assay phosphatidylglycerol CPT 84081 | $16.52 | $55.00 | $16.52 – $77.75 | 11 |
| Assay phosphohexose enzymes CPT 84087 | $10.73 | not published | $10.73 – $50.50 | 12 |
| Assay rbc glutathione CPT 82979 | $9.44 | not published | $9.44 – $44.43 | 12 |
| Assay toxin or antitoxin CPT 87230 | $19.74 | $63.00 | $19.74 – $92.90 | 11 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | $156.46 | $540.00 | $102.64 – $627.00 | 9 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $124.17 | $740.00 | $60.00 – $620.00 | 16 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $92.50 | not published | $92.50 – $325.37 | 8 |
| Assess cyst contrast inject CPT 49424 | not published | $1,595.00 | $76.36 – $76.36 | 1 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $4.27 | $94.00 | $4.27 – $20.10 | 11 |
| Assist oocyte fertilization CPT 89280 | $816.90 | not published | $816.90 – $1,155.31 | 7 |
| Assist oocyte fertilization CPT 89281 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | $9,099.00 | $489.69 – $489.69 | 1 |
| Assistive tech assessment, ot CPT 97755 | $48.65 | not published | $48.65 – $144.16 | 9 |
| Ast/sgot CPT 84450 | $5.18 | $81.00 | $3.30 – $24.38 | 11 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $91.02 | not published | $77.37 – $170.90 | 10 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $17,956.72 | $19,250.00 | $1,210.96 – $18,854.56 | 8 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $17,956.72 | $25,850.00 | $1,401.50 – $18,854.56 | 8 |
| Atomic absorption CPT 82190 | $15.90 | not published | $15.90 – $74.83 | 12 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.06 – $0.19 | 5 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | $2,067.00 | $1,710.20 – $1,710.20 | 1 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | $1,705.00 | $1,484.19 – $1,484.19 | 1 |
| Attach ocular implant CPT 65140 | $3,771.00 | $8,583.00 | $2,025.34 – $3,959.55 | 7 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | $892.00 | $121.51 – $121.51 | 1 |
| Aud brainstem implt programg CPT 92640 | $156.46 | not published | $156.46 – $281.42 | 8 |
| Audiometry air + bone CPT 92553 | $156.46 | $431.00 | $83.78 – $627.00 | 9 |
| Auditory function 60 min CPT 92620 | $156.46 | $752.00 | $116.00 – $627.00 | 9 |
| Augment injectable kit 3.0cc HCPCS C1734 | not published | $9,529.08 | not published | 0 |
| Augmentation cheek bone CPT 21270 | $5,915.66 | $12,000.00 | $1,607.91 – $9,158.16 | 8 |
| Augmentation lower jaw bone CPT 21125 | $5,915.66 | $10,039.00 | $1,427.43 – $6,211.44 | 7 |
| Augmentation lower jaw bone CPT 21127 | $5,915.66 | $10,039.00 | $1,653.68 – $6,211.44 | 7 |
| Augmentation of facial bones CPT 21208 | $5,915.66 | $12,766.00 | $1,579.67 – $6,211.44 | 7 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | $14,670.00 | $452.37 – $452.37 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $7,143.73 | $16,448.00 | $1,074.51 – $7,500.92 | 7 |
| Autgrft implnt knee w/scope CPT 29866 | $7,143.73 | $12,716.00 | $2,279.07 – $7,500.92 | 7 |
| Autochondrocyte implant knee CPT 27412 | $7,143.73 | $15,979.00 | $3,527.71 – $7,500.92 | 7 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $840.65 | $2,178.00 | $739.77 – $3,956.30 | 11 |
| Autolog prp diab wound ulcer HCPCS G0465 | $1,829.23 | not published | $1,829.23 – $1,920.69 | 6 |
| Autolog prp not diab ulcer HCPCS G0460 | $1,829.23 | not published | $950.01 – $3,206.35 | 8 |
| Autologous blood op salvage CPT 86891 | $816.90 | not published | $82.50 – $1,155.31 | 9 |
| Autologous blood process CPT 86890 | $171.36 | $613.00 | $82.50 – $229.39 | 8 |
| Automated diff wbc count CPT 85004 | $6.47 | $39.00 | $6.47 – $30.45 | 11 |
| Autonomic nrv adrenrg inervj CPT 95922 | $128.90 | not published | $128.90 – $220.41 | 8 |
| Autonomic nrv parasym inervj CPT 95921 | $156.46 | not published | $154.47 – $281.42 | 8 |
| Autonomic nrv syst funj test CPT 95923 | $128.90 | $353.00 | $104.00 – $4,550.00 | 9 |
| Av fistula revision CPT 36833 | $5,405.70 | $12,953.00 | $1,658.35 – $5,675.99 | 7 |
| Av fuse uppr arm basilic CPT 36819 | $5,405.70 | $12,925.00 | $1,498.60 – $5,675.99 | 7 |
| Av fuse uppr arm cephalic CPT 36818 | $5,405.70 | $12,498.00 | $1,417.28 – $5,675.99 | 7 |
| Av fusion direct any site CPT 36821 | $3,147.50 | $13,750.00 | $1,356.03 – $3,304.88 | 7 |
| Av fusion/forearm vein 36820 CPT 36820 | $5,405.70 | $11,425.00 | $1,492.54 – $5,675.99 | 7 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $100.30 | not published | $85.26 – $188.14 | 10 |
| Avul nail plate addl CPT 11732 | not published | $275.00 | $34.87 – $34.87 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $198.70 | $444.00 | $112.79 – $208.64 | 7 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $54.08 | not published | $54.08 – $56.78 | 6 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | $533,076.48 | not published | $453,115.01 – $884,589.61 | 10 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $5,834.36 | $10,534.00 | $1,503.43 – $6,126.08 | 7 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.18 – $3.48 | 6 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $0.69 – $17.39 | 5 |
| Azathioprine parenteral HCPCS J7501 | $224.97 | not published | $224.97 – $498.95 | 11 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $2.22 – $6.08 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.27 – $2.27 | 1 |
| B cells total count CPT 86355 | $37.73 | $770.00 | $33.20 – $177.57 | 11 |
| B-hexosaminidase ea assay CPT 83080 | $16.87 | $529.00 | $16.87 – $79.39 | 11 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $175.82 | not published | $149.45 – $389.92 | 11 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $49.80 – $138.30 | 5 |
| Baclofen eval charges CPT 97750 | $42.65 | $218.00 | $42.65 – $558.00 | 17 |
| Bacterial meningitis antigen CPT 86403 | $11.54 | $152.00 | $8.80 – $54.31 | 11 |
| Bacterial vaginosis pcr CPT 87801 | $70.20 | $608.00 | $41.80 – $330.38 | 11 |
| Bactericidal level serum CPT 87197 | $15.02 | not published | $15.02 – $70.69 | 12 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $5.30 – $12.04 | 4 |
| Balloon dilate urtrl strix CPT 50706 | not published | $2,984.00 | $366.68 – $366.68 | 1 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.15 – $0.44 | 3 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $1.94 – $4.40 | 4 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $4.14 – $17.92 | 4 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $4.35 – $11.27 | 4 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $3.45 – $8.92 | 4 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $3.68 – $15.89 | 4 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $3,179.53 | $5,424.00 | $390.43 – $3,338.51 | 7 |
| Bartonella dna pcr-sendout CPT 87471 | $35.09 | $295.00 | $33.00 – $165.14 | 11 |
| Basic vestibular evaluation CPT 92540 | $156.46 | $1,235.00 | $116.00 – $627.00 | 9 |
| Basiliximab HCPCS J0480 | $4,672.47 | not published | $3,971.60 – $8,670.85 | 11 |
| Bausch health Ultrasound surg HCPCS V2788 | not published | $3,100.00 | not published | 0 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.65 – $6.08 | 4 |
| Bckdhb gene CPT 81205 | $94.99 | $262.00 | $83.59 – $447.05 | 11 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $23.24 – $56.92 | 2 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $92.50 | not published | $39.87 – $158.13 | 8 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $3.89 | not published | $3.31 – $8.14 | 11 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $56.01 | not published | $47.61 – $103.57 | 11 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $6.86 – $13.35 | 4 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $1.85 | not published | $1.57 – $62.66 | 11 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11.99 | not published | $10.19 – $49.13 | 9 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $13.12 | not published | $11.15 – $49.33 | 11 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $28.06 | not published | $23.85 – $29.46 | 6 |
| Benign lesion paring 2-4 CPT 11056 | $198.70 | $512.00 | $45.28 – $208.64 | 7 |
| Benign lesion paring 4+ CPT 11057 | $198.70 | $578.00 | $59.26 – $208.64 | 7 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $14.68 – $41.84 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $25.45 | $173.00 | $25.45 – $119.77 | 11 |
| Beta-2 microglobulin CPT 82232 | $16.18 | $110.00 | $16.18 – $76.15 | 11 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $5.86 – $14.58 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $73.05 | not published | $62.09 – $168.04 | 11 |
| Bevacizumab injection HCPCS C9257 | $1.83 | not published | $1.83 – $4.20 | 10 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $28.85 | not published | $24.52 – $85.41 | 9 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $23.93 | not published | $20.34 – $108.64 | 9 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $55.62 | $391.00 | $55.62 – $558.00 | 17 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $31.13 | $127.00 | $31.13 – $558.00 | 17 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | $4,424.00 | $1,532.46 – $1,532.46 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $890.29 | $2,411.00 | $115.14 – $1,583.22 | 8 |
| Bilateral n block inj occipital 64405 CPT 64405 | $295.19 | $1,199.00 | $110.87 – $512.28 | 8 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $295.19 | $856.00 | $110.02 – $512.28 | 8 |
| Bile acids cholylglycine CPT 82240 | $26.58 | not published | $6.26 – $125.09 | 12 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | $499.00 | $339.00 – $339.00 | 1 |
| Biliary endo perq dx w/speci CPT 47552 | $6,239.75 | not published | $566.49 – $6,551.74 | 8 |
| Biliary endoscopy thru skin CPT 47553 | $6,239.75 | not published | $564.72 – $6,551.74 | 8 |
| Biliary endoscopy thru skin CPT 47554 | $10,411.22 | $13,916.00 | $918.53 – $10,931.78 | 7 |
| Biliary endoscopy thru skin CPT 47555 | $3,529.06 | $5,493.00 | $672.75 – $3,705.51 | 7 |
| Biliary endoscopy thru skin CPT 47556 | $10,411.22 | $12,615.00 | $762.10 – $10,931.78 | 7 |
| Bilicheck CPT 88720 | $5.02 | $55.00 | $4.42 – $23.63 | 11 |
| Bilirubin direct CPT 82248 | $5.02 | $87.00 | $4.95 – $23.63 | 11 |
| Bilirubin total CPT 82247 | $5.02 | $94.00 | $3.30 – $23.63 | 11 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $3,281.53 – $3,281.53 | 1 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | $727.36 | $29.98 – $159.66 | 6 |
| Biofeedback, pt CPT 90901 | $25.17 | $252.00 | $25.17 – $558.00 | 17 |
| Biopsy abdominal mass CPT 49180 | $1,620.24 | $3,410.00 | $169.30 – $1,701.25 | 7 |
| Biopsy arm/elbow soft tissue CPT 24066 | $2,862.05 | $5,130.00 | $928.00 – $3,005.15 | 7 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,620.24 | $4,290.00 | $181.29 – $1,701.25 | 7 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $870.74 | $1,958.00 | $160.63 – $914.28 | 7 |
| Biopsy conjunctiva CPT 68100 | $2,332.96 | $5,223.00 | $203.48 – $2,449.61 | 7 |
| Biopsy external ear 69100 CPT 69100 | $232.22 | $1,194.00 | $97.84 – $243.83 | 7 |
| Biopsy eye muscle CPT 67346 | $3,771.00 | $8,038.00 | $408.70 – $3,959.55 | 7 |
| Biopsy eyelid & lid margin CPT 67810 | $298.93 | $2,109.00 | $142.69 – $313.88 | 7 |
| Biopsy finger joint lining CPT 26105 | $3,244.61 | $7,165.00 | $763.58 – $3,406.84 | 7 |
| Biopsy finger joint lining CPT 26110 | $1,600.41 | $3,211.00 | $727.01 – $1,680.43 | 7 |
| Biopsy forearm soft tissues CPT 25066 | $2,862.05 | $5,726.00 | $815.32 – $3,005.15 | 7 |
| Biopsy hand joint lining CPT 26100 | $3,244.61 | $7,165.00 | $759.32 – $3,406.84 | 7 |
| Biopsy knee joint lining CPT 27330 | $3,244.61 | $6,424.00 | $937.20 – $3,406.84 | 7 |
| Biopsy lower leg soft tissue CPT 27613 | $1,620.24 | $3,682.00 | $351.20 – $1,701.25 | 7 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $3,244.61 | $7,150.00 | $1,401.42 – $3,406.84 | 7 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,620.24 | $5,364.00 | $119.92 – $1,701.25 | 7 |
| Biopsy needle liver percutaneous CPT 47000 | $1,620.24 | $3,303.00 | $181.95 – $1,701.25 | 7 |
| Biopsy needle lymph node superficial CPT 38505 | $1,620.24 | $3,740.00 | $178.68 – $1,701.25 | 7 |
| Biopsy of cornea CPT 65410 | $2,332.96 | not published | $218.42 – $3,752.25 | 8 |
| Biopsy of epididymis CPT 54800 | $1,620.24 | $2,981.00 | $263.04 – $1,701.25 | 7 |
| Biopsy of foot joint lining CPT 28050 | $3,244.61 | $6,065.00 | $604.86 – $3,406.84 | 7 |
| Biopsy of foot joint lining CPT 28052 | $3,244.61 | $5,751.00 | $554.53 – $3,406.84 | 7 |
| Biopsy of heart lining CPT 93505 | $3,147.50 | $6,545.00 | $1,132.92 – $14,806.00 | 8 |
| Biopsy of hip joint CPT 27052 | $1,600.41 | $6,371.00 | $1,272.91 – $1,680.43 | 7 |
| Biopsy of inestine 44100 CPT 44100 | $937.56 | $2,077.00 | $221.89 – $984.44 | 7 |
| Biopsy of lip 40490 CPT 40490 | $232.22 | $826.00 | $146.01 – $243.83 | 7 |
| Biopsy of nail unit 11755 CPT 11755 | $703.59 | $1,724.00 | $126.42 – $738.77 | 7 |
| Biopsy of nerve CPT 64795 | $1,952.77 | $5,248.00 | $414.04 – $2,050.41 | 7 |
| Biopsy of ovary(s) 58900 CPT 58900 | $3,179.53 | $8,715.00 | $945.24 – $3,338.51 | 7 |
| Biopsy of penis CPT 54105 | $2,862.05 | $4,015.00 | $454.37 – $3,005.15 | 7 |
| Biopsy of penis 54100 CPT 54100 | $1,620.24 | $3,521.00 | $259.20 – $1,701.25 | 7 |
| Biopsy of prostate CPT 55700 | $2,048.51 | $5,957.00 | $271.50 – $2,150.94 | 7 |
| Biopsy of prostate CPT 55705 | $3,448.97 | $4,871.00 | $561.38 – $3,621.42 | 7 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $2,742.39 | $6,838.00 | $658.85 – $2,879.51 | 7 |
| Biopsy of sacroiliac joint CPT 27050 | $1,600.41 | $5,875.00 | $901.29 – $1,680.43 | 7 |
| Biopsy of salivary gland 42400 CPT 42400 | $703.59 | $2,114.00 | $113.25 – $738.77 | 7 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $1,481.28 | $5,304.00 | $490.93 – $1,555.34 | 7 |
| Biopsy of tear gland CPT 68510 | $2,332.96 | $5,815.00 | $605.57 – $2,449.61 | 7 |
| Biopsy of tear sac CPT 68525 | $2,332.96 | $3,065.00 | $539.96 – $2,449.61 | 7 |
| Biopsy of testis CPT 54500 | $2,862.05 | $5,102.00 | $157.20 – $3,005.15 | 7 |
| Biopsy of testis CPT 54505 | $3,448.97 | $5,697.00 | $446.43 – $6,058.60 | 8 |
| Biopsy of toe joint lining CPT 28054 | $3,244.61 | $6,552.00 | $508.51 – $3,406.84 | 7 |
| Biopsy of upper nose/throat CPT 42804 | $3,243.07 | $5,304.00 | $271.94 – $3,405.22 | 7 |
| Biopsy of urethra CPT 53200 | $2,048.51 | $5,111.00 | $298.48 – $2,150.94 | 7 |
| Biopsy of wrist joint CPT 25100 | $3,244.61 | $5,875.00 | $780.03 – $3,406.84 | 7 |
| Biopsy oocyte polar body CPT 89291 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Biopsy oocyte polar body <=5 CPT 89290 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,620.24 | $3,080.00 | $262.39 – $1,701.25 | 7 |
| Biopsy roof of mouth CPT 42100 | $1,481.28 | $2,955.00 | $240.56 – $1,555.34 | 7 |
| Biopsy skin incisional single lesion CPT 11106 | $612.13 | $1,192.00 | $118.75 – $642.74 | 7 |
| Biopsy thigh soft tissues CPT 27324 | $2,862.05 | $6,318.00 | $902.87 – $3,005.15 | 7 |
| Biopsy tongue anterior two-thirds CPT 41100 | $509.25 | $2,094.00 | $233.25 – $534.71 | 7 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $3,179.53 | $5,939.00 | $321.56 – $3,338.51 | 7 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $509.25 | $1,134.00 | $194.80 – $534.71 | 7 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $7,143.73 | $11,365.00 | $903.19 – $7,500.92 | 7 |
| Biopsy vrt bdy open thoracic CPT 20250 | $3,244.61 | $7,527.00 | $845.37 – $3,406.84 | 7 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,862.05 | $4,347.00 | $156.66 – $3,005.15 | 8 |
| Biopsy, bone open deep CPT 20245 | $2,862.05 | $7,157.00 | $723.36 – $3,005.15 | 7 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $3,829.28 | $7,165.00 | $1,216.24 – $4,020.74 | 7 |
| Biopsy/removal lymph nodes CPT 38525 | $3,829.28 | $7,260.00 | $948.83 – $5,829.14 | 8 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $3,829.28 | $7,165.00 | $1,004.01 – $4,020.74 | 7 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,620.24 | $3,671.00 | $337.70 – $1,701.25 | 7 |
| Biospy of bladder CPT 53899 | $243.21 | $646.00 | $243.21 – $255.37 | 6 |
| Biotinidase - quest CPT 82261 | $16.87 | $461.00 | $16.87 – $79.39 | 11 |
| Bis xtracell fluid analysis CPT 93702 | $156.46 | $336.00 | $104.00 – $222.84 | 7 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.14 – $2.42 | 5 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $243.21 | $784.00 | $62.36 – $255.37 | 7 |
| Bld exchange truj oth thn nb CPT 36455 | $437.18 | $1,335.00 | $108.38 – $459.04 | 8 |
| Bld prd mix CPT 86965 | $171.36 | $188.00 | $27.50 – $271.93 | 8 |
| Bld push tfuj 2 yr/< CPT 36440 | $437.18 | $1,394.00 | $33.00 – $459.04 | 8 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $17.77 – $75.54 | 5 |
| Blepharoplasty lower 15820 CPT 15820 | $1,829.23 | $4,085.00 | $1,121.78 – $3,206.35 | 8 |
| Blepharoplasty upper 15822 CPT 15822 | $1,829.23 | $4,920.00 | $869.25 – $3,206.35 | 8 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $1,829.23 | $4,280.00 | $1,195.71 – $3,206.35 | 8 |
| Blepharp lwr eyelid fat pad CPT 15821 | $1,829.23 | $4,085.00 | $1,194.29 – $3,206.35 | 8 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $163.21 | not published | $138.73 – $266.53 | 11 |
| Blind cor sinus reducer impl HCPCS C9783 | $11,340.57 | not published | $11,340.57 – $11,907.60 | 6 |
| Blind interatrial shunt ide HCPCS C9758 | $17,500.50 | not published | $17,500.50 – $18,375.53 | 6 |
| Blind myocar trpl bon marrow HCPCS C9782 | $17,500.50 | not published | $17,500.50 – $18,375.53 | 6 |
| Blind/nonblind trans atrial HCPCS C9792 | $9,750.50 | not published | $9,750.50 – $10,238.03 | 6 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | $530.60 | not published | $530.60 – $942.41 | 7 |
| Blink reflex test CPT 95933 | $59.40 | $220.00 | $59.40 – $4,550.00 | 9 |
| Blm gene CPT 81209 | $39.31 | $220.00 | $34.60 – $185.00 | 11 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | not published | $19,227.44 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | not published | $8,759.36 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | not published | $1,188.07 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | not published | $8,655.20 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | not published | $16,957.25 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | not published | $8,171.60 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | $19.07 | $5.90 – $22.26 | 4 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $890.29 | $2,328.00 | $158.42 – $934.80 | 7 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $890.29 | $2,463.00 | $148.01 – $934.80 | 7 |
| Block paracervical nrv CPT 64435 | $692.52 | $1,088.00 | $92.60 – $727.15 | 7 |
| Block plantar digital nerve CPT 64455 | $295.19 | $620.00 | $69.05 – $309.95 | 7 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | $358.00 | $141.10 – $141.10 | 1 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | $341.00 | $113.35 – $113.35 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $4.29 | $97.00 | $3.30 – $20.19 | 11 |
| Blood Clotting (PTT) Test CPT 85730 | $6.01 | $132.00 | $3.30 – $28.28 | 11 |
| Blood Count (CBC) Test CPT 85025 | $7.77 | $2,186.00 | $5.50 – $36.57 | 11 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $6.47 | $106.00 | $5.28 – $30.45 | 11 |
| Blood Culture Test CPT 87040 | $10.32 | $229.00 | $9.90 – $48.57 | 11 |
| Blood count spun microhematocrit CPT 85013 | $7.00 | not published | $1.65 – $32.94 | 12 |
| Blood draw capillary 36416 CPT 36416 | not published | $44.00 | $1.98 – $1.98 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | $78.77 | $693.00 | $8.80 – $370.71 | 11 |
| Blood gases ph venous CPT 82800 | $11.00 | $321.00 | $5.72 – $51.77 | 11 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $15.92 | $99.00 | $4.07 – $74.92 | 11 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $4.23 | $62.00 | $3.72 – $19.91 | 11 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $4.38 | $76.00 | $3.99 – $20.61 | 11 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $5.32 | $22.00 | $4.69 – $25.04 | 11 |
| Blood smear interpretation CPT 85060 | not published | $68.00 | $8.80 – $43.04 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $3.80 | $105.00 | $2.64 – $17.88 | 11 |
| Blood split unit HCPCS P9011 | $141.80 | $451.00 | $130.83 – $148.89 | 7 |
| Blood typing abo CPT 86900 | $128.90 | $2,145.00 | $2.20 – $135.35 | 11 |
| Blood typing ag donor ea ag CPT 86902 | $359.72 | $535.00 | $5.59 – $377.71 | 11 |
| Blood typing patient serum CPT 86904 | $59.40 | $292.00 | $12.87 – $76.90 | 11 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $359.72 | $535.00 | $3.30 – $377.71 | 11 |
| Blood typing rh (d) CPT 86901 | $39.25 | $2,145.00 | $2.20 – $41.21 | 11 |
| Blood typing rh phenotype complete reference CPT 86906 | $39.25 | $242.00 | $2.20 – $41.21 | 11 |
| Blood volume CPT 78122 | $538.27 | not published | $190.02 – $942.93 | 9 |
| Blood, l/r, irradiated HCPCS P9056 | $84.17 | not published | $84.17 – $466.72 | 7 |
| Bone Density Scan (DEXA) CPT 77080 | $106.34 | $1,183.00 | $75.52 – $111.66 | 8 |
| Bone biopsy open superficial CPT 20240 | $2,862.05 | $6,904.00 | $295.01 – $3,005.15 | 7 |
| Bone filler cerament 10cc HCPCS C1602 | not published | $34,361.25 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $401.83 | not published | $401.83 – $890.77 | 9 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,620.24 | $3,465.00 | $147.37 – $1,701.25 | 7 |
| Bone marrow harvest allogen CPT 38230 | $1,639.28 | $40,356.00 | $425.49 – $1,721.24 | 7 |
| Bone marrow harvest autolog CPT 38232 | $4,685.17 | $9,566.00 | $394.98 – $4,919.43 | 7 |
| Bone marrow imaging body CPT 78104 | $401.83 | not published | $401.83 – $788.04 | 9 |
| Bone marrow imaging ltd CPT 78102 | $401.83 | $1,572.00 | $312.31 – $547.09 | 8 |
| Bone marrow imaging mult CPT 78103 | $401.83 | not published | $332.21 – $731.72 | 9 |
| Bone marrow interpretation CPT 85097 | $816.90 | not published | $26.40 – $1,155.31 | 9 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,620.24 | $4,620.00 | $141.13 – $2,847.29 | 8 |
| Bone survey-lead poisoning CPT 77074 | $106.34 | $534.00 | $106.34 – $162.14 | 8 |
| Bone tendon board add on HCPCS C9356 | not published | $8,597.49 | not published | 0 |
| Bone void filler nanoss 10cc HCPCS C9362 | not published | $4,258.41 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $401.83 | $2,805.00 | $401.83 – $744.94 | 8 |
| Bone/skin graft great toe CPT 20973 | $7,143.73 | not published | $6,366.50 – $11,798.15 | 8 |
| Bone/skin graft metatarsal CPT 20972 | $7,143.73 | $9,657.00 | $6,030.56 – $7,500.92 | 7 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $36.32 – $65.99 | 3 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $1.88 – $12.79 | 3 |
| Boot j walker l HCPCS L4386 | not published | $255.00 | $74.75 – $295.51 | 5 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | $252.00 | $96.67 – $312.24 | 5 |
| Boot softgait shrt m HCPCS L4387 | not published | $255.00 | $58.37 – $295.51 | 5 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | $412.00 | $115.00 – $540.21 | 5 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | $412.00 | $101.32 – $540.21 | 5 |
| Borrelia antibody CPT 86619 | $13.38 | $328.00 | $11.00 – $62.97 | 11 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $17.03 | $165.00 | $17.03 – $80.15 | 11 |
| Borrelia miyamotoi amp prb CPT 87478 | $35.09 | not published | $14.04 – $36.84 | 8 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $1.35 – $96.19 | 6 |
| Bowel imaging CPT 78290 | $401.83 | $1,608.00 | $401.83 – $1,111.24 | 8 |
| Br punct aspir ea add, l CPT 19001 | not published | $1,214.00 | $43.48 – $43.48 | 1 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $25.00 – $75.89 | 5 |
| Brace adj motion lerman type HCPCS L2186 | not published | $240.00 | $101.70 – $293.72 | 5 |
| Brace afo dbl upright cust HCPCS L1990 | not published | $764.00 | $473.85 – $869.66 | 4 |
| Brace afo lg left 6607 HCPCS L1930 | not published | $339.00 | $95.00 – $461.52 | 5 |
| Brace afo spiral prefab HCPCS L1951 | not published | $1,250.00 | $781.44 – $1,565.41 | 4 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | $1,232.00 | $658.79 – $1,081.42 | 4 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | $174.00 | $49.00 – $234.63 | 5 |
| Brace ank air stirrup univ HCPCS L4350 | not published | $129.00 | $36.00 – $174.39 | 5 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | $109.00 | $48.00 – $131.14 | 5 |
| Brace ankle stablizing lg HCPCS L1902 | not published | $151.00 | $41.25 – $155.74 | 5 |
| Brace back epic lo 627 HCPCS L0642 | not published | $614.00 | $223.70 – $1,191.51 | 5 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $395.51 – $3,242.73 | 7 |
| Brace back epic tslo 456 HCPCS L0457 | not published | $1,489.00 | $541.14 – $2,882.61 | 5 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | $615.00 | $382.48 – $766.40 | 4 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | $3,036.76 | $437.70 – $2,770.64 | 5 |
| Brace back t-lso custom HCPCS L0486 | not published | $2,920.00 | $1,803.99 – $3,678.49 | 4 |
| Brace back vista 464 tlso HCPCS L0648 | not published | $1,535.00 | $558.68 – $2,975.61 | 5 |
| Brace cust back lso HCPCS L0631 | not published | $2,022.00 | $955.20 – $1,914.00 | 4 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | $1,359.00 | $852.38 – $1,707.95 | 4 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | $576.00 | $138.50 – $590.21 | 5 |
| Brace halo bremer l2830 HCPCS L2830 | not published | $167.20 | $40.68 – $183.29 | 5 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | $3,539.00 | $2,205.11 – $3,619.73 | 4 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | $1,472.00 | $506.58 – $2,759.13 | 4 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | $1,155.00 | $320.00 – $1,186.13 | 5 |
| Brace knee hing pat open med HCPCS L1820 | not published | $213.00 | $58.71 – $252.97 | 5 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | $1,188.00 | $285.91 – $2,182.38 | 6 |
| Brace knee postop tscope xl HCPCS L1845 | not published | $1,472.00 | $915.74 – $1,594.66 | 4 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | $276.00 | $43.10 – $192.15 | 5 |
| Brace m arm board HCPCS L3809 | not published | $344.00 | $83.78 – $424.18 | 5 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | $1,600.00 | $999.59 – $2,187.80 | 4 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | $1,959.00 | $925.43 – $1,853.86 | 4 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | $395.00 | $135.08 – $424.18 | 5 |
| Brace tlso flex cust HCPCS L0450 | not published | $291.00 | $101.66 – $555.93 | 6 |
| Brace wrist classic lft sm HCPCS L3908 | not published | $114.00 | $31.40 – $114.38 | 5 |
| Brach/thor cath 1st CPT 36215 | not published | $3,025.00 | $434.85 – $434.85 | 1 |
| Brach/thor cath 2nd CPT 36216 | not published | $4,296.00 | $555.77 – $555.77 | 1 |
| Brach/thor cath 3rd CPT 36217 | not published | $5,922.00 | $682.12 – $682.12 | 1 |
| Brach/thor cath addl CPT 36218 | not published | $1,576.00 | $107.45 – $107.45 | 1 |
| Brachioplasty 15836 CPT 15836 | $2,862.05 | $5,973.00 | $1,722.16 – $4,923.06 | 8 |
| Brachy source i-125 injection HCPCS C2638 | $37.04 | not published | $37.04 – $75.35 | 7 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $35.11 | not published | $35.11 – $72.47 | 7 |
| Brachy source palladium HCPCS C2640 | $69.69 | not published | $69.69 – $154.57 | 7 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $79.77 | not published | $79.77 – $124.47 | 7 |
| Brachy source yttrium-90 HCPCS C2616 | $17,485.10 | $40,494.00 | $17,485.10 – $18,359.36 | 5 |
| Brachy src nonstrand c-131 HCPCS C2643 | $96.56 | not published | $96.56 – $162.21 | 7 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $342.39 | $3,743.00 | $342.39 – $359.51 | 5 |
| Brachy src stranded c-131 HCPCS C2642 | $107.86 | $1,696.32 | $107.86 – $113.25 | 5 |
| Brachytx isodose complex CPT 77318 | $366.07 | $4,224.00 | $293.00 – $886.41 | 7 |
| Brachytx isodose intermed CPT 77317 | $366.07 | $3,506.00 | $293.00 – $626.62 | 7 |
| Brachytx isodose plan simple CPT 77316 | $366.07 | $2,675.00 | $293.00 – $476.33 | 7 |
| Braf gene CPT 81210 | $175.40 | $990.00 | $154.35 – $825.47 | 11 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $357.13 | $4,675.00 | $357.13 – $4,332.00 | 9 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $357.13 | $4,015.00 | $357.13 – $4,332.00 | 9 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $241.72 | $3,575.00 | $241.72 – $4,332.00 | 9 |
| Brain MRI (with and without contrast) CPT 70553 | $357.13 | $6,125.00 | $357.13 – $4,332.00 | 9 |
| Brain MRI (with contrast) CPT 70552 | $357.13 | $4,620.00 | $357.13 – $4,332.00 | 9 |
| Brain MRI (without contrast) CPT 70551 | $241.72 | $3,972.00 | $241.72 – $4,332.00 | 9 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | $4,272.00 | $3,006.12 – $3,006.12 | 1 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $2,639.75 – $2,639.75 | 1 |
| Brain flow imaging only CPT 78610 | $538.27 | $2,364.00 | $317.19 – $597.80 | 8 |
| Brain image 4+ views CPT 78605 | $538.27 | $1,774.00 | $362.96 – $649.81 | 8 |
| Brain image < 4 views CPT 78600 | $401.83 | $1,068.00 | $328.75 – $605.41 | 8 |
| Brain image w/flow 4 + views CPT 78606 | $538.27 | $2,143.00 | $538.27 – $1,122.67 | 8 |
| Brain image w/flow < 4 views CPT 78601 | $401.83 | $1,374.00 | $391.42 – $715.76 | 8 |
| Brca1 dna gene analy known fam var CPT 81215 | $375.25 | $1,152.00 | $330.22 – $1,766.02 | 11 |
| Brca1 gene full dup/del alys CPT 81166 | $301.35 | not published | $265.19 – $1,418.23 | 12 |
| Brca1 gene full seq alys CPT 81165 | $282.88 | not published | $248.93 – $1,331.30 | 12 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $584.23 | not published | $514.12 – $2,749.53 | 12 |
| Brca1&2 gene full seq alys CPT 81163 | $468.00 | not published | $411.84 – $2,202.52 | 12 |
| Brca2 dna gene analy full seq analy CPT 81216 | $185.12 | $4,602.00 | $162.91 – $871.22 | 11 |
| Brca2 dna gene analy known fam var CPT 81217 | $375.25 | not published | $330.22 – $1,766.02 | 12 |
| Brca2 gene full dup/del alys CPT 81167 | $282.88 | not published | $248.93 – $1,331.30 | 12 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $440.00 | $1,267.00 | $387.20 – $2,070.75 | 11 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,824.88 | $5,055.00 | $1,605.89 – $8,588.32 | 11 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,620.24 | $6,490.00 | $317.78 – $2,847.29 | 8 |
| Breast augmentation 19325 CPT 19325 | $9,569.05 | $15,468.00 | $1,332.45 – $15,419.08 | 8 |
| Breast punct aspir cyst, bil CPT 19000 | $703.59 | $2,686.00 | $87.62 – $738.77 | 7 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | $7,810.00 | $3,325.69 – $3,325.69 | 1 |
| Breast reconstruction 19357 CPT 19357 | $17,398.35 | $22,941.00 | $2,509.71 – $25,103.18 | 8 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | $7,150.00 | $3,773.27 – $3,773.27 | 1 |
| Breast reduction CPT 19318 | $6,521.46 | $15,950.00 | $2,342.33 – $10,174.48 | 8 |
| Breath hydrogen test 91065 CPT 91065 | $156.46 | $296.00 | $104.00 – $2,793.00 | 10 |
| Breath recording infant CPT 94772 | $530.60 | $1,214.00 | $530.60 – $557.13 | 6 |
| Breath test analysis c-14 CPT 78268 | $94.41 | not published | $94.41 – $444.32 | 11 |
| Breath tst attain/anal c-14 CPT 78267 | $11.06 | not published | $11.06 – $52.05 | 11 |
| Breathing response hypoxia CPT 94450 | $156.46 | not published | $142.76 – $281.42 | 8 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $258.52 | not published | $219.74 – $422.09 | 11 |
| Brexucabtagene car pos t HCPCS Q2053 | $489,720.00 | not published | $416,262.00 – $878,671.10 | 9 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | $5,280.00 | $137.20 – $137.20 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | $3,686.95 | $7,106.00 | $452.59 – $3,871.30 | 7 |
| Bronch ebus samplng 3/> node CPT 31653 | $3,686.95 | $7,106.00 | $501.47 – $3,871.30 | 7 |
| Bronch thermoplsty 1 lobe CPT 31660 | $6,922.47 | $10,941.00 | $388.68 – $7,268.59 | 7 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $6,922.47 | $12,933.00 | $410.19 – $7,268.59 | 7 |
| Bronch w/balloon occlusion CPT 31634 | $6,922.47 | $10,847.00 | $386.95 – $7,268.59 | 7 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $194.14 | $4,124.00 | $194.14 – $203.85 | 6 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $388.31 | not published | $293.34 – $800.06 | 8 |
| Bronchial allergy tests CPT 95070 | $530.60 | $1,667.00 | $63.65 – $557.13 | 7 |
| Bronchial brush biopsy CPT 31717 | $388.31 | not published | $219.49 – $800.06 | 8 |
| Bronchial challenge CPT 94070 | $311.40 | $1,788.00 | $111.19 – $326.97 | 7 |
| Bronchial valve init insert CPT 31647 | $6,922.47 | $10,941.00 | $421.86 – $7,268.59 | 7 |
| Bronchial valve remov addl CPT 31649 | $1,724.47 | $3,935.00 | $136.35 – $1,810.69 | 7 |
| Bronchial valve remov init CPT 31648 | $3,686.95 | $7,106.00 | $407.38 – $3,871.30 | 7 |
| Bronchoscopy bronch stents CPT 31636 | $6,922.47 | $10,847.00 | $445.03 – $7,268.59 | 7 |
| Bronchoscopy clear airways 31645 CPT 31645 | $1,724.47 | $4,168.00 | $303.80 – $1,810.69 | 7 |
| Bronchoscopy dilate w/stent CPT 31631 | $6,922.47 | $10,847.00 | $465.99 – $7,268.59 | 7 |
| Bronchoscopy dilate/fx repr CPT 31630 | $3,686.95 | $6,520.00 | $409.15 – $3,871.30 | 7 |
| Bronchoscopy revise stent CPT 31638 | $6,922.47 | $10,941.00 | $505.62 – $7,268.59 | 7 |
| Bronchoscopy treat blockage CPT 31641 | $3,686.95 | $7,420.00 | $522.52 – $3,871.30 | 7 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,724.47 | $5,156.00 | $321.76 – $1,810.69 | 7 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,724.47 | $3,491.00 | $361.95 – $1,810.69 | 7 |
| Bronchoscopy w/markers CPT 31626 | $6,922.47 | $10,945.00 | $405.43 – $7,268.59 | 7 |
| Bronchoscopy w/tumor excise CPT 31640 | $3,686.95 | $7,420.00 | $508.30 – $3,871.30 | 7 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | $2,118.00 | $100.08 – $100.08 | 1 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $3,686.95 | $6,461.00 | $361.68 – $3,871.30 | 7 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | $2,036.00 | $128.69 – $128.69 | 1 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $3,686.95 | $6,325.00 | $384.02 – $3,871.30 | 7 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $4.85 – $9.72 | 4 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | $4,208.00 | $2,907.03 – $2,907.03 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $1.09 – $7.50 | 6 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $0.61 | not published | $0.52 – $0.88 | 7 |
| Bundle his recording CPT 93600 | $7,588.10 | $9,655.00 | $104.00 – $7,967.51 | 7 |
| Bundled special stain group 1 microorganisms CPT 88312 | $53.43 | $369.00 | $14.30 – $218.71 | 8 |
| Bundled special stain group 2 CPT 88313 | $128.90 | $1,519.00 | $11.00 – $162.03 | 8 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.01 | 1 |
| Bupivacaine implant, 1 mg HCPCS C9089 | $2.64 | not published | $2.64 – $2.77 | 6 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $1,976.55 | not published | $1,680.07 – $3,837.65 | 10 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $6.60 – $7.53 | 2 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $13.05 – $21.28 | 2 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $1,976.55 | not published | $1,680.07 – $3,837.65 | 10 |
| Buprenorphine and metabolite - sendout CPT 80348 | not published | $270.00 | $19.12 – $19.12 | 1 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.51 – $8.80 | 5 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $2.12 – $3.15 | 2 |
| Bur rotalink 2.15mm HCPCS C1724 | not published | $62,000.00 | not published | 0 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $1,637.56 – $1,637.56 | 1 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | $1,099.00 | $771.30 – $771.30 | 1 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | $3,339.00 | $2,772.95 – $2,772.95 | 1 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | $3,523.00 | $2,756.66 – $2,756.66 | 1 |
| Busulfan injection HCPCS J0594 | $1.84 | not published | $1.56 – $60.20 | 11 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $3.72 – $6.31 | 5 |
| Buttock fasciotomy CPT 27027 | $7,143.73 | $11,398.00 | $1,908.56 – $7,500.92 | 7 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | $1,600.41 | $5,035.00 | $1,600.41 – $2,167.37 | 7 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $1,620.24 | $3,521.00 | $354.85 – $2,847.29 | 8 |
| Bx bone trocar/ndl deep CPT 20225 | $1,620.24 | $4,070.00 | $268.61 – $1,701.25 | 7 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,620.24 | $6,166.00 | $369.18 – $2,847.29 | 8 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,620.24 | $7,700.00 | $336.10 – $2,847.29 | 8 |
| Bx breast add lesion Ultrasound imag CPT 19084 | not published | $5,280.00 | $158.56 – $158.56 | 1 |
| Bx breast add lesion mr imag CPT 19086 | not published | $5,331.00 | $183.88 – $183.88 | 1 |
| Bx breast add lesion strtctc CPT 19082 | not published | $4,818.00 | $168.35 – $168.35 | 1 |
| Bx breast perq without image 19100 CPT 19100 | $1,620.24 | $4,630.00 | $144.04 – $1,701.25 | 7 |
| Bx breast pq tomo guide CPT 19499 | $3,829.28 | $7,563.00 | $3,829.28 – $4,020.74 | 6 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $2,862.05 | $6,813.00 | $905.51 – $3,005.15 | 7 |
| Bx liver with other CPT 47001 | not published | $1,198.00 | $214.53 – $214.53 | 1 |
| Bx muscle CPT 20200 | $1,620.24 | $4,610.00 | $202.63 – $1,701.25 | 7 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | $3,243.07 | $7,068.00 | $311.44 – $3,405.22 | 7 |
| Bx of breast open 19101 CPT 19101 | $3,829.28 | $6,849.00 | $479.73 – $4,020.74 | 7 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $3,179.53 | $5,314.00 | $337.29 – $3,338.51 | 7 |
| Bx pancreas pq ndl CPT 48102 | $1,620.24 | $3,507.00 | $485.23 – $1,701.25 | 7 |
| Bx perianal mass CPT 46999 | $911.71 | $2,250.00 | $911.71 – $957.30 | 6 |
| Bx pleura pq ndl CPT 32400 | $1,620.24 | $4,191.00 | $172.03 – $1,701.25 | 7 |
| Bx prst8 ndl sat sampling CPT 55706 | $3,448.97 | $5,849.00 | $800.44 – $3,621.42 | 7 |
| Bx shoulder tissues deep 23066 CPT 23066 | $2,862.05 | $5,953.00 | $814.30 – $3,005.15 | 7 |
| Bx shoulder tissues supf 23065 CPT 23065 | $1,620.24 | $4,195.00 | $345.84 – $1,701.25 | 7 |
| Bx skin incisnl ea sep/add l les CPT 11107 | not published | $634.00 | $64.38 – $64.38 | 1 |
| Bx skin punch ea sep/ addl les CPT 11105 | not published | $558.00 | $53.76 – $53.76 | 1 |
| Bx skin tangential ea sep/ addl les CPT 11103 | not published | $605.00 | $46.11 – $46.11 | 1 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,620.24 | $3,589.00 | $428.19 – $1,701.25 | 7 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,620.24 | $4,191.00 | $1,532.75 – $1,701.25 | 7 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $1,620.24 | $4,263.00 | $829.63 – $1,701.25 | 7 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $1,620.24 | $4,266.00 | $335.25 – $1,701.25 | 7 |
| Bx spinal cord pq ndl CPT 62269 | $1,620.24 | $3,774.00 | $539.27 – $1,701.25 | 7 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,620.24 | $3,774.00 | $380.39 – $1,701.25 | 7 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $703.59 | $1,544.00 | $158.40 – $738.77 | 7 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $870.74 | $3,121.00 | $137.96 – $914.28 | 7 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $870.74 | $2,445.00 | $124.48 – $914.28 | 7 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | $1,397.00 | $61.11 – $61.11 | 1 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $304.19 | $703.00 | $283.30 – $319.40 | 7 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | $6,505.00 | $4,555.85 – $4,555.85 | 1 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $3,829.28 | $8,048.00 | $892.12 – $5,829.14 | 8 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $3,829.28 | $7,365.00 | $547.39 – $4,020.74 | 7 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | $4,830.00 | $3,359.59 – $3,359.59 | 1 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $1,620.24 | $4,346.00 | $344.32 – $1,701.25 | 7 |
| Bypass temp external fem-fem CPT 37799 | $618.26 | $3,986.00 | $618.26 – $649.17 | 6 |
| C motor evoked lwr limbs CPT 95929 | $530.60 | $2,482.00 | $104.00 – $4,550.00 | 9 |
| C motor evoked uppr limbs CPT 95928 | $1,017.39 | $2,482.00 | $104.00 – $4,550.00 | 9 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,017.39 | $2,584.00 | $104.00 – $4,550.00 | 9 |
| C-1 esterase, berinert HCPCS J0597 | $75.86 | not published | $64.48 – $123.27 | 11 |
| C-1 esterase, cinryze HCPCS J0598 | $65.73 | not published | $55.87 – $126.62 | 11 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $5,735.60 – $5,735.60 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $329.51 | $2,413.00 | $289.97 – $1,550.75 | 11 |
| C-lens fitg corneosclrl lens CPT 92313 | $128.90 | not published | $71.33 – $220.41 | 8 |
| C-lens fitg tech aphakia 1 CPT 92315 | $128.90 | not published | $34.47 – $220.41 | 8 |
| C-lens fitg tech aphakia ou CPT 92316 | $128.90 | not published | $52.02 – $135.35 | 8 |
| C-lens fitg tech corneosclrl CPT 92317 | $39.25 | not published | $34.47 – $66.49 | 8 |
| C-peptide CPT 84681 | $20.81 | $314.00 | $20.81 – $97.94 | 11 |
| C-reactive protein CPT 86140 | $5.18 | $108.00 | $3.30 – $24.38 | 11 |
| C-reactive protein high sensitivity CPT 86141 | $12.95 | $270.00 | $12.95 – $60.95 | 11 |
| C-reactive protein, quantitative CPT 86406 | $10.64 | $135.00 | $7.26 – $50.07 | 11 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $2,829.96 – $2,829.96 | 1 |
| C1 esterase inhibitor func - sendout CPT 86161 | $12.00 | $392.00 | $9.90 – $56.47 | 11 |
| CT 3d report other modality w/workstation CPT 76377 | not published | $908.00 | $121.56 – $4,332.00 | 3 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $357.13 | $4,730.00 | $357.13 – $877.36 | 8 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $178.02 | $3,575.00 | $178.02 – $617.86 | 8 |
| CT Angiogram of the Head CPT 70496 | $178.02 | $3,443.00 | $178.02 – $609.98 | 8 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $357.13 | $4,950.00 | $357.13 – $795.06 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $357.13 | $5,353.00 | $357.13 – $703.50 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $241.72 | $3,190.00 | $241.72 – $358.60 | 8 |
| CT angio hrt w/3d image CPT 75574 | $357.13 | $2,967.00 | $357.13 – $815.33 | 8 |
| CT angio pelvis CPT 72191 | $178.02 | $2,860.00 | $178.02 – $696.61 | 8 |
| CT bone density axial CPT 77078 | $88.05 | not published | $88.05 – $292.19 | 9 |
| CT colonography dx CPT 74261 | $106.34 | $605.00 | $106.34 – $1,023.45 | 8 |
| CT colonography dx w/dye CPT 74262 | $178.02 | $815.00 | $178.02 – $1,182.94 | 8 |
| CT colonography screening CPT 74263 | $241.72 | $990.00 | $241.72 – $1,314.42 | 7 |
| CT guid cryo ablat intramuscular CPT 20999 | $239.88 | $2,895.00 | $239.88 – $251.87 | 6 |
| CT guid parench tis ablat CPT 77013 | not published | $2,448.00 | $1,587.83 – $1,587.83 | 1 |
| CT guidance for needle placement CPT 77012 | not published | $2,775.00 | $264.18 – $285.17 | 2 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | $2,420.00 | $211.59 – $234.42 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $88.05 | $99.00 | $88.05 – $222.29 | 8 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $357.13 | $2,192.00 | $357.13 – $713.94 | 8 |
| CT hrt w/3d image CPT 75572 | $357.13 | $2,192.00 | $357.13 – $544.02 | 8 |
| CT limited or localized follow-up study CPT 76380 | $88.05 | $887.00 | $88.05 – $278.41 | 8 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $178.02 | $2,877.00 | $178.02 – $359.13 | 8 |
| CT lower extremity without contrast (both sides) CPT 73700 | $106.34 | $2,248.00 | $106.34 – $262.66 | 8 |
| CT lwr extremity w/o&w/dye CPT 73702 | $178.02 | $3,207.00 | $178.02 – $438.88 | 8 |
| CT neck soft tissue w/contrast CPT 70491 | $178.02 | $3,214.00 | $178.02 – $385.71 | 8 |
| CT neck soft tissue without & w/contrast CPT 70492 | $178.02 | $3,264.00 | $178.02 – $472.35 | 8 |
| CT neck soft tissue without contrast CPT 70490 | $106.34 | $2,464.00 | $106.34 – $294.59 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $178.02 | $2,859.00 | $178.02 – $409.34 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $106.34 | $2,483.00 | $106.34 – $313.85 | 8 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $178.02 | $3,464.00 | $178.02 – $490.86 | 8 |
| CT scan for therapy guide CPT 77014 | not published | $1,595.00 | $230.39 – $294.02 | 2 |
| CT t-spine w /wo contrast CPT 72130 | $178.02 | $2,970.00 | $178.02 – $445.76 | 8 |
| CT thoracic spine w/contrast CPT 72129 | $178.02 | $2,310.00 | $178.02 – $360.12 | 8 |
| CT thoracic spine without contrast CPT 72128 | $106.34 | $2,012.00 | $106.34 – $263.64 | 8 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $106.34 | $2,090.00 | $106.34 – $354.90 | 8 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $357.13 | $2,548.00 | $357.13 – $476.28 | 8 |
| CT upper extremity without contrast (both sides) CPT 73200 | $106.34 | $1,888.00 | $106.34 – $372.92 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | $178.02 | $2,988.00 | $178.02 – $627.69 | 8 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $911.71 | $2,011.00 | $101.97 – $957.30 | 7 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $227.10 | not published | $193.04 – $410.84 | 11 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $8.11 – $24.03 | 2 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $4,524.67 – $4,524.67 | 1 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $5,023.71 – $5,023.71 | 1 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $5,411.35 – $5,411.35 | 1 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $381.14 – $381.14 | 1 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | $1,399.00 | $834.58 – $834.58 | 1 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $1,104.38 – $1,104.38 | 1 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $1,323.39 – $1,323.39 | 1 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $1,487.42 – $1,487.42 | 1 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $1,673.56 – $1,673.56 | 1 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $1,065.47 – $1,065.47 | 1 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $4,369.54 – $4,369.54 | 1 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $4,975.29 – $4,975.29 | 1 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $5,076.35 – $5,076.35 | 1 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | $6,373.00 | $3,855.14 – $3,855.14 | 1 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | $5,812.00 | $3,979.68 – $3,979.68 | 1 |
| Cable cath 22-pin diag HCPCS C1730 | not published | $6,572.00 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | not published | $74,362.80 | $36.96 – $36.96 | 1 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $23.63 | not published | $20.09 – $44.15 | 9 |
| Cacna1a gene full gene seq CPT 81185 | $846.27 | $8,938.00 | $744.72 – $3,982.75 | 11 |
| Cadd pump refill CPT 96521 | $210.69 | $699.00 | $210.69 – $224.34 | 7 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $0.91 – $6.07 | 2 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $69.62 – $96.93 | 2 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $835.80 | not published | $835.80 – $6,102.31 | 11 |
| Calcium 24 hour urine CPT 82340 | $6.03 | $221.00 | $3.96 – $28.38 | 11 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.03 – $0.07 | 2 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.07 – $0.12 | 2 |
| Calcium ionized CPT 82330 | $13.68 | $177.00 | $13.68 – $64.38 | 11 |
| Calcium total CPT 82310 | $5.16 | $77.00 | $3.30 – $24.28 | 11 |
| Calculi urinary-sendout CPT 82360 | $12.87 | $28.00 | $12.87 – $60.57 | 11 |
| Calculus analysis qual CPT 82355 | $11.58 | not published | $9.90 – $54.50 | 12 |
| Caloric vstblr test w/rec CPT 92538 | $156.46 | $484.00 | $38.88 – $627.00 | 9 |
| Calprotectin fecal CPT 83993 | $19.63 | $919.00 | $17.27 – $92.38 | 11 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $30.58 – $112.21 | 5 |
| Campylobacter antibody CPT 86625 | $13.12 | $282.00 | $11.00 – $61.75 | 11 |
| Canakinumab injection HCPCS J0638 | $141.00 | not published | $119.85 – $248.87 | 11 |
| Candida dna CPT 87480 | $20.05 | $106.00 | $20.05 – $94.36 | 11 |
| Candida skin test CPT 86485 | $24.49 | not published | $4.40 – $66.49 | 9 |
| Cannula declotting 36861 CPT 36861 | $5,405.70 | $11,112.00 | $285.77 – $5,675.99 | 7 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | not published | $267,639.12 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | $669.59 | not published | $569.15 – $703.07 | 6 |
| Canthotomy 67715 CPT 67715 | $2,332.96 | $5,510.00 | $232.30 – $3,752.25 | 8 |
| Cap nerve 2x15mm HCPCS C1763 | not published | $76,870.08 | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | not published | $10,912.00 | not published | 0 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $0.05 | not published | $0.04 – $0.08 | 7 |
| Capsaicin 8% patch HCPCS J7336 | $3.38 | not published | $2.87 – $6.96 | 11 |
| Capsular contracture release CPT 23020 | $3,244.61 | $7,913.00 | $1,504.87 – $3,406.84 | 7 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $3,244.61 | $6,529.00 | $726.79 – $3,406.84 | 7 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $1,600.41 | $3,607.00 | $544.92 – $1,680.43 | 7 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $584.90 | $7,289.00 | $514.71 – $2,752.68 | 11 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $584.90 | $5,668.00 | $514.71 – $2,752.68 | 11 |
| Car outp meas drg cath chd CPT 93598 | not published | $339.00 | $14,806.00 – $14,806.00 | 1 |
| Car seat/bed test 60 minutes CPT 94780 | $39.25 | $249.00 | $39.02 – $2,793.00 | 9 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | $165.00 | $13.56 – $2,793.00 | 5 |
| Car-t admn autologous CPT 38228 | $331.69 | $1,346.00 | $331.69 – $348.27 | 6 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | $8,250.00 | not published | 0 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | $4,510.00 | not published | 0 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | $2,673.00 | not published | 0 |
| Carbamazepine free CPT 80157 | $13.25 | $122.00 | $11.00 – $62.36 | 11 |
| Carbamazepine free -sendout CPT 80161 | $18.64 | $52.00 | $16.40 – $87.72 | 11 |
| Carbamazepine total therapeutic drug level CPT 80156 | $14.57 | $220.00 | $14.57 – $68.57 | 11 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | $243.15 | not published | $206.68 – $453.68 | 9 |
| Carbohydrate deficient transf - sendout CPT 82373 | $18.06 | $842.00 | $8.75 – $84.99 | 11 |
| Carbohydrate urine - sendout CPT 84377 | $5.50 | $583.00 | $5.50 – $25.88 | 11 |
| Carbon dioxide CPT 82374 | $4.88 | $62.00 | $3.63 – $22.97 | 11 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $1.79 – $5.95 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $12.32 | $83.00 | $6.60 – $57.98 | 11 |
| Carcinoembryonic ag (cea) CPT 82378 | $18.96 | $323.00 | $18.96 – $89.23 | 11 |
| Card MRI veloc flow mapping CPT 75565 | not published | $1,898.00 | $90.42 – $4,332.00 | 3 |
| Cardiac MRI seg dys strain HCPCS C9762 | $548.30 | not published | $548.30 – $575.72 | 6 |
| Cardiac MRI seg dys stress HCPCS C9763 | $548.30 | not published | $548.30 – $575.72 | 6 |
| Cardiac MRI w/stress img CPT 75559 | $548.30 | $1,784.00 | $548.30 – $4,332.00 | 9 |
| Cardiac Stress Test CPT 93015 | not published | $201.00 | $126.75 – $126.75 | 1 |
| Cardiac drug stress test CPT 93024 | $399.04 | not published | $196.49 – $720.69 | 8 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,305.48 | $3,960.00 | $775.48 – $1,377.59 | 8 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,305.48 | $3,739.00 | $518.42 – $1,370.75 | 8 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,305.48 | $3,933.00 | $607.97 – $1,370.75 | 8 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $125.91 | $363.00 | $22.59 – $510.00 | 10 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $125.91 | $260.00 | $14.72 – $510.00 | 10 |
| Cardiac shunt imaging CPT 78428 | $401.83 | not published | $337.13 – $731.72 | 9 |
| Cardioassist internal CPT 92970 | not published | $671.00 | $104.00 – $309.33 | 3 |
| Cardiokymography HCPCS Q0035 | $39.25 | not published | $32.66 – $66.49 | 8 |
| Cardiolipin antibody iga CPT 86147 | $25.45 | $175.00 | $25.45 – $119.77 | 11 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $654.38 | $3,086.00 | $104.00 – $687.10 | 7 |
| Cardioversion/elective/internal 92961 CPT 92961 | $654.38 | $2,510.00 | $104.00 – $687.10 | 7 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $61.33 | $193.00 | $60.00 – $558.00 | 17 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $33.04 | $96.00 | $33.04 – $558.00 | 17 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $55.09 | not published | $46.83 – $88.28 | 11 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $173.64 | not published | $147.59 – $8,388.36 | 11 |
| Carotene CPT 82380 | $9.22 | $44.00 | $6.60 – $43.39 | 11 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $241.72 | $2,090.00 | $104.00 – $2,793.00 | 10 |
| Carpal Tunnel Release Surgery CPT 64721 | $1,952.77 | $5,940.00 | $966.68 – $2,050.41 | 7 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $1.93 – $20.74 | 6 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $1.00 – $4.54 | 4 |
| Cataract Surgery CPT 66984 | $2,280.73 | $6,688.00 | $1,163.59 – $2,394.77 | 7 |
| Cataract surg w/iol 1 stage CPT 66983 | $2,280.73 | $7,154.00 | $2,280.73 – $2,696.48 | 7 |
| Catecholamines,fractionated, urine CPT 82382 | $27.30 | not published | $13.20 – $128.48 | 12 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | not published | $17,360.00 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | not published | $9,920.00 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | not published | $2,901.60 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | not published | $7,428.00 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | not published | $9,486.00 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | not published | $89,280.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | not published | $9,176.00 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | not published | $34,720.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | not published | $13,106.80 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | not published | $12,152.00 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | not published | $4,330.08 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $3,216.41 | $12,401.00 | $2,013.93 – $14,806.00 | 8 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $10.90 – $29.05 | 4 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | not published | $14,917.20 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | not published | $4,092.00 | not published | 0 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $12.98 – $23.16 | 3 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | not published | $3,152.08 | not published | 0 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $0.94 – $3.64 | 4 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $3.58 – $11.65 | 4 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | not published | $4,124.24 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | not published | $8,432.00 | not published | 0 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | not published | $463.04 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | not published | $7,178.00 | not published | 0 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | $62.67 | $1.39 – $3.29 | 4 |
| Cath left heart transseptal punc CPT 93462 | not published | $8,250.00 | $341.15 – $14,806.00 | 2 |
| Cath left heart/lv gram CPT 93452 | $3,216.41 | $15,597.00 | $1,579.62 – $14,806.00 | 8 |
| Cath lt/rt pulm art CPT 36014 | not published | $2,629.00 | $307.91 – $307.91 | 1 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | not published | $19,371.11 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | not published | $42,160.00 | not published | 0 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | $321.83 | $10.00 – $57.62 | 4 |
| Cath place 1st order venous 36011 CPT 36011 | not published | $2,000.00 | $317.29 – $317.29 | 1 |
| Cath place cardio brachytx CPT 92974 | not published | $8,061.00 | $265.05 – $19,949.00 | 2 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $3,216.41 | $19,743.00 | $2,405.49 – $14,806.00 | 8 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $3,216.41 | $16,020.00 | $1,979.87 – $14,806.00 | 8 |
| Cath plc art/grft/angio right hrt CPT 93457 | $3,216.41 | $15,945.00 | $2,156.46 – $14,806.00 | 8 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | not published | $26,103.00 | not published | 0 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,216.41 | $15,597.00 | $1,532.20 – $14,806.00 | 8 |
| Cath right hrt mnpul art CPT 36013 | not published | $1,179.00 | $256.64 – $256.64 | 1 |
| Cath segmntl pulm art CPT 36015 | not published | $4,920.00 | $348.69 – $348.69 | 1 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | not published | not published | $5.40 – $20.58 | 2 |
| Cath steerable flex adv 12f HCPCS C1766 | not published | $6,200.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | not published | $773.00 | $444.85 – $797.34 | 2 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $1.35 – $4.79 | 3 |
| Cath symplicity spyral HCPCS C1735 | not published | $73,920.00 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | not published | $10,651.60 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | not published | $927.00 | $123.35 – $123.35 | 1 |
| Catheter declot mechanical CPT 36596 | $1,553.44 | $3,543.00 | $94.30 – $1,631.11 | 7 |
| Catheter insert artery CPT 36625 | not published | $292.00 | $216.60 – $216.60 | 1 |
| Catheter stripping venous CPT 36595 | $3,147.50 | $6,301.00 | $370.99 – $3,304.88 | 7 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $9.09 | not published | $6.21 – $14.12 | 11 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | $243.21 | not published | $243.21 – $255.37 | 6 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | $721.00 | $110.34 – $110.34 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | $198.70 | $737.00 | $81.19 – $208.64 | 7 |
| Cauterization of cervix 57510 CPT 57510 | $3,179.53 | $6,336.00 | $241.58 – $3,338.51 | 7 |
| Ccnd1/igh translocation alys CPT 81168 | $207.31 | not published | $182.44 – $975.65 | 11 |
| Cdna analysis for variants CPT 81403 | $185.20 | $2,750.00 | $162.98 – $871.60 | 11 |
| Cdp-sot 6 cond w/i&r CPT 92548 | $128.90 | $749.00 | $81.70 – $627.00 | 9 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | $128.90 | $304.00 | $112.25 – $627.00 | 9 |
| Cebpa gene full sequence CPT 81218 | $241.90 | $705.00 | $212.87 – $1,138.44 | 11 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $0.71 – $2.94 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $1.05 – $3.82 | 5 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $2.52 – $28.74 | 2 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $16.18 – $16.18 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $4.36 – $10.01 | 5 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $4.24 | not published | $3.60 – $7.67 | 11 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.39 – $4.25 | 5 |
| Ceftazidime and avibactam HCPCS J0714 | $104.95 | not published | $89.21 – $198.36 | 11 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.41 – $1.11 | 5 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $1.95 – $4.38 | 5 |
| Cell count body fluid CPT 89050 | $4.72 | $143.00 | $0.99 – $22.21 | 11 |
| Cell count w differential body fluid CPT 89051 | $5.60 | $143.00 | $0.99 – $26.35 | 10 |
| Cell cryopreserve/storage CPT 88240 | $13.07 | $278.00 | $8.53 – $61.51 | 11 |
| Cell enumeration & id CPT 86152 | $250.78 | $756.00 | $220.68 – $1,180.23 | 11 |
| Cell function assay w/stim CPT 86352 | $135.86 | $917.00 | $119.56 – $639.39 | 11 |
| Cell marker study CPT 88182 | $53.43 | $968.00 | $53.43 – $324.12 | 8 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $28.70 | not published | $24.40 – $59.42 | 9 |
| Centralization wrist on ulna CPT 25335 | $3,244.61 | $8,529.00 | $2,043.97 – $3,406.84 | 7 |
| Centruroides immune f(ab) HCPCS J0716 | $4,859.01 | not published | $4,859.01 – $11,145.85 | 11 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | $677.00 | $506.92 – $506.92 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $3,179.53 | $6,533.00 | $782.23 – $3,338.51 | 7 |
| Cerebrospinal fld flw imag CPT 78645 | $538.27 | $2,267.00 | $538.27 – $1,108.73 | 8 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $4.49 | not published | $3.82 – $16.33 | 11 |
| Cervical lymphadenectomy 38720 CPT 38720 | $6,521.46 | $11,455.00 | $2,865.88 – $6,847.53 | 7 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $92.50 | $508.00 | $49.14 – $97.13 | 7 |
| Cesarean section delivery only 59514 CPT 59514 | not published | $2,433.00 | $1,902.36 – $1,902.36 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $78.47 | not published | $66.70 – $145.21 | 11 |
| Cftr gene dup/delet variants CPT 81222 | $435.07 | $3,724.00 | $382.87 – $2,047.54 | 11 |
| Cftr gene intron poly t CPT 81224 | $168.75 | $3,061.00 | $148.50 – $794.18 | 11 |
| Cftr gene known fam variants CPT 81221 | $97.22 | $881.00 | $85.56 – $457.54 | 11 |
| Change cystostomy tube simple CPT 51705 | $243.21 | $1,045.00 | $109.12 – $255.37 | 7 |
| Change cystostomy tube; complex 51710 CPT 51710 | $667.47 | $2,842.00 | $169.68 – $700.84 | 7 |
| Change g-tube to g-j perc CPT 49446 | $1,896.99 | $3,829.00 | $297.65 – $1,991.84 | 7 |
| Change gastric port open CPT 43888 | $3,660.97 | $7,404.00 | $1,005.83 – $3,844.02 | 7 |
| Change nephroureteral cath CPT 50387 | $2,048.51 | $4,510.00 | $169.07 – $3,601.28 | 8 |
| Change of ureter tube/stent CPT 50688 | $2,048.51 | $4,738.00 | $165.04 – $2,150.94 | 7 |
| Change of windpipe airway 31502 CPT 31502 | $232.22 | $845.00 | $73.26 – $243.83 | 7 |
| Change stent via transureth CPT 50385 | $2,048.51 | $5,738.00 | $443.35 – $2,150.94 | 7 |
| Change ureter stent percut CPT 50382 | $2,048.51 | $6,160.00 | $511.58 – $3,601.28 | 8 |
| Chct for mal hyperthermia CPT 89049 | $171.36 | not published | $109.80 – $299.59 | 9 |
| Chemical exfoliation acne 17360 CPT 17360 | $198.70 | not published | $198.70 – $365.25 | 8 |
| Chemical peel face epiderm 15788 CPT 15788 | $399.53 | $935.00 | $399.53 – $477.52 | 7 |
| Chemical peel nonfacial 15793 CPT 15793 | $399.53 | $1,244.00 | $399.53 – $781.74 | 7 |
| Chemical peel nonfacial; epidermal CPT 15792 | $612.13 | $1,276.00 | $465.52 – $642.74 | 7 |
| Chemo adm cns w/lmbr punct CPT 96450 | $331.69 | $1,986.00 | $127.73 – $1,966.00 | 9 |
| Chemo extend IV infus w/pump HCPCS G0498 | $331.69 | not published | $331.69 – $596.95 | 8 |
| Chemo ia infuse each addl hr CPT 96423 | $46.14 | $350.00 | $46.14 – $1,966.00 | 8 |
| Chemo ia infusion up to 1 hr CPT 96422 | $331.69 | $870.00 | $282.75 – $1,966.00 | 8 |
| Chemo ia push tecnique CPT 96420 | $331.69 | $702.00 | $184.54 – $1,966.00 | 8 |
| Chemo intralesional over 7 CPT 96406 | $210.69 | $682.00 | $75.29 – $1,966.00 | 8 |
| Chemo intralesional up to 7 96405 CPT 96405 | $71.17 | $345.00 | $48.52 – $1,966.00 | 8 |
| Chemodener muscle larynx emg CPT 64617 | $692.52 | $1,271.00 | $229.19 – $727.15 | 7 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | $953.00 | $147.28 – $147.28 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | $953.00 | $170.98 – $170.98 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $692.52 | $1,540.00 | $246.71 – $727.15 | 7 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $692.52 | $1,271.00 | $228.24 – $727.15 | 7 |
| Chemodenerv eccrine glands CPT 64653 | $295.19 | $583.00 | $109.29 – $309.95 | 7 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $295.19 | $798.00 | $86.24 – $309.95 | 7 |
| Chemodenerv musc migraine 64615 CPT 64615 | $295.19 | $946.00 | $261.05 – $309.95 | 7 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $295.19 | $725.00 | $234.80 – $512.28 | 8 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $295.19 | $976.00 | $248.43 – $309.95 | 7 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $692.52 | $1,271.00 | $246.79 – $727.15 | 7 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $692.52 | $1,928.00 | $283.78 – $727.15 | 7 |
| Chemodenervation anal musc CPT 46505 | $1,179.08 | $3,589.00 | $543.55 – $2,028.17 | 8 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $298.93 | $784.00 | $298.93 – $461.75 | 7 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $295.19 | $881.00 | $259.53 – $512.28 | 8 |
| Chemotaxis assay CPT 86155 | $15.99 | not published | $15.99 – $75.25 | 12 |
| Chemotherapy injection 96542 CPT 96542 | $331.69 | $571.00 | $71.31 – $1,966.00 | 8 |
| Chemotx admn pertl cav impl CPT 96446 | $331.69 | $1,223.00 | $34.34 – $1,966.00 | 8 |
| Chest 2 vws w oblique CPT 71048 | $106.34 | $622.00 | $88.00 – $111.66 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $178.02 | $3,930.00 | $178.02 – $444.79 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $178.02 | $3,185.00 | $178.02 – $359.13 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $106.34 | $2,317.00 | $106.34 – $261.70 | 8 |
| Chest X-ray CPT 71046 | $88.05 | $497.00 | $64.89 – $92.45 | 8 |
| Chest X-ray (single view) CPT 71045 | $88.05 | $459.00 | $49.36 – $92.45 | 8 |
| Chest apical lordotic proj CPT 71047 | $88.05 | $560.00 | $81.67 – $107.61 | 8 |
| Chg pr pul rehab for copd patients CPT 94626 | $59.40 | $605.00 | $45.72 – $593.00 | 9 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $178.02 | $605.00 | $178.02 – $295.30 | 8 |
| Chimerism anal no cell selec CPT 81267 | $207.46 | $2,317.00 | $182.57 – $976.36 | 11 |
| Chimerism anal w/cell select CPT 81268 | $260.79 | $1,877.00 | $229.49 – $1,227.34 | 11 |
| Chlamydia culture CPT 87110 | $19.60 | $130.00 | $16.50 – $92.24 | 11 |
| Chlamydia trachomatis ag if CPT 87270 | $11.98 | not published | $11.00 – $56.38 | 12 |
| Chlamydia type CPT 87140 | $5.57 | $66.00 | $3.30 – $26.21 | 11 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | $72.00 | $89.74 – $89.74 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $52.84 – $72.74 | 4 |
| Chloride CPT 82435 | $4.60 | $34.00 | $3.30 – $21.65 | 11 |
| Chloride 24 hour urine CPT 82436 | $5.75 | $83.00 | $3.30 – $27.06 | 11 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.03 – $0.05 | 2 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | $0.60 | not published | $0.51 – $0.63 | 6 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $34.32 – $161.39 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $23.01 – $67.07 | 5 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $3.83 – $3.83 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $331.69 | $1,098.00 | $230.76 – $1,966.00 | 8 |
| Cholangiogram percutaneous compl CPT 47532 | $3,529.06 | $8,763.00 | $430.18 – $3,705.51 | 7 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | $853.00 | $245.62 – $245.62 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $2,689.88 – $2,689.88 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | $3,575.00 | $2,389.06 – $2,389.06 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $2,454.49 – $2,454.49 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,529.06 | $7,168.00 | $702.46 – $3,705.51 | 7 |
| Cholesterol CPT 82465 | $4.35 | $94.00 | $3.30 – $20.47 | 11 |
| Cholesterol (Lipid) Test CPT 80061 | $13.39 | $260.00 | $13.39 – $63.02 | 11 |
| Cholesterol body fluid CPT 84999 | not published | $4,400.00 | not published | 0 |
| Choline c-11 HCPCS A9515 | $2,062.94 | $15,015.00 | $0.01 – $2,166.09 | 6 |
| Cholinesterase CPT 82480 | $7.87 | $62.00 | $4.95 – $37.04 | 11 |
| Cholinesterase challenge CPT 95857 | $311.40 | $751.00 | $47.78 – $2,793.00 | 9 |
| Chorion biopsy CPT 59015 | $870.74 | $1,562.00 | $277.05 – $914.28 | 7 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $14.88 – $52.70 | 6 |
| Chrom analysis CPT 88273 | $34.81 | $425.00 | $34.81 – $163.82 | 11 |
| Chromatogram assay sugars CPT 84375 | $39.00 | not published | $25.52 – $183.54 | 12 |
| Chromatography CPT 83021 | $18.06 | $432.00 | $18.06 – $84.99 | 11 |
| Chromo high res and frag x - sendout CPT 81243 | $57.04 | $1,032.00 | $50.19 – $268.44 | 11 |
| Chromogenic substrate assay CPT 85130 | $11.89 | $292.00 | $11.89 – $55.96 | 11 |
| Chromosome analys amniotic CPT 88269 | $173.66 | $419.00 | $173.66 – $817.29 | 10 |
| Chromosome analys placenta CPT 88267 | $188.57 | $1,320.00 | $188.57 – $887.46 | 11 |
| Chromosome analysis 100 CPT 88249 | $173.17 | $1,582.00 | $173.17 – $814.98 | 11 |
| Chromosome analysis 15-20 cell count CPT 88262 | $125.49 | $648.00 | $125.49 – $590.59 | 11 |
| Chromosome analysis 20-25 CPT 88245 | $173.17 | not published | $173.17 – $814.98 | 12 |
| Chromosome analysis 45 CPT 88263 | $150.29 | not published | $150.29 – $707.30 | 12 |
| Chromosome analysis 5 CPT 88261 | $264.34 | not published | $264.34 – $1,244.05 | 11 |
| Chromosome analysis 50-100 CPT 88248 | $173.17 | $392.00 | $173.17 – $814.98 | 11 |
| Chromosome banding study CPT 88283 | $68.60 | not published | $50.60 – $322.85 | 12 |
| Chromosome count additional CPT 88285 | $26.91 | $419.00 | $23.35 – $126.64 | 11 |
| Chromosome karyotype study CPT 88280 | $33.47 | $165.00 | $33.47 – $157.52 | 11 |
| Chromosome study additional CPT 88289 | $34.43 | not published | $34.43 – $162.04 | 12 |
| Chronic urticaria - sendout CPT 86343 | $12.46 | $246.00 | $6.60 – $58.64 | 11 |
| Chylomicron screen, bf - sendout CPT 82664 | $61.50 | $297.00 | $14.96 – $289.43 | 11 |
| Cidofovir injection HCPCS J0740 | $529.38 | not published | $449.97 – $1,219.61 | 11 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $5.92 – $14.50 | 5 |
| Ciliary transsleral therapy CPT 66710 | $2,332.96 | $5,811.00 | $840.26 – $2,449.61 | 7 |
| Ciltacabtagene car-pos t HCPCS Q2056 | $553,378.83 | not published | $470,372.01 – $674,570.57 | 7 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $4.34 – $4.34 | 1 |
| Cine/video x-rays CPT 76120 | $106.34 | not published | $106.34 – $357.45 | 9 |
| Cine/video x-rays add-on CPT 76125 | not published | $178.00 | $142.14 – $142.14 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $1.97 – $2.57 | 5 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $47.63 – $64.40 | 5 |
| Circum 28 days or older CPT 54161 | $2,048.51 | $5,234.00 | $420.66 – $2,150.94 | 7 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $667.47 | $5,294.00 | $309.08 – $700.84 | 7 |
| Circumcision (newborn) CPT 54150 | $2,048.51 | $5,661.00 | $199.98 – $2,150.94 | 7 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $1.66 – $5.37 | 5 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $9.73 | not published | $8.27 – $45.29 | 11 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | not published | $32,240.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | $3,244.61 | $7,834.00 | $1,295.21 – $3,406.84 | 7 |
| Claviculectomy total CPT 23125 | $3,244.61 | $8,604.00 | $1,549.45 – $3,406.84 | 7 |
| Clean out mastoid cavity CPT 69222 | $509.25 | $3,190.00 | $300.88 – $534.71 | 7 |
| Clearance of airways CPT 31720 | $203.39 | $506.00 | $99.96 – $213.56 | 7 |
| Clearance of tear duct CPT 68530 | $298.93 | $4,198.00 | $298.93 – $540.59 | 7 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.42 – $1.42 | 1 |
| Clip ligating vesolock lg HCPCS C1760 | not published | $3,720.00 | not published | 0 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | not published | $582.80 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | $3,179.53 | $8,051.00 | $2,484.49 – $3,338.51 | 7 |
| Cllr miami j sm HCPCS L0174 | not published | $451.66 | $110.00 – $535.95 | 5 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $14.72 | not published | $12.51 – $251.30 | 11 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $15.02 – $56.33 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,481.28 | $3,071.00 | $127.15 – $1,555.34 | 7 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $5,785.30 – $5,785.30 | 1 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $232.22 | $847.00 | $232.22 – $315.68 | 7 |
| Close mastoid fistula CPT 69700 | $1,481.28 | not published | $1,451.13 – $2,647.74 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | $7,381.00 | $1,421.96 – $1,421.96 | 1 |
| Close tear duct opening CPT 68760 | $298.93 | $1,056.00 | $298.93 – $315.08 | 7 |
| Close tear duct opening CPT 68761 | $298.93 | not published | $253.21 – $586.89 | 8 |
| Close tear system fistula CPT 68770 | $2,332.96 | $6,105.00 | $1,342.90 – $2,449.61 | 7 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $239.88 | $593.00 | $239.88 – $864.30 | 7 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,600.41 | $4,144.00 | $888.32 – $1,680.43 | 7 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | $2,294.00 | $1,556.38 – $1,556.38 | 1 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,600.41 | $3,211.00 | $1,012.55 – $1,680.43 | 7 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,600.41 | $3,211.00 | $957.38 – $1,680.43 | 7 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $239.88 | $2,014.00 | $239.88 – $722.71 | 7 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $239.88 | $586.00 | $239.88 – $251.87 | 7 |
| Closed tx nose/jaw fx CPT 21345 | $1,481.28 | $5,712.00 | $1,391.10 – $1,555.34 | 7 |
| Closed tx orbit w/manipulj CPT 21401 | $1,481.28 | $3,607.00 | $725.47 – $1,555.34 | 7 |
| Closed tx orbit without manipulj CPT 21400 | $509.25 | $1,768.00 | $378.58 – $534.71 | 7 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,600.41 | $4,400.00 | $1,275.90 – $1,680.43 | 7 |
| Closed tx septal&nose fx CPT 21337 | $3,243.07 | $5,434.00 | $662.43 – $3,405.22 | 7 |
| Closed tx sesamoid fx 28530 CPT 28530 | $239.88 | $576.00 | $230.00 – $251.87 | 7 |
| Closed tx vert fx w/manj CPT 22315 | $3,244.61 | $6,483.00 | $1,698.55 – $3,406.84 | 7 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $239.88 | $696.00 | $239.88 – $905.89 | 7 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $239.88 | $923.00 | $239.88 – $476.29 | 7 |
| Clostridium toxin a w/optic CPT 87803 | $16.00 | not published | $13.39 – $75.30 | 12 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | $2,485.00 | $1,826.10 – $1,826.10 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | $4,858.00 | $3,331.79 – $3,331.79 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | $3,121.00 | $2,129.03 – $2,129.03 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | $4,527.00 | $2,930.14 – $2,930.14 | 1 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $509.25 | $1,543.00 | $435.19 – $534.71 | 7 |
| Closure of eyelid by suture CPT 67875 | $968.54 | $2,130.00 | $204.14 – $1,671.09 | 8 |
| Closure of salivary fistula CPT 42600 | $3,243.07 | $6,051.00 | $776.79 – $3,405.22 | 7 |
| Closure of windpipe lesion 31820 CPT 31820 | $3,243.07 | $5,580.00 | $721.45 – $3,405.22 | 7 |
| Closure paravalvlr leak pq CPT 33999 | $618.26 | $1,989.00 | $618.26 – $649.17 | 6 |
| Clot factor fletcher fact CPT 85292 | $18.93 | $358.00 | $18.93 – $89.09 | 11 |
| Clot factor viii reltd antgn CPT 85244 | $20.42 | not published | $20.42 – $96.10 | 12 |
| Clot factor wght kininogen CPT 85293 | $18.93 | $491.00 | $18.93 – $89.09 | 11 |
| Clot factor xii hageman CPT 85280 | $19.35 | $309.00 | $19.35 – $91.07 | 11 |
| Clot factor xiii fibrin scrn CPT 85291 | $9.11 | $215.00 | $7.70 – $42.87 | 11 |
| Clot factor xiii fibrin stab CPT 85290 | $16.34 | $215.00 | $8.80 – $76.90 | 11 |
| Clotting assay whole blood CPT 85396 | not published | $65.00 | $19.80 – $35.06 | 2 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.78 – $1.85 | 2 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $239.88 | $3,391.00 | $239.88 – $907.34 | 7 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $239.88 | $2,105.00 | $239.88 – $696.98 | 7 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $239.88 | $845.00 | $239.88 – $706.99 | 7 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,600.41 | $2,707.00 | $546.60 – $1,680.43 | 7 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $239.88 | $562.00 | $239.88 – $540.83 | 7 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,600.41 | $3,727.00 | $754.60 – $1,680.43 | 7 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $239.88 | $646.00 | $239.88 – $435.12 | 7 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $239.88 | $1,148.00 | $239.88 – $862.56 | 7 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $239.88 | $744.00 | $173.37 – $251.87 | 7 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,600.41 | $3,828.00 | $1,216.23 – $1,680.43 | 7 |
| Clsd tx fracture of radius 25500 CPT 25500 | $239.88 | $1,169.00 | $239.88 – $590.27 | 7 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,600.41 | $1,692.00 | $1,140.48 – $2,718.61 | 8 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $239.88 | $2,082.00 | $239.88 – $745.09 | 8 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,600.41 | $3,211.00 | $1,037.34 – $2,718.61 | 8 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $239.88 | $647.00 | $239.88 – $593.28 | 7 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $239.88 | $1,375.00 | $239.88 – $928.37 | 7 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $239.88 | $1,538.00 | $239.88 – $798.17 | 7 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $239.88 | $1,253.00 | $239.88 – $762.02 | 7 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $265.58 | $2,118.00 | $265.58 – $804.26 | 7 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $509.25 | $1,213.00 | $509.25 – $1,060.67 | 7 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $3,244.61 | $7,165.00 | $1,128.88 – $3,406.84 | 7 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $239.88 | $617.00 | $239.88 – $510.75 | 7 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $465.94 – $465.94 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,600.41 | $3,211.00 | $739.60 – $1,680.43 | 7 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $239.88 | $1,568.00 | $239.88 – $768.90 | 7 |
| Clsd tx pelvic ring fx CPT 27197 | $239.88 | $646.00 | $239.88 – $291.86 | 7 |
| Clsd tx pelvic ring fx CPT 27198 | $239.88 | $725.00 | $239.88 – $676.92 | 7 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,600.41 | $4,198.00 | $907.41 – $1,680.43 | 7 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,600.41 | $3,211.00 | $916.00 – $1,680.43 | 7 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,600.41 | $3,211.00 | $900.43 – $1,680.43 | 7 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,600.41 | $3,727.00 | $1,117.67 – $1,680.43 | 7 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $239.88 | $592.00 | $64.95 – $465.94 | 8 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $239.88 | $919.00 | $206.57 – $251.87 | 7 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,600.41 | $3,522.00 | $979.87 – $1,680.43 | 7 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $239.88 | $1,174.00 | $239.88 – $669.32 | 7 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $239.88 | $939.00 | $239.88 – $656.73 | 7 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $239.88 | $715.00 | $239.88 – $647.02 | 7 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $239.88 | $823.00 | $239.88 – $649.89 | 7 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $239.88 | $672.00 | $239.88 – $1,182.18 | 7 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $239.88 | $629.00 | $239.88 – $695.80 | 7 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $239.88 | $834.00 | $239.88 – $523.25 | 7 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $239.88 | $986.00 | $239.88 – $437.74 | 7 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $239.88 | $1,148.00 | $239.88 – $690.14 | 7 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,600.41 | $3,768.00 | $1,600.41 – $1,680.43 | 7 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $239.88 | $586.00 | $239.88 – $282.87 | 7 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $239.88 | $586.00 | $239.88 – $323.90 | 7 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $239.88 | $648.00 | $239.88 – $593.64 | 7 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $239.88 | $971.00 | $239.88 – $506.54 | 7 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $239.88 | $845.00 | $239.88 – $659.04 | 7 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $239.88 | $1,015.00 | $239.88 – $677.15 | 7 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $239.88 | $754.00 | $239.88 – $465.40 | 7 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,243.07 | $5,553.00 | $202.14 – $3,405.22 | 7 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $239.88 | $695.00 | $239.88 – $685.31 | 7 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $239.88 | $1,225.00 | $239.88 – $435.75 | 7 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $239.88 | $1,076.00 | $239.88 – $564.78 | 7 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $239.88 | $692.00 | $239.88 – $555.19 | 7 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,600.41 | $3,579.00 | $910.31 – $1,680.43 | 7 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $3,244.61 | $4,734.00 | $765.73 – $3,406.84 | 7 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $239.88 | $935.00 | $239.88 – $558.65 | 7 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $239.88 | $1,309.00 | $239.88 – $679.21 | 8 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $239.88 | $586.00 | $239.88 – $611.29 | 7 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,600.41 | $2,881.00 | $1,005.28 – $1,680.43 | 7 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,600.41 | $4,058.00 | $795.83 – $1,680.43 | 7 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $239.88 | $591.00 | $239.88 – $672.21 | 7 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,600.41 | $3,522.00 | $1,134.95 – $1,680.43 | 7 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $239.88 | $1,121.00 | $239.88 – $717.57 | 7 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,600.41 | $2,367.00 | $1,099.55 – $1,680.43 | 7 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $5,915.66 | $12,712.00 | $2,056.29 – $6,211.44 | 7 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,481.28 | $3,607.00 | $1,408.28 – $1,555.34 | 7 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $3,243.07 | $7,203.00 | $1,350.48 – $3,405.22 | 7 |
| Cltx palatal/max fx wire fix CPT 21421 | $3,243.07 | $7,095.00 | $1,188.54 – $3,405.22 | 7 |
| Cltx post ankle fx CPT 27767 | $239.88 | $593.00 | $239.88 – $661.97 | 7 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,600.41 | $3,522.00 | $1,003.40 – $1,680.43 | 7 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,600.41 | $3,211.00 | $855.87 – $1,680.43 | 7 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $239.88 | $939.00 | $239.88 – $822.80 | 7 |
| Cltx thigh fx CPT 27267 | $3,244.61 | $6,021.00 | $979.28 – $3,406.84 | 7 |
| Cltx tmprmand dislc comp CPT 21485 | $1,481.28 | $4,019.00 | $1,481.28 – $1,736.14 | 7 |
| Cmbn ant pst colprhy CPT 57260 | $4,936.45 | $5,655.00 | $1,662.01 – $5,183.27 | 7 |
| Cmptr ophth dx img ant segmt CPT 92132 | $59.40 | $222.00 | $55.29 – $2,793.00 | 9 |
| Cmptr ophth img optic nerve CPT 92133 | $59.40 | $142.00 | $59.40 – $2,793.00 | 9 |
| Cmv pcr-sendout CPT 87496 | $35.09 | $314.00 | $35.09 – $165.14 | 11 |
| Co-treatment - group 15 mins, st CPT 92508 | $30.03 | $174.00 | $30.03 – $620.00 | 16 |
| Co2 monitor per day CPT 94681 | $311.40 | $1,129.00 | $86.16 – $326.97 | 7 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $2.65 | not published | $2.25 – $4.96 | 11 |
| Coagulation time activated teg CPT 85347 | $4.28 | $96.00 | $3.30 – $20.14 | 11 |
| Coagulation time otr method CPT 85348 | $4.49 | not published | $1.32 – $21.13 | 12 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $2.79 – $2.79 | 2 |
| Cochlear implt f/up exam 7/> CPT 92603 | $156.46 | $732.00 | $60.00 – $620.00 | 15 |
| Cochlear implt f/up exam <7 CPT 92601 | $156.46 | $641.00 | $74.00 – $627.00 | 9 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $2.23 – $291.29 | 4 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | not published | $988.97 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $8.07 | $180.00 | $3.30 – $37.98 | 11 |
| Cold agglutinin titer CPT 86157 | $8.06 | $380.00 | $8.06 – $37.93 | 11 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | $4,496.00 | $2,830.89 – $2,830.89 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $4,051.24 – $4,051.24 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $4,412.79 – $4,412.79 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | $5,031.00 | $3,465.31 – $3,465.31 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | $4,500.00 | $2,619.77 – $2,619.77 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | $5,610.00 | $3,821.47 – $3,821.47 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $4,351.51 – $4,351.51 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $3,906.73 – $3,906.73 | 1 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $3,476.09 – $3,476.09 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $3,708.71 – $3,708.71 | 1 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $9.68 – $33.67 | 5 |
| Collagenase, clost hist inj HCPCS J0775 | $73.16 | not published | $62.19 – $121.55 | 11 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | $71.10 | $10.75 – $51.78 | 5 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | $91.00 | $24.40 – $124.90 | 5 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | $208.00 | $68.34 – $247.70 | 5 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $50.00 – $210.83 | 5 |
| Collar extrication adult univ HCPCS L0200 | not published | $1,025.00 | $466.29 – $1,007.51 | 4 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $128.90 | $605.00 | $62.64 – $135.35 | 7 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $128.90 | $495.00 | $67.93 – $135.35 | 7 |
| Collection of venous blood by venipuncture CPT 36415 | $9.09 | $2,145.00 | $1.98 – $14.12 | 11 |
| Colon motility 6 hr study CPT 91117 | $311.40 | not published | $229.30 – $479.04 | 8 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $1,179.08 | $2,750.00 | $416.63 – $1,238.03 | 7 |
| Colonoscopy (diagnostic) CPT 45378 | $911.71 | $4,235.00 | $385.38 – $957.30 | 7 |
| Colonoscopy (with biopsy) CPT 45380 | $1,179.08 | $4,294.00 | $418.63 – $1,238.03 | 7 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,179.08 | $4,235.00 | $529.16 – $1,238.03 | 7 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $1,179.08 | $3,630.00 | $475.42 – $1,238.03 | 7 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $1,179.08 | $3,251.00 | $521.89 – $1,238.03 | 7 |
| Colonoscopy for bleeding 44391 CPT 44391 | $1,179.08 | $3,485.00 | $480.60 – $1,238.03 | 7 |
| Colonoscopy for foreign body CPT 44390 | $911.71 | $2,929.00 | $438.53 – $957.30 | 7 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $1,179.08 | $2,955.00 | $632.87 – $1,238.03 | 7 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,179.08 | $4,072.00 | $469.62 – $1,238.03 | 7 |
| Colonoscopy submucous njx CPT 45381 | $1,179.08 | $3,355.00 | $417.87 – $1,238.03 | 7 |
| Colonoscopy thru stoma spx CPT 44388 | $911.71 | $2,995.00 | $326.50 – $957.30 | 7 |
| Colonoscopy w/ablation CPT 45388 | $1,179.08 | $4,036.00 | $562.64 – $1,238.03 | 7 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,179.08 | $3,598.00 | $441.74 – $1,238.03 | 7 |
| Colonoscopy w/band ligation CPT 45398 | $1,179.08 | $3,202.00 | $490.29 – $1,238.03 | 7 |
| Colonoscopy w/control bleed CPT 45382 | $1,179.08 | $3,598.00 | $538.45 – $1,238.03 | 7 |
| Colonoscopy w/decompression CPT 44408 | $911.71 | $2,955.00 | $482.24 – $957.30 | 7 |
| Colonoscopy w/dilation CPT 44405 | $1,179.08 | $2,955.00 | $382.83 – $1,238.03 | 7 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $1,179.08 | $4,490.00 | $536.41 – $1,238.03 | 7 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $1,179.08 | $4,169.00 | $632.87 – $1,238.03 | 7 |
| Colonoscopy w/fb removal CPT 45379 | $1,179.08 | $3,598.00 | $496.78 – $1,238.03 | 7 |
| Colonoscopy w/injection CPT 44404 | $1,179.08 | $2,955.00 | $358.51 – $1,238.03 | 7 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | $1,179.08 | $2,955.00 | $572.36 – $1,238.03 | 7 |
| Colonoscopy w/resection CPT 45390 | $2,742.39 | $3,410.00 | $691.29 – $2,879.51 | 7 |
| Colonoscopy w/stent plcmt CPT 44402 | $5,952.81 | $7,691.00 | $544.21 – $6,250.45 | 7 |
| Colonoscopy w/ultrasound CPT 44406 | $1,179.08 | $2,955.00 | $477.99 – $1,238.03 | 7 |
| Colonoscopy with ablation CPT 44401 | $1,179.08 | $3,113.00 | $504.76 – $1,238.03 | 7 |
| Colonoscopy with biopsy CPT 44389 | $1,179.08 | $2,995.00 | $358.51 – $1,238.03 | 7 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $5,952.81 | $9,502.00 | $602.46 – $6,250.45 | 7 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | $3,642.00 | $2,537.74 – $2,537.74 | 1 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $2,074.40 – $2,074.40 | 1 |
| Colpocentesis 57020 CPT 57020 | $4,936.45 | $7,605.00 | $166.40 – $5,183.27 | 7 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $4,936.45 | $12,672.00 | $1,143.27 – $5,183.27 | 7 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | $6,334.00 | $2,054.45 – $2,054.45 | 1 |
| Colpopexy extraperitoneal CPT 57282 | $7,394.81 | $9,680.00 | $1,483.47 – $7,764.55 | 7 |
| Colpopexy intraperitoneal CPT 57283 | $7,394.81 | $14,054.00 | $1,493.96 – $7,764.55 | 7 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | $4,936.45 | not published | $4,936.45 – $5,183.27 | 6 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,179.53 | $7,121.00 | $725.07 – $3,338.51 | 7 |
| Colposcopy vulva 56820 CPT 56820 | $201.17 | $408.00 | $177.83 – $211.23 | 7 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $304.19 | $799.00 | $239.51 – $319.40 | 7 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $304.19 | $910.00 | $228.77 – $319.40 | 7 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $3,179.53 | $6,196.00 | $384.35 – $3,338.51 | 7 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $870.74 | $1,432.00 | $257.09 – $914.28 | 7 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $201.17 | $673.00 | $193.70 – $211.23 | 7 |
| Colpotomy drng of abscess 57010 CPT 57010 | $3,179.53 | $7,605.00 | $990.00 – $3,338.51 | 7 |
| Colpotomy w/exploration 57000 CPT 57000 | $3,179.53 | $5,939.00 | $436.20 – $3,338.51 | 7 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $667.47 | $1,595.00 | $667.47 – $807.91 | 7 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $667.47 | $1,524.00 | $667.47 – $849.74 | 7 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $171.36 | $303.00 | $13.20 – $179.93 | 8 |
| Compatibility test each unit electronic CPT 86923 | $171.36 | $303.00 | $13.20 – $179.93 | 8 |
| Compatibility test each unit immediate spin technique CPT 86920 | $171.36 | $303.00 | $13.20 – $179.93 | 8 |
| Compatibility test incubate CPT 86921 | $171.36 | $260.00 | $13.20 – $179.93 | 8 |
| Compl oph exam general anes CPT 92018 | $2,332.96 | $3,758.00 | $235.00 – $2,449.61 | 7 |
| Complement antigen each component c3 CPT 86160 | $12.00 | $773.00 | $9.90 – $56.47 | 11 |
| Complement fixation each CPT 86171 | $10.01 | not published | $4.95 – $47.11 | 12 |
| Complete removal of vulva CPT 56625 | $3,179.53 | $7,748.00 | $1,449.07 – $3,338.51 | 7 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $4,933.86 – $4,933.86 | 1 |
| Complex cystometrogram 51726 CPT 51726 | $243.21 | $989.00 | $243.21 – $667.47 | 7 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $612.13 | $1,489.00 | $496.10 – $642.74 | 7 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $612.13 | $2,200.00 | $528.05 – $642.74 | 7 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $311.40 | $440.00 | $31.04 – $326.97 | 7 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $612.13 | $1,158.00 | $590.64 – $642.74 | 7 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $612.13 | $2,200.00 | $612.13 – $711.07 | 7 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | not published | $1,100.00 | $286.15 – $286.15 | 1 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $399.53 | $1,643.00 | $399.53 – $514.75 | 7 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $612.13 | $2,200.00 | $612.13 – $642.74 | 7 |
| Complx repair fccmnaxghf 13133 CPT 13133 | not published | $908.00 | $263.26 – $263.26 | 1 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | not published | $1,210.00 | $173.14 – $173.14 | 1 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $612.13 | $1,703.00 | $427.60 – $642.74 | 7 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | $1,210.00 | $150.53 – $150.53 | 1 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | $1,350.00 | $841.27 – $1,388.27 | 4 |
| Composite graft/pri close/don area 15760 CPT 15760 | $1,829.23 | $4,463.00 | $1,503.72 – $1,920.69 | 7 |
| Compre oph exam est pt 1/> CPT 92014 | $128.87 | $312.00 | $127.25 – $135.31 | 7 |
| Compre oph exam new pt 1/> CPT 92004 | $128.87 | not published | $128.87 – $239.81 | 8 |
| Comprehensive hearing test CPT 92557 | $156.46 | $540.00 | $53.61 – $627.00 | 9 |
| Concentration infection agents any type CPT 87015 | $6.68 | $77.00 | $5.61 – $31.44 | 11 |
| Conditioning play audiometry 92582 CPT 92582 | $156.46 | $502.00 | $116.00 – $627.00 | 9 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | $4,521.64 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $201.17 | $1,352.00 | $201.17 – $240.97 | 7 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $52.58 – $93.82 | 4 |
| Conization of cervix CPT 57520 | $3,179.53 | $6,751.00 | $645.21 – $3,338.51 | 7 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $3,179.53 | $5,733.00 | $553.87 – $3,338.51 | 7 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $390.74 | not published | $332.13 – $733.37 | 11 |
| Connect omega .5mm HCPCS L8613 | not published | $1,488.00 | $329.88 – $534.46 | 2 |
| Connector tis 2x10mm HCPCS C9352 | not published | $4,480.17 | not published | 0 |
| Constj trachesophgl fstl CPT 31611 | $3,243.07 | $5,712.00 | $1,175.12 – $3,405.22 | 7 |
| Construct thumb replacement CPT 26550 | $3,244.61 | not published | $3,244.61 – $5,430.31 | 8 |
| Construct vagina with graft CPT 57292 | $4,936.45 | not published | $1,768.18 – $8,540.47 | 8 |
| Construction of vagina CPT 57291 | $4,936.45 | not published | $1,184.09 – $5,183.27 | 8 |
| Consult comp w/report rfrd material CPT 88325 | $171.36 | not published | $48.40 – $239.42 | 9 |
| Consultation pathology during surgery CPT 88329 | $59.40 | not published | $36.30 – $66.49 | 9 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $816.90 | $1,282.00 | $88.07 – $857.75 | 8 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | not published | $186.00 | $16.50 – $103.39 | 2 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $171.36 | $281.00 | $52.80 – $191.69 | 8 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $53.43 | $355.00 | $36.30 – $215.42 | 8 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $39.25 | not published | $30.80 – $149.86 | 9 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $58.37 – $58.37 | 1 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $56.70 – $56.70 | 1 |
| Contact lens fitg aphakia 1 CPT 92311 | $399.04 | not published | $85.63 – $720.69 | 8 |
| Contact lens fitg aphakia ou CPT 92312 | $128.90 | not published | $102.17 – $220.41 | 8 |
| Contour cranial bone lesion CPT 21181 | $5,915.66 | $13,987.00 | $1,596.62 – $6,211.44 | 7 |
| Contour of face bone lesion CPT 21029 | $3,243.07 | $6,278.00 | $1,355.35 – $3,405.22 | 7 |
| Contrast baths charges CPT 97034 | $17.37 | $75.00 | $17.37 – $565.00 | 17 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,147.50 | $6,930.00 | $238.63 – $3,304.88 | 8 |
| Contrast exam thoracic aorta CPT 75600 | $3,147.50 | not published | $355.81 – $5,467.95 | 9 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $5,405.70 | $11,367.00 | $229.98 – $5,675.99 | 8 |
| Contrast x-ray gallbladder CPT 74290 | $178.02 | $825.00 | $165.41 – $268.67 | 8 |
| Contrast x-ray of ankle CPT 73615 | $357.13 | $1,101.00 | $248.78 – $404.37 | 8 |
| Contrast x-ray of brain CPT 70010 | $357.13 | not published | $202.34 – $798.77 | 8 |
| Contrast x-ray of brain CPT 70015 | $790.06 | not published | $319.53 – $1,431.92 | 9 |
| Contrast x-ray of elbow CPT 73085 | $357.13 | $1,067.00 | $193.58 – $374.99 | 8 |
| Contrast x-ray of hip CPT 73525 | $357.13 | $1,366.00 | $250.59 – $392.97 | 8 |
| Contrast x-ray of knee joint CPT 73580 | $357.13 | $1,568.00 | $214.07 – $438.62 | 8 |
| Contrast x-ray of wrist CPT 73115 | $357.13 | $883.00 | $262.58 – $405.64 | 8 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | $637.00 | $982.89 – $982.89 | 1 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $232.22 | $664.00 | $232.22 – $894.19 | 7 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $3,243.07 | $5,304.00 | $1,096.32 – $3,405.22 | 7 |
| Control nosebleed pack+caut 30905 CPT 30905 | $128.90 | $629.00 | $128.90 – $221.93 | 7 |
| Control of nosebleed ant comp 30903 CPT 30903 | $128.90 | $629.00 | $128.90 – $220.41 | 8 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $128.90 | $517.00 | $118.34 – $220.41 | 8 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $509.25 | $1,239.00 | $348.21 – $534.71 | 7 |
| Control throat bleeding CPT 42961 | not published | $2,470.00 | $913.43 – $913.43 | 1 |
| Control throat bleeding CPT 42962 | $3,243.07 | $6,870.00 | $1,122.09 – $3,405.22 | 7 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | $14,731.20 | $27,144.70 – $27,144.70 | 1 |
| Controller infinity pt dbs HCPCS C1787 | not published | $6,200.00 | not published | 0 |
| Conv gtube to jtube CPT 44373 | $1,896.99 | $5,145.00 | $398.74 – $1,991.84 | 7 |
| Conversion ext bil drg cath CPT 47535 | $3,529.06 | $7,768.00 | $398.13 – $3,705.51 | 7 |
| Convert nephrostomy catheter CPT 50434 | $2,048.51 | $5,105.00 | $390.46 – $3,601.28 | 8 |
| Coombs direct CPT 86880 | $59.40 | $180.00 | $5.39 – $62.37 | 11 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $171.36 | $303.00 | $5.72 – $179.93 | 11 |
| Coombs indirect titer reference CPT 86886 | $171.36 | $260.00 | $5.18 – $179.93 | 11 |
| Copper cu 64 dotatate diag HCPCS A9592 | $595.10 | not published | $595.10 – $1,972.52 | 9 |
| Copper intrauterine device HCPCS J7300 | not published | $2,690.80 | not published | 0 |
| Cor artery disease mrna CPT 81493 | $1,050.00 | not published | $924.00 – $4,941.55 | 12 |
| Cor hlx vlgs double osteot CPT 28299 | $7,143.73 | $11,161.00 | $1,286.62 – $7,500.92 | 7 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $3,244.61 | $7,582.00 | $1,109.24 – $5,430.31 | 8 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $7,143.73 | $11,161.00 | $1,099.85 – $7,500.92 | 7 |
| Core ndl bx lng/med perq CPT 32408 | $1,620.24 | $5,940.00 | $312.02 – $1,701.25 | 7 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $6,074.30 – $12,171.32 | 3 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | not published | $13,565.60 | not published | 0 |
| Corneal hysteresis deter CPT 92145 | $59.40 | not published | $22.99 – $66.49 | 8 |
| Corneal smear CPT 65430 | $399.04 | not published | $215.49 – $720.69 | 8 |
| Corneal transplant CPT 65710 | $5,159.71 | $9,760.00 | $2,447.39 – $5,417.70 | 7 |
| Corneal transplant CPT 65730 | $4,022.86 | $9,279.00 | $2,685.13 – $4,224.00 | 7 |
| Corneal transplant CPT 65750 | $5,159.71 | $9,760.00 | $2,696.90 – $5,417.70 | 7 |
| Corneal transplant CPT 65755 | $4,022.86 | $9,810.00 | $2,689.26 – $4,224.00 | 7 |
| Corneal trnspl endothelial CPT 65756 | $4,022.86 | $9,866.00 | $2,516.61 – $4,224.00 | 7 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $3,216.41 | $18,030.00 | $1,965.76 – $14,806.00 | 8 |
| Coronary angio/lv gram/lt heart CPT 93458 | $3,216.41 | $19,736.00 | $1,829.48 – $14,806.00 | 8 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $3,216.41 | $21,450.00 | $2,180.57 – $14,806.00 | 8 |
| Coronary art/grft angio s&i CPT 93455 | $3,216.41 | $15,621.00 | $1,772.72 – $14,806.00 | 8 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $3,216.41 | $16,775.00 | $1,592.69 – $14,806.00 | 8 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $331.69 | $851.00 | $99.84 – $348.27 | 7 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $3,244.61 | $7,582.00 | $1,053.94 – $3,406.84 | 7 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | $3,244.61 | $6,065.00 | $645.32 – $3,406.84 | 7 |
| Correct finger deformity CPT 26567 | $3,244.61 | $7,534.00 | $1,592.93 – $3,406.84 | 7 |
| Correct inverted nipple(s) CPT 19355 | $3,829.28 | $8,158.00 | $1,331.39 – $4,020.74 | 7 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | $4,618.00 | $3,133.31 – $3,133.31 | 1 |
| Correct metacarpal flaw CPT 26565 | $3,244.61 | $7,534.00 | $1,574.02 – $3,406.84 | 7 |
| Correct rectal prolapse CPT 45541 | $2,742.39 | $5,506.00 | $1,995.38 – $2,879.51 | 7 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | $3,820.00 | $2,214.42 – $2,214.42 | 1 |
| Correct skin color 6.0 cm/< CPT 11920 | $612.13 | $1,173.00 | $243.78 – $642.74 | 7 |
| Correction claw finger other CPT 26499 | $3,244.61 | $6,752.00 | $1,919.58 – $3,406.84 | 7 |
| Correction eyelid w/implant CPT 67912 | $2,332.96 | $5,413.00 | $1,042.26 – $2,449.61 | 7 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $3,244.61 | $7,582.00 | $1,306.90 – $3,406.84 | 7 |
| Correction of astigmatism CPT 65772 | $968.54 | $2,034.00 | $873.10 – $1,016.97 | 7 |
| Correction of astigmatism CPT 65775 | $2,332.96 | not published | $1,239.30 – $3,752.25 | 8 |
| Correction of everted punctum 68705 CPT 68705 | $298.93 | $868.00 | $298.93 – $356.34 | 7 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $128.90 | not published | $47.47 – $220.41 | 8 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | $968.54 | $2,506.00 | $295.64 – $1,016.97 | 7 |
| Corrj halux rigdus w/implt CPT 28291 | $7,143.73 | $12,716.00 | $1,034.85 – $7,500.92 | 7 |
| Corrj halux rigdus without implt CPT 28289 | $3,244.61 | $7,497.00 | $1,001.23 – $3,406.84 | 7 |
| Cortisol acth stimulation test - sendout CPT 80400 | $32.62 | not published | $32.62 – $153.52 | 12 |
| Cortisol total am CPT 82533 | $16.30 | $220.00 | $16.30 – $76.71 | 11 |
| Costotransversectomy CPT 21610 | $3,244.61 | not published | $2,615.80 – $5,430.31 | 8 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | not published | not published | $23.82 – $75.64 | 5 |
| Counseling smoke cess interm >10mins CPT 99407 | $29.79 | $99.00 | $29.79 – $792.00 | 9 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $92.50 | not published | $44.57 – $158.13 | 8 |
| Cover eye w/membrane CPT 65778 | $968.54 | $2,804.00 | $92.03 – $1,016.97 | 7 |
| Cover eye w/membrane suture CPT 65779 | $3,771.00 | $7,472.00 | $250.30 – $3,959.55 | 7 |
| Cover wrist HCPCS L3984 | not published | $514.00 | $321.17 – $657.11 | 4 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | not published | $19,592.00 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $450.50 | $1,494.00 | $450.50 – $906.86 | 7 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $450.50 | $1,494.00 | $450.50 – $906.86 | 7 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $41.52 | $138.00 | $41.52 – $93.81 | 7 |
| Covid-19 lab test non-cdc HCPCS U0002 | $51.31 | $165.00 | $51.31 – $68.24 | 10 |
| Cptr ophth dx img post segmt CPT 92134 | $59.40 | $143.00 | $59.40 – $2,793.00 | 9 |
| Cptrized corneal topography CPT 92025 | $59.40 | not published | $59.40 – $115.71 | 8 |
| Cptrz oph img pst sg rta oct CPT 92137 | $311.40 | not published | $311.40 – $326.97 | 6 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $620.54 – $620.54 | 1 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $5,118.62 – $5,118.62 | 1 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $5,941.49 – $5,941.49 | 1 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $6,285.98 – $6,285.98 | 1 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | $6,809.00 | $4,063.13 – $4,063.13 | 1 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $4,445.19 – $4,445.19 | 1 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $4,272.87 – $4,272.87 | 1 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $4,701.25 – $4,701.25 | 1 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | $3,782.00 | $3,528.73 – $3,528.73 | 1 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $4,281.70 – $4,281.70 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | $538.27 | $3,484.00 | $538.27 – $1,137.87 | 8 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | $5,405.70 | $12,741.00 | $1,631.81 – $5,675.99 | 7 |
| Create eardrum opening CPT 69436 | $1,481.28 | $4,639.00 | $349.16 – $2,647.74 | 8 |
| Create passage to kidney CPT 52334 | $3,448.97 | $6,094.00 | $380.26 – $3,621.42 | 7 |
| Create tear duct drain CPT 68745 | $3,771.00 | not published | $1,758.25 – $6,158.81 | 8 |
| Create tear duct drain CPT 68750 | $3,771.00 | $7,508.00 | $1,860.34 – $3,959.55 | 7 |
| Create tear sac drain CPT 68720 | $3,771.00 | $5,702.00 | $1,747.56 – $3,959.55 | 7 |
| Creatine - sendout CPT 82540 | $4.64 | $172.00 | $3.30 – $21.84 | 11 |
| Creatine isoforms CPT 82554 | $11.87 | not published | $11.87 – $55.86 | 12 |
| Creatine kinase CPT 82550 | $6.51 | $123.00 | $5.28 – $30.64 | 11 |
| Creatine kinase isoenzymes CPT 82552 | $13.39 | $83.00 | $8.58 – $63.02 | 11 |
| Creatine kinase mb CPT 82553 | $11.55 | $120.00 | $8.25 – $54.36 | 11 |
| Creatinine CPT 82565 | $5.12 | $87.00 | $3.30 – $24.10 | 11 |
| Creatinine 24 hour urine CPT 82570 | $5.18 | $842.00 | $3.30 – $24.38 | 11 |
| Creatinine clearance urine CPT 82575 | $9.46 | $143.00 | $4.95 – $44.52 | 11 |
| Cricopharyngeal myotomy 43030 CPT 43030 | $5,915.66 | $9,820.00 | $1,130.99 – $6,211.44 | 7 |
| Cricotracheal resection CPT 31592 | $5,915.66 | not published | $3,728.86 – $9,158.16 | 8 |
| Crisis psychotherapy 90839 CPT 90839 | $160.67 | $734.00 | $154.00 – $851.00 | 10 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | $195.00 | $108.50 – $851.00 | 5 |
| Critical care 30-74 minutes CPT 99291 | $842.61 | $5,390.00 | $355.15 – $1,522.00 | 8 |
| Critical care each additional 30 minutes CPT 99292 | not published | $1,319.00 | $178.95 – $1,522.00 | 2 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $129.58 | not published | $110.14 – $266.55 | 9 |
| Crnec exc tum/bone les skull CPT 61500 | not published | $5,706.00 | $2,794.47 – $2,794.47 | 1 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | $3,208.00 | $2,469.35 – $2,469.35 | 1 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.25 – $5.15 | 6 |
| Cross-over vein graft CPT 34520 | $5,405.70 | not published | $2,017.42 – $9,059.40 | 8 |
| Crotalidae poly immune fab HCPCS J0840 | $1,861.13 | not published | $1,581.96 – $6,812.93 | 11 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | $2,726.00 | $1,603.27 – $1,603.27 | 1 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | not published | not published | $15.55 – $65.09 | 3 |
| Cryo fib comp path redu each HCPCS P9026 | $313.77 | not published | $313.77 – $329.46 | 6 |
| Cryoablate prostate CPT 55873 | $9,247.15 | $20,162.00 | $1,616.47 – $9,709.51 | 7 |
| Cryocautery of cervix 57511 CPT 57511 | $304.19 | $740.00 | $304.19 – $321.25 | 7 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $14.14 | $28.00 | $6.93 – $66.55 | 11 |
| Cryoprecipitate each unit HCPCS P9012 | $63.57 | $1,157.00 | $63.57 – $70.57 | 7 |
| Cryopreservation embryo(s) CPT 89258 | $816.90 | not published | $816.90 – $1,155.31 | 7 |
| Cryopreservation oocyte(s) CPT 89337 | $171.36 | not published | $171.36 – $7,350.55 | 8 |
| Cryopreservation sperm CPT 89259 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Cryopreserve stem cells CPT 38207 | $437.18 | $2,970.00 | $93.50 – $459.04 | 7 |
| Cryopreserve testicular tiss CPT 89335 | $53.43 | not published | $53.43 – $105.53 | 7 |
| Cryosurg ablate fa each CPT 19105 | $3,829.28 | $7,932.00 | $439.57 – $4,020.74 | 7 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $198.70 | not published | $198.70 – $365.25 | 8 |
| Cryotherapy of acne 17340 CPT 17340 | $59.40 | not published | $59.40 – $104.92 | 8 |
| Cryptococcus abs qn - sendout CPT 86641 | $14.41 | not published | $13.75 – $67.82 | 12 |
| Cryptosporidium antigen CPT 87272 | $11.98 | $141.00 | $11.98 – $56.38 | 11 |
| Crystal identification light microscopy CPT 89060 | $7.33 | $144.00 | $7.33 – $34.50 | 11 |
| Csf leakage imaging CPT 78650 | $1,305.48 | $2,812.00 | $484.06 – $1,370.75 | 8 |
| Csf shunt reprogram 62252 CPT 62252 | $299.91 | $745.00 | $188.05 – $314.91 | 7 |
| Csf ventriculography CPT 78635 | $538.27 | not published | $538.27 – $1,149.31 | 9 |
| Cta abdomen without & /or w/contrast CPT 74175 | $178.02 | $3,245.00 | $178.02 – $694.64 | 8 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $178.02 | $4,642.00 | $178.02 – $948.24 | 8 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $178.02 | $3,355.00 | $178.02 – $756.27 | 8 |
| Cta neck without &/or w/contrast CPT 70498 | $178.02 | $3,302.00 | $178.02 – $608.99 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $178.02 | $2,487.00 | $178.02 – $690.31 | 8 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $232.22 | $873.00 | $232.22 – $278.59 | 7 |
| Cult skin graft fnhfg 15155 CPT 15155 | $3,660.97 | $8,741.00 | $1,564.61 – $3,844.02 | 7 |
| Cult skin grft t/arm/leg CPT 15150 | $1,829.23 | $4,989.00 | $1,367.62 – $1,920.69 | 7 |
| Cultr oocyte/embryo <4 days CPT 89250 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Cultr oocyte/embryo <4 days CPT 89251 | $171.36 | not published | $171.36 – $567.64 | 7 |
| Culture aerobic additional method definitive id each CPT 87077 | $8.08 | $129.00 | $8.08 – $38.03 | 11 |
| Culture afb any source CPT 87116 | $10.80 | $118.00 | $6.60 – $50.83 | 11 |
| Culture anaerobic additional method definitive id each CPT 87076 | $8.08 | $317.00 | $6.60 – $38.03 | 11 |
| Culture anaerobic except blood CPT 87075 | $9.47 | $138.00 | $9.47 – $44.57 | 11 |
| Culture bact stool aero addl path ea CPT 87046 | $9.44 | $110.00 | $3.30 – $44.43 | 11 |
| Culture body fluid CPT 87070 | $8.62 | $347.00 | $8.62 – $40.57 | 11 |
| Culture fungi definitive id mold CPT 87107 | $10.32 | $130.00 | $10.32 – $48.57 | 11 |
| Culture fungi definitive id yeast CPT 87106 | $10.32 | $2,145.00 | $8.80 – $48.57 | 11 |
| Culture fungi other (except blood) CPT 87102 | $8.41 | $130.00 | $8.41 – $39.58 | 11 |
| Culture fungi skin/hair/nail CPT 87101 | $7.71 | $130.00 | $7.71 – $36.29 | 11 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $14.61 | $55.00 | $13.20 – $68.76 | 11 |
| Culture mycoplasma any source CPT 87109 | $15.39 | $76.00 | $15.39 – $72.43 | 11 |
| Culture quantitative aerobic other source CPT 87071 | $9.89 | $83.00 | $6.60 – $46.54 | 11 |
| Culture screening strep group a CPT 87081 | $6.63 | $130.00 | $6.63 – $31.20 | 11 |
| Culture typing added method CPT 87158 | $7.74 | $75.00 | $3.30 – $36.43 | 11 |
| Culture typing immunologic CPT 87147 | $5.18 | $66.00 | $3.30 – $24.38 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $218.06 | $600.00 | $191.90 – $290.02 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $35.09 | $99.00 | $30.88 – $165.14 | 11 |
| Culture urine each isolate CPT 87088 | $8.09 | $77.00 | $2.97 – $38.07 | 11 |
| Culture virus isolation CPT 87250 | $19.56 | not published | $19.56 – $92.05 | 12 |
| Curette/treat cornea CPT 65435 | $968.54 | $2,357.00 | $149.40 – $1,016.97 | 7 |
| Curette/treat cornea CPT 65436 | $2,332.96 | $5,625.00 | $794.30 – $2,449.61 | 7 |
| Cutter lead HCPCS C1773 | not published | $23,882.40 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,553.44 | $3,782.00 | $123.23 – $1,631.11 | 7 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $23.16 – $23.16 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $35.08 – $35.08 | 1 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $0.81 – $5.53 | 5 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $14.32 | $122.00 | $14.32 – $67.39 | 11 |
| Cyclic citrullinated peptide antibody CPT 86200 | $12.95 | $273.00 | $11.40 – $60.95 | 11 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $0.62 | not published | $0.53 – $1.22 | 7 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.82 – $5.18 | 5 |
| Cyclosporine 2 hour CPT 80158 | $18.05 | $248.00 | $18.05 – $84.95 | 11 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $61.79 – $133.92 | 5 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.65 – $1.61 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $1.76 – $4.79 | 5 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | not published | $43,756.97 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $291.36 | $1,099.00 | $256.40 – $1,371.21 | 11 |
| Cyp2c9 gene com variants CPT 81227 | $174.81 | $1,099.00 | $153.84 – $822.70 | 11 |
| Cyp2d6 gene com variants CPT 81226 | $450.91 | $1,047.00 | $396.80 – $2,122.09 | 11 |
| Cyp3a4 gene common variants CPT 81230 | $174.81 | not published | $153.84 – $822.70 | 12 |
| Cyp3a5 gene common variants CPT 81231 | $174.81 | not published | $153.84 – $822.70 | 12 |
| Cystatin c CPT 82610 | $18.52 | $94.00 | $16.30 – $87.16 | 11 |
| Cystic fibrosis cftr CPT 81223 | $499.00 | $3,724.00 | $439.12 – $2,348.41 | 11 |
| Cystine urine quantitative CPT 82131 | $22.98 | $158.00 | $20.50 – $108.15 | 11 |
| Cysto cgen post urtl valves CPT 52400 | $3,448.97 | $6,336.00 | $1,005.13 – $3,621.42 | 7 |
| Cysto impl 4 or more HCPCS C9740 | $9,247.15 | $14,300.00 | $9,247.15 – $9,709.51 | 6 |
| Cysto insj dev ischmc rmdlg CPT 53865 | $9,247.15 | not published | $9,247.15 – $9,709.51 | 6 |
| Cysto rx balo cath urtl strx CPT 52284 | $5,083.62 | $16,473.00 | $342.25 – $5,337.80 | 7 |
| Cysto w/renal stricture tx CPT 52343 | $3,448.97 | $6,094.00 | $712.80 – $3,621.42 | 7 |
| Cysto w/up stricture tx CPT 52342 | $3,448.97 | $6,094.00 | $641.98 – $3,621.42 | 7 |
| Cysto w/ureter stricture tx CPT 52341 | $3,448.97 | $4,891.00 | $590.08 – $3,621.42 | 8 |
| Cysto, litho, vacuum kidney HCPCS C9761 | $9,247.15 | $27,225.00 | $9,247.15 – $9,709.51 | 6 |
| Cysto/uretero stricture tx CPT 52344 | $3,448.97 | $7,497.00 | $766.04 – $3,621.42 | 7 |
| Cysto/uretero w/lithotripsy CPT 52356 | $5,083.62 | $10,670.00 | $860.45 – $8,322.52 | 8 |
| Cysto/uretero w/up stricture CPT 52345 | $3,448.97 | $6,094.00 | $817.18 – $3,621.42 | 7 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $357.13 | $1,291.00 | $79.32 – $374.99 | 8 |
| Cystometrogram w/up 51727 CPT 51727 | $667.47 | $1,524.00 | $667.47 – $812.84 | 7 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | $2,743.00 | $1,891.95 – $1,891.95 | 1 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $9,247.15 | $10,957.00 | $1,583.21 – $9,709.51 | 7 |
| Cystoscopy & duct catheter CPT 52010 | $667.47 | not published | $345.18 – $1,163.86 | 8 |
| Cystoscopy & revise urethra CPT 52270 | $2,048.51 | $4,235.00 | $378.06 – $2,150.94 | 7 |
| Cystoscopy & revise urethra CPT 52275 | $2,048.51 | $5,102.00 | $515.47 – $2,150.94 | 7 |
| Cystoscopy & ureter catheter CPT 52005 | $2,048.51 | $5,158.00 | $279.39 – $2,150.94 | 7 |
| Cystoscopy (Bladder Scope) CPT 52000 | $667.47 | $4,074.00 | $167.49 – $700.84 | 7 |
| Cystoscopy and biopsy CPT 52007 | $3,448.97 | $7,589.00 | $347.27 – $3,621.42 | 7 |
| Cystoscopy and radiotracer CPT 52250 | $3,448.97 | $6,454.00 | $496.64 – $3,621.42 | 7 |
| Cystoscopy and treatment CPT 52214 | $3,448.97 | $5,253.00 | $361.03 – $3,621.42 | 7 |
| Cystoscopy and treatment CPT 52224 | $3,448.97 | $5,800.00 | $417.79 – $3,621.42 | 7 |
| Cystoscopy and treatment CPT 52234 | $3,448.97 | $6,160.00 | $510.67 – $3,621.42 | 7 |
| Cystoscopy and treatment CPT 52235 | $3,448.97 | $8,250.00 | $599.19 – $3,621.42 | 7 |
| Cystoscopy and treatment CPT 52240 | $5,083.62 | $8,250.00 | $812.33 – $5,337.80 | 7 |
| Cystoscopy and treatment CPT 52260 | $2,048.51 | $4,764.00 | $438.32 – $2,150.94 | 7 |
| Cystoscopy and treatment CPT 52265 | $2,048.51 | $3,494.00 | $339.42 – $2,150.94 | 7 |
| Cystoscopy and treatment CPT 52276 | $2,048.51 | $5,308.00 | $548.54 – $2,150.94 | 7 |
| Cystoscopy and treatment CPT 52277 | $3,448.97 | $7,076.00 | $669.78 – $3,621.42 | 7 |
| Cystoscopy and treatment CPT 52283 | $2,048.51 | $5,577.00 | $419.53 – $2,150.94 | 7 |
| Cystoscopy and treatment CPT 52285 | $667.47 | $4,758.00 | $409.01 – $700.84 | 7 |
| Cystoscopy and treatment CPT 52290 | $2,048.51 | $5,473.00 | $505.75 – $2,150.94 | 7 |
| Cystoscopy and treatment CPT 52300 | $3,448.97 | $7,076.00 | $580.79 – $3,621.42 | 7 |
| Cystoscopy and treatment CPT 52301 | $3,448.97 | $6,699.00 | $601.80 – $3,621.42 | 7 |
| Cystoscopy and treatment CPT 52305 | $5,083.62 | $8,506.00 | $576.25 – $5,337.80 | 7 |
| Cystoscopy and treatment CPT 52310 | $2,048.51 | $6,114.00 | $315.84 – $2,150.94 | 7 |
| Cystoscopy and treatment CPT 52315 | $2,048.51 | $4,915.00 | $569.39 – $2,150.94 | 7 |
| Cystoscopy and treatment CPT 52320 | $3,448.97 | $7,704.00 | $510.18 – $3,621.42 | 7 |
| Cystoscopy and treatment CPT 52330 | $3,448.97 | $7,497.00 | $545.91 – $3,621.42 | 7 |
| Cystoscopy chemodenervation CPT 52287 | $2,048.51 | $4,840.00 | $351.12 – $2,150.94 | 7 |
| Cystoscopy implant stent CPT 52282 | $3,448.97 | $8,806.00 | $699.38 – $3,621.42 | 7 |
| Cystoscopy inject material CPT 52327 | $5,083.62 | $10,731.00 | $534.19 – $8,322.52 | 8 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | $5,083.62 | $11,468.00 | $5,083.62 – $5,337.80 | 6 |
| Cystoscopy removal of clots CPT 52001 | $3,448.97 | $4,721.00 | $596.17 – $3,621.42 | 7 |
| Cystoscopy stone removal CPT 52325 | $5,083.62 | $8,111.00 | $662.39 – $5,337.80 | 7 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,048.51 | $5,115.00 | $628.81 – $2,150.94 | 7 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | $3,448.97 | $5,724.00 | $1,647.27 – $3,621.42 | 7 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $3,448.97 | not published | $1,008.07 – $3,621.42 | 8 |
| Cystouretero & or pyeloscope CPT 52351 | $3,448.97 | $5,342.00 | $628.41 – $3,621.42 | 7 |
| Cystouretero w/biopsy CPT 52354 | $5,083.62 | $6,820.00 | $863.47 – $8,322.52 | 8 |
| Cystouretero w/excise tumor CPT 52355 | $5,083.62 | $8,225.00 | $967.18 – $5,337.80 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | $5,083.62 | $9,127.00 | $811.57 – $8,322.52 | 8 |
| Cystouretero w/renal strict CPT 52346 | $5,083.62 | $11,008.00 | $923.70 – $5,337.80 | 7 |
| Cystouretero w/stone remove CPT 52352 | $3,448.97 | $5,796.00 | $733.81 – $6,058.60 | 8 |
| Cystourethro cut ejacul duct CPT 52402 | $3,448.97 | $6,167.00 | $547.74 – $3,621.42 | 7 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | $185.00 | $104.49 – $104.49 | 1 |
| Cystourethro w/implant CPT 52441 | not published | $692.00 | $434.85 – $434.85 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,048.51 | $7,497.00 | $317.86 – $2,150.94 | 7 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $2,048.51 | $6,050.00 | $295.72 – $2,150.94 | 7 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.69 – $2.23 | 5 |
| Cyto/molecular report CPT 88291 | not published | $2,130.00 | $23.16 – $62.41 | 2 |
| Cytogenetics 25-99 CPT 88274 | $42.38 | $117.00 | $42.38 – $199.45 | 10 |
| Cytogenetics 3-5 CPT 88272 | $40.70 | not published | $40.70 – $191.54 | 11 |
| Cytogenom microarray copy nmbr var CPT 81228 | $900.00 | $3,183.00 | $792.00 – $4,235.62 | 11 |
| Cytogenomic neo microra alys CPT 81277 | $1,160.00 | not published | $1,020.80 – $5,459.24 | 11 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $14.39 | $2,145.00 | $13.20 – $67.72 | 11 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $16.85 | $158.00 | $13.20 – $79.30 | 11 |
| Cytomegalovirus dfa CPT 87271 | $13.42 | not published | $11.00 – $63.16 | 12 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $1,809.44 | not published | $1,538.02 – $3,275.93 | 11 |
| Cytopath c/v auto in fluid CPT 88174 | $25.37 | not published | $25.37 – $119.40 | 12 |
| Cytopath c/v index add-on CPT 88155 | $14.65 | not published | $6.60 – $68.95 | 12 |
| Cytopath fl nongyn filter CPT 88106 | $24.49 | not published | $13.20 – $138.16 | 9 |
| Cytopath smear oth prep screen & interp CPT 88161 | $24.49 | $336.00 | $13.20 – $157.09 | 8 |
| Cytopath smear other source CPT 88160 | $24.49 | $127.00 | $8.46 – $153.81 | 8 |
| Cytopath smear other source CPT 88162 | $53.43 | not published | $53.43 – $248.76 | 9 |
| Cytopath tbs c/v manual CPT 88164 | $18.19 | $90.00 | $6.60 – $71.30 | 11 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $53.43 | $298.00 | $19.80 – $130.52 | 8 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $26.61 | $433.00 | $26.61 – $125.23 | 11 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $20.26 | $330.00 | $19.80 – $95.35 | 11 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $39.25 | $380.00 | $13.20 – $132.56 | 8 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $39.25 | $419.00 | $13.20 – $145.56 | 8 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | $422.00 | $26.64 – $55.21 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $171.36 | $385.00 | $44.00 – $179.93 | 8 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $53.43 | $422.00 | $27.50 – $321.10 | 8 |
| Cytotoxic antibody screening CPT 86807 | $78.65 | $220.00 | $47.40 – $370.15 | 11 |
| Cytotoxic antibody screening CPT 86808 | $29.68 | not published | $29.68 – $139.68 | 12 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $171.36 | $1,188.00 | $171.36 – $820.39 | 8 |
| D&c after delivery 59160 CPT 59160 | $3,179.53 | $6,480.00 | $405.38 – $3,338.51 | 7 |
| D&c of cervical stump CPT 57558 | $3,179.53 | $6,745.00 | $280.89 – $3,338.51 | 7 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,179.53 | $5,735.00 | $503.13 – $3,338.51 | 7 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $3.25 – $11.90 | 5 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $302.92 | not published | $257.48 – $3,012.64 | 11 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $15.55 | not published | $13.22 – $34.12 | 11 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $15.33 – $25.30 | 5 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | $0.05 | not published | $0.04 – $0.44 | 7 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $1.12 | 6 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $54.67 | not published | $46.47 – $96.70 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $3.00 | not published | $2.55 – $7.93 | 11 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $3.00 | not published | $2.55 – $7.93 | 11 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $255.09 | not published | $216.83 – $445.89 | 10 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $19.76 | not published | $16.80 – $99.71 | 11 |
| Dbrdmt prmlg les w/pdt CPT 96574 | $198.70 | not published | $198.70 – $500.11 | 8 |
| Dch glucoscan CPT 82948 | $5.04 | $55.00 | $1.65 – $23.72 | 11 |
| Dch pulmonary stress test CPT 94621 | $311.40 | $2,420.00 | $273.18 – $326.97 | 7 |
| Dch validity tests CPT 81002 | $3.48 | $45.00 | $1.10 – $16.38 | 11 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $1,952.77 | $9,407.00 | $1,295.56 – $2,050.41 | 7 |
| Dcmprn orbit only transcrnl CPT 61330 | $3,243.07 | not published | $3,243.07 – $4,618.73 | 8 |
| Dcmprn plantar digital nerve CPT 64726 | $1,952.77 | $4,250.00 | $581.06 – $2,050.41 | 7 |
| Deamidated gliadin antibody iga CPT 86258 | $12.05 | $158.00 | $10.14 – $16.03 | 10 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | $4,202.00 | $1,452.20 – $1,452.20 | 1 |
| Debr inf skin add-on 11001 CPT 11001 | not published | $275.00 | $30.89 – $30.89 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $612.13 | $3,300.00 | $323.71 – $642.74 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $612.13 | $1,124.00 | $57.34 – $642.74 | 7 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $198.70 | $495.00 | $109.52 – $208.64 | 7 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $703.59 | $2,173.00 | $588.37 – $738.77 | 7 |
| Debride nail1-5 11720 CPT 11720 | $59.40 | $303.00 | $29.24 – $62.37 | 7 |
| Debride nail6 or more 11721 CPT 11721 | $59.40 | $385.00 | $48.78 – $62.37 | 7 |
| Debride skin bone at fx site CPT 11012 | $2,862.05 | $5,398.00 | $877.16 – $3,005.15 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | $4,202.00 | $1,604.35 – $1,604.35 | 1 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | $2,725.00 | $1,178.65 – $1,178.65 | 1 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $703.59 | $1,997.00 | $627.93 – $738.77 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | $1,063.00 | $52.48 – $52.48 | 1 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | $688.00 | $40.79 – $240.27 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,620.24 | $4,950.00 | $473.34 – $1,701.25 | 7 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $399.53 | $1,925.00 | $128.58 – $419.51 | 7 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | $1,045.00 | $114.30 – $114.30 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | $3,080.00 | $201.95 – $201.95 | 1 |
| Decalcification CPT 88311 | not published | $136.00 | $6.60 – $6.60 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.35 – $29.62 | 6 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $331.69 | $1,109.00 | $78.41 – $348.27 | 7 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $3,244.61 | $6,994.00 | $1,007.93 – $3,406.84 | 7 |
| Decomp forearm 1 space 25020 CPT 25020 | $1,600.41 | $5,277.00 | $1,600.41 – $1,680.43 | 7 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $1,600.41 | not published | $1,600.41 – $2,718.61 | 8 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | $12,690.00 | $674.29 – $674.29 | 1 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $7,143.73 | $12,716.00 | $3,489.32 – $7,500.92 | 7 |
| Decompress fasciotomyhand 26037 CPT 26037 | $3,244.61 | $6,065.00 | $1,228.57 – $3,406.84 | 7 |
| Decompress fingers/hand CPT 26035 | $3,244.61 | $6,065.00 | $1,879.70 – $3,406.84 | 7 |
| Decompress forearm 1 space CPT 25023 | $3,244.61 | $6,686.00 | $2,867.97 – $3,406.84 | 7 |
| Decompress forearm 2 spaces CPT 25024 | $3,244.61 | $6,760.00 | $1,695.58 – $3,406.84 | 7 |
| Decompress optic nerve CPT 67570 | $3,771.00 | $8,616.00 | $2,757.32 – $3,959.55 | 7 |
| Decompress small bowel CPT 44021 | not published | not published | $2,051.34 – $2,051.34 | 1 |
| Decompress spinal cord lmbr CPT 63056 | $7,143.73 | $13,367.00 | $3,196.51 – $7,500.92 | 7 |
| Decompress spinal cord thrc CPT 63064 | $7,143.73 | not published | $3,806.85 – $11,798.15 | 8 |
| Decompression fasct forearm CPT 24495 | $7,143.73 | $8,225.00 | $2,033.63 – $7,500.92 | 7 |
| Decompression of leg CPT 27892 | $3,244.61 | $6,634.00 | $1,155.29 – $3,406.84 | 7 |
| Decompression of leg CPT 27893 | $7,143.73 | $11,424.00 | $1,347.26 – $7,500.92 | 7 |
| Decompression of leg CPT 27894 | $3,244.61 | not published | $1,739.41 – $5,430.31 | 8 |
| Decompression of lower leg CPT 27600 | $3,244.61 | $6,268.00 | $858.22 – $3,406.84 | 7 |
| Decompression of lower leg CPT 27601 | $3,244.61 | $6,268.00 | $960.46 – $3,406.84 | 7 |
| Decompression of thigh/knee CPT 27496 | $3,244.61 | $5,820.00 | $1,211.28 – $3,406.84 | 7 |
| Decompression of thigh/knee CPT 27497 | $3,244.61 | $9,821.00 | $1,270.36 – $3,406.84 | 7 |
| Decompression of thigh/knee CPT 27498 | $1,600.41 | $3,938.00 | $1,438.85 – $1,680.43 | 7 |
| Decompression of thigh/knee CPT 27499 | $7,143.73 | not published | $1,533.22 – $7,500.92 | 8 |
| Decompression of tibia nerve CPT 28035 | $1,952.77 | $6,271.00 | $779.27 – $3,377.16 | 8 |
| Decompression unspecified nerve 64722 CPT 64722 | $1,952.77 | $4,250.00 | $810.83 – $2,050.41 | 7 |
| Decompressive craniotomy CPT 61322 | not published | not published | $5,114.32 – $5,114.32 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | $2,862.05 | $7,157.00 | $329.84 – $3,005.15 | 7 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $7.67 – $15.46 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4.36 | not published | $3.71 – $8.72 | 11 |
| Delay flap arms/legs CPT 15610 | $1,829.23 | $4,267.00 | $537.63 – $1,920.69 | 7 |
| Delay flap eye/nos/ear/lip CPT 15630 | $1,829.23 | $4,462.00 | $750.98 – $1,920.69 | 7 |
| Delay flap fccnaxghf 15620 CPT 15620 | $1,829.23 | $5,827.00 | $714.46 – $1,920.69 | 7 |
| Delay flap trunk 15600 CPT 15600 | $3,660.97 | $7,150.00 | $468.59 – $3,844.02 | 7 |
| Delayed breast prosthesis 19342 CPT 19342 | $9,569.05 | $15,468.00 | $1,642.29 – $15,419.08 | 8 |
| Delivery of placenta 59414 CPT 59414 | $3,179.53 | $5,939.00 | $189.92 – $3,338.51 | 7 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,968.24 – $1,968.24 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $2,935.59 – $2,935.59 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | $2,047.00 | $1,341.61 – $1,341.61 | 1 |
| Demonstrate use home inr mon HCPCS G0248 | $128.87 | not published | $96.90 – $246.68 | 9 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $203.39 | $440.00 | $32.67 – $359.00 | 9 |
| Denervation of hip joint CPT 27035 | $3,244.61 | not published | $2,431.80 – $5,430.31 | 8 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $29.24 | not published | $24.85 – $45.55 | 11 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $128.90 | $849.00 | $128.90 – $341.34 | 7 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $1.03 – $4.71 | 4 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $29.26 – $51.37 | 5 |
| Derm autograft face/nck/hf/g CPT 15135 | $3,660.97 | $6,433.00 | $1,626.78 – $3,844.02 | 7 |
| Derm autograft trnk/arm/leg CPT 15130 | $1,829.23 | $5,686.00 | $1,293.05 – $1,920.69 | 7 |
| Derma-fat-fascia graft 15770 CPT 15770 | $3,660.97 | $7,150.00 | $1,459.39 – $3,844.02 | 7 |
| Dermabrasion other than face CPT 15782 | $2,862.05 | $6,050.00 | $806.81 – $3,005.15 | 7 |
| Dermabrasion segmental face 15781 CPT 15781 | $703.59 | $1,493.00 | $703.59 – $929.20 | 7 |
| Dermabrasion suprfl any site CPT 15783 | $399.53 | $935.00 | $399.53 – $773.85 | 7 |
| Dermabrasion total face CPT 15780 | $2,862.05 | $5,617.00 | $1,437.06 – $3,005.15 | 7 |
| Dermagraft HCPCS Q4106 | not published | $73.00 | $59.78 – $59.78 | 1 |
| Dermal filler injection(s) HCPCS G0429 | $1,829.23 | not published | $122.09 – $3,206.35 | 8 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $2,269.70 – $2,269.70 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | $5,325.00 | $3,121.91 – $3,121.91 | 1 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $795.08 – $795.08 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | $6,170.00 | $3,633.32 – $3,633.32 | 1 |
| Description not available HCPCS S0013 | not published | not published | $15.57 – $15.57 | 1 |
| Design custom breast implant CPT 19396 | $3,829.28 | $7,563.00 | $303.97 – $4,020.74 | 7 |
| Design mlc device for imrt CPT 77338 | $366.07 | $4,490.00 | $293.00 – $895.92 | 7 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $3.89 | not published | $3.31 – $25.79 | 11 |
| Desoxycorticosterone CPT 82633 | $30.98 | $318.00 | $30.98 – $145.80 | 11 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $198.70 | $879.00 | $198.70 – $253.49 | 7 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $198.70 | not published | $198.70 – $650.15 | 8 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $198.70 | $452.00 | $187.57 – $208.64 | 7 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $198.70 | $481.00 | $198.70 – $225.88 | 7 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $198.70 | not published | $198.70 – $365.25 | 8 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $198.70 | not published | $198.70 – $365.25 | 8 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $198.70 | not published | $188.33 – $365.25 | 8 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $198.70 | not published | $198.70 – $365.25 | 8 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $198.70 | not published | $198.70 – $365.25 | 8 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $198.70 | not published | $152.63 – $365.25 | 8 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,952.77 | $4,300.00 | $407.78 – $3,377.16 | 8 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | $1,870.00 | $140.02 – $140.02 | 1 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,179.08 | $1,785.00 | $332.83 – $1,238.03 | 7 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $198.70 | $490.00 | $120.66 – $208.64 | 7 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $1,829.23 | $3,945.00 | $459.97 – $1,920.69 | 7 |
| Destroy vulva lesion simple 56501 CPT 56501 | $1,829.23 | $3,854.00 | $292.90 – $1,920.69 | 7 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $198.70 | $521.00 | $182.03 – $208.64 | 7 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $612.13 | $1,244.00 | $612.13 – $778.80 | 7 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $399.53 | $1,068.00 | $399.53 – $598.43 | 7 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $1,829.23 | $3,991.00 | $1,137.12 – $1,920.69 | 7 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $1,829.23 | $4,897.00 | $209.10 – $1,920.69 | 7 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | $209.00 | $4.26 – $4.26 | 1 |
| Destruction anal lesion(s) CPT 46910 | $1,829.23 | $4,805.00 | $292.90 – $1,920.69 | 7 |
| Destruction anal lesion(s) CPT 46924 | $2,742.39 | $7,497.00 | $389.18 – $2,879.51 | 7 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $399.53 | $956.00 | $297.98 – $419.51 | 7 |
| Destruction benign lesions < 14 lesions CPT 17110 | $198.70 | $495.00 | $150.93 – $208.64 | 7 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $890.29 | $2,340.00 | $408.03 – $934.80 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,952.77 | $6,001.00 | $408.53 – $3,377.16 | 8 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | $3,850.00 | $122.43 – $122.43 | 1 |
| Destruction ciliary body CPT 66700 | $2,280.73 | not published | $841.01 – $3,968.52 | 8 |
| Destruction ciliary body CPT 66720 | $2,332.96 | not published | $890.77 – $3,752.25 | 8 |
| Destruction ciliary body CPT 66740 | $2,332.96 | $4,544.00 | $841.01 – $2,449.61 | 7 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $198.70 | $452.00 | $198.70 – $308.16 | 7 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $2,742.39 | $5,106.00 | $278.72 – $2,879.51 | 7 |
| Destruction les conjunctiva CPT 68135 | $2,332.96 | $3,488.00 | $321.78 – $2,449.61 | 7 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $399.53 | not published | $293.24 – $650.15 | 8 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $399.53 | not published | $357.04 – $650.15 | 8 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $399.53 | not published | $279.73 – $650.15 | 8 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $399.53 | not published | $327.22 – $650.15 | 8 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $399.53 | $1,170.00 | $233.76 – $419.51 | 7 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $1,829.23 | $4,450.00 | $371.16 – $1,920.69 | 7 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $399.53 | $879.00 | $212.04 – $419.51 | 7 |
| Destruction rectal tumor 45190 CPT 45190 | $2,742.39 | $6,337.00 | $1,497.93 – $2,879.51 | 7 |
| Destruction vag lesions complex 57065 CPT 57065 | $3,179.53 | $6,813.00 | $403.07 – $3,338.51 | 7 |
| Destruction vag lesions simple 57061 CPT 57061 | $3,179.53 | $6,774.00 | $253.46 – $3,338.51 | 7 |
| Detect agent nos dna dir CPT 87797 | $30.03 | $151.00 | $27.50 – $141.33 | 11 |
| Detect agnt mult dna direc CPT 87800 | $43.67 | not published | $27.50 – $205.52 | 12 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | $519.00 | $95.68 – $851.00 | 5 |
| Devel tst phys/qhp 1st hr CPT 96112 | $156.46 | $615.00 | $154.00 – $851.00 | 10 |
| Developmental screen/score/document 96110 CPT 96110 | not published | $349.00 | $21.19 – $851.00 | 5 |
| Device ablt adv novasure HCPCS C1886 | not published | $12,537.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,046.19 – $1,444.03 | 2 |
| Device sut capio slim opn HCPCS C2631 | not published | $4,010.16 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | not published | $4,960.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $88.05 | $495.00 | $61.07 – $92.45 | 8 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $101.49 | not published | $86.27 – $288.19 | 9 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.06 – $4.43 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.02 – $0.38 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.10 – $0.24 | 5 |
| Dexamethasone intra implant HCPCS J7312 | $205.28 | not published | $174.49 – $429.50 | 11 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | $0.64 | not published | $0.64 – $0.67 | 6 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $32.09 | not published | $27.28 – $457.41 | 11 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $29.31 – $47.99 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $2.58 – $7.69 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.16 – $2.19 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $1.65 – $16.71 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.73 – $3.84 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $22.23 | $371.00 | $22.23 – $104.62 | 11 |
| Diab manage trn ind/group HCPCS G0109 | $19.66 | $165.00 | $19.66 – $792.00 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | $9.71 | $179.00 | $7.26 – $45.70 | 11 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $29.79 | not published | $8.24 – $31.28 | 7 |
| Diag bronchoscope/catheter CPT 31643 | $1,724.47 | $3,934.00 | $348.10 – $1,810.69 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | $5,834.36 | $10,534.00 | $704.38 – $6,126.08 | 7 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $207.95 | $1,100.00 | $207.95 – $424.67 | 8 |
| Diagnostic Mammogram (one breast) CPT 77065 | $164.52 | $843.00 | $164.52 – $332.10 | 8 |
| Diagnostic anoscopy CPT 46601 | $399.04 | $317.00 | $198.47 – $418.99 | 7 |
| Diagnostic anoscopy & biopsy CPT 46607 | $1,179.08 | $5,623.00 | $262.92 – $1,238.03 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $128.90 | $372.00 | $89.07 – $135.35 | 7 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $372.30 – $372.30 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | $273.00 | $309.96 – $309.96 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $194.14 | $499.00 | $107.63 – $203.85 | 7 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $194.14 | $626.00 | $147.87 – $203.85 | 7 |
| Diagnostic radio unlisted proc CPT 76499 | $88.05 | $246.00 | $88.05 – $92.45 | 6 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | $5,578.00 | $407.36 – $407.36 | 1 |
| Dialysis one evaluation CPT 90945 | $425.82 | $1,433.00 | $144.87 – $447.11 | 7 |
| Diathermy eg microwave CPT 97024 | $9.28 | not published | $9.28 – $134.55 | 9 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.06 – $0.15 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $5.24 – $15.41 | 5 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $9.93 – $113.99 | 5 |
| Difelikefalin, esrd on dialy HCPCS J0879 | $0.08 | not published | $0.08 – $17.75 | 7 |
| Diffusing capacity CPT 94729 | not published | $875.00 | $102.08 – $102.08 | 1 |
| Digital analysis of eeg CPT 95957 | not published | $869.00 | $104.00 – $522.73 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $3.40 – $34.38 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,968.58 | not published | $4,223.29 – $8,865.29 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $13.28 | $165.00 | $13.28 – $62.50 | 11 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $56.31 – $266.46 | 5 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,448.97 | $6,146.00 | $309.03 – $3,621.42 | 7 |
| Dilat xst trc new access rcs CPT 50437 | $3,448.97 | $9,427.00 | $509.88 – $3,621.42 | 7 |
| Dilate biliary duct/ampulla CPT 47542 | not published | $3,007.00 | $274.44 – $274.44 | 1 |
| Dilate esophagus CPT 43453 | $1,896.99 | $3,549.00 | $183.44 – $1,991.84 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | $937.56 | $2,750.00 | $168.75 – $984.44 | 7 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | $3,860.00 | $672.67 – $672.67 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | $559.00 | $336.34 – $336.34 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | $1,257.00 | $957.72 – $957.72 | 1 |
| Dilate tear duct opening CPT 68801 | $399.04 | $802.00 | $173.70 – $418.99 | 7 |
| Dilate urethra stricture CPT 53600 | $243.21 | $994.00 | $132.30 – $255.37 | 7 |
| Dilate urethra stricture CPT 53601 | $128.90 | $300.00 | $111.50 – $135.35 | 7 |
| Dilate urethra stricture CPT 53605 | $3,448.97 | $5,441.00 | $132.47 – $3,621.42 | 7 |
| Dilate urethra stricture CPT 53621 | $243.21 | not published | $150.03 – $479.04 | 8 |
| Dilation of anal sphincter CPT 45905 | $1,179.08 | $4,363.00 | $368.29 – $1,238.03 | 7 |
| Dilation of cervical canal 57800 CPT 57800 | $3,179.53 | $5,540.00 | $103.04 – $3,338.51 | 7 |
| Dilation of rectal stricture 45910 CPT 45910 | $1,179.08 | $4,072.00 | $415.65 – $1,238.03 | 7 |
| Dilation of salivary duct CPT 42660 | $509.25 | $1,029.00 | $186.18 – $534.71 | 7 |
| Dilation of urethra CPT 53661 | $128.90 | not published | $84.86 – $220.41 | 8 |
| Dilation of urethra CPT 53665 | $2,048.51 | $4,012.00 | $78.54 – $2,150.94 | 7 |
| Dilation of vagina CPT 57400 | $3,179.53 | $6,167.00 | $276.16 – $3,338.51 | 7 |
| Dilation salivary duct 42650 CPT 42650 | $1,481.28 | $4,005.00 | $128.16 – $1,555.34 | 7 |
| Dilation/female urethra/initial 53660 CPT 53660 | $156.46 | not published | $87.95 – $281.42 | 8 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $667.47 | $3,837.00 | $181.89 – $700.84 | 7 |
| Dilator fascial 10fx20cm HCPCS C2627 | not published | $784.37 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.03 – $0.03 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $76.75 – $76.86 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $6.58 – $15.59 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $742.90 | not published | $631.47 – $1,367.01 | 11 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.41 – $0.64 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.77 – $1.72 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | $46.00 | not published | 0 |
| Dir nsl mucous membrane test CPT 95065 | $39.25 | not published | $39.25 – $66.49 | 8 |
| Disability dlco CPT 94727 | $156.46 | $1,425.00 | $79.82 – $164.28 | 7 |
| Disaccharidases CPT 82657 | $22.17 | $2,805.00 | $22.17 – $104.34 | 11 |
| Disarticulation sho sec clsr CPT 23921 | $1,829.23 | not published | $1,042.87 – $3,206.35 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | $4,026.00 | $3,116.54 – $3,116.54 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $434.19 – $434.19 | 1 |
| Discography cerv/thor spine CPT 72285 | $1,952.77 | $5,057.00 | $252.83 – $2,050.41 | 8 |
| Dise eval slp do brth flx dx CPT 42975 | $1,724.47 | $2,226.00 | $206.84 – $1,810.69 | 7 |
| Dissolve clot heart vessel CPT 92975 | not published | $1,085.00 | $104.00 – $616.32 | 3 |
| Dist revas ligation hemo CPT 36838 | $5,405.70 | $10,578.00 | $2,324.33 – $5,675.99 | 7 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $5,915.66 | $12,472.00 | $1,699.19 – $6,211.44 | 7 |
| Division of fallopian tube 58605 CPT 58605 | not published | $869.00 | $726.70 – $726.70 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | $1,349.00 | $593.36 – $593.36 | 1 |
| Dmd dup/delet analysis CPT 81161 | $279.00 | $1,340.00 | $245.52 – $1,313.04 | 11 |
| Dmpk gene detc abnor allele CPT 81234 | $137.00 | $755.00 | $120.56 – $644.75 | 11 |
| Dna antibody native/double stranded CPT 86225 | $13.74 | $276.00 | $13.74 – $64.66 | 11 |
| Dna gardnerella CPT 87510 | $20.05 | $106.00 | $20.05 – $94.36 | 11 |
| Dna probe chlamydia CPT 87490 | $22.75 | not published | $22.00 – $107.07 | 12 |
| Dna probe gc CPT 87590 | $26.88 | not published | $26.88 – $126.50 | 12 |
| Dna trichomonas CPT 87660 | $20.05 | $106.00 | $20.05 – $94.36 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $6.78 – $13.10 | 5 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | $49.08 | not published | $41.72 – $51.53 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.32 – $3.00 | 6 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $10.18 – $11.09 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $127.62 – $166.98 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.56 – $1.42 | 5 |
| Doppler echo complete CPT 93320 | not published | $1,359.00 | $90.08 – $90.08 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | $4,785.00 | $602.64 – $14,806.00 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $156.46 | $1,518.00 | $104.00 – $2,793.00 | 10 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $128.90 | $633.00 | $104.00 – $2,793.00 | 10 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.84 – $1.30 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $46.89 – $102.67 | 6 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | $83,600.80 | $18,198.48 – $36,123.85 | 3 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $243.82 | not published | $207.25 – $461.97 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.31 – $8.15 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $109.28 | not published | $92.89 – $789.35 | 11 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.10 – $0.10 | 1 |
| Dpyd gene common variants CPT 81232 | $174.81 | $616.00 | $153.84 – $822.70 | 11 |
| Drain bladder by trocar/cath CPT 51101 | $1,017.39 | $1,411.00 | $105.84 – $1,068.26 | 7 |
| Drain blood from under nail 11740 CPT 11740 | $128.90 | $286.00 | $70.46 – $135.35 | 7 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,620.24 | $3,309.00 | $420.26 – $1,701.25 | 7 |
| Drain cath image guided visceral pq CPT 49405 | $1,620.24 | $4,927.00 | $397.03 – $1,701.25 | 7 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $692.52 | $2,577.00 | $192.67 – $727.15 | 7 |
| Drain chest lesion CPT 21502 | $3,244.61 | $7,527.00 | $1,087.74 – $3,406.84 | 7 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $27.70 – $164.35 | 4 |
| Drain finger abscess;simple 26010 CPT 26010 | $198.70 | $869.00 | $198.70 – $311.45 | 7 |
| Drain lower leg bursa CPT 27604 | $3,244.61 | $6,097.00 | $702.24 – $3,406.84 | 7 |
| Drain lower leg lesion 27603 CPT 27603 | $2,862.05 | $5,726.00 | $848.27 – $3,005.15 | 7 |
| Drain neck/chest lesion 21501 CPT 21501 | $2,862.05 | $6,299.00 | $739.50 – $3,005.15 | 7 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $2,389.54 – $2,389.54 | 1 |
| Drain ovarn cyst abd CPT 58805 | $3,179.53 | $7,748.00 | $926.29 – $3,338.51 | 7 |
| Drain ovary abscess open CPT 58820 | $3,179.53 | not published | $737.78 – $4,887.83 | 8 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | $3,389.00 | $2,332.86 – $2,332.86 | 1 |
| Drain penis lesion CPT 54015 | $1,620.24 | $4,356.00 | $645.94 – $1,701.25 | 7 |
| Drain shoulder bone lesion CPT 23035 | $1,600.41 | $4,733.00 | $1,476.97 – $1,680.43 | 7 |
| Drain shoulder bursa 23031 CPT 23031 | $2,862.05 | $5,738.00 | $487.05 – $3,005.15 | 7 |
| Drain shoulder lesion CPT 23030 | $2,862.05 | $5,738.00 | $553.69 – $3,005.15 | 7 |
| Drain thigh/knee lesion 27301 CPT 27301 | $2,862.05 | $6,813.00 | $1,110.31 – $3,005.15 | 7 |
| Drain thyroid/tongue cyst CPT 60000 | $1,481.28 | $3,710.00 | $347.80 – $1,555.34 | 7 |
| Drain to peritoneal cavity CPT 49062 | not published | $2,056.00 | $1,638.24 – $1,638.24 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $703.59 | $1,453.00 | $260.81 – $738.77 | 7 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $703.59 | $1,621.00 | $316.86 – $738.77 | 7 |
| Drainage external ear complex 69005 CPT 69005 | $1,620.24 | $3,484.00 | $351.53 – $1,701.25 | 7 |
| Drainage external ear simple 69000 CPT 69000 | $703.59 | $1,533.00 | $274.65 – $1,199.23 | 8 |
| Drainage lymph node lesion 38300 CPT 38300 | $2,862.05 | $6,377.00 | $458.79 – $3,005.15 | 7 |
| Drainage lymph node lesion 38305 CPT 38305 | $2,862.05 | not published | $1,071.54 – $3,005.15 | 8 |
| Drainage mouth roof lesion CPT 42000 | $232.22 | $721.00 | $232.22 – $243.83 | 7 |
| Drainage of arm bursa 23931 CPT 23931 | $1,620.24 | $3,774.00 | $355.84 – $1,701.25 | 7 |
| Drainage of bladder abscess CPT 51080 | $2,862.05 | not published | $876.26 – $4,923.06 | 8 |
| Drainage of eye CPT 65800 | $2,280.73 | $4,830.00 | $187.02 – $2,394.77 | 7 |
| Drainage of eye CPT 65810 | $2,280.73 | $5,372.00 | $999.82 – $2,394.77 | 7 |
| Drainage of eye CPT 65815 | $2,280.73 | $5,346.00 | $1,025.68 – $2,394.77 | 7 |
| Drainage of forearm bursa CPT 25031 | $1,600.41 | $4,748.00 | $820.14 – $1,680.43 | 7 |
| Drainage of kidney lesion CPT 50390 | $703.59 | $1,768.00 | $193.13 – $738.77 | 7 |
| Drainage of mouth lesion CPT 41005 | $232.22 | $1,219.00 | $232.22 – $254.12 | 7 |
| Drainage of mouth lesion CPT 41006 | $1,481.28 | $5,391.00 | $498.90 – $1,555.34 | 7 |
| Drainage of mouth lesion CPT 41007 | $1,481.28 | $4,019.00 | $478.23 – $1,555.34 | 7 |
| Drainage of mouth lesion CPT 41008 | $3,243.07 | $5,503.00 | $559.31 – $3,405.22 | 7 |
| Drainage of mouth lesion CPT 41009 | $509.25 | $1,214.00 | $509.25 – $620.12 | 7 |
| Drainage of mouth lesion CPT 41015 | $509.25 | $1,214.00 | $509.25 – $646.62 | 7 |
| Drainage of mouth lesion CPT 41016 | $5,915.66 | $10,303.00 | $749.51 – $6,211.44 | 7 |
| Drainage of mouth lesion CPT 41017 | $3,243.07 | $5,304.00 | $745.16 – $3,405.22 | 7 |
| Drainage of mouth lesion CPT 41018 | $1,481.28 | $2,413.00 | $865.95 – $1,555.34 | 7 |
| Drainage of nose lesion int 30000 CPT 30000 | $232.22 | $647.00 | $232.22 – $265.06 | 7 |
| Drainage of nose lesion sept 30020 CPT 30020 | $509.25 | $1,247.00 | $268.84 – $534.71 | 7 |
| Drainage of pelvis bursa CPT 26991 | $1,600.41 | $5,771.00 | $1,150.99 – $1,680.43 | 7 |
| Drainage of pelvis lesion 26990 CPT 26990 | $3,244.61 | $6,635.00 | $1,492.22 – $3,406.84 | 7 |
| Drainage of prostate abscess CPT 52700 | $3,448.97 | not published | $943.89 – $6,058.60 | 8 |
| Drainage of prostate abscess CPT 55720 | $3,448.97 | not published | $963.87 – $3,621.42 | 8 |
| Drainage of prostate abscess CPT 55725 | $3,448.97 | $8,460.00 | $1,270.90 – $3,621.42 | 7 |
| Drainage of rectal abscess CPT 45005 | $1,179.08 | $3,424.00 | $359.19 – $1,238.03 | 7 |
| Drainage of rectal abscess 45020 CPT 45020 | $2,742.39 | $6,123.00 | $1,220.32 – $2,879.51 | 7 |
| Drainage of salivary gland CPT 42305 | $3,243.07 | $6,190.00 | $940.02 – $3,405.22 | 7 |
| Drainage of salivary gland CPT 42320 | $509.25 | $1,065.00 | $390.49 – $534.71 | 7 |
| Drainage of throat abscess CPT 42725 | $5,915.66 | $16,931.00 | $1,716.30 – $6,211.44 | 7 |
| Drainage of urethra abscess CPT 53040 | $3,448.97 | $5,709.00 | $838.26 – $3,621.42 | 7 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,048.51 | $5,111.00 | $355.14 – $2,150.94 | 7 |
| Drainage of urinary leakage CPT 53080 | $667.47 | not published | $667.47 – $1,163.86 | 8 |
| Drainage of urinary leakage CPT 53085 | $2,048.51 | not published | $1,376.73 – $3,601.28 | 8 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $399.53 | $915.00 | $280.24 – $419.51 | 7 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $198.70 | $1,348.00 | $198.70 – $237.68 | 7 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $198.70 | $721.00 | $120.93 – $208.64 | 7 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $612.13 | $1,239.00 | $93.26 – $642.74 | 7 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | $7,586.32 | $41.75 – $59.00 | 2 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,973.53 – $1,973.53 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | $817.00 | $657.97 – $657.97 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | $2,378.00 | $1,667.57 – $1,667.57 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,244.61 | $6,299.00 | $1,226.03 – $3,406.84 | 7 |
| Drng of eyelid abscess 67700 CPT 67700 | $298.93 | $985.00 | $251.49 – $313.88 | 7 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,620.24 | $3,353.00 | $406.17 – $1,701.25 | 7 |
| Drng of hydrocele 55000 CPT 55000 | $703.59 | $1,817.00 | $179.62 – $738.77 | 7 |
| Drng of mouth lesion 40801 CPT 40801 | $509.25 | $1,641.00 | $431.17 – $534.71 | 7 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $3,179.53 | not published | $684.01 – $4,887.83 | 8 |
| Drng of palm multi bursas 26030 CPT 26030 | $3,244.61 | $6,299.00 | $1,082.16 – $3,406.84 | 7 |
| Drng of palm single bursa 26025 CPT 26025 | $3,244.61 | $6,299.00 | $925.86 – $3,406.84 | 7 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,179.08 | $3,424.00 | $924.23 – $1,238.03 | 7 |
| Drng of salivary cyst 42409 CPT 42409 | $3,243.07 | $5,712.00 | $509.49 – $3,405.22 | 7 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,620.24 | $3,630.00 | $362.84 – $1,701.25 | 7 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | $3,472.00 | $2,312.67 – $2,312.67 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | $3,065.00 | $2,124.70 – $2,124.70 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $1,530.56 – $1,530.56 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | $4,830.00 | $3,369.01 – $3,369.01 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | $1,481.28 | $3,710.00 | $341.81 – $1,555.34 | 7 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $509.25 | $1,065.00 | $294.83 – $534.71 | 7 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.07 – $9.67 | 5 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $3.53 – $13.43 | 3 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | not published | $6,944.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $10.52 – $17.28 | 3 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | $23.00 | $9.95 – $17.83 | 2 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | $34.62 | $2.11 – $12.35 | 2 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $1.94 – $49.04 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $4.59 – $19.84 | 4 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | $10,440.80 | not published | 0 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $22.49 – $22.49 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | $318.51 | $45.70 – $65.88 | 2 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | $10,168.00 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | not published | $634.00 | $161.41 – $14,806.00 | 2 |
| Drug assay caffeine CPT 80155 | $38.57 | $107.00 | $33.95 – $181.52 | 11 |
| Drug assay posaconazole CPT 80187 | $27.11 | $1,042.00 | $23.86 – $127.59 | 11 |
| Drug assay rufinamide CPT 80210 | $27.11 | not published | $23.86 – $127.59 | 11 |
| Drug assay vedolizumab CPT 80280 | $38.57 | $377.00 | $33.95 – $181.52 | 11 |
| Drug assay voriconazole CPT 80285 | $27.11 | $150.00 | $23.86 – $127.59 | 11 |
| Drug asy hydroxychloroquine CPT 80220 | $18.64 | $419.00 | $16.40 – $24.79 | 10 |
| Drug of abuse screen urine CPT 80305 | $12.60 | not published | $11.09 – $59.30 | 12 |
| Drug screen quant tiagabine CPT 80199 | $27.11 | $169.00 | $23.86 – $127.59 | 11 |
| Drug test def 1-7 classes HCPCS G0480 | $114.43 | $347.00 | $100.69 – $538.54 | 11 |
| Drug test def 15-21 classes HCPCS G0482 | $198.74 | $295.00 | $174.89 – $935.32 | 11 |
| Drug test def 22+ classes HCPCS G0483 | $246.92 | $679.00 | $217.29 – $1,162.06 | 11 |
| Drug test def 8-14 classes HCPCS G0481 | $156.59 | $244.00 | $137.80 – $736.95 | 11 |
| Drug test prsmv instrmnt CPT 80306 | $17.14 | $171.00 | $15.08 – $80.66 | 11 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $62.14 | $248.00 | $54.68 – $292.45 | 11 |
| Drvvt confirm - quest CPT 85597 | $17.98 | $263.00 | $17.98 – $84.62 | 11 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $399.53 | not published | $399.53 – $650.15 | 8 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $399.53 | $1,002.00 | $364.07 – $419.51 | 7 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $612.13 | $1,555.00 | $422.79 – $642.74 | 7 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $612.13 | not published | $572.92 – $999.58 | 8 |
| Dstrj extensive retinopathy CPT 67227 | $3,771.00 | $7,464.00 | $543.76 – $3,959.55 | 7 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,952.77 | $4,987.00 | $310.01 – $2,050.41 | 7 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | $548.60 | not published | $548.60 – $1,287.78 | 8 |
| Ductogram sgl duct CPT 77053 | $241.72 | $650.00 | $104.05 – $253.81 | 8 |
| Duodenal motility study CPT 91022 | $530.60 | $1,119.00 | $307.99 – $557.13 | 7 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $106.34 | $1,353.00 | $106.34 – $264.35 | 7 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $156.46 | $1,540.00 | $104.00 – $2,793.00 | 10 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $241.72 | $1,704.00 | $241.72 – $355.63 | 7 |
| Duplex scan bilateral study 93985 CPT 93985 | $241.72 | $2,653.00 | $241.72 – $445.80 | 7 |
| Duplex scan unilateral study 93986 CPT 93986 | $106.34 | $1,210.00 | $106.34 – $261.99 | 7 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $31.97 – $31.97 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $85.25 | not published | $72.46 – $165.06 | 10 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $156.46 | $452.00 | $33.82 – $627.00 | 9 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,724.47 | $4,205.00 | $272.07 – $1,810.69 | 7 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,724.47 | $4,840.00 | $275.76 – $1,810.69 | 7 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,724.47 | $4,217.00 | $274.32 – $1,810.69 | 7 |
| Dx dark adaptation exam i&r CPT 92284 | $399.04 | not published | $67.98 – $720.69 | 8 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $937.56 | $1,729.00 | $108.70 – $984.44 | 7 |
| Dx duod intub w/asp specs CPT 43757 | $937.56 | $2,162.00 | $162.93 – $984.44 | 7 |
| Dx gastr intub w/asp spec CPT 43754 | $311.40 | $696.00 | $82.12 – $326.97 | 7 |
| Dx gastr intub w/asp specs CPT 43755 | $156.46 | $470.00 | $126.98 – $164.28 | 7 |
| Dx laryngoscopy newborn CPT 31520 | $388.31 | $1,040.00 | $332.42 – $407.73 | 7 |
| Dx laryngoscopy w/oper scope CPT 31526 | $1,724.47 | $4,036.00 | $333.11 – $1,810.69 | 7 |
| Dxa bone density axl vrt fx CPT 77085 | $106.34 | $350.00 | $103.10 – $139.30 | 8 |
| Dynamic cavernosometry CPT 54231 | $243.21 | not published | $243.21 – $479.04 | 8 |
| Dynamic surface emg CPT 96002 | $311.40 | not published | $35.77 – $326.97 | 8 |
| E coli 0157 ag ia CPT 87335 | $12.66 | $175.00 | $12.66 – $59.58 | 11 |
| E equine encephalitis igg CPT 86652 | $13.19 | $180.00 | $13.19 – $62.08 | 11 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $25.03 – $25.03 | 1 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $26.28 – $26.28 | 1 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $14.24 – $14.24 | 1 |
| EKG tracing for initial prev HCPCS G0404 | $24.49 | not published | $12.05 – $35.54 | 8 |
| ER Visit (level 1, minor) CPT 99281 | $88.05 | $671.00 | $19.04 – $1,522.00 | 9 |
| ER Visit (level 2) CPT 99282 | $158.36 | $1,348.00 | $69.41 – $1,522.00 | 9 |
| ER Visit (level 3) CPT 99283 | $276.89 | $2,090.00 | $118.01 – $1,996.00 | 9 |
| ER Visit (level 4) CPT 99284 | $425.82 | $3,036.00 | $200.68 – $1,996.00 | 9 |
| ER Visit (level 5, high severity) CPT 99285 | $613.10 | $4,125.00 | $290.51 – $1,996.00 | 9 |
| Ear and throat examination CPT 92502 | $509.25 | $1,676.00 | $163.98 – $534.71 | 7 |
| Ear canal biopsy 69105 CPT 69105 | $1,481.28 | $3,829.00 | $138.10 – $1,555.34 | 7 |
| Ear cartilage graft CPT 21235 | $5,915.66 | $10,783.00 | $1,241.07 – $6,211.44 | 7 |
| Ear irrigation 69209 CPT 69209 | $59.40 | $331.00 | $36.18 – $115.71 | 8 |
| Ear protector evaluation CPT 92596 | $39.25 | not published | $39.25 – $140.28 | 8 |
| Ecallantide injection HCPCS J1290 | $579.99 | not published | $492.99 – $1,082.62 | 11 |
| Ecg 12 lead tracing only CPT 93005 | $59.40 | $340.00 | $11.47 – $104.00 | 8 |
| Ecg < 30 days transmission & analysis CPT 93271 | $91.79 | $2,026.00 | $91.79 – $260.59 | 7 |
| Ecg external < 48 hours recording CPT 93225 | $128.90 | $1,185.00 | $33.35 – $135.35 | 7 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $59.40 | $1,925.00 | $59.40 – $64.94 | 7 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $39.25 | $112.00 | $21.80 – $41.21 | 7 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $39.25 | $185.00 | $21.80 – $41.21 | 7 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $11.24 – $11.24 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $59.40 | $218.00 | $11.47 – $104.00 | 7 |
| Echo exam of eye CPT 76516 | $106.34 | not published | $89.43 – $295.04 | 11 |
| Echo exam of eye CPT 76519 | $106.34 | not published | $106.34 – $295.04 | 11 |
| Echo exam of eye CPT 76529 | $88.05 | not published | $88.05 – $219.04 | 11 |
| Echo exam of eye thickness CPT 76514 | $24.49 | not published | $13.77 – $66.79 | 11 |
| Echo exam of fetal heart CPT 76825 | $548.30 | $1,106.00 | $505.24 – $725.89 | 8 |
| Echo exam of fetal heart CPT 76826 | $241.72 | $1,401.00 | $241.72 – $465.06 | 8 |
| Echo exam of fetal heart CPT 76827 | $106.34 | $630.00 | $106.34 – $169.75 | 8 |
| Echo exam of fetal heart CPT 76828 | $106.34 | $303.00 | $91.10 – $111.66 | 8 |
| Echo exam uterus 76831- CPT 76831 | $241.72 | $1,089.00 | $224.77 – $319.41 | 8 |
| Echo guidance radiotherapy CPT 76965 | not published | $716.00 | $96.17 – $177.40 | 2 |
| Echo guide for amniocentesis CPT 76946 | not published | $627.00 | $51.79 – $63.26 | 2 |
| Echo guide for artery repair CPT 76936 | $311.40 | $1,736.00 | $311.40 – $652.33 | 8 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $273.34 – $273.34 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $371.91 – $371.91 | 1 |
| Echo guide villus sampling CPT 76945 | not published | $444.00 | $236.00 – $236.00 | 1 |
| Echo stress CPT 93350 | $548.30 | $1,702.00 | $329.14 – $575.72 | 7 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $548.30 | not published | $42.45 – $1,029.80 | 8 |
| Echo tee guidance CPT 93355 | not published | $1,925.00 | $104.00 – $371.31 | 3 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $548.30 | $3,960.00 | $415.29 – $575.72 | 7 |
| Echo transesophageal CPT 93313 | $548.30 | $1,604.00 | $18.45 – $575.72 | 7 |
| Echo transesophageal CPT 93314 | not published | $2,037.00 | $399.61 – $399.61 | 1 |
| Echo transesophageal CPT 93315 | $548.30 | not published | $548.30 – $1,029.80 | 8 |
| Echo transesophageal intraop CPT 93318 | $548.30 | $3,031.00 | $548.30 – $733.03 | 7 |
| Echo transthoracic CPT 93303 | $548.30 | $1,980.00 | $392.01 – $575.72 | 7 |
| Echo transthoracic CPT 93304 | $548.30 | $2,027.00 | $278.58 – $575.72 | 7 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $241.72 | $1,488.00 | $241.72 – $253.81 | 7 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $548.30 | $4,021.00 | $349.12 – $575.72 | 7 |
| Echocardiography doppler color flow mapping CPT 93325 | not published | $1,165.00 | $42.14 – $42.14 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $790.06 | $4,554.00 | $790.06 – $829.56 | 6 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $241.72 | $1,049.00 | $176.59 – $253.81 | 7 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $357.13 | $1,122.00 | $357.13 – $374.99 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | $767.00 | $44.66 – $44.66 | 1 |
| Echograp trans r pros study CPT 76873 | $106.34 | $2,523.00 | $106.34 – $375.19 | 8 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | $935.00 | $104.00 – $4,567.00 | 5 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | $935.00 | $104.00 – $4,567.00 | 5 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | $1,265.00 | $104.00 – $4,567.00 | 5 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | $1,265.00 | $104.00 – $4,567.00 | 5 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $1,674.96 – $1,674.96 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | $2,717.00 | $1,702.15 – $1,702.15 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $956.72 – $956.72 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $856.66 – $856.66 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | $3,875.00 | $968.94 – $968.94 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | $3,196.00 | $871.29 – $871.29 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $1,038.09 – $1,038.09 | 1 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | $1,681.00 | $1,066.47 – $1,066.47 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $552.02 – $552.02 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $373.40 – $373.40 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | $2,305.00 | $577.40 – $577.40 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | $1,725.00 | $483.75 – $483.75 | 1 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | $3,738.00 | $998.45 – $998.45 | 1 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $945.58 – $945.58 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $475.55 – $475.55 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $373.40 – $373.40 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | $1,713.00 | $475.55 – $475.55 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | $1,394.00 | $373.40 – $373.40 | 1 |
| Ecog impltd brn npgt <30 d CPT 95836 | $37.29 | not published | $37.29 – $177.93 | 8 |
| Ecp ciliary body destruction CPT 66711 | $2,280.73 | $4,830.00 | $1,098.13 – $2,394.77 | 7 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $44.77 | not published | $38.05 – $47.01 | 6 |
| Edetate calcium disodium inj HCPCS J0600 | $6,454.57 | not published | $5,486.38 – $12,259.20 | 11 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | $245.00 | $55.75 – $792.00 | 4 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $311.40 | $1,289.00 | $104.00 – $632.49 | 7 |
| Eeg during surgery CPT 95955 | not published | $164.00 | $104.00 – $340.92 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $311.40 | $1,128.00 | $104.00 – $713.23 | 7 |
| Eeg monitoring/function test CPT 95958 | $1,017.39 | $2,549.00 | $104.00 – $1,250.79 | 7 |
| Eeg monitoring/giving drugs CPT 95954 | $530.60 | not published | $530.60 – $942.41 | 8 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $311.40 | $1,346.00 | $104.00 – $798.11 | 7 |
| Eeg recording awake and asleep CPT 95819 | $311.40 | $1,211.00 | $104.00 – $822.52 | 7 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $311.40 | $1,693.00 | $104.00 – $553.58 | 7 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $311.40 | $3,300.00 | $104.00 – $1,283.02 | 7 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $530.60 | $4,400.00 | $104.00 – $1,839.50 | 7 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $530.60 | $4,400.00 | $104.00 – $1,671.74 | 7 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $311.40 | $3,300.00 | $104.00 – $765.24 | 7 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $530.60 | $4,180.00 | $104.00 – $567.32 | 7 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $530.60 | $1,225.00 | $104.00 – $557.13 | 7 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $311.40 | $1,043.00 | $104.00 – $746.65 | 7 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $32.40 | not published | $27.34 – $42.67 | 7 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $1,896.99 | $3,520.00 | $470.27 – $1,991.84 | 7 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $1,896.99 | $5,095.00 | $483.61 – $1,991.84 | 7 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $1,896.99 | $4,510.00 | $547.03 – $1,991.84 | 7 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $1,896.99 | $4,013.00 | $546.27 – $1,991.84 | 7 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $1,896.99 | $4,013.00 | $477.60 – $1,991.84 | 7 |
| Egd control bleeding any CPT 43255 | $1,896.99 | $3,968.00 | $417.39 – $1,991.84 | 7 |
| Egd dilate stricture CPT 43245 | $1,896.99 | $4,135.00 | $366.80 – $1,991.84 | 7 |
| Egd endo mucosal resection CPT 43254 | $1,896.99 | $4,125.00 | $561.74 – $1,991.84 | 7 |
| Egd endoscopic stent place CPT 43266 | $5,952.81 | $9,350.00 | $453.18 – $6,250.45 | 7 |
| Egd esophagogastrc fndoplsty CPT 43210 | $10,411.22 | $23,133.00 | $895.49 – $10,931.78 | 7 |
| Egd flx trnsorl dplmnt balo CPT 43290 | $1,896.99 | $4,789.00 | $1,226.61 – $1,991.84 | 6 |
| Egd flx trnsorl rmvl balo CPT 43291 | $937.56 | $2,724.00 | $207.40 – $984.44 | 6 |
| Egd guide wire insertion CPT 43248 | $937.56 | $3,905.00 | $347.55 – $984.44 | 7 |
| Egd injection varices CPT 43243 | $1,896.99 | $3,273.00 | $494.88 – $1,991.84 | 7 |
| Egd lesion ablation CPT 43270 | $1,896.99 | $6,050.00 | $467.37 – $1,991.84 | 7 |
| Egd optical endomicroscopy CPT 43252 | $1,896.99 | $10,758.00 | $351.73 – $1,991.84 | 7 |
| Egd remove foreign body CPT 43247 | $937.56 | $3,630.00 | $369.22 – $984.44 | 7 |
| Egd remove lesion snare CPT 43251 | $1,896.99 | $4,125.00 | $408.85 – $1,991.84 | 7 |
| Egd varices ligation CPT 43244 | $1,896.99 | $3,273.00 | $510.39 – $1,991.84 | 7 |
| Egd w/thrml txmnt gerd CPT 43257 | $3,804.53 | $6,228.00 | $487.80 – $3,994.76 | 7 |
| Egd w/transmural drain cyst CPT 43240 | $5,952.81 | $5,990.00 | $814.64 – $6,250.45 | 7 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $1,896.99 | $4,777.00 | $297.84 – $1,991.84 | 7 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $1,896.99 | $3,517.00 | $355.57 – $1,991.84 | 7 |
| Egfr gene com variants CPT 81235 | $324.58 | $5,279.00 | $285.63 – $1,527.55 | 11 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $35.09 | not published | $14.04 – $46.67 | 9 |
| Elbow arthroscopy CPT 29830 | $3,244.61 | $8,724.00 | $1,002.03 – $3,406.84 | 7 |
| Elbow arthroscopy/surgery CPT 29834 | $3,244.61 | $6,543.00 | $1,076.84 – $3,406.84 | 7 |
| Elbow arthroscopy/surgery CPT 29835 | $3,244.61 | $8,724.00 | $1,117.53 – $3,406.84 | 7 |
| Elbow arthroscopy/surgery CPT 29836 | $7,143.73 | $12,716.00 | $1,277.44 – $7,500.92 | 7 |
| Elbow arthroscopy/surgery CPT 29837 | $3,244.61 | $6,383.00 | $1,147.98 – $3,406.84 | 7 |
| Elbow arthroscopy/surgery CPT 29838 | $3,244.61 | $6,529.00 | $1,301.26 – $3,406.84 | 7 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $299.91 | $795.00 | $71.70 – $314.91 | 7 |
| Elec stim unattend for press HCPCS G0281 | $14.52 | not published | $14.52 – $144.16 | 9 |
| Elect analysis of infusion pump 62367 CPT 62367 | $299.91 | $724.00 | $52.04 – $314.91 | 7 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $299.91 | $845.00 | $73.21 – $314.91 | 7 |
| Electrd sq emblem s-icd HCPCS C1896 | not published | $13,367.20 | not published | 0 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | $276.00 | $104.00 – $2,793.00 | 6 |
| Electrical bone stim 20974 CPT 20974 | $61.91 | $248.00 | $61.91 – $110.62 | 7 |
| Electrical stimulation/unattended 97014 CPT 97014 | not published | not published | $21.40 – $144.16 | 2 |
| Electro-oculography w/i&r CPT 92270 | $128.90 | not published | $128.90 – $220.41 | 8 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | $152.00 | $116.00 – $627.00 | 6 |
| Electrocochleography CPT 92584 | $156.46 | $752.00 | $116.00 – $627.00 | 9 |
| Electroconvulsive therapy 90870 CPT 90870 | $530.60 | $1,925.00 | $174.85 – $557.13 | 7 |
| Electrocorticography durng sx CPT 95829 | not published | $972.00 | $104.00 – $3,187.67 | 3 |
| Electrode stimulation brain CPT 95961 | $1,017.39 | $1,469.00 | $104.00 – $1,068.26 | 7 |
| Electroejaculation CPT 55870 | $870.74 | not published | $298.06 – $1,155.14 | 8 |
| Electrogastrography CPT 91132 | $311.40 | not published | $281.42 – $794.04 | 8 |
| Electrogastrography w/test CPT 91133 | $128.90 | not published | $128.90 – $833.96 | 8 |
| Electrolyte panel CPT 80051 | $7.01 | $119.00 | $6.49 – $32.99 | 11 |
| Electron microscopy diagnostic CPT 88348 | $816.90 | $2,211.00 | $203.62 – $944.90 | 8 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | $410.00 | $72.71 – $2,793.00 | 5 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $91.79 | $312.00 | $82.96 – $2,793.00 | 9 |
| Electrophys map 3d add-on CPT 93613 | not published | $13,571.00 | $104.00 – $479.61 | 3 |
| Electrophysiologic study CPT 93624 | $7,588.10 | not published | $783.94 – $10,551.60 | 8 |
| Electrophysiology evaluation CPT 93619 | $7,588.10 | $13,433.00 | $104.00 – $7,967.51 | 7 |
| Electrophysiology evaluation CPT 93620 | $7,588.10 | $12,475.00 | $104.00 – $7,967.51 | 7 |
| Electrophysiology evaluation CPT 93621 | not published | $13,605.00 | $104.00 – $953.13 | 3 |
| Electrophysiology evaluation CPT 93622 | not published | $15,950.00 | $104.00 – $1,346.17 | 3 |
| Electrophysiology evaluation CPT 93641 | not published | $4,202.00 | $104.00 – $1,398.71 | 3 |
| Electrophysiology evaluation CPT 93642 | $1,213.99 | $3,887.00 | $104.00 – $1,274.69 | 7 |
| Electrophysiology evaluation CPT 93644 | not published | $1,300.00 | $104.00 – $327.98 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | $306.80 | not published | $260.78 – $537.52 | 11 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $7.88 | not published | $6.70 – $14.73 | 11 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $185.31 | not published | $157.51 – $241.62 | 7 |
| Emb w/colposcopy 58110 CPT 58110 | not published | $432.00 | $84.15 – $84.15 | 1 |
| Emb without cervical dilation 58100 CPT 58100 | $201.17 | $898.00 | $132.60 – $211.23 | 7 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $5,405.70 | $12,639.00 | $2,082.63 – $5,675.99 | 7 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $5,405.70 | $14,095.00 | $1,937.40 – $5,675.99 | 7 |
| Embedded ip cath exit-site 49436 CPT 49436 | $1,896.99 | $4,772.00 | $398.79 – $1,991.84 | 7 |
| Embo or occlude vascular arterial s&i CPT 37242 | $17,956.72 | $21,610.00 | $963.78 – $18,854.56 | 7 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $11,340.57 | $21,369.00 | $1,339.43 – $11,907.60 | 7 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $11,340.57 | $23,375.00 | $1,135.95 – $11,907.60 | 7 |
| Embo or occlude vascular venous s&i CPT 37241 | $11,340.57 | $17,931.00 | $866.79 – $11,907.60 | 7 |
| Embolization s&i CPT 75894 | not published | $6,246.00 | $3,218.69 – $3,218.69 | 1 |
| Embryo hatching CPT 89253 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Embryo transfer intrauterine CPT 58974 | $870.74 | not published | $870.74 – $1,155.14 | 7 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $128.90 | $1,681.00 | $104.00 – $4,550.00 | 9 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $156.46 | $697.00 | $104.00 – $4,550.00 | 9 |
| Emg cranial nerve bilateral CPT 95868 | $311.40 | $452.00 | $104.00 – $4,550.00 | 9 |
| Emg needle test 1-extremity CPT 95860 | $128.90 | $372.00 | $104.00 – $4,550.00 | 9 |
| Emg needle test 4-extremities CPT 95864 | $156.46 | $748.00 | $104.00 – $4,550.00 | 9 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $311.40 | $413.00 | $104.00 – $4,550.00 | 9 |
| Encephalitis, california igg/igm CPT 86651 | $13.19 | $180.00 | $13.19 – $62.08 | 11 |
| Encephalitis, st louis igg/igm CPT 86653 | $13.19 | $180.00 | $13.19 – $62.08 | 11 |
| Encephalitis, western equine igg/igm CPT 86654 | $13.19 | $180.00 | $13.19 – $62.08 | 11 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $3,147.50 | $7,670.00 | $569.17 – $3,304.88 | 7 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $3,147.50 | $8,995.00 | $568.63 – $5,467.95 | 8 |
| Endo cath bile duct s&i CPT 74328 | not published | $1,373.00 | $519.82 – $519.82 | 1 |
| Endo cath panc duct s&i CPT 74329 | not published | $1,536.00 | $284.78 – $284.78 | 1 |
| Endo cholangiopancreatograph CPT 43261 | $3,804.53 | $7,645.00 | $703.95 – $3,994.76 | 7 |
| Endo cholangiopancreatograph CPT 43262 | $3,804.53 | $8,250.00 | $741.39 – $3,994.76 | 7 |
| Endo defect closure gi tract HCPCS C9901 | $10,411.22 | not published | $10,411.22 – $10,931.78 | 6 |
| Endo outlet restrict w/tube HCPCS C9785 | $10,411.22 | $30,652.00 | $10,411.22 – $10,931.78 | 6 |
| Endo sleeve gastro w/tube HCPCS C9784 | $10,411.22 | $29,982.00 | $10,411.22 – $10,931.78 | 6 |
| Endocerv curettage w/scope 57456 CPT 57456 | $304.19 | $1,375.00 | $213.30 – $319.40 | 7 |
| Endocervical curettage 57505 CPT 57505 | $870.74 | $1,487.00 | $240.81 – $914.28 | 7 |
| Endoluminal bx biliary tree CPT 47543 | not published | $2,365.00 | $289.94 – $289.94 | 1 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | $4,952.00 | $281.30 – $281.30 | 1 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | $4,770.00 | $806.23 – $14,806.00 | 2 |
| Endoluminl ivus oct c ea CPT 92979 | not published | $1,533.00 | $480.06 – $14,806.00 | 2 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $4,936.45 | $9,893.00 | $496.25 – $5,183.27 | 7 |
| Endometrial cryoablation w/us 58356 CPT 58356 | $4,936.45 | $11,097.00 | $748.77 – $5,183.27 | 7 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $1,896.99 | $3,852.00 | $408.28 – $1,991.84 | 7 |
| Endoscopic injection/implant CPT 51715 | $3,448.97 | $6,336.00 | $416.81 – $3,621.42 | 7 |
| Endoscopic pancreatoscopy CPT 43273 | not published | $7,425.00 | $246.56 – $246.56 | 1 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $32.73 – $32.73 | 1 |
| Endoscopy bowel pouch/biop CPT 44386 | $911.71 | $2,099.00 | $188.11 – $957.30 | 7 |
| Endoscopy ligate perf veins 37500 CPT 37500 | $5,405.70 | $9,661.00 | $1,296.02 – $5,675.99 | 7 |
| Endoscopy maxillary sinus CPT 31267 | $6,922.47 | $11,770.00 | $559.71 – $10,655.47 | 8 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $911.71 | $2,670.00 | $154.10 – $957.30 | 7 |
| Endoscopy of ureter CPT 50951 | $3,448.97 | $5,674.00 | $636.83 – $3,621.42 | 7 |
| Endoscopy of ureter CPT 50953 | $3,448.97 | $6,813.00 | $676.85 – $3,621.42 | 7 |
| Endoscopy swallow (fees) vid CPT 92612 | $85.66 | $222.00 | $85.66 – $4,567.00 | 10 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,724.47 | $4,168.00 | $355.93 – $2,834.43 | 8 |
| Endovas iliac a device addon CPT 34808 | not published | $1,247.00 | $408.64 – $408.64 | 1 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | $2,947.00 | $1,960.25 – $1,960.25 | 1 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | $6,937.00 | $3,099.82 – $3,099.82 | 1 |
| Endovasc tempory vessel occl CPT 61623 | $11,340.57 | $23,948.00 | $1,206.14 – $11,907.60 | 7 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | $2,750.00 | $3,562.55 – $3,562.55 | 1 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $5,405.70 | $16,294.00 | $366.64 – $5,675.99 | 7 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $180.03 – $180.03 | 1 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | $5,966.00 | $277.36 – $277.36 | 1 |
| Endovenous mchnchem 1st vein CPT 36473 | $3,147.50 | $8,428.00 | $370.99 – $3,304.88 | 7 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $181.23 – $181.23 | 1 |
| Endovenous rf abl vein addl CPT 36476 | not published | $7,321.00 | $271.22 – $271.22 | 1 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $36.66 | not published | $31.16 – $64.83 | 9 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.48 – $1.70 | 5 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $11.98 | $66.00 | $11.98 – $56.38 | 11 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | $744.00 | $499.76 – $499.76 | 1 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | $4,177.00 | $2,574.53 – $2,574.53 | 1 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | $4,486.00 | $2,777.52 – $2,777.52 | 1 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | $6,950.00 | $2,948.85 – $2,948.85 | 1 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | $4,936.00 | $3,393.11 – $3,393.11 | 1 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | $2,622.00 | $1,785.54 – $1,785.54 | 1 |
| Enzyme cell activity ra CPT 82658 | $44.03 | $771.00 | $23.65 – $207.22 | 11 |
| Enzyme histochemistry CPT 88319 | $816.90 | $1,282.00 | $14.23 – $857.75 | 8 |
| Ep & ablate supravent arrhyt CPT 93653 | $24,532.30 | $40,242.00 | $104.00 – $25,758.92 | 7 |
| Ep & ablate ventric tachy CPT 93654 | $24,532.30 | $37,297.00 | $104.00 – $25,758.92 | 7 |
| Ep induct arrhy by elect pacing CPT 93618 | $1,213.99 | $7,307.00 | $104.00 – $1,274.69 | 7 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $55.66 | not published | $47.31 – $71.55 | 7 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $288.23 – $288.23 | 1 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,829.23 | $4,577.00 | $1,485.21 – $1,920.69 | 7 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $1,829.23 | $6,426.00 | $1,527.95 – $1,920.69 | 7 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | $1,268.00 | $211.55 – $211.55 | 1 |
| Epidural lysis mult sessions CPT 62263 | $890.29 | $2,732.00 | $695.23 – $934.80 | 7 |
| Epidural lysis on single day 62264 CPT 62264 | $890.29 | $2,906.00 | $516.17 – $934.80 | 7 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | $1,804.00 | $107.76 – $107.76 | 1 |
| Epiglottidectomy CPT 31420 | $5,915.66 | $10,783.00 | $1,801.44 – $6,211.44 | 7 |
| Epilepsy gen seq alys panel CPT 81419 | $2,448.56 | not published | $2,154.74 – $11,523.51 | 10 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $1.85 – $1.85 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $1.12 – $1.12 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $0.49 – $0.49 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $1.94 – $1.94 | 1 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | $3,244.61 | not published | $1,597.33 – $5,430.31 | 8 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | $3,244.61 | $10,146.00 | $1,356.45 – $3,406.84 | 7 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.35 – $3.56 | 5 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,179.53 | $6,205.00 | $312.83 – $3,338.51 | 7 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $7.68 | not published | $6.53 – $24.74 | 11 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.38 – $2.24 | 5 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $7.57 | not published | $6.43 – $23.52 | 10 |
| Epoetin beta non esrd HCPCS J0888 | $1.41 | not published | $1.20 – $3.24 | 10 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $13.77 – $34.98 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $13.12 | $211.00 | $13.12 – $61.75 | 11 |
| Epstein barr nuclear antigen antibody CPT 86664 | $15.29 | $228.00 | $15.29 – $71.96 | 11 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $18.14 | $149.00 | $18.14 – $85.37 | 11 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $4.53 – $58.15 | 5 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $19.85 | not published | $16.87 – $34.38 | 9 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $5,952.81 | $7,040.00 | $960.28 – $6,250.45 | 7 |
| Ercp biliary & pancreas CPT 74330 | not published | $1,947.00 | $517.84 – $517.84 | 1 |
| Ercp ea duct/ampulla dilate CPT 43277 | $3,804.53 | $7,488.00 | $785.76 – $3,994.76 | 7 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $3,804.53 | $7,659.00 | $899.06 – $3,994.76 | 7 |
| Ercp lithotripsy calculi CPT 43265 | $5,952.81 | $9,397.00 | $899.08 – $6,250.45 | 7 |
| Ercp remove duct calculi 43264 CPT 43264 | $3,804.53 | $8,250.00 | $756.17 – $3,994.76 | 7 |
| Ercp remove forgn body duct 43275 CPT 43275 | $1,896.99 | $4,510.00 | $781.50 – $1,991.84 | 7 |
| Ercp sphincter pressure meas CPT 43263 | $1,896.99 | $7,185.00 | $742.81 – $1,991.84 | 7 |
| Ercp stent exchange w/dilate CPT 43276 | $5,952.81 | $7,425.00 | $999.73 – $6,250.45 | 7 |
| Ercp w/specimen collection CPT 43260 | $3,804.53 | $7,251.00 | $670.88 – $3,994.76 | 7 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $8.03 – $8.03 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $104.58 | not published | $88.89 – $273.68 | 11 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $7.67 – $79.58 | 5 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $63.79 – $165.74 | 6 |
| Esd endoscopy or colonoscopy HCPCS C9779 | $3,804.53 | $10,758.00 | $3,804.53 – $3,994.76 | 6 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.24 – $0.24 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.36 – $0.36 | 1 |
| Esoph balloon distension tst CPT 91040 | $530.60 | $1,320.00 | $530.60 – $935.15 | 7 |
| Esoph egd dilation <30 mm CPT 43249 | $1,896.99 | $3,465.00 | $321.44 – $1,991.84 | 7 |
| Esoph endoscopy dilation CPT 43226 | $1,896.99 | $3,517.00 | $273.62 – $1,991.84 | 7 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,728.59 – $1,728.59 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $2,328.30 – $2,328.30 | 1 |
| Esoph imped funct test > 1hr CPT 91038 | $530.60 | $1,156.00 | $530.60 – $727.31 | 7 |
| Esoph imped function test CPT 91037 | $311.40 | $1,043.00 | $301.58 – $326.97 | 7 |
| Esoph optical endomicroscopy CPT 43206 | $1,896.99 | not published | $277.95 – $3,070.53 | 8 |
| Esoph scope w/sclerosis inj CPT 43204 | $1,896.99 | $3,430.00 | $282.87 – $1,991.84 | 7 |
| Esoph scope w/submucous inj CPT 43201 | $1,896.99 | $3,320.00 | $218.62 – $1,991.84 | 7 |
| Esophag muc integ w/eso egd HCPCS C9777 | $3,804.53 | not published | $3,804.53 – $3,994.76 | 6 |
| Esophageal dilat s&i CPT 74360 | not published | $760.00 | $344.69 – $344.69 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | $345.00 | $233.66 – $233.66 | 1 |
| Esophageal motility CPT 78258 | $401.83 | not published | $384.69 – $731.72 | 9 |
| Esophageal recording CPT 93615 | $1,213.99 | not published | $147.38 – $1,903.01 | 8 |
| Esophageal recording CPT 93616 | $1,213.99 | not published | $337.23 – $1,903.01 | 8 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $2,825.14 – $2,825.14 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $2,793.57 – $2,793.57 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | $1,896.99 | $4,114.00 | $406.17 – $1,991.84 | 7 |
| Esophagosc flex trnsn biopsy CPT 43198 | $937.56 | $3,271.00 | $204.98 – $984.44 | 7 |
| Esophagoscop mucosal resect CPT 43211 | $1,896.99 | $2,658.00 | $489.29 – $1,991.84 | 7 |
| Esophagoscop stent placement CPT 43212 | $5,952.81 | $9,233.00 | $393.05 – $6,250.45 | 7 |
| Esophagoscop ultrasound exam CPT 43231 | $1,896.99 | $4,777.00 | $328.36 – $1,991.84 | 7 |
| Esophagoscopy balloon <30mm CPT 43220 | $1,896.99 | $3,517.00 | $248.14 – $1,991.84 | 7 |
| Esophagoscopy control bleed CPT 43227 | $1,896.99 | $3,628.00 | $345.33 – $1,991.84 | 7 |
| Esophagoscopy flex biopsy CPT 43202 | $1,896.99 | $3,480.00 | $217.20 – $1,991.84 | 7 |
| Esophagoscopy flex dx brush CPT 43197 | $937.56 | $2,288.00 | $171.65 – $984.44 | 7 |
| Esophagoscopy flex remove fb CPT 43215 | $1,896.99 | $3,517.00 | $296.23 – $1,991.84 | 7 |
| Esophagoscopy lesion ablate CPT 43229 | $3,804.53 | $6,833.00 | $410.80 – $3,994.76 | 7 |
| Esophagoscopy lesion removal CPT 43216 | $1,896.99 | $4,457.00 | $280.06 – $1,991.84 | 7 |
| Esophagoscopy retro balloon CPT 43213 | $1,896.99 | $3,886.00 | $541.47 – $1,991.84 | 7 |
| Esophagoscopy rigid balloon CPT 43195 | $3,804.53 | $7,185.00 | $393.23 – $3,994.76 | 7 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $5,915.66 | $12,712.00 | $1,168.28 – $6,211.44 | 7 |
| Esophagoscopy snare les remv CPT 43217 | $1,896.99 | $3,941.00 | $334.98 – $1,991.84 | 7 |
| Esophagoscopy w/us needle bx CPT 43232 | $1,896.99 | $4,110.00 | $414.91 – $1,991.84 | 7 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $937.56 | $2,985.00 | $186.13 – $984.44 | 7 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $1,896.99 | $3,269.00 | $331.40 – $1,991.84 | 7 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $1,896.99 | $5,990.00 | $415.74 – $1,991.84 | 7 |
| Esophagoscp rig trnso biopsy CPT 43193 | $1,896.99 | $3,630.00 | $360.02 – $1,991.84 | 7 |
| Esophagoscp rig trnso inject CPT 43192 | $1,896.99 | $3,561.00 | $361.53 – $1,991.84 | 7 |
| Esophagoscp rig trnso rem fb CPT 43194 | $1,896.99 | $3,630.00 | $399.75 – $1,991.84 | 7 |
| Esophagus endoscopy/ligation CPT 43205 | $1,896.99 | $2,786.00 | $295.53 – $1,991.84 | 7 |
| Esophagus motility study CPT 91010 | $530.60 | $3,025.00 | $395.09 – $557.13 | 7 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | $955.00 | $45.10 – $45.10 | 1 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $7,362.58 – $7,362.58 | 1 |
| Essure 58565 CPT 58565 | $4,936.45 | $10,973.00 | $985.42 – $5,183.27 | 7 |
| Establish access to aorta CPT 36160 | not published | $1,554.00 | $250.60 – $250.60 | 1 |
| Establish access to artery CPT 36100 | not published | $1,366.00 | $308.68 – $308.68 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | $3,698.00 | $2,240.10 – $2,240.10 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | $275.00 | $14.72 – $14.72 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | $330.00 | $59.44 – $59.44 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | $385.00 | $111.08 – $111.08 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | $523.00 | $163.83 – $163.83 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | $633.00 | $243.38 – $243.38 | 1 |
| Estradiol total CPT 82670 | $27.94 | $303.00 | $27.50 – $131.49 | 11 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $6.55 – $21.69 | 5 |
| Estrogens total-sendout CPT 82672 | $21.70 | $61.00 | $21.70 – $102.13 | 11 |
| Etanercept injection HCPCS J1438 | $1,080.88 | not published | $673.13 – $1,698.20 | 11 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $519.52 | not published | $441.59 – $953.70 | 11 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $3,243.07 | $7,203.00 | $2,058.54 – $3,405.22 | 7 |
| Ethylene glycol -sendout CPT 82693 | $14.90 | $142.00 | $13.75 – $70.12 | 11 |
| Etonogestrel implant system HCPCS J7307 | not published | $3,012.28 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.96 – $1.65 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $64.40 – $162.16 | 6 |
| Euflexxa inj per dose HCPCS J7323 | $114.48 | not published | $97.31 – $291.93 | 11 |
| Euglobulin lysis CPT 85360 | $8.41 | $33.00 | $8.41 – $39.58 | 11 |
| Evacuate mole of uterus CPT 59870 | $3,179.53 | $5,882.00 | $1,169.45 – $3,338.51 | 7 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $156.46 | $660.00 | $60.00 – $620.00 | 15 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $155.22 | $672.00 | $60.00 – $620.00 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $98.11 | $241.00 | $86.34 – $461.73 | 11 |
| Evaluation heart device CPT 93640 | not published | $4,122.00 | $104.00 – $1,083.76 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $170.83 | $795.00 | $60.00 – $620.00 | 16 |
| Evaluation psychiatric diagnostic CPT 90791 | $160.67 | $824.00 | $154.00 – $851.00 | 10 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | $2,606.00 | $1,218.04 – $1,218.04 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | $2,171.00 | $520.21 – $520.21 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | $460.00 | $2,514.09 – $2,514.09 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | $7,378.00 | $2,512.17 – $2,512.17 | 1 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | $8,322.00 | $3,745.03 – $3,745.03 | 1 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | $8,690.00 | $4,610.99 – $4,610.99 | 1 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | $460.00 | $893.11 – $893.11 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | $8,226.00 | $2,788.49 – $2,788.49 | 1 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | $10,453.00 | $4,641.10 – $4,641.10 | 1 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | $3,995.00 | $2,359.43 – $2,359.43 | 1 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | $8,374.00 | $3,681.77 – $3,681.77 | 1 |
| Event monitor CPT 93270 | $37.29 | $330.00 | $15.12 – $39.15 | 7 |
| Evok oa screening qual CPT 92558 | not published | $447.00 | $14.17 – $627.00 | 5 |
| Evoked auditory tst complete CPT 92588 | $311.40 | $592.00 | $56.93 – $627.00 | 9 |
| Evoked oa emissions ltd CPT 92587 | $311.40 | $413.00 | $36.78 – $627.00 | 9 |
| Evoked potential visual not glaucoma CPT 95930 | $311.40 | $1,329.00 | $104.00 – $4,550.00 | 9 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | $374.00 | $47.67 – $627.00 | 5 |
| Evoked potentials upper limbs CPT 95925 | $311.40 | $1,591.00 | $104.00 – $4,550.00 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $2,862.05 | $5,726.00 | $1,494.75 – $3,005.15 | 7 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $2,862.05 | $5,608.00 | $1,191.93 – $3,005.15 | 7 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $3,243.07 | $5,964.00 | $294.49 – $3,405.22 | 7 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $1,620.24 | $3,507.00 | $738.44 – $1,701.25 | 7 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $1,620.24 | $3,401.00 | $572.35 – $1,701.25 | 7 |
| Exam of vagina w/scope 57420 CPT 57420 | $304.19 | $952.00 | $189.80 – $319.40 | 7 |
| Exam pelvic add-on CPT 99459 | not published | not published | $10.01 – $44.69 | 2 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $3,179.53 | $5,536.00 | $226.27 – $3,338.51 | 7 |
| Exc abd les sc 3 cm/> CPT 22903 | $2,862.05 | $4,981.00 | $950.31 – $3,005.15 | 7 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,528.92 – $2,528.92 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $3,689.21 – $3,689.21 | 1 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $2,862.05 | $6,490.00 | $1,430.63 – $3,005.15 | 7 |
| Exc abdl tum deep < 5 cm CPT 22900 | $2,862.05 | $5,726.00 | $1,220.53 – $3,005.15 | 7 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,620.24 | $4,191.00 | $721.85 – $2,847.29 | 8 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $2,862.05 | $5,726.00 | $879.71 – $4,923.06 | 8 |
| Exc aurl glomus tum trnscanl CPT 69550 | $5,915.66 | $11,400.00 | $2,327.56 – $6,211.44 | 7 |
| Exc aurl glomus tum trnsmstd CPT 69552 | $5,915.66 | $10,910.00 | $3,440.19 – $6,211.44 | 7 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $1,620.24 | $5,084.00 | $794.70 – $1,701.25 | 7 |
| Exc back tum deep 5 cm/> CPT 21933 | $2,862.05 | $6,453.00 | $1,583.35 – $3,005.15 | 7 |
| Exc bartholins gland/cyst CPT 56740 | $3,179.53 | $7,121.00 | $677.97 – $3,338.51 | 7 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $703.59 | $2,750.00 | $321.05 – $738.77 | 7 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,620.24 | $3,775.00 | $388.91 – $1,701.25 | 7 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $703.59 | $1,760.00 | $236.55 – $738.77 | 7 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $703.59 | $3,135.00 | $236.86 – $738.77 | 7 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,620.24 | $3,850.00 | $341.43 – $1,701.25 | 7 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $2,862.05 | $4,785.00 | $574.95 – $3,005.15 | 7 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $399.53 | $1,852.00 | $230.72 – $419.51 | 7 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $703.59 | $2,635.00 | $326.34 – $738.77 | 7 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,620.24 | $4,235.00 | $486.95 – $1,701.25 | 7 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,862.05 | $5,335.00 | $680.64 – $3,005.15 | 7 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,620.24 | $4,180.00 | $392.02 – $1,701.25 | 7 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $703.59 | $1,650.00 | $185.36 – $738.77 | 7 |
| Exc breast duct fistula 19112 CPT 19112 | $3,829.28 | $6,684.00 | $706.74 – $4,020.74 | 7 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | $4,745.00 | $2,844.58 – $2,844.58 | 1 |
| Exc cervix repair bowel 57556 CPT 57556 | $4,936.45 | $10,522.00 | $1,263.48 – $5,183.27 | 7 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $1,780.22 – $1,780.22 | 1 |
| Exc cervix/repair vagina 57555 CPT 57555 | $4,936.45 | $14,183.00 | $1,329.58 – $5,183.27 | 7 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | $2,862.05 | $7,660.00 | $2,440.06 – $3,005.15 | 7 |
| Exc coccygl pr ulc flap clsr CPT 15922 | $3,660.97 | not published | $1,725.73 – $5,725.89 | 8 |
| Exc coccygl pr ulc prim sutr CPT 15920 | $2,862.05 | $7,473.00 | $1,364.86 – $3,005.15 | 7 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | $3,244.61 | $7,165.00 | $1,798.87 – $3,406.84 | 7 |
| Exc excessive skin buttock CPT 15835 | $2,862.05 | $5,973.00 | $2,003.24 – $3,005.15 | 7 |
| Exc excessive skin hip CPT 15834 | $2,862.05 | $5,973.00 | $1,924.91 – $3,005.15 | 7 |
| Exc excessive skin leg CPT 15833 | $2,862.05 | $5,973.00 | $1,891.63 – $3,005.15 | 7 |
| Exc excessive skin thigh CPT 15832 | $2,862.05 | $5,973.00 | $1,984.11 – $4,923.06 | 8 |
| Exc excsv skin forearm/hand CPT 15837 | $2,862.05 | $5,973.00 | $1,547.80 – $3,005.15 | 7 |
| Exc excsv submental fat pad CPT 15838 | $2,862.05 | $5,973.00 | $1,408.54 – $3,005.15 | 7 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $2,862.05 | $5,973.00 | $719.65 – $3,005.15 | 7 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $2,862.05 | $5,726.00 | $1,130.70 – $3,005.15 | 7 |
| Exc face tum deep < 2 cm CPT 21013 | $1,620.24 | $3,507.00 | $873.31 – $1,701.25 | 7 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $703.59 | $2,200.00 | $334.62 – $738.77 | 7 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $1,620.24 | $3,300.00 | $485.17 – $1,701.25 | 7 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $2,862.05 | $6,435.00 | $972.73 – $3,005.15 | 7 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $1,620.24 | $3,665.00 | $566.68 – $1,701.25 | 7 |
| Exc forearm les sc 3 cm/> CPT 25071 | $1,620.24 | $5,690.00 | $923.02 – $2,847.29 | 8 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $2,862.05 | $5,973.00 | $1,171.18 – $3,005.15 | 7 |
| Exc forearm tum deep < 3 cm CPT 25076 | $1,620.24 | $4,080.00 | $1,138.31 – $1,701.25 | 7 |
| Exc hand les sc < 1.5 cm CPT 26115 | $1,620.24 | $4,191.00 | $736.49 – $1,701.25 | 7 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | $1,620.24 | $5,982.00 | $1,201.07 – $1,701.25 | 7 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $1,620.24 | $4,299.00 | $1,154.63 – $1,701.25 | 7 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $2,862.05 | $4,950.00 | $544.30 – $4,923.06 | 8 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $2,862.05 | $6,377.00 | $760.31 – $3,005.15 | 7 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $2,862.05 | $4,950.00 | $622.88 – $3,005.15 | 7 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | $2,862.05 | $6,813.00 | $1,575.69 – $3,005.15 | 7 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | $2,862.05 | $5,726.00 | $1,323.70 – $3,005.15 | 7 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $2,862.05 | $5,726.00 | $1,426.05 – $3,005.15 | 7 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | $2,862.05 | $5,973.00 | $750.86 – $3,005.15 | 7 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $2,862.05 | $6,743.00 | $1,503.54 – $3,005.15 | 7 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $4,293.69 – $4,293.69 | 1 |
| Exc isch pr ulc prm sut ostc CPT 15941 | $2,862.05 | $6,377.00 | $2,003.32 – $3,005.15 | 7 |
| Exc isch pr ulc skn flp clsr CPT 15944 | $3,660.97 | $8,186.00 | $2,017.80 – $3,844.02 | 7 |
| Exc isch pr ulc skn flp ostc CPT 15945 | $1,829.23 | not published | $1,829.23 – $3,206.35 | 8 |
| Exc ischial pr ulc prim sutr CPT 15940 | $2,862.05 | $8,215.00 | $1,524.67 – $3,005.15 | 7 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $1,829.23 | $4,989.00 | $1,829.23 – $3,441.70 | 7 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | $2,862.05 | $5,726.00 | $1,448.73 – $3,005.15 | 7 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $2,862.05 | $6,801.00 | $1,021.07 – $3,005.15 | 7 |
| Exc les conjunctiva <1 cm CPT 68110 | $2,332.96 | $5,278.00 | $320.09 – $2,449.61 | 7 |
| Exc les conjunctiva >1 cm CPT 68115 | $2,332.96 | $5,239.00 | $392.62 – $3,752.25 | 8 |
| Exc les conjunctiva adj scl CPT 68130 | $2,332.96 | $5,226.00 | $890.42 – $2,449.61 | 7 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $3,243.07 | $5,404.00 | $268.61 – $3,405.22 | 7 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $399.53 | $2,200.00 | $346.95 – $419.51 | 7 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $703.59 | $2,640.00 | $413.35 – $738.77 | 7 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $703.59 | $3,080.00 | $454.02 – $738.77 | 7 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $703.59 | $2,640.00 | $390.56 – $738.77 | 7 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $1,620.24 | $3,775.00 | $599.74 – $1,701.25 | 7 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $703.59 | $1,925.00 | $274.41 – $738.77 | 7 |
| Exc malig feenl >4cm 11646 CPT 11646 | $2,862.05 | $5,280.00 | $824.87 – $3,005.15 | 7 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $1,620.24 | $1,925.00 | $266.88 – $1,701.25 | 7 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $703.59 | $2,310.00 | $320.98 – $738.77 | 7 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $1,620.24 | $3,775.00 | $447.06 – $1,701.25 | 7 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $703.59 | $1,980.00 | $319.63 – $738.77 | 7 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $703.59 | $1,760.00 | $264.77 – $738.77 | 7 |
| Exc mandible 21025 CPT 21025 | $5,915.66 | $10,303.00 | $1,423.45 – $6,211.44 | 7 |
| Exc neck tum deep 5 cm/> CPT 21554 | $2,862.05 | $6,299.00 | $1,571.07 – $3,005.15 | 7 |
| Exc neck tum deep < 5 cm CPT 21556 | $2,862.05 | $5,973.00 | $1,145.30 – $3,005.15 | 7 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | $5,915.66 | $10,783.00 | $930.62 – $6,211.44 | 7 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | $3,645.00 | $2,288.08 – $2,288.08 | 1 |
| Exc of residual cervix 57540 CPT 57540 | not published | $2,325.00 | $1,691.15 – $1,691.15 | 1 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | $4,936.45 | $6,905.00 | $936.01 – $5,183.27 | 7 |
| Exc prtl bn phlnx toe CPT 28124 | $3,244.61 | $6,065.00 | $727.42 – $3,406.84 | 7 |
| Exc rect tum transanal full CPT 45172 | $2,742.39 | $6,969.00 | $1,766.54 – $2,879.51 | 7 |
| Exc rect tum transanal part CPT 45171 | $2,742.39 | $6,318.00 | $1,334.28 – $2,879.51 | 7 |
| Exc sac pr ulc prim str ostc CPT 15933 | $2,862.05 | $7,874.00 | $1,882.61 – $3,005.15 | 7 |
| Exc sac pr ulc skn flp ostc CPT 15935 | $3,660.97 | not published | $2,488.57 – $5,725.89 | 8 |
| Exc sacral pr ulc prim sutr CPT 15931 | $2,862.05 | $6,050.00 | $1,514.31 – $3,005.15 | 7 |
| Exc sacral pr ulc skn flap CPT 15934 | $3,660.97 | $8,186.00 | $2,120.35 – $3,844.02 | 7 |
| Exc shoulder tum deep < 5 cm CPT 23076 | $2,862.05 | $5,973.00 | $1,181.30 – $3,005.15 | 7 |
| Exc skn hdrdnt ax complex CPT 11451 | $2,862.05 | $6,377.00 | $717.81 – $4,923.06 | 8 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $2,862.05 | $5,973.00 | $570.94 – $4,923.06 | 8 |
| Exc skn hdrdnt ing complex CPT 11463 | $2,862.05 | $6,377.00 | $721.95 – $4,923.06 | 8 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $703.59 | $2,750.00 | $363.75 – $738.77 | 7 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $1,620.24 | $4,840.00 | $507.42 – $1,701.25 | 7 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $2,862.05 | $5,940.00 | $617.67 – $3,005.15 | 7 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $1,620.24 | $4,384.00 | $669.90 – $1,701.25 | 7 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $1,620.24 | $3,671.00 | $670.96 – $1,701.25 | 7 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $2,862.05 | $6,621.00 | $965.94 – $3,005.15 | 7 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $1,620.24 | $5,686.00 | $913.30 – $1,701.25 | 7 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $2,862.05 | $6,621.00 | $729.86 – $4,923.06 | 8 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $1,620.24 | $4,450.00 | $694.57 – $2,847.29 | 8 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $2,862.05 | $5,973.00 | $884.08 – $3,005.15 | 7 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $1,620.24 | $5,170.00 | $910.69 – $1,701.25 | 7 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $2,862.05 | $6,621.00 | $909.18 – $4,923.06 | 8 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $2,862.05 | $7,157.00 | $1,012.59 – $3,005.15 | 7 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $1,600.41 | $4,575.00 | $705.08 – $1,680.43 | 7 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $1,620.24 | $4,191.00 | $691.58 – $2,847.29 | 8 |
| Exc thigh/knee tum deep <5cm CPT 27328 | $2,862.05 | $6,401.00 | $1,351.84 – $3,005.15 | 7 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | $2,862.05 | $5,726.00 | $1,628.18 – $3,005.15 | 7 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,179.08 | $3,818.00 | $245.18 – $1,238.03 | 7 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $1,620.24 | $3,521.00 | $721.22 – $1,701.25 | 7 |
| Exc torus mandibularis 21031 CPT 21031 | $3,243.07 | $5,712.00 | $593.64 – $4,618.73 | 8 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $1,620.24 | $3,740.00 | $672.10 – $1,701.25 | 7 |
| Exc trchntr pr ulc flp clsr CPT 15952 | $1,829.23 | $5,229.00 | $1,829.23 – $1,978.07 | 7 |
| Exc trchntr pr ulc flp ostc CPT 15953 | $3,660.97 | not published | $2,178.07 – $5,725.89 | 8 |
| Exc trchntr pr ulc prep flap CPT 15956 | $1,829.23 | $4,989.00 | $1,829.23 – $2,546.74 | 7 |
| Exc trchntr pr ulc prep ostc CPT 15958 | $3,660.97 | not published | $2,521.28 – $5,725.89 | 8 |
| Exc trchntr pr ulc prim sutr CPT 15950 | $1,620.24 | not published | $1,382.38 – $2,847.29 | 8 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | $2,862.05 | not published | $1,945.79 – $4,923.06 | 8 |
| Exc vagina lesion 57135 CPT 57135 | $3,179.53 | $6,774.00 | $407.23 – $3,338.51 | 7 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $3,244.61 | $6,065.00 | $1,172.91 – $3,406.84 | 7 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | $7,143.73 | not published | $1,607.26 – $11,798.15 | 8 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | $7,143.73 | $11,182.00 | $1,863.68 – $7,500.92 | 7 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | $3,244.61 | $7,913.00 | $1,367.05 – $3,406.84 | 7 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | $7,143.73 | $13,938.00 | $1,424.86 – $7,500.92 | 7 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | $7,143.73 | $12,716.00 | $914.69 – $7,500.92 | 7 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | $3,244.61 | $6,065.00 | $1,298.73 – $3,406.84 | 7 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $3,217.61 – $3,217.61 | 1 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $2,862.05 | $5,899.00 | $399.27 – $3,005.15 | 7 |
| Exchange biliary drg cath CPT 47536 | $3,529.06 | $8,030.00 | $268.83 – $3,705.51 | 7 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $437.18 | $1,394.00 | $110.88 – $459.04 | 8 |
| Exchange drainage catheter CPT 49423 | $1,896.99 | $4,310.00 | $144.07 – $1,991.84 | 7 |
| Exchange lens prosthesis CPT 66986 | $2,280.73 | $6,516.00 | $1,929.03 – $2,394.77 | 7 |
| Exchange nephrostomy cath CPT 50435 | $2,048.51 | $5,390.00 | $206.28 – $3,601.28 | 8 |
| Excimer lsr psriasis 250-500 CPT 96921 | $198.70 | not published | $121.70 – $365.25 | 8 |
| Excimer lsr psriasis<250sqcm CPT 96920 | $198.70 | $334.00 | $107.43 – $208.64 | 7 |
| Excimer lsr psriasis>500sqcm CPT 96922 | $399.53 | not published | $195.99 – $650.15 | 8 |
| Excis partial tal calc CPT 28120 | $3,244.61 | $6,529.00 | $1,074.77 – $3,406.84 | 7 |
| Excis uppr jaw cyst w/repair CPT 21049 | $5,915.66 | $9,534.00 | $2,446.26 – $6,211.44 | 7 |
| Excise anal ext tag/papilla CPT 46220 | $1,179.08 | $4,461.00 | $264.19 – $1,238.03 | 7 |
| Excise epiphyseal bar CPT 20150 | $3,244.61 | $9,358.00 | $2,158.18 – $3,406.84 | 7 |
| Excise foot tendon sheath CPT 28086 | $3,244.61 | $6,529.00 | $762.54 – $5,430.31 | 8 |
| Excise foot tendon sheath CPT 28088 | $3,244.61 | $6,034.00 | $642.81 – $3,406.84 | 7 |
| Excise inferior turbinate CPT 30130 | $3,243.07 | $6,631.00 | $923.63 – $4,618.73 | 8 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | $2,818.00 | $1,804.06 – $1,804.06 | 1 |
| Excise intraspinl lesion crv CPT 63265 | $7,143.73 | $21,824.00 | $3,595.14 – $7,500.92 | 7 |
| Excise intrspinl lesion lmbr CPT 63267 | $7,143.73 | $12,716.00 | $2,957.84 – $7,500.92 | 7 |
| Excise intrspinl lesion scrl CPT 63268 | $7,143.73 | not published | $3,166.50 – $7,500.92 | 7 |
| Excise lesion testis CPT 54512 | $3,448.97 | $8,856.00 | $1,143.36 – $6,058.60 | 8 |
| Excise lip or cheek fold CPT 40819 | $1,481.28 | $4,120.00 | $434.55 – $1,555.34 | 7 |
| Excise lwr jaw cyst w/repair CPT 21047 | $5,915.66 | $12,631.00 | $2,576.62 – $6,211.44 | 7 |
| Excise mandible lesion CPT 21040 | $3,243.07 | $5,580.00 | $783.70 – $3,405.22 | 7 |
| Excise max/zygoma b9 tumor CPT 21030 | $5,915.66 | $10,303.00 | $780.68 – $6,211.44 | 7 |
| Excise max/zygoma mal tumor CPT 21034 | $5,915.66 | $12,775.00 | $2,410.72 – $6,211.44 | 7 |
| Excise oral mucosa for graft 40818 CPT 40818 | $509.25 | $1,239.00 | $509.25 – $580.96 | 7 |
| Excise parotid gland/lesion CPT 42410 | $5,915.66 | $11,077.00 | $1,359.29 – $6,211.44 | 7 |
| Excise parotid gland/lesion CPT 42415 | $5,915.66 | $12,080.00 | $2,268.06 – $6,211.44 | 7 |
| Excise parotid gland/lesion CPT 42420 | $5,915.66 | $12,080.00 | $2,533.58 – $6,211.44 | 7 |
| Excise parotid gland/lesion CPT 42425 | $5,915.66 | $12,618.00 | $1,800.96 – $6,211.44 | 7 |
| Excise pharynx lesion CPT 42808 | $3,243.07 | $7,186.00 | $360.70 – $3,405.22 | 7 |
| Excise sacral spine tumor CPT 49215 | not published | $6,717.00 | $4,682.14 – $4,682.14 | 1 |
| Excise sublingual gland CPT 42450 | $5,915.66 | $10,544.00 | $795.66 – $6,211.44 | 7 |
| Excise submaxillary gland CPT 42440 | $5,915.66 | $14,249.00 | $901.91 – $6,211.44 | 7 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $1,620.24 | $4,043.00 | $727.47 – $1,701.25 | 7 |
| Excise tendon forearm/wrist CPT 25109 | $3,244.61 | $7,007.00 | $1,180.08 – $3,406.84 | 7 |
| Excise wrist tendon sheath CPT 25118 | $1,600.41 | $6,575.00 | $852.68 – $1,680.43 | 7 |
| Excise/repair mouth lesion CPT 40812 | $1,481.28 | $5,683.00 | $395.29 – $1,555.34 | 7 |
| Excision addl breast lesion 19126 CPT 19126 | not published | $4,753.00 | $333.40 – $333.40 | 1 |
| Excision aural polyp CPT 69540 | $1,481.28 | $3,741.00 | $288.09 – $1,555.34 | 7 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $703.59 | $1,980.00 | $292.10 – $738.77 | 7 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,620.24 | $3,520.00 | $296.25 – $1,701.25 | 7 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $703.59 | $2,079.00 | $251.94 – $738.77 | 7 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $1,620.24 | $4,323.00 | $535.57 – $1,701.25 | 7 |
| Excision breast lesion CPT 19125 | $3,829.28 | $8,392.00 | $996.17 – $5,829.14 | 8 |
| Excision floor mouth lesion 41116 CPT 41116 | $3,243.07 | $6,261.00 | $473.63 – $3,405.22 | 7 |
| Excision graft extremity CPT 35903 | $3,147.50 | $8,746.00 | $1,169.86 – $3,304.88 | 7 |
| Excision graft thorax 35905 CPT 35905 | not published | $440.00 | $3,408.60 – $3,408.60 | 1 |
| Excision gum each quadrant CPT 41820 | $3,243.07 | $6,633.00 | $763.47 – $3,405.22 | 7 |
| Excision hand/finger tendon CPT 26415 | $3,244.61 | $6,846.00 | $1,876.98 – $3,406.84 | 7 |
| Excision lesion mouth roof CPT 42106 | $3,243.07 | $5,964.00 | $347.88 – $3,405.22 | 7 |
| Excision lesion mouth roof CPT 42107 | $5,915.66 | $10,514.00 | $699.72 – $6,211.44 | 7 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $1,481.28 | $3,710.00 | $290.69 – $1,555.34 | 7 |
| Excision of anal lesion(s) CPT 46922 | $2,742.39 | $6,838.00 | $298.59 – $2,879.51 | 7 |
| Excision of gum flap CPT 41821 | $1,481.28 | $2,596.00 | $203.89 – $1,555.34 | 7 |
| Excision of gum lesion CPT 41822 | $1,481.28 | $3,710.00 | $438.73 – $1,555.34 | 7 |
| Excision of gum lesion CPT 41823 | $5,915.66 | $10,303.00 | $807.79 – $6,211.44 | 7 |
| Excision of gum lesion CPT 41826 | $3,243.07 | $7,186.00 | $423.91 – $3,405.22 | 7 |
| Excision of gum lesion CPT 41827 | $5,915.66 | $10,303.00 | $625.51 – $6,211.44 | 7 |
| Excision of gum lesion CPT 41828 | $1,481.28 | $5,925.00 | $477.81 – $1,555.34 | 7 |
| Excision of gum lesion 41825 CPT 41825 | $3,243.07 | $7,186.00 | $266.09 – $3,405.22 | 7 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | $2,008.00 | $1,810.11 – $1,810.11 | 1 |
| Excision of lingual tonsil CPT 42870 | $5,915.66 | $9,266.00 | $1,294.24 – $6,211.44 | 7 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | $3,314.00 | $1,659.81 – $1,659.81 | 1 |
| Excision of mouth lesion complex 40816 CPT 40816 | $3,243.07 | $6,244.00 | $662.50 – $3,405.22 | 7 |
| Excision of neck cyst CPT 42815 | $5,915.66 | $14,249.00 | $1,170.15 – $6,211.44 | 7 |
| Excision of neck cyst confined 42810 CPT 42810 | $3,243.07 | $7,186.00 | $621.96 – $3,405.22 | 7 |
| Excision of penis lesion(s) 54060 CPT 54060 | $1,829.23 | $3,391.00 | $284.07 – $1,920.69 | 7 |
| Excision of rectal lesion CPT 45160 | $2,742.39 | $6,318.00 | $2,183.65 – $2,879.51 | 7 |
| Excision of rectal stricture CPT 45150 | $1,179.08 | $4,950.00 | $916.74 – $1,238.03 | 7 |
| Excision of salivary cyst CPT 42408 | $3,243.07 | $5,635.00 | $756.06 – $3,405.22 | 7 |
| Excision of skull tumor CPT 61563 | not published | $6,622.00 | $4,258.80 – $4,258.80 | 1 |
| Excision of stomach lesion CPT 43610 | not published | not published | $2,068.82 – $2,068.82 | 1 |
| Excision of tongue lesion CPT 41112 | $3,243.07 | $5,304.00 | $530.99 – $3,405.22 | 7 |
| Excision of tongue lesion CPT 41114 | $3,243.07 | $5,712.00 | $1,342.50 – $3,405.22 | 7 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | $3,243.07 | $7,186.00 | $574.37 – $3,405.22 | 7 |
| Excision of tonsil tags CPT 42860 | $3,243.07 | $7,300.00 | $429.06 – $3,405.22 | 7 |
| Excision of umbilicus 49250 CPT 49250 | $3,529.06 | $6,477.00 | $1,275.67 – $3,705.51 | 7 |
| Excision of uvula CPT 42140 | $3,243.07 | $5,964.00 | $360.08 – $3,405.22 | 7 |
| Excision of vaginal septum 57130 CPT 57130 | $3,179.53 | $6,774.00 | $375.17 – $3,338.51 | 7 |
| Excision olecranon bursa CPT 24105 | $3,244.61 | $6,813.00 | $807.27 – $3,406.84 | 7 |
| Excision radial head CPT 24130 | $3,244.61 | $7,251.00 | $1,126.90 – $3,406.84 | 7 |
| Excision tongue lesion without closure 41110 CPT 41110 | $3,243.07 | $5,304.00 | $284.15 – $3,405.22 | 7 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $1,620.24 | $6,453.00 | $1,013.44 – $1,701.25 | 7 |
| Exercise tst brncspsm w/ecg CPT 94617 | $128.90 | $837.00 | $128.90 – $158.02 | 7 |
| Exercise tst brncspsm wo ecg CPT 94619 | $59.40 | $739.00 | $59.40 – $115.52 | 7 |
| Exercise w/hemodynamic meas CPT 93464 | not published | $545.00 | $385.81 – $14,806.00 | 2 |
| Exome sequence analysis CPT 81415 | $4,780.00 | $13,750.00 | $4,206.40 – $22,495.83 | 11 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $1,600.41 | $5,312.00 | $936.69 – $1,680.43 | 7 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | not published | $3,224.00 | $614.58 – $1,297.93 | 2 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | not published | $5,158.40 | not published | 0 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | $4,880.00 | $1,631.77 – $1,631.77 | 1 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | $8,746.00 | $856.62 – $856.62 | 1 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | $8,746.00 | $849.77 – $849.77 | 1 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $919.32 – $919.32 | 1 |
| Exploration for testis CPT 54550 | $3,529.06 | $7,921.00 | $1,048.25 – $3,705.51 | 7 |
| Exploration for testis CPT 54560 | $2,048.51 | $4,557.00 | $1,456.90 – $2,150.94 | 7 |
| Exploration maxillary sinus CPT 31030 | $5,915.66 | $12,879.00 | $1,123.11 – $6,211.44 | 7 |
| Exploration maxillary sinus CPT 31256 | $3,686.95 | $7,698.00 | $380.19 – $5,673.17 | 8 |
| Exploration of ankle joint CPT 27612 | $3,244.61 | $6,813.00 | $1,244.66 – $3,406.84 | 7 |
| Exploration of chest 39000 CPT 39000 | not published | $1,537.00 | $1,076.86 – $1,076.86 | 1 |
| Exploration of chest 39010 CPT 39010 | not published | $2,300.00 | $1,653.13 – $1,653.13 | 1 |
| Exploration of foot joint CPT 28020 | $3,244.61 | $6,179.00 | $795.43 – $3,406.84 | 7 |
| Exploration of foot joint CPT 28022 | $3,244.61 | $6,392.00 | $712.06 – $3,406.84 | 7 |
| Exploration of frontal sinus CPT 31070 | $5,915.66 | $10,951.00 | $1,051.92 – $6,211.44 | 7 |
| Exploration of frontal sinus CPT 31075 | $5,915.66 | $10,951.00 | $1,811.39 – $6,211.44 | 7 |
| Exploration of knee joint CPT 27310 | $3,244.61 | $6,508.00 | $1,596.46 – $3,406.84 | 7 |
| Exploration of middle ear CPT 69440 | $3,243.07 | $7,300.00 | $1,518.42 – $3,405.22 | 7 |
| Exploration of sinuses CPT 31090 | $5,915.66 | $10,951.00 | $2,436.16 – $6,211.44 | 7 |
| Exploration of spinal fusion CPT 22830 | not published | $14,508.00 | $1,782.18 – $1,782.18 | 1 |
| Exploration of toe joint CPT 28024 | $1,600.41 | $4,300.00 | $670.97 – $1,680.43 | 7 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | $2,795.00 | $1,940.86 – $1,940.86 | 1 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $3,509.44 – $3,509.44 | 1 |
| Exploratory heart surgery 33310 CPT 33310 | not published | $3,589.00 | $2,417.31 – $2,417.31 | 1 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $3,942.63 – $3,942.63 | 1 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | $8,182.00 | $2,286.04 – $2,286.04 | 1 |
| Explore chest vessels 35820 CPT 35820 | not published | $5,924.00 | $4,138.22 – $4,138.22 | 1 |
| Explore deep node(s) neck CPT 38542 | $5,834.36 | $13,291.00 | $1,126.89 – $6,126.08 | 7 |
| Explore epididymis CPT 54865 | $3,448.97 | $7,731.00 | $774.13 – $3,621.42 | 7 |
| Explore inner ear CPT 69805 | $5,915.66 | $13,991.00 | $2,220.90 – $6,211.44 | 7 |
| Explore inner ear CPT 69806 | $5,915.66 | $13,990.00 | $1,994.18 – $6,211.44 | 7 |
| Explore limb vessels 35860 CPT 35860 | $3,147.50 | $6,496.00 | $1,734.42 – $3,304.88 | 7 |
| Explore neck vessels 35800 CPT 35800 | not published | $3,199.00 | $1,547.32 – $1,547.32 | 1 |
| Explore parathyroid glands CPT 60500 | $5,915.66 | $10,303.00 | $2,067.30 – $6,211.44 | 7 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,620.24 | $3,860.00 | $737.96 – $1,701.25 | 7 |
| Explore scrotum CPT 55110 | $3,448.97 | $7,741.00 | $832.05 – $3,621.42 | 7 |
| Explore small intestine 44020 CPT 44020 | not published | $2,536.00 | $2,057.93 – $2,057.93 | 1 |
| Explore wound abdomen 20102 CPT 20102 | $1,829.23 | $4,443.00 | $546.19 – $1,920.69 | 7 |
| Explore wound neck 20100 CPT 20100 | $509.25 | $1,768.00 | $509.25 – $1,267.31 | 7 |
| Explore woundchest 20101 CPT 20101 | $1,829.23 | $4,443.00 | $446.12 – $1,920.69 | 7 |
| Explore/biopsy eye socket CPT 67400 | $3,771.00 | $6,906.00 | $2,252.00 – $3,959.55 | 7 |
| Explore/biopsy eye socket CPT 67450 | $3,771.00 | not published | $3,020.96 – $6,158.81 | 8 |
| Explore/drain eye socket CPT 67405 | $2,332.96 | $6,105.00 | $1,973.58 – $2,449.61 | 7 |
| Explore/drain eye socket CPT 67440 | $3,771.00 | not published | $2,916.46 – $6,158.81 | 8 |
| Explore/irrigate tear ducts CPT 68840 | $298.93 | $959.00 | $254.55 – $586.89 | 8 |
| Explore/repair chest 32110 CPT 32110 | not published | $4,352.00 | $3,080.26 – $3,080.26 | 1 |
| Explore/treat ankle joint CPT 27620 | $3,244.61 | $7,242.00 | $979.50 – $3,406.84 | 7 |
| Explore/treat eye socket CPT 67412 | $2,332.96 | $5,987.00 | $2,151.41 – $2,449.61 | 7 |
| Explore/treat eye socket CPT 67420 | $3,771.00 | $9,594.00 | $3,736.60 – $3,959.55 | 7 |
| Explore/treat eye socket CPT 67430 | $3,771.00 | not published | $3,006.77 – $6,158.81 | 8 |
| Explore/treat eye socket 67413 CPT 67413 | $2,332.96 | $5,715.00 | $2,094.66 – $2,449.61 | 7 |
| Explore/treat finger joint CPT 26075 | $3,244.61 | $6,065.00 | $754.31 – $3,406.84 | 7 |
| Explore/treat finger joint CPT 26080 | $1,600.41 | $3,842.00 | $889.98 – $1,680.43 | 7 |
| Explore/treat knee joint CPT 27331 | $3,244.61 | $6,424.00 | $1,051.09 – $3,406.84 | 7 |
| Explore/treat wrist joint CPT 25101 | $3,244.61 | $6,686.00 | $902.45 – $3,406.84 | 7 |
| Explr/decompress eye socket CPT 67414 | $3,771.00 | $9,123.00 | $3,131.08 – $6,158.81 | 8 |
| Explr/decompress eye socket CPT 67445 | $3,771.00 | not published | $3,290.33 – $6,158.81 | 8 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | $1,062.00 | $677.76 – $677.76 | 1 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $260.50 – $260.50 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $128.90 | $185.00 | $128.90 – $407.62 | 7 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $128.90 | $372.00 | $128.90 – $427.67 | 7 |
| Extended culture of oocytes CPT 89272 | $816.90 | not published | $816.90 – $1,155.31 | 7 |
| Extended visual field xm CPT 92083 | $128.90 | $330.00 | $104.00 – $2,793.00 | 9 |
| Extensive ear canal surgery 69150 CPT 69150 | $5,915.66 | $10,676.00 | $2,177.98 – $6,211.44 | 7 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $3,508.91 – $3,508.91 | 1 |
| Extensive hand surgery CPT 26250 | $3,244.61 | $5,526.00 | $2,301.35 – $3,406.84 | 7 |
| Extensive mastoid surgery CPT 69511 | $5,915.66 | $13,217.00 | $2,747.72 – $6,211.44 | 7 |
| Extensive mastoid surgery CPT 69530 | $5,915.66 | not published | $3,637.94 – $9,158.16 | 8 |
| Extensive surgery of throat CPT 42842 | $5,915.66 | $10,514.00 | $2,192.03 – $6,211.44 | 7 |
| Extensive surgery of throat CPT 42844 | $5,915.66 | $12,766.00 | $2,971.95 – $6,211.44 | 7 |
| Extensive testis surgery CPT 54535 | $3,448.97 | $7,296.00 | $1,575.86 – $3,621.42 | 7 |
| Extensive thyroid surgery CPT 60254 | not published | $7,313.00 | $3,532.09 – $3,532.09 | 1 |
| Extensive vulva surgery CPT 56632 | not published | $4,256.00 | $3,093.37 – $3,093.37 | 1 |
| External cannula declotting CPT 36860 | $1,553.44 | $2,101.00 | $227.77 – $1,631.11 | 7 |
| External chromosome analysis 20-25 cells CPT 88264 | $144.61 | $1,265.00 | $144.61 – $680.57 | 11 |
| External ocular photography CPT 92285 | $39.25 | not published | $39.25 – $115.71 | 8 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $24.49 | $166.00 | $24.49 – $100.05 | 8 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $3,873.00 | $7,530.00 | $3,408.24 – $18,227.27 | 11 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $143.75 | $1,950.00 | $99.00 – $676.52 | 11 |
| Extnd color vision xm CPT 92283 | $59.40 | not published | $59.40 – $220.41 | 8 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $17.93 | $264.00 | $17.93 – $84.38 | 11 |
| Extraction erupted tooth/exr HCPCS D7140 | $1,662.63 | $1,855.00 | $245.68 – $1,745.76 | 7 |
| Extraction of lens CPT 66930 | $4,022.86 | $8,669.00 | $1,833.41 – $4,224.00 | 7 |
| Extraction of lens CPT 66940 | $2,280.73 | $4,830.00 | $1,681.31 – $2,394.77 | 7 |
| Extraction of lens 66920 CPT 66920 | $2,280.73 | $6,618.00 | $1,601.55 – $2,394.77 | 7 |
| Extrnl counterpulse, per tx HCPCS G0166 | $128.90 | $976.00 | $104.00 – $196.21 | 7 |
| Eye allergy tests CPT 95060 | $128.90 | not published | $71.62 – $220.41 | 8 |
| Eye implant band 40 HCPCS C1784 | not published | $40,781.12 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $690.08 – $690.08 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $2,194.62 | $8,276.00 | $0.01 – $2,304.35 | 6 |
| F-18 fluciclovine per mci HCPCS A9588 | $268.42 | $1,214.00 | $0.01 – $794.00 | 7 |
| F-18 sodium fluoride HCPCS A9580 | not published | $422.00 | $0.01 – $509.62 | 2 |
| F9 full gene sequence CPT 81238 | $600.00 | $1,650.00 | $528.00 – $2,823.74 | 11 |
| Face bone graft CPT 21210 | $5,915.66 | $10,199.00 | $1,626.64 – $6,211.44 | 7 |
| Facial bones <3 CPT 70140 | $88.05 | $330.00 | $61.78 – $92.45 | 8 |
| Facial nerve function test CPT 92516 | $311.40 | $381.00 | $38.08 – $2,793.00 | 9 |
| Facility svs dental rehab HCPCS G0330 | $3,243.07 | $5,683.00 | $3,243.07 – $3,405.22 | 6 |
| Factor ix CPT 85250 | $19.04 | $169.00 | $19.04 – $89.61 | 11 |
| Factor ix alprolix recomb HCPCS J7201 | $3.63 | not published | $3.09 – $6.76 | 11 |
| Factor ix complex HCPCS J7194 | $1.70 | not published | $1.45 – $3.29 | 11 |
| Factor ix idelvion inj HCPCS J7202 | $5.34 | not published | $4.54 – $9.90 | 11 |
| Factor ix non-recombinant HCPCS J7193 | $1.34 | not published | $1.14 – $2.51 | 11 |
| Factor ix recomb gly rebinyn HCPCS J7203 | $4.58 | not published | $3.89 – $9.17 | 10 |
| Factor ix recombinant nos HCPCS J7195 | $1.88 | not published | $1.60 – $3.41 | 11 |
| Factor viii CPT 85240 | $17.90 | $474.00 | $17.90 – $84.24 | 11 |
| Factor viii HCPCS J7190 | $1.13 | not published | $0.96 – $2.38 | 11 |
| Factor viii fc fusion recomb HCPCS J7205 | $2.42 | not published | $2.06 – $4.55 | 11 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | $1.18 | not published | $1.00 – $2.85 | 11 |
| Factor viii pegylated recomb HCPCS J7207 | $2.15 | not published | $1.83 – $4.17 | 11 |
| Factor viii recomb novoeight HCPCS J7182 | $1.52 | not published | $1.29 – $3.29 | 11 |
| Factor viii recomb obizur HCPCS J7188 | $3.23 | not published | $2.75 – $6.87 | 10 |
| Factor viii recombinant nos HCPCS J7192 | $1.54 | not published | $1.31 – $3.07 | 11 |
| Factor xiii anti-hem factor HCPCS J7180 | $10.78 | not published | $9.16 – $19.63 | 11 |
| Factor xiii recomb a-subunit HCPCS J7181 | $18.29 | not published | $15.55 – $34.62 | 11 |
| Fallopian tube recnl CPT 58345 | $3,179.53 | $5,891.00 | $619.89 – $3,338.51 | 7 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $30.00 | not published | $25.50 – $52.83 | 9 |
| Family therapy with patient 50 min 90847 CPT 90847 | $160.67 | $497.00 | $154.00 – $170.14 | 8 |
| Family therapy without pt 50min 90846 CPT 90846 | $160.67 | $385.00 | $154.00 – $168.70 | 8 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | $0.01 – $0.01 | 1 |
| Fancc gene CPT 81242 | $36.62 | $561.00 | $32.23 – $172.34 | 11 |
| Fat/lipids feces qualitative CPT 82705 | $5.10 | $68.00 | $0.56 – $24.00 | 11 |
| Fatty acids nonesterified CPT 82725 | $18.77 | $121.00 | $17.05 – $88.34 | 11 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | $870.48 | $311.77 – $311.77 | 1 |
| Fecal bilirubin test CPT 82252 | $4.56 | not published | $2.75 – $21.46 | 12 |
| Fecal microbiota prep instil HCPCS G0455 | $911.71 | $1,148.00 | $124.33 – $957.30 | 7 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $64.03 | not published | $54.43 – $67.23 | 6 |
| Feeding tube reposition CPT 74355 | not published | not published | $436.04 – $436.04 | 1 |
| Fees w/laryngeal sense test CPT 92616 | $127.75 | not published | $127.75 – $228.84 | 8 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $18.64 | not published | $16.40 – $87.72 | 11 |
| Fem/popl revasc w/stent CPT 37226 | $11,340.57 | $23,925.00 | $1,048.05 – $20,014.91 | 9 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $473.57 – $473.57 | 1 |
| Feno poc CPT 95012 | $39.25 | $385.00 | $34.56 – $41.21 | 7 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $0.82 – $1.55 | 5 |
| Fern test HCPCS Q0114 | $9.74 | not published | $9.74 – $45.84 | 12 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1.14 | not published | $0.97 – $2.41 | 11 |
| Ferritin CPT 82728 | $13.63 | $210.00 | $13.63 – $64.15 | 11 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $0.31 | not published | $0.26 – $2.34 | 11 |
| Ferumoxytol, esrd use HCPCS Q0139 | $0.31 | not published | $0.26 – $2.15 | 11 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $106.34 | $1,137.00 | $106.34 – $244.36 | 8 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $759.05 | $2,118.00 | $667.96 – $3,572.27 | 11 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $201.17 | $535.00 | $156.17 – $211.23 | 7 |
| Fetal cord puncture prenatal CPT 59012 | $304.19 | $660.00 | $304.19 – $423.60 | 7 |
| Fetal fibronectin CPT 82731 | $64.41 | $515.00 | $64.41 – $303.13 | 11 |
| Fetal fluid drainage w/us CPT 59074 | $304.19 | $660.00 | $304.19 – $648.87 | 7 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $7.73 | $165.00 | $7.73 – $36.38 | 11 |
| Fetal hemoglobin rosette CPT 85461 | $9.36 | $112.00 | $9.36 – $44.05 | 11 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $19.32 | $194.00 | $5.75 – $90.92 | 11 |
| Fetal non stress test CPT 59025 | $201.17 | $1,571.00 | $104.00 – $2,793.00 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | $304.19 | $660.00 | $234.65 – $319.40 | 7 |
| Fetal shunt placement w/us CPT 59076 | $304.19 | $660.00 | $304.19 – $1,092.26 | 7 |
| Fiasp for insulin pump use HCPCS J1811 | $7.76 | not published | $6.60 – $8.15 | 6 |
| Fibrin degradation d dimer quantitative CPT 85379 | $10.18 | $144.00 | $5.50 – $47.91 | 11 |
| Fibrin degradation products CPT 85362 | $6.89 | $106.00 | $3.30 – $32.43 | 11 |
| Fibrin degrade semiquant CPT 85378 | $9.72 | $171.00 | $5.50 – $45.74 | 11 |
| Fibrinogen activity CPT 85384 | $9.72 | $110.00 | $9.72 – $45.74 | 11 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $15.48 | $51.00 | $7.70 – $72.85 | 11 |
| Fibrinolytic antiplasmin CPT 85410 | $7.71 | $168.00 | $7.71 – $36.29 | 11 |
| Fibrinolytic plasminogen CPT 85415 | $17.19 | $431.00 | $11.00 – $80.90 | 11 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $6.53 | $120.00 | $6.53 – $30.73 | 11 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $0.99 | not published | $0.84 – $2.10 | 11 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $0.29 | not published | $0.25 – $1.55 | 10 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $0.37 | not published | $0.31 – $1.32 | 11 |
| Filleted finger/toe flap CPT 14350 | $1,829.23 | $4,424.00 | $1,446.12 – $1,920.69 | 7 |
| Filter spider fx 3mmx320cm HCPCS C1884 | not published | $35,222.20 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | not published | $3,844.00 | not published | 0 |
| Filtered speech hearing test CPT 92571 | $39.25 | $188.00 | $39.25 – $627.00 | 9 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,752.20 – $1,752.20 | 1 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $3.44 – $4.39 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $399.53 | $1,210.00 | $114.75 – $419.51 | 7 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | $1,925.00 | $105.30 – $105.30 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $703.59 | $2,750.00 | $185.68 – $738.77 | 7 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | not published | $2,200.00 | $103.98 – $103.98 | 1 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | $816.00 | $90.74 – $90.74 | 1 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $319.95 – $700.27 | 3 |
| Finger tendon transfer CPT 26497 | $3,244.61 | $7,582.00 | $1,992.13 – $3,406.84 | 7 |
| Finger tendon transfer CPT 26498 | $3,244.61 | $7,582.00 | $2,572.62 – $3,406.84 | 7 |
| Fistula repair transperine 57308 CPT 57308 | not published | $4,694.00 | $1,425.37 – $1,425.37 | 1 |
| Fit aphakia spectcl monofocl CPT 92352 | $59.40 | not published | $29.99 – $115.71 | 8 |
| Fit aphakia spectcl multifoc CPT 92353 | $59.40 | not published | $40.73 – $115.71 | 8 |
| Fitg spect low vis 1system CPT 92354 | $39.25 | not published | $25.45 – $66.49 | 8 |
| Fitg spect lw vis cmpnd lens CPT 92355 | $39.25 | not published | $39.25 – $66.49 | 8 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $201.17 | not published | $98.87 – $343.48 | 8 |
| Fix g/colon tube w/device CPT 49460 | $937.56 | $1,847.00 | $104.74 – $984.44 | 7 |
| Fixation of ankle joint CPT 27860 | $3,244.61 | $6,634.00 | $354.46 – $3,406.84 | 7 |
| Fixation of knee joint CPT 27570 | $1,600.41 | $4,974.00 | $339.39 – $2,718.61 | 8 |
| Fixation of shoulder blade CPT 23400 | $7,143.73 | $19,280.00 | $2,102.54 – $7,500.92 | 7 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $3,244.61 | $6,529.00 | $1,474.69 – $3,406.84 | 7 |
| Fl exam g/colon tube w contrast CPT 49465 | $241.72 | $759.00 | $62.40 – $253.81 | 7 |
| Flebogamma injection HCPCS J1572 | $55.76 | not published | $49.78 – $77.07 | 11 |
| Flecainide (tambocor)-sendout CPT 80181 | $18.64 | not published | $16.40 – $87.72 | 11 |
| Flexible Sigmoidoscopy CPT 45330 | $911.71 | $2,750.00 | $120.78 – $957.30 | 7 |
| Flexor-plasty elbow CPT 24330 | $7,143.73 | $19,370.00 | $1,566.36 – $7,500.92 | 7 |
| Flexor-plasty elbw w/advmnt CPT 24331 | $7,143.73 | not published | $1,706.59 – $11,798.15 | 8 |
| Floor of mouth biopsy 41108 CPT 41108 | $1,620.24 | $3,353.00 | $199.57 – $1,701.25 | 7 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $1,273.76 | $8,397.00 | $0.01 – $3,121.78 | 7 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | $3,710.00 | not published | $3,710.00 – $3,895.50 | 6 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $671.22 | not published | $671.22 – $704.78 | 6 |
| Flow cytometry interp 16 or more CPT 88189 | not published | $735.00 | $78.30 – $150.09 | 2 |
| Flow cytometry marker each additional CPT 88185 | not published | $735.00 | $21.18 – $46.66 | 2 |
| Flow cytometry one marker technical component CPT 88184 | $359.72 | $3,410.00 | $63.49 – $377.71 | 8 |
| Floxuridine injection HCPCS J9200 | $4,125.55 | not published | $99.94 – $4,950.31 | 10 |
| Flt3 gene CPT 81245 | $165.51 | $894.00 | $145.65 – $778.93 | 11 |
| Flt3 gene analysis CPT 81246 | $83.00 | $572.00 | $73.04 – $390.62 | 11 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $1.92 – $6.94 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $71.65 | not published | $60.90 – $231.38 | 10 |
| Fluid pressure muscle 20950 CPT 20950 | $703.59 | $1,453.00 | $190.26 – $738.77 | 7 |
| Fluidotherapy charges pt CPT 97022 | $20.16 | $244.00 | $20.16 – $558.00 | 17 |
| Fluocinol acet intravit imp HCPCS J7313 | $497.80 | not published | $423.13 – $1,054.32 | 11 |
| Fluocinolone acetonide implt HCPCS J7311 | $339.76 | not published | $288.80 – $41,694.71 | 11 |
| Fluorescein angioscopy i&r CPT 92230 | $530.60 | $1,320.00 | $58.40 – $557.13 | 7 |
| Fluorescein angrph mltiframe CPT 92235 | $311.40 | not published | $291.55 – $522.28 | 8 |
| Fluorescein&icg angiography CPT 92242 | $311.40 | not published | $311.40 – $522.28 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $12.05 | $900.00 | $12.05 – $56.71 | 11 |
| Fluoro polarize fetal lung CPT 83663 | $18.91 | not published | $11.51 – $88.99 | 12 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | $498.62 | not published | $498.62 – $590.26 | 7 |
| Fluoroestradiol f 18 HCPCS A9591 | $498.67 | not published | $498.67 – $1,384.77 | 9 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | not published | $948.00 | $203.65 – $281.35 | 2 |
| Fluoroguide needle placement CPT 77002 | not published | $937.00 | $225.12 – $330.81 | 2 |
| Fluoroscopy up to 1 hour CPT 76000 | $241.72 | $1,540.00 | $81.99 – $253.81 | 8 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $1.46 – $4.28 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $6.40 – $35.20 | 5 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $1,866.58 | not published | $1,866.58 – $5,551.82 | 7 |
| Fmri brain by phys/psych CPT 70555 | $241.72 | $2,310.00 | $241.72 – $4,332.00 | 9 |
| Fmri brain by tech CPT 70554 | $241.72 | $2,145.00 | $241.72 – $4,332.00 | 9 |
| Fna bx w/ct gdn 1st les CPT 10009 | $703.59 | $2,860.00 | $224.11 – $738.77 | 7 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | $1,925.00 | $147.58 – $147.58 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | $703.59 | $2,750.00 | $703.59 – $1,043.77 | 7 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | $1,925.00 | $616.86 – $616.86 | 1 |
| Foam stability fetal lung CPT 83662 | $18.91 | not published | $5.50 – $88.99 | 12 |
| Folic acid CPT 82746 | $14.70 | $196.00 | $11.55 – $69.18 | 11 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.05 – $0.05 | 1 |
| Follow-up angiography CPT 75898 | $3,147.50 | $5,720.00 | $404.18 – $3,304.88 | 7 |
| Follow-up surgery of eye CPT 66250 | $2,332.96 | $3,678.00 | $1,196.23 – $2,449.61 | 7 |
| Followup eval of foot pt lop HCPCS G0246 | $128.87 | not published | $34.85 – $239.81 | 8 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $6.03 | not published | $6.03 – $21.29 | 11 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.61 – $3.76 | 5 |
| Foot X-ray CPT 73630 | $88.05 | $561.00 | $66.50 – $96.17 | 8 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | $117.00 | $44.52 – $143.75 | 4 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $3,660.97 | $7,150.00 | $2,141.31 – $3,844.02 | 7 |
| Forensic cytopathology CPT 88125 | $53.43 | not published | $7.70 – $105.53 | 9 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $243.21 | $636.00 | $118.65 – $255.37 | 7 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.09 – $4.35 | 6 |
| Foscarnet sodium injection HCPCS J1455 | $15.58 | not published | $5.77 – $170.30 | 11 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $2.33 – $10.88 | 2 |
| Fractionation ketosteroids CPT 83593 | $28.50 | not published | $6.60 – $134.13 | 12 |
| Fracture assessment via dxa CPT 77086 | $88.05 | $369.00 | $65.19 – $93.65 | 8 |
| Fragmenting of kidney stone CPT 50590 | $3,448.97 | $12,375.00 | $1,217.11 – $3,621.42 | 7 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $3,344.79 – $3,344.79 | 1 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | $3,533.00 | $2,302.98 – $2,302.98 | 1 |
| Frenectomy 41115 CPT 41115 | $1,481.28 | $4,120.00 | $319.31 – $1,555.34 | 7 |
| Frenotomy 40806 CPT 40806 | $509.25 | $1,239.00 | $64.65 – $534.71 | 7 |
| Frenulotomy of penis CPT 54164 | $2,048.51 | $6,085.00 | $420.81 – $2,150.94 | 7 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $71.09 | $282.00 | $71.09 – $74.64 | 6 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $84.29 | $624.00 | $84.29 – $149.19 | 7 |
| Fresh frozen plasma thawing ea un CPT 86927 | $171.36 | $196.00 | $40.56 – $179.93 | 7 |
| Frozen blood freeze/thaw CPT 86932 | $39.25 | not published | $39.25 – $283.56 | 8 |
| Frozen blood prep CPT 86930 | $171.36 | $1,101.00 | $171.36 – $296.00 | 7 |
| Frozen blood thaw CPT 86931 | $171.36 | not published | $171.36 – $567.64 | 8 |
| Frozen cell preparation CPT 88241 | $12.09 | $2,066.00 | $8.53 – $56.90 | 11 |
| Frozen plasma, pooled, sd HCPCS P9023 | $62.31 | not published | $62.31 – $157.24 | 7 |
| Fructosamine glycated protein CPT 82985 | $16.76 | $110.00 | $7.26 – $78.88 | 11 |
| Ftl cgen abnor four anal CPT 81511 | $153.50 | $421.00 | $135.08 – $722.41 | 11 |
| Full field erg w/i&r CPT 92273 | $311.40 | not published | $225.59 – $522.28 | 8 |
| Full mouth x-ray of teeth CPT 70320 | $241.72 | $385.00 | $103.66 – $253.81 | 8 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,829.23 | $5,277.00 | $1,722.20 – $1,920.69 | 7 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $1,829.23 | $4,730.00 | $1,822.16 – $1,920.69 | 7 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,829.23 | $5,481.00 | $1,318.92 – $1,920.69 | 7 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | $1,788.00 | $144.74 – $144.74 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | $128.90 | $322.00 | $65.06 – $2,793.00 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.02 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.76 – $1.75 | 4 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $6,788.92 – $6,788.92 | 1 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $2,327.70 – $2,327.70 | 1 |
| Fusion of ankle joint open CPT 27870 | $12,866.82 | $18,185.00 | $2,168.17 – $13,510.16 | 7 |
| Fusion of big toe joint CPT 28750 | $7,143.73 | $11,161.00 | $1,247.08 – $7,500.92 | 7 |
| Fusion of big toe joint CPT 28755 | $7,143.73 | $11,161.00 | $727.93 – $11,798.15 | 8 |
| Fusion of finger joint CPT 26860 | $3,244.61 | $7,343.00 | $1,368.56 – $3,406.84 | 7 |
| Fusion of finger tendons CPT 26471 | $3,244.61 | $6,065.00 | $1,467.72 – $3,406.84 | 7 |
| Fusion of finger tendons CPT 26474 | $1,600.41 | $3,842.00 | $1,453.01 – $1,680.43 | 7 |
| Fusion of foot bones CPT 28730 | $12,866.82 | $16,561.00 | $1,568.35 – $13,510.16 | 7 |
| Fusion of foot bones CPT 28735 | $12,866.82 | $16,561.00 | $1,669.70 – $13,510.16 | 7 |
| Fusion of foot bones CPT 28740 | $7,143.73 | $11,161.00 | $1,333.27 – $7,500.92 | 7 |
| Fusion of hand joint CPT 26843 | $7,143.73 | $11,398.00 | $1,730.00 – $7,500.92 | 7 |
| Fusion of knuckle CPT 26850 | $7,143.73 | $11,550.00 | $1,626.47 – $7,500.92 | 7 |
| Fusion of knuckle joint CPT 26516 | $3,244.61 | $6,161.00 | $1,645.17 – $3,406.84 | 7 |
| Fusion of knuckle joints CPT 26517 | $3,244.61 | $7,582.00 | $1,909.05 – $3,406.84 | 7 |
| Fusion of knuckle joints CPT 26518 | $7,143.73 | not published | $1,932.30 – $7,500.92 | 8 |
| Fusion of knuckle with graft CPT 26852 | $7,143.73 | $11,398.00 | $1,840.30 – $7,500.92 | 7 |
| Fusion of spermatic ducts CPT 54900 | $2,048.51 | $5,331.00 | $1,692.52 – $2,150.94 | 7 |
| Fusion of spermatic ducts CPT 54901 | $3,448.97 | $5,331.00 | $2,228.85 – $3,621.42 | 7 |
| Fusion of tendons at wrist CPT 25300 | $3,244.61 | $6,575.00 | $1,512.80 – $3,406.84 | 7 |
| Fusion of tendons at wrist CPT 25301 | $3,244.61 | $7,913.00 | $1,410.47 – $3,406.84 | 7 |
| Fusion of thumb CPT 26841 | $7,143.73 | $11,398.00 | $1,718.57 – $7,500.92 | 7 |
| Fusion of tibiofibular joint CPT 27871 | $12,866.82 | $16,465.00 | $1,502.56 – $13,510.16 | 7 |
| Fusion of toes CPT 28280 | $3,244.61 | $6,095.00 | $746.89 – $3,406.84 | 7 |
| Fusion/graft of finger joint CPT 26862 | $3,244.61 | $6,943.00 | $1,697.55 – $3,406.84 | 7 |
| Fusion/graft of hand joint CPT 26844 | $7,143.73 | $12,498.00 | $1,897.08 – $7,500.92 | 7 |
| G-esoph reflx tst w/electrod CPT 91035 | $530.60 | $1,936.00 | $530.60 – $818.84 | 7 |
| G-tube reposition CPT 43761 | $243.21 | $2,111.00 | $216.27 – $255.37 | 7 |
| G0180 home health certification HCPCS G0180 | not published | not published | $98.40 – $98.40 | 1 |
| G6pc gene CPT 81250 | $58.49 | $1,040.00 | $51.47 – $275.27 | 11 |
| G6pd full gene sequence CPT 81249 | $600.00 | $1,705.00 | $528.00 – $2,823.74 | 11 |
| G6pd gene alys cmn variant CPT 81247 | $174.81 | $495.00 | $153.84 – $822.70 | 11 |
| G6pd known familial variant CPT 81248 | $375.25 | not published | $330.22 – $1,766.02 | 12 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | $210.00 | $0.01 – $142.55 | 2 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $51.09 | $190.00 | $0.01 – $158.84 | 7 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.22 – $0.69 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | $8.00 | $0.01 – $2.02 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.10 – $0.32 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $12.50 – $31.65 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $21.07 | $436.00 | $4.11 – $99.16 | 11 |
| Galactokinase - sendout CPT 82759 | $21.48 | $1,045.00 | $12.65 – $101.09 | 11 |
| Galactose transferase test CPT 82776 | $11.74 | not published | $9.79 – $55.25 | 12 |
| Galectin-3 CPT 82777 | $44.25 | $204.00 | $38.94 – $208.25 | 11 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $5,834.36 | $10,973.00 | $1,408.66 – $6,126.08 | 7 |
| Gallium ga-68 dotatoc HCPCS C9067 | $4.05 | not published | $4.05 – $18.55 | 8 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $534.91 | not published | $534.91 – $1,573.82 | 8 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | $372.17 | not published | $372.17 – $1,540.94 | 8 |
| Gallium illuccix 1 millicure HCPCS A9596 | $973.64 | not published | $973.64 – $1,562.53 | 7 |
| Gallium locametz 1 millicuri HCPCS A9800 | $873.44 | not published | $873.44 – $1,018.06 | 7 |
| Gamma globulin 1 cc inj HCPCS J1460 | $48.42 | not published | $41.16 – $97.54 | 11 |
| Gamma globulin > 10 cc inj HCPCS J1560 | $167.06 | not published | $142.00 – $975.37 | 11 |
| Gamma glutamyltransferase CPT 82977 | $7.20 | $121.00 | $5.28 – $33.88 | 11 |
| Gammaglobulin iga CPT 82784 | $9.30 | $465.00 | $9.30 – $43.77 | 11 |
| Gammaglobulin ige CPT 82785 | $16.46 | $261.00 | $16.46 – $77.46 | 11 |
| Gammaplex injection HCPCS J1557 | $62.47 | not published | $53.10 – $109.09 | 11 |
| Gamunex-c/gammaked HCPCS J1561 | $48.03 | not published | $40.83 – $99.88 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $33.68 – $110.59 | 5 |
| Gardner vag dna quant CPT 87512 | $41.76 | $231.00 | $22.00 – $196.53 | 11 |
| Gastric analy w/ph ea spec CPT 82930 | $6.71 | not published | $5.91 – $31.58 | 12 |
| Gastric emptying imag study CPT 78265 | $401.83 | $1,183.00 | $401.83 – $1,290.07 | 8 |
| Gastric emptying imag study CPT 78266 | $538.27 | $1,585.00 | $538.27 – $1,443.33 | 8 |
| Gastric motility studies CPT 91020 | $530.60 | $1,661.00 | $495.05 – $557.13 | 7 |
| Gastric mucosa imaging CPT 78261 | $401.83 | not published | $359.44 – $731.72 | 9 |
| Gastrin test CPT 82938 | $17.69 | not published | $17.69 – $83.25 | 12 |
| Gastroesophageal reflux study CPT 78262 | $401.83 | $1,667.00 | $401.83 – $781.69 | 8 |
| Gastroesophageal reflux test CPT 91034 | $530.60 | $1,993.00 | $342.75 – $557.13 | 7 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | $4,880.00 | $2,844.26 – $2,844.26 | 1 |
| Gastrostomy open neonatal CPT 43831 | $937.56 | not published | $937.56 – $1,576.41 | 8 |
| Gated heart multiple CPT 78473 | $401.83 | $1,311.00 | $401.83 – $821.00 | 8 |
| Gba gene CPT 81251 | $47.25 | $386.00 | $41.58 – $222.37 | 11 |
| Gel-one HCPCS J7326 | $524.02 | not published | $445.42 – $2,617.80 | 11 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.55 – $4.81 | 6 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.52 – $10.37 | 5 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $236.62 | not published | $201.13 – $453.36 | 10 |
| General health panel CPT 80050 | not published | $1,232.00 | $39.60 – $212.62 | 2 |
| Generator barostim neo2 2014 HCPCS C1767 | not published | $97,079.60 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | not published | $64,442.80 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | not published | $86,800.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $2,448.56 | $12,353.00 | $2,154.74 – $11,523.51 | 10 |
| Geniop sldg augmentation CPT 21123 | $3,243.07 | $5,712.00 | $1,820.85 – $3,405.22 | 7 |
| Geniop sldg osteot 1 CPT 21121 | $3,243.07 | $5,712.00 | $1,140.45 – $3,405.22 | 7 |
| Geniop sldg osteot 2/> CPT 21122 | $5,915.66 | $10,039.00 | $1,625.95 – $6,211.44 | 7 |
| Genioplasty augmentation CPT 21120 | $5,915.66 | $10,039.00 | $1,112.92 – $6,211.44 | 7 |
| Genome sequence analysis CPT 81425 | $5,031.20 | not published | $4,427.46 – $23,678.03 | 12 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.23 – $3.57 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $16.38 | $173.00 | $13.86 – $77.09 | 11 |
| Genvisc 850, inj, 1mg HCPCS J7320 | $6.02 | not published | $5.12 – $36.34 | 11 |
| Ghs HIV antibody CPT 86703 | $13.71 | $2,145.00 | $13.71 – $64.52 | 11 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $46.14 | $277.00 | $32.39 – $48.45 | 7 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $1,008.91 – $1,008.91 | 1 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $987.21 – $987.21 | 1 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $906.86 – $906.86 | 1 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $331.69 | $778.00 | $331.69 – $2,240.28 | 7 |
| Ghs abscess perianal iandd CPT 46050 | $911.71 | $2,252.00 | $221.21 – $957.30 | 7 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,862.05 | $4,354.00 | $386.72 – $3,005.15 | 7 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $9.81 | $92.00 | $9.81 – $46.17 | 11 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $17.11 | $310.00 | $17.11 – $80.52 | 11 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $102.26 | $2,200.00 | $89.99 – $481.26 | 11 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $128.90 | $290.00 | $30.63 – $135.35 | 7 |
| Ghs antibodies (torch) igm CPT 86694 | $14.39 | $250.00 | $14.08 – $67.72 | 11 |
| Ghs aspiration bladder - needle CPT 51100 | $243.21 | $1,048.00 | $81.33 – $255.37 | 7 |
| Ghs bladder cath - complex-foley CPT 51703 | $156.46 | $734.00 | $156.46 – $164.28 | 7 |
| Ghs bleeding time (ivy) CPT 85002 | $4.82 | $150.00 | $1.32 – $22.68 | 11 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $692.52 | $1,719.00 | $114.56 – $1,239.54 | 8 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,147.50 | $3,782.00 | $172.54 – $3,304.88 | 7 |
| Ghs change cysto/gastrost CPT 43762 | $243.21 | $990.00 | $77.40 – $255.37 | 7 |
| Ghs chemo >8 hrs CPT 96416 | $331.69 | $1,954.00 | $230.42 – $1,966.00 | 8 |
| Ghs chemo IV push, ea addtl CPT 96411 | $71.17 | $1,124.00 | $71.17 – $1,966.00 | 8 |
| Ghs chemo infusion >8 hrs CPT 96425 | $331.69 | $1,210.00 | $293.00 – $1,966.00 | 8 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $35.09 | $287.00 | $35.09 – $165.14 | 11 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $239.88 | $1,868.00 | $239.88 – $1,043.81 | 7 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $239.88 | $1,811.00 | $239.88 – $707.08 | 7 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $239.88 | $1,568.00 | $239.88 – $595.94 | 7 |
| Ghs closed reduction ankle dislocation CPT 27840 | $239.88 | $1,162.00 | $239.88 – $864.90 | 7 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,600.41 | $3,373.00 | $955.87 – $1,680.43 | 7 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $239.88 | $562.00 | $239.88 – $1,008.66 | 7 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,600.41 | $4,014.00 | $1,085.84 – $1,680.43 | 7 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,829.23 | $6,486.00 | $1,702.90 – $1,920.69 | 7 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,600.41 | $4,611.00 | $984.03 – $1,680.43 | 7 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $239.88 | $1,045.00 | $239.88 – $699.51 | 7 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,600.41 | $4,058.00 | $1,084.91 – $1,680.43 | 7 |
| Ghs community re-entry 15 minutes CPT 97537 | $40.61 | $144.00 | $40.61 – $558.00 | 17 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $399.04 | $662.00 | $75.59 – $418.99 | 7 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $128.90 | $541.00 | $61.31 – $220.41 | 8 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $128.90 | $528.00 | $106.30 – $135.35 | 7 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $399.04 | $768.00 | $87.20 – $418.99 | 7 |
| Ghs cricothyroidotomy CPT 31605 | $232.22 | $1,769.00 | $232.22 – $683.56 | 7 |
| Ghs cutdown placement age 1 and over CPT 36425 | $399.04 | $596.00 | $82.13 – $418.99 | 7 |
| Ghs cutdown placement under 1 yr CPT 36420 | $128.90 | $466.00 | $97.54 – $135.35 | 7 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $15.21 | $110.00 | $15.21 – $71.58 | 11 |
| Ghs dislocation elbow closed treatment CPT 24600 | $239.88 | $1,630.00 | $239.88 – $766.96 | 7 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $937.56 | $1,906.00 | $221.57 – $984.44 | 7 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $265.58 | $506.00 | $69.94 – $278.86 | 7 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $692.52 | $3,292.00 | $216.67 – $727.15 | 7 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $156.46 | $3,080.00 | $104.00 – $537.53 | 7 |
| Ghs elect torsion swing CPT 92546 | $156.46 | $516.00 | $116.00 – $627.00 | 9 |
| Ghs elect vertical elct CPT 92547 | not published | $290.00 | $18.99 – $627.00 | 6 |
| Ghs electrostagmgraphy CPT 92537 | $156.46 | $779.00 | $68.80 – $627.00 | 9 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $399.53 | $751.00 | $149.49 – $419.51 | 7 |
| Ghs excision ingrown nail CPT 11765 | $399.53 | $879.00 | $202.20 – $419.51 | 7 |
| Ghs eye exam CPT 92002 | $128.87 | not published | $76.35 – $239.81 | 8 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $298.93 | $882.00 | $254.84 – $313.88 | 7 |
| Ghs fat & muscle CPT 89160 | $4.85 | not published | $2.31 – $22.83 | 12 |
| Ghs fb removal - incisional CPT 10121 | $1,620.24 | $4,474.00 | $394.47 – $1,701.25 | 7 |
| Ghs fb removal - non-incisional CPT 20520 | $1,620.24 | $3,353.00 | $321.96 – $1,701.25 | 7 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,620.24 | $4,899.00 | $671.52 – $1,701.25 | 7 |
| Ghs fb removal from muscle - complicated CPT 20525 | $2,862.05 | $5,726.00 | $532.41 – $3,005.15 | 7 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $6.98 | $57.00 | $0.77 – $32.85 | 11 |
| Ghs fish cytogen CPT 88271 | $21.42 | $2,386.00 | $17.60 – $100.81 | 11 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $51.19 | $443.00 | $48.09 – $240.91 | 11 |
| Ghs flow volume loop CPT 94375 | $311.40 | $619.00 | $69.21 – $326.97 | 7 |
| Ghs gastric intub aspiration lavage CPT 43753 | $311.40 | $813.00 | $44.51 – $326.97 | 7 |
| Ghs hcv amplificaiton CPT 87521 | $35.09 | $2,145.00 | $35.09 – $165.14 | 11 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $22.97 | not published | $8.58 – $108.10 | 12 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $15.49 | $210.00 | $15.49 – $72.90 | 11 |
| Ghs hgb stability-thal CPT 83068 | $9.47 | $154.00 | $3.30 – $44.57 | 11 |
| Ghs histoplasma antigen CPT 87385 | $13.25 | $193.00 | $13.19 – $62.36 | 11 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $106.14 | not published | $20.90 – $499.52 | 12 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,048.51 | $5,865.00 | $456.01 – $2,150.94 | 7 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,179.08 | $5,229.00 | $926.93 – $1,238.03 | 7 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $703.59 | $1,982.00 | $367.55 – $738.77 | 7 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $703.59 | $1,449.00 | $230.02 – $738.77 | 7 |
| Ghs immun0electrophoresis CPT 86320 | $29.92 | not published | $11.55 – $140.81 | 12 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $243.21 | $678.00 | $239.12 – $255.37 | 7 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $194.14 | $491.00 | $194.14 – $286.63 | 7 |
| Ghs inf midline insertion CPT 36140 | not published | $2,518.00 | $180.98 – $180.98 | 1 |
| Ghs inhibitor screen CPT 85335 | $12.87 | $483.00 | $11.00 – $60.57 | 11 |
| Ghs init tx 1st degree burn CPT 16000 | $198.70 | $550.00 | $95.32 – $208.64 | 7 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $890.29 | $5,035.00 | $378.85 – $934.80 | 7 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $890.29 | $3,402.00 | $253.35 – $1,583.22 | 8 |
| Ghs inj tendon origin/insertion CPT 20551 | $295.19 | $770.00 | $80.87 – $309.95 | 7 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | $1,047.00 | $127.44 – $127.44 | 1 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $890.29 | $3,247.00 | $276.13 – $1,583.22 | 8 |
| Ghs insertion of needle - bone CPT 36680 | $399.04 | $706.00 | $123.42 – $418.99 | 7 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $399.53 | $1,595.00 | $399.53 – $517.08 | 7 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $612.13 | $1,815.00 | $602.70 – $642.74 | 7 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,829.23 | $3,241.00 | $699.25 – $1,920.69 | 7 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | $275.00 | $18.97 – $18.97 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $243.21 | $783.00 | $243.21 – $283.34 | 7 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $399.04 | $931.00 | $333.58 – $418.99 | 7 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $399.53 | $1,054.00 | $326.91 – $419.51 | 7 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $399.53 | $1,470.00 | $311.77 – $419.51 | 7 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $399.53 | $1,288.00 | $364.88 – $419.51 | 7 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $399.53 | $1,345.00 | $399.53 – $428.02 | 7 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $399.53 | $1,580.00 | $399.53 – $420.45 | 7 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $399.53 | $1,503.00 | $399.53 – $461.00 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $399.53 | $1,375.00 | $399.53 – $440.48 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $612.13 | $1,745.00 | $458.90 – $642.74 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $399.53 | $1,558.00 | $399.53 – $468.96 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $612.13 | $1,800.00 | $588.86 – $642.74 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $399.53 | $1,650.00 | $399.53 – $645.28 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $612.13 | $2,145.00 | $612.13 – $683.93 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $399.53 | $1,760.00 | $399.53 – $824.84 | 7 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $399.53 | $1,980.00 | $399.53 – $898.05 | 7 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,829.23 | $2,750.00 | $756.64 – $1,920.69 | 7 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $8.60 | $83.00 | $8.60 – $40.47 | 11 |
| Ghs low level laser therapy CPT 97039 | not published | $381.00 | $26.13 – $558.00 | 13 |
| Ghs mbp CPT 83873 | $17.20 | $99.00 | $17.20 – $80.95 | 11 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | not published | $165.00 | $40.12 – $40.12 | 1 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | $260.00 | $136.70 – $136.70 | 1 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | not published | $81.00 | $21.12 – $21.12 | 1 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | $189.00 | $99.14 – $99.14 | 1 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | $493.00 | $124.41 – $124.41 | 1 |
| Ghs musc test done w/n test comp CPT 95886 | not published | $430.00 | $104.00 – $4,550.00 | 6 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | $195.00 | $104.00 – $4,550.00 | 6 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | $278.00 | $104.00 – $4,550.00 | 5 |
| Ghs myocardial strain img spckl track CPT 93356 | not published | $1,155.00 | $19.17 – $181.00 | 3 |
| Ghs nailbed repair/nail removal CPT 11760 | $612.13 | $1,555.00 | $235.57 – $642.74 | 7 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $890.29 | $2,379.00 | $51.99 – $934.80 | 7 |
| Ghs nerve blk intercostal, single level CPT 64420 | $692.52 | $1,511.00 | $122.32 – $1,239.54 | 8 |
| Ghs nerve block axillary nerve CPT 64417 | $890.29 | $1,437.00 | $133.29 – $934.80 | 7 |
| Ghs nerve block brachial plexus CPT 64415 | $890.29 | $2,187.00 | $144.06 – $1,583.22 | 8 |
| Ghs nerve block celiac plexus CPT 64530 | $890.29 | $2,688.00 | $200.76 – $934.80 | 7 |
| Ghs nerve block interscaline CPT 64510 | $890.29 | $2,574.00 | $164.24 – $934.80 | 7 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $890.29 | $2,886.00 | $181.38 – $934.80 | 7 |
| Ghs nerve block sciatic nerve CPT 64445 | $692.52 | $2,037.00 | $150.78 – $727.15 | 7 |
| Ghs nerve block suprascapular CPT 64418 | $692.52 | $1,511.00 | $115.95 – $1,239.54 | 8 |
| Ghs ng placement w fluoro guidance CPT 43752 | $399.04 | $710.00 | $82.63 – $418.99 | 7 |
| Ghs o2 saturation CPT 82810 | $9.77 | $26.00 | $9.77 – $45.98 | 11 |
| Ghs o2 uptake rest & exercise CPT 94680 | $156.46 | $440.00 | $96.68 – $164.28 | 7 |
| Ghs o2 uptake rest & indirect CPT 94690 | $59.40 | not published | $59.40 – $88.17 | 8 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $46.14 | $117.00 | $46.14 – $48.45 | 6 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,553.44 | $3,980.00 | $384.39 – $1,631.11 | 7 |
| Ghs opcc repair cvp without subq port CPT 36575 | $618.26 | $3,468.00 | $68.76 – $649.17 | 7 |
| Ghs optokenetic CPT 92544 | $156.46 | $416.00 | $30.55 – $627.00 | 9 |
| Ghs oscillating trac CPT 92545 | $311.40 | $394.00 | $28.83 – $627.00 | 9 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $25.30 | not published | $25.30 – $51.29 | 8 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $25.30 | not published | $25.30 – $58.32 | 8 |
| Ghs ot dds rom CPT 95851 | $10.05 | $25.00 | $10.05 – $558.00 | 17 |
| Ghs ot group caregiver training CPT 97552 | $14.15 | $84.00 | $14.15 – $558.00 | 17 |
| Ghs ot prosthetic training/15 min CPT 97761 | $52.32 | $193.00 | $52.32 – $558.00 | 17 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $81.32 | $147.00 | $60.00 – $565.00 | 17 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $78.10 – $297.93 | 2 |
| Ghs pacing - transcutaneous CPT 92953 | $654.38 | $1,475.00 | $1.69 – $687.10 | 7 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | $3,190.00 | $126.11 – $126.11 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | $1,925.00 | $108.52 – $108.52 | 1 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | $54.00 | $6.60 – $45.67 | 2 |
| Ghs peritonsillar abscess i andd CPT 42700 | $232.22 | $1,104.00 | $232.22 – $297.47 | 7 |
| Ghs phenylketonurid CPT 84030 | $5.50 | $316.00 | $5.50 – $25.88 | 11 |
| Ghs picc line insert < 5 CPT 36568 | $1,553.44 | $3,287.00 | $187.10 – $1,631.11 | 7 |
| Ghs plngl fx pm cl CPT 26725 | $239.88 | $1,147.00 | $239.88 – $689.74 | 7 |
| Ghs plt ct-manual CPT 85032 | $4.31 | $61.00 | $3.30 – $20.28 | 11 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,017.39 | $8,191.00 | $104.00 – $1,768.09 | 7 |
| Ghs pos nystagmus CPT 92542 | $128.90 | $678.00 | $49.42 – $627.00 | 9 |
| Ghs ppd (tb intradermal) CPT 86580 | $24.49 | $40.00 | $4.40 – $25.71 | 8 |
| Ghs pr without cont pulse ox CPT 94625 | $59.40 | $550.00 | $31.11 – $593.00 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $9.66 | $76.00 | $9.66 – $45.46 | 11 |
| Ghs protein, misc fluid CPT 84160 | $5.61 | $144.00 | $1.98 – $26.40 | 11 |
| Ghs protoporphyrins fract CPT 84202 | $14.35 | $279.00 | $11.44 – $67.53 | 11 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $12.25 | $61.00 | $12.25 – $57.65 | 11 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | $438.00 | $60.00 – $558.00 | 13 |
| Ghs quinidine CPT 80194 | $14.60 | $275.00 | $14.60 – $68.71 | 11 |
| Ghs refill of implantable pump CPT 95990 | $331.69 | $606.00 | $164.30 – $348.27 | 7 |
| Ghs removal intranasal foreign body CPT 30300 | $128.90 | $429.00 | $128.90 – $272.09 | 7 |
| Ghs removal pharyngeal foreign body CPT 42809 | $399.04 | $706.00 | $274.54 – $418.99 | 7 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,600.41 | $6,579.00 | $1,342.21 – $1,680.43 | 7 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $3,244.61 | $6,871.00 | $1,091.88 – $3,406.84 | 7 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $15.89 | $58.00 | $13.20 – $74.78 | 11 |
| Ghs reticulocyte count CPT 85044 | $4.31 | $77.00 | $3.30 – $20.28 | 11 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $13.91 | $111.00 | $13.20 – $65.46 | 11 |
| Ghs sedimentation rate CPT 85651 | $4.27 | $105.00 | $1.65 – $20.10 | 11 |
| Ghs semen analysis fert CPT 89320 | $12.31 | $102.00 | $9.90 – $57.93 | 11 |
| Ghs semen analysis, post-vas CPT 89300 | $9.84 | not published | $9.84 – $46.31 | 11 |
| Ghs sensitivity (per antimicro) CPT 87184 | $7.48 | $113.00 | $7.48 – $64.44 | 11 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $399.53 | $1,328.00 | $196.54 – $419.51 | 7 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $399.53 | $1,430.00 | $264.39 – $419.51 | 7 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $399.53 | $1,438.00 | $240.59 – $419.51 | 7 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $399.53 | $1,925.00 | $319.26 – $419.51 | 7 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $198.70 | $990.00 | $155.46 – $208.64 | 7 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $198.70 | $1,218.00 | $153.61 – $208.64 | 7 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $198.70 | $1,319.00 | $194.96 – $208.64 | 7 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $198.70 | $1,548.00 | $198.70 – $299.53 | 7 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $198.70 | $2,420.00 | $198.70 – $359.37 | 7 |
| Ghs sleep study unattended CPT 95800 | $156.46 | $1,266.00 | $104.00 – $242.78 | 7 |
| Ghs somatosensory testing lower extremit CPT 95926 | $311.40 | $967.00 | $104.00 – $4,550.00 | 9 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $530.60 | $2,475.00 | $104.00 – $4,550.00 | 9 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $128.79 | $385.00 | $60.00 – $620.00 | 16 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $60.57 | $190.00 | $60.00 – $620.00 | 16 |
| Ghs sphenopalatine ganglion block CPT 64505 | $295.19 | $735.00 | $226.75 – $512.28 | 8 |
| Ghs spont nystagmus CPT 92541 | $128.90 | $503.00 | $43.18 – $627.00 | 9 |
| Ghs st - eval for alt comm CPT 92567 | $39.25 | $205.00 | $18.25 – $627.00 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $93.37 | $550.00 | $60.00 – $620.00 | 16 |
| Ghs strapping shoulder - 29240 CPT 29240 | $128.90 | $405.00 | $37.16 – $624.69 | 8 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $46.14 | $151.00 | $28.08 – $48.45 | 7 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $210.69 | $505.00 | $210.69 – $256.23 | 7 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $399.53 | $976.00 | $305.22 – $419.51 | 7 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $612.13 | $1,752.00 | $405.36 – $642.74 | 7 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,481.28 | $2,955.00 | $666.80 – $1,555.34 | 7 |
| Ghs trypsin (fecal) CPT 84488 | $7.30 | not published | $3.63 – $34.36 | 12 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $239.88 | $1,317.00 | $239.88 – $619.39 | 7 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $239.88 | $670.00 | $239.88 – $511.30 | 7 |
| Ghs urine, hydroxproline total CPT 83505 | $24.30 | not published | $24.30 – $114.36 | 12 |
| Ghs urine, porphyrins quant CPT 84120 | $14.71 | $68.00 | $8.25 – $69.23 | 11 |
| Ghs vaginal delivery only CPT 59409 | $3,179.53 | $5,891.00 | $1,679.13 – $3,338.51 | 7 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $530.60 | $4,400.00 | $104.00 – $2,089.58 | 7 |
| Ghs windowing of cast CPT 29730 | $157.79 | $411.00 | $94.87 – $165.68 | 7 |
| Gi endoscopic ultrasound CPT 76975 | $241.72 | not published | $241.72 – $623.08 | 10 |
| Gi inhouse confirmation CPT 87045 | $9.44 | $112.00 | $9.44 – $44.43 | 11 |
| Gi protein loss CPT 78282 | $401.83 | not published | $383.79 – $731.72 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $937.56 | $4,628.00 | $937.56 – $1,317.51 | 7 |
| Gi trc img intral colon i&r CPT 91113 | $911.71 | $4,283.00 | $911.71 – $1,614.75 | 7 |
| Gi trc img intral esophagus CPT 91111 | $937.56 | $3,296.00 | $937.56 – $1,589.00 | 7 |
| Gi wireless capsule measure CPT 91112 | $937.56 | $2,288.00 | $937.56 – $2,920.45 | 7 |
| Giardia lamblia antibody CPT 86674 | $14.72 | $107.00 | $14.72 – $69.28 | 11 |
| Gingivoplasty each quadrant CPT 41872 | $3,243.07 | $7,300.00 | $670.85 – $3,405.22 | 7 |
| Gjb2 gene full sequence CPT 81252 | $101.12 | $1,884.00 | $88.99 – $475.89 | 11 |
| Gjb2 gene known fam variants CPT 81253 | $61.52 | $660.00 | $54.14 – $289.53 | 11 |
| Gjb6 gene com variants CPT 81254 | $35.00 | $867.00 | $30.80 – $164.72 | 11 |
| Glassia injection HCPCS J0257 | $5.71 | not published | $4.85 – $10.69 | 11 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | $24.49 | not published | $24.49 – $119.06 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | $39.25 | not published | $39.25 – $79.32 | 8 |
| Glaucoma surgery CPT 66150 | $4,022.86 | not published | $1,893.98 – $7,535.34 | 8 |
| Glaucoma surgery CPT 66155 | $4,022.86 | not published | $1,893.29 – $7,535.34 | 8 |
| Glaucoma surgery CPT 66160 | $2,280.73 | $5,372.00 | $2,122.17 – $2,394.77 | 7 |
| Glaucoma surgery CPT 66170 | $2,280.73 | $5,067.00 | $2,280.73 – $2,394.77 | 7 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | $135.00 | $67.25 – $181.05 | 5 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $195.79 | not published | $166.42 – $455.23 | 11 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $144.88 | not published | $123.15 – $164.69 | 7 |
| Glucagon plasma - sendout CPT 82943 | $14.29 | $94.00 | $14.29 – $67.25 | 11 |
| Glucose 1 hr post dose CPT 82950 | $4.75 | $65.00 | $3.30 – $22.35 | 11 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $3.28 | $83.00 | $2.86 – $15.44 | 11 |
| Glucose blood quantitative CPT 82947 | $3.93 | $81.00 | $3.93 – $18.50 | 11 |
| Glucose body fluid CPT 82945 | $3.93 | $108.00 | $3.93 – $18.50 | 11 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $59.40 | not published | $59.40 – $118.80 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $12.87 | $252.00 | $5.50 – $60.57 | 11 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $3.92 | $110.00 | $1.10 – $18.45 | 11 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $6.05 | not published | $6.05 – $28.47 | 12 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $0.43 | not published | $0.37 – $0.82 | 7 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $11.03 | not published | $9.38 – $48.29 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $18.58 | $316.00 | $18.58 – $87.44 | 11 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $18.52 | $316.00 | $18.52 – $87.16 | 11 |
| Gonioscopy CPT 92020 | $128.90 | not published | $34.31 – $220.41 | 8 |
| Goniotomy CPT 65820 | $4,022.86 | $8,176.00 | $1,786.18 – $4,224.00 | 7 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $734.15 | not published | $577.15 – $1,166.44 | 11 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | $451.71 | $25.76 – $40.43 | 2 |
| Graft axiofill 1000mg HCPCS J3590 | not published | $8,684.34 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,011.87 – $1,946.15 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | $25,668.00 | $56.37 – $112.43 | 2 |
| Graft hand or finger tendon CPT 26416 | $3,244.61 | $6,846.00 | $2,027.80 – $3,406.84 | 7 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | $29,926.16 | $40.27 – $40.27 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $733.48 – $894.75 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | not published | $52,948.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | not published | $39,557.56 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | $18,501.42 | $51.94 – $55.60 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | $6,448.00 | $29.90 – $138.02 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | $3,380.00 | $2,338.68 – $2,338.68 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | $1,104.84 | $115.75 – $181.31 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | $777.90 | $41.52 – $59.85 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | $69,229.20 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | $3,112.40 | $75.80 – $210.46 | 2 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | $104,234.65 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | not published | $5,190.64 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.66 – $4.02 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.20 – $0.73 | 5 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | $6,243.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $239.88 | $816.00 | $239.88 – $335.73 | 7 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $1,829.23 | $4,463.00 | $1,083.78 – $1,920.69 | 7 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $3,660.97 | $7,150.00 | $1,108.69 – $3,844.02 | 7 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | $6,433.00 | $311.71 – $311.71 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | $3,660.97 | $7,150.00 | $1,036.40 – $3,844.02 | 7 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $19.31 | $81.00 | $19.31 – $792.00 | 9 |
| Growth hormone antibody CPT 86277 | $15.74 | not published | $15.74 – $74.08 | 12 |
| Growth stimulation gene 2 CPT 83006 | $75.60 | $1,200.00 | $66.53 – $355.79 | 11 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $4,048.69 – $4,048.69 | 1 |
| Gstrst open wo constj tube CPT 43830 | $1,896.99 | $4,355.00 | $1,501.72 – $1,991.84 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,048.51 | $4,466.00 | $229.94 – $2,150.94 | 8 |
| Guid loc target vol rad tx CPT 77387 | not published | $1,984.00 | $242.04 – $1,885.92 | 4 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $528.64 – $1,041.34 | 3 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | not published | $11,780.00 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | not published | $1,736.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $703.59 | $2,173.00 | $278.07 – $738.77 | 7 |
| Gum graft CPT 41870 | $1,481.28 | $7,300.00 | $1,481.28 – $1,555.34 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | not published | $64,480.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | $3,829.28 | $7,256.00 | $939.56 – $5,829.14 | 8 |
| H pylori (c-13) blood CPT 83009 | $67.36 | not published | $59.28 – $317.01 | 12 |
| H pylori (c-13) breath CPT 83013 | $67.36 | $275.00 | $52.80 – $317.01 | 11 |
| H pylori ag ia CPT 87339 | $16.00 | not published | $13.40 – $75.30 | 12 |
| H pylori drug admin CPT 83014 | $7.86 | not published | $7.86 – $36.99 | 12 |
| HIV 2 pcr qual - sendout CPT 87537 | $21.92 | not published | $21.92 – $103.16 | 12 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | $71.27 | not published | $60.58 – $74.83 | 6 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $1.74 | not published | $1.48 – $1.83 | 6 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $7.03 | not published | $5.98 – $12.60 | 7 |
| Hair removal by electrolysis 17380 CPT 17380 | $612.13 | not published | $612.13 – $999.58 | 7 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $399.53 | not published | $399.53 – $650.15 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | $399.53 | not published | $399.53 – $740.32 | 8 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $3.98 – $29.47 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.71 – $2.68 | 5 |
| Hand X-ray CPT 73130 | $88.05 | $605.00 | $72.42 – $102.54 | 8 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $35.40 – $179.20 | 5 |
| Hand tendon reconstruction CPT 26500 | $7,143.73 | $11,161.00 | $1,529.18 – $7,500.92 | 7 |
| Hand tendon reconstruction CPT 26502 | $3,244.61 | $7,582.00 | $1,673.54 – $3,406.84 | 7 |
| Hand tendon/muscle transfer CPT 26494 | $3,244.61 | $7,582.00 | $1,858.28 – $3,406.84 | 7 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $18.53 – $43.16 | 4 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $14.29 – $14.29 | 1 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | $8,804.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $12.58 | $183.00 | $12.58 – $59.20 | 11 |
| Harvest allogeneic stem cell CPT 38205 | not published | $12,672.00 | $176.83 – $176.83 | 1 |
| Harvest auto stem cells CPT 38206 | $1,639.28 | $8,250.00 | $173.05 – $1,721.24 | 7 |
| Harvest cultured skin graft 15040 CPT 15040 | $1,829.23 | $4,463.00 | $265.19 – $1,920.69 | 7 |
| Harvest eye tissue alograft CPT 68371 | $2,332.96 | not published | $888.22 – $3,752.25 | 8 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $693.98 – $693.98 | 1 |
| Harvest stem cell concentrte CPT 38215 | $437.18 | $5,677.00 | $98.35 – $459.04 | 7 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $642.20 – $642.20 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | $128.90 | not published | $89.87 – $220.41 | 8 |
| Hast w/oxygen titrate CPT 94453 | $128.90 | not published | $119.60 – $220.41 | 8 |
| Hba1/hba2 full gene sequence CPT 81259 | $600.00 | $1,650.00 | $528.00 – $2,823.74 | 11 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $202.40 | $1,650.00 | $178.11 – $952.54 | 11 |
| Hba1/hba2 gene fam vrnt CPT 81258 | $375.25 | not published | $330.22 – $1,766.02 | 12 |
| Hbb full gene sequence CPT 81364 | $324.58 | $3,300.00 | $285.63 – $1,527.55 | 11 |
| Hbb gene com variants CPT 81361 | $174.81 | not published | $153.84 – $822.70 | 12 |
| Hbb gene dup/del variants CPT 81363 | $202.40 | $1,219.00 | $178.11 – $952.54 | 11 |
| Hbb gene known fam variant CPT 81362 | $375.25 | not published | $330.22 – $1,766.02 | 12 |
| Hbot, full body chamber, 30m HCPCS G0277 | $137.90 | $1,210.00 | $137.90 – $348.70 | 7 |
| Hc ea ha check monaural CPT 92594 | not published | $152.00 | $53.98 – $627.00 | 5 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $178.02 | $2,974.00 | $178.02 – $1,303.56 | 8 |
| Hc hearing aid chck binaurl CPT 92593 | not published | $153.00 | $93.91 – $627.00 | 6 |
| Hc hearing aid chck monarl CPT 92592 | not published | $153.00 | $57.50 – $627.00 | 5 |
| Hc hearing aid exam both ears CPT 92591 | not published | $165.00 | $116.00 – $627.00 | 6 |
| Hc hearing aid exam one ear CPT 92590 | not published | $116.00 | $116.00 – $627.00 | 5 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | $257.00 | $0.01 – $195.92 | 2 |
| Hc metata joint dislocation anes CPT 28635 | $1,600.41 | $4,058.00 | $284.48 – $1,680.43 | 7 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $612.13 | $1,366.00 | $612.13 – $746.07 | 7 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | $1,399.00 | $397.07 – $397.07 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $612.13 | $1,366.00 | $612.13 – $669.45 | 7 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | $705.00 | $104.98 – $104.98 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | $705.00 | $368.02 – $368.02 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $538.27 | $1,871.00 | $319.49 – $565.18 | 8 |
| Hc nm fusion spect CT unlisted CPT 78999 | $401.83 | $1,005.00 | $401.83 – $421.92 | 6 |
| Hc nm kidney imaging with flow CPT 78701 | $401.83 | $1,818.00 | $401.83 – $734.77 | 8 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $538.27 | $1,785.00 | $398.71 – $658.67 | 8 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,305.48 | $3,417.00 | $1,305.48 – $4,117.96 | 8 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | $477.00 | $272.18 – $14,806.00 | 2 |
| Hcg free betachain test CPT 84704 | $15.29 | $118.00 | $13.45 – $71.96 | 11 |
| Hcg qualitative CPT 84703 | $7.52 | $2,145.00 | $3.30 – $35.39 | 11 |
| Hcg quantitative CPT 84702 | $15.05 | $220.00 | $12.53 – $70.83 | 11 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $693.81 | $7,370.00 | $293.00 – $728.50 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $693.81 | $7,018.00 | $293.00 – $1,169.00 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $693.81 | $10,010.00 | $293.00 – $1,747.06 | 7 |
| Hdr rdncl skn surf brachytx CPT 77767 | $262.98 | $4,950.00 | $262.98 – $485.83 | 7 |
| Hdr rdncl skn surf brachytx CPT 77768 | $262.98 | $6,050.00 | $262.98 – $712.76 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $178.02 | $3,410.00 | $178.02 – $366.03 | 8 |
| Head CT scan (with contrast) CPT 70460 | $178.02 | $2,515.00 | $178.02 – $304.00 | 8 |
| Head CT scan (without contrast) CPT 70450 | $106.34 | $2,158.00 | $106.34 – $209.50 | 8 |
| Heart first pass add-on CPT 78496 | not published | $99.00 | $70.82 – $79.54 | 2 |
| Heart first pass multiple CPT 78483 | $538.27 | not published | $428.09 – $942.93 | 9 |
| Heart image spect CPT 78494 | $401.83 | not published | $401.83 – $731.72 | 9 |
| Heart infarct image CPT 78466 | $401.83 | $1,320.00 | $323.95 – $610.48 | 8 |
| Heart infarct image (ef) CPT 78468 | $538.27 | not published | $356.07 – $942.93 | 9 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $268.42 – $268.42 | 1 |
| Heinz bodies direct CPT 85441 | $4.20 | $112.00 | $4.20 – $19.77 | 11 |
| Helicobacter pylori antibody igm CPT 86677 | $16.85 | $2,860.00 | $13.20 – $79.30 | 11 |
| Hemagglutination inhibition CPT 86280 | $8.19 | not published | $5.94 – $38.54 | 12 |
| Hematocrit CPT 85014 | $2.37 | $44.00 | $1.65 – $11.15 | 11 |
| Hematopoietic nuclear tx CPT 79403 | $224.13 | not published | $224.13 – $477.94 | 8 |
| Hemiepiphyseal arrest CPT 24470 | $3,244.61 | not published | $1,471.29 – $5,430.31 | 8 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $34.17 | not published | $29.04 – $57.19 | 11 |
| Hemodialysis one evaluation CPT 90935 | $699.72 | $2,595.00 | $118.66 – $734.71 | 7 |
| Hemoglobin CPT 85018 | $2.37 | $50.00 | $1.32 – $11.15 | 11 |
| Hemoglobin copper sulfate CPT 83026 | $4.01 | $238.00 | $2.20 – $18.87 | 11 |
| Hemoglobin f (fetal) chemical CPT 83030 | $10.74 | $40.00 | $10.74 – $50.55 | 11 |
| Hemoglobin fetal qualitative CPT 83033 | $8.00 | $78.00 | $7.70 – $37.65 | 11 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $8.20 | $55.00 | $3.30 – $38.59 | 11 |
| Hemoglobin plasma CPT 83051 | $7.31 | $55.00 | $1.32 – $34.40 | 11 |
| Hemoglobin urine CPT 83069 | $3.95 | $83.00 | $3.30 – $18.59 | 11 |
| Hemoglobin-oxygen affinity CPT 82820 | $13.34 | $548.00 | $12.08 – $62.78 | 11 |
| Hemolysin acid CPT 85475 | $8.87 | $41.00 | $8.87 – $41.74 | 11 |
| Hemolysins and agglutinins incubated CPT 86941 | $12.11 | $428.00 | $12.11 – $56.99 | 11 |
| Hemolysins/agglutinins auto CPT 86940 | $8.77 | $268.00 | $8.77 – $41.27 | 11 |
| Hemophilus influenza antibdy CPT 86684 | $15.84 | $59.00 | $15.84 – $74.55 | 11 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $2,742.39 | $5,623.00 | $963.95 – $2,879.51 | 7 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $911.71 | $2,010.00 | $418.73 – $957.30 | 7 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $2,742.39 | $8,411.00 | $840.44 – $2,879.51 | 7 |
| Hepagam b im injection HCPCS J1571 | $71.66 | not published | $60.91 – $158.06 | 11 |
| Hepagam b intravenous, inj HCPCS J1573 | $71.66 | not published | $60.91 – $158.06 | 11 |
| Heparin assay CPT 85520 | $13.09 | $358.00 | $8.77 – $61.60 | 11 |
| Heparin bolus from bag HCPCS J1644 | not published | not published | $0.19 – $0.49 | 5 |
| Heparin neutralization CPT 85525 | $11.84 | $83.00 | $11.84 – $55.72 | 11 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.02 – $0.30 | 5 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | $9,695.00 | $4,924.32 – $4,924.32 | 1 |
| Hepatitis a antibody igm CPT 86709 | $11.26 | $142.00 | $11.26 – $52.99 | 11 |
| Hepatitis b core antibody igm CPT 86705 | $11.77 | $221.00 | $11.77 – $55.39 | 11 |
| Hepatitis b core antibody total CPT 86704 | $12.05 | $2,145.00 | $12.05 – $56.71 | 11 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $130.66 | not published | $111.06 – $291.18 | 11 |
| Hepatitis b surface ag quan CPT 87467 | $25.32 | $758.00 | $25.32 – $26.59 | 8 |
| Hepatitis b surface antibody CPT 86706 | $10.74 | $165.00 | $10.74 – $50.55 | 11 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $119.64 – $302.28 | 5 |
| Hepatitis c antibody CPT 86803 | $14.27 | $2,145.00 | $14.27 – $67.16 | 11 |
| Hepatitis c rna dir probe CPT 87520 | $31.22 | not published | $27.50 – $146.93 | 12 |
| Hepatitis d quantification CPT 87523 | $42.84 | not published | $17.14 – $56.98 | 9 |
| Hepatobiliary system imaging CPT 78226 | $401.83 | $2,393.00 | $401.83 – $1,089.67 | 8 |
| Hereditary colon ca dsordrs CPT 81435 | $1,303.95 | not published | $514.71 – $2,752.68 | 12 |
| Hernia Repair (Inguinal) CPT 49505 | $3,529.06 | $8,690.00 | $1,121.98 – $6,100.95 | 8 |
| Herpes simplex 1 ag if CPT 87274 | $11.98 | not published | $11.98 – $56.38 | 12 |
| Herpes simplex 2 ag if CPT 87273 | $11.98 | not published | $11.98 – $56.38 | 12 |
| Herpes simplex type 1 antibody igg CPT 86695 | $13.19 | $133.00 | $13.19 – $62.08 | 11 |
| Herpes simplex type 2 antibody igg CPT 86696 | $19.35 | $382.00 | $19.35 – $91.07 | 11 |
| Herpes simplex virus isolation CPT 87255 | $33.86 | $94.00 | $33.00 – $159.35 | 11 |
| Heterophile antibodies screening CPT 86308 | $5.18 | $120.00 | $3.30 – $24.38 | 11 |
| Heterophile antibodies titer CPT 86309 | $6.47 | $55.00 | $5.50 – $30.45 | 11 |
| Heterophile antibody absrbj CPT 86310 | $7.37 | not published | $4.95 – $34.68 | 12 |
| Hexa gene CPT 81255 | $51.45 | $1,040.00 | $45.28 – $242.14 | 11 |
| Hhv-6 dna quant CPT 87533 | $41.76 | $572.00 | $22.00 – $196.53 | 11 |
| Hi enrgy eswt plantar fascia CPT 28890 | $1,600.41 | $6,686.00 | $484.14 – $1,680.43 | 7 |
| Hip X-ray CPT 73502 | $88.05 | $451.00 | $88.05 – $131.69 | 8 |
| Hip arthr0 w/debridement CPT 29862 | $7,143.73 | $11,671.00 | $1,771.08 – $7,500.92 | 7 |
| Hip arthr0 w/synovectomy CPT 29863 | $3,244.61 | $7,528.00 | $1,769.66 – $3,406.84 | 7 |
| Hip arthro acetabuloplasty CPT 29915 | $7,143.73 | $13,289.00 | $2,191.44 – $7,500.92 | 7 |
| Hip arthro w/fb removal CPT 29861 | $7,143.73 | $13,980.00 | $1,548.51 – $7,500.92 | 7 |
| Hip arthro w/femoroplasty CPT 29914 | $7,143.73 | $13,289.00 | $2,138.05 – $7,500.92 | 7 |
| Hip arthro w/labral repair CPT 29916 | $7,143.73 | $13,289.00 | $2,181.88 – $7,500.92 | 7 |
| Hip arthroscopy dx CPT 29860 | $7,143.73 | $13,083.00 | $1,426.93 – $7,500.92 | 7 |
| Histamine CPT 83088 | $29.53 | $539.00 | $29.53 – $138.98 | 11 |
| Histochemical stains add-on CPT 88314 | not published | $1,189.00 | $13.20 – $171.85 | 2 |
| Histoplasmosis skin test CPT 86510 | $39.25 | not published | $4.40 – $115.71 | 9 |
| Hiv-1 ag ia CPT 87390 | $24.06 | $165.00 | $16.50 – $113.23 | 11 |
| Hizentra injection HCPCS J1559 | $14.12 | not published | $12.00 – $25.32 | 11 |
| Hla class i high defin qual CPT 86832 | $323.75 | $1,176.00 | $284.90 – $1,523.65 | 11 |
| Hla class i phenotype qual CPT 86830 | $95.52 | not published | $84.06 – $449.54 | 12 |
| Hla class i semiquant panel CPT 86834 | $357.56 | not published | $314.66 – $1,682.76 | 12 |
| Hla class i&ii antibody qual CPT 86828 | $64.19 | $727.00 | $56.49 – $302.09 | 11 |
| Hla class i/ii antibody qual CPT 86829 | $64.19 | not published | $56.49 – $302.09 | 12 |
| Hla class ii high defin qual CPT 86833 | $325.80 | $717.00 | $286.70 – $1,533.29 | 11 |
| Hla class ii phenotype qual CPT 86831 | $81.88 | $226.00 | $72.05 – $385.35 | 11 |
| Hla class ii semiquant panel CPT 86835 | $322.96 | not published | $284.21 – $1,519.93 | 12 |
| Hla i & ii type verify lr CPT 81371 | $404.52 | $397.00 | $355.98 – $1,903.77 | 11 |
| Hla i & ii typing hr CPT 81378 | $345.57 | $2,784.00 | $304.11 – $1,626.34 | 11 |
| Hla i & ii typing lr CPT 81370 | $402.12 | not published | $353.87 – $1,892.47 | 12 |
| Hla i low res one antigen equiv ea CPT 81374 | $74.33 | $205.00 | $65.41 – $349.81 | 11 |
| Hla i typing 1 locus hr CPT 81380 | $177.25 | $1,214.00 | $155.98 – $834.18 | 11 |
| Hla i typing complete hr CPT 81379 | $335.38 | $1,612.00 | $295.13 – $1,578.38 | 11 |
| Hla i typing complete lr CPT 81372 | $403.59 | $889.00 | $355.16 – $1,899.39 | 11 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $169.90 | $1,059.00 | $149.51 – $799.59 | 11 |
| Hla i typing low res one locus ea CPT 81373 | $127.43 | $495.00 | $112.13 – $599.72 | 11 |
| Hla ii typing 1 loc hr CPT 81382 | $123.68 | $3,020.00 | $108.83 – $582.07 | 11 |
| Hla ii typing ag equiv lr CPT 81375 | $220.74 | $606.00 | $194.25 – $1,038.86 | 11 |
| Hla typing a b or c CPT 86813 | $58.00 | $319.00 | $20.90 – $272.96 | 11 |
| Hla typing dr/dq CPT 86816 | $30.17 | $817.00 | $20.90 – $141.99 | 11 |
| Hla x-match noncytotoxc addl CPT 86826 | $36.53 | not published | $32.14 – $171.92 | 12 |
| Hla x-math non-cytotoxic CPT 86825 | $109.49 | not published | $96.35 – $515.29 | 12 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $2.70 – $6.16 | 4 |
| Hlth bhv assmt/reassessment CPT 96156 | $92.50 | $232.00 | $92.50 – $154.00 | 8 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $29.79 | $279.00 | $29.79 – $154.00 | 8 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $29.79 | $169.00 | $15.71 – $154.00 | 8 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $160.67 | $464.00 | $98.14 – $168.70 | 8 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.33 – $0.38 | 2 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.25 – $0.52 | 5 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.19 – $0.39 | 5 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $1.23 – $4.03 | 4 |
| Home health re-certification physician g0179 HCPCS G0179 | not published | not published | $77.52 – $77.52 | 1 |
| Home sleep test/type 2 porta HCPCS G0398 | $156.46 | $3,633.00 | $0.01 – $164.28 | 6 |
| Home sleep test/type 3 porta HCPCS G0399 | $156.46 | $1,126.00 | $0.01 – $164.28 | 6 |
| Home sleep test/type 4 porta HCPCS G0400 | $311.40 | $587.00 | $0.01 – $326.97 | 6 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $129.55 – $129.55 | 1 |
| Homocysteine CPT 83090 | $17.92 | $240.00 | $17.92 – $84.34 | 11 |
| Homogenization tissue CPT 87176 | $5.88 | $72.00 | $5.88 – $27.67 | 11 |
| Homovanillic acid (hva) CPT 83150 | $22.41 | $161.00 | $13.20 – $105.47 | 11 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $29.79 | not published | $29.79 – $31.28 | 6 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $92.50 | not published | $92.50 – $97.13 | 6 |
| Hopd mntl hlt, grp HCPCS C7903 | $29.79 | not published | $29.79 – $31.28 | 6 |
| Hpa-1 genotyping CPT 81105 | $122.22 | $275.00 | $107.56 – $575.20 | 11 |
| Hpa-15 genotyping CPT 81112 | $122.22 | $169.00 | $107.56 – $575.20 | 11 |
| Hpa-2 genotyping CPT 81106 | $122.22 | $169.00 | $107.56 – $575.20 | 11 |
| Hpa-3 genotyping CPT 81107 | $122.22 | $169.00 | $107.56 – $575.20 | 11 |
| Hpa-4 genotyping CPT 81108 | $122.22 | $169.00 | $107.56 – $575.20 | 11 |
| Hpa-5 genotyping CPT 81109 | $122.22 | $169.00 | $107.56 – $575.20 | 11 |
| Hpa-6 genotyping CPT 81110 | $122.22 | $169.00 | $107.56 – $575.20 | 11 |
| Hpa-9 genotyping CPT 81111 | $122.22 | $169.00 | $107.56 – $575.20 | 11 |
| Hpv low-risk types CPT 87623 | $35.09 | not published | $30.88 – $165.14 | 12 |
| Hpv types 16 & 18 only CPT 87625 | $40.55 | $245.00 | $35.68 – $190.84 | 11 |
| Hrdtry cardmypy gene panel CPT 81439 | $584.90 | not published | $514.71 – $2,752.68 | 12 |
| Hrdtry perph neurphy panel CPT 81448 | $584.90 | not published | $514.71 – $2,752.68 | 11 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | $1,829.23 | $5,386.00 | $1,829.23 – $1,920.69 | 6 |
| Htt gene detc abnor alleles CPT 81271 | $137.00 | $622.00 | $120.56 – $644.75 | 11 |
| Human epididymis protein 4 (he4) CPT 86305 | $20.81 | $319.00 | $18.32 – $97.94 | 11 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $1.26 | not published | $1.26 – $1.32 | 6 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $26.82 – $56.63 | 3 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.43 – $1.01 | 5 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.31 – $0.77 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | not published | not published | $4.41 – $9.53 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | $46.14 | $523.00 | $21.90 – $48.45 | 7 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $210.69 | $1,430.00 | $57.91 – $221.22 | 7 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $14.89 – $31.65 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.08 – $0.12 | 2 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $0.01 | not published | $0.01 – $0.01 | 7 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $3.69 – $20.94 | 5 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.07 – $2.42 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $17.90 | $413.00 | $13.86 – $84.24 | 11 |
| Hymenotomy CPT 56442 | $3,179.53 | $6,318.00 | $102.25 – $3,338.51 | 7 |
| Hymovis injection 1 mg HCPCS J7322 | $17.44 | not published | $14.82 – $68.01 | 11 |
| Hyoid myotomy & suspension CPT 21685 | $5,915.66 | $16,897.00 | $2,110.55 – $6,211.44 | 7 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $45.46 – $62.04 | 4 |
| Hyperthermia ext gen deep CPT 77605 | $693.81 | not published | $693.81 – $1,848.80 | 8 |
| Hyperthermia ext gen supfc CPT 77600 | $262.98 | not published | $262.98 – $1,065.65 | 8 |
| Hyperthermia gen intrcv prb CPT 77620 | $578.47 | not published | $578.47 – $1,243.90 | 8 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | $578.47 | not published | $578.47 – $1,340.93 | 8 |
| Hyperthermia ntrstl prb>5 CPT 77615 | $578.47 | not published | $578.47 – $2,105.94 | 8 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $18.39 | not published | $15.63 – $33.11 | 11 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | $11,276.00 | $2,112.81 – $2,112.81 | 1 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | $3,592.00 | $2,258.06 – $2,258.06 | 1 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,956.17 – $1,956.17 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $583.66 – $583.66 | 1 |
| Hysterosalpingography s&i CPT 74740 | $241.72 | $1,429.00 | $182.14 – $294.02 | 8 |
| Hysteroscopy ablation CPT 58563 | $4,936.45 | $10,299.00 | $517.56 – $5,183.27 | 7 |
| Hysteroscopy biopsy CPT 58558 | $3,179.53 | $6,480.00 | $487.51 – $3,338.51 | 7 |
| Hysteroscopy dx sep proc CPT 58555 | $3,179.53 | $5,570.00 | $319.92 – $3,338.51 | 7 |
| Hysteroscopy lysis CPT 58559 | $4,936.45 | $9,343.00 | $597.45 – $5,183.27 | 7 |
| Hysteroscopy remove fb CPT 58562 | $3,179.53 | $6,813.00 | $467.05 – $3,338.51 | 7 |
| Hysteroscopy remove myoma CPT 58561 | $4,936.45 | $10,299.00 | $752.46 – $5,183.27 | 7 |
| Hysteroscopy resect septum CPT 58560 | $4,936.45 | $10,299.00 | $657.71 – $5,183.27 | 7 |
| Hysterotomy abdominal 59100 CPT 59100 | $4,936.45 | $7,648.00 | $1,830.99 – $5,183.27 | 7 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $2,862.05 | $5,586.00 | $686.77 – $3,005.15 | 7 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | $2,945.00 | $2,058.42 – $2,058.42 | 1 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,243.07 | $5,369.00 | $824.48 – $3,405.22 | 7 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $3,244.61 | $6,760.00 | $1,539.65 – $3,406.84 | 7 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $2,742.39 | $6,188.00 | $954.16 – $2,879.51 | 7 |
| I&d lacrimal gland CPT 68400 | $968.54 | $1,816.00 | $282.11 – $1,016.97 | 7 |
| I&d lacrimal sac CPT 68420 | $2,332.96 | $4,679.00 | $355.91 – $2,449.61 | 7 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $2,862.05 | $4,737.00 | $466.98 – $3,005.15 | 7 |
| I&d vag hemtma obst/postpart CPT 57022 | $2,862.05 | $5,586.00 | $391.06 – $3,005.15 | 7 |
| I&d/bursa/foot 28001 CPT 28001 | $1,620.24 | $3,774.00 | $200.67 – $1,701.25 | 7 |
| I-123 iobenguane diag HCPCS A9582 | $2,074.81 | $14,609.00 | $2,074.81 – $8,762.09 | 7 |
| I-123 ioflupane diag HCPCS A9584 | $1,388.02 | $6,296.00 | $0.01 – $5,266.92 | 7 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | $211.00 | $0.01 – $155.32 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $1,565.98 – $1,565.98 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $23.13 | $134.00 | $23.13 – $45.25 | 7 |
| I131 iodide sol, rx HCPCS A9530 | $20.88 | not published | $20.88 – $29.33 | 10 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $71.17 | $688.00 | $50.51 – $74.73 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | not published | $303.00 | $34.82 – $34.82 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $46.14 | $605.00 | $35.98 – $48.45 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $210.69 | $1,870.00 | $112.76 – $221.22 | 7 |
| IV inj ra drug dx study CPT 78808 | $401.83 | $1,067.00 | $76.96 – $421.92 | 8 |
| IV njx tst vasc flo flap/grf CPT 15860 | $399.04 | $1,064.00 | $221.89 – $418.99 | 7 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $18.09 | not published | $7.70 – $37.45 | 11 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $45.28 | not published | $39.84 – $60.22 | 10 |
| Iaadi respiratory synctial virus CPT 87280 | $13.42 | $80.00 | $13.20 – $63.16 | 11 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $35.09 | $535.00 | $35.09 – $165.14 | 11 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $26.18 – $129.13 | 6 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $2,448.56 | not published | $979.42 – $2,570.99 | 8 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.58 – $5.99 | 3 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $219.06 | not published | $219.06 – $679.04 | 11 |
| Icatibant injection HCPCS J1744 | $116.41 | not published | $116.41 – $752.22 | 10 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | not published | $61,466.80 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | not published | $72,631.76 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | not published | $30,247.39 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | not published | $33,926.40 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | $311.40 | not published | $311.40 – $522.28 | 8 |
| Icut allergy test drug/bug CPT 95024 | $59.40 | $184.00 | $1.69 – $62.37 | 7 |
| Icut allergy test-delayed CPT 95028 | $39.25 | $376.00 | $23.02 – $41.21 | 7 |
| Icut allergy titrate-airborn CPT 95027 | $24.49 | not published | $8.99 – $35.54 | 8 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $31.49 – $90.67 | 5 |
| Idecabtagene vicleucel car HCPCS Q2055 | $541,260.45 | not published | $460,071.38 – $954,928.83 | 9 |
| Identify sperm tissue CPT 89264 | $53.43 | $370.00 | $53.43 – $1,008.19 | 7 |
| Idet 1 or more levels CPT 22527 | not published | $5,125.00 | $317.69 – $317.69 | 1 |
| Idet single level CPT 22526 | not published | $5,347.00 | $693.03 – $693.03 | 1 |
| Idh1 common variants CPT 81120 | $193.25 | $495.00 | $170.06 – $909.48 | 11 |
| Idh2 common variants CPT 81121 | $295.79 | $891.00 | $260.29 – $1,392.06 | 11 |
| Idursulfase injection HCPCS J1743 | $558.56 | not published | $474.78 – $1,165.58 | 11 |
| Ifnl3 gene CPT 81283 | $73.37 | $248.00 | $64.57 – $345.30 | 11 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $19.98 – $57.14 | 5 |
| Igh gene rearrang dir probe CPT 81262 | $68.55 | not published | $60.32 – $322.61 | 12 |
| Igh gene rearrange amp meth CPT 81261 | $197.99 | $545.00 | $174.23 – $931.79 | 11 |
| Igh@ var region somatic mutation analy CPT 81263 | $294.52 | $1,550.00 | $259.18 – $1,386.08 | 11 |
| Igh@/bcl2 translocation alys CPT 81278 | $207.31 | not published | $182.44 – $975.65 | 11 |
| Igk rearrangeabn clonal pop CPT 81264 | $172.73 | $862.00 | $152.00 – $812.91 | 11 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | not published | $470.00 | $87.78 – $175.29 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $359.72 | $535.00 | $167.63 – $377.71 | 8 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $171.36 | $715.00 | $11.94 – $204.59 | 8 |
| Ikbkap gene CPT 81260 | $39.31 | $625.00 | $34.60 – $185.00 | 11 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | $3,185.00 | $2,193.42 – $2,193.42 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | not published | $10,559.00 | $373.29 – $14,806.00 | 2 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | $1,155.00 | $23.59 – $23.59 | 1 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $141.78 – $141.78 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | $3,152.00 | $1,880.86 – $1,880.86 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $57.02 | not published | $48.47 – $59.87 | 6 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $39.25 | not published | $39.25 – $720.69 | 8 |
| Img rta detc/mntr ds poc aly CPT 92229 | $59.40 | not published | $59.40 – $74.66 | 7 |
| Img rta detcj/mntr ds staff CPT 92227 | $59.40 | not published | $32.13 – $66.49 | 8 |
| Immob elbow child sm HCPCS L3762 | not published | $159.00 | $32.95 – $182.41 | 5 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | not published | $1,153.20 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | $197.51 | $52.44 – $215.89 | 5 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | $151.00 | $41.60 – $288.06 | 6 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $41.35 – $196.23 | 5 |
| Immt breast prosthesis 19340 CPT 19340 | $6,521.46 | $11,132.00 | $1,636.77 – $10,174.48 | 8 |
| Immune complex assay CPT 86332 | $24.37 | $651.00 | $24.37 – $114.69 | 11 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $95.21 – $138.80 | 2 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $47.80 | not published | $40.63 – $100.22 | 11 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $48.38 | not published | $41.12 – $89.36 | 11 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $81.70 | not published | $53.84 – $149.44 | 11 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $20.81 | $330.00 | $20.81 – $97.94 | 11 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $20.81 | $376.00 | $20.81 – $97.94 | 11 |
| Immunoassay tumor qual CPT 86294 | $25.57 | not published | $13.20 – $120.34 | 12 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $11.98 | $89.00 | $4.95 – $56.38 | 11 |
| Immunodiffusion nes CPT 86329 | $14.05 | $217.00 | $14.05 – $66.12 | 11 |
| Immunofixation electrophoresis serum CPT 86334 | $22.34 | $223.00 | $22.34 – $105.14 | 11 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | $371.00 | $95.77 – $221.03 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $171.36 | $535.00 | $44.00 – $291.02 | 8 |
| Immunoglobulin assay CPT 86023 | $12.46 | $78.00 | $12.46 – $58.64 | 11 |
| Immunology procedure CPT 86849 | not published | $1,044.00 | not published | 0 |
| Imp extar knee shck absrb HCPCS C8003 | $18,390.05 | not published | $18,390.05 – $19,309.55 | 6 |
| Impact tooth remov part bony HCPCS D7230 | $1,662.63 | $2,644.00 | $628.89 – $1,745.76 | 7 |
| Impedence cardiogram CPT 93701 | $128.90 | $162.00 | $49.14 – $135.35 | 7 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $628.80 – $1,263.83 | 3 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | $4,062.24 | $1,413.66 – $2,832.62 | 3 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $3,509.66 – $6,264.51 | 4 |
| Impl neurostim electr perc CPT 63650 | $6,562.90 | $9,186.00 | $881.42 – $6,891.05 | 7 |
| Impl oi implt sk tc esp<100 CPT 69716 | $12,866.82 | $41,753.00 | $1,336.99 – $13,510.16 | 7 |
| Impl oi implt sk tc esp>=100 CPT 69729 | $12,866.82 | $43,050.00 | $12,866.82 – $13,510.16 | 6 |
| Impl oi implt skull perq esp CPT 69714 | $12,866.82 | $19,650.00 | $1,072.84 – $13,510.16 | 7 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | $6,696.00 | $1,595.57 – $1,595.57 | 1 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $3,203.21 – $3,203.21 | 1 |
| Implant cartilage 10mm synthetic HCPCS L8699 | not published | $13,020.00 | not published | 0 |
| Implant cochlear device CPT 69930 | $31,807.82 | $53,173.00 | $2,615.99 – $33,398.21 | 7 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | $11,767.60 | $4,596.32 – $8,886.73 | 3 |
| Implant eye drug system CPT 67027 | $15,364.83 | $22,028.00 | $1,809.91 – $16,133.07 | 7 |
| Implant hormone pellet(s) 11980 CPT 11980 | $399.04 | $499.00 | $115.68 – $418.99 | 7 |
| Implant neuroelectrode CPT 61863 | not published | $4,297.00 | $3,255.05 – $3,255.05 | 1 |
| Implant neuroelectrode CPT 61867 | not published | $8,027.00 | $4,889.74 – $4,889.74 | 1 |
| Implant neuroelectrodes CPT 63655 | $21,444.39 | $31,764.00 | $1,824.13 – $22,516.61 | 7 |
| Implant neuroelectrodes CPT 64553 | $12,470.31 | $17,865.00 | $972.66 – $13,093.83 | 7 |
| Implant neuroelectrodes CPT 64555 | $6,562.90 | $9,287.00 | $685.83 – $6,891.05 | 7 |
| Implant neuroelectrodes CPT 64561 | $6,562.90 | $8,791.00 | $640.12 – $12,377.63 | 8 |
| Implant neurostim arrays CPT 61886 | $30,473.59 | $50,086.00 | $1,936.56 – $31,997.27 | 7 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | $13,258.08 | $902.23 – $1,449.31 | 2 |
| Implant pulse generator remede el HCPCS C1823 | not published | $63,240.00 | not published | 0 |
| Implant single ventricular device 33975 CPT 33975 | not published | $3,484.00 | $2,655.41 – $2,655.41 | 1 |
| Implant spinal canal cath CPT 62351 | $7,143.73 | not published | $1,985.83 – $11,798.15 | 8 |
| Implant spine infusion pump CPT 62361 | $17,674.12 | $27,002.00 | $956.05 – $18,557.83 | 7 |
| Implant spine infusion pump CPT 62362 | $17,674.12 | $35,002.00 | $831.77 – $18,557.83 | 7 |
| Implant tcat pulm vlv perq CPT 33477 | not published | $4,018.00 | $2,686.53 – $14,806.00 | 2 |
| Implant ureth bulk agent HCPCS L8606 | not published | $2,852.00 | $211.67 – $411.00 | 3 |
| Implantation iris prosthesis CPT 66683 | $16,416.44 | not published | $16,416.44 – $17,237.26 | 6 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | $3,948.00 | $449.57 – $449.57 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | $6,404.07 | $11,069.00 | $856.84 – $6,724.27 | 7 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $183.24 – $183.24 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | $4,022.86 | not published | $956.99 – $7,535.34 | 8 |
| Imported lipodox inj HCPCS Q2049 | $528.86 | not published | $528.86 – $973.73 | 11 |
| Impres&prep auricular prosth CPT 21086 | $3,243.07 | $8,250.00 | $2,692.03 – $4,618.73 | 8 |
| Impres&prep def obt prosth CPT 21080 | $3,243.07 | not published | $2,775.15 – $4,618.73 | 8 |
| Impres&prep facial prosth CPT 21088 | $3,243.07 | not published | $3,243.07 – $8,288.74 | 8 |
| Impres&prep intrm obt prosth CPT 21079 | $3,243.07 | not published | $2,458.84 – $4,618.73 | 8 |
| Impres&prep mndbl res prosth CPT 21081 | $5,915.66 | not published | $2,548.82 – $9,158.16 | 8 |
| Impres&prep nasal prosth CPT 21087 | $5,915.66 | not published | $2,692.03 – $9,158.16 | 8 |
| Impres&prep oral surg splint CPT 21085 | $232.22 | $2,492.00 | $232.22 – $1,022.05 | 7 |
| Impres&prep orbital prosth CPT 21077 | $5,915.66 | not published | $3,653.57 – $9,158.16 | 8 |
| Impres&prep paltl aug prosth CPT 21082 | $3,243.07 | not published | $2,353.20 – $4,618.73 | 8 |
| Impres&prep paltl lft prosth CPT 21083 | $3,243.07 | not published | $2,175.23 – $4,618.73 | 8 |
| Impres&prep sp aid prosth CPT 21084 | $3,243.07 | not published | $2,515.00 – $4,618.73 | 8 |
| Impres&prep surg obt prosth CPT 21076 | $1,481.28 | not published | $1,481.28 – $2,647.74 | 8 |
| Imuglucerase injection HCPCS J1786 | $43.29 | not published | $36.80 – $94.43 | 11 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | not published | $294.00 | $135.56 – $258.48 | 2 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $171.36 | $715.00 | $51.98 – $344.07 | 8 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,031.39 | $2,685.00 | $0.01 – $7,385.16 | 7 |
| In-111 capromab pendet HCPCS A9507 | not published | $21,368.00 | $0.01 – $1,212.84 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $798.02 | not published | $798.02 – $6,362.89 | 7 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $772.64 | $1,465.00 | $0.01 – $919.16 | 7 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $715.29 | $3,835.00 | $0.01 – $989.79 | 7 |
| In-111 pentetreotide HCPCS A9572 | $1,914.61 | $3,241.00 | $0.01 – $9,394.91 | 7 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $3,397.23 – $3,397.23 | 1 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $7,143.73 | $12,716.00 | $1,295.04 – $7,500.92 | 7 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | $3,244.61 | $6,415.00 | $1,133.62 – $3,406.84 | 7 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $3,267.49 – $3,267.49 | 1 |
| Incise diaphragm nerve CPT 64746 | $1,952.77 | not published | $920.62 – $3,377.16 | 8 |
| Incise flexor carpi radialis CPT 25001 | $3,244.61 | $4,266.00 | $778.00 – $3,406.84 | 7 |
| Incise hand/finger tendon CPT 26460 | $1,600.41 | $3,842.00 | $1,011.17 – $1,680.43 | 7 |
| Incise hip/thigh nerve CPT 64763 | $1,952.77 | $4,485.00 | $1,108.86 – $2,050.41 | 7 |
| Incise hip/thigh nerve CPT 64766 | $1,952.77 | not published | $1,366.13 – $9,451.74 | 8 |
| Incise inner ear CPT 69801 | $1,481.28 | $4,840.00 | $264.83 – $1,555.34 | 7 |
| Incise inner ear nerve CPT 69915 | $3,243.07 | not published | $3,224.98 – $4,618.73 | 8 |
| Incise inner eye adhesions CPT 65860 | $548.60 | $1,316.00 | $530.11 – $576.03 | 7 |
| Incise inner eye adhesions CPT 65865 | $2,280.73 | $5,639.00 | $1,032.67 – $2,394.77 | 7 |
| Incise inner eye adhesions CPT 65870 | $2,280.73 | $5,372.00 | $1,280.27 – $2,394.77 | 7 |
| Incise inner eye adhesions CPT 65875 | $2,280.73 | $5,082.00 | $1,367.67 – $2,394.77 | 7 |
| Incise inner eye adhesions CPT 65880 | $4,022.86 | $7,238.00 | $1,435.18 – $4,224.00 | 7 |
| Incise inner eye strands CPT 67030 | $2,280.73 | $5,249.00 | $1,209.98 – $2,394.77 | 7 |
| Incise nerve back of head CPT 64744 | $1,952.77 | $4,934.00 | $1,115.44 – $2,050.41 | 7 |
| Incise perq finger tendon 26060 CPT 26060 | $1,600.41 | $3,842.00 | $570.07 – $1,680.43 | 7 |
| Incise skull for treatment CPT 61770 | $6,404.07 | $17,755.00 | $3,488.37 – $6,724.27 | 7 |
| Incise skull/brain surgery CPT 61720 | $6,404.07 | not published | $2,750.05 – $9,451.74 | 8 |
| Incise sperm duct pouch CPT 55600 | $2,048.51 | $5,331.00 | $903.19 – $2,150.94 | 7 |
| Incise tear duct opening 68440 CPT 68440 | $298.93 | $784.00 | $219.10 – $586.89 | 8 |
| Incise tendon(s) & muscle(s) CPT 23406 | $7,143.73 | $11,337.00 | $1,580.58 – $7,500.92 | 7 |
| Incise thigh tendon & fascia CPT 27305 | $3,244.61 | $6,024.00 | $1,062.73 – $3,406.84 | 7 |
| Incise wrist/forearm tendon CPT 25290 | $3,244.61 | $6,529.00 | $965.56 – $3,406.84 | 7 |
| Incise/drain eyelid lining CPT 68020 | $968.54 | $5,698.00 | $237.09 – $1,016.97 | 7 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,620.24 | $4,840.00 | $256.90 – $1,701.25 | 7 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | $2,979.00 | $2,108.45 – $2,108.45 | 1 |
| Incision anal septum infant CPT 46070 | $2,742.39 | not published | $595.28 – $4,832.58 | 8 |
| Incision of achilles tendon CPT 27605 | $1,600.41 | $5,188.00 | $394.21 – $1,680.43 | 7 |
| Incision of achilles tendon CPT 27606 | $3,244.61 | $6,562.00 | $580.36 – $5,430.31 | 8 |
| Incision of anal sphincter CPT 46080 | $2,742.39 | $5,961.00 | $337.00 – $2,879.51 | 7 |
| Incision of ankle bone CPT 28302 | $7,143.73 | $12,716.00 | $1,560.00 – $7,500.92 | 7 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $2,833.04 – $2,833.04 | 1 |
| Incision of breast lesion CPT 19020 | $1,620.24 | $4,078.00 | $684.38 – $1,701.25 | 7 |
| Incision of brow nerve CPT 64732 | $1,952.77 | $4,250.00 | $1,005.64 – $2,050.41 | 7 |
| Incision of burn scab initi CPT 16035 | $399.53 | $1,150.00 | $399.53 – $419.51 | 7 |
| Incision of cheek nerve CPT 64734 | $1,952.77 | $5,221.00 | $1,134.63 – $2,050.41 | 7 |
| Incision of chin nerve CPT 64736 | $1,952.77 | not published | $712.52 – $3,377.16 | 8 |
| Incision of eardrum CPT 69420 | $232.22 | $755.00 | $232.22 – $265.18 | 7 |
| Incision of eardrum CPT 69421 | $3,243.07 | $6,747.00 | $332.23 – $4,618.73 | 8 |
| Incision of esophagus CPT 43020 | $1,481.28 | $5,524.00 | $1,216.60 – $1,555.34 | 7 |
| Incision of eye CPT 65850 | $2,280.73 | $5,372.00 | $1,804.89 – $2,394.77 | 7 |
| Incision of eye CPT 66172 | $2,280.73 | $5,372.00 | $2,280.73 – $2,571.85 | 7 |
| Incision of eyelid CPT 67710 | $968.54 | $1,977.00 | $213.16 – $1,016.97 | 7 |
| Incision of facial nerve CPT 64742 | $1,952.77 | $4,250.00 | $1,068.25 – $2,050.41 | 7 |
| Incision of fibula CPT 27707 | $3,244.61 | $7,165.00 | $895.87 – $3,406.84 | 7 |
| Incision of finger tendon CPT 26455 | $1,600.41 | $3,727.00 | $1,031.38 – $1,680.43 | 7 |
| Incision of foot fascia CPT 28008 | $3,244.61 | $6,813.00 | $637.69 – $5,430.31 | 8 |
| Incision of foot tendon 28234 CPT 28234 | $1,600.41 | $5,506.00 | $591.79 – $1,680.43 | 7 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $1,871.20 – $1,871.20 | 1 |
| Incision of heel bone CPT 28300 | $7,143.73 | $11,161.00 | $1,406.94 – $7,500.92 | 7 |
| Incision of hip bones CPT 27151 | not published | $18,921.00 | $3,377.62 – $3,377.62 | 1 |
| Incision of hip tendon CPT 27000 | $1,600.41 | $5,919.00 | $851.75 – $1,680.43 | 7 |
| Incision of hip tendon CPT 27001 | $3,244.61 | $8,202.00 | $1,181.69 – $3,406.84 | 7 |
| Incision of hip tendon CPT 27003 | $7,143.73 | $11,398.00 | $1,314.81 – $7,500.92 | 7 |
| Incision of hip tendons CPT 27006 | $3,244.61 | $7,582.00 | $1,554.59 – $3,406.84 | 7 |
| Incision of iris CPT 66500 | $2,280.73 | $3,804.00 | $861.62 – $2,394.77 | 7 |
| Incision of iris CPT 66505 | $2,280.73 | not published | $936.47 – $3,968.52 | 8 |
| Incision of jaw joint CPT 21010 | $3,243.07 | not published | $1,591.20 – $4,618.73 | 8 |
| Incision of jaw nerve CPT 64738 | $1,952.77 | $5,582.00 | $969.98 – $2,050.41 | 7 |
| Incision of knee joint CPT 27435 | $3,244.61 | $8,285.00 | $1,758.83 – $3,406.84 | 7 |
| Incision of lymph channels CPT 38308 | $3,829.28 | $7,165.00 | $1,011.08 – $4,020.74 | 7 |
| Incision of metatarsal CPT 28306 | $7,143.73 | $11,161.00 | $884.98 – $7,500.92 | 7 |
| Incision of metatarsal CPT 28307 | $7,143.73 | $11,161.00 | $1,135.93 – $7,500.92 | 7 |
| Incision of metatarsal CPT 28308 | $3,244.61 | $7,497.00 | $846.03 – $3,406.84 | 7 |
| Incision of metatarsals CPT 28309 | $7,143.73 | $14,359.00 | $1,947.59 – $7,500.92 | 7 |
| Incision of midfoot bones CPT 28304 | $7,143.73 | $13,818.00 | $1,326.15 – $7,500.92 | 7 |
| Incision of palm tendon CPT 26450 | $3,244.61 | $6,846.00 | $1,037.97 – $3,406.84 | 7 |
| Incision of prostate CPT 52450 | $3,448.97 | $7,589.00 | $1,016.42 – $3,621.42 | 7 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | $2,351.00 | $1,469.73 – $1,469.73 | 1 |
| Incision of rectal abscess CPT 46060 | $2,742.39 | $6,042.00 | $1,057.33 – $2,879.51 | 7 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $1,801.66 – $1,801.66 | 1 |
| Incision of sperm duct CPT 55200 | $3,448.97 | $5,891.00 | $595.14 – $3,621.42 | 7 |
| Incision of spinal nerve 64772 CPT 64772 | $1,952.77 | $4,205.00 | $1,211.12 – $2,050.41 | 7 |
| Incision of tendon & muscle CPT 23405 | $7,143.73 | $11,337.00 | $1,340.50 – $7,500.92 | 7 |
| Incision of tendon sheath CPT 25000 | $1,600.41 | $4,912.00 | $776.25 – $1,680.43 | 7 |
| Incision of thigh tendon CPT 27306 | $3,244.61 | $6,065.00 | $754.57 – $3,406.84 | 7 |
| Incision of thigh tendon CPT 27390 | $3,244.61 | $7,527.00 | $996.94 – $3,406.84 | 7 |
| Incision of thigh tendons CPT 27307 | $3,244.61 | $7,165.00 | $891.39 – $3,406.84 | 7 |
| Incision of thigh tendons CPT 27391 | $3,244.61 | $9,589.00 | $1,271.66 – $3,406.84 | 7 |
| Incision of thigh tendons CPT 27392 | $3,244.61 | not published | $1,557.83 – $5,430.31 | 8 |
| Incision of tibia CPT 27705 | $7,143.73 | $13,289.00 | $1,621.99 – $7,500.92 | 7 |
| Incision of tibia & fibula CPT 27709 | $12,866.82 | $15,882.00 | $2,457.64 – $13,510.16 | 7 |
| Incision of toe tendons 28011 CPT 28011 | $1,600.41 | $5,048.00 | $606.77 – $1,680.43 | 7 |
| Incision of tongue fold CPT 41010 | $1,481.28 | $4,621.00 | $242.48 – $1,555.34 | 7 |
| Incision of tongue nerve CPT 64740 | $1,952.77 | $4,961.00 | $992.39 – $2,050.41 | 7 |
| Incision of urethra CPT 53000 | $2,048.51 | $5,764.00 | $318.97 – $2,150.94 | 7 |
| Incision of urethra CPT 53010 | $5,083.62 | $8,857.00 | $642.78 – $5,337.80 | 7 |
| Incision of urethra CPT 53020 | $2,048.51 | $5,111.00 | $202.58 – $2,150.94 | 7 |
| Incision of urethra CPT 53025 | $2,048.51 | $5,470.00 | $145.79 – $2,150.94 | 7 |
| Incision of windpipe CPT 31601 | $5,915.66 | not published | $947.06 – $9,158.16 | 8 |
| Incision of windpipe CPT 31610 | $5,915.66 | $10,940.00 | $2,077.07 – $6,211.44 | 7 |
| Incision of wrist capsule CPT 25085 | $3,244.61 | $6,065.00 | $992.45 – $3,406.84 | 7 |
| Incision secondary cataract CPT 66820 | $2,280.73 | $3,677.00 | $1,028.05 – $2,394.77 | 7 |
| Incision tendon sheath CPT 26055 | $1,600.41 | $3,647.00 | $651.66 – $1,680.43 | 7 |
| Incisn of toe tndn CPT 28010 | $1,600.41 | $4,503.00 | $454.68 – $1,680.43 | 7 |
| Incisn windpipe CPT 31600 | $3,243.07 | $7,091.00 | $636.97 – $3,405.22 | 7 |
| Incobotulinumtoxin a HCPCS J0588 | $5.31 | not published | $4.51 – $10.87 | 11 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $9.96 | not published | $9.96 – $10.46 | 6 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | $1,555.00 | $913.75 – $913.75 | 1 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | $2,734.00 | $1,065.41 – $1,065.41 | 1 |
| Induced abortion d&c CPT 59840 | $3,179.53 | $7,167.00 | $481.51 – $3,338.51 | 7 |
| Induced abortion dilat&evac CPT 59841 | $3,179.53 | $6,146.00 | $799.85 – $3,338.51 | 7 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $70.20 | not published | $70.20 – $73.71 | 8 |
| Infect ag drug suscept pheno predict CPT 87900 | $130.35 | $812.00 | $114.71 – $613.46 | 11 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $15.00 | not published | $13.75 – $70.59 | 12 |
| Infect ag eia influenza a or b ea CPT 87400 | $14.13 | $129.00 | $6.60 – $66.50 | 10 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $257.45 | $1,768.00 | $226.56 – $1,211.62 | 11 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $257.45 | $868.00 | $226.56 – $1,211.62 | 11 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $128.73 | $752.00 | $113.28 – $605.83 | 11 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $257.45 | $707.00 | $257.45 – $1,211.62 | 11 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $32.77 | not published | $28.84 – $154.22 | 12 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | $35.29 | not published | $13.20 – $166.08 | 12 |
| Infect ag ia optc obs influenza CPT 87804 | $16.55 | $99.00 | $13.39 – $77.89 | 11 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $11.98 | $80.00 | $6.60 – $56.38 | 11 |
| Infect ag if hep delta agent CPT 87380 | $18.36 | $248.00 | $18.36 – $86.41 | 11 |
| Infect ag if influenza a CPT 87276 | $16.07 | $80.00 | $13.20 – $75.63 | 11 |
| Infect ag if influenza b CPT 87275 | $12.25 | $80.00 | $12.25 – $57.65 | 11 |
| Infect ag if legionella pneumophila CPT 87278 | $15.60 | not published | $13.19 – $73.42 | 12 |
| Infect ag if nos ea CPT 87299 | $16.10 | $248.00 | $13.20 – $75.77 | 11 |
| Infect ag if pneumocystis carinii CPT 87281 | $11.98 | not published | $11.98 – $56.38 | 12 |
| Infect ag if varicella zoster CPT 87290 | $13.42 | $98.00 | $13.42 – $63.16 | 11 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | $53.47 | not published | $22.00 – $251.64 | 12 |
| Infect ag na hep b amp CPT 87516 | $35.09 | $315.00 | $35.09 – $165.14 | 11 |
| Infect ag na herpes simplex quant CPT 87530 | $42.84 | $289.00 | $22.00 – $201.62 | 11 |
| Infect ag na hpv high-risk types CPT 87624 | $35.09 | $381.00 | $30.88 – $165.14 | 11 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $95.80 | $385.00 | $84.30 – $450.86 | 11 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $51.31 | not published | $45.16 – $241.48 | 12 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $51.31 | $212.00 | $51.31 – $53.88 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $416.78 | $1,485.00 | $366.76 – $1,961.47 | 11 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $488.66 | $1,076.00 | $488.66 – $2,299.75 | 11 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $26.07 | $290.00 | $26.07 – $122.69 | 11 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $41.38 | not published | $16.55 – $45.52 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $11.98 | $188.00 | $11.98 – $56.38 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $13.42 | $165.00 | $13.40 – $63.16 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $13.82 | $109.00 | $13.75 – $65.04 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $11.98 | $119.00 | $11.98 – $56.38 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $14.38 | $141.00 | $9.90 – $67.68 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $10.33 | $2,145.00 | $10.33 – $48.62 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $10.33 | $184.00 | $10.33 – $48.62 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $24.08 | $245.00 | $21.19 – $113.33 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $11.98 | $221.00 | $11.98 – $56.38 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $11.98 | $133.00 | $11.98 – $56.38 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $11.98 | $73.00 | $11.98 – $56.38 | 11 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $76.77 | not published | $76.77 – $80.61 | 8 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $35.09 | $2,145.00 | $35.09 – $165.14 | 11 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $35.09 | $298.00 | $35.09 – $165.14 | 11 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $37.27 | $264.00 | $32.80 – $175.40 | 11 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $416.78 | $3,883.00 | $366.76 – $1,961.47 | 11 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $35.09 | $359.00 | $35.09 – $165.14 | 11 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $35.09 | $483.00 | $30.88 – $165.14 | 11 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $41.68 | $295.00 | $41.68 – $196.16 | 11 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $35.09 | $286.00 | $35.09 – $165.14 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $51.31 | $314.00 | $45.16 – $191.40 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $142.63 | $495.00 | $125.51 – $189.70 | 10 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $142.63 | not published | $125.51 – $189.70 | 10 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $35.09 | $176.00 | $35.09 – $165.14 | 11 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $35.09 | $330.00 | $30.88 – $165.14 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $416.78 | $1,540.00 | $366.76 – $1,961.47 | 10 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $128.29 | not published | $112.89 – $603.76 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $262.99 | $723.00 | $231.43 – $1,237.69 | 11 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $42.84 | $944.00 | $22.00 – $201.62 | 11 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $42.84 | $385.00 | $22.00 – $201.62 | 11 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $42.84 | $385.00 | $22.00 – $201.62 | 11 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $85.10 | $934.00 | $85.10 – $400.50 | 11 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $142.63 | $157.00 | $125.51 – $671.25 | 11 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $31.18 | not published | $26.50 – $158.67 | 11 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $20.89 | not published | $17.76 – $97.28 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $19.68 | not published | $16.73 – $118.57 | 10 |
| Influenza dna amp prob addl CPT 87503 | $29.22 | not published | $25.72 – $137.52 | 12 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $60.44 – $70.97 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $24.54 – $38.69 | 5 |
| Infratemporal approach/skull CPT 61591 | not published | $9,524.00 | $6,558.68 – $6,558.68 | 1 |
| Infuse radioactive materials CPT 77750 | $262.98 | $868.00 | $262.98 – $743.17 | 7 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | $842.00 | $113.96 – $113.96 | 1 |
| Ingest challenge ini 120 min CPT 95076 | $530.60 | $1,232.00 | $123.62 – $557.13 | 7 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $203.39 | $784.00 | $91.58 – $359.00 | 9 |
| Initial foot exam pt lops HCPCS G0245 | $128.87 | not published | $69.81 – $239.81 | 8 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $566.81 – $566.81 | 1 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $225.98 – $225.98 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $308.05 – $308.05 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $136.02 – $136.02 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $203.39 | $935.00 | $62.14 – $359.00 | 9 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | $0.22 | not published | $0.19 – $0.23 | 6 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | $10.64 | not published | $10.64 – $11.17 | 6 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $4.54 | not published | $3.86 – $4.77 | 6 |
| Inj alymsys 10 mg HCPCS Q5126 | $42.60 | not published | $36.21 – $80.58 | 7 |
| Inj andexxa, 10 mg HCPCS J7169 | $131.56 | not published | $131.56 – $619.49 | 8 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $18.10 | not published | $15.39 – $22.85 | 7 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | $105.90 | not published | $90.02 – $148.03 | 7 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $80.75 | not published | $68.64 – $101.10 | 7 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | $212.36 | not published | $180.51 – $441.78 | 9 |
| Inj brixadi, more than 7 day HCPCS J0578 | $1,691.31 | not published | $1,437.61 – $2,149.75 | 7 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.99 – $5.30 | 4 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $1.00 | not published | $0.85 – $1.44 | 7 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $0.91 | not published | $0.77 – $1.39 | 7 |
| Inj ceftolozane tazobactam HCPCS J0695 | $9.13 | not published | $7.76 – $14.26 | 10 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | $596.00 | $83.76 – $83.76 | 1 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $1,044.14 | not published | $887.52 – $2,601.16 | 10 |
| Inj cuvitru, 100 mg HCPCS J1555 | $17.59 | not published | $14.95 – $31.68 | 10 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | $9.00 | not published | $7.65 – $9.45 | 6 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1.16 | not published | $0.99 – $1.30 | 7 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $0.78 | not published | $0.66 – $2.38 | 7 |
| Inj daptomycin (xellia) HCPCS J0873 | $0.04 | not published | $0.03 – $0.07 | 7 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | $3.11 | not published | $2.64 – $3.27 | 6 |
| Inj delandistrogene mox rokl HCPCS J1413 | $3,324,571.90 | not published | $3,324,571.90 – $3,490,800.50 | 6 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | $1,250.00 | $296.48 – $296.48 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | $295.19 | $715.00 | $140.20 – $309.95 | 7 |
| Inj dx for sinogram CPT 20501 | not published | $660.00 | $74.94 – $74.94 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $33.74 | not published | $28.63 – $35.43 | 6 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | $21.12 | not published | $17.95 – $39.47 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $692.52 | $1,640.00 | $210.41 – $727.15 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $890.29 | $4,896.00 | $166.02 – $934.80 | 7 |
| Inj fensolvi 0.25 mg HCPCS J1951 | $140.43 | not published | $119.37 – $272.84 | 9 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $7.43 | not published | $6.32 – $10.03 | 7 |
| Inj for ext venography CPT 36005 | not published | $886.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | not published | $680.00 | $156.52 – $156.52 | 1 |
| Inj fosnetupitant, palonoset HCPCS J1454 | $606.35 | not published | $230.81 – $1,096.11 | 10 |
| Inj givosiran 0.5 mg HCPCS J0223 | $117.19 | not published | $99.61 – $229.07 | 9 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $2,770.57 | not published | $2,354.98 – $3,601.54 | 7 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | $1.85 | not published | $1.57 – $1.94 | 6 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $2.56 – $6.09 | 2 |
| Inj herzuma 10 mg HCPCS Q5113 | $77.49 | not published | $53.61 – $104.15 | 9 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | $663.00 | $76.40 – $14,806.00 | 2 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | $1,128.00 | $84.99 – $14,806.00 | 2 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | $1,128.00 | $90.92 – $14,806.00 | 2 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | $1,029.00 | $44.33 – $14,806.00 | 2 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | $663.00 | $42.72 – $14,806.00 | 2 |
| Inj human fibrinogen con nos HCPCS J7178 | $1.52 | not published | $1.29 – $2.79 | 11 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $5.18 | not published | $5.18 – $5.44 | 6 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $19.06 – $46.26 | 3 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $2.61 | not published | $2.22 – $4.96 | 9 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $198.70 | $455.00 | $63.10 – $208.64 | 7 |
| Inj intralesional > 7 lsns CPT 11901 | $198.70 | $510.00 | $95.73 – $208.64 | 7 |
| Inj ivig privigen 500 mg HCPCS J1459 | $50.43 | not published | $42.87 – $96.66 | 11 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $20.65 – $48.23 | 5 |
| Inj luxturna 1 billion vec g HCPCS J3398 | $3,163.15 | not published | $3,163.15 – $6,296.47 | 9 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | $154.00 | not published | 0 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $108.03 | not published | $91.83 – $2,975.68 | 11 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | $787.79 | not published | $669.62 – $827.18 | 6 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $3.25 – $6.34 | 5 |
| Inj meropenem (wg crit care) HCPCS J2183 | $1.62 | not published | $1.38 – $1.70 | 6 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $248.50 | not published | $211.23 – $456.64 | 9 |
| Inj multihance HCPCS A9577 | not published | not published | $1.48 – $3.97 | 4 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $667.47 | $1,997.00 | $138.62 – $1,163.86 | 8 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $1,829.23 | $4,989.00 | $310.08 – $1,920.69 | 7 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,829.23 | $5,170.00 | $243.23 – $1,920.69 | 7 |
| Inj ogivri 10 mg HCPCS Q5114 | $44.59 | not published | $37.90 – $119.66 | 9 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | $393.82 | not published | $334.75 – $501.36 | 7 |
| Inj onase abepar-xioi treat HCPCS J3399 | $2,452,115.60 | not published | $2,452,115.60 – $5,476,125.00 | 8 |
| Inj ontruzant 10 mg HCPCS Q5112 | $21.99 | not published | $18.69 – $131.23 | 9 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $27.99 | not published | $23.79 – $478.59 | 9 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | $9.74 | not published | $8.28 – $22.98 | 7 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | $3.79 | not published | $3.22 – $19.93 | 7 |
| Inj pemetrexed ditromethamin HCPCS J9323 | $10.34 | not published | $8.79 – $10.86 | 6 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | $4.93 | not published | $4.19 – $14.04 | 7 |
| Inj peritoneal venous shunt CPT 49427 | not published | $515.00 | $78.96 – $78.96 | 1 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | $32.31 | not published | $32.31 – $33.93 | 6 |
| Inj proc ankle arthr CPT 27648 | not published | $883.00 | $107.68 – $107.68 | 1 |
| Inj proc elbow arthro CPT 24220 | not published | $649.00 | $137.83 – $137.83 | 1 |
| Inj proc for lymphang CPT 38790 | not published | $975.00 | $173.61 – $173.61 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | $2,103.00 | $326.57 – $326.57 | 1 |
| Inj proc myelogram lumbar CPT 62284 | not published | $645.00 | $173.65 – $173.65 | 1 |
| Inj proc sialogram CPT 42550 | not published | $278.00 | $126.33 – $126.33 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.54 – $2.38 | 5 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.21 – $3.16 | 4 |
| Inj recombin esperoct per iu HCPCS J7204 | $2.26 | not published | $1.92 – $4.68 | 9 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $0.76 | not published | $0.65 – $2.36 | 10 |
| Inj retro urethrocysto CPT 51610 | not published | $333.00 | $135.95 – $135.95 | 1 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | $12,368.21 | not published | $12,368.21 – $12,986.62 | 6 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | $28.52 | not published | $24.24 – $72.82 | 9 |
| Inj scleros sol mult veins CPT 36471 | $399.53 | $825.00 | $155.37 – $650.15 | 8 |
| Inj scleros sol sgl vein CPT 36470 | $399.53 | $803.00 | $78.06 – $419.51 | 7 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | $539.69 | not published | $539.69 – $1,159.37 | 11 |
| Inj secretin synthetic human HCPCS J2850 | $43.79 | not published | $43.79 – $74.69 | 11 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $17.84 | not published | $15.16 – $18.73 | 6 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $0.17 – $43.99 | 5 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $33.27 | not published | $28.28 – $34.93 | 6 |
| Inj tedizolid phosphate HCPCS J3090 | $1.91 | not published | $1.62 – $3.56 | 11 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | $37.65 | not published | $32.00 – $39.53 | 6 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.05 – $0.11 | 5 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.03 – $0.06 | 5 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $12.24 | not published | $10.40 – $12.85 | 6 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | $191.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | $206.00 | not published | 0 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | $155.34 | not published | $132.04 – $200.61 | 7 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $18.21 | not published | $15.48 – $39.08 | 10 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | $465.05 | not published | $395.29 – $488.30 | 6 |
| Inj w/fluor eval cv device CPT 36598 | $210.69 | $946.00 | $72.81 – $221.22 | 7 |
| Inj xipere 1 mg HCPCS J3299 | $48.00 | not published | $40.80 – $64.62 | 7 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | $25.08 | not published | $21.32 – $26.33 | 6 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | $32.62 | not published | $32.62 – $34.25 | 6 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $399.53 | $576.00 | $383.08 – $419.51 | 7 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $6.03 | not published | $5.13 – $7.83 | 7 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $7.24 | not published | $6.15 – $12.86 | 11 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $63,431.05 | not published | $53,916.39 – $66,602.60 | 6 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | $5.98 | not published | $5.08 – $25.49 | 9 |
| Inj, adzynma, 10 iu HCPCS J7171 | $35.59 | not published | $30.25 – $37.37 | 6 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | $319.74 | not published | $271.78 – $454.53 | 7 |
| Inj, afstyla, 1 i.u HCPCS J7210 | $1.58 | not published | $1.34 – $2.90 | 10 |
| Inj, alyglo, 500 mg HCPCS J1552 | $131.12 | not published | $111.45 – $137.68 | 6 |
| Inj, amisulpride, 1 mg HCPCS J0184 | $9.66 | not published | $9.66 – $10.14 | 6 |
| Inj, aponvie, 1 mg HCPCS C9145 | $1.92 | not published | $1.92 – $2.02 | 6 |
| Inj, artesunate, 1mg HCPCS J0391 | $51.83 | not published | $51.83 – $54.42 | 6 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $55.30 | not published | $47.01 – $97.11 | 9 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $39.83 | not published | $33.86 – $85.45 | 10 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $16.50 | not published | $5.47 – $17.33 | 7 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $4.91 | not published | $4.91 – $55.96 | 7 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $422.83 | not published | $359.41 – $537.44 | 7 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | $346.19 | not published | $294.26 – $669.87 | 9 |
| Inj, bupivacaine (posimir) HCPCS C9144 | $0.51 | not published | $0.51 – $0.54 | 6 |
| Inj, bupivacaine liposome HCPCS J0666 | $1.49 | not published | $1.27 – $1.56 | 6 |
| Inj, carmustine (accord) HCPCS J9052 | $259.70 | not published | $24.47 – $272.69 | 7 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $4.31 – $7.01 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $2.40 | not published | $2.04 – $4.32 | 9 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | $86.51 | not published | $73.53 – $348.57 | 7 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | $89.80 | not published | $76.33 – $94.29 | 6 |
| Inj, clevidipine butyrate HCPCS C9248 | $2.88 | not published | $2.88 – $5.75 | 8 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | $551.51 | not published | $551.51 – $579.09 | 6 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $4.21 | not published | $3.58 – $4.42 | 6 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.05 – $0.09 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $4.14 | not published | $3.52 – $5.44 | 7 |
| Inj, durolane 1 mg HCPCS J7318 | $6.68 | not published | $5.68 – $38.10 | 10 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | $189.75 | not published | $161.29 – $355.69 | 9 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $9.91 | not published | $8.42 – $17.61 | 11 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $34.48 | not published | $29.31 – $48.00 | 7 |
| Inj, focinvez, 1mg HCPCS J1434 | $2.87 | not published | $2.44 – $3.01 | 6 |
| Inj, fosaprepitant (teva) HCPCS J1456 | $1.13 | not published | $0.59 – $1.19 | 7 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $3.32 | not published | $2.82 – $70.49 | 7 |
| Inj, fulvestrant (teva) HCPCS J9393 | $46.21 | not published | $34.37 – $48.52 | 7 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | $4.96 | not published | $4.22 – $14.41 | 10 |
| Inj, hemgenix, per tx dose HCPCS J1411 | $3,685,266.67 | not published | $3,685,266.67 – $3,869,530.00 | 6 |
| Inj, idacio, 1 mg HCPCS Q5144 | $8.92 | not published | $8.92 – $9.37 | 6 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | $0.13 | not published | $0.11 – $0.14 | 6 |
| Inj, invega hafyera/trinza HCPCS J2427 | $12.96 | not published | $11.02 – $13.61 | 6 |
| Inj, ixinity, 1 i.u HCPCS J7213 | $1.91 | not published | $1.62 – $2.01 | 6 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | $1.58 | not published | $1.34 – $2.64 | 10 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $24.45 | not published | $20.78 – $64.87 | 7 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $1.33 | not published | $1.13 – $1.40 | 6 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | $22.02 | not published | $18.72 – $23.12 | 6 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $7.10 | not published | $6.04 – $7.46 | 6 |
| Inj, levothyroxine, hikma HCPCS J0652 | $5.14 | not published | $4.37 – $5.40 | 6 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $48.27 | not published | $41.03 – $50.68 | 6 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | $25.22 | not published | $21.44 – $26.48 | 6 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $7.40 – $20.47 | 5 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $2.17 | not published | $2.17 – $2.28 | 6 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | $94.12 | not published | $80.00 – $98.83 | 6 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | $1.30 | not published | $1.30 – $1.37 | 6 |
| Inj, palonosetron (posfrea) HCPCS J2468 | $58.84 | not published | $50.01 – $61.78 | 6 |
| Inj, panzyga, 500 mg HCPCS J1576 | $74.46 | not published | $63.29 – $78.18 | 6 |
| Inj, pasireotide long acting HCPCS J2502 | $563.79 | not published | $256.50 – $685.80 | 11 |
| Inj, pedmark, 100 mg HCPCS J0208 | $95.14 | not published | $95.14 – $171.16 | 7 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | $141.91 | not published | $120.62 – $149.01 | 6 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | $36.45 | not published | $36.45 – $38.27 | 6 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | $83.28 | not published | $70.79 – $87.44 | 6 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | $80.10 | not published | $68.09 – $84.11 | 6 |
| Inj, releuko 1 mcg HCPCS Q5125 | $0.41 | not published | $0.35 – $0.72 | 7 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $13.34 | not published | $11.34 – $26.03 | 11 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | $13.03 | not published | $13.03 – $13.68 | 6 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | $1.00 | not published | $1.00 – $6.79 | 10 |
| Inj, sezaby, 1 mg HCPCS J2561 | $1.15 | not published | $1.15 – $1.21 | 6 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $65.73 | not published | $55.87 – $80.10 | 7 |
| Inj, susvimo 0.1 mg HCPCS J2779 | $78.43 | not published | $66.67 – $107.44 | 7 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | $18.11 | not published | $15.39 – $23.63 | 7 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | $41.06 | not published | $34.90 – $88.54 | 11 |
| Inj, tislelizumab-jsgr HCPCS J9329 | $57.42 | not published | $48.81 – $60.29 | 6 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $5.79 | not published | $4.92 – $6.08 | 6 |
| Inj, trivisc 1 mg HCPCS J7329 | $5.45 | not published | $4.63 – $41.06 | 10 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $4.69 | not published | $3.99 – $4.92 | 6 |
| Inj, uzedy, 1 mg HCPCS J2799 | $25.08 | not published | $21.32 – $32.85 | 7 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $7.95 – $7.95 | 1 |
| Inj, vasopressin (baxter) HCPCS J2601 | $2.94 | not published | $2.50 – $3.09 | 6 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $43.62 | not published | $37.08 – $96.31 | 7 |
| Inj. asceniv HCPCS J1554 | $496.51 | not published | $422.03 – $1,034.60 | 9 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | $62.15 | not published | $52.83 – $249.39 | 7 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | $16.40 | not published | $13.94 – $32.84 | 9 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $27.54 | not published | $27.54 – $28.92 | 6 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $18.95 | not published | $16.11 – $52.40 | 9 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $62.97 | not published | $53.52 – $153.52 | 9 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $494.43 | not published | $420.27 – $993.48 | 9 |
| Inj. jivi 1 iu HCPCS J7208 | $2.65 | not published | $2.25 – $4.53 | 9 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | $329.10 | not published | $279.74 – $649.12 | 9 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.35 – $0.35 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | $685.91 | not published | $583.02 – $1,157.24 | 9 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $52.74 | not published | $41.85 – $82.88 | 7 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | $348.62 | not published | $296.33 – $636.39 | 9 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $359.09 | not published | $305.23 – $678.35 | 9 |
| Inj. xembify, 100 mg HCPCS J1558 | $14.91 | not published | $12.67 – $28.56 | 9 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $3.26 | not published | $2.77 – $6.44 | 9 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $168.13 | not published | $142.91 – $359.58 | 10 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $381.64 | not published | $324.39 – $778.06 | 9 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | $57.43 | not published | $48.82 – $104.69 | 10 |
| Inj., evomela, 1 mg HCPCS J9246 | $17.37 | not published | $14.76 – $39.08 | 9 |
| Inj., fibryga, 1 mg HCPCS J7177 | $1.21 | not published | $1.03 – $2.34 | 10 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $74.86 | not published | $63.63 – $223.53 | 10 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | $79.39 | not published | $67.48 – $142.27 | 10 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | $23.39 | not published | $23.39 – $50.23 | 9 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $2.18 | not published | $2.18 – $3.95 | 10 |
| Inj., omadacycline, 1 mg HCPCS J0121 | $4.01 | not published | $3.41 – $7.15 | 9 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $99.82 | not published | $84.85 – $209.98 | 9 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $12.14 | not published | $10.32 – $22.94 | 9 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $3.57 | not published | $3.03 – $6.66 | 9 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $126.24 | not published | $107.30 – $286.88 | 9 |
| Inj., triluron, 1 mg HCPCS J7332 | $10.16 | not published | $8.64 – $13.66 | 7 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | $3,772.85 | not published | $3,206.92 – $6,586.92 | 10 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | $532.58 | not published | $452.69 – $1,113.41 | 9 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $890.29 | $2,217.00 | $302.22 – $934.80 | 7 |
| Inject sacroiliac joint CPT 27096 | not published | $1,813.00 | $175.09 – $175.09 | 1 |
| Inject/treat eye socket CPT 67500 | $298.93 | $784.00 | $135.22 – $313.88 | 7 |
| Inject/treat eye socket CPT 67505 | $298.93 | $872.00 | $151.94 – $313.88 | 7 |
| Inject/treat eye socket CPT 67515 | $298.93 | $784.00 | $99.28 – $313.88 | 7 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $692.52 | $2,037.00 | $173.30 – $727.15 | 7 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | $803.00 | $141.49 – $141.49 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $295.19 | $745.00 | $120.39 – $512.28 | 8 |
| Injection during cath supravalvular aortography CPT 93567 | not published | $911.00 | $61.75 – $14,806.00 | 2 |
| Injection epidural blood patch or clot CPT 62273 | $692.52 | $1,980.00 | $237.72 – $727.15 | 7 |
| Injection eye drug CPT 67028 | $331.69 | $444.00 | $193.78 – $348.27 | 7 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | $472.00 | $151.78 – $151.78 | 1 |
| Injection for bladder x-ray CPT 51600 | not published | $1,516.00 | $89.79 – $89.79 | 1 |
| Injection for hip x-ray CPT 27095 | not published | $666.00 | $171.21 – $171.21 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | $658.00 | $103.22 – $103.22 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | $373.00 | $268.14 – $268.14 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | $160.00 | $109.42 – $109.42 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | $513.00 | $108.77 – $108.77 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | $1,254.00 | $147.27 – $147.27 | 1 |
| Injection glatiramer acetate HCPCS J1595 | $160.39 | not published | $111.56 – $402.76 | 11 |
| Injection into brain canal CPT 61026 | $692.52 | not published | $234.22 – $1,239.54 | 8 |
| Injection into brain canal CPT 61055 | $295.19 | $1,372.00 | $245.96 – $309.95 | 7 |
| Injection into hemorrhoid(s) CPT 46500 | $911.71 | $1,577.00 | $404.21 – $957.30 | 7 |
| Injection into spinal artery CPT 62294 | $890.29 | not published | $890.29 – $2,069.55 | 8 |
| Injection into vocal cord CPT 31513 | $388.31 | $1,040.00 | $279.58 – $407.73 | 7 |
| Injection of HIV prep drug HCPCS G0012 | $71.17 | not published | $6.18 – $74.73 | 7 |
| Injection of sinus tract CPT 20500 | $1,481.28 | $3,359.00 | $193.02 – $1,555.34 | 7 |
| Injection px peyronie ds CPT 54200 | $243.21 | $541.00 | $190.52 – $255.37 | 7 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $401.83 | $2,063.00 | $66.55 – $731.72 | 8 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $692.52 | $2,750.00 | $414.64 – $727.15 | 7 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $210.69 | $715.00 | $65.68 – $221.22 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $46.14 | $461.00 | $27.32 – $48.45 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | not published | $322.00 | $35.88 – $35.88 | 1 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $71.17 | $1,987.00 | $25.10 – $4,567.00 | 10 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $3.61 – $3.61 | 1 |
| Injection treatment of eye CPT 66020 | $2,280.73 | $4,832.00 | $282.89 – $2,394.77 | 7 |
| Injection treatment of eye CPT 66030 | $2,280.73 | $3,718.00 | $240.95 – $2,394.77 | 7 |
| Injection treatment of nerve CPT 64605 | $1,952.77 | $4,212.00 | $915.93 – $2,050.41 | 7 |
| Injection treatment of nerve CPT 64610 | $1,952.77 | $4,704.00 | $1,026.90 – $2,050.41 | 7 |
| Injection treatment of nerve CPT 64681 | $890.29 | not published | $463.25 – $1,583.22 | 8 |
| Injection treatment of nose CPT 30200 | $509.25 | $1,822.00 | $129.61 – $534.71 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $692.52 | $2,037.00 | $131.00 – $1,239.54 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $692.52 | $3,065.00 | $88.43 – $1,239.54 | 8 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $890.29 | $3,069.00 | $236.04 – $1,583.22 | 8 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | $3,520.00 | $123.85 – $123.85 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $890.29 | $3,566.00 | $223.00 – $1,583.22 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | $1,375.00 | $106.25 – $106.25 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $890.29 | $4,180.00 | $192.11 – $1,583.22 | 8 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $692.52 | $3,190.00 | $226.54 – $727.15 | 7 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $692.52 | $3,190.00 | $209.53 – $727.15 | 7 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $295.19 | $770.00 | $81.54 – $512.28 | 8 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $295.19 | $1,605.00 | $77.81 – $309.95 | 7 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $295.19 | $1,540.00 | $88.43 – $309.95 | 7 |
| Injection, belinostat, 10mg HCPCS J9032 | $52.04 | not published | $44.23 – $93.24 | 11 |
| Injection, burosumab-twza 1m HCPCS J0584 | $481.57 | not published | $409.33 – $816.37 | 10 |
| Injection, cangrelor HCPCS C9460 | $19.81 | not published | $19.81 – $34.88 | 10 |
| Injection, daratumumab 10 mg HCPCS J9145 | $69.84 | not published | $59.36 – $122.88 | 11 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.31 – $0.94 | 5 |
| Injection, edaravone, 1 mg HCPCS J1301 | $18.84 | not published | $16.01 – $44.00 | 10 |
| Injection, fulvestrant HCPCS J9395 | $6.98 | not published | $5.93 – $201.80 | 11 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $12.35 | not published | $10.50 – $16.14 | 7 |
| Injection, isavuconazonium HCPCS J1833 | $1.01 | not published | $1.01 – $1.78 | 11 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $5.73 | not published | $4.87 – $12.33 | 11 |
| Injection, peramivir HCPCS J2547 | $1.68 | not published | $1.68 – $1,006.78 | 11 |
| Injection, renflexis HCPCS Q5104 | $25.05 | not published | $21.29 – $128.13 | 10 |
| Injection, ruconest HCPCS J0596 | $36.74 | not published | $31.23 – $64.47 | 11 |
| Injection, siltuximab HCPCS J2860 | $161.96 | not published | $137.67 – $268.78 | 10 |
| Injection,onabotulinumtoxina HCPCS J0585 | $6.50 | not published | $5.53 – $13.29 | 11 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $2,698.05 | not published | $2,293.34 – $5,169.46 | 10 |
| Ins cath ren art 1st bi CPT 36252 | $3,147.50 | $7,244.00 | $727.83 – $3,304.88 | 7 |
| Ins cath ren art 1st uni CPT 36251 | $3,147.50 | $7,244.00 | $519.95 – $3,304.88 | 7 |
| Ins cath ren art 2nd+ bi CPT 36254 | $3,147.50 | $8,580.00 | $848.42 – $3,304.88 | 7 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,405.70 | $11,265.00 | $718.86 – $5,675.99 | 7 |
| Ins cerv dilator (sep proc) CPT 59200 | $304.19 | $745.00 | $92.93 – $319.40 | 7 |
| Ins icd gen exist mlt leads CPT 33231 | $32,061.58 | $75,878.00 | $104.00 – $33,664.66 | 7 |
| Ins icd gen exist sgl lead CPT 33240 | $22,446.19 | $55,935.00 | $104.00 – $23,568.50 | 7 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $1,570.64 – $1,570.64 | 1 |
| Ins lv lead exist pm/icd CPT 33224 | $10,465.33 | $27,454.00 | $104.00 – $10,988.60 | 7 |
| Ins mark abd/pel for right perq CPT 49411 | $1,368.26 | $3,640.00 | $383.18 – $1,436.67 | 7 |
| Ins mark thor for right perq CPT 32553 | $1,368.26 | $3,821.00 | $359.72 – $1,436.67 | 7 |
| Ins picad w subq port 5yr> CPT 36571 | $3,147.50 | $6,492.00 | $657.05 – $3,304.88 | 7 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $618.26 | $4,249.00 | $165.11 – $649.17 | 7 |
| Ins pm gen exist dual lead CPT 33230 | $22,446.19 | $54,185.00 | $104.00 – $23,568.50 | 7 |
| Ins pm gen w/exist mlt leads CPT 33221 | $19,071.16 | $23,143.00 | $104.00 – $20,024.72 | 7 |
| Ins pq tunnld ip cath w/img CPT 49418 | $3,529.06 | $7,679.00 | $410.64 – $3,705.51 | 7 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $243.02 – $243.02 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $5,405.70 | $11,276.00 | $680.16 – $5,675.99 | 7 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,147.50 | $6,859.00 | $538.88 – $3,304.88 | 7 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $5,405.70 | $19,305.00 | $743.38 – $5,675.99 | 7 |
| Ins tun intraperit dia cath CPT 49421 | $3,529.06 | $5,839.00 | $470.17 – $3,705.51 | 7 |
| Ins vag brachytx device CPT 57156 | $304.19 | $1,128.00 | $304.19 – $320.87 | 7 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $19,071.16 | $37,400.00 | $104.00 – $20,024.72 | 7 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $10,465.33 | $24,154.00 | $104.00 – $10,988.60 | 7 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $8,275.98 | $20,867.00 | $104.00 – $8,689.78 | 7 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $10,465.33 | $15,648.00 | $104.00 – $10,988.60 | 7 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $21,444.39 | $27,500.00 | $625.20 – $22,516.61 | 7 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $28,428.33 | $39,215.00 | $685.88 – $29,849.75 | 7 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $30,473.59 | $34,689.00 | $730.72 – $31,997.27 | 7 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | $12,470.31 | $43,320.00 | $12,470.31 – $13,093.83 | 6 |
| Insemination of oocytes CPT 89268 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Insert abdomen-venous drain CPT 49425 | not published | $2,188.00 | $1,665.44 – $1,665.44 | 1 |
| Insert and remove bone pin CPT 20650 | $3,244.61 | $6,362.00 | $363.18 – $3,406.84 | 7 |
| Insert ant drainage device CPT 66183 | $4,022.86 | $8,280.00 | $2,212.63 – $4,224.00 | 7 |
| Insert brain-fluid device 61215 CPT 61215 | $6,404.07 | $8,797.00 | $1,139.02 – $6,724.27 | 7 |
| Insert cannula hemo oth 36815 CPT 36815 | $5,405.70 | $11,553.00 | $276.00 – $5,675.99 | 7 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $5,405.70 | $11,697.00 | $249.50 – $5,675.99 | 7 |
| Insert cath pleura with image CPT 32557 | $1,553.44 | $3,520.00 | $305.73 – $2,263.81 | 8 |
| Insert cath pleura without image CPT 32556 | $1,896.99 | $3,520.00 | $255.85 – $1,991.84 | 7 |
| Insert cv cath inf & sup app HCPCS C9780 | $8,250.50 | not published | $8,250.50 – $8,663.03 | 6 |
| Insert drug del implant, >=4 HCPCS G0516 | $399.04 | not published | $171.57 – $720.69 | 8 |
| Insert drug delivery implant CPT 11981 | $128.90 | $898.00 | $128.90 – $135.35 | 7 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | $2,391.00 | $1,682.95 – $1,682.95 | 1 |
| Insert epicardial lead open 33202 CPT 33202 | not published | $2,338.00 | $1,603.27 – $1,603.27 | 1 |
| Insert eye socket implant CPT 67550 | $3,771.00 | $9,699.00 | $2,354.81 – $3,959.55 | 7 |
| Insert hepatic shunt (tips) CPT 37182 | not published | $11,832.00 | $1,651.71 – $1,651.71 | 1 |
| Insert heyman uteri capsule CPT 58346 | $4,936.45 | $6,745.00 | $1,070.99 – $5,183.27 | 7 |
| Insert intervert bimech device 22854 CPT 22854 | not published | $1,320.00 | $703.17 – $703.17 | 1 |
| Insert intrauterine device iud CPT 58300 | not published | $581.00 | $105.42 – $105.42 | 1 |
| Insert lens prosthesis CPT 66985 | $2,280.73 | $3,794.00 | $1,650.38 – $2,394.77 | 7 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $3,832.19 – $3,832.19 | 1 |
| Insert multi-comp penis pros CPT 54405 | $20,128.56 | $22,166.00 | $1,705.81 – $21,134.99 | 7 |
| Insert nasal septal button CPT 30220 | $1,481.28 | $3,694.00 | $280.83 – $1,555.34 | 7 |
| Insert ocular implant CPT 65130 | $3,771.00 | $6,105.00 | $1,865.44 – $3,959.55 | 7 |
| Insert ocular implant CPT 65135 | $3,771.00 | $8,193.00 | $1,887.52 – $3,959.55 | 7 |
| Insert palate implants HCPCS C9727 | $1,481.28 | not published | $1,481.28 – $2,647.74 | 7 |
| Insert pelv fixation device CPT 22848 | not published | $3,080.00 | $754.23 – $754.23 | 1 |
| Insert pessary/other device CPT 57160 | $201.17 | $457.00 | $96.07 – $211.23 | 7 |
| Insert picvad cath CPT 36570 | $3,147.50 | $6,301.00 | $705.29 – $3,304.88 | 7 |
| Insert pm/icd lead dual CPT 33217 | $8,275.98 | $12,582.00 | $104.00 – $8,689.78 | 7 |
| Insert prost urethral stent CPT 53855 | $2,048.51 | $4,358.00 | $169.66 – $2,150.94 | 7 |
| Insert self-contd prosthesis CPT 54401 | $20,128.56 | $22,166.00 | $1,428.04 – $21,134.99 | 7 |
| Insert semi-rigid prosthesis CPT 54400 | $12,992.42 | $20,392.00 | $1,132.08 – $13,642.04 | 7 |
| Insert spine fixation device CPT 22843 | not published | $2,654.00 | $1,713.73 – $1,713.73 | 1 |
| Insert spine infusion device 62360 CPT 62360 | $17,674.12 | $27,002.00 | $672.14 – $18,557.83 | 7 |
| Insert sq defib electrode CPT 33271 | $8,275.98 | $16,493.00 | $947.18 – $8,689.78 | 7 |
| Insert swan-ganz cath CPT 93503 | $1,553.44 | $6,188.00 | $143.65 – $14,806.00 | 8 |
| Insert tandem cuff CPT 53444 | $20,128.56 | not published | $1,675.97 – $33,781.47 | 8 |
| Insert tissue expander(s) CPT 11960 | $3,660.97 | $7,076.00 | $2,213.51 – $3,844.02 | 7 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $3,147.50 | $8,199.00 | $702.61 – $3,304.88 | 7 |
| Insert tunneled cv cath CPT 36560 | $3,147.50 | $7,005.00 | $810.76 – $3,304.88 | 7 |
| Insert tunneled cv cath CPT 36563 | $5,405.70 | $14,527.00 | $757.32 – $5,675.99 | 7 |
| Insert uro/ves nck sphincter CPT 53445 | $20,128.56 | $23,106.00 | $1,607.59 – $21,134.99 | 7 |
| Insert uteri tandem/ovoids CPT 57155 | $4,936.45 | $8,789.00 | $600.93 – $5,183.27 | 7 |
| Insert vad art access left hrt art & vein access CPT 33991 | not published | $1,569.00 | $920.60 – $920.60 | 1 |
| Insert vad art access left hrt arterial access CPT 33990 | not published | $10,088.00 | $736.38 – $14,806.00 | 2 |
| Insert/repl sq defib w/eltrd CPT 33270 | $32,061.58 | $54,753.00 | $1,164.98 – $33,664.66 | 7 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | $3,147.50 | $6,656.00 | $248.44 – $3,304.88 | 7 |
| Insertion catheter bladder non indwelling CPT 51701 | $128.90 | $345.00 | $53.32 – $135.35 | 7 |
| Insertion catheter bladder temporary simple CPT 51702 | $128.90 | $715.00 | $52.66 – $135.35 | 7 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $3,529.06 | $7,328.00 | $421.26 – $3,705.51 | 7 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | not published | $4,159.00 | $104.00 – $528.36 | 3 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $719.16 – $719.16 | 1 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $5,405.70 | $10,573.00 | $448.43 – $5,675.99 | 7 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $3,147.50 | $3,717.00 | $173.91 – $3,304.88 | 7 |
| Insertion of cannula CPT 36810 | $3,147.50 | $6,521.00 | $436.52 – $3,304.88 | 7 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $2,966.53 – $2,966.53 | 1 |
| Insertion of catheter vein CPT 36481 | not published | $4,211.00 | $662.12 – $662.12 | 1 |
| Insertion of catheter vein CPT 36500 | not published | $1,311.00 | $372.31 – $372.31 | 1 |
| Insertion of heart electrode 33211 CPT 33211 | $8,275.98 | $12,368.00 | $345.41 – $8,689.78 | 7 |
| Insertion of infusion pump CPT 36260 | $5,405.70 | not published | $1,403.55 – $9,059.40 | 8 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $10,465.33 | $35,616.00 | $104.00 – $10,988.60 | 7 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $10,465.33 | $19,907.00 | $104.00 – $10,988.60 | 7 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | not published | $20,472.00 | $104.00 – $945.91 | 3 |
| Insertion palate prosthesis CPT 42281 | $5,915.66 | not published | $350.18 – $9,158.16 | 8 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,553.44 | $4,128.00 | $195.00 – $1,631.11 | 7 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,553.44 | $5,348.00 | $171.02 – $1,631.11 | 7 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $8,275.98 | $11,223.00 | $104.00 – $8,689.78 | 7 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $8,275.98 | $20,384.00 | $180.41 – $14,806.00 | 8 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $3,147.50 | $8,306.00 | $692.38 – $3,304.88 | 7 |
| Insertion ureth cath CPT 51045 | $2,048.51 | $4,338.00 | $1,066.04 – $2,150.94 | 7 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $32,061.58 | $44,105.00 | $104.00 – $33,664.66 | 7 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $8,275.98 | $11,070.00 | $104.00 – $8,689.78 | 7 |
| Insitu hybridization (fish) CPT 88366 | $171.36 | $1,139.00 | $171.36 – $527.79 | 8 |
| Insitu hybridization auto CPT 88367 | $359.72 | $535.00 | $106.59 – $377.71 | 8 |
| Insitu hybridization manual CPT 88368 | $359.72 | $938.00 | $123.84 – $377.71 | 8 |
| Insj biomechanical device CPT 22859 | not published | $1,557.00 | $698.69 – $698.69 | 1 |
| Insj biomechanical device 22853 CPT 22853 | not published | $2,970.00 | $540.22 – $540.22 | 1 |
| Insj perq vad r hrt venous CPT 33995 | not published | $10,088.00 | $724.17 – $724.17 | 1 |
| Insj phrnc nrv stim sys CPT 33276 | $45,000.50 | $150,200.00 | $1,202.82 – $47,250.53 | 7 |
| Insj rx elut implt lac canal CPT 68841 | $2,332.96 | $5,832.00 | $68.78 – $2,449.61 | 7 |
| Insj stablj dev w/dcmprn CPT 22867 | $18,390.05 | $30,800.00 | $2,306.86 – $19,309.55 | 7 |
| Insj stablj dev without dcmprn CPT 22869 | $12,866.82 | $30,438.00 | $927.92 – $13,510.16 | 7 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | not published | $113.00 | $48.00 – $137.48 | 5 |
| Insrt/redo neurostim 1 array CPT 61885 | $21,444.39 | $29,150.00 | $1,160.57 – $38,723.82 | 8 |
| Inst fibrinolysis agent ini day CPT 32561 | $618.26 | $1,907.00 | $138.51 – $649.17 | 7 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $618.26 | $1,907.00 | $123.86 – $649.17 | 7 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | $7.68 | not published | $7.68 – $8.06 | 6 |
| Inst via cath agent pleurds CPT 32560 | $618.26 | $1,734.00 | $156.39 – $649.17 | 7 |
| Install spinal shunt 63741 CPT 63741 | $6,404.07 | $17,755.00 | $1,484.56 – $6,724.27 | 7 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,210.68 – $2,626.24 | 4 |
| Instill pharm renal pelvis HCPCS C9789 | $2,250.50 | not published | $2,250.50 – $2,363.03 | 6 |
| Instill, bupivac and meloxic HCPCS C9088 | $0.81 | not published | $0.81 – $0.85 | 6 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $667.47 | $1,517.00 | $90.44 – $700.84 | 7 |
| Instll rx agnt into rnal tub CPT 50391 | $243.21 | $646.00 | $203.34 – $255.37 | 7 |
| Insulin total CPT 83525 | $11.43 | $174.00 | $11.43 – $53.79 | 11 |
| Int hrhc lig 1 hroid without img CPT 46945 | $2,742.39 | $6,188.00 | $745.59 – $2,879.51 | 7 |
| Int hrhc lig 2+hroid without img CPT 46946 | $2,742.39 | $5,792.00 | $829.83 – $2,879.51 | 7 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | $10,704.00 | $1,310.90 – $2,004.31 | 2 |
| Integra meshed bil wound mat HCPCS C9363 | not published | $248.00 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | not published | $6,789.60 | not published | 0 |
| Intens cardiac rehab no exer HCPCS G0423 | $125.91 | not published | $125.91 – $244.57 | 8 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $125.91 | not published | $125.91 – $244.57 | 8 |
| Interdental fixation CPT 21110 | $1,481.28 | $3,710.00 | $1,481.28 – $1,564.17 | 7 |
| Interdental wirg oth/thn fx CPT 21497 | $1,481.28 | $3,607.00 | $1,296.82 – $1,555.34 | 7 |
| Interdiscal perq aspir dx CPT 62267 | $703.59 | $1,639.00 | $320.26 – $738.77 | 7 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $47.04 – $70.44 | 5 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $57.47 | not published | $57.47 – $117.77 | 11 |
| Interferon beta-1a inj HCPCS J1826 | $2,203.14 | not published | $2,044.85 – $5,766.96 | 11 |
| Intermediate visual field xm CPT 92082 | $59.40 | $285.00 | $59.40 – $2,793.00 | 9 |
| Internal nerve revision 64727 CPT 64727 | not published | $4,214.00 | $377.48 – $377.48 | 1 |
| Interrog dev eval icpms ip CPT 93290 | $37.29 | $123.00 | $37.29 – $104.00 | 7 |
| Interrog dev eval scrms ip CPT 93291 | $24.49 | $112.00 | $24.49 – $104.00 | 7 |
| Interrog device eval heart CPT 93289 | $37.29 | $111.00 | $37.29 – $126.14 | 7 |
| Interrog evl pm/ldls pm ip CPT 93288 | $37.29 | $275.00 | $37.29 – $104.00 | 7 |
| Interrog without prgrmg ipnss CPT 93153 | $91.79 | $280.00 | $22.44 – $14,806.00 | 8 |
| Interrog&prgrmg ipnss CPT 93151 | $91.79 | $280.00 | $37.72 – $14,806.00 | 8 |
| Interrogate subq defib CPT 93261 | $37.29 | $124.00 | $37.29 – $122.02 | 7 |
| Interrogation vad in person CPT 93750 | $91.79 | $495.00 | $66.63 – $104.00 | 7 |
| Interstitial brachy inter CPT 77799 | $109.50 | not published | $109.50 – $242.17 | 7 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $2,251.03 – $2,251.03 | 1 |
| Intra-atrial pacing CPT 93610 | $7,588.10 | $14,018.00 | $104.00 – $7,967.51 | 7 |
| Intra-atrial recording CPT 93602 | $7,588.10 | $13,594.00 | $104.00 – $7,967.51 | 7 |
| Intracard echo interv w/s&i CPT 93662 | not published | $6,930.00 | $104.00 – $626.84 | 3 |
| Intracran angioplsty w/stent CPT 61635 | not published | $6,117.00 | $3,125.30 – $3,125.30 | 1 |
| Intracranial angioplasty CPT 61630 | not published | $7,260.00 | $2,879.64 – $2,879.64 | 1 |
| Intracranial complete study CPT 93886 | $241.72 | $1,328.00 | $241.72 – $494.38 | 7 |
| Intracranial limited study CPT 93888 | $106.34 | $583.00 | $106.34 – $287.88 | 7 |
| Intranasal biopsy 30100 CPT 30100 | $1,481.28 | $3,710.00 | $147.96 – $1,555.34 | 7 |
| Intranasal reconstruction CPT 30620 | $5,915.66 | $12,879.00 | $1,492.17 – $6,211.44 | 7 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | $1,161.00 | $104.00 – $1,556.34 | 3 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $509.25 | $2,628.00 | $226.54 – $534.71 | 7 |
| Intraoral periapical first HCPCS D0220 | $88.05 | $120.00 | $44.21 – $92.45 | 7 |
| Intrapul surf admin endo tube CPT 94610 | $203.39 | $506.00 | $94.39 – $213.56 | 7 |
| Intrauterine transfusion ftl CPT 36460 | $437.18 | $1,269.00 | $166.10 – $717.84 | 8 |
| Intraventricular pacing CPT 93612 | $7,588.10 | $12,805.00 | $104.00 – $7,967.51 | 7 |
| Intrinsic factor antibody CPT 86340 | $15.08 | $138.00 | $15.08 – $70.97 | 11 |
| Intrm oph exam est patient CPT 92012 | $128.87 | $372.00 | $84.56 – $2,793.00 | 9 |
| Intro cath dialysis circuit CPT 36901 | $1,553.44 | $8,030.00 | $342.30 – $1,631.11 | 7 |
| Intro cath dialysis circuit w/pta CPT 36902 | $5,701.52 | $14,850.00 | $488.12 – $5,986.60 | 7 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $11,340.57 | $22,702.00 | $640.71 – $11,907.60 | 7 |
| Intro cath svc/ivc CPT 36010 | not published | $2,624.00 | $220.77 – $220.77 | 1 |
| Intro catheter aorta CPT 36200 | not published | $4,382.00 | $282.78 – $282.78 | 1 |
| Intro long gi tube CPT 44500 | $937.56 | $1,782.00 | $39.24 – $984.44 | 7 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | $277.00 | $299.12 – $299.12 | 1 |
| Intro windpipe wire/tube CPT 31730 | $1,724.47 | not published | $306.68 – $2,834.43 | 8 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | $4,090.00 | $180.04 – $180.04 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | $1,613.00 | $143.21 – $143.21 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $232.22 | $1,482.00 | $232.22 – $290.36 | 7 |
| Io anal gast n-stim subsq CPT 95981 | $59.40 | not published | $30.09 – $220.41 | 8 |
| Io ga n-stim subsq w/reprog CPT 95982 | $37.29 | not published | $37.29 – $76.92 | 8 |
| Io rad tx deliver by elctrns CPT 77425 | $7,644.49 | not published | $7,644.49 – $15,823.58 | 7 |
| Io rad tx delivery by x-ray CPT 77424 | $7,644.49 | not published | $7,644.49 – $15,823.58 | 7 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | $124.00 | $0.01 – $566.85 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | $208.58 | not published | $78.39 – $219.01 | 9 |
| Ionm in operatng room 15 min CPT 95940 | not published | $113.00 | $54.07 – $54.07 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | $479.00 | $104.00 – $2,793.00 | 5 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.31 – $0.75 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | $2.00 | $0.01 – $0.16 | 3 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.48 – $0.53 | 2 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $183.41 | not published | $155.90 – $345.10 | 11 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.30 – $0.43 | 6 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.19 – $6.09 | 5 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $65.26 | not published | $55.47 – $123.20 | 11 |
| Iron CPT 83540 | $6.47 | $183.00 | $4.95 – $30.45 | 11 |
| Iron binding capacity CPT 83550 | $8.74 | $113.00 | $7.92 – $41.13 | 11 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $18.03 | not published | $15.33 – $33.99 | 11 |
| Iron stain peripheral blood CPT 85536 | $6.88 | not published | $5.50 – $32.38 | 12 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.19 – $0.47 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $39.25 | $271.00 | $8.80 – $70.78 | 8 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $59.40 | $523.00 | $45.27 – $62.37 | 7 |
| Irrigation sphenoid sinus CPT 31002 | $1,481.28 | not published | $415.97 – $2,647.74 | 8 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $59.40 | not published | $53.99 – $220.41 | 8 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $82.86 | not published | $70.43 – $148.22 | 9 |
| Island pedicle flap graft CPT 15740 | $1,829.23 | $4,463.00 | $1,813.38 – $1,920.69 | 7 |
| Ivc venogram s&i CPT 75825 | $3,147.50 | $6,273.00 | $216.68 – $3,304.88 | 8 |
| Ivp w/nephrotomography CPT 74415 | $178.02 | $2,475.00 | $178.02 – $505.83 | 8 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $178.02 | $834.00 | $178.02 – $418.33 | 8 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $138.67 | not published | $117.87 – $245.22 | 11 |
| J-tube placement CPT 44015 | not published | not published | $292.63 – $292.63 | 1 |
| Jak2 targeted sequence analysis CPT 81279 | $185.20 | $963.00 | $162.98 – $871.60 | 11 |
| Jaw arthroscopy/surgery CPT 29800 | $3,244.61 | $9,118.00 | $1,164.58 – $3,406.84 | 7 |
| Jaw arthroscopy/surgery CPT 29804 | $3,244.61 | $5,686.00 | $1,280.41 – $5,430.31 | 8 |
| Jejunstmy tube plcmt CPT 44372 | $1,896.99 | $4,777.00 | $498.54 – $1,991.84 | 7 |
| John cunningham antibody CPT 86711 | $16.89 | $3,302.00 | $14.86 – $79.49 | 11 |
| Keratoprosthesis CPT 65770 | $14,289.31 | $17,047.00 | $3,001.43 – $15,003.78 | 7 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $18.13 – $53.23 | 2 |
| Ketogenic steroids fract CPT 83582 | $15.47 | not published | $6.60 – $72.81 | 12 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $8.17 | $138.00 | $8.17 – $38.45 | 11 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $0.35 | not published | $0.30 – $1.14 | 10 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $106.34 | $1,037.00 | $106.34 – $286.41 | 8 |
| Kidney endoscopy CPT 50551 | $5,083.62 | $14,939.00 | $609.39 – $5,337.80 | 7 |
| Kidney endoscopy CPT 50553 | $5,083.62 | $7,798.00 | $651.57 – $5,337.80 | 7 |
| Kidney endoscopy CPT 50570 | $3,448.97 | not published | $1,016.52 – $6,058.60 | 8 |
| Kidney endoscopy CPT 50575 | $5,083.62 | $11,092.00 | $1,472.19 – $5,337.80 | 7 |
| Kidney endoscopy & biopsy CPT 50555 | $9,247.15 | $11,092.00 | $706.97 – $9,709.51 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | $3,448.97 | not published | $1,166.56 – $3,621.42 | 8 |
| Kidney endoscopy & treatment CPT 50557 | $9,247.15 | not published | $716.08 – $15,836.64 | 8 |
| Kidney endoscopy & treatment CPT 50561 | $5,083.62 | $9,503.00 | $817.64 – $5,337.80 | 7 |
| Kidney endoscopy & treatment CPT 50576 | $9,247.15 | not published | $1,163.08 – $9,709.51 | 8 |
| Kidney endoscopy & treatment CPT 50580 | $5,083.62 | $9,503.00 | $1,253.43 – $5,337.80 | 7 |
| Kidney function study CPT 78725 | $401.83 | not published | $187.89 – $731.72 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | $538.27 | $2,970.00 | $538.27 – $1,126.47 | 8 |
| Kidney imaging morphology CPT 78700 | $401.83 | $1,788.00 | $308.97 – $561.03 | 8 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $538.27 | $2,420.00 | $417.45 – $695.46 | 8 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $66.82 – $66.82 | 1 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $3.69 – $12.71 | 4 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | not published | $11,656.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $124.87 | $2,413.00 | $109.89 – $587.67 | 11 |
| Kit hfx iq ipg bundle HCPCS C1822 | not published | $85,560.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | not published | $64,350.00 | not published | 0 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $2.25 – $25.08 | 4 |
| Kit lead specify 5-6-5 HCPCS C1778 | not published | $90,520.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | not published | $1,889.76 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | $6,473.87 | $22.18 – $33.71 | 2 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | $10,998.80 | $1,663.90 – $3,217.10 | 4 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | not published | $2,305.16 | not published | 0 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | $27.80 | $6.56 – $29.77 | 3 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $3,244.61 | $7,566.00 | $1,354.78 – $3,406.84 | 7 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $3,244.61 | $7,673.00 | $1,185.35 – $5,430.31 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $357.13 | $4,675.00 | $357.13 – $4,332.00 | 9 |
| Knee MRI (with contrast) CPT 73722 | $790.06 | $4,235.00 | $625.49 – $4,332.00 | 9 |
| Knee MRI (without contrast) CPT 73721 | $241.72 | $3,962.00 | $241.72 – $4,332.00 | 9 |
| Knee X-ray CPT 73564 | $106.34 | $726.00 | $91.83 – $129.17 | 8 |
| Knee arthroscopy dx CPT 29870 | $3,244.61 | $7,582.00 | $902.24 – $3,406.84 | 7 |
| Knee arthroscopy/drainage CPT 29871 | $3,244.61 | $7,165.00 | $1,129.23 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29850 | $1,600.41 | $6,622.00 | $1,365.12 – $1,680.43 | 7 |
| Knee arthroscopy/surgery CPT 29851 | $1,600.41 | $9,093.00 | $1,600.41 – $2,009.63 | 7 |
| Knee arthroscopy/surgery CPT 29873 | $3,244.61 | $7,772.00 | $1,187.58 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29874 | $3,244.61 | $7,165.00 | $1,176.23 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29875 | $3,244.61 | $7,799.00 | $1,088.27 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29876 | $3,244.61 | $7,799.00 | $1,422.37 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29879 | $3,244.61 | $7,834.00 | $1,441.57 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29880 | $3,244.61 | $7,673.00 | $1,228.98 – $5,430.31 | 8 |
| Knee arthroscopy/surgery CPT 29882 | $3,244.61 | $7,582.00 | $1,495.82 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29883 | $3,244.61 | $7,923.00 | $1,827.91 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29884 | $3,244.61 | $7,582.00 | $1,352.65 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29886 | $3,244.61 | $5,715.00 | $1,391.28 – $3,406.84 | 7 |
| Knee arthroscopy/surgery CPT 29887 | $7,143.73 | $13,289.00 | $1,642.41 – $7,500.92 | 7 |
| Knee arthroscopy/surgery CPT 29888 | $7,143.73 | $13,289.00 | $2,098.75 – $7,500.92 | 7 |
| Knee arthroscopy/surgery CPT 29889 | $12,866.82 | $18,662.00 | $2,645.47 – $13,510.16 | 7 |
| Kras gene addl variants CPT 81276 | $193.25 | $532.00 | $170.06 – $909.48 | 11 |
| Kras gene variants exon 2 CPT 81275 | $193.25 | $1,318.00 | $170.06 – $909.48 | 11 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,333.39 – $1,333.39 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $3,216.41 | $9,819.00 | $3,216.41 – $14,806.00 | 7 |
| L/s ratio fetal lung CPT 83661 | $21.99 | $180.00 | $11.55 – $103.49 | 11 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | $83.00 | $38.65 – $38.65 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | $83.00 | $30.91 – $30.91 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.33 – $0.33 | 1 |
| Labioplasty 56800 CPT 56800 | $3,179.53 | $6,104.00 | $545.74 – $3,338.51 | 7 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | not published | $0.56 – $0.56 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $6.04 | $99.00 | $4.62 – $28.43 | 11 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $2.09 – $5.33 | 5 |
| Lactic acid CPT 83605 | $11.57 | $857.00 | $11.57 – $54.45 | 11 |
| Lactoferrin fecal qualitative CPT 83630 | $19.70 | $88.00 | $17.34 – $92.71 | 11 |
| Lactoferrin fecal quant CPT 83631 | $19.63 | $94.00 | $17.27 – $92.38 | 11 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | $780.00 | not published | 0 |
| Lam facetec & foramot crv CPT 63045 | $7,143.73 | $13,363.00 | $2,779.49 – $7,500.92 | 7 |
| Lam facetec & foramot lumbar CPT 63047 | $7,143.73 | $12,221.00 | $2,388.54 – $7,500.92 | 7 |
| Lam facetec & foramot thrc CPT 63046 | $7,143.73 | $10,690.00 | $2,653.93 – $7,500.92 | 7 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | $583.00 | not published | 0 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | $6,079.00 | $4,261.98 – $4,261.98 | 1 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | $2,577.00 | $4,519.24 – $4,519.24 | 1 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | $7,143.73 | $20,813.00 | $3,688.97 – $7,500.92 | 7 |
| Laminotomy single cervical CPT 63040 | $7,143.73 | $15,201.00 | $2,957.17 – $7,500.92 | 7 |
| Laminotomy single lumbar CPT 63042 | $7,143.73 | $14,853.00 | $2,787.78 – $11,798.15 | 8 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $1,813.41 – $1,813.41 | 1 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $36.66 | not published | $31.16 – $142.12 | 11 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | $9,943.00 | $3,475.29 – $3,475.29 | 1 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | $6,423.00 | $2,801.70 – $2,801.70 | 1 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $4,434.68 – $4,434.68 | 1 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | $17,755.00 | $3,789.03 – $3,789.03 | 1 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $4,132.06 – $4,132.06 | 1 |
| Lap colostomy 44188 CPT 44188 | not published | $3,782.00 | $2,569.20 – $2,569.20 | 1 |
| Lap enterectomy 44202 CPT 44202 | not published | $6,423.00 | $2,923.36 – $2,923.36 | 1 |
| Lap enterolysis CPT 44180 | $5,834.36 | $14,740.00 | $1,947.21 – $6,126.08 | 7 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | $413.00 | $325.70 – $325.70 | 1 |
| Lap fimbrioplasty 58672 CPT 58672 | $5,834.36 | $12,329.00 | $1,552.92 – $6,126.08 | 7 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | $5,266.00 | $3,663.68 – $3,663.68 | 1 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | $3,331.00 | $2,310.56 – $2,310.56 | 1 |
| Lap impl electrode antrum CPT 43647 | $12,470.31 | $39,382.00 | $2,102.40 – $13,093.83 | 7 |
| Lap inc hern recur comp 49657 CPT 49657 | not published | not published | $16,025.17 – $16,025.17 | 1 |
| Lap inc hern repair comp 49655 CPT 49655 | not published | not published | $16,025.17 – $16,025.17 | 1 |
| Lap inc hernia repair 49654 CPT 49654 | not published | not published | $16,025.17 – $16,025.17 | 1 |
| Lap inc hernia repair recurr 49656 CPT 49656 | not published | not published | $16,025.17 – $16,025.17 | 1 |
| Lap ing hernia repair init CPT 49650 | $5,834.36 | $18,150.00 | $932.69 – $9,513.41 | 8 |
| Lap ing hernia repair recur CPT 49651 | $5,834.36 | $13,184.00 | $1,216.22 – $9,513.41 | 8 |
| Lap insert tunnel ip cath CPT 49324 | $5,834.36 | $13,860.00 | $820.54 – $6,126.08 | 7 |
| Lap jejunostomy 44186 CPT 44186 | $5,834.36 | $13,472.00 | $1,386.98 – $6,126.08 | 7 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | $8,846.00 | $385.62 – $385.62 | 1 |
| Lap myotomy heller CPT 43279 | not published | $6,750.00 | $2,696.83 – $2,696.83 | 1 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $10,411.22 | $16,814.00 | $3,631.72 – $10,931.78 | 7 |
| Lap paraesophag hern repair CPT 43281 | $10,411.22 | $17,606.00 | $3,225.90 – $10,931.78 | 7 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | $16,595.00 | $3,654.12 – $3,654.12 | 1 |
| Lap place gastr adj device CPT 43770 | $10,411.22 | $16,814.00 | $2,393.34 – $10,931.78 | 7 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | $5,029.00 | $3,183.07 – $3,183.07 | 1 |
| Lap radical hyst CPT 58548 | not published | $11,276.00 | $4,017.82 – $4,017.82 | 1 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | $6,372.00 | $4,114.71 – $4,114.71 | 1 |
| Lap replace gastr adj device CPT 43773 | $5,834.36 | $10,534.00 | $2,710.42 – $6,126.08 | 7 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | $862.00 | $497.68 – $497.68 | 1 |
| Lap revise/remv eltrd antrum CPT 43648 | $10,411.22 | $14,474.00 | $2,423.01 – $10,931.78 | 7 |
| Lap revision perm ip cath CPT 49325 | $5,834.36 | $11,054.00 | $874.08 – $6,126.08 | 7 |
| Lap rmvl gastr adj all parts CPT 43774 | $3,804.53 | $6,688.00 | $2,038.01 – $3,994.76 | 7 |
| Lap rmvl gastr adj device CPT 43772 | $3,804.53 | $5,990.00 | $2,013.57 – $3,994.76 | 7 |
| Lap sleeve gastrectomy CPT 43775 | not published | $4,384.00 | $2,307.29 – $2,307.29 | 1 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $3,720.37 – $3,720.37 | 1 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $9,513.41 – $9,513.41 | 1 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $9,513.41 – $9,513.41 | 1 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | $4,500.00 | $390.04 – $390.04 | 1 |
| Laparo ablate liver tumor rf CPT 47370 | $10,411.22 | $17,606.00 | $2,654.00 – $10,931.78 | 7 |
| Laparo ablate renal cyst CPT 50541 | $10,411.22 | $13,500.00 | $1,925.92 – $10,931.78 | 7 |
| Laparo ablate renal mass CPT 50542 | $10,411.22 | $23,133.00 | $2,436.27 – $10,931.78 | 7 |
| Laparo cholecystectomy/explr CPT 47564 | $10,411.22 | $11,708.00 | $2,376.50 – $10,931.78 | 7 |
| Laparo cholecystectomy/graph CPT 47563 | $5,834.36 | $11,440.00 | $1,530.18 – $6,126.08 | 7 |
| Laparo drng lymphocele 49323 CPT 49323 | $5,834.36 | $12,615.00 | $1,362.59 – $6,126.08 | 7 |
| Laparo ligate spermatic vein CPT 55550 | $5,834.36 | $10,986.00 | $919.07 – $9,513.41 | 8 |
| Laparo new ureter/bladder CPT 50947 | $10,411.22 | $10,866.00 | $2,897.61 – $10,931.78 | 7 |
| Laparo new ureter/bladder CPT 50948 | $10,411.22 | $30,220.00 | $2,656.36 – $10,931.78 | 7 |
| Laparo partial colectomy 44204 CPT 44204 | not published | $6,369.00 | $3,225.51 – $3,225.51 | 1 |
| Laparo partial nephrectomy CPT 50543 | $10,411.22 | $15,950.00 | $3,124.20 – $10,931.78 | 7 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $5,834.36 | $10,619.00 | $5,834.36 – $6,126.08 | 6 |
| Laparo radical nephrectomy CPT 50545 | not published | $4,110.00 | $2,790.84 – $2,790.84 | 1 |
| Laparo sling operation 51992 CPT 51992 | $5,834.36 | $12,393.00 | $1,769.17 – $6,126.08 | 7 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $4,250.56 – $4,250.56 | 1 |
| Laparo urethral suspension CPT 51990 | $5,834.36 | $13,184.00 | $1,571.02 – $6,126.08 | 7 |
| Laparo-asst vag hysterectomy CPT 58550 | $5,834.36 | $13,078.00 | $1,882.15 – $6,126.08 | 7 |
| Laparo-myomectomy complex CPT 58546 | $10,411.22 | $18,247.00 | $2,362.31 – $10,931.78 | 7 |
| Laparo-vag hyst incl t/o CPT 58552 | $10,411.22 | $18,594.00 | $2,089.11 – $10,931.78 | 7 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $10,411.22 | $19,155.00 | $2,770.93 – $10,931.78 | 7 |
| Laparoscope proc rectum CPT 45499 | $5,834.36 | $10,212.00 | $5,834.36 – $6,126.08 | 6 |
| Laparoscopic myomectomy CPT 58545 | $5,834.36 | $11,081.00 | $1,922.15 – $6,126.08 | 7 |
| Laparoscopic nephrectomy CPT 50546 | not published | $3,711.00 | $2,527.68 – $2,527.68 | 1 |
| Laparoscopic proc CPT 45400 | not published | $3,526.00 | $2,387.10 – $2,387.10 | 1 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $10,411.22 | $13,005.00 | $1,684.75 – $10,931.78 | 7 |
| Laparoscopy adrenalectomy CPT 60650 | not published | $5,281.00 | $2,511.71 – $2,511.71 | 1 |
| Laparoscopy aspiration CPT 49322 | $5,834.36 | $11,168.00 | $799.57 – $6,126.08 | 7 |
| Laparoscopy biopsy CPT 49321 | $5,834.36 | $11,168.00 | $736.30 – $6,126.08 | 7 |
| Laparoscopy excise lesions CPT 58662 | $5,834.36 | $14,252.00 | $1,522.09 – $6,126.08 | 7 |
| Laparoscopy fundoplasty CPT 43280 | $10,411.22 | $20,320.00 | $2,275.38 – $10,931.78 | 7 |
| Laparoscopy gastrostomy CPT 43653 | $5,834.36 | $10,986.00 | $1,242.64 – $6,126.08 | 7 |
| Laparoscopy lymph node biop CPT 38570 | $5,834.36 | $11,110.00 | $1,101.07 – $6,126.08 | 7 |
| Laparoscopy lymphadenectomy CPT 38571 | $10,411.22 | $15,400.00 | $1,396.42 – $10,931.78 | 7 |
| Laparoscopy lymphadenectomy CPT 38572 | $10,411.22 | $17,606.00 | $1,903.57 – $10,931.78 | 7 |
| Laparoscopy lysis CPT 58660 | $5,834.36 | $13,184.00 | $1,459.55 – $6,126.08 | 7 |
| Laparoscopy orchiectomy CPT 54690 | $5,834.36 | $12,615.00 | $1,386.84 – $6,126.08 | 7 |
| Laparoscopy orchiopexy CPT 54692 | $5,834.36 | $12,615.00 | $1,592.65 – $6,126.08 | 7 |
| Laparoscopy pyeloplasty CPT 50544 | $10,411.22 | $14,595.00 | $2,593.35 – $10,931.78 | 7 |
| Laparoscopy remove adnexa CPT 58661 | $5,834.36 | $11,825.00 | $1,388.63 – $9,513.41 | 8 |
| Laparoscopy splenectomy CPT 38120 | $10,411.22 | $16,814.00 | $2,248.63 – $10,931.78 | 7 |
| Laparoscopy surg colpopexy CPT 57425 | $10,411.22 | $16,814.00 | $2,068.55 – $10,931.78 | 7 |
| Laparoscopy tubal block 58671 CPT 58671 | $5,834.36 | $10,425.00 | $799.92 – $6,126.08 | 7 |
| Laparoscopy ureterolithotomy CPT 50945 | $5,834.36 | $10,418.00 | $2,035.36 – $6,126.08 | 7 |
| Laparoscopy vagus nerve CPT 43651 | $5,834.36 | not published | $1,406.77 – $9,513.41 | 8 |
| Laparoscopy vagus nerve CPT 43652 | $5,834.36 | $17,177.00 | $1,633.75 – $6,126.08 | 7 |
| Laparoscopye procstom 43659 CPT 43659 | $5,834.36 | $8,925.00 | $5,834.36 – $6,126.08 | 6 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $2,472.66 – $2,472.66 | 1 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | $10,411.22 | $17,606.00 | $2,664.92 – $10,931.78 | 7 |
| Laps abltj uterine fibroids CPT 58674 | $10,411.22 | $21,407.00 | $1,731.32 – $10,931.78 | 7 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | $10,411.22 | $23,133.00 | $1,393.16 – $10,931.78 | 7 |
| Laps pelvic lymphadec CPT 38573 | $10,411.22 | $22,042.00 | $2,499.16 – $10,931.78 | 7 |
| Laps surg prst8ect rpbic rad CPT 55866 | $10,411.22 | $17,204.00 | $2,503.95 – $10,931.78 | 7 |
| Laps surg prst8ect smpl stot CPT 55867 | $10,411.22 | $29,982.00 | $2,201.13 – $10,931.78 | 7 |
| Laps tot hyst resj mal CPT 58575 | not published | $11,276.00 | $4,122.13 – $4,122.13 | 1 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $2,142.18 – $2,142.18 | 1 |
| Largsc w/laser dstrj les CPT 31572 | $3,686.95 | $7,840.00 | $382.49 – $3,871.30 | 7 |
| Largsc w/njx augmentation CPT 31574 | $1,724.47 | $4,105.00 | $317.64 – $1,810.69 | 7 |
| Largsc w/removal lesion CPT 31578 | $3,686.95 | $6,520.00 | $317.64 – $3,871.30 | 7 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $388.31 | $1,158.00 | $283.30 – $407.73 | 7 |
| Largsc w/ther injection CPT 31573 | $1,724.47 | $4,105.00 | $316.22 – $1,810.69 | 7 |
| Laronidase injection HCPCS J1931 | $39.88 | not published | $33.90 – $74.69 | 11 |
| Laryngeal function studies CPT 92520 | $128.90 | not published | $67.28 – $913.01 | 9 |
| Laryngoplasty cricoid split CPT 31587 | $5,915.66 | not published | $2,622.95 – $9,158.16 | 8 |
| Laryngoplasty fx rdctj fixj CPT 31584 | $5,915.66 | $16,931.00 | $3,062.43 – $6,211.44 | 7 |
| Laryngoplasty laryngeal sten CPT 31551 | $5,915.66 | not published | $3,330.01 – $9,158.16 | 8 |
| Laryngoplasty laryngeal sten CPT 31552 | $5,915.66 | $10,940.00 | $3,216.84 – $6,211.44 | 7 |
| Laryngoplasty laryngeal sten CPT 31553 | $5,915.66 | not published | $3,638.01 – $9,158.16 | 8 |
| Laryngoplasty laryngeal sten CPT 31554 | $5,915.66 | not published | $3,639.52 – $9,158.16 | 8 |
| Laryngoplasty laryngeal web CPT 31580 | $5,915.66 | not published | $2,798.47 – $9,158.16 | 8 |
| Laryngoplasty medialization CPT 31591 | $5,915.66 | $13,296.00 | $2,395.77 – $6,211.44 | 7 |
| Laryngoscop w/arytenoidectom CPT 31560 | $6,922.47 | $10,937.00 | $656.23 – $7,268.59 | 7 |
| Laryngoscop w/vc inj + scope CPT 31571 | $3,686.95 | $6,643.00 | $524.73 – $3,871.30 | 7 |
| Laryngoscope w/vc inj CPT 31570 | $3,686.95 | $6,643.00 | $483.77 – $3,871.30 | 7 |
| Laryngoscopic sensory vid CPT 92614 | $84.45 | not published | $84.45 – $152.27 | 8 |
| Laryngoscopy and dilation CPT 31528 | $3,686.95 | $6,643.00 | $306.05 – $3,871.30 | 7 |
| Laryngoscopy and dilation CPT 31529 | $3,686.95 | $6,643.00 | $341.32 – $3,871.30 | 7 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $1,724.47 | $4,102.00 | $340.16 – $1,810.69 | 7 |
| Laryngoscopy for treatment CPT 31527 | $3,686.95 | not published | $412.06 – $5,673.17 | 8 |
| Laryngoscopy telescopic CPT 31579 | $388.31 | $1,158.00 | $104.00 – $4,567.00 | 9 |
| Laryngoscopy w/biopsy CPT 31535 | $3,686.95 | $5,830.00 | $400.07 – $3,871.30 | 7 |
| Laryngoscopy w/bx & op scope CPT 31536 | $3,686.95 | $6,643.00 | $443.76 – $3,871.30 | 7 |
| Laryngoscopy w/exc of tumor CPT 31540 | $3,686.95 | $6,643.00 | $508.50 – $3,871.30 | 7 |
| Laryngoscopy w/fb & op scope CPT 31531 | $3,686.95 | $6,643.00 | $445.82 – $3,871.30 | 7 |
| Laryngoscopy w/fb removal CPT 31530 | $1,724.47 | $5,719.00 | $420.00 – $1,810.69 | 7 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $388.31 | $1,040.00 | $236.20 – $407.73 | 7 |
| Laryngoscopy with biopsy CPT 31576 | $1,724.47 | $4,242.00 | $254.95 – $1,810.69 | 7 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $3,686.95 | $6,520.00 | $258.52 – $3,871.30 | 7 |
| Larynscop remve cart + scop CPT 31561 | $6,922.47 | $10,940.00 | $717.49 – $7,268.59 | 7 |
| Larynscop w/tumr exc + scope CPT 31541 | $3,686.95 | $6,643.00 | $554.30 – $3,871.30 | 7 |
| Laser surg penis lesion(s) CPT 54057 | $1,829.23 | $4,450.00 | $213.27 – $1,920.69 | 7 |
| Laser surgery eye strands CPT 67031 | $548.60 | $1,598.00 | $548.60 – $760.07 | 7 |
| Laser surgery of cervix 57513 CPT 57513 | $3,179.53 | $5,653.00 | $319.74 – $3,338.51 | 7 |
| Laser surgery of prostate CPT 52647 | $5,083.62 | $11,453.00 | $1,378.74 – $5,337.80 | 7 |
| Laser surgery of prostate CPT 52648 | $5,083.62 | $9,790.00 | $1,467.80 – $5,337.80 | 7 |
| Laser treatment of retina CPT 67039 | $4,022.86 | $8,669.00 | $2,047.88 – $4,224.00 | 7 |
| Laser treatment of retina CPT 67040 | $4,022.86 | $8,669.00 | $2,207.12 – $4,224.00 | 7 |
| Lat retinacular release open CPT 27425 | $3,244.61 | $7,582.00 | $1,007.44 – $3,406.84 | 7 |
| Lateral canthopexy CPT 21282 | $3,243.07 | $5,304.00 | $876.88 – $4,618.73 | 8 |
| Lavage cannulation maxillary sinus CPT 31000 | $232.22 | $837.00 | $232.22 – $243.83 | 7 |
| Lavh >250 gms 58553 CPT 58553 | $10,411.22 | $17,606.00 | $2,375.65 – $10,931.78 | 7 |
| Lb with mastopexy 15839 CPT 15839 | $2,862.05 | $5,973.00 | $1,591.70 – $3,005.15 | 7 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | not published | $9,460.00 | not published | 0 |
| Lead capillary CPT 83655 | $12.11 | $121.00 | $9.90 – $56.99 | 11 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | not published | $7,936.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | not published | $13,132.00 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | $5,915.66 | $7,343.00 | $2,849.58 – $6,211.44 | 7 |
| Lefort i-2 piece without graft CPT 21142 | $5,915.66 | $7,343.00 | $2,922.51 – $6,211.44 | 7 |
| Lefort i-3/> piece with graft CPT 21147 | not published | $16,897.00 | $3,624.15 – $3,624.15 | 1 |
| Lefort i-3/> piece without graft CPT 21143 | $5,915.66 | $7,343.00 | $3,010.89 – $6,211.44 | 7 |
| Lefort ii anterior intrusion CPT 21150 | $5,915.66 | not published | $3,507.80 – $9,158.16 | 8 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $241.72 | $2,682.00 | $104.00 – $2,793.00 | 10 |
| Leg vein fusion 34530 CPT 34530 | $3,147.50 | not published | $1,925.30 – $5,467.95 | 8 |
| Leishmania antibody CPT 86717 | $12.25 | $163.00 | $12.25 – $57.65 | 11 |
| Lengthen metacarpal/finger CPT 26568 | $7,143.73 | $11,431.00 | $2,050.95 – $7,500.92 | 7 |
| Lengthen radius & ulna CPT 25393 | $7,143.73 | not published | $2,430.74 – $7,500.92 | 8 |
| Lengthen radius or ulna CPT 25391 | $12,866.82 | $27,355.00 | $2,151.86 – $13,510.16 | 7 |
| Lengthening of hand tendon CPT 26478 | $3,244.61 | $6,288.00 | $1,461.94 – $3,406.84 | 7 |
| Lengthening of palate CPT 42227 | $5,915.66 | $18,624.00 | $1,838.27 – $6,211.44 | 7 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $5,915.66 | $16,016.00 | $1,975.07 – $6,211.44 | 7 |
| Lengthening of thigh tendon CPT 27393 | $7,143.73 | $11,156.00 | $1,101.08 – $7,500.92 | 7 |
| Lengthening of thigh tendons CPT 27394 | $7,143.73 | $11,156.00 | $1,432.48 – $7,500.92 | 7 |
| Lengthening of thigh tendons CPT 27395 | $3,244.61 | $12,267.00 | $1,915.76 – $3,406.84 | 7 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | $14,508.00 | $2,311.63 – $2,311.63 | 1 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | not published | $3,447.20 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | $2,590.98 | $185.56 – $185.56 | 1 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | $744.00 | $185.56 – $185.56 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $3.36 – $8.14 | 5 |
| Leukacyte transfusion CPT 86950 | $171.36 | not published | $35.20 – $299.59 | 9 |
| Leukocyte phagocytosis CPT 86344 | $10.39 | not published | $10.39 – $48.90 | 12 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $1,737.10 | not published | $1,476.54 – $2,933.51 | 11 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $155.42 | not published | $132.11 – $488.83 | 11 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | $220.74 | not published | $187.63 – $472.52 | 7 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | $51.41 | not published | $43.70 – $79.53 | 7 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.06 – $0.13 | 6 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.04 – $0.26 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $13.25 | $275.00 | $11.66 – $62.36 | 11 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.21 – $2.57 | 5 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $6.55 – $6.55 | 1 |
| Liberta rc ipg HCPCS C1820 | not published | $135,184.80 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $14.69 | $83.00 | $14.69 – $69.13 | 11 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | $114.00 | $44.00 – $137.48 | 5 |
| Lift heel adjustable med HCPCS L3334 | not published | $58.00 | $23.98 – $71.13 | 5 |
| Lig&div&compl strpg saph vn CPT 37735 | $3,147.50 | $7,915.00 | $1,197.21 – $3,304.88 | 7 |
| Lig/band angioaccess av fistula CPT 37607 | $3,147.50 | $7,535.00 | $779.52 – $3,304.88 | 7 |
| Ligate leg veins open CPT 37761 | $3,147.50 | $6,571.00 | $1,117.98 – $3,304.88 | 7 |
| Ligate leg veins radical 37760 CPT 37760 | $3,147.50 | $6,571.00 | $1,185.47 – $3,304.88 | 7 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | $920.00 | $157.77 – $157.77 | 1 |
| Ligate/strip long leg vein CPT 37722 | $3,147.50 | $8,489.00 | $954.90 – $3,304.88 | 7 |
| Ligate/strip short leg vein CPT 37718 | $3,147.50 | $6,174.00 | $811.86 – $3,304.88 | 7 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $3,179.53 | $6,699.00 | $798.41 – $3,338.51 | 7 |
| Ligation external carotid artery 37600 CPT 37600 | $3,147.50 | not published | $1,583.33 – $5,467.95 | 8 |
| Ligation internal jugular vein 37565 CPT 37565 | $3,147.50 | $3,782.00 | $1,536.25 – $3,304.88 | 7 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $3,147.50 | $7,635.00 | $1,509.10 – $3,304.88 | 7 |
| Ligation major artery neck CPT 37615 | $3,147.50 | $8,089.00 | $1,099.38 – $3,304.88 | 7 |
| Ligation nasal sinus artery CPT 30915 | $3,147.50 | not published | $1,318.21 – $5,467.95 | 8 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | $4,104.00 | $2,755.71 – $2,755.71 | 1 |
| Ligation of femoral vein CPT 37650 | $3,147.50 | not published | $946.59 – $5,467.95 | 8 |
| Ligation of inf vena cava CPT 37619 | $5,405.70 | $9,661.00 | $3,614.04 – $5,675.99 | 7 |
| Ligation of neck artery CPT 37606 | $3,147.50 | not published | $1,596.83 – $5,467.95 | 8 |
| Ligation of salivary duct CPT 42665 | $3,243.07 | $9,386.00 | $478.45 – $3,405.22 | 7 |
| Ligation upper jaw artery CPT 30920 | $3,147.50 | $7,355.00 | $1,898.38 – $3,304.88 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $3,147.50 | $6,174.00 | $536.72 – $5,467.95 | 8 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,620.24 | $3,018.00 | $434.73 – $2,847.29 | 8 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $3,147.50 | $6,699.00 | $513.48 – $3,304.88 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | $3,746.00 | $831.47 – $831.47 | 1 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $847.66 – $1,151.38 | 2 |
| Limb exercise test CPT 95875 | $156.46 | $1,211.00 | $104.00 – $4,550.00 | 9 |
| Limited visual field xm CPT 92081 | $59.40 | $233.00 | $58.93 – $62.37 | 7 |
| Lincomycin injection HCPCS J2010 | not published | not published | $4.77 – $20.36 | 5 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $2.95 – $27.45 | 5 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $3,243.07 | $5,977.00 | $759.10 – $3,405.22 | 7 |
| Lip surgery procedure CPT 40799 | $232.22 | $639.00 | $232.22 – $243.83 | 6 |
| Lipase CPT 83690 | $6.89 | $132.00 | $4.95 – $32.43 | 11 |
| Lipoprotein blood high res frac & quant CPT 83701 | $33.86 | $76.00 | $29.80 – $159.35 | 11 |
| Lipoprotein blood quant CPT 83704 | $34.19 | $165.00 | $30.09 – $160.91 | 11 |
| Lipoprotein direct measurement hdl CPT 83718 | $8.19 | $121.00 | $8.19 – $38.54 | 11 |
| Lipoprotein direct measurement ldl CPT 83721 | $10.50 | $83.00 | $9.22 – $49.42 | 11 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $34.19 | not published | $30.09 – $160.91 | 12 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $541,635.66 | not published | $460,390.31 – $933,986.41 | 9 |
| Listeria monocytogenes CPT 86723 | $13.19 | not published | $13.19 – $62.08 | 12 |
| Lithium therapeutic drug level CPT 80178 | $6.61 | $135.00 | $6.61 – $31.11 | 11 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | $6,312.00 | $60.38 – $14,806.00 | 3 |
| Liver Function Test CPT 80076 | $8.17 | $167.00 | $7.70 – $38.45 | 11 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | $3,714.00 | $2,573.47 – $2,573.47 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $176.19 | not published | $70.48 – $669.52 | 9 |
| Liver elastography 91200 CPT 91200 | $156.46 | $563.00 | $54.58 – $164.28 | 7 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $3,067.92 – $3,067.92 | 1 |
| Liver imag w/vasclr flow CPT 78202 | $538.27 | $2,798.00 | $379.59 – $692.92 | 8 |
| Liver imaging CPT 78201 | $538.27 | $2,338.00 | $345.18 – $634.59 | 8 |
| Liver/spleen imag static only CPT 78215 | $401.83 | $2,548.00 | $355.39 – $643.48 | 8 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $401.83 | $1,818.00 | $247.71 – $421.92 | 8 |
| Lmtd oph exam general anes CPT 92019 | $2,332.96 | $4,443.00 | $122.86 – $2,449.61 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $3,244.61 | $6,562.00 | $1,015.88 – $5,430.31 | 8 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.53 – $1.82 | 5 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $216.74 | not published | $184.23 – $266.83 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.12 – $1.57 | 5 |
| Loudness balance test CPT 92562 | $311.40 | not published | $88.03 – $326.97 | 8 |
| Low back disk surgery CPT 63030 | $7,143.73 | $12,445.00 | $1,985.92 – $11,798.15 | 8 |
| Low cost skin substitute app HCPCS C5271 | $612.13 | $2,251.00 | $612.13 – $642.74 | 6 |
| Low cost skin substitute app HCPCS C5273 | $1,829.23 | $6,061.00 | $1,829.23 – $1,920.69 | 6 |
| Low cost skin substitute app HCPCS C5275 | $612.13 | $2,251.00 | $612.13 – $642.74 | 6 |
| Low cost skin substitute app HCPCS C5277 | $612.13 | $1,921.00 | $612.13 – $642.74 | 6 |
| Low frequency non-thermal Ultrasound CPT 97610 | $198.70 | $603.00 | $29.65 – $240.27 | 8 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $178.02 | $3,084.00 | $178.02 – $442.81 | 8 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $357.13 | $2,556.00 | $333.73 – $374.99 | 8 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $106.34 | $2,310.00 | $106.34 – $262.66 | 8 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $357.13 | $5,433.00 | $357.13 – $4,332.00 | 9 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $357.13 | $3,889.00 | $357.13 – $4,332.00 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $241.72 | $3,887.00 | $241.72 – $4,332.00 | 9 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $106.34 | $480.00 | $77.37 – $111.66 | 8 |
| Lower jaw bone graft CPT 21215 | $5,915.66 | $11,858.00 | $1,689.69 – $6,211.44 | 7 |
| Lsh uterus 250 g or less CPT 58541 | $10,411.22 | $14,849.00 | $1,562.34 – $10,931.78 | 7 |
| Lsh uterus above 250 g CPT 58543 | $10,411.22 | $18,398.00 | $1,798.15 – $10,931.78 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $10,411.22 | $17,606.00 | $1,771.36 – $10,931.78 | 7 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $10,411.22 | $18,407.00 | $1,930.66 – $10,931.78 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $18,390.05 | $30,109.00 | $3,386.91 – $19,309.55 | 7 |
| Lumbar diskogram s&i CPT 72295 | $1,952.77 | $5,369.00 | $214.09 – $2,050.41 | 8 |
| Lumizyme injection HCPCS J0221 | $206.62 | not published | $175.63 – $389.60 | 11 |
| Lung Function Test (Spirometry) CPT 94010 | $156.46 | $1,375.00 | $48.73 – $164.28 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $59.40 | $273.00 | $26.92 – $62.37 | 7 |
| Lung perfusion imaging CPT 78580 | $401.83 | $1,760.00 | $401.83 – $751.28 | 8 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $3,065.22 – $3,065.22 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $206.13 | not published | $175.21 – $387.04 | 9 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $41.96 | not published | $35.67 – $80.32 | 9 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $312.69 | not published | $312.69 – $589.12 | 10 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $253.18 | not published | $253.18 – $326.41 | 7 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | $1,205.28 | $954.01 – $954.01 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $24.49 | not published | $24.49 – $66.66 | 8 |
| Lymph vessel x-ray arm/leg CPT 75801 | $618.26 | $1,797.00 | $618.26 – $785.31 | 7 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,553.44 | $3,216.00 | $903.71 – $1,631.11 | 7 |
| Lymph vessel x-ray trunk CPT 75805 | $3,147.50 | $3,522.00 | $837.39 – $3,304.88 | 7 |
| Lymph vessel x-ray trunk CPT 75807 | $3,147.50 | $7,150.00 | $955.21 – $3,304.88 | 7 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | $10,494.00 | $1,513.29 – $1,513.29 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $538.27 | $2,248.00 | $538.27 – $1,112.52 | 8 |
| Lymphocyte culture mixed CPT 86821 | $36.56 | not published | $36.56 – $172.06 | 12 |
| Lymphocyte transformation mitogen CPT 86353 | $49.03 | $2,475.00 | $35.20 – $230.75 | 11 |
| Lymphocytotoxicity assay CPT 86805 | $189.51 | $395.00 | $24.20 – $891.88 | 11 |
| Lysis intranasal synechia 30560 CPT 30560 | $509.25 | $1,548.00 | $335.19 – $534.71 | 7 |
| Lysis of labial adhesions CPT 56441 | $3,179.53 | $6,002.00 | $338.99 – $3,338.51 | 7 |
| Lysis penil circumic lesion CPT 54162 | $2,048.51 | $5,710.00 | $428.22 – $2,150.94 | 7 |
| M.avium-intra dna amp prob CPT 87561 | $35.09 | $384.00 | $35.09 – $165.14 | 11 |
| M.avium-intra dna dir prob CPT 87560 | $27.29 | not published | $27.29 – $128.43 | 12 |
| M.tuberculo dna dir probe CPT 87555 | $26.88 | not published | $26.88 – $126.50 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $68.09 – $129.82 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $171.36 | $798.00 | $171.36 – $770.65 | 8 |
| M/phmtrc alys skeletal musc CPT 88355 | $171.36 | not published | $137.20 – $299.59 | 9 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | $283.00 | $110.61 – $248.63 | 2 |
| MRA abdomen post contrast CPT 74185 | not published | $4,102.00 | $670.91 – $4,332.00 | 3 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | $4,069.00 | $664.93 – $4,332.00 | 3 |
| MRA chest w IV cont HCPCS C8909 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRA chest wo IV cont HCPCS C8910 | $241.72 | not published | $241.72 – $477.26 | 7 |
| MRA chest wwo IV cont HCPCS C8911 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | $3,725.00 | $668.74 – $4,332.00 | 3 |
| MRA pelvis CPT 72198 | not published | $3,463.00 | $673.54 – $4,332.00 | 3 |
| MRA pelvis w IV cont HCPCS C8918 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRA pelvis wo IV cont HCPCS C8919 | $241.72 | not published | $241.72 – $477.26 | 7 |
| MRA spinal canal CPT 72159 | not published | $2,862.00 | $688.65 – $4,332.00 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | $3,908.00 | $682.51 – $4,332.00 | 3 |
| MRA w/cont, abd HCPCS C8900 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRA w/cont, lwr ext HCPCS C8912 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRA without cont, abd HCPCS C8901 | $241.72 | not published | $241.72 – $477.26 | 7 |
| MRA without cont, lwr ext HCPCS C8913 | $241.72 | not published | $241.72 – $477.26 | 7 |
| MRA without fol w/cont, abd HCPCS C8902 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRI brain w/dye CPT 70558 | $178.02 | not published | $178.02 – $4,650.21 | 9 |
| MRI brain without & w/dye CPT 70559 | $178.02 | not published | $178.02 – $3,196.25 | 9 |
| MRI brain without dye CPT 70557 | $548.30 | $1,497.00 | $416.74 – $4,361.96 | 9 |
| MRI breast c- unilateral CPT 77046 | $241.72 | $4,895.00 | $241.72 – $4,332.00 | 9 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | $5,215.00 | $667.04 – $4,332.00 | 3 |
| MRI breast w IV cont bi CPT 77049 | not published | $5,534.00 | $679.55 – $4,332.00 | 3 |
| MRI breast without cont bi CPT 77047 | $241.72 | $5,060.00 | $241.72 – $4,332.00 | 9 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $241.72 | $2,200.00 | $241.72 – $4,332.00 | 9 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $357.13 | $4,675.00 | $357.13 – $4,332.00 | 9 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $790.06 | $3,391.00 | $790.06 – $4,332.00 | 9 |
| MRI chest w IV cont CPT 71551 | $790.06 | $3,914.00 | $746.33 – $4,332.00 | 9 |
| MRI chest without & w/contrast CPT 71552 | $357.13 | $4,244.00 | $357.13 – $4,332.00 | 9 |
| MRI chest without contrast CPT 71550 | $241.72 | $3,144.00 | $241.72 – $4,332.00 | 9 |
| MRI fetal ea addl gestation CPT 74713 | not published | $1,304.00 | $383.75 – $4,332.00 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | $241.72 | $1,797.00 | $241.72 – $4,332.00 | 9 |
| MRI guid ndl plc s&i CPT 77021 | not published | $888.00 | $828.87 – $4,332.00 | 3 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | $1,111.00 | $2,112.21 – $4,332.00 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $357.13 | $3,952.00 | $357.13 – $4,332.00 | 9 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $357.13 | $5,616.00 | $357.13 – $4,332.00 | 9 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $241.72 | $3,637.00 | $241.72 – $4,332.00 | 9 |
| MRI orbit fac&nck w IV cont CPT 70542 | $357.13 | $4,180.00 | $357.13 – $4,332.00 | 9 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $357.13 | $5,159.00 | $357.13 – $4,332.00 | 9 |
| MRI orbit/face/neck without contrast CPT 70540 | $241.72 | $3,520.00 | $241.72 – $4,332.00 | 9 |
| MRI tmj CPT 70336 | $241.72 | $3,189.00 | $241.72 – $4,332.00 | 9 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $357.13 | $4,547.00 | $357.13 – $4,332.00 | 9 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $241.72 | $3,817.00 | $241.72 – $4,332.00 | 9 |
| MRI upper extremity w/dye CPT 73219 | $357.13 | $4,235.00 | $357.13 – $4,332.00 | 9 |
| MRI w/cont, breast, bi HCPCS C8906 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | $178.02 | not published | $178.02 – $417.60 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | $357.13 | not published | $357.13 – $798.77 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $357.13 | not published | $357.13 – $798.77 | 7 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $31.97 – $61.15 | 2 |
| Macroscopic exam arthropod CPT 87168 | $4.27 | $105.00 | $4.27 – $20.10 | 11 |
| Macroscopic exam parasite CPT 87169 | $4.31 | $50.00 | $4.31 – $20.28 | 11 |
| Magnesium CPT 83735 | $6.70 | $138.00 | $4.95 – $31.53 | 11 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.43 – $1.63 | 5 |
| Magnetic image bone marrow CPT 77084 | $241.72 | $3,630.00 | $241.72 – $4,332.00 | 9 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $31.70 – $50.84 | 4 |
| Malaria antibody CPT 86750 | $13.19 | not published | $13.19 – $62.08 | 12 |
| Male sling procedure CPT 53440 | $12,992.42 | $16,993.00 | $1,592.63 – $13,642.04 | 7 |
| Mammosite ced HCPCS C1728 | not published | $4,960.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $6,298.84 – $6,298.84 | 1 |
| Manipulat palm cord post inj CPT 26341 | $239.88 | $725.00 | $171.99 – $251.87 | 7 |
| Manipulate finger w/anesth CPT 26340 | $1,600.41 | $3,211.00 | $810.88 – $1,680.43 | 7 |
| Manipulate wrist w/anesthes CPT 25259 | $1,600.41 | $3,208.00 | $974.84 – $1,680.43 | 7 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $128.90 | $287.00 | $71.48 – $359.00 | 9 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $128.90 | $308.00 | $45.42 – $359.00 | 9 |
| Manipulation of hip joint CPT 27275 | $1,600.41 | $3,704.00 | $403.83 – $1,680.43 | 7 |
| Manipulation of spine CPT 22505 | $1,600.41 | not published | $280.01 – $2,718.61 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $1.90 – $5.56 | 5 |
| Manual diff wbc count b-coat CPT 85009 | $5.07 | $20.00 | $1.32 – $23.86 | 11 |
| Map tachycard site(s) CPT 93609 | not published | $9,061.00 | $104.00 – $1,018.92 | 3 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | $848.00 | $104.00 – $487.48 | 3 |
| Mapping io sentinel lymph node CPT 38900 | not published | $3,300.00 | $286.36 – $286.36 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $50.45 | not published | $42.88 – $93.97 | 9 |
| Marker biop eviva buckle ss HCPCS A4648 | not published | $2,467.60 | $293.83 – $293.83 | 1 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $11,379.91 | not published | $11,379.91 – $11,948.91 | 6 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | $2,955.00 | $2,413.40 – $2,413.40 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $107.95 – $521.85 | 5 |
| Mast mod rad CPT 19307 | $6,521.46 | $11,631.00 | $2,520.25 – $10,174.48 | 8 |
| Mast simple complete CPT 19303 | $6,521.46 | $9,350.00 | $2,044.04 – $10,174.48 | 8 |
| Mastectomy partial CPT 19301 | $3,829.28 | $6,490.00 | $1,412.51 – $5,829.14 | 8 |
| Mastoid surgery revision CPT 69603 | $5,915.66 | $12,000.00 | $2,804.06 – $6,211.44 | 7 |
| Mastoidectomy CPT 69501 | $5,915.66 | $12,000.00 | $1,545.55 – $6,211.44 | 7 |
| Mastoidectomy complete 69502 CPT 69502 | $5,915.66 | $10,380.00 | $2,049.08 – $6,211.44 | 7 |
| Mastoids complete CPT 70130 | $106.34 | $442.00 | $106.34 – $171.00 | 8 |
| Mastopexy CPT 19316 | $6,521.46 | $11,631.00 | $1,706.25 – $10,174.48 | 8 |
| Matrion 1 sq cm HCPCS Q4201 | not published | $324.46 | $67.35 – $138.61 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | $116.26 | $17.72 – $24.68 | 2 |
| Maxillofacial fixation CPT 21100 | $5,915.66 | not published | $773.14 – $9,158.16 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $14.46 | $84.00 | $8.58 – $68.05 | 11 |
| Mayo aathr protein s free CPT 85306 | $15.32 | $198.00 | $15.32 – $72.10 | 11 |
| Mayo activated protein c resistance assay CPT 85307 | $15.32 | $135.00 | $15.32 – $72.10 | 11 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $38.57 | $2,750.00 | $33.95 – $181.52 | 11 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | $260.00 | $18.33 – $18.33 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | $121.00 | $18.33 – $54.20 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $14.78 | $118.00 | $3.96 – $69.56 | 11 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $19.38 – $57.04 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $13.44 | $188.00 | $8.58 – $63.25 | 11 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $15.08 | $66.00 | $15.08 – $70.97 | 11 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | $127.00 | $19.38 – $19.38 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | $127.00 | $24.26 – $53.23 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $121.63 | $693.00 | $107.03 – $572.42 | 11 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $91.66 | $2,270.00 | $80.66 – $431.37 | 11 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $137.00 | $1,040.00 | $120.56 – $644.75 | 11 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,160.00 | $31,900.00 | $1,020.80 – $5,459.24 | 11 |
| Mayo androstenedione CPT 82157 | $29.28 | $394.00 | $29.28 – $137.80 | 11 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $14.60 | $110.00 | $14.60 – $68.71 | 11 |
| Mayo antithrombin iii antigen CPT 85301 | $10.81 | $48.00 | $10.81 – $50.87 | 11 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $15.05 | $229.00 | $11.00 – $70.83 | 11 |
| Mayo avwpr vw factor activity CPT 85397 | $30.86 | $1,115.00 | $27.16 – $145.23 | 11 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $35.09 | not published | $14.04 – $36.84 | 8 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $24.26 – $86.74 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $10.18 | $81.00 | $10.18 – $47.91 | 11 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $144.84 | $1,273.00 | $127.46 – $681.65 | 11 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $214.62 | $681.00 | $188.87 – $1,010.05 | 11 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $12.90 | $96.00 | $11.00 – $60.71 | 11 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | $367.00 | $24.26 – $53.23 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $13.19 | $92.00 | $11.00 – $62.08 | 11 |
| Mayo brcmg brucella antibody igm CPT 86622 | $8.93 | $119.00 | $8.80 – $42.03 | 11 |
| Mayo c1 esterase inhibitor CPT 83883 | $13.60 | $495.00 | $13.60 – $64.00 | 11 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $24.26 – $57.69 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $16.87 | $1,056.00 | $16.87 – $79.39 | 11 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $26.78 | $769.00 | $23.56 – $126.03 | 11 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $122.22 | $990.00 | $107.56 – $575.20 | 11 |
| Mayo ceruloplasmin CPT 82390 | $10.74 | $260.00 | $6.60 – $50.55 | 11 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $14.12 | $1,099.00 | $14.12 – $66.45 | 11 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $12.88 | $2,145.00 | $12.88 – $60.62 | 11 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $11.82 | $230.00 | $11.00 – $55.63 | 11 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $12.68 | $83.00 | $12.68 – $59.68 | 11 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $116.49 | $1,582.00 | $99.00 – $548.23 | 11 |
| Mayo chromium CPT 82495 | $20.28 | $116.00 | $10.63 – $95.44 | 11 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | $34.00 | $24.26 – $51.60 | 2 |
| Mayo coccidioides antibody CPT 86635 | $11.47 | $142.00 | $11.00 – $53.98 | 11 |
| Mayo cocou cortisone urine CPT 82542 | $24.09 | $3,452.00 | $23.65 – $113.37 | 11 |
| Mayo cortisol free CPT 82530 | $16.71 | $263.00 | $16.71 – $78.64 | 11 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $42.13 | $116.00 | $37.07 – $56.03 | 10 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $12.12 | $150.00 | $12.12 – $57.04 | 11 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | $64.00 | $23.06 – $23.06 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $24.26 – $24.26 | 1 |
| Mayo cyanide CPT 82600 | $19.40 | $100.00 | $19.40 – $91.30 | 11 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $171.36 | $1,485.00 | $171.36 – $1,135.21 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $13.25 | $83.00 | $13.25 – $62.36 | 11 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $25.27 | $123.00 | $25.27 – $118.93 | 11 |
| Mayo dihydrotestosterone CPT 82642 | $29.28 | $116.00 | $25.76 – $137.80 | 11 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $9.64 | not published | $8.80 – $45.37 | 12 |
| Mayo efpo chloride stool CPT 82438 | $5.00 | $76.00 | $3.30 – $23.53 | 11 |
| Mayo estriol CPT 82677 | $24.18 | $83.00 | $24.18 – $113.80 | 11 |
| Mayo estrone CPT 82679 | $24.95 | $459.00 | $24.95 – $117.42 | 11 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $16.34 | $77.00 | $16.34 – $76.90 | 11 |
| Mayo everolimus therapeutic drug level CPT 80169 | $13.73 | $128.00 | $12.08 – $64.62 | 11 |
| Mayo factor ii CPT 85210 | $12.98 | $134.00 | $3.30 – $61.09 | 11 |
| Mayo factor v CPT 85220 | $17.65 | $265.00 | $17.65 – $83.07 | 11 |
| Mayo factor vii CPT 85230 | $17.90 | $542.00 | $17.90 – $84.24 | 11 |
| Mayo factor viii vw factor antigen CPT 85246 | $22.94 | $474.00 | $11.00 – $107.96 | 11 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $22.94 | $363.00 | $11.00 – $107.96 | 11 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $22.94 | $254.00 | $11.00 – $107.96 | 11 |
| Mayo factor x CPT 85260 | $17.90 | $385.00 | $17.90 – $84.24 | 11 |
| Mayo factor xi CPT 85270 | $17.90 | $198.00 | $17.90 – $84.24 | 11 |
| Mayo fat/lipids feces quantitative CPT 82710 | $16.80 | $169.00 | $8.58 – $79.06 | 11 |
| Mayo fbl culture fungi blood CPT 87103 | $20.46 | $94.00 | $8.80 – $96.29 | 11 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $80.46 | not published | $8.80 – $378.66 | 12 |
| Mayo ffspg allergen clam igg CPT 86001 | $7.82 | $375.00 | $4.40 – $36.80 | 11 |
| Mayo fibrinogen antigen CPT 85385 | $14.46 | $208.00 | $10.56 – $68.05 | 11 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $21.67 | $83.00 | $19.07 – $101.98 | 11 |
| Mayo gamma-globin full gene sequencing CPT 81479 | not published | $41,800.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $4.75 | $52.00 | $4.75 – $22.35 | 11 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $35.09 | $2,145.00 | $35.09 – $165.14 | 11 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $35.09 | $535.00 | $35.09 – $165.14 | 11 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $13.79 | $108.00 | $13.79 – $64.90 | 11 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $25.81 | $1,036.00 | $13.86 – $121.47 | 11 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $8.89 | $208.00 | $8.89 – $41.84 | 11 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $13.52 | $239.00 | $13.52 – $63.63 | 11 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $27.17 | $371.00 | $27.17 – $127.87 | 11 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $17.27 | $3,000.00 | $15.74 – $81.28 | 11 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $14.99 | $556.00 | $8.80 – $70.55 | 11 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $20.81 | $209.00 | $20.81 – $97.94 | 11 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $20.81 | $468.00 | $20.81 – $97.94 | 11 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $35.09 | not published | $35.09 – $36.84 | 8 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $16.07 | $113.00 | $13.20 – $75.63 | 11 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $11.98 | $470.00 | $10.54 – $56.38 | 11 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $35.09 | $220.00 | $30.88 – $165.14 | 11 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $35.09 | $266.00 | $30.88 – $165.14 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $35.09 | $330.00 | $35.09 – $165.14 | 11 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $35.09 | not published | $35.09 – $36.84 | 8 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $42.84 | $853.00 | $22.00 – $201.62 | 11 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $72.19 | $844.00 | $63.53 – $339.74 | 10 |
| Mayo infliximab therapeutic drug level CPT 80230 | $38.57 | $532.00 | $33.95 – $181.52 | 11 |
| Mayo inhab inhibin a CPT 86336 | $15.59 | $98.00 | $15.59 – $73.37 | 11 |
| Mayo insft insulin free CPT 83527 | $12.95 | $88.00 | $12.95 – $60.95 | 11 |
| Mayo insulin antibodies CPT 86337 | $21.41 | $178.00 | $15.08 – $100.76 | 11 |
| Mayo iodine CPT 83789 | $24.11 | $2,422.00 | $4.84 – $113.47 | 11 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $27.11 | not published | $23.86 – $127.59 | 11 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $27.11 | $174.00 | $23.86 – $127.59 | 11 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $13.25 | $118.00 | $11.66 – $62.36 | 11 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $12.79 | $55.00 | $9.90 – $60.19 | 11 |
| Mayo legionella antibody CPT 86713 | $15.30 | $193.00 | $15.30 – $72.01 | 11 |
| Mayo leptospira antibody igm CPT 86720 | $16.20 | $99.00 | $16.20 – $76.24 | 11 |
| Mayo lipoprotein electrophoresis CPT 83700 | $11.26 | $107.00 | $9.91 – $52.99 | 11 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $15.49 | $466.00 | $15.49 – $72.90 | 11 |
| Mayo manganese CPT 83785 | $26.65 | $529.00 | $14.29 – $125.42 | 11 |
| Mayo metanephrines plasma CPT 83835 | $16.94 | $165.00 | $11.22 – $79.72 | 11 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | $83.00 | $18.13 – $61.92 | 2 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $12.05 | $275.00 | $12.05 – $16.19 | 10 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $18.40 | not published | $7.36 – $24.47 | 9 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $14.55 | $442.00 | $7.26 – $68.48 | 11 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $18.64 | $983.00 | $11.88 – $87.72 | 11 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $137.00 | $5,168.00 | $120.56 – $644.75 | 11 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $185.20 | $608.00 | $162.98 – $871.60 | 11 |
| Mayo muramidase CPT 85549 | $18.75 | $91.00 | $18.75 – $88.24 | 11 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $18.40 | not published | $7.36 – $24.47 | 9 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $18.05 | $97.00 | $15.88 – $84.95 | 11 |
| Mayo myoglobin CPT 83874 | $12.92 | $246.00 | $12.92 – $60.80 | 11 |
| Mayo nickel CPT 83885 | $24.51 | $67.00 | $20.90 – $115.35 | 11 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | $83.00 | $24.26 – $55.76 | 2 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | $65.00 | $24.26 – $55.76 | 2 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | $39.00 | $24.26 – $56.75 | 2 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $21.21 | $1,136.00 | $20.90 – $99.82 | 11 |
| Mayo organic acids qualitative each specimen CPT 83919 | $16.45 | $1,118.00 | $16.45 – $77.42 | 11 |
| Mayo oxalate 24 hour urine CPT 83945 | $14.45 | $197.00 | $14.45 – $68.01 | 11 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $11.53 | $158.00 | $10.14 – $54.26 | 11 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $15.03 | $110.00 | $13.20 – $70.73 | 11 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $12.05 | $1,320.00 | $8.58 – $56.71 | 11 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $35.09 | $275.00 | $35.09 – $165.14 | 11 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $17.98 | $174.00 | $15.82 – $84.62 | 11 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $13.76 | $83.00 | $13.76 – $64.76 | 11 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $8.44 | $142.00 | $8.25 – $39.72 | 11 |
| Mayo pregnenolone CPT 84140 | $20.67 | $226.00 | $20.67 – $97.28 | 11 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $16.59 | $55.00 | $16.59 – $78.08 | 11 |
| Mayo proinsulin CPT 84206 | $26.69 | $158.00 | $20.90 – $125.61 | 11 |
| Mayo psaft prostate specific antigen free CPT 84154 | $18.39 | $171.00 | $18.39 – $86.55 | 11 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $18.40 | $1,057.00 | $16.50 – $86.59 | 11 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $13.36 | $174.00 | $5.28 – $62.88 | 11 |
| Mayo receptor assay transferrin soluble CPT 84238 | $36.57 | $968.00 | $36.57 – $172.11 | 11 |
| Mayo renin CPT 84244 | $21.99 | $325.00 | $21.99 – $103.49 | 11 |
| Mayo repu protein electrophoresis urine CPT 84166 | $17.83 | $268.00 | $15.69 – $83.91 | 11 |
| Mayo selenium CPT 84255 | $25.53 | $228.00 | $25.53 – $120.15 | 11 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $15.50 | not published | $13.64 – $72.95 | 12 |
| Mayo serotonin CPT 84260 | $30.98 | $149.00 | $30.98 – $145.80 | 11 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $19.35 | $321.00 | $19.35 – $91.07 | 11 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $13.73 | $165.00 | $12.08 – $64.62 | 11 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $4.27 | $2,145.00 | $1.65 – $20.10 | 11 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | $300.00 | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $208.92 | $1,386.00 | $183.85 – $983.23 | 11 |
| Mayo tgrp testosterone free CPT 84402 | $25.47 | $385.00 | $25.47 – $119.87 | 11 |
| Mayo tgrp testosterone total CPT 84403 | $25.81 | $371.00 | $25.81 – $121.47 | 11 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $22.17 | $537.00 | $22.17 – $29.49 | 9 |
| Mayo thyroglobulin CPT 84432 | $16.06 | $193.00 | $14.30 – $75.58 | 11 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $10.18 | $176.00 | $10.18 – $47.91 | 11 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $12.39 | $2,145.00 | $12.39 – $58.31 | 11 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | $34.00 | $18.33 – $53.23 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $51.28 | $897.00 | $45.12 – $241.34 | 11 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $14.16 | $72.00 | $13.20 – $66.64 | 11 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $13.54 | $95.00 | $11.91 – $63.72 | 11 |
| Mayo vasoactive intestinal peptide CPT 84586 | $35.33 | $666.00 | $35.33 – $166.27 | 11 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $20.24 | $105.00 | $20.24 – $95.25 | 11 |
| Mayo vitamin b3 (niacin) CPT 84591 | $17.06 | $260.00 | $14.10 – $80.29 | 11 |
| Mayo vitamin k CPT 84597 | $13.72 | $209.00 | $13.72 – $64.57 | 11 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $13.25 | $87.00 | $11.66 – $62.36 | 11 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | $2,357.00 | $1,765.05 – $1,765.05 | 1 |
| Mcoln1 gene CPT 81290 | $39.31 | $464.00 | $34.60 – $185.00 | 11 |
| Mcp joint arthroscopy dx CPT 29900 | $3,244.61 | not published | $1,117.15 – $5,430.31 | 8 |
| Mcp joint arthroscopy surg CPT 29901 | $3,244.61 | $9,821.00 | $1,193.31 – $3,406.84 | 7 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | $1,600.41 | $6,580.00 | $1,262.99 – $1,680.43 | 7 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | $3,660.97 | $7,150.00 | $1,961.84 – $3,844.02 | 7 |
| Meas lung vol thru 2 yrs CPT 94013 | $530.60 | not published | $30.90 – $942.41 | 8 |
| Measure kidney pressure CPT 50396 | $667.47 | $1,298.00 | $241.43 – $700.84 | 7 |
| Measure ureter pressure CPT 50686 | $156.46 | not published | $156.46 – $281.42 | 8 |
| Measurement post void urine by ultrasound CPT 51798 | $59.40 | $243.00 | $25.60 – $62.37 | 7 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $25.21 – $662.59 | 5 |
| Mecp2 gene dup/delet variant CPT 81304 | $150.00 | $704.00 | $132.00 – $705.94 | 11 |
| Mecp2 gene full seq CPT 81302 | $527.87 | $1,762.00 | $464.53 – $2,484.28 | 11 |
| Mecp2 gene known variant CPT 81303 | $120.00 | not published | $105.60 – $564.75 | 12 |
| Med physic dos eval rad exps CPT 76145 | $530.60 | not published | $530.60 – $3,072.22 | 8 |
| Medial canthopexy CPT 21280 | $3,243.07 | $9,205.00 | $1,281.30 – $3,405.22 | 7 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $5,834.36 | $10,534.00 | $832.18 – $6,126.08 | 7 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $5,834.36 | $10,534.00 | $638.94 – $6,126.08 | 7 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.30 – $0.74 | 4 |
| Meg evoked single CPT 95966 | $1,017.39 | not published | $1,017.39 – $3,094.99 | 8 |
| Meg spontaneous CPT 95965 | $1,017.39 | not published | $1,017.39 – $6,323.22 | 8 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.87 – $0.94 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | $3,162.00 | $199.89 – $478.35 | 2 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | $1,860.00 | $23.21 – $141.04 | 2 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | $5,804.27 | $116.61 – $176.72 | 2 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | $6,944.00 | $154.85 – $224.29 | 2 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | $139,304.08 | not published | 0 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $140.11 – $140.11 | 1 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $70.05 – $97.95 | 2 |
| Meniscal trnspl knee w/scpe CPT 29868 | $7,143.73 | $13,083.00 | $3,572.10 – $7,500.92 | 7 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $7.87 – $14.30 | 5 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $31.33 | not published | $26.63 – $61.61 | 11 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.37 – $1.83 | 5 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $47.39 – $47.39 | 1 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | $39,629.53 | not published | 0 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | $4,423.00 | $523.02 – $523.02 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.13 – $3.78 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $8.46 | $187.00 | $8.46 – $39.81 | 11 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $10.56 | $318.00 | $10.56 – $49.70 | 11 |
| Metabolic panel ionized ca CPT 80047 | $13.73 | $77.00 | $12.08 – $64.62 | 11 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.72 – $1.74 | 6 |
| Methadone injection HCPCS J1230 | not published | not published | $19.47 – $36.59 | 5 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $4.07 – $64.19 | 5 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $1.92 – $5.07 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.17 – $0.94 | 5 |
| Methotrexate therapeutic drug level CPT 80204 | $38.57 | $766.00 | $33.95 – $181.52 | 11 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $7.86 | not published | $7.86 – $39.79 | 11 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $18.75 – $43.64 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.40 – $2.26 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.20 – $0.71 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.12 | not published | $0.10 – $0.17 | 7 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $0.26 | not published | $0.22 – $0.36 | 7 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $0.85 – $2.23 | 5 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.11 – $0.11 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.03 | 1 |
| Mgmt promoter methylation analysis CPT 81287 | $124.64 | $605.00 | $109.68 – $586.59 | 11 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.26 – $1.74 | 5 |
| Microalbumin urine screen CPT 82044 | $6.23 | not published | $1.10 – $29.32 | 12 |
| Microbe susceptible mlc CPT 87187 | $40.17 | not published | $14.30 – $189.05 | 12 |
| Microdissection laser CPT 88380 | not published | $912.00 | $124.28 – $237.92 | 2 |
| Microdissection manual CPT 88381 | not published | $696.00 | $193.50 – $393.35 | 2 |
| Microfluid analy tears CPT 83861 | $22.48 | not published | $19.78 – $105.80 | 12 |
| Microsatellite instability CPT 81301 | $348.56 | $1,327.00 | $306.74 – $1,640.41 | 11 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | $1,343.00 | $456.00 – $456.00 | 1 |
| Microvolt t-wave assess CPT 93025 | $156.46 | not published | $156.46 – $281.42 | 8 |
| Microwave bronch, 3d, ebus HCPCS C9751 | $3,750.50 | not published | $3,750.50 – $17,078.54 | 7 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.14 – $0.38 | 2 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.14 – $0.28 | 5 |
| Middle cerebral artery echo CPT 76821 | $106.34 | $715.00 | $106.34 – $214.13 | 8 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $114.96 – $123.45 | 2 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.19 – $4.09 | 5 |
| Minocycline hydrochloride HCPCS J2265 | $2.67 | not published | $2.47 – $6.80 | 11 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $69.52 | not published | $59.09 – $73.00 | 6 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $28.27 | not published | $24.03 – $258.89 | 11 |
| Mitomycin instillation HCPCS J9281 | $317.42 | not published | $269.81 – $605.14 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $29.60 | not published | $25.16 – $63.14 | 11 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $5,760.10 – $5,760.10 | 1 |
| Mlh1 gene CPT 81288 | $192.32 | $650.00 | $169.25 – $905.10 | 11 |
| Mlh1 gene dup/delete variant CPT 81294 | $202.40 | $1,782.00 | $178.11 – $952.54 | 11 |
| Mlh1 gene full seq CPT 81292 | $675.40 | $1,858.00 | $594.35 – $3,178.59 | 11 |
| Mlh1 gene known variants CPT 81293 | $331.00 | not published | $291.28 – $1,557.77 | 12 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | $12,866.82 | $16,361.00 | $2,285.69 – $13,510.16 | 7 |
| Mnl appl strs jt radiography CPT 77071 | $88.05 | $186.00 | $88.05 – $196.96 | 8 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | $260.00 | $177.38 – $177.38 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,600.41 | $3,497.00 | $428.00 – $1,680.43 | 7 |
| Mnpj elbow under anes CPT 24300 | $1,600.41 | $3,698.00 | $992.13 – $1,680.43 | 7 |
| Mnpj of tmj w/anesth CPT 21073 | $1,481.28 | $3,809.00 | $517.33 – $1,555.34 | 7 |
| Mnt subs tx for change dx HCPCS G0270 | $34.61 | $120.00 | $34.61 – $792.00 | 9 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $249.00 – $249.00 | 1 |
| Modification of contact lens CPT 92325 | $128.90 | not published | $74.66 – $220.41 | 8 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | $1,593.00 | $1,215.80 – $1,215.80 | 1 |
| Modified maze/limited 33254 CPT 33254 | not published | $4,145.00 | $2,822.02 – $2,822.02 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $37.73 | $1,513.00 | $10.60 – $50.18 | 10 |
| Mometasone sinus sinuva HCPCS J7402 | $11.35 | $3,522.54 | $9.65 – $15.09 | 6 |
| Monitor reveal linq ii cardiac HCPCS C1764 | not published | $19,635.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | $528.58 | not published | $449.29 – $1,698.20 | 11 |
| Monthly tx for dmht 20mins HCPCS G0553 | $128.87 | not published | $128.87 – $135.31 | 6 |
| Mopath procedure level 1 CPT 81400 | $63.96 | $3,854.00 | $56.29 – $301.01 | 11 |
| Mopath procedure level 3 CPT 81402 | $150.33 | $2,278.00 | $132.29 – $707.49 | 11 |
| Mopath procedure level 5 CPT 81404 | $274.83 | $3,988.00 | $241.85 – $1,293.42 | 11 |
| Mopath procedure level 6 CPT 81405 | $301.35 | $6,573.00 | $265.19 – $1,418.23 | 11 |
| Mopath procedure level 7 CPT 81406 | $282.88 | $7,244.00 | $248.93 – $1,331.30 | 11 |
| Mopath procedure level 8 CPT 81407 | $846.27 | $8,844.00 | $744.72 – $3,982.75 | 11 |
| Mopath procedure level 9 CPT 81408 | $2,000.00 | $9,900.00 | $1,760.00 – $9,412.48 | 11 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $9.17 – $47.98 | 5 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $2.62 – $6.31 | 5 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $6.91 – $9.89 | 2 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $171.36 | $518.00 | $171.36 – $561.37 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $359.72 | $735.00 | $103.40 – $377.71 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $171.36 | $860.00 | $117.83 – $231.94 | 8 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $652.75 | not published | $554.84 – $685.39 | 6 |
| Motion analysis video/3d CPT 96000 | $530.60 | not published | $138.95 – $942.41 | 8 |
| Motion test w/ft press meas CPT 96001 | $1,017.39 | not published | $184.88 – $1,889.48 | 8 |
| Motor &/ sens nrve cndj test CPT 95905 | $399.04 | not published | $60.94 – $418.99 | 8 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $3,243.07 | $7,186.00 | $615.75 – $3,405.22 | 7 |
| Mpl gene analysis common variants CPT 81338 | $150.33 | not published | $132.29 – $707.49 | 11 |
| Mr elastography CPT 76391 | $241.72 | not published | $241.72 – $506.60 | 9 |
| Mr safety determination physician/other qhp CPT 76016 | $88.05 | $259.00 | $88.05 – $4,332.00 | 7 |
| Mr safety implant elec prepj CPT 76018 | $91.79 | $270.00 | $91.79 – $4,332.00 | 7 |
| Mr safety implt pos&/immoblj CPT 76019 | $59.40 | $175.00 | $59.40 – $4,332.00 | 7 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $24.49 | $72.00 | $24.49 – $4,332.00 | 7 |
| Mr sfty med physics xm cstmz CPT 76017 | $241.72 | $712.00 | $241.72 – $4,332.00 | 7 |
| Mr spectroscopy CPT 76390 | $88.05 | $2,056.00 | $88.05 – $4,332.00 | 8 |
| Mra, w/dye, spinal canal HCPCS C8931 | $357.13 | not published | $357.13 – $798.77 | 7 |
| Mra, w/dye, upper extremity HCPCS C8934 | $357.13 | not published | $357.13 – $798.77 | 7 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $357.13 | not published | $357.13 – $798.77 | 7 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $357.13 | not published | $357.13 – $798.77 | 7 |
| Mra, without dye, spinal canal HCPCS C8932 | $241.72 | not published | $241.72 – $477.26 | 7 |
| Mra, without dye, upper extr HCPCS C8935 | $241.72 | not published | $241.72 – $477.26 | 7 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $12,470.31 | $44,792.00 | $12,470.31 – $13,093.83 | 6 |
| Msh2 gene dup/delete variant CPT 81297 | $213.30 | $1,782.00 | $187.70 – $1,003.84 | 11 |
| Msh2 gene full seq CPT 81295 | $381.70 | $1,782.00 | $335.90 – $1,796.37 | 11 |
| Msh2 gene known variants CPT 81296 | $337.73 | not published | $297.20 – $1,589.44 | 12 |
| Msh6 gene dup/delete variant CPT 81300 | $238.00 | $1,782.00 | $209.44 – $1,120.09 | 11 |
| Msh6 gene full seq CPT 81298 | $641.85 | $1,782.00 | $564.83 – $3,020.70 | 11 |
| Msh6 gene known variants CPT 81299 | $308.00 | not published | $271.04 – $1,449.52 | 12 |
| Mthfr gene analy common variants CPT 81291 | $65.34 | $180.00 | $57.50 – $307.51 | 11 |
| Mucin synovial fluid CPT 83872 | $5.86 | not published | $3.52 – $27.58 | 12 |
| Mucopolysaccharides CPT 83864 | $28.50 | $1,485.00 | $14.30 – $134.13 | 11 |
| Multi family grp psychotherapy CPT 90849 | $160.67 | $361.00 | $49.85 – $168.70 | 8 |
| Multifocal erg w/i&r CPT 92274 | $156.46 | not published | $156.46 – $281.42 | 8 |
| Multiple sleep latency test CPT 95805 | $530.60 | $5,546.00 | $104.00 – $779.56 | 7 |
| Mumps antibody igg CPT 86735 | $13.05 | $270.00 | $13.05 – $61.42 | 11 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $3,660.97 | $7,497.00 | $2,199.11 – $3,844.02 | 7 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $7,143.73 | $12,596.00 | $1,633.32 – $7,500.92 | 7 |
| Muscle test cran nerv unilat CPT 95867 | $311.40 | $474.00 | $104.00 – $4,550.00 | 9 |
| Muscle test hemidiaphragm CPT 95866 | $156.46 | $428.00 | $104.00 – $4,550.00 | 9 |
| Muscle test larynx CPT 95865 | $128.90 | $191.00 | $104.00 – $2,793.00 | 9 |
| Muscle test one fiber CPT 95872 | $156.46 | $367.00 | $104.00 – $4,550.00 | 9 |
| Muscle transfer shoulder/arm CPT 23395 | $7,143.73 | $12,189.00 | $2,766.50 – $7,500.92 | 7 |
| Muscle transfers CPT 23397 | $7,143.73 | $14,389.00 | $2,455.43 – $7,500.92 | 7 |
| Muscle-skin graft arm CPT 15736 | $1,829.23 | $4,463.00 | $1,829.23 – $2,614.87 | 7 |
| Muscle-skin graft leg CPT 15738 | $3,660.97 | $7,150.00 | $2,705.19 – $3,844.02 | 7 |
| Muscle-skin graft trunk CPT 15734 | $3,660.97 | $7,150.00 | $3,196.39 – $3,844.02 | 7 |
| Mycobacteria dna amp probe CPT 87551 | $48.24 | $788.00 | $41.80 – $227.03 | 11 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.14 – $1.58 | 5 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.31 – $4.54 | 5 |
| Mycoplasma antibody igm CPT 86738 | $13.24 | $186.00 | $13.20 – $62.31 | 11 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $175.40 | $792.00 | $154.35 – $825.47 | 11 |
| Myelogphy 2/> spine regions CPT 72270 | $790.06 | $2,709.00 | $292.24 – $829.56 | 8 |
| Myelography l-s spine CPT 72265 | $790.06 | $1,983.00 | $209.49 – $829.56 | 8 |
| Myelography neck spine CPT 72240 | $790.06 | $2,694.00 | $214.76 – $829.56 | 8 |
| Myelography thoracic spine CPT 72255 | $790.06 | $3,164.00 | $206.29 – $829.56 | 8 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $790.06 | $2,669.00 | $253.71 – $829.56 | 7 |
| Myelography via inj w/s&i cervical CPT 62302 | $790.06 | $4,345.00 | $247.33 – $829.56 | 7 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $790.06 | $4,345.00 | $244.58 – $829.56 | 7 |
| Myelography via inj w/s&i thoracic CPT 62303 | $790.06 | $2,669.00 | $247.42 – $829.56 | 7 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $11.53 | $1,472.00 | $9.90 – $54.26 | 11 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $5,381.93 – $5,381.93 | 1 |
| Myocrd img pet 1 std w/ct CPT 78429 | $1,458.59 | $4,651.00 | $1,458.59 – $4,117.96 | 8 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,458.59 | $3,365.00 | $1,458.59 – $4,117.96 | 8 |
| Myocrd img pet 2rtracer CT CPT 78433 | $1,950.50 | not published | $1,950.50 – $5,852.21 | 8 |
| Myocrd img pet mlt rst&strs CPT 78492 | $1,458.59 | $6,116.00 | $1,458.59 – $4,117.96 | 8 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $1,458.59 | not published | $1,458.59 – $4,117.96 | 8 |
| Myomectomy abdom complex CPT 58146 | not published | $7,044.00 | $2,453.36 – $2,453.36 | 1 |
| Myomectomy abdom method CPT 58140 | not published | $5,635.00 | $1,965.25 – $1,965.25 | 1 |
| Myomectomy vag method CPT 58145 | $3,179.53 | $7,767.00 | $1,225.59 – $3,338.51 | 7 |
| Myringoplasty CPT 69620 | $3,243.07 | $5,977.00 | $1,081.29 – $4,618.73 | 8 |
| N block inj common digit CPT 64632 | $295.19 | $620.00 | $142.43 – $309.95 | 7 |
| N block inj hypogas plxs CPT 64517 | $890.29 | $1,467.00 | $267.12 – $934.80 | 7 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,017.39 | $4,670.00 | $1,017.39 – $1,777.23 | 7 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.05 – $0.05 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $2.98 – $5.60 | 5 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | not published | not published | $0.06 – $0.06 | 1 |
| Naltrexone, depot form HCPCS J2315 | $4.24 | not published | $3.60 – $7.56 | 11 |
| Narcosynthesis CPT 90865 | $160.67 | not published | $160.67 – $264.03 | 8 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $194.14 | $430.00 | $136.75 – $203.85 | 7 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $232.22 | $647.00 | $232.22 – $243.83 | 6 |
| Nasal function studies CPT 92512 | $311.40 | $803.00 | $45.85 – $2,793.00 | 9 |
| Nasal sinus therapy CPT 30210 | $1,481.28 | not published | $226.56 – $2,647.74 | 8 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $6,922.47 | $12,547.00 | $493.53 – $10,655.47 | 8 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $1,724.47 | $4,168.00 | $338.12 – $2,834.43 | 8 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $6,922.47 | $11,887.00 | $512.66 – $10,655.47 | 8 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $6,922.47 | $12,296.00 | $680.23 – $10,655.47 | 8 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $6,922.47 | $12,547.00 | $795.76 – $10,655.47 | 8 |
| Nasal/sinus endoscopy surg CPT 31287 | $6,922.47 | $12,547.00 | $424.55 – $10,655.47 | 8 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $1,724.47 | $4,168.00 | $340.46 – $2,834.43 | 8 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $388.31 | $935.00 | $288.75 – $800.06 | 8 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | $1,724.47 | $3,934.00 | $339.51 – $1,810.69 | 7 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $194.14 | $600.00 | $64.95 – $203.85 | 7 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $24.13 | not published | $20.51 – $49.93 | 11 |
| Natriuretic peptide CPT 83880 | $39.26 | $288.00 | $39.26 – $184.77 | 11 |
| Natural killer cells total count CPT 86357 | $37.73 | $791.00 | $33.20 – $177.57 | 11 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | $3,850.00 | $197.29 – $197.29 | 1 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | $243.21 | not published | $243.21 – $479.04 | 8 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $128.90 | $204.00 | $104.00 – $4,550.00 | 9 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $24.49 | $86.00 | $24.49 – $558.00 | 16 |
| Ndl insj without njx 3+ musc CPT 20561 | $24.49 | $86.00 | $24.49 – $558.00 | 16 |
| Ndl oculoelectromyography 1+ CPT 92265 | $59.40 | not published | $59.40 – $153.90 | 8 |
| Ndl round specialty proguide HCPCS C1715 | not published | $200.00 | not published | 0 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | $7,143.73 | $16,709.00 | $4,302.10 – $7,500.92 | 7 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $178.02 | $3,858.00 | $178.02 – $442.81 | 8 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $357.13 | $3,350.00 | $333.07 – $374.99 | 8 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $106.34 | $2,860.00 | $106.34 – $264.62 | 8 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $357.13 | $5,491.00 | $357.13 – $4,332.00 | 9 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $357.13 | $3,960.00 | $357.13 – $4,332.00 | 9 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $241.72 | $3,703.00 | $241.72 – $4,332.00 | 9 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $357.13 | $4,092.00 | $357.13 – $4,332.00 | 9 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $357.13 | $3,820.00 | $357.13 – $4,332.00 | 9 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $241.72 | $3,047.00 | $241.72 – $4,332.00 | 9 |
| Neck spine disk surgery CPT 63020 | $7,143.73 | $13,239.00 | $2,376.15 – $7,500.92 | 7 |
| Neck spine disk surgery 63075 CPT 63075 | $7,143.73 | $13,363.00 | $2,907.68 – $7,500.92 | 7 |
| Neck spine disk surgery 63076 CPT 63076 | not published | $9,354.00 | $506.85 – $506.85 | 1 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | not published | $188.00 | $104.00 – $4,550.00 | 6 |
| Neisseria meningitidis CPT 86741 | $13.19 | $64.00 | $13.19 – $62.08 | 11 |
| Nelarabine injection HCPCS J9261 | $63.38 | not published | $53.87 – $334.80 | 11 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | not published | not published | $0.15 – $20.02 | 2 |
| Nephrectomy open 50220 CPT 50220 | not published | $3,201.00 | $2,217.47 – $2,217.47 | 1 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $311.40 | $650.00 | $133.01 – $851.00 | 10 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | not published | $250.00 | $109.83 – $851.00 | 5 |
| Nerve conduction 7-8 studies CPT 95910 | $311.40 | $975.00 | $104.00 – $4,550.00 | 9 |
| Nerve conduction studies 1-2 CPT 95907 | $156.46 | $482.00 | $104.00 – $4,550.00 | 9 |
| Nerve conduction studies 11-12 CPT 95912 | $530.60 | $2,217.00 | $104.00 – $4,550.00 | 9 |
| Nerve conduction studies 13+ CPT 95913 | $530.60 | $2,823.00 | $104.00 – $4,550.00 | 9 |
| Nerve conduction studies 3-4 CPT 95908 | $311.40 | $668.00 | $104.00 – $4,550.00 | 9 |
| Nerve conduction studies 5-6 CPT 95909 | $311.40 | $813.00 | $104.00 – $4,550.00 | 9 |
| Nerve conduction studies 9-10 CPT 95911 | $530.60 | $1,448.00 | $104.00 – $4,550.00 | 9 |
| Nerve graft head/neck <4 cm CPT 64885 | $6,404.07 | $10,397.00 | $2,291.45 – $6,724.27 | 7 |
| Nerve graft head/neck >4 cm CPT 64886 | $6,404.07 | $11,636.00 | $2,743.13 – $6,724.27 | 7 |
| Nerve palsy fascial graft CPT 15840 | $3,660.97 | $7,404.00 | $2,170.56 – $3,844.02 | 7 |
| Nerve palsy microsurg graft CPT 15842 | $1,829.23 | not published | $1,829.23 – $5,737.62 | 8 |
| Nerve palsy muscle graft CPT 15841 | $3,660.97 | $7,404.00 | $3,660.97 – $3,844.02 | 7 |
| Nerve pedicle transfer CPT 64905 | $6,404.07 | $10,678.00 | $2,143.54 – $6,724.27 | 7 |
| Nerve pedicle transfer CPT 64907 | $6,404.07 | not published | $2,770.56 – $9,451.74 | 8 |
| Nerve repair w/allograft CPT 64910 | $6,404.07 | $12,444.00 | $1,646.97 – $6,724.27 | 7 |
| Nerve teasing preparations CPT 88362 | $816.90 | not published | $138.60 – $1,155.31 | 9 |
| Nesiritide injection HCPCS J2325 | not published | not published | $79.72 – $154.84 | 3 |
| Neurectomy foot CPT 28055 | $1,952.77 | $4,250.00 | $839.73 – $2,050.41 | 7 |
| Neurectomy hamstring CPT 27325 | $1,952.77 | $4,291.00 | $1,241.55 – $2,050.41 | 7 |
| Neurectomy popliteal CPT 27326 | $1,952.77 | $4,291.00 | $1,152.85 – $2,050.41 | 7 |
| Neuroeltrd stim post tibial CPT 64566 | $295.19 | $620.00 | $63.11 – $309.95 | 7 |
| Neurolysis celiac plexus CPT 64680 | $890.29 | $4,028.00 | $341.05 – $934.80 | 7 |
| Neurolysis trigeminal nerve CPT 64600 | $890.29 | $4,909.00 | $508.73 – $934.80 | 7 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $156.46 | $298.00 | $156.46 – $185.64 | 7 |
| Neuroplasty digital 1/both same digit CPT 64702 | $1,952.77 | $4,824.00 | $1,130.34 – $2,050.41 | 7 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | $1,952.77 | $4,627.00 | $706.01 – $2,050.41 | 7 |
| Neurorraphy w/vein autograft CPT 64911 | $6,404.07 | $10,964.00 | $2,206.50 – $6,724.27 | 7 |
| Neurovascular pedicle flap CPT 15750 | $3,660.97 | $7,150.00 | $2,010.14 – $3,844.02 | 7 |
| Neutrlzg antb sarscov2 scr CPT 86408 | $42.13 | not published | $16.85 – $56.03 | 10 |
| Neutrlzg antb sarscov2 titer CPT 86409 | $79.61 | not published | $79.61 – $326.87 | 10 |
| Neutron beam tx complex CPT 77423 | $578.47 | not published | $429.14 – $1,076.09 | 8 |
| New Patient Office Visit (level 2) CPT 99202 | not published | $440.00 | $79.88 – $79.88 | 1 |
| New Patient Office Visit (level 3) CPT 99203 | not published | $1,870.00 | $138.13 – $138.13 | 1 |
| New Patient Office Visit (level 4) CPT 99204 | not published | $2,057.00 | $224.92 – $224.92 | 1 |
| New Patient Office Visit (level 5) CPT 99205 | not published | $770.00 | $306.11 – $306.11 | 1 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $262.99 | not published | $231.43 – $1,237.69 | 11 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | not published | not published | $0.08 – $0.08 | 1 |
| Nipple exploration CPT 19110 | $3,829.28 | $6,625.00 | $767.42 – $4,020.74 | 7 |
| Nipple/areola reconst 19350 CPT 19350 | $3,829.28 | $7,014.00 | $1,454.58 – $5,829.14 | 8 |
| Nitroblue tetrazolium dye CPT 86384 | $13.61 | not published | $11.95 – $64.05 | 12 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | not published | not published | $1.21 – $1.21 | 1 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $33.00 | not published | $28.05 – $62.81 | 11 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $197.65 | not published | $168.00 – $248.91 | 7 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $890.29 | $2,058.00 | $132.72 – $934.80 | 7 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $692.52 | $1,813.00 | $171.79 – $727.15 | 7 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $890.29 | not published | $154.99 – $1,583.22 | 8 |
| Njx aa&/strd vagus nrv CPT 64408 | $295.19 | not published | $95.05 – $512.28 | 8 |
| Njx cath slct p angrph mapca CPT 93575 | not published | $663.00 | $39.17 – $14,806.00 | 2 |
| Njx cath slct p-art angrp bi CPT 93573 | not published | $663.00 | $26.54 – $14,806.00 | 2 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | $663.00 | $29.27 – $14,806.00 | 2 |
| Njx chemonucleolysis lmbr CPT 62292 | $1,952.77 | $3,166.00 | $1,246.30 – $2,050.41 | 7 |
| Njx cth slct p-art angrp uni CPT 93569 | not published | $663.00 | $15.92 – $14,806.00 | 2 |
| Njx interlaminar crv/thrc CPT 62324 | $890.29 | $2,167.00 | $184.91 – $934.80 | 7 |
| Njx interlaminar crv/thrc CPT 62325 | $890.29 | $2,067.00 | $230.75 – $934.80 | 7 |
| Njx interlaminar lmbr/sac CPT 62326 | $890.29 | $2,066.00 | $177.36 – $934.80 | 7 |
| Njx interlaminar lmbr/sac CPT 62327 | $890.29 | $2,067.00 | $226.80 – $934.80 | 7 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $667.47 | $1,783.00 | $317.08 – $700.84 | 7 |
| Njx px peyronie ds exps plaq CPT 54205 | $5,083.62 | $6,681.00 | $1,135.92 – $5,337.80 | 7 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $401.83 | $2,977.00 | $401.83 – $1,111.24 | 8 |
| Nm imaging bone/joint whole body CPT 78306 | $401.83 | $2,530.00 | $401.83 – $964.32 | 8 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $401.83 | $2,860.00 | $401.83 – $677.72 | 8 |
| Nm imaging gastric emptying study CPT 78264 | $401.83 | $2,553.00 | $401.83 – $1,098.57 | 8 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $401.83 | $2,462.00 | $401.83 – $1,123.92 | 8 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $538.27 | $2,970.00 | $538.27 – $1,484.11 | 8 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $538.27 | $2,672.00 | $336.92 – $565.18 | 8 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $538.27 | $2,310.00 | $538.27 – $1,054.19 | 8 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $401.83 | $1,846.00 | $401.83 – $803.26 | 8 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $224.13 | $2,585.00 | $206.09 – $251.93 | 8 |
| Non-blind interatrial shunt HCPCS C9760 | $27,500.50 | not published | $27,500.50 – $28,875.53 | 6 |
| Non-card vasc flow imaging CPT 78445 | $401.83 | $899.00 | $368.30 – $672.63 | 8 |
| Non-cov proc, clinical trial HCPCS G0294 | $39.25 | not published | $39.25 – $66.49 | 7 |
| Non-cov surg proc,clin trial HCPCS G0293 | $39.25 | not published | $39.25 – $66.49 | 7 |
| Non-imaging heart function CPT 78414 | $538.27 | not published | $312.33 – $942.93 | 8 |
| Non-ophthalmic fva HCPCS C9733 | $357.13 | not published | $357.13 – $798.77 | 7 |
| Noninv pace analysis CPT 93724 | $299.91 | not published | $299.91 – $580.45 | 8 |
| Noonan spectrum disorders CPT 81442 | $2,143.60 | $3,713.00 | $1,886.37 – $10,088.30 | 11 |
| Npm1 gene CPT 81310 | $246.52 | $633.00 | $216.94 – $1,160.18 | 11 |
| Nps surg dilat eust tube bi CPT 69706 | $5,915.66 | $16,897.00 | $512.57 – $6,211.44 | 7 |
| Nps surg dilat eust tube uni CPT 69705 | $5,915.66 | $16,897.00 | $367.45 – $6,211.44 | 7 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | not published | $140.00 | $36.78 – $249.00 | 3 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | not published | $85.00 | $6.73 – $249.00 | 3 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | not published | $232.00 | $32.86 – $249.00 | 3 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $530.60 | $798.00 | $154.00 – $851.00 | 10 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | $481.00 | $125.98 – $851.00 | 5 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $1,755.91 | $18,260.00 | $293.00 – $1,959.78 | 7 |
| Nras gene variants exon 2&3 CPT 81311 | $295.79 | $814.00 | $260.29 – $1,392.06 | 11 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | $6,404.07 | $9,735.00 | $2,249.81 – $6,724.27 | 7 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | $6,404.07 | $10,109.00 | $2,397.05 – $6,724.27 | 7 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | $6,404.07 | $9,735.00 | $2,310.41 – $6,724.27 | 7 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | $6,404.07 | $10,678.00 | $2,455.53 – $6,724.27 | 7 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | $6,404.07 | not published | $2,701.44 – $9,451.74 | 8 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | $6,404.07 | $11,328.00 | $2,925.44 – $6,724.27 | 7 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | $6,404.07 | not published | $2,823.34 – $9,451.74 | 8 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | $6,404.07 | not published | $3,045.88 – $9,451.74 | 8 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $6,404.07 | $14,922.00 | $1,932.93 – $6,724.27 | 7 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | $6,922.47 | $12,547.00 | $2,290.27 – $7,268.59 | 7 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | $6,922.47 | $12,547.00 | $2,110.84 – $7,268.59 | 7 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $6,922.47 | $12,547.00 | $990.13 – $10,655.47 | 8 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $6,922.47 | $12,547.00 | $378.75 – $10,655.47 | 8 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | $6,922.47 | $12,547.00 | $539.32 – $10,655.47 | 8 |
| Nsl/sins ndsc surg max sins CPT 31295 | $6,922.47 | $12,547.00 | $333.62 – $10,655.47 | 8 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | $6,922.47 | $12,547.00 | $2,611.49 – $7,268.59 | 7 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $6,922.47 | $12,547.00 | $304.72 – $10,655.47 | 8 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $6,922.47 | $12,547.00 | $937.24 – $10,655.47 | 8 |
| Nsl/sins ndsc total CPT 31253 | $6,922.47 | $13,559.00 | $1,050.02 – $10,655.47 | 8 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | $3,686.95 | $8,149.00 | $1,301.84 – $5,673.17 | 8 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $5,915.66 | $18,643.00 | $334.28 – $6,211.44 | 7 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | $5,915.66 | $16,931.00 | $334.28 – $6,211.44 | 7 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | $1,724.47 | $3,935.00 | $936.30 – $1,810.69 | 7 |
| Ntrk translocation analysis CPT 81194 | $518.28 | not published | $456.08 – $2,439.15 | 11 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $578.47 | $5,830.00 | $293.00 – $4,623.94 | 8 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $578.47 | $4,626.00 | $293.00 – $951.40 | 7 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,305.48 | $7,275.00 | $842.79 – $1,483.91 | 8 |
| Nuclear exam of tear flow CPT 78660 | $401.83 | $1,252.00 | $257.96 – $611.75 | 8 |
| Nuclear matrix protein 22 CPT 86386 | $21.78 | $2,170.00 | $19.16 – $102.50 | 11 |
| Nuclear rx IV admin CPT 79101 | $224.13 | $1,940.00 | $224.13 – $273.96 | 7 |
| Nuclear rx intra-arterial CPT 79445 | $224.13 | $1,296.00 | $224.13 – $641.84 | 7 |
| Nuclear rx intra-articular CPT 79440 | $224.13 | not published | $218.31 – $477.94 | 8 |
| Nuclear rx intracav admin CPT 79200 | $224.13 | not published | $224.13 – $477.94 | 8 |
| Nuclr rx interstit colloid CPT 79300 | $224.13 | $908.00 | $224.13 – $508.58 | 7 |
| Nudt15 gene common variants CPT 81306 | $291.36 | $640.00 | $256.40 – $1,371.21 | 11 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $138.52 – $138.52 | 1 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $221.73 – $221.73 | 1 |
| Nushield 1 square cm HCPCS Q4160 | not published | $435.00 | $130.32 – $450.50 | 2 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $1,246.94 | not published | $1,246.94 – $2,410.07 | 10 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $106.34 | $946.00 | $106.34 – $240.76 | 8 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | $330.00 | $111.40 – $140.32 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $78.46 | not published | $66.69 – $137.68 | 11 |
| Observation direct referral from physician office for admission HCPCS G0379 | $613.10 | $1,575.00 | $613.10 – $643.76 | 6 |
| Observation per hour HCPCS G0378 | not published | $4,675.00 | not published | 0 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $349.10 – $349.10 | 1 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $163.77 – $163.77 | 1 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $267.51 – $267.51 | 1 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $2,279.73 – $2,279.73 | 1 |
| Obstetrics panel CPT 80055 | $47.81 | $326.00 | $16.50 – $225.01 | 11 |
| Obtaining screen pap smear HCPCS Q0091 | $24.49 | $74.00 | $24.49 – $32.13 | 7 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $3,179.53 | $5,930.00 | $546.16 – $3,338.51 | 7 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $59.70 | not published | $50.75 – $126.51 | 10 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.52 – $1.83 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $212.20 | not published | $180.37 – $443.59 | 11 |
| Ocular photodynamic ther CPT 67221 | $548.60 | not published | $437.64 – $1,027.09 | 8 |
| Ocular reconst transplant CPT 65780 | $3,771.00 | $11,118.00 | $1,277.00 – $3,959.55 | 7 |
| Ocular reconst transplant CPT 65781 | $5,159.71 | not published | $2,833.03 – $7,535.34 | 8 |
| Ocular reconst transplant CPT 65782 | $3,771.00 | $10,078.00 | $2,449.49 – $3,959.55 | 7 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $62.23 | not published | $62.23 – $137.35 | 11 |
| Off base opioid tx 70min HCPCS G2086 | $160.67 | not published | $160.67 – $711.65 | 7 |
| Off base opioid tx, 60 m HCPCS G2087 | $160.67 | not published | $160.67 – $685.70 | 7 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | not published | $989.52 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $0.77 – $0.77 | 1 |
| Olanzapine long-acting inj HCPCS J2358 | $2.92 | not published | $2.48 – $6.27 | 10 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $40.56 | not published | $34.48 – $80.55 | 11 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $2,950.87 – $2,950.87 | 1 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | $915.00 | $732.07 – $732.07 | 1 |
| Onc brst mrna 11 genes CPT 81518 | $3,873.00 | not published | $3,408.24 – $18,227.27 | 12 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | $3,873.00 | not published | $3,408.24 – $5,151.09 | 10 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | $3,600.00 | not published | $3,168.00 – $16,942.46 | 10 |
| Onco (ovar) five proteins CPT 81503 | $897.00 | $1,973.00 | $789.36 – $4,221.50 | 11 |
| Onco (ovar) two proteins CPT 81500 | $260.50 | $1,134.00 | $229.24 – $1,225.98 | 11 |
| Oncology colon mrna CPT 81525 | $3,116.00 | not published | $2,742.08 – $14,664.64 | 12 |
| Oncology colorectal scr CPT 81528 | $508.87 | not published | $447.81 – $2,394.86 | 12 |
| Oncology gynecologic CPT 81535 | $579.46 | not published | $509.93 – $2,727.08 | 12 |
| Oncology gynecologic CPT 81536 | $177.56 | not published | $156.26 – $835.64 | 12 |
| Oncology prostate prob score CPT 81539 | $760.00 | $2,090.00 | $668.80 – $3,576.74 | 11 |
| Oncology tum unknown origin CPT 81540 | $3,750.00 | $10,461.00 | $3,300.00 – $17,648.40 | 11 |
| Oncoprotein dcp CPT 83951 | $64.41 | $374.00 | $56.68 – $303.13 | 11 |
| Oncoprotein her-2/neu CPT 83950 | $64.41 | not published | $64.41 – $303.13 | 12 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $25.87 – $33.14 | 2 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.07 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.08 – $1.42 | 5 |
| Oocyte identification CPT 89254 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $2,572.18 – $2,572.18 | 1 |
| Open ablate liver tumor rf CPT 47380 | not published | $4,654.00 | $3,053.68 – $3,053.68 | 1 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $3,574.85 – $3,574.85 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $3,914.49 – $3,914.49 | 1 |
| Open bx of lung pleura 32098 CPT 32098 | not published | $2,295.00 | $1,580.32 – $1,580.32 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | $3,829.28 | $9,070.00 | $960.18 – $5,829.14 | 8 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $469.45 – $469.45 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | $5,915.66 | $9,350.00 | $1,656.45 – $6,211.44 | 7 |
| Open nasoethmoid fx without fixj CPT 21338 | $5,915.66 | $18,624.00 | $1,472.54 – $6,211.44 | 7 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $3,829.28 | $7,563.00 | $1,451.05 – $5,829.14 | 8 |
| Open skull for drainage 61312 CPT 61312 | not published | $2,901.00 | $4,437.46 – $4,437.46 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $1,600.41 | $4,552.00 | $618.04 – $1,680.43 | 7 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $5,405.70 | $12,320.00 | $1,269.64 – $5,675.99 | 7 |
| Open tx nose & septal fx CPT 21335 | $3,243.07 | $5,304.00 | $1,560.30 – $3,405.22 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | $5,915.66 | $9,184.00 | $1,173.26 – $6,211.44 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $7,143.73 | $19,280.00 | $1,236.18 – $7,500.92 | 7 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $7,143.73 | not published | $1,492.03 – $7,500.92 | 8 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $1,600.41 | not published | $1,600.41 – $2,718.61 | 8 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | $7,381.00 | $1,190.08 – $1,190.08 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | $2,446.00 | $1,669.79 – $1,669.79 | 1 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $106.34 | not published | $106.34 – $295.04 | 11 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $106.34 | $362.00 | $82.22 – $111.66 | 8 |
| Ophth Ultrasound b & quant a CPT 76510 | $128.90 | $351.00 | $125.35 – $135.35 | 8 |
| Ophthalmic biometry CPT 92136 | $128.90 | $301.00 | $82.50 – $135.35 | 7 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $509.31 – $603.97 | 2 |
| Ophthalmodynamometry CPT 92260 | $39.25 | not published | $18.25 – $66.49 | 8 |
| Opn exc/dst ntra-abd CPT 49189 | not published | $5,246.00 | not published | 0 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | $4,532.00 | not published | 0 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | $2,750.00 | $546.73 – $546.73 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $30,473.59 | $43,227.00 | $1,297.68 – $31,997.27 | 7 |
| Opn impltj nea neuromuscular CPT 64580 | $21,444.39 | $26,507.00 | $681.94 – $22,516.61 | 7 |
| Opn impltj nea perph nerve CPT 64575 | $12,470.31 | $21,205.00 | $678.79 – $13,093.83 | 7 |
| Opn impltj nea sacral nerve CPT 64581 | $6,562.90 | $12,745.00 | $1,382.61 – $6,891.05 | 7 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $30,473.59 | $99,674.00 | $30,473.59 – $31,997.27 | 6 |
| Opn tx complx malar fx CPT 21365 | $5,915.66 | $12,712.00 | $2,309.38 – $9,158.16 | 8 |
| Opn tx complx malar w/grft CPT 21366 | $5,915.66 | $10,783.00 | $2,732.33 – $6,211.44 | 7 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | $5,992.00 | $2,357.17 – $2,357.17 | 1 |
| Opn tx dprsd zygomatic arch CPT 21356 | $5,915.66 | $12,712.00 | $880.23 – $6,211.44 | 7 |
| Opn tx nasomax fx multple CPT 21347 | $5,915.66 | $9,350.00 | $2,245.77 – $6,211.44 | 7 |
| Opn tx nasomax fx w/fixj CPT 21346 | $5,915.66 | $12,712.00 | $2,227.53 – $6,211.44 | 7 |
| Opn tx orbit fx combined CPT 21387 | $5,915.66 | $12,712.00 | $1,652.48 – $6,211.44 | 7 |
| Opn tx orbit fx periorbital CPT 21386 | $5,915.66 | $12,712.00 | $1,493.16 – $6,211.44 | 7 |
| Opn tx orbit fx transantral CPT 21385 | $5,915.66 | $11,631.00 | $1,584.60 – $6,211.44 | 7 |
| Opn tx orbit fx w/bone grft CPT 21408 | $5,915.66 | $16,931.00 | $1,939.31 – $6,211.44 | 7 |
| Opn tx orbit fx w/implant CPT 21407 | $5,915.66 | $11,568.00 | $1,386.78 – $6,211.44 | 7 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $5,915.66 | $12,021.00 | $1,268.30 – $6,211.44 | 7 |
| Opn tx orbit periorbt w/grft CPT 21395 | $5,915.66 | $11,657.00 | $2,157.72 – $6,211.44 | 7 |
| Opn tx orbit periorbtl implt CPT 21390 | $5,915.66 | $12,712.00 | $1,732.40 – $6,211.44 | 7 |
| Opps service,sched team conf HCPCS G0175 | $425.82 | not published | $425.82 – $745.97 | 7 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $339.44 – $770.62 | 3 |
| Opscpy extnd on/mac draw CPT 92202 | $59.40 | $152.00 | $59.40 – $2,793.00 | 8 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $59.40 | $70.00 | $59.40 – $2,793.00 | 8 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $7,143.73 | $12,514.00 | $1,418.72 – $7,500.92 | 7 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $7,143.73 | $11,366.00 | $1,253.77 – $7,500.92 | 7 |
| Optx acute shoulder dislc CPT 23660 | $7,143.73 | $13,641.00 | $1,283.99 – $7,500.92 | 7 |
| Optx carpl scphd fx int fixj CPT 25628 | $7,143.73 | $11,161.00 | $1,572.11 – $7,500.92 | 7 |
| Optx clavicular fx w/int fix CPT 23515 | $7,143.73 | $14,472.00 | $1,572.40 – $7,500.92 | 7 |
| Optx complicated mndblr fx CPT 21470 | $5,915.66 | $12,712.00 | $2,499.90 – $6,211.44 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $3,244.61 | $7,773.00 | $1,256.28 – $3,406.84 | 7 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $7,143.73 | $13,137.00 | $1,702.86 – $7,500.92 | 7 |
| Optx lunate dislocation CPT 25695 | $7,143.73 | $12,495.00 | $1,388.78 – $7,500.92 | 7 |
| Optx medial ankle fx CPT 27766 | $7,143.73 | $11,054.00 | $1,323.65 – $7,500.92 | 7 |
| Optx mndblr cndylr fx CPT 21465 | $5,915.66 | $12,712.00 | $1,705.71 – $6,211.44 | 7 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $5,915.66 | $12,712.00 | $2,335.80 – $6,211.44 | 7 |
| Optx mndblr fx xtrnl fixj CPT 21454 | $5,915.66 | $11,772.00 | $1,054.01 – $6,211.44 | 7 |
| Optx mndblr/max alv ridge fx CPT 21445 | $5,915.66 | $12,712.00 | $1,377.08 – $6,211.44 | 7 |
| Optx palatal/max fracture CPT 21422 | $5,915.66 | $9,350.00 | $1,345.27 – $6,211.44 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $12,866.82 | $15,193.00 | $2,346.86 – $13,510.16 | 7 |
| Optx post ankle fx CPT 27769 | $7,143.73 | $12,671.00 | $1,577.89 – $7,500.92 | 7 |
| Optx prox humrl fx w/int fix CPT 23615 | $12,866.82 | $18,546.00 | $1,916.64 – $13,510.16 | 7 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $18,390.05 | not published | $2,656.41 – $31,883.09 | 8 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $7,143.73 | $12,495.00 | $1,385.04 – $7,500.92 | 7 |
| Optx radial shaft fracture CPT 25515 | $7,143.73 | $12,125.00 | $1,471.49 – $11,798.15 | 8 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $7,143.73 | $11,161.00 | $1,331.94 – $7,500.92 | 7 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $7,143.73 | $12,125.00 | $1,727.36 – $7,500.92 | 7 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $7,143.73 | $12,125.00 | $2,079.34 – $7,500.92 | 7 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $7,143.73 | $13,894.00 | $1,968.94 – $7,500.92 | 7 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $7,143.73 | $13,618.00 | $1,481.14 – $7,500.92 | 7 |
| Optx scapular fx w/int fixj CPT 23585 | $7,143.73 | $12,946.00 | $2,105.02 – $7,500.92 | 7 |
| Optx sho dislc fx CPT 23670 | $7,143.73 | $16,539.00 | $1,892.41 – $7,500.92 | 7 |
| Optx sho dislc neck fx fixj CPT 23680 | $12,866.82 | $17,954.00 | $1,993.79 – $13,510.16 | 7 |
| Optx strclv dslc aq/chrn grf CPT 23532 | $7,143.73 | $18,357.00 | $1,374.10 – $7,500.92 | 7 |
| Optx strnclav dislc aqt/chrn CPT 23530 | $7,143.73 | $21,824.00 | $1,264.08 – $7,500.92 | 7 |
| Optx tmprmand dislocation CPT 21490 | $3,243.07 | not published | $1,681.29 – $4,618.73 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $7,143.73 | $12,495.00 | $1,603.03 – $7,500.92 | 7 |
| Optx ulnar shft fx int fixj CPT 25545 | $7,143.73 | $11,161.00 | $1,375.57 – $7,500.92 | 7 |
| Optx ulnar styloid fracture CPT 25652 | $7,143.73 | $11,161.00 | $1,369.93 – $7,500.92 | 7 |
| Oral aprepitant HCPCS J8501 | not published | not published | $2.31 – $19.45 | 5 |
| Oral busulfan HCPCS J8510 | $84.21 | not published | $25.94 – $88.42 | 8 |
| Oral everolimus HCPCS J7527 | not published | not published | $1.69 – $12.20 | 4 |
| Oral methotrexate (jylamvo) HCPCS J8611 | $18.53 | not published | $15.75 – $19.46 | 6 |
| Oral methotrexate (xatmep) HCPCS J8612 | $22.66 | not published | $19.26 – $23.79 | 6 |
| Oral netupitant, palonosetro HCPCS J8655 | $409.52 | not published | $348.09 – $733.83 | 11 |
| Orchiectomy partial CPT 54522 | $3,448.97 | $7,384.00 | $1,247.41 – $3,621.42 | 7 |
| Orchiopexy (fowler-stephens) CPT 54650 | $3,529.06 | $6,389.00 | $1,512.71 – $3,705.51 | 7 |
| Orchiopexy ingun/scrot appr CPT 54640 | $3,529.06 | $8,523.00 | $913.36 – $6,100.95 | 8 |
| Organic acids total quant ea spec CPT 83918 | $23.60 | $419.00 | $20.90 – $111.07 | 11 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $41.40 | not published | $35.19 – $90.02 | 9 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $28.52 | not published | $24.24 – $52.40 | 11 |
| Oropharyngeal biopsy 42800 CPT 42800 | $1,481.28 | $7,186.00 | $256.36 – $1,555.34 | 7 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $8.03 – $12.91 | 5 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | $728.00 | $423.48 – $848.34 | 4 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | $395.00 | $92.90 – $489.85 | 5 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | $1,045.00 | $652.52 – $1,248.84 | 4 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $744.41 – $2,175.18 | 5 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $22.26 – $179.20 | 5 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | $369.00 | $161.19 – $459.45 | 5 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | $438.00 | $191.17 – $544.87 | 5 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | $369.00 | $157.23 – $459.45 | 5 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | $1,107.00 | $343.59 – $632.20 | 4 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | $1,338.00 | $839.80 – $1,682.30 | 4 |
| Orthop traing supvj phys/qhp CPT 92066 | $59.40 | not published | $11.72 – $62.37 | 6 |
| Orthopantogram CPT 70355 | $88.05 | $193.00 | $30.23 – $92.45 | 8 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | $877.00 | $431.64 – $788.88 | 4 |
| Orthovisc inj per dose HCPCS J7324 | $97.70 | not published | $83.05 – $317.29 | 11 |
| Oscillation chest wall mechanical per session CPT 94669 | $203.39 | $232.00 | $37.53 – $359.00 | 9 |
| Osmolality blood CPT 83930 | $6.61 | $100.00 | $6.61 – $31.11 | 11 |
| Osmolality urine CPT 83935 | $6.82 | $99.00 | $6.82 – $32.10 | 11 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $3,244.61 | $6,929.00 | $687.96 – $5,430.31 | 8 |
| Ostectomy scapula partial CPT 23190 | $3,244.61 | $7,913.00 | $1,263.40 – $3,406.84 | 7 |
| Osteochondral knee allograft CPT 27415 | $12,866.82 | $15,980.00 | $2,952.14 – $13,510.16 | 7 |
| Osteochondral knee autograft CPT 27416 | $7,143.73 | $15,274.00 | $2,115.85 – $7,500.92 | 7 |
| Osteochondral talus autogrft CPT 28446 | $7,143.73 | $16,271.00 | $2,638.30 – $7,500.92 | 7 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $25.30 | not published | $25.30 – $77.50 | 8 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $25.30 | not published | $25.30 – $97.83 | 8 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $25.30 | not published | $25.30 – $117.02 | 8 |
| Osteoplasty humerus CPT 24420 | $7,143.73 | $10,146.00 | $2,313.12 – $7,500.92 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | $7,143.73 | $16,361.00 | $1,799.47 – $7,500.92 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $7,143.73 | $19,280.00 | $1,453.32 – $7,500.92 | 7 |
| Ot evaluation high complexity patient/family CPT 97167 | $128.99 | $638.00 | $60.00 – $565.00 | 17 |
| Ot evaluation low complexity patient/family CPT 97165 | $128.99 | $451.00 | $60.00 – $565.00 | 17 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $128.99 | $561.00 | $60.00 – $565.00 | 17 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $66.46 | $206.00 | $60.00 – $558.00 | 17 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $60.21 | $206.00 | $60.00 – $565.00 | 17 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $35.04 | $222.00 | $35.04 – $558.00 | 17 |
| Ot re-evaluation patient/family CPT 97168 | $88.55 | $281.00 | $60.00 – $565.00 | 17 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $44.62 | $261.00 | $44.62 – $558.00 | 17 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $28.73 | $143.00 | $28.73 – $565.00 | 17 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $29.70 | $275.00 | $29.70 – $565.00 | 17 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $37.06 | $255.00 | $37.06 – $558.00 | 17 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $41.24 | $248.00 | $41.24 – $558.00 | 17 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $40.79 | $275.00 | $40.79 – $558.00 | 17 |
| Oth resp proc, group HCPCS G0239 | $39.25 | $385.00 | $24.81 – $359.00 | 9 |
| Oth resp proc, indiv HCPCS G0238 | $24.49 | $182.00 | $19.70 – $359.00 | 9 |
| Other immunoelectrophoresis CPT 86325 | $23.13 | not published | $23.13 – $108.86 | 12 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | $36.00 | $15.32 – $624.69 | 2 |
| Otoplasty 69300 CPT 69300 | $3,243.07 | $7,125.00 | $1,021.31 – $3,405.22 | 7 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $3,264.82 – $3,264.82 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | $4,936.45 | $11,699.00 | $1,642.67 – $5,183.27 | 7 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.69 – $2.28 | 5 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.08 – $0.45 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $0.87 – $16.59 | 2 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $443.09 – $443.09 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $179.12 | not published | $179.12 – $1,511.16 | 10 |
| PSA (Prostate) Test CPT 84153 | $18.39 | $328.00 | $18.39 – $86.55 | 11 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | not published | $118,965.00 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.09 – $0.28 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $12.12 | not published | $10.30 – $30.15 | 11 |
| Palb2 gene full gene seq CPT 81307 | $676.50 | $186.00 | $595.32 – $3,183.77 | 11 |
| Palb2 gene known famil vrnt CPT 81308 | $301.35 | not published | $265.19 – $1,418.23 | 11 |
| Palifermin injection HCPCS J2425 | $35.91 | not published | $29.16 – $51.39 | 11 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $15.08 | not published | $12.82 – $27.17 | 11 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $719.87 | not published | $719.87 – $2,713.55 | 11 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.38 – $35.92 | 6 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $9.49 – $95.81 | 5 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $6,525.12 – $6,525.12 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | $5,682.00 | $3,308.07 – $3,308.07 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $172.55 | not published | $146.67 – $280.06 | 11 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $2.11 – $7.59 | 2 |
| Parathormone (pth) intact CPT 83970 | $41.28 | $477.00 | $41.28 – $194.27 | 11 |
| Parathyrd planar w/spect&ct CPT 78072 | $538.27 | $2,530.00 | $538.27 – $1,380.13 | 8 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,979.85 – $2,979.85 | 1 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | $5,630.00 | $504.05 – $504.05 | 1 |
| Parathyroid planar imaging CPT 78070 | $401.83 | $1,509.00 | $401.83 – $959.26 | 8 |
| Parathyroid planar img w/tomo spect CPT 78071 | $401.83 | $2,750.00 | $401.83 – $1,103.63 | 8 |
| Paravaginal defect repair 57284 CPT 57284 | $4,936.45 | $11,473.00 | $1,774.29 – $5,183.27 | 7 |
| Parial mast w/lymph removal 19302 CPT 19302 | $6,521.46 | $15,830.00 | $1,938.28 – $6,847.53 | 7 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.57 – $1.93 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $198.70 | $484.00 | $32.06 – $208.64 | 7 |
| Parotid duct diversion CPT 42507 | $5,915.66 | not published | $1,080.25 – $9,158.16 | 8 |
| Parotid duct diversion CPT 42509 | $5,915.66 | not published | $1,766.29 – $9,158.16 | 8 |
| Parotid duct diversion CPT 42510 | $3,243.07 | $9,495.00 | $1,319.11 – $3,405.22 | 7 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $7,143.73 | $12,298.00 | $1,911.45 – $7,500.92 | 7 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $3,179.53 | $6,435.00 | $440.75 – $3,338.51 | 7 |
| Part removal of metatarsal CPT 28110 | $3,244.61 | $6,065.00 | $639.99 – $5,430.31 | 8 |
| Part removal of metatarsal CPT 28113 | $3,244.61 | $6,529.00 | $929.28 – $3,406.84 | 7 |
| Part removal of metatarsal 28112 CPT 28112 | $3,244.61 | $6,529.00 | $680.43 – $3,406.84 | 7 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $2,645.95 – $2,645.95 | 1 |
| Partial exc bone humerus CPT 24140 | $3,244.61 | $7,582.00 | $1,533.69 – $3,406.84 | 7 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $3,244.61 | $6,529.00 | $951.45 – $3,406.84 | 7 |
| Partial excision of lip CPT 40500 | $3,243.07 | $5,492.00 | $812.23 – $3,405.22 | 7 |
| Partial hip replacement CPT 27125 | not published | $40,912.00 | $2,432.63 – $2,432.63 | 1 |
| Partial hysterectomy CPT 58180 | not published | $5,081.00 | $2,047.52 – $2,047.52 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | $3,411.00 | $2,350.29 – $2,350.29 | 1 |
| Partial removal finger bone CPT 26235 | $1,600.41 | $3,522.00 | $1,086.99 – $1,680.43 | 7 |
| Partial removal finger bone CPT 26236 | $1,600.41 | $3,211.00 | $977.93 – $1,680.43 | 7 |
| Partial removal foot fascia CPT 28060 | $3,244.61 | $6,065.00 | $782.41 – $3,406.84 | 7 |
| Partial removal leg bone(s) CPT 27360 | $3,244.61 | $7,559.00 | $1,968.34 – $3,406.84 | 7 |
| Partial removal of bladder CPT 51550 | not published | $3,251.00 | $2,031.06 – $2,031.06 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $6,751.02 – $6,751.02 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $5,369.95 – $5,369.95 | 1 |
| Partial removal of eye fluid CPT 67005 | $2,280.73 | $5,663.00 | $1,028.81 – $2,394.77 | 7 |
| Partial removal of eye fluid CPT 67010 | $2,280.73 | $4,830.00 | $1,173.17 – $2,394.77 | 7 |
| Partial removal of fibula CPT 27641 | $3,244.61 | $7,182.00 | $1,410.44 – $3,406.84 | 7 |
| Partial removal of foot bone CPT 28288 | $3,244.61 | $7,497.00 | $950.43 – $3,406.84 | 7 |
| Partial removal of hand bone CPT 26230 | $3,244.61 | $6,706.00 | $1,100.86 – $3,406.84 | 7 |
| Partial removal of heart sac 33030 CPT 33030 | not published | $5,996.00 | $4,123.68 – $4,123.68 | 1 |
| Partial removal of lip CPT 40530 | $3,243.07 | $6,244.00 | $881.42 – $3,405.22 | 7 |
| Partial removal of lung 32480 CPT 32480 | not published | $4,535.00 | $3,069.13 – $3,069.13 | 1 |
| Partial removal of nose CPT 30150 | $5,915.66 | $12,879.00 | $1,745.70 – $6,211.44 | 7 |
| Partial removal of penis CPT 54120 | $3,448.97 | $6,681.00 | $1,344.00 – $3,621.42 | 7 |
| Partial removal of pharynx 42890 CPT 42890 | $5,915.66 | $10,303.00 | $3,048.53 – $6,211.44 | 7 |
| Partial removal of radius CPT 25151 | $3,244.61 | $8,371.00 | $1,283.06 – $3,406.84 | 7 |
| Partial removal of radius CPT 25230 | $3,244.61 | $6,894.00 | $959.27 – $3,406.84 | 7 |
| Partial removal of rib CPT 21600 | $7,143.73 | $12,716.00 | $1,232.61 – $7,500.92 | 7 |
| Partial removal of sternum CPT 21620 | not published | $7,381.00 | $1,079.46 – $1,079.46 | 1 |
| Partial removal of thyroid CPT 60220 | $5,834.36 | $12,615.00 | $1,513.21 – $6,126.08 | 7 |
| Partial removal of thyroid CPT 60225 | $5,834.36 | $13,292.00 | $2,007.05 – $6,126.08 | 7 |
| Partial removal of tibia CPT 27640 | $3,244.61 | $7,853.00 | $1,796.13 – $3,406.84 | 7 |
| Partial removal of toe CPT 28160 | $3,244.61 | $6,065.00 | $581.78 – $3,406.84 | 7 |
| Partial removal of tongue CPT 41120 | $5,915.66 | $10,303.00 | $2,303.36 – $6,211.44 | 7 |
| Partial removal of ulna CPT 25119 | $3,244.61 | $6,686.00 | $1,109.77 – $3,406.84 | 7 |
| Partial removal of ulna CPT 25150 | $3,244.61 | $6,686.00 | $1,245.19 – $3,406.84 | 7 |
| Partial removal of ulna CPT 25240 | $3,244.61 | $6,686.00 | $953.64 – $3,406.84 | 7 |
| Partial removal of vaginal wall 57106 CPT 57106 | $3,179.53 | $8,518.00 | $1,166.99 – $3,338.51 | 7 |
| Partial removal tear gland CPT 68505 | $3,771.00 | $8,142.00 | $2,283.80 – $3,959.55 | 7 |
| Partial thyroid excision CPT 60210 | $5,834.36 | $13,175.00 | $1,513.18 – $6,126.08 | 7 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $5,834.36 | $11,766.00 | $2,180.32 – $6,126.08 | 7 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | $5,712.23 | $2.18 – $3.39 | 2 |
| Passy muir valve metal trach HCPCS L8501 | not published | $348.59 | $45.00 – $251.08 | 5 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $4.59 – $10.39 | 4 |
| Path clin consltj high 41-60 CPT 80505 | $171.36 | not published | $80.82 – $179.93 | 8 |
| Path clin consltj mod 21-40 CPT 80504 | $171.36 | not published | $42.89 – $179.93 | 8 |
| Path clin consltj sf 5-20 CPT 80503 | $53.43 | not published | $20.05 – $56.10 | 8 |
| Patient recorded spirometry CPT 94014 | $399.04 | not published | $98.95 – $720.69 | 8 |
| Patient recorded spirometry CPT 94015 | $311.40 | not published | $58.26 – $522.28 | 8 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | $36.00 | $12.00 – $42.67 | 5 |
| Pdgfra gene CPT 81314 | $329.51 | $5,500.00 | $289.97 – $1,550.75 | 11 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $198.70 | not published | $198.70 – $410.33 | 8 |
| Ped home apnea mntr att only CPT 94775 | $156.46 | not published | $156.46 – $281.42 | 7 |
| Ped home apnea mntr dl&alys CPT 94776 | $156.46 | not published | $156.46 – $281.42 | 7 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $1,829.23 | $4,989.00 | $1,590.39 – $1,920.69 | 7 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,829.23 | $4,782.00 | $1,391.99 – $1,920.69 | 7 |
| Pegaspargase injection HCPCS J9266 | $28,424.06 | not published | $22,946.52 – $46,302.35 | 11 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $58.40 | not published | $49.64 – $390.91 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $132.04 | not published | $82.96 – $577.98 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $136.04 | not published | $115.63 – $434.01 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $229.11 | not published | $194.74 – $437.09 | 7 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $103.71 | not published | $88.15 – $741.78 | 10 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $149.21 | not published | $126.83 – $268.63 | 7 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $3,638.86 | not published | $3,004.40 – $6,375.09 | 11 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | $230.28 | not published | $195.74 – $241.79 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $178.02 | $3,214.00 | $178.02 – $628.68 | 8 |
| Pelvic CT scan (with contrast) CPT 72193 | $178.02 | $2,640.00 | $178.02 – $555.04 | 8 |
| Pelvic CT scan (without contrast) CPT 72192 | $106.34 | $1,980.00 | $106.34 – $261.67 | 8 |
| Pelvic MRI (with and without contrast) CPT 72197 | $357.13 | $5,473.00 | $357.13 – $4,332.00 | 9 |
| Pelvic MRI (with contrast) CPT 72196 | $357.13 | $4,223.00 | $357.13 – $4,332.00 | 9 |
| Pelvic MRI (without contrast) CPT 72195 | $241.72 | $3,621.00 | $241.72 – $4,332.00 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $106.34 | $1,221.00 | $106.34 – $283.89 | 8 |
| Pelvic Ultrasound (limited) CPT 76857 | $106.34 | $413.00 | $89.83 – $111.66 | 8 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $7,143.73 | $7,913.00 | $1,932.31 – $7,500.92 | 7 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $58.56 | not published | $49.78 – $112.31 | 11 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $3.73 | not published | $3.17 – $163.30 | 11 |
| Pemivibart infusion HCPCS M0224 | $450.50 | not published | $450.50 – $473.03 | 6 |
| Peng benzathine/procaine inj HCPCS J0558 | $17.37 | not published | $14.09 – $25.30 | 11 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $29.30 | not published | $17.73 – $32.30 | 11 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.75 – $1.78 | 5 |
| Penicillin g procaine inj HCPCS J2510 | $47.19 | not published | $44.15 – $68.98 | 10 |
| Penile injection CPT 54235 | $243.21 | $746.00 | $157.37 – $255.37 | 7 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | not published | $27,332.23 | not published | 0 |
| Penile vascular study CPT 93980 | $106.34 | not published | $106.34 – $232.90 | 8 |
| Penile vascular study CPT 93981 | $106.34 | not published | $106.34 – $232.90 | 8 |
| Penile venous occlusion CPT 37790 | $3,448.97 | not published | $1,030.73 – $6,058.60 | 8 |
| Penis plastic surgery CPT 54360 | $3,448.97 | $9,926.00 | $1,526.26 – $3,621.42 | 7 |
| Penis study CPT 54240 | $311.40 | $1,799.00 | $104.00 – $2,793.00 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $69.45 – $267.00 | 6 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $52.21 – $99.96 | 5 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $2,543.89 | not published | $2,162.31 – $4,175.87 | 11 |
| Perc cryo ablate renal tum CPT 50593 | $10,411.22 | $15,973.00 | $941.77 – $10,931.78 | 7 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | $20,800.00 | $17,039.00 – $17,039.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $17,956.72 | $24,646.00 | $17,039.00 – $18,854.56 | 7 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | $19,125.00 | $17,039.00 – $17,039.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $11,340.57 | $19,500.00 | $11,340.57 – $17,039.00 | 7 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | $20,022.00 | $17,039.00 – $17,039.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $17,956.72 | $23,156.00 | $17,039.00 – $18,854.56 | 7 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | $24,337.00 | $17,039.00 – $17,039.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | $11,340.57 | $24,530.00 | $11,340.57 – $17,039.00 | 7 |
| Perc rf ablate renal tumor CPT 50592 | $5,834.36 | $11,018.00 | $707.09 – $6,126.08 | 7 |
| Percut ablate liver rf CPT 47382 | $5,834.36 | $14,678.00 | $1,507.05 – $6,126.08 | 7 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $28.94 – $98.46 | 5 |
| Peri-implt capslc brst compl CPT 19371 | $3,829.28 | $7,563.00 | $1,533.23 – $5,829.14 | 8 |
| Peri-proc device eval icd CPT 93287 | not published | $227.00 | $92.12 – $181.00 | 3 |
| Peri-proc device eval pm CPT 93286 | not published | $550.00 | $80.20 – $181.00 | 3 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | $4,866.00 | $430.20 – $430.20 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $5,086.49 – $5,086.49 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,553.44 | $5,253.00 | $479.79 – $14,806.00 | 8 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | $794.00 | $1,711.72 – $1,711.72 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | $3,179.53 | $6,206.00 | $587.94 – $3,338.51 | 7 |
| Peripheral vascular rehab CPT 93668 | $59.40 | $217.00 | $26.66 – $104.00 | 7 |
| Perit-vens shunt pat tst CPT 78291 | $401.83 | $1,792.00 | $401.83 – $782.98 | 8 |
| Peritoneal cath sub q resv per CPT 49419 | $5,405.70 | $12,377.00 | $879.94 – $5,675.99 | 7 |
| Peritoneogram rs&i CPT 74190 | $548.30 | $1,301.00 | $262.52 – $575.72 | 7 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.91 – $1.01 | 2 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | $5,987.00 | $1,759.88 – $1,759.88 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | $10,954.00 | $1,599.78 – $1,599.78 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | $703.59 | $1,686.00 | $259.03 – $738.77 | 7 |
| Perq dev breast 1st strtctc CPT 19283 | $703.59 | $1,690.00 | $204.85 – $738.77 | 7 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $9,247.15 | $13,052.00 | $2,358.51 – $15,836.64 | 8 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $9,247.15 | $15,396.00 | $1,471.01 – $9,709.51 | 7 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $11,340.57 | $35,023.00 | $366.44 – $14,806.00 | 7 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $17,956.72 | $56,674.00 | $310.93 – $18,854.56 | 7 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $11,340.57 | $35,023.00 | $321.82 – $14,806.00 | 7 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $11,340.57 | $35,023.00 | $244.86 – $14,806.00 | 7 |
| Perq p-art revsc each addl CPT 33904 | not published | $23,955.00 | $123.00 – $14,806.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | $5,834.36 | $12,893.00 | $476.39 – $6,126.08 | 7 |
| Perq plmt bile duct stent CPT 47539 | $5,834.36 | $11,755.00 | $863.90 – $6,126.08 | 7 |
| Perq plmt bile duct stent CPT 47540 | $5,834.36 | $13,301.00 | $889.73 – $6,126.08 | 7 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $243.21 | $990.00 | $184.99 – $255.37 | 7 |
| Perq skel fix rad/uln dislc CPT 25671 | $3,244.61 | $6,181.00 | $1,186.93 – $3,406.84 | 7 |
| Perq skel fix ulnar styld fx CPT 25651 | $3,244.61 | $7,323.00 | $1,091.08 – $3,406.84 | 7 |
| Perq transcath closure each CPT 93592 | not published | $1,253.00 | $635.44 – $17,039.00 | 2 |
| Perq transcath closure pda CPT 93582 | $17,956.72 | $32,701.00 | $1,084.41 – $18,854.56 | 8 |
| Perq transcath cls aortic CPT 93591 | $17,956.72 | $32,701.00 | $1,451.18 – $18,854.56 | 8 |
| Perq transcath cls mitral CPT 93590 | $17,956.72 | $32,701.00 | $1,765.07 – $18,854.56 | 8 |
| Perq transcath septal reduxn CPT 93583 | not published | $9,430.00 | $1,217.35 – $17,039.00 | 2 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $3,244.61 | $6,768.00 | $615.29 – $3,406.84 | 7 |
| Perq tx malar fracture CPT 21355 | $3,243.07 | $7,095.00 | $716.69 – $3,405.22 | 7 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $5,915.66 | $17,222.00 | $1,019.49 – $6,211.44 | 7 |
| Perq tx nasoethmoid fx CPT 21340 | $3,243.07 | $10,951.00 | $1,623.43 – $3,405.22 | 7 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $2,847.29 – $2,847.29 | 1 |
| Pertussis ag if CPT 87265 | $11.98 | not published | $11.00 – $56.38 | 12 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $63.39 | not published | $53.88 – $153.87 | 9 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $16.89 | not published | $14.36 – $29.12 | 11 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $10.49 – $110.04 | 4 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,458.59 | $10,120.00 | $1,458.59 – $4,117.96 | 8 |
| Pet CT whole body initial CPT 78816 | $1,458.59 | $12,650.00 | $1,458.59 – $4,117.96 | 8 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,458.59 | $4,503.00 | $1,458.59 – $4,117.96 | 8 |
| Pet image full body CPT 78813 | $1,458.59 | $4,247.00 | $1,458.59 – $4,117.96 | 8 |
| Pet image ltd area CPT 78811 | $1,305.48 | $4,247.00 | $1,305.48 – $4,117.96 | 8 |
| Pet image skull-thigh CPT 78812 | $1,458.59 | $4,247.00 | $1,458.59 – $4,117.96 | 8 |
| Pet image w/ct lmtd CPT 78814 | $1,458.59 | $10,187.00 | $1,458.59 – $4,117.96 | 8 |
| Pet not otherwise specified HCPCS G0235 | $401.83 | not published | $401.83 – $421.92 | 6 |
| Pet scan brain perf study CPT 78609 | not published | not published | $129.35 – $129.35 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | not published | $173,600.00 | not published | 0 |
| Ph body fluid CPT 83986 | $3.58 | $95.00 | $3.58 – $16.85 | 11 |
| Phalangectomy ea toe 28150 CPT 28150 | $3,244.61 | $6,065.00 | $606.85 – $3,406.84 | 7 |
| Pharmacologic management w/psytx CPT 90863 | not published | $364.00 | $39.63 – $851.00 | 5 |
| Phencyclidine (pcp) CPT 83992 | not published | $180.00 | $19.80 – $81.24 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $23.26 – $90.71 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $15.30 | $165.00 | $14.08 – $72.01 | 11 |
| Phentolaine mesylate inj HCPCS J2760 | $436.51 | not published | $262.25 – $889.32 | 11 |
| Phenylep ketorolac opth soln HCPCS J1097 | $97.42 | not published | $97.42 – $193.19 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.56 – $1.04 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $13.25 | $166.00 | $13.25 – $62.36 | 11 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,147.50 | $7,960.00 | $559.80 – $5,467.95 | 8 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,147.50 | $9,820.00 | $685.13 – $5,467.95 | 8 |
| Phlebotomy therapeutic CPT 99195 | $128.90 | $428.00 | $104.00 – $4,567.00 | 9 |
| Phosphorus CPT 84100 | $4.74 | $80.00 | $3.30 – $22.31 | 11 |
| Phosphorus 24 hour urine CPT 84105 | $5.78 | $1,395.00 | $3.30 – $27.20 | 11 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $59.40 | not published | $59.40 – $216.16 | 8 |
| Photo patch test CPT 95052 | $59.40 | not published | $11.47 – $66.49 | 8 |
| Photochemotherapy puva CPT 96912 | $59.40 | not published | $59.40 – $183.96 | 8 |
| Photochemotherapy uv-a or b CPT 96913 | $399.53 | not published | $278.67 – $650.15 | 8 |
| Photopheresis CPT 36522 | $4,685.17 | $19,284.00 | $199.84 – $4,919.43 | 7 |
| Photosensitivity tests CPT 95056 | $128.90 | not published | $95.25 – $220.41 | 8 |
| Phys blood bank serv authrj CPT 86079 | $53.43 | not published | $18.70 – $105.53 | 9 |
| Phys blood bank serv reactj CPT 86078 | $171.36 | not published | $18.70 – $299.59 | 9 |
| Phys blood bank serv xmatch CPT 86077 | $24.49 | not published | $24.49 – $88.55 | 9 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.41 – $7.49 | 5 |
| Pierce earlobes 69090 CPT 69090 | not published | $55.00 | not published | 0 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $332.44 | not published | $332.44 – $1,163.47 | 9 |
| Pik3ca gene trgt seq alys CPT 81309 | $274.83 | not published | $241.85 – $1,293.42 | 11 |
| Pild/placebo control clin tr HCPCS G0276 | $7,143.73 | not published | $650.77 – $11,798.15 | 8 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | $1,058.00 | $657.56 – $1,403.08 | 4 |
| Pin caspar distraction 12mm HCPCS C1821 | not published | $31,295.62 | not published | 0 |
| Pin finger dislocation CPT 26776 | $3,244.61 | $6,181.00 | $1,004.78 – $3,406.84 | 7 |
| Pin finger fracture each CPT 26756 | $3,244.61 | $8,158.00 | $950.16 – $3,406.84 | 7 |
| Pin hand dislocation CPT 26676 | $3,244.61 | $6,529.00 | $1,137.25 – $3,406.84 | 7 |
| Pin knuckle dislocation CPT 26706 | $3,244.61 | $6,813.00 | $996.11 – $3,406.84 | 7 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $612.13 | $1,907.00 | $612.13 – $993.48 | 7 |
| Pinworm exam CPT 87172 | $4.27 | $29.00 | $4.27 – $20.10 | 11 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $0.94 – $4.63 | 5 |
| Place breast rad tube/caths CPT 19298 | $6,521.46 | $13,220.00 | $670.06 – $6,847.53 | 7 |
| Place cath intracranial art CPT 36228 | not published | $2,703.00 | $515.85 – $14,806.00 | 2 |
| Place cath xtrnl carotid CPT 36227 | not published | $3,575.00 | $250.31 – $14,806.00 | 2 |
| Place cecostomy tube perc CPT 49442 | $1,179.08 | $2,989.00 | $428.88 – $1,238.03 | 7 |
| Place device/marker, non pro HCPCS C9728 | $1,368.26 | $5,371.00 | $1,368.26 – $1,436.67 | 6 |
| Place duod/jej tube perc CPT 49441 | $1,896.99 | $3,829.00 | $497.04 – $1,991.84 | 7 |
| Place endorectal app HCPCS C9725 | $911.71 | not published | $911.71 – $1,541.92 | 7 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $2,217.40 – $2,217.40 | 1 |
| Place gastrostomy tube perc CPT 49440 | $1,896.99 | $4,618.00 | $417.08 – $1,991.84 | 7 |
| Place ndl musc/tis for right CPT 20555 | $3,244.61 | $7,913.00 | $709.70 – $3,406.84 | 7 |
| Place needles h&n for right CPT 41019 | $5,915.66 | not published | $1,032.37 – $9,158.16 | 8 |
| Place needles pelvic for right CPT 55920 | $4,936.45 | $8,340.00 | $972.67 – $5,183.27 | 7 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,147.50 | $6,865.00 | $406.86 – $14,806.00 | 8 |
| Place po breast cath for rad CPT 19296 | $9,569.05 | $18,564.00 | $441.19 – $10,047.50 | 7 |
| Place right device/marker pros CPT 55876 | $1,368.26 | $3,763.00 | $216.73 – $1,436.67 | 7 |
| Place slctv cath carotd art uni CPT 36224 | $5,405.70 | $15,743.00 | $765.24 – $14,806.00 | 9 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $3,147.50 | $8,250.00 | $587.82 – $14,806.00 | 9 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $5,405.70 | $11,276.00 | $680.47 – $14,806.00 | 9 |
| Place slctv cath subclavian art CPT 36225 | $3,147.50 | $8,126.00 | $674.52 – $14,806.00 | 9 |
| Place slctv cath vertebral art uni CPT 36226 | $5,405.70 | $15,010.00 | $760.22 – $14,806.00 | 9 |
| Placement bile duct support CPT 47801 | not published | $2,470.00 | $2,371.33 – $2,371.33 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,620.24 | $2,805.00 | $202.85 – $1,701.25 | 8 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | not published | $1,925.00 | $101.80 – $101.80 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $703.59 | $2,168.00 | $173.29 – $1,199.23 | 8 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,048.51 | $5,390.00 | $418.95 – $3,601.28 | 8 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | not published | $804.00 | $14,806.00 – $14,806.00 | 1 |
| Placement of seton CPT 46020 | $2,742.39 | $6,191.00 | $248.39 – $2,879.51 | 7 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $11,340.57 | $20,438.00 | $892.17 – $11,907.60 | 7 |
| Placental lactogen CPT 83632 | $20.22 | $187.00 | $17.60 – $95.16 | 11 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $147.30 | $410.00 | $147.30 – $154.67 | 6 |
| Plasma protein fract,5%,50ml HCPCS P9043 | $8.07 | not published | $8.07 – $55.79 | 9 |
| Plasma volume multiple CPT 78111 | $1,305.48 | $4,379.00 | $142.20 – $1,370.75 | 8 |
| Plasma volume single CPT 78110 | $1,305.48 | not published | $134.50 – $2,544.82 | 9 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | $73.72 | not published | $60.00 – $159.35 | 9 |
| Platelet aggregation each agent teg CPT 85576 | $24.91 | $270.00 | $24.91 – $117.23 | 11 |
| Platelet automated CPT 85049 | $4.48 | $75.00 | $4.48 – $21.08 | 11 |
| Platelet deplete of harvest CPT 38213 | $437.18 | $1,482.00 | $24.60 – $459.04 | 7 |
| Platelet pheresis each unit HCPCS P9034 | $397.13 | $3,608.00 | $397.13 – $416.99 | 6 |
| Platelet pheresis irr ea HCPCS P9036 | $587.65 | $1,824.00 | $587.65 – $617.03 | 6 |
| Platelet survival CPT 78191 | $401.83 | not published | $240.23 – $731.72 | 9 |
| Platelets each unit HCPCS P9019 | $75.96 | $446.00 | $75.96 – $79.76 | 6 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $777.49 | $5,062.00 | $777.49 – $816.36 | 6 |
| Platelets irradiated ea unit HCPCS P9032 | $135.78 | $473.00 | $135.78 – $142.57 | 6 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $125.77 | $1,713.00 | $125.77 – $132.06 | 6 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $205.39 | not published | $205.39 – $345.98 | 7 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $227.25 | $3,971.00 | $227.25 – $238.61 | 6 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $459.23 | not published | $459.23 – $1,019.08 | 7 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $487.10 | $2,910.00 | $487.10 – $511.46 | 6 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $675.66 | $4,290.00 | $675.66 – $709.44 | 6 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $587.28 | $3,630.00 | $587.28 – $616.64 | 6 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | $1,551.00 | $129.15 – $129.15 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | not published | $1,113.00 | $86.98 – $86.98 | 1 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | $1,265.00 | $102.38 – $102.38 | 1 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,529.06 | $7,871.00 | $534.94 – $3,705.51 | 7 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | $7,244.00 | $419.70 – $419.70 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,448.97 | $8,534.00 | $416.96 – $3,621.42 | 7 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $3,448.97 | $7,755.00 | $696.85 – $3,621.42 | 7 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | $3,650.00 | $1,623.61 – $1,623.61 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $703.59 | $2,267.00 | $173.29 – $738.77 | 7 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | $1,216.00 | $87.64 – $87.64 | 1 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | $3,740.00 | $650.19 – $650.19 | 1 |
| Plerixafor injection HCPCS J2562 | $119.47 | not published | $101.55 – $822.02 | 11 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $311.40 | $1,210.00 | $100.40 – $326.97 | 7 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $1,921.93 – $1,921.93 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | $6,239.75 | $9,922.00 | $682.57 – $6,551.74 | 7 |
| Plmt biliary drainage cath CPT 47534 | $3,529.06 | $8,066.00 | $747.99 – $3,705.51 | 7 |
| Plmt nephroureteral catheter CPT 50433 | $3,448.97 | $5,720.00 | $519.37 – $3,621.42 | 7 |
| Plmt ureteral stent prq CPT 50694 | $3,448.97 | $8,005.00 | $543.68 – $6,058.60 | 8 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $67.81 – $135.83 | 4 |
| Pm device progr eval dual CPT 93280 | $37.29 | $330.00 | $37.29 – $138.26 | 7 |
| Pm device progr eval multi CPT 93281 | $37.29 | $123.00 | $37.29 – $146.85 | 7 |
| Pm phone r-strip device eval CPT 93293 | $37.29 | $336.00 | $37.29 – $104.00 | 7 |
| Pml/raralpha 1 breakpoint CPT 81316 | $207.31 | not published | $182.44 – $975.65 | 12 |
| Pmp22 gene dup/delet CPT 81324 | $758.36 | $2,115.00 | $667.36 – $3,569.02 | 11 |
| Pmp22 gene full sequence CPT 81325 | $769.58 | $2,200.00 | $677.23 – $3,621.83 | 11 |
| Pmp22 gene known fam variant CPT 81326 | $46.60 | not published | $41.01 – $219.31 | 12 |
| Pms2 gene dup/delet variants CPT 81319 | $203.50 | $1,782.00 | $179.08 – $957.72 | 11 |
| Pms2 gene full seq analysis CPT 81317 | $676.50 | $1,860.00 | $595.32 – $3,183.77 | 11 |
| Pms2 known familial variants CPT 81318 | $331.00 | not published | $291.28 – $1,557.77 | 12 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $618.26 | not published | $187.61 – $1,283.42 | 8 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $26.07 | $605.00 | $18.15 – $122.69 | 11 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $136.23 | not published | $115.80 – $243.89 | 9 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $1,017.39 | $6,112.00 | $104.00 – $1,874.06 | 7 |
| Polysom any age 1-3> param CPT 95808 | $1,017.39 | not published | $922.75 – $1,889.48 | 8 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,017.39 | $9,371.00 | $104.00 – $1,172.62 | 7 |
| Porfimer sodium injection HCPCS J9600 | $24,228.42 | not published | $4,955.96 – $46,936.51 | 11 |
| Positional change of finger CPT 26555 | $7,143.73 | $11,219.00 | $3,015.68 – $7,500.92 | 7 |
| Positional nystagmus test CPT 92532 | not published | $255.00 | $116.00 – $627.00 | 4 |
| Positioner proc acufex leg acs HCPCS E0190 | not published | not published | $7.87 – $8.43 | 2 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $1,662.63 | $1,155.00 | $247.91 – $1,745.76 | 7 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $1,662.63 | $1,155.00 | $328.27 – $1,745.76 | 7 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | $1,662.63 | $1,155.00 | $485.98 – $1,745.76 | 7 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | $3,080.00 | $1,586.00 – $1,586.00 | 1 |
| Post op service lvrs min 6 HCPCS G0305 | $530.60 | not published | $530.60 – $942.41 | 7 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | $3,080.00 | $1,600.14 – $1,600.14 | 1 |
| Postpartum Care Only CPT 59430 | not published | $417.00 | $376.79 – $376.79 | 1 |
| Potassium 24 hour urine CPT 84133 | $4.73 | $58.00 | $4.29 – $22.26 | 11 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.14 – $0.32 | 5 |
| Potassium hydroxide preps HCPCS Q0112 | $5.83 | not published | $2.64 – $27.44 | 12 |
| Potassium serum/plasma/whole blood CPT 84132 | $4.76 | $173.00 | $4.29 – $22.40 | 11 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $2.20 – $10.00 | 4 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $1.74 – $7.91 | 4 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $1.55 – $4.06 | 4 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $1.44 – $6.50 | 4 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $2.92 – $6.62 | 4 |
| Pq biliary strict dil s&i CPT 74363 | not published | $1,959.00 | $437.46 – $437.46 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | $1,925.00 | $182.38 – $245.83 | 2 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $7,143.73 | $14,295.00 | $1,002.44 – $7,500.92 | 7 |
| Pq thr inj ext pse CPT 36002 | $618.26 | $2,110.00 | $618.26 – $649.17 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,244.61 | $7,415.00 | $904.20 – $3,406.84 | 7 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | $5,246.00 | $428.90 – $428.90 | 1 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,244.61 | $7,182.00 | $852.21 – $3,406.84 | 7 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,244.61 | $7,469.00 | $1,564.36 – $3,406.84 | 7 |
| Pr application of long arm splint CPT 29105 | $157.79 | $688.00 | $87.45 – $278.66 | 8 |
| Pr application splint static short arm CPT 29125 | $128.90 | $605.00 | $87.90 – $220.41 | 8 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $39.25 | $102.00 | $8.43 – $851.00 | 10 |
| Pr biopsy skin punch single lesion CPT 11104 | $399.53 | $1,285.00 | $98.36 – $419.51 | 7 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $12,866.82 | $30,301.00 | $1,299.77 – $13,510.16 | 7 |
| Pr correction hammertoe CPT 28285 | $3,244.61 | $4,675.00 | $842.00 – $3,406.84 | 7 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $29.79 | $89.00 | $19.78 – $792.00 | 9 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,448.97 | $5,762.00 | $324.84 – $6,058.60 | 8 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $198.70 | $726.00 | $58.58 – $240.27 | 8 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | $121.00 | $137.23 – $851.00 | 5 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | $200.00 | $154.00 – $851.00 | 5 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | $414.00 | $104.00 – $181.00 | 3 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $13.56 – $13.56 | 1 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $30.55 – $30.55 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,896.99 | $4,180.00 | $417.63 – $1,991.84 | 7 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $160.67 | $900.00 | $154.00 – $851.00 | 10 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $128.87 | $342.00 | $128.87 – $232.25 | 7 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,620.24 | $2,946.00 | $179.34 – $1,701.25 | 7 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,620.24 | $3,795.00 | $357.74 – $1,701.25 | 7 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $399.53 | $1,265.00 | $219.08 – $419.51 | 7 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | $4,545.00 | $2,873.19 – $2,873.19 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $290.82 – $290.82 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $219.52 – $219.52 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | $164.00 | $139.04 – $851.00 | 5 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | $200.00 | $154.00 – $851.00 | 5 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | $133.00 | $132.40 – $851.00 | 5 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | $103.00 | $83.06 – $851.00 | 5 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $399.53 | $2,212.00 | $399.53 – $419.51 | 7 |
| Pr incision & drainage abscess simple/single CPT 10060 | $198.70 | $990.00 | $198.70 – $233.67 | 7 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $304.19 | $922.00 | $278.32 – $319.40 | 7 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $399.53 | $848.00 | $231.23 – $419.51 | 7 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $128.87 | not published | $128.87 – $320.33 | 8 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $128.87 | not published | $128.87 – $239.81 | 8 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | not published | $165.00 | $20.26 – $20.26 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,952.77 | $5,240.00 | $1,327.37 – $2,050.41 | 7 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $92.50 | $258.00 | $92.50 – $126.98 | 7 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $55.37 – $55.37 | 1 |
| Pr removal drug delivery implant CPT 11982 | $399.04 | $1,209.00 | $153.25 – $418.99 | 7 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $128.90 | $351.00 | $100.96 – $220.41 | 8 |
| Pr removal intrauterine device CPT 58301 | $304.19 | $606.00 | $138.89 – $319.40 | 7 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $399.53 | $1,295.00 | $399.53 – $419.51 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $198.70 | $924.00 | $120.08 – $208.64 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $198.70 | $880.00 | $116.10 – $208.64 | 7 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $198.70 | $825.00 | $93.97 – $208.64 | 7 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $198.70 | $880.00 | $123.08 – $208.64 | 7 |
| Pr robotic surgical system HCPCS S2900 | not published | $6,270.00 | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $1,829.23 | $4,452.00 | $1,539.20 – $1,920.69 | 7 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $68.38 – $68.38 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,553.44 | $3,782.00 | $320.92 – $2,263.81 | 8 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $29.17 – $29.17 | 1 |
| Pralatrexate injection HCPCS J9307 | $388.83 | not published | $330.51 – $686.62 | 11 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $132.61 – $151.58 | 2 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | $5,778.00 | $591.30 – $591.30 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | $5,253.00 | $506.34 – $506.34 | 1 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | $530.60 | not published | $530.60 – $942.41 | 7 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | $311.40 | not published | $281.42 – $326.97 | 7 |
| Pre-op service lvrs complete HCPCS G0302 | $530.60 | not published | $530.60 – $942.41 | 7 |
| Pre-plan 3d model w/ccta HCPCS C9793 | $1,017.39 | not published | $1,017.39 – $1,068.26 | 6 |
| Prealbumin CPT 84134 | $14.59 | $133.00 | $14.59 – $68.66 | 11 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.12 – $0.56 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.04 | 4 |
| Prefab stnlss steel crown pe HCPCS D2931 | $1,662.63 | $1,155.00 | $464.22 – $1,745.76 | 7 |
| Prefab stnlss steel crwn pri HCPCS D2930 | $1,662.63 | $1,155.00 | $390.53 – $1,745.76 | 7 |
| Pregabalin - sendout CPT 80366 | not published | not published | $18.13 – $53.23 | 2 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $106.34 | $825.00 | $106.34 – $342.23 | 8 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $106.34 | $1,180.00 | $106.34 – $273.74 | 8 |
| Pregnancy associated plasma protein-a CPT 84163 | $15.05 | $118.00 | $13.24 – $70.83 | 11 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | $1,070.00 | $910.23 – $910.23 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | $1,890.00 | $1,671.43 – $1,671.43 | 1 |
| Prep skin to 100cm2 other CPT 15004 | $612.13 | $1,934.00 | $545.17 – $642.74 | 7 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,829.23 | $3,419.00 | $462.11 – $1,920.69 | 7 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | $1,048.00 | $94.07 – $94.07 | 1 |
| Preparation palate mold CPT 42280 | $509.25 | not published | $233.85 – $1,008.36 | 8 |
| Prepare embryo for transfer CPT 89255 | $53.43 | not published | $53.43 – $105.53 | 7 |
| Prepare penis study CPT 54230 | not published | not published | $169.09 – $169.09 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $156.46 | $197.00 | $156.46 – $164.28 | 6 |
| Pressure velocity wire add ves CPT 93572 | not published | $1,707.00 | $449.93 – $14,806.00 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $59.40 | $248.00 | $38.50 – $79.68 | 8 |
| Pretreat rbc density gradient separation reference CPT 86972 | $171.36 | $207.00 | $16.50 – $179.93 | 8 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $59.40 | $1,090.00 | $16.50 – $62.37 | 8 |
| Pretreat rbc w enzyme reference CPT 86971 | $171.36 | $535.00 | $16.50 – $179.93 | 8 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $171.36 | $260.00 | $27.50 – $179.93 | 8 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | $10,491.00 | $104.00 – $612.17 | 3 |
| Prgrmg dev eval impltbl sys CPT 93260 | $37.29 | $124.00 | $37.29 – $132.27 | 7 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $37.29 | $460.00 | $37.29 – $118.27 | 7 |
| Prgrmg dev eval scrms ip CPT 93285 | $37.29 | $119.00 | $37.29 – $105.63 | 7 |
| Prgrmg eval implantable dfb CPT 93282 | $37.29 | $275.00 | $37.29 – $138.95 | 7 |
| Prgrmg eval implantable dfb CPT 93283 | $37.29 | $275.00 | $37.29 – $170.01 | 7 |
| Prgrmg eval implantable dfb CPT 93284 | $37.29 | $275.00 | $37.29 – $183.42 | 7 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $17,956.72 | $22,997.00 | $875.70 – $18,854.56 | 9 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | $5,885.00 | $329.68 – $14,806.00 | 2 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | not published | $14,765.92 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $298.93 | $2,273.00 | $276.12 – $313.88 | 7 |
| Probe nasolacrimal duct CPT 68811 | $2,332.96 | $4,679.00 | $290.33 – $2,449.61 | 7 |
| Probe nasolacrimal duct CPT 68815 | $2,332.96 | $5,712.00 | $479.50 – $3,752.25 | 8 |
| Probe nl duct w/balloon CPT 68816 | $2,332.96 | $4,679.00 | $336.77 – $2,449.61 | 7 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $194.32 | not published | $97.94 – $231.63 | 10 |
| Procalcitonin CPT 84145 | $27.22 | $354.00 | $23.96 – $128.10 | 11 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $114.42 – $118.02 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $2.14 – $20.60 | 5 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.07 – $0.92 | 4 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $3,796.38 – $3,796.38 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $3,823.77 – $3,823.77 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | $2,742.39 | $5,092.00 | $221.81 – $2,879.51 | 7 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $1,179.08 | $2,550.00 | $234.21 – $1,238.03 | 7 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $1,179.08 | $2,358.00 | $181.55 – $1,238.03 | 7 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $911.71 | $2,272.00 | $102.08 – $957.30 | 7 |
| Proctosigmoidoscopy removal CPT 45308 | $2,742.39 | $6,034.00 | $179.83 – $2,879.51 | 7 |
| Proctosigmoidoscopy removal CPT 45309 | $1,179.08 | $2,647.00 | $190.29 – $1,238.03 | 7 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $1,179.08 | $2,395.00 | $223.84 – $1,238.03 | 7 |
| Proctosigmoidoscopy volvul CPT 45321 | $2,742.39 | not published | $218.99 – $4,832.58 | 8 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $1,179.08 | $3,011.00 | $154.93 – $1,238.03 | 7 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $2,742.39 | $6,034.00 | $212.72 – $2,879.51 | 7 |
| Proctosigmoidoscopy w/stent CPT 45327 | $5,952.81 | not published | $246.94 – $9,306.86 | 8 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $108.42 – $121.14 | 2 |
| Progesterone CPT 84144 | $20.86 | $286.00 | $20.86 – $98.17 | 11 |
| Prolactin CPT 84146 | $19.38 | $300.00 | $19.38 – $91.21 | 11 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | $92.00 | $50.37 – $50.37 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | $331.69 | $690.00 | $331.69 – $348.27 | 6 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.05 – $0.35 | 2 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $2.44 – $5.52 | 5 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $298.93 | $825.00 | $298.93 – $468.02 | 7 |
| Proph rta dtchmnt pc CPT 67145 | $548.60 | $1,507.00 | $468.02 – $576.03 | 7 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | $12,866.82 | $19,370.00 | $1,878.63 – $13,510.16 | 7 |
| Prophylactic tx radius CPT 25490 | $7,143.73 | $12,716.00 | $1,569.89 – $7,500.92 | 7 |
| Prophylactic tx radius&ulna CPT 25492 | $3,244.61 | not published | $1,967.19 – $5,430.31 | 8 |
| Prophylactic tx ulna CPT 25491 | $12,866.82 | not published | $1,611.50 – $22,177.73 | 8 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.08 – $0.28 | 5 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $3.58 – $4.87 | 2 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | $13.00 | $2.52 – $13.87 | 5 |
| Prostate biopsy, any mthd HCPCS G0416 | $359.72 | $1,870.00 | $359.72 – $672.81 | 7 |
| Prostate laser enucleation CPT 52649 | $5,083.62 | $10,151.00 | $1,744.73 – $5,337.80 | 7 |
| Prostatectomy (turp) CPT 52601 | $5,083.62 | $8,690.00 | $1,536.01 – $5,337.80 | 7 |
| Prostatic microwave thermotx CPT 53850 | $3,448.97 | $10,151.00 | $766.44 – $3,621.42 | 7 |
| Prostatic rf thermotx CPT 53852 | $3,448.97 | $10,151.00 | $819.69 – $3,621.42 | 7 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | $1,056.36 | $101.82 – $203.96 | 4 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $15.01 – $78.22 | 5 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.39 – $3.18 | 5 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | $4,521.64 | not published | 0 |
| Protein c activity CPT 85303 | $13.84 | $233.00 | $13.84 – $65.13 | 11 |
| Protein c concentrate HCPCS J2724 | $1.50 | not published | $1.50 – $32.41 | 11 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $10.74 | $174.00 | $6.60 – $50.55 | 11 |
| Protein s total CPT 85305 | $11.61 | $252.00 | $11.61 – $54.64 | 11 |
| Protein total 24 hour urine CPT 84156 | $3.67 | $143.00 | $1.98 – $17.27 | 11 |
| Protein total body fluid CPT 84157 | $4.00 | $95.00 | $1.98 – $18.82 | 11 |
| Protein total serum plasma whole blood CPT 84155 | $3.67 | $242.00 | $1.98 – $17.27 | 11 |
| Prothrombin complex kcentra HCPCS J7168 | $2.14 | not published | $2.14 – $4.27 | 8 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $3.94 | $80.00 | $3.94 – $18.54 | 11 |
| Proton treatment complex CPT 77525 | $1,275.51 | not published | $1,275.51 – $2,233.47 | 8 |
| Proton trmt intermediate CPT 77523 | $1,275.51 | not published | $1,275.51 – $2,233.47 | 8 |
| Proton trmt simple w/comp CPT 77522 | $1,275.51 | not published | $1,275.51 – $2,545.72 | 8 |
| Proton trmt simple without comp CPT 77520 | $578.47 | not published | $578.47 – $2,641.07 | 8 |
| Protoporphyrin rbc screen CPT 84203 | $9.74 | not published | $3.30 – $45.84 | 12 |
| Provide inr test mater/equip HCPCS G0249 | $128.87 | not published | $86.25 – $239.81 | 9 |
| Provox xtraflange 17fr HCPCS L8499 | not published | $209.00 | not published | 0 |
| Prp i/hern init block >5 yr CPT 49507 | $3,529.06 | $8,624.00 | $1,259.04 – $6,100.95 | 8 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $947.21 – $947.21 | 1 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $17,956.72 | $56,674.00 | $17,956.72 – $18,854.56 | 6 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,956.72 | $56,674.00 | $17,956.72 – $18,854.56 | 6 |
| Prq card revasc chronic addl CPT 92944 | not published | $20,625.00 | $538.39 – $17,039.00 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | $20,625.00 | $1,083.56 – $17,039.00 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | $20,350.00 | $17,039.00 – $17,039.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | not published | $15,252.00 | $678.48 – $17,039.00 | 2 |
| Prq cardiac angio addl art CPT 92921 | not published | $13,752.00 | $502.77 – $17,039.00 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $11,340.57 | $20,625.00 | $965.08 – $17,039.00 | 8 |
| Prq revasc byp graft addl CPT 92938 | not published | $20,625.00 | $494.83 – $17,039.00 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $7,143.73 | $13,169.00 | $1,307.73 – $7,500.92 | 7 |
| Prq skel fix epcndylr hum fx CPT 24566 | $1,600.41 | $5,503.00 | $1,584.22 – $1,680.43 | 7 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $7,143.73 | $12,082.00 | $1,731.25 – $7,500.92 | 7 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $7,143.73 | $20,813.00 | $1,108.30 – $7,500.92 | 7 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $7,143.73 | $18,357.00 | $836.37 – $7,500.92 | 7 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $11,340.57 | $19,932.00 | $965.09 – $17,039.00 | 8 |
| Prq trlml c athrc st angiop1 CPT 92933 | $17,956.72 | $21,657.00 | $1,082.38 – $18,854.56 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,701.52 | $15,212.00 | $867.40 – $17,039.00 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $11,340.57 | $16,464.00 | $1,034.69 – $17,039.00 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | $11,340.57 | $21,657.00 | $1,083.49 – $17,039.00 | 8 |
| Prtl exc bone olecrn process CPT 24147 | $3,244.61 | $7,376.00 | $1,381.83 – $3,406.84 | 7 |
| Prtl exc bone radial h/n CPT 24145 | $7,143.73 | $13,938.00 | $1,304.23 – $7,500.92 | 7 |
| Prtl exchange transfuse nb CPT 36456 | $437.18 | not published | $201.70 – $792.60 | 8 |
| Prtl excision bone clavicle CPT 23180 | $7,143.73 | $11,777.00 | $1,440.85 – $7,500.92 | 7 |
| Prtl excision bone scapula CPT 23182 | $7,143.73 | $11,777.00 | $1,474.06 – $7,500.92 | 7 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $128.90 | $157.00 | $38.70 – $851.00 | 10 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | $243.00 | $29.55 – $851.00 | 5 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | $74.00 | $64.33 – $851.00 | 5 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $311.40 | $692.00 | $154.00 – $851.00 | 10 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | $692.00 | $125.37 – $851.00 | 5 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $24.49 | $157.00 | $4.18 – $851.00 | 10 |
| Psychoanalysis CPT 90845 | $160.67 | $424.00 | $145.15 – $168.70 | 8 |
| Psychotherapy group therapy CPT 90853 | $92.50 | $440.00 | $40.13 – $154.00 | 8 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $160.67 | $358.00 | $114.23 – $851.00 | 10 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $160.67 | $457.00 | $151.07 – $851.00 | 10 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $160.67 | $556.00 | $154.00 – $851.00 | 10 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | not published | $340.00 | $154.00 – $249.00 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | $399.04 | $623.00 | $62.51 – $851.00 | 10 |
| Psytx complex interactive CPT 90785 | not published | $257.00 | $21.78 – $851.00 | 5 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | $165.00 | $107.36 – $249.00 | 3 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | $193.00 | $135.92 – $249.00 | 3 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | $256.00 | $154.00 – $249.00 | 3 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $18.62 | $153.00 | $18.62 – $558.00 | 17 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | $66.00 | $11.14 – $558.00 | 13 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $23.82 | $184.00 | $23.82 – $558.00 | 17 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $17.72 | $150.00 | $17.72 – $558.00 | 17 |
| Pt application of modality traction mechanical CPT 97012 | $18.62 | $182.00 | $18.62 – $558.00 | 17 |
| Pt evaluation high complexity patient/family CPT 97163 | $126.19 | $660.00 | $60.00 – $558.00 | 17 |
| Pt evaluation low complexity patient/family CPT 97161 | $126.19 | $435.00 | $60.00 – $558.00 | 17 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $126.19 | $561.00 | $60.00 – $558.00 | 17 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $31.91 | not published | $31.91 – $56.18 | 8 |
| Pt re-evaluation patient/family CPT 97164 | $86.04 | $325.00 | $60.00 – $558.00 | 17 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $46.75 | $275.00 | $46.75 – $558.00 | 17 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $15.57 | $182.00 | $15.57 – $558.00 | 17 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $37.06 | $209.00 | $37.06 – $558.00 | 17 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $38.63 | $261.00 | $38.63 – $558.00 | 17 |
| Pt wheelchair management each 15 minutes CPT 97542 | $39.57 | $165.00 | $39.57 – $558.00 | 17 |
| Pten gene dup/delet variant CPT 81323 | $300.00 | $2,475.00 | $264.00 – $1,411.87 | 11 |
| Pten gene full sequence CPT 81321 | $600.00 | $2,475.00 | $528.00 – $2,823.74 | 11 |
| Pten gene known fam variant CPT 81322 | $46.60 | $287.00 | $41.01 – $219.31 | 11 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | $5,915.66 | $10,951.00 | $1,758.88 – $6,211.44 | 7 |
| Pul art balloon repr percut CPT 92997 | $11,340.57 | $16,513.00 | $1,041.89 – $17,039.00 | 8 |
| Pul art balloon repr percut CPT 92998 | not published | $16,513.00 | $522.09 – $17,039.00 | 2 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $8,520.69 – $8,520.69 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,077.79 – $2,077.79 | 1 |
| Pulmonary vent imaging CPT 78579 | $401.83 | $1,085.00 | $336.41 – $611.75 | 8 |
| Pulse ox continuous overnight monitoring CPT 94762 | $156.46 | $508.00 | $46.10 – $164.28 | 7 |
| Pulse ox multiple CPT 94761 | not published | $138.00 | $7.22 – $7.22 | 1 |
| Pulse ox single CPT 94760 | not published | $160.00 | $4.79 – $359.00 | 3 |
| Punc of shunt for asp or inj CPT 61070 | $692.52 | $1,614.00 | $119.32 – $727.15 | 7 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $128.90 | $244.00 | $30.84 – $135.35 | 7 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $399.53 | $803.00 | $209.77 – $419.51 | 7 |
| Puncture spinal lumbar diagnostic CPT 62270 | $692.52 | $2,849.00 | $132.65 – $727.15 | 7 |
| Puncture/clear windpipe 31612 CPT 31612 | $3,243.07 | $7,702.00 | $100.47 – $3,405.22 | 7 |
| Puraply 1 sq cm HCPCS Q4195 | not published | $248.00 | $37.93 – $133.89 | 2 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | $183.00 | $99.60 – $99.60 | 1 |
| Pvb thoracic cont infusion CPT 64463 | $692.52 | $2,126.00 | $167.45 – $727.15 | 7 |
| Pvb thoracic single inj site CPT 64461 | $692.52 | $2,088.00 | $160.94 – $1,239.54 | 8 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,969.68 – $1,969.68 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $10.88 – $21.75 | 5 |
| Pyruvate CPT 84210 | $14.48 | $109.00 | $14.08 – $68.15 | 11 |
| Pyruvate kinase CPT 84220 | $9.44 | $397.00 | $9.44 – $44.43 | 11 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | $128.90 | not published | $128.90 – $135.35 | 6 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $538.27 | $2,708.00 | $537.07 – $985.89 | 8 |
| Quant diff pulm perf w/imaging CPT 78597 | $401.83 | $1,719.00 | $357.10 – $625.71 | 8 |
| Quest t3 uptake CPT 84479 | $6.47 | $123.00 | $6.47 – $30.45 | 11 |
| Quinupristin/dalfopristin HCPCS J2770 | $4.26 | not published | $4.26 – $919.54 | 11 |
| R hrt cath chd abnl nt cnj CPT 93594 | $3,216.41 | $9,819.00 | $3,216.41 – $14,806.00 | 7 |
| R hrt cath chd nml nt cnj CPT 93593 | $3,216.41 | $9,819.00 | $3,216.41 – $14,806.00 | 7 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $3,216.41 | $9,819.00 | $3,216.41 – $14,806.00 | 7 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $3,216.41 | $9,819.00 | $3,216.41 – $14,806.00 | 7 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $347.32 | not published | $347.32 – $765.22 | 11 |
| Rabies ig ht&sol human im/sc CPT 90377 | $237.10 | not published | $201.54 – $480.20 | 9 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $266.44 | not published | $226.47 – $662.87 | 11 |
| Rabies vaccine id CPT 90676 | $264.47 | not published | $127.07 – $407.23 | 11 |
| Rad rescj tum dstl/shft hum CPT 24150 | $7,143.73 | $8,764.00 | $3,301.77 – $7,500.92 | 7 |
| Rad rescj tum shoulder<5 cm CPT 23077 | $2,862.05 | $6,158.00 | $2,412.17 – $3,005.15 | 7 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | $2,862.05 | $6,699.00 | $2,828.91 – $3,005.15 | 7 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | $2,862.05 | $4,782.00 | $2,199.72 – $3,005.15 | 7 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | $2,862.05 | $6,325.00 | $1,492.01 – $3,005.15 | 7 |
| Rad resect abd tumor 5 cm/> CPT 22905 | $2,862.05 | $5,335.00 | $2,823.92 – $3,005.15 | 7 |
| Rad resect hand tumor 3 cm/> CPT 26118 | $2,862.05 | $6,377.00 | $2,266.64 – $3,005.15 | 7 |
| Rad resect hand tumor < 3 cm CPT 26117 | $2,862.05 | $6,377.00 | $1,620.73 – $3,005.15 | 7 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $2,862.05 | $6,299.00 | $2,051.20 – $3,005.15 | 7 |
| Rad resection tum radial h/n CPT 24152 | $7,143.73 | not published | $2,881.17 – $11,798.15 | 8 |
| Radiation handling CPT 77790 | not published | $734.00 | $35.33 – $509.00 | 3 |
| Radiation physics consult CPT 77336 | $132.77 | $1,690.00 | $132.77 – $1,589.98 | 8 |
| Radiation therapy dose plan CPT 77300 | $132.77 | $1,045.00 | $126.06 – $876.93 | 8 |
| Radiation treatment aid(s) CPT 77332 | $132.77 | $1,210.00 | $74.59 – $908.52 | 8 |
| Radiation treatment aid(s) CPT 77333 | $132.77 | $1,671.00 | $132.77 – $293.00 | 7 |
| Radiation treatment aid(s) CPT 77334 | $366.07 | $2,895.00 | $240.33 – $2,275.23 | 8 |
| Radiation treatment delivery CPT 77401 | $109.50 | not published | $82.07 – $242.17 | 8 |
| Radiation treatment delivery CPT 77402 | $109.50 | $1,260.00 | $109.50 – $422.91 | 7 |
| Radiation treatment delivery CPT 77412 | $262.98 | $2,441.00 | $262.98 – $2,098.45 | 8 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $2,862.05 | $4,180.00 | $2,233.60 – $3,005.15 | 7 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $2,862.05 | $6,743.00 | $2,862.05 – $3,059.54 | 7 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | $5,943.00 | $3,880.99 – $3,880.99 | 1 |
| Radical resection of elbow CPT 24149 | $7,143.73 | $12,484.00 | $2,562.23 – $7,500.92 | 7 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,814.21 – $2,814.21 | 1 |
| Radiesse injection HCPCS Q2026 | $333.42 | not published | $333.42 – $980.97 | 9 |
| Radiology port images(s) CPT 77417 | not published | $660.00 | $29.50 – $509.00 | 3 |
| Radiotherapy dose plan imrt CPT 77301 | $1,368.26 | $12,760.00 | $293.00 – $3,584.45 | 7 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $171.78 | $378.00 | $171.78 – $322.44 | 7 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,305.48 | $4,619.00 | $549.20 – $1,370.75 | 8 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,305.48 | $5,203.00 | $1,148.14 – $2,286.13 | 8 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,305.48 | $3,419.00 | $1,270.42 – $2,334.30 | 8 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,305.48 | $4,620.00 | $677.42 – $1,370.75 | 8 |
| Radphm lcl tumor plr sgl day CPT 78800 | $401.83 | $3,035.00 | $401.83 – $838.78 | 8 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | $78.00 | $172.39 – $300.36 | 2 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $74.45 | not published | $63.28 – $136.50 | 11 |
| Ranibizumab injection HCPCS J2778 | $91.11 | not published | $77.44 – $753.44 | 11 |
| Rapid Strep Test CPT 87880 | $16.53 | $83.00 | $13.20 – $77.79 | 11 |
| Rapid desensitization CPT 95180 | $399.04 | $450.00 | $104.00 – $4,567.00 | 9 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $376.48 | not published | $320.01 – $690.79 | 11 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $225.19 | not published | $191.41 – $482.39 | 9 |
| Rbc count only automated CPT 85041 | $3.02 | $30.00 | $1.32 – $14.21 | 11 |
| Rbc deglycerolized each unit HCPCS P9039 | $653.74 | $2,934.00 | $653.74 – $686.43 | 6 |
| Rbc depletion of harvest CPT 38212 | $437.18 | $5,677.00 | $98.35 – $459.04 | 7 |
| Rbc irradiated each unit HCPCS P9038 | $149.22 | $1,863.00 | $149.22 – $156.68 | 6 |
| Rbc serum pretx incubj drugs CPT 86975 | $399.04 | $623.00 | $27.50 – $418.99 | 8 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | $5,915.66 | $16,931.00 | $4,698.87 – $6,211.44 | 7 |
| Rdctj forehead cntrg only CPT 21137 | $3,243.07 | $10,239.00 | $1,620.41 – $3,405.22 | 7 |
| Rdctj forehead cntrg&prostc CPT 21138 | $5,915.66 | $10,039.00 | $1,966.47 – $6,211.44 | 7 |
| Rdctj forehead cntrg&setback CPT 21139 | $5,915.66 | $17,417.00 | $2,341.62 – $6,211.44 | 7 |
| Re-exploration of chest 32120 CPT 32120 | not published | $2,470.00 | $1,828.64 – $1,828.64 | 1 |
| Re-explore parathyroids CPT 60502 | $5,915.66 | $11,978.00 | $2,771.46 – $6,211.44 | 7 |
| Realignment of knee CPT 27457 | not published | $7,381.00 | $2,033.38 – $2,033.38 | 1 |
| Realignment of tendons CPT 26437 | $3,244.61 | $6,065.00 | $1,482.12 – $3,406.84 | 7 |
| Rebuild eardrum structures CPT 69632 | $5,915.66 | $10,825.00 | $2,357.47 – $6,211.44 | 7 |
| Rebuild eardrum structures CPT 69633 | $5,915.66 | $12,000.00 | $2,298.33 – $6,211.44 | 7 |
| Rebuild eardrum structures CPT 69636 | $5,915.66 | $10,951.00 | $3,075.09 – $6,211.44 | 7 |
| Rebuild outer ear canal CPT 69310 | $5,915.66 | $11,322.00 | $2,450.79 – $9,158.16 | 8 |
| Rebuild outer ear canal CPT 69320 | $5,915.66 | $10,951.00 | $3,404.41 – $6,211.44 | 7 |
| Rechanneling of artery CPT 35361 | not published | not published | $3,091.79 – $3,091.79 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $2,497.89 – $2,497.89 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $2,829.40 – $2,829.40 | 1 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $2,595.98 – $2,595.98 | 1 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $2,963.97 – $2,963.97 | 1 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | $5,840.00 | $1,990.46 – $1,990.46 | 1 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | $3,769.00 | $2,494.29 – $2,494.29 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | $5,915.66 | $9,350.00 | $3,059.55 – $6,211.44 | 7 |
| Reconst lwr jaw w/graft CPT 21194 | $5,915.66 | $14,150.00 | $3,033.70 – $6,211.44 | 7 |
| Reconst lwr jaw without fixation CPT 21195 | $5,915.66 | $15,633.00 | $2,867.07 – $6,211.44 | 7 |
| Reconst lwr jaw without graft CPT 21193 | $5,915.66 | $12,852.00 | $2,624.47 – $6,211.44 | 7 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $2,779.68 – $2,779.68 | 1 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $2,150.23 – $2,150.23 | 1 |
| Reconstr lwr jaw segment CPT 21198 | $5,915.66 | $11,114.00 | $2,155.83 – $6,211.44 | 7 |
| Reconstr lwr jaw w/advance CPT 21199 | $5,915.66 | $15,344.00 | $2,158.57 – $6,211.44 | 7 |
| Reconstruct ankle joint CPT 27702 | $18,390.05 | $30,109.00 | $2,070.38 – $19,309.55 | 7 |
| Reconstruct cleft foot CPT 28360 | $7,143.73 | not published | $2,382.68 – $11,798.15 | 8 |
| Reconstruct cleft palate CPT 42200 | $5,915.66 | $14,249.00 | $1,995.83 – $6,211.44 | 7 |
| Reconstruct cleft palate CPT 42205 | $3,243.07 | $10,951.00 | $2,069.86 – $3,405.22 | 7 |
| Reconstruct cleft palate CPT 42210 | $5,915.66 | $14,249.00 | $2,312.08 – $6,211.44 | 7 |
| Reconstruct cleft palate CPT 42215 | $5,915.66 | $14,249.00 | $1,520.77 – $6,211.44 | 7 |
| Reconstruct cleft palate CPT 42220 | $5,915.66 | not published | $1,256.21 – $9,158.16 | 8 |
| Reconstruct cleft palate CPT 42225 | $5,915.66 | $13,361.00 | $2,143.68 – $6,211.44 | 7 |
| Reconstruct elbow joint CPT 24360 | $7,143.73 | $13,560.00 | $1,957.29 – $7,500.92 | 7 |
| Reconstruct elbow joint CPT 24361 | $18,390.05 | $30,109.00 | $2,176.38 – $19,309.55 | 7 |
| Reconstruct elbow joint CPT 24362 | $12,866.82 | $27,355.00 | $2,288.31 – $13,510.16 | 7 |
| Reconstruct elbow lat ligmnt CPT 24344 | $7,143.73 | $13,560.00 | $2,396.57 – $7,500.92 | 7 |
| Reconstruct elbow med ligmnt CPT 24346 | $12,866.82 | $19,285.00 | $2,396.57 – $13,510.16 | 7 |
| Reconstruct extra finger CPT 26587 | $3,244.61 | $6,065.00 | $2,263.24 – $3,406.84 | 7 |
| Reconstruct finger joint CPT 26545 | $3,244.61 | $7,031.00 | $1,628.28 – $3,406.84 | 7 |
| Reconstruct finger joint CPT 26548 | $3,244.61 | $7,582.00 | $1,765.84 – $3,406.84 | 7 |
| Reconstruct head of radius CPT 24365 | $12,866.82 | $16,361.00 | $1,401.44 – $13,510.16 | 7 |
| Reconstruct head of radius CPT 24366 | $12,866.82 | $20,936.00 | $1,482.83 – $13,510.16 | 7 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $3,243.07 | $5,686.00 | $1,195.69 – $3,405.22 | 7 |
| Reconstruct lip with flap CPT 40527 | $5,915.66 | $10,303.00 | $1,358.70 – $6,211.44 | 7 |
| Reconstruct lower jaw bone CPT 21255 | $5,915.66 | not published | $2,865.95 – $6,211.44 | 7 |
| Reconstruct orbit/forehead CPT 21172 | $5,915.66 | $12,000.00 | $4,560.64 – $6,211.44 | 7 |
| Reconstruct shoulder joint CPT 23470 | $12,866.82 | $19,668.00 | $2,571.54 – $13,510.16 | 7 |
| Reconstruct shoulder joint CPT 23472 | $18,390.05 | $24,441.00 | $3,088.46 – $19,309.55 | 7 |
| Reconstruct ulna/radioulnar CPT 25337 | $7,143.73 | $11,161.00 | $1,940.42 – $7,500.92 | 7 |
| Reconstruct upper jaw bone CPT 21206 | $5,915.66 | $12,576.00 | $2,069.13 – $6,211.44 | 7 |
| Reconstruct urethra stage 1 CPT 53420 | $5,083.62 | not published | $1,772.35 – $8,322.52 | 8 |
| Reconstruct urethra stage 2 CPT 53425 | $5,083.62 | not published | $1,969.31 – $8,322.52 | 8 |
| Reconstruct urethra/bladder CPT 53431 | $5,083.62 | $7,789.00 | $2,419.75 – $5,337.80 | 7 |
| Reconstruct vena cava 34502 CPT 34502 | not published | $5,432.00 | $3,190.35 – $3,190.35 | 1 |
| Reconstruction ankle joint CPT 27703 | not published | $40,912.00 | $2,383.37 – $2,383.37 | 1 |
| Reconstruction knee CPT 27427 | $7,143.73 | $11,156.00 | $1,543.17 – $7,500.92 | 7 |
| Reconstruction knee CPT 27428 | $12,866.82 | $14,980.00 | $2,419.90 – $13,510.16 | 7 |
| Reconstruction knee CPT 27429 | $12,866.82 | $15,808.00 | $2,727.51 – $13,510.16 | 7 |
| Reconstruction of anus CPT 46753 | $2,742.39 | $6,446.00 | $1,331.47 – $2,879.51 | 7 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $3,284.24 – $3,284.24 | 1 |
| Reconstruction of eyelid CPT 67971 | $2,332.96 | $5,345.00 | $1,533.34 – $2,449.61 | 7 |
| Reconstruction of eyelid CPT 67973 | $2,332.96 | $5,810.00 | $1,969.99 – $2,449.61 | 7 |
| Reconstruction of eyelid CPT 67974 | $3,771.00 | $5,810.00 | $1,965.36 – $3,959.55 | 7 |
| Reconstruction of eyelid CPT 67975 | $2,332.96 | $5,039.00 | $1,453.66 – $2,449.61 | 7 |
| Reconstruction of jaw CPT 21245 | $5,915.66 | $13,599.00 | $2,033.64 – $6,211.44 | 7 |
| Reconstruction of jaw CPT 21246 | $5,915.66 | $16,931.00 | $1,814.54 – $6,211.44 | 7 |
| Reconstruction of jaw CPT 21248 | $5,915.66 | $10,951.00 | $1,694.09 – $6,211.44 | 7 |
| Reconstruction of jaw CPT 21249 | $5,915.66 | $10,910.00 | $2,357.15 – $6,211.44 | 7 |
| Reconstruction of jaw joint CPT 21240 | $5,915.66 | $11,400.00 | $2,237.95 – $9,158.16 | 8 |
| Reconstruction of jaw joint CPT 21242 | $5,915.66 | $14,684.00 | $2,170.84 – $6,211.44 | 7 |
| Reconstruction of jaw joint CPT 21243 | $18,390.05 | $26,492.00 | $3,588.92 – $31,883.09 | 8 |
| Reconstruction of lower jaw CPT 21244 | $5,915.66 | $13,599.00 | $2,172.61 – $6,211.44 | 7 |
| Reconstruction of mouth CPT 40840 | $5,915.66 | $10,303.00 | $1,365.57 – $6,211.44 | 7 |
| Reconstruction of mouth CPT 40842 | $5,915.66 | $10,303.00 | $1,464.22 – $6,211.44 | 7 |
| Reconstruction of mouth CPT 40843 | $5,915.66 | not published | $1,866.61 – $9,158.16 | 8 |
| Reconstruction of mouth CPT 40844 | $5,915.66 | not published | $2,530.20 – $9,158.16 | 8 |
| Reconstruction of mouth CPT 40845 | $5,915.66 | $10,303.00 | $2,578.44 – $6,211.44 | 7 |
| Reconstruction of nail bed CPT 11762 | $1,829.23 | $4,400.00 | $400.51 – $1,920.69 | 7 |
| Reconstruction of nose CPT 30410 | $5,915.66 | $12,879.00 | $3,098.52 – $6,211.44 | 7 |
| Reconstruction of nose CPT 30420 | $5,915.66 | $13,979.00 | $3,169.82 – $6,211.44 | 7 |
| Reconstruction of orbit CPT 21256 | $5,915.66 | not published | $2,661.82 – $9,158.16 | 8 |
| Reconstruction of throat CPT 42950 | $5,915.66 | $10,303.00 | $1,742.11 – $6,211.44 | 7 |
| Reconstruction of urethra CPT 53410 | $5,083.62 | $10,755.00 | $2,063.92 – $5,337.80 | 7 |
| Reconstruction of urethra CPT 53415 | not published | $3,482.00 | $2,372.25 – $2,372.25 | 1 |
| Reconstruction of urethra CPT 53430 | $5,083.62 | $8,429.00 | $2,054.42 – $5,337.80 | 7 |
| Reconstruction of urethra CPT 54308 | $5,083.62 | $9,438.00 | $1,516.98 – $5,337.80 | 7 |
| Reconstruction of urethra CPT 54312 | $3,448.97 | $6,687.00 | $1,730.81 – $3,621.42 | 7 |
| Reconstruction of urethra CPT 54316 | $9,247.15 | $14,120.00 | $2,093.66 – $9,709.51 | 7 |
| Reconstruction of urethra CPT 54318 | $3,448.97 | $7,401.00 | $1,510.17 – $3,621.42 | 7 |
| Reconstruction of urethra CPT 54322 | $3,448.97 | $8,400.00 | $1,649.65 – $3,621.42 | 7 |
| Reconstruction of urethra CPT 54324 | $3,448.97 | $8,859.00 | $2,039.49 – $3,621.42 | 7 |
| Reconstruction of urethra CPT 54326 | $3,448.97 | $8,242.00 | $1,986.29 – $3,621.42 | 7 |
| Reconstruction tongue fold CPT 41520 | $3,243.07 | $7,985.00 | $551.79 – $3,405.22 | 7 |
| Rectal sensation test CPT 91120 | $311.40 | not published | $281.42 – $905.53 | 8 |
| Red blood cells each unit HCPCS P9021 | $144.32 | $1,168.00 | $144.32 – $286.26 | 7 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $485.37 | $1,604.00 | $485.37 – $509.64 | 6 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $222.86 | $2,001.00 | $222.86 – $234.00 | 6 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $182.00 | $990.00 | $182.00 – $273.16 | 7 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $255.80 | $1,320.00 | $255.80 – $268.59 | 6 |
| Red blood cells washed each unit HCPCS P9022 | $396.87 | $934.00 | $396.87 – $555.09 | 7 |
| Red cell mass multiple CPT 78121 | $538.27 | $1,664.00 | $149.48 – $565.18 | 8 |
| Red cell mass single CPT 78120 | $401.83 | $1,888.00 | $137.54 – $421.92 | 8 |
| Red cell sequestration CPT 78140 | $401.83 | $1,741.00 | $211.40 – $421.92 | 8 |
| Red cell survival study CPT 78130 | $401.83 | not published | $240.23 – $731.72 | 9 |
| Redo endovas vena cava filtr CPT 37192 | $3,147.50 | $9,130.00 | $694.26 – $3,304.88 | 7 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | $8,050.00 | $1,982.54 – $1,982.54 | 1 |
| Reduce testis torsion CPT 54600 | $3,448.97 | $6,408.00 | $967.61 – $3,621.42 | 8 |
| Reduction of facial bones CPT 21209 | $5,915.66 | $12,766.00 | $1,314.23 – $6,211.44 | 7 |
| Reduction of procidentia 45900 CPT 45900 | $911.71 | $1,606.00 | $457.49 – $957.30 | 7 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $790.82 – $790.82 | 1 |
| Refill maint impl spine pump CPT 95991 | $295.19 | $1,184.00 | $66.73 – $309.95 | 7 |
| Refill/maint pump/resvr syst CPT 96522 | $210.69 | $553.00 | $210.69 – $221.22 | 7 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | not published | not published | $2.46 – $132.07 | 5 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $295.12 – $295.12 | 1 |
| Reinforce clavicle CPT 23490 | $7,143.73 | not published | $1,865.19 – $11,798.15 | 8 |
| Reinforce eye wall CPT 67250 | $2,332.96 | $4,454.00 | $1,965.25 – $2,449.61 | 7 |
| Reinforce shoulder bones CPT 23491 | $12,866.82 | $43,050.00 | $2,194.10 – $13,510.16 | 7 |
| Reinforce thigh CPT 27495 | not published | $20,770.00 | $2,431.15 – $2,431.15 | 1 |
| Reinforce tibia CPT 27745 | $7,143.73 | $19,370.00 | $1,617.41 – $7,500.92 | 7 |
| Reinforce/graft eye wall CPT 67255 | $4,022.86 | $6,545.00 | $1,485.68 – $4,224.00 | 7 |
| Reinnervate larynx CPT 31590 | $5,915.66 | $13,296.00 | $2,044.09 – $6,211.44 | 7 |
| Reinsert ocular implant CPT 65155 | $3,771.00 | $10,777.00 | $2,103.56 – $3,959.55 | 7 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | $18,695.00 | $2,801.71 – $2,801.71 | 1 |
| Release encircling material CPT 67115 | $4,022.86 | $10,500.00 | $1,075.46 – $4,224.00 | 7 |
| Release eye tissue CPT 67343 | $2,332.96 | $5,764.00 | $1,449.17 – $2,449.61 | 7 |
| Release facial nerve CPT 69720 | $5,915.66 | $10,951.00 | $2,559.47 – $6,211.44 | 7 |
| Release facial nerve CPT 69725 | $5,915.66 | not published | $4,015.29 – $9,158.16 | 8 |
| Release facial nerve CPT 69955 | $5,915.66 | $12,592.00 | $4,219.71 – $6,211.44 | 7 |
| Release finger contracture CPT 26525 | $1,600.41 | $6,544.00 | $1,527.82 – $1,680.43 | 7 |
| Release forearm/hand tendon CPT 26449 | $3,244.61 | $6,846.00 | $1,542.81 – $3,406.84 | 7 |
| Release inner ear canal CPT 69960 | $5,915.66 | $9,367.00 | $4,031.53 – $6,211.44 | 7 |
| Release knuckle contracture CPT 26520 | $3,244.61 | $7,582.00 | $1,519.14 – $3,406.84 | 7 |
| Release middle ear bone CPT 69650 | $3,243.07 | $7,300.00 | $1,752.90 – $3,405.22 | 7 |
| Release muscles of hand CPT 26593 | $3,244.61 | $6,199.00 | $1,435.80 – $3,406.84 | 7 |
| Release of eye fluid CPT 67015 | $2,280.73 | $6,970.00 | $1,305.62 – $2,394.77 | 7 |
| Release of foot tendon CPT 28220 | $1,600.41 | $4,886.00 | $663.22 – $1,680.43 | 7 |
| Release of foot tendon 28225 CPT 28225 | $3,244.61 | $4,642.00 | $577.67 – $3,406.84 | 7 |
| Release of foot tendons CPT 28222 | $3,244.61 | $6,065.00 | $802.03 – $3,406.84 | 7 |
| Release of foot tendons CPT 28226 | $3,244.61 | $5,173.00 | $882.22 – $3,406.84 | 7 |
| Release of lower leg tendon CPT 27680 | $3,244.61 | $6,065.00 | $918.44 – $3,406.84 | 7 |
| Release of lower leg tendons CPT 27681 | $3,244.61 | $7,913.00 | $1,107.27 – $3,406.84 | 7 |
| Release of lung 32220 CPT 32220 | not published | not published | $3,339.56 – $3,339.56 | 1 |
| Release of midfoot joint CPT 28260 | $3,244.61 | $6,170.00 | $1,169.53 – $3,406.84 | 7 |
| Release of midfoot joint CPT 28264 | $1,600.41 | $7,150.00 | $1,442.24 – $1,680.43 | 7 |
| Release of shoulder ligament CPT 23415 | $7,143.73 | $10,630.00 | $1,525.51 – $7,500.92 | 7 |
| Release palm & finger tendon CPT 26442 | $3,244.61 | $6,846.00 | $2,188.05 – $3,406.84 | 7 |
| Release palm contracture CPT 26040 | $1,600.41 | $5,936.00 | $707.72 – $1,680.43 | 7 |
| Release palm contracture CPT 26121 | $3,244.61 | $6,706.00 | $1,318.05 – $3,406.84 | 7 |
| Release palm contracture CPT 26123 | $3,244.61 | $6,060.00 | $1,835.85 – $3,406.84 | 7 |
| Release palm contracture CPT 26125 | not published | $2,646.00 | $564.69 – $564.69 | 1 |
| Release palm contracture 26045 CPT 26045 | $3,244.61 | $7,165.00 | $1,046.45 – $3,406.84 | 7 |
| Release palm/finger tendon CPT 26440 | $1,600.41 | $4,472.00 | $1,450.14 – $1,680.43 | 7 |
| Release thumb contracture CPT 26508 | $3,244.61 | $7,582.00 | $1,504.89 – $3,406.84 | 7 |
| Release wrist/forearm tendon CPT 25295 | $3,244.61 | $7,013.00 | $1,161.48 – $3,406.84 | 7 |
| Relieve bladder contracture CPT 52640 | $3,448.97 | $7,920.00 | $697.48 – $3,621.42 | 7 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $4,388.62 – $4,388.62 | 1 |
| Relocation of testis(es) CPT 54680 | $3,448.97 | not published | $1,664.26 – $3,621.42 | 8 |
| Relocation skin pocket aicd CPT 33223 | $1,829.23 | $6,102.00 | $104.00 – $1,920.69 | 7 |
| Relocation skin pocket pm CPT 33222 | $1,829.23 | $4,913.00 | $104.00 – $1,920.69 | 7 |
| Rem endovas vena cava filter CPT 37193 | $3,147.50 | $7,880.00 | $703.51 – $3,304.88 | 7 |
| Rem interrog dev eval icpms CPT 93297 | $37.29 | $168.00 | $37.29 – $106.85 | 7 |
| Rem interrog dev eval scrms CPT 93298 | $37.29 | $168.00 | $37.29 – $182.11 | 7 |
| Rem interrog evl pm/ids CPT 93296 | $37.29 | $308.00 | $37.29 – $104.00 | 7 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $37.29 | not published | $37.29 – $86.21 | 8 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $128.87 | not published | $36.31 – $239.81 | 8 |
| Rem mntr wrls p-art prs snr CPT 93264 | $37.29 | $129.00 | $37.29 – $2,793.00 | 9 |
| Rem/biv cast full arm/leg CPT 29705 | $265.58 | $591.00 | $94.14 – $278.86 | 7 |
| Rem/biv cast shldr/hip spica CPT 29710 | $265.58 | $631.00 | $174.14 – $278.86 | 7 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $6.73 | not published | $5.72 – $11.83 | 9 |
| Remote 30 day ecg tech supp CPT 93229 | $311.40 | not published | $281.42 – $1,483.10 | 8 |
| Remov/replc penis pros comp CPT 54411 | $20,128.56 | $33,820.00 | $2,172.16 – $21,134.99 | 7 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $1,490.10 – $1,490.10 | 1 |
| Removal anal seton other marker 46030 CPT 46030 | $1,179.08 | $2,409.00 | $183.26 – $1,238.03 | 7 |
| Removal biliary drg cath CPT 47537 | $937.56 | $2,558.00 | $197.83 – $984.44 | 7 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $618.26 | $4,125.00 | $285.61 – $649.17 | 7 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,553.44 | $4,440.00 | $398.25 – $1,631.11 | 7 |
| Removal cerclage w/anes CPT 59871 | $3,179.53 | $5,623.00 | $283.01 – $3,338.51 | 7 |
| Removal cerclage without anes CPT 59899 | $201.17 | $475.00 | $201.17 – $211.23 | 6 |
| Removal cerumen impacted (both sides) CPT 69210 | $59.40 | $206.00 | $59.40 – $68.34 | 7 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $5,405.70 | $11,018.00 | $1,214.12 – $5,675.99 | 7 |
| Removal clot in graft xcp 35876 CPT 35876 | $5,405.70 | $10,051.00 | $1,922.92 – $5,675.99 | 7 |
| Removal deep drug delivery device CPT 20701 | not published | $194.00 | $134.49 – $134.49 | 1 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $198.70 | $376.00 | $198.70 – $240.27 | 7 |
| Removal duct glbldr calculi CPT 47544 | not published | $5,731.00 | $316.34 – $316.34 | 1 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $937.56 | $2,533.00 | $249.56 – $984.44 | 7 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $1,620.24 | $4,490.00 | $207.69 – $2,847.29 | 8 |
| Removal foreign body foot cmplx CPT 28193 | $1,620.24 | $3,292.00 | $788.54 – $1,701.25 | 7 |
| Removal foreign body foot subcutaneous right CPT 28190 | $703.59 | $1,940.00 | $286.49 – $738.77 | 7 |
| Removal foreign body gum 41805 CPT 41805 | $1,481.28 | $5,391.00 | $432.26 – $1,555.34 | 7 |
| Removal foreign body jawbone CPT 41806 | $1,481.28 | $3,741.00 | $604.45 – $1,555.34 | 7 |
| Removal foreign body mouth CPT 40805 | $509.25 | $3,809.00 | $427.12 – $534.71 | 7 |
| Removal implant from finger/hand 26320 CPT 26320 | $1,620.24 | $3,507.00 | $776.24 – $1,701.25 | 7 |
| Removal implant superficial separate procedure CPT 20670 | $1,620.24 | $4,191.00 | $316.11 – $1,701.25 | 7 |
| Removal mamma implant mat 19330 CPT 19330 | $3,829.28 | $7,014.00 | $1,392.53 – $5,829.14 | 8 |
| Removal neck/armpit lesion CPT 38550 | $3,829.28 | $7,165.00 | $1,130.37 – $4,020.74 | 7 |
| Removal neck/armpit lesion 38555 CPT 38555 | $6,521.46 | $13,291.00 | $2,191.18 – $6,847.53 | 7 |
| Removal of adenoids CPT 42830 | $3,243.07 | $7,186.00 | $468.49 – $3,405.22 | 7 |
| Removal of adenoids CPT 42831 | $3,243.07 | $5,948.00 | $509.61 – $3,405.22 | 7 |
| Removal of adenoids CPT 42836 | $3,243.07 | $5,712.00 | $537.58 – $3,405.22 | 7 |
| Removal of adenoids <12yrs 42835 CPT 42835 | $3,243.07 | $5,948.00 | $438.24 – $3,405.22 | 7 |
| Removal of anal fissure CPT 46200 | $2,742.39 | $7,113.00 | $744.87 – $2,879.51 | 7 |
| Removal of anal tags CPT 46230 | $2,742.39 | $5,645.00 | $373.51 – $2,879.51 | 7 |
| Removal of ankle bone CPT 28130 | $7,143.73 | $10,914.00 | $1,337.06 – $7,500.92 | 7 |
| Removal of ankle implant CPT 27704 | $3,244.61 | $7,582.00 | $1,234.69 – $3,406.84 | 7 |
| Removal of ankle/heel lesion CPT 28100 | $3,244.61 | $6,065.00 | $909.50 – $3,406.84 | 7 |
| Removal of arm artery clot 34111 CPT 34111 | $5,405.70 | $14,095.00 | $1,220.43 – $5,675.99 | 7 |
| Removal of artery clot 34101 CPT 34101 | $5,405.70 | $12,377.00 | $1,221.94 – $5,675.99 | 7 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $2,837.37 – $2,837.37 | 1 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $1,863.01 – $1,863.01 | 1 |
| Removal of bladder lesion CPT 51520 | $3,448.97 | $8,005.00 | $1,267.43 – $3,621.42 | 7 |
| Removal of bladder stone CPT 51050 | $5,083.62 | $9,032.00 | $1,007.27 – $5,337.80 | 7 |
| Removal of bone for graft CPT 20900 | $7,143.73 | $11,007.00 | $381.93 – $7,500.92 | 7 |
| Removal of bone for graft CPT 20902 | $7,143.73 | $10,630.00 | $581.64 – $7,500.92 | 7 |
| Removal of bone lesion CPT 23140 | $3,244.61 | $7,834.00 | $1,221.79 – $3,406.84 | 7 |
| Removal of bone lesion CPT 23145 | $3,244.61 | not published | $1,519.25 – $5,430.31 | 8 |
| Removal of bone lesion CPT 23146 | $7,143.73 | $9,231.00 | $1,369.82 – $7,500.92 | 7 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $4,741.52 – $4,741.52 | 1 |
| Removal of breast lesion CPT 19120 | $3,829.28 | $7,014.00 | $902.25 – $5,829.14 | 8 |
| Removal of brow wrinkles CPT 15826 | $3,660.97 | $7,127.00 | $3,660.97 – $3,844.02 | 6 |
| Removal of calcium deposits CPT 23000 | $2,862.05 | $6,377.00 | $788.25 – $3,005.15 | 7 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $4,534.04 – $4,534.04 | 1 |
| Removal of epididymis CPT 54860 | $3,448.97 | $4,865.00 | $896.90 – $3,621.42 | 7 |
| Removal of epididymis CPT 54861 | $3,448.97 | $9,728.00 | $1,211.64 – $3,621.42 | 7 |
| Removal of ethmoid sinus CPT 31200 | $5,915.66 | $12,712.00 | $1,388.47 – $6,211.44 | 7 |
| Removal of ethmoid sinus CPT 31201 | $1,481.28 | $7,007.00 | $1,481.28 – $1,708.56 | 7 |
| Removal of external ear CPT 69120 | $5,915.66 | $9,140.00 | $850.89 – $6,211.44 | 7 |
| Removal of eye CPT 65101 | $3,771.00 | $9,594.00 | $1,859.56 – $3,959.55 | 7 |
| Removal of eye CPT 65110 | $3,771.00 | $9,035.00 | $2,854.86 – $3,959.55 | 7 |
| Removal of eye lesion CPT 65400 | $968.54 | $3,124.00 | $968.54 – $1,298.22 | 7 |
| Removal of eye lesion CPT 65420 | $2,332.96 | $4,964.00 | $824.32 – $2,449.61 | 7 |
| Removal of eye lesion CPT 65426 | $2,332.96 | $5,645.00 | $1,029.78 – $2,449.61 | 7 |
| Removal of face wrinkles CPT 15828 | $3,660.97 | $7,127.00 | $3,660.97 – $3,844.02 | 6 |
| Removal of fallopian tube 58700 CPT 58700 | not published | $3,922.00 | $1,715.41 – $1,715.41 | 1 |
| Removal of fascia for graft CPT 20920 | $1,829.23 | $4,733.00 | $871.10 – $1,920.69 | 7 |
| Removal of fascia for graft CPT 20922 | $1,829.23 | $4,989.00 | $1,079.47 – $1,920.69 | 7 |
| Removal of finger lesion CPT 26210 | $1,600.41 | $4,014.00 | $995.22 – $1,680.43 | 7 |
| Removal of finger tendon CPT 26180 | $1,600.41 | $3,842.00 | $999.55 – $1,680.43 | 7 |
| Removal of foot fascia CPT 28062 | $3,244.61 | $7,136.00 | $871.40 – $3,406.84 | 7 |
| Removal of foot joint lining CPT 28070 | $7,143.73 | $11,424.00 | $743.08 – $7,500.92 | 7 |
| Removal of foot joint lining CPT 28072 | $3,244.61 | $7,399.00 | $708.16 – $3,406.84 | 7 |
| Removal of foot lesion CPT 28080 | $1,600.41 | $4,898.00 | $829.88 – $1,680.43 | 7 |
| Removal of foot lesion CPT 28090 | $1,600.41 | $5,445.00 | $671.43 – $1,680.43 | 7 |
| Removal of foot lesion CPT 28104 | $3,244.61 | $6,529.00 | $770.18 – $3,406.84 | 7 |
| Removal of forearm lesion CPT 25120 | $3,244.61 | $6,686.00 | $1,108.47 – $3,406.84 | 7 |
| Removal of forehead wrinkles CPT 15824 | $1,829.23 | $4,783.00 | $1,829.23 – $1,920.69 | 6 |
| Removal of foreign body CPT 27372 | $2,862.05 | $6,211.00 | $874.93 – $3,005.15 | 7 |
| Removal of frontal sinus CPT 31080 | $5,915.66 | not published | $2,380.92 – $9,158.16 | 8 |
| Removal of frontal sinus CPT 31081 | $5,915.66 | not published | $2,546.43 – $9,158.16 | 8 |
| Removal of frontal sinus CPT 31084 | $5,915.66 | not published | $2,633.10 – $9,158.16 | 8 |
| Removal of frontal sinus CPT 31086 | $5,915.66 | not published | $2,565.47 – $9,158.16 | 8 |
| Removal of frontal sinus CPT 31087 | $5,915.66 | not published | $2,435.17 – $9,158.16 | 8 |
| Removal of frontal sinus 31085 CPT 31085 | $5,915.66 | not published | $2,710.61 – $9,158.16 | 8 |
| Removal of gallbladder 47600 CPT 47600 | not published | $3,306.00 | $2,270.26 – $2,270.26 | 1 |
| Removal of gallbladder 47610 CPT 47610 | not published | not published | $2,638.53 – $2,638.53 | 1 |
| Removal of gallbladder 47620 CPT 47620 | not published | $4,494.00 | $2,901.49 – $2,901.49 | 1 |
| Removal of gum tissue CPT 41830 | $3,243.07 | $6,261.00 | $684.45 – $3,405.22 | 7 |
| Removal of head of humerus CPT 23195 | $7,143.73 | $11,777.00 | $1,627.11 – $7,500.92 | 7 |
| Removal of heel bone CPT 28118 | $3,244.61 | $6,529.00 | $918.75 – $3,406.84 | 7 |
| Removal of heel spur CPT 28119 | $3,244.61 | $6,529.00 | $791.21 – $3,406.84 | 7 |
| Removal of hip foreign body 27087 CPT 27087 | $3,244.61 | $6,390.00 | $1,331.79 – $3,406.84 | 7 |
| Removal of humerus lesion CPT 23150 | $3,244.61 | $6,686.00 | $1,459.33 – $5,430.31 | 8 |
| Removal of humerus lesion CPT 23155 | $7,143.73 | $11,777.00 | $1,736.88 – $7,500.92 | 7 |
| Removal of humerus lesion CPT 23156 | $7,143.73 | $13,977.00 | $1,484.03 – $7,500.92 | 7 |
| Removal of hydrocele CPT 55040 | $3,529.06 | $7,962.00 | $727.32 – $3,705.51 | 7 |
| Removal of hydrocele CPT 55500 | $3,448.97 | $7,096.00 | $840.89 – $3,621.42 | 7 |
| Removal of hydroceles CPT 55041 | $3,529.06 | $7,755.00 | $1,093.84 – $3,705.51 | 7 |
| Removal of implant deep CPT 20680 | $2,862.05 | $7,480.00 | $909.45 – $3,005.15 | 7 |
| Removal of infusion pump CPT 36262 | $3,639.30 | not published | $682.68 – $6,480.20 | 8 |
| Removal of inner eye fluid CPT 67036 | $4,022.86 | $8,669.00 | $1,916.34 – $4,224.00 | 7 |
| Removal of inner eye lesion CPT 66770 | $548.60 | $1,667.00 | $548.60 – $1,035.27 | 7 |
| Removal of intranasal lesion CPT 30117 | $3,243.07 | $6,631.00 | $912.37 – $3,405.22 | 7 |
| Removal of intranasal lesion CPT 30118 | $3,243.07 | $6,631.00 | $1,555.92 – $3,405.22 | 7 |
| Removal of iris CPT 66605 | $2,280.73 | $5,900.00 | $2,280.73 – $2,394.77 | 7 |
| Removal of iris CPT 66625 | $2,280.73 | $4,830.00 | $924.45 – $2,394.77 | 7 |
| Removal of iris CPT 66630 | $2,280.73 | $6,703.00 | $1,219.07 – $2,394.77 | 7 |
| Removal of iris CPT 66635 | $2,280.73 | $5,372.00 | $1,229.78 – $2,394.77 | 7 |
| Removal of ischial bursa CPT 27060 | $7,143.73 | not published | $1,028.04 – $7,500.92 | 8 |
| Removal of jaw bone lesion CPT 21044 | $5,915.66 | $15,633.00 | $1,855.63 – $6,211.44 | 7 |
| Removal of jaw joint CPT 21050 | $5,915.66 | not published | $1,861.40 – $9,158.16 | 8 |
| Removal of knee cartilage CPT 27332 | $3,244.61 | $6,424.00 | $1,415.00 – $3,406.84 | 7 |
| Removal of knee cartilage CPT 27333 | $3,244.61 | $7,524.00 | $1,295.91 – $3,406.84 | 7 |
| Removal of knee cyst CPT 27345 | $3,244.61 | $5,753.00 | $1,072.61 – $3,406.84 | 7 |
| Removal of kneecap CPT 27350 | $7,143.73 | $11,839.00 | $1,432.41 – $7,500.92 | 7 |
| Removal of kneecap bursa CPT 27340 | $3,244.61 | $6,310.00 | $834.84 – $3,406.84 | 7 |
| Removal of larynx lesion CPT 31300 | $3,243.07 | $6,631.00 | $2,711.39 – $3,405.22 | 7 |
| Removal of larynx lesion 31512 CPT 31512 | $3,686.95 | $8,075.00 | $276.10 – $3,871.30 | 7 |
| Removal of lens lesion CPT 66830 | $2,280.73 | $7,643.00 | $1,520.44 – $2,394.77 | 7 |
| Removal of lens material CPT 66840 | $2,280.73 | $5,893.00 | $1,484.86 – $2,394.77 | 7 |
| Removal of lens material CPT 66850 | $2,280.73 | $5,819.00 | $1,687.53 – $2,394.77 | 7 |
| Removal of lens material CPT 66852 | $4,022.86 | $10,500.00 | $1,793.42 – $4,224.00 | 7 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $3,581.00 – $3,581.00 | 1 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $2,130.02 – $2,130.02 | 1 |
| Removal of lymph nodes neck CPT 38700 | $6,521.46 | $11,631.00 | $1,727.70 – $6,847.53 | 7 |
| Removal of lymph nodes neck CPT 38724 | not published | $5,562.00 | $3,094.51 – $3,094.51 | 1 |
| Removal of metatarsal CPT 28140 | $3,244.61 | $6,065.00 | $912.23 – $3,406.84 | 7 |
| Removal of metatarsal heads CPT 28114 | $3,244.61 | $6,529.00 | $1,814.46 – $3,406.84 | 7 |
| Removal of neck wrinkles CPT 15825 | $3,660.97 | $7,127.00 | $3,660.97 – $3,844.02 | 6 |
| Removal of nerve lesion CPT 64790 | $1,952.77 | $4,250.00 | $1,834.05 – $2,050.41 | 7 |
| Removal of nerve lesion CPT 64792 | $6,404.07 | $9,677.00 | $2,311.19 – $6,724.27 | 7 |
| Removal of nose CPT 30160 | $5,915.66 | not published | $1,779.36 – $9,158.16 | 8 |
| Removal of nose lesion CPT 30124 | $1,481.28 | $3,809.00 | $672.61 – $1,555.34 | 7 |
| Removal of nose lesion CPT 30125 | $5,915.66 | $12,000.00 | $1,436.51 – $6,211.44 | 7 |
| Removal of nose polyp(s) 30115 CPT 30115 | $3,243.07 | $6,631.00 | $1,029.63 – $4,618.73 | 8 |
| Removal of ocular implant CPT 65175 | $3,771.00 | $6,447.00 | $1,705.67 – $3,959.55 | 7 |
| Removal of omentum 49255 CPT 49255 | not published | $3,750.00 | $1,692.56 – $1,692.56 | 1 |
| Removal of ovary(s) 58940 CPT 58940 | not published | $3,146.00 | $1,198.29 – $1,198.29 | 1 |
| Removal of ovary/tube(s) CPT 58720 | not published | $2,264.00 | $1,631.06 – $1,631.06 | 1 |
| Removal of palm tendon each CPT 26170 | $1,600.41 | $3,842.00 | $906.69 – $1,680.43 | 7 |
| Removal of rib CPT 21615 | not published | $1,874.00 | $1,314.03 – $1,314.03 | 1 |
| Removal of salivary stone CPT 42340 | $3,243.07 | $5,304.00 | $752.15 – $3,405.22 | 7 |
| Removal of salivary stone 42335 CPT 42335 | $3,243.07 | $5,304.00 | $575.74 – $3,405.22 | 7 |
| Removal of scrotum CPT 55150 | $3,448.97 | $7,124.00 | $1,054.49 – $3,621.42 | 7 |
| Removal of scrotum lesion CPT 55120 | $2,048.51 | $5,539.00 | $763.99 – $2,150.94 | 7 |
| Removal of sesamoid bone CPT 28315 | $3,244.61 | $6,529.00 | $706.48 – $3,406.84 | 7 |
| Removal of shunt CPT 49429 | $3,147.50 | not published | $970.16 – $5,467.95 | 8 |
| Removal of skin tags each add'l 10 CPT 11201 | not published | $209.00 | $33.98 – $33.98 | 1 |
| Removal of skin wrinkles CPT 15829 | $3,660.97 | $7,127.00 | $3,660.97 – $3,844.02 | 6 |
| Removal of small intestine 44125 CPT 44125 | not published | not published | $2,479.23 – $2,479.23 | 1 |
| Removal of sperm cord lesion CPT 55520 | $3,448.97 | $6,025.00 | $987.94 – $3,621.42 | 8 |
| Removal of spinal shunt CPT 63746 | $1,952.77 | not published | $1,343.03 – $3,377.16 | 8 |
| Removal of spleen total 38102 CPT 38102 | not published | $807.00 | $545.33 – $545.33 | 1 |
| Removal of stomach 43621 CPT 43621 | not published | not published | $4,772.59 – $4,772.59 | 1 |
| Removal of stomach partial 43631 CPT 43631 | not published | $8,677.00 | $3,059.57 – $3,059.57 | 1 |
| Removal of stomachpartial 43632 CPT 43632 | not published | not published | $4,277.94 – $4,277.94 | 1 |
| Removal of suture from anus 46754 CPT 46754 | $2,742.39 | not published | $529.37 – $4,832.58 | 8 |
| Removal of tail bone CPT 27080 | $3,244.61 | $7,165.00 | $1,106.81 – $3,406.84 | 7 |
| Removal of tear gland CPT 68500 | $3,771.00 | $5,870.00 | $2,293.73 – $3,959.55 | 7 |
| Removal of tear sac CPT 68520 | $3,771.00 | $8,038.00 | $1,595.80 – $3,959.55 | 7 |
| Removal of tendon for graft CPT 20924 | $7,143.73 | $12,716.00 | $1,100.06 – $7,500.92 | 7 |
| Removal of tendon lesion CPT 27630 | $3,244.61 | $6,529.00 | $781.42 – $3,406.84 | 7 |
| Removal of testis CPT 54520 | $3,448.97 | $6,356.00 | $704.00 – $3,621.42 | 8 |
| Removal of testis CPT 54530 | $3,529.06 | $7,679.00 | $1,087.60 – $3,705.51 | 7 |
| Removal of thyroid CPT 60240 | $5,834.36 | $12,198.00 | $1,952.78 – $6,126.08 | 7 |
| Removal of thyroid CPT 60252 | $5,915.66 | $12,728.00 | $2,803.06 – $6,211.44 | 7 |
| Removal of thyroid CPT 60271 | $5,915.66 | $12,728.00 | $2,241.05 – $6,211.44 | 7 |
| Removal of toe lesions CPT 28092 | $1,600.41 | $4,369.00 | $595.90 – $1,680.43 | 7 |
| Removal of toe lesions CPT 28108 | $1,600.41 | $4,809.00 | $627.70 – $1,680.43 | 7 |
| Removal of ureter stone CPT 51060 | $2,048.51 | not published | $1,241.46 – $3,601.28 | 8 |
| Removal of urethra CPT 53210 | $3,448.97 | $9,403.00 | $1,642.12 – $3,621.42 | 7 |
| Removal of urethra CPT 53215 | $5,083.62 | $12,108.00 | $1,949.95 – $5,337.80 | 7 |
| Removal of urethra gland CPT 53250 | $3,448.97 | not published | $848.29 – $6,058.60 | 8 |
| Removal of urethra gland CPT 53270 | $3,448.97 | $4,893.00 | $394.13 – $3,621.42 | 7 |
| Removal of urethra lesion CPT 53230 | $5,083.62 | $10,546.00 | $1,297.37 – $5,337.80 | 7 |
| Removal of urethra lesion CPT 53235 | $5,083.62 | $10,546.00 | $1,347.25 – $5,337.80 | 7 |
| Removal of vein clot CPT 34421 | $3,147.50 | $8,756.00 | $1,420.02 – $3,304.88 | 7 |
| Removal of vein clot CPT 34471 | $618.26 | not published | $618.26 – $2,198.22 | 8 |
| Removal of vein clot 34490 CPT 34490 | $3,147.50 | not published | $1,178.25 – $5,467.95 | 8 |
| Removal of wrist bone CPT 25210 | $3,244.61 | $6,529.00 | $1,090.99 – $3,406.84 | 7 |
| Removal of wrist bones CPT 25215 | $3,244.61 | $6,529.00 | $1,360.00 – $3,406.84 | 7 |
| Removal of wrist lesion CPT 25130 | $3,244.61 | $6,686.00 | $1,001.17 – $3,406.84 | 7 |
| Removal of wrist prosthesis CPT 25250 | $1,600.41 | $6,041.00 | $1,176.67 – $1,680.43 | 7 |
| Removal of wrist prosthesis CPT 25251 | $3,244.61 | not published | $1,569.84 – $5,430.31 | 8 |
| Removal prosth radial head CPT 24164 | $3,244.61 | $8,202.00 | $1,578.14 – $3,406.84 | 7 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $198.70 | $634.00 | $168.05 – $208.64 | 7 |
| Removal sutr and stapl no anes CPT 15854 | not published | $2,278.00 | $7.28 – $36.09 | 2 |
| Removal sutr or stapl no anes CPT 15853 | not published | $2,278.00 | $5.16 – $26.36 | 2 |
| Removal sutr/staple req anes CPT 15851 | $1,829.23 | $3,926.00 | $138.62 – $1,920.69 | 7 |
| Removal tunnled intprtnl cath CPT 49422 | $3,147.50 | $5,445.00 | $460.84 – $3,304.88 | 7 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $399.04 | $2,789.00 | $216.39 – $418.99 | 7 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $10,465.33 | $22,220.00 | $104.00 – $10,988.60 | 7 |
| Remove & graft wrist lesion CPT 25135 | $7,143.73 | $12,716.00 | $1,238.03 – $7,500.92 | 7 |
| Remove & graft wrist lesion CPT 25136 | $7,143.73 | $12,716.00 | $1,100.62 – $7,500.92 | 7 |
| Remove abdomen lymph nodes 38780 CPT 38780 | not published | $6,177.00 | $2,230.63 – $2,230.63 | 1 |
| Remove abdominal lymph nodes 38747 CPT 38747 | not published | not published | $553.81 – $553.81 | 1 |
| Remove anal fist complex CPT 46280 | $2,742.39 | $6,727.00 | $1,043.37 – $2,879.51 | 7 |
| Remove anal fist inter CPT 46275 | $2,742.39 | $7,497.00 | $920.16 – $2,879.51 | 7 |
| Remove anal fist subq CPT 46270 | $2,742.39 | $6,962.00 | $875.10 – $2,879.51 | 7 |
| Remove ankle joint lining CPT 27625 | $3,244.61 | $7,913.00 | $1,243.04 – $3,406.84 | 7 |
| Remove ankle joint lining CPT 27626 | $3,244.61 | $8,800.00 | $1,343.46 – $3,406.84 | 7 |
| Remove armpit lymph nodes CPT 38745 | $5,834.36 | $10,534.00 | $1,883.74 – $6,126.08 | 7 |
| Remove bladder stone CPT 52317 | $3,448.97 | $7,497.00 | $716.80 – $3,621.42 | 7 |
| Remove bladder stone CPT 52318 | $3,448.97 | $8,301.00 | $979.26 – $3,621.42 | 7 |
| Remove blood clot from eye CPT 65930 | $2,280.73 | $6,536.00 | $1,378.30 – $2,394.77 | 7 |
| Remove brain canal fluid CPT 61050 | $295.19 | $3,341.00 | $167.42 – $309.95 | 7 |
| Remove brain cavity shunt 62256 CPT 62256 | not published | $1,828.00 | $1,343.53 – $1,343.53 | 1 |
| Remove brain lining lesion 61512 CPT 61512 | not published | $8,266.00 | $5,467.13 – $5,467.13 | 1 |
| Remove cartilage for graft CPT 20910 | $612.13 | $3,762.00 | $612.13 – $1,050.60 | 7 |
| Remove cartilage for graft CPT 20912 | $3,660.97 | $6,151.00 | $1,050.03 – $3,844.02 | 7 |
| Remove collar bone lesion CPT 23170 | $3,244.61 | not published | $1,242.90 – $5,430.31 | 8 |
| Remove coronoid process CPT 21070 | $5,915.66 | $12,000.00 | $1,323.76 – $6,211.44 | 7 |
| Remove cranial cavity fluid CPT 61001 | $692.52 | not published | $231.24 – $1,239.54 | 8 |
| Remove cva lumen obstruct CPT 75902 | not published | $344.00 | $170.17 – $272.46 | 2 |
| Remove digit nerve lesion 64776 CPT 64776 | $1,952.77 | $4,205.00 | $882.81 – $2,050.41 | 7 |
| Remove drug implant HCPCS G0517 | $399.04 | not published | $195.37 – $720.69 | 8 |
| Remove ear canal lesion(s) CPT 69145 | $2,862.05 | $6,813.00 | $567.81 – $3,005.15 | 7 |
| Remove ear canal lesion(s) 69140 CPT 69140 | $5,915.66 | $11,058.00 | $1,988.72 – $6,211.44 | 7 |
| Remove electrode/thoracotomy 33236 CPT 33236 | not published | not published | $1,638.27 – $1,638.27 | 1 |
| Remove eltrd/thoracotomy 33243 CPT 33243 | not published | $3,601.00 | $2,856.70 – $2,856.70 | 1 |
| Remove epididymis lesion CPT 54830 | $3,448.97 | $5,331.00 | $800.15 – $3,621.42 | 8 |
| Remove epididymis lesion CPT 54840 | $2,048.51 | $4,568.00 | $690.58 – $3,601.28 | 8 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $506.03 – $506.03 | 1 |
| Remove exostosis maxilla CPT 21032 | $3,243.07 | $6,849.00 | $566.83 – $3,405.22 | 7 |
| Remove ext hem groups 2+ CPT 46250 | $2,742.39 | $7,291.00 | $690.76 – $2,879.51 | 7 |
| Remove eye implant material CPT 67120 | $2,280.73 | $4,830.00 | $1,192.54 – $2,394.77 | 7 |
| Remove eye implant material CPT 67121 | $2,280.73 | $4,388.00 | $1,931.28 – $2,394.77 | 7 |
| Remove eye lesion CPT 65900 | $2,280.73 | not published | $2,130.31 – $3,968.52 | 8 |
| Remove eye lesion CPT 66130 | $2,332.96 | $5,372.00 | $1,206.56 – $2,449.61 | 7 |
| Remove eye/attach implant CPT 65105 | $3,771.00 | $8,802.00 | $2,082.16 – $3,959.55 | 7 |
| Remove eye/insert implant CPT 65103 | $3,771.00 | $8,938.00 | $1,917.32 – $3,959.55 | 7 |
| Remove eye/revise socket CPT 65112 | $3,771.00 | not published | $3,265.49 – $6,158.81 | 8 |
| Remove eye/revise socket CPT 65114 | $3,771.00 | not published | $3,404.19 – $6,158.81 | 8 |
| Remove eyelid lesion CPT 67800 | $298.93 | $1,139.00 | $218.93 – $313.88 | 7 |
| Remove eyelid lesion CPT 67840 | $968.54 | $2,125.00 | $336.83 – $1,671.09 | 8 |
| Remove eyelid lesion(s) CPT 67808 | $2,332.96 | $5,297.00 | $792.81 – $2,449.61 | 7 |
| Remove eyelid lesions CPT 67801 | $968.54 | $2,146.00 | $280.08 – $1,016.97 | 7 |
| Remove eyelid lesions CPT 67805 | $298.93 | $1,444.00 | $298.93 – $349.09 | 7 |
| Remove femur lesion CPT 27355 | $3,244.61 | $8,181.00 | $1,331.35 – $3,406.84 | 7 |
| Remove femur lesion/bursa CPT 27062 | $3,244.61 | $6,634.00 | $999.94 – $3,406.84 | 7 |
| Remove femur lesion/graft CPT 27356 | $12,866.82 | $15,599.00 | $1,613.61 – $13,510.16 | 7 |
| Remove femur lesion/graft CPT 27357 | $7,143.73 | $15,599.00 | $1,780.34 – $7,500.92 | 7 |
| Remove finger bone CPT 26185 | $1,600.41 | $3,842.00 | $1,237.06 – $1,680.43 | 7 |
| Remove forearm bone lesion CPT 25145 | $3,244.61 | $7,913.00 | $1,150.67 – $3,406.84 | 7 |
| Remove foreign body from eye CPT 65235 | $2,280.73 | $3,867.00 | $1,578.99 – $2,394.77 | 7 |
| Remove foreign body from eye CPT 65260 | $2,280.73 | not published | $2,108.19 – $3,968.52 | 8 |
| Remove foreign body from eye CPT 65265 | $2,280.73 | $5,268.00 | $2,280.73 – $2,394.77 | 7 |
| Remove gastric port open 43887 CPT 43887 | $1,829.23 | $4,618.00 | $724.51 – $1,920.69 | 7 |
| Remove groin lymph nodes CPT 38760 | $6,521.46 | $11,132.00 | $1,781.77 – $6,847.53 | 7 |
| Remove hand bone lesion CPT 26200 | $1,600.41 | $6,706.00 | $996.83 – $1,680.43 | 7 |
| Remove hip bone les deep CPT 27066 | $3,244.61 | $7,047.00 | $1,772.78 – $3,406.84 | 7 |
| Remove hip bone les super CPT 27065 | $7,143.73 | $11,398.00 | $1,150.97 – $7,500.92 | 7 |
| Remove hip foreign body 27086 CPT 27086 | $2,862.05 | $4,997.00 | $372.22 – $3,005.15 | 7 |
| Remove hip/pelvis lesion 27047 CPT 27047 | $2,862.05 | $5,726.00 | $787.54 – $3,005.15 | 7 |
| Remove humerus lesion CPT 23174 | $7,143.73 | not published | $1,672.17 – $7,500.92 | 8 |
| Remove humerus lesion CPT 23184 | $7,143.73 | $11,777.00 | $1,618.49 – $7,500.92 | 7 |
| Remove implant of eye CPT 65920 | $2,280.73 | $5,559.00 | $1,703.12 – $2,394.77 | 7 |
| Remove in/ex hem groups 2+ CPT 46260 | $2,742.39 | $9,359.00 | $1,041.46 – $2,879.51 | 7 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | $2,742.39 | $5,470.00 | $903.55 – $2,879.51 | 7 |
| Remove in/ex hem grp w/fistu CPT 46258 | $2,742.39 | $5,271.00 | $1,046.09 – $2,879.51 | 7 |
| Remove in/ex hem grps & fiss CPT 46261 | $2,742.39 | $6,752.00 | $1,150.43 – $2,879.51 | 7 |
| Remove in/ex hem grps w/fist CPT 46262 | $2,742.39 | $7,379.00 | $1,266.49 – $2,879.51 | 7 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | $4,320.00 | $2,772.12 – $2,772.12 | 1 |
| Remove inner ear CPT 69905 | $5,915.66 | $17,607.00 | $2,001.65 – $6,211.44 | 7 |
| Remove inner ear & mastoid CPT 69910 | $5,915.66 | not published | $2,140.65 – $9,158.16 | 8 |
| Remove inner ear lesion CPT 69970 | $5,915.66 | $12,592.00 | $4,556.33 – $6,211.44 | 7 |
| Remove int/ext hem 1 group CPT 46255 | $2,742.39 | $7,433.00 | $767.20 – $2,879.51 | 7 |
| Remove intact mammary implant CPT 19328 | $3,829.28 | $7,014.00 | $1,198.19 – $5,829.14 | 8 |
| Remove iris and lesion CPT 66600 | $4,022.86 | $9,160.00 | $1,959.83 – $4,224.00 | 7 |
| Remove jaw joint cartilage CPT 21060 | $5,915.66 | $17,618.00 | $1,683.95 – $6,211.44 | 7 |
| Remove knee cyst CPT 27347 | $3,244.61 | $6,065.00 | $1,160.78 – $3,406.84 | 7 |
| Remove knee joint lining CPT 27334 | $3,244.61 | $7,117.00 | $1,499.34 – $3,406.84 | 7 |
| Remove knee joint lining CPT 27335 | $7,143.73 | $11,839.00 | $1,667.78 – $7,500.92 | 7 |
| Remove lamina/facets lumbar CPT 63012 | $7,143.73 | $12,499.00 | $2,575.06 – $7,500.92 | 7 |
| Remove limb nerve lesion CPT 64782 | $1,952.77 | $4,626.00 | $985.62 – $2,050.41 | 7 |
| Remove lower leg bone lesion CPT 27635 | $3,244.61 | $6,529.00 | $1,262.09 – $3,406.84 | 7 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $5,346.91 – $5,346.91 | 1 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $2,822.85 – $2,822.85 | 1 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $3,256.11 – $3,256.11 | 1 |
| Remove mandible cyst complex CPT 21046 | $5,915.66 | $10,783.00 | $2,122.36 – $6,211.44 | 7 |
| Remove mastoid air cells CPT 69670 | $5,915.66 | $11,568.00 | $2,055.18 – $6,211.44 | 7 |
| Remove mastoid structures CPT 69505 | $5,915.66 | $12,555.00 | $2,686.47 – $6,211.44 | 7 |
| Remove maxilla cyst complex CPT 21048 | $5,915.66 | $10,783.00 | $2,138.17 – $6,211.44 | 7 |
| Remove middle ear nerve CPT 69676 | $3,243.07 | not published | $1,824.13 – $4,618.73 | 8 |
| Remove muti-comp penis pros CPT 54406 | $3,448.97 | $7,990.00 | $1,549.50 – $3,621.42 | 7 |
| Remove nasal foreign body CPT 30310 | $3,243.07 | $6,631.00 | $459.49 – $3,405.22 | 7 |
| Remove nasal foreign body CPT 30320 | $1,481.28 | $4,980.00 | $1,079.27 – $1,555.34 | 7 |
| Remove nerve lesion CPT 64784 | $1,952.77 | $4,205.00 | $1,561.55 – $2,050.41 | 7 |
| Remove part lumbar vertebra CPT 22102 | $7,143.73 | $12,298.00 | $1,668.17 – $7,500.92 | 7 |
| Remove part of neck vertebra CPT 22100 | $7,143.73 | $20,813.00 | $2,071.57 – $7,500.92 | 7 |
| Remove part of neck vertebra CPT 22110 | not published | $6,101.00 | $2,299.71 – $2,299.71 | 1 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | $2,750.00 | $1,710.20 – $1,710.20 | 1 |
| Remove pilonidal cyst compl CPT 11772 | $2,862.05 | $9,129.00 | $1,257.11 – $3,005.15 | 7 |
| Remove pilonidal cyst exten CPT 11771 | $2,862.05 | $7,150.00 | $974.25 – $3,005.15 | 7 |
| Remove prostate regrowth CPT 52630 | $5,083.62 | $9,398.00 | $869.24 – $5,337.80 | 7 |
| Remove renal tube w/fluoro CPT 50389 | $667.47 | $1,925.00 | $109.15 – $1,163.86 | 8 |
| Remove sacrum pressure sore close 15936 CPT 15936 | $1,829.23 | $4,717.00 | $1,829.23 – $1,923.75 | 7 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | $1,829.23 | $17,531.00 | $1,829.23 – $2,220.94 | 7 |
| Remove sciatic nerve lesion CPT 64786 | $6,404.07 | $12,119.00 | $2,135.17 – $6,724.27 | 7 |
| Remove self-contd penis pros CPT 54415 | $3,448.97 | $8,696.00 | $1,137.30 – $3,621.42 | 7 |
| Remove shoulder blade lesion CPT 23172 | $3,244.61 | not published | $1,254.87 – $5,430.31 | 8 |
| Remove shoulder fb deep CPT 23333 | $2,862.05 | $6,377.00 | $1,042.16 – $3,005.15 | 7 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $1,620.24 | $3,300.00 | $369.42 – $1,701.25 | 7 |
| Remove skin nerve lesion CPT 64774 | $1,952.77 | $5,047.00 | $932.34 – $2,050.41 | 7 |
| Remove skin nerve lesion 64788 CPT 64788 | $1,952.77 | $4,250.00 | $893.97 – $2,050.41 | 7 |
| Remove skull plate/flap 62142 CPT 62142 | not published | $2,650.00 | $1,940.46 – $1,940.46 | 1 |
| Remove sperm pouch lesion CPT 55680 | $3,448.97 | not published | $744.77 – $6,058.60 | 8 |
| Remove spinal canal catheter 62355 CPT 62355 | $1,952.77 | $5,255.00 | $600.90 – $2,050.41 | 7 |
| Remove spinal cord lesion CPT 63600 | $1,952.77 | not published | $1,952.77 – $3,377.16 | 8 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | $6,490.00 | $441.92 – $441.92 | 1 |
| Remove spine eltrd perq aray CPT 63661 | $1,952.77 | $5,254.00 | $707.36 – $2,050.41 | 7 |
| Remove spine eltrd plate CPT 63662 | $3,439.01 | $6,389.00 | $1,852.05 – $3,610.96 | 7 |
| Remove spine fixation device CPT 22850 | not published | $5,156.00 | $1,596.12 – $1,596.12 | 1 |
| Remove spine fixation device CPT 22852 | not published | $14,508.00 | $1,539.97 – $1,539.97 | 1 |
| Remove spine infusion device CPT 62365 | $6,404.07 | $10,195.00 | $648.20 – $6,724.27 | 7 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | $7,143.73 | $12,913.00 | $3,194.17 – $7,500.92 | 7 |
| Remove spine lamina 1/2 crvl CPT 63001 | $7,143.73 | $12,716.00 | $2,648.94 – $7,500.92 | 7 |
| Remove spine lamina 1/2 lmbr CPT 63005 | $7,143.73 | $12,298.00 | $2,596.92 – $7,500.92 | 7 |
| Remove spine lamina 1/2 scrl CPT 63011 | $7,143.73 | $11,173.00 | $2,345.76 – $7,500.92 | 7 |
| Remove spine lamina 1/2 thrc CPT 63003 | $7,143.73 | $12,298.00 | $2,658.79 – $7,500.92 | 7 |
| Remove spine lamina >2 lmbr CPT 63017 | $7,143.73 | $13,296.00 | $2,736.08 – $7,500.92 | 7 |
| Remove spine lamina >2 thrc CPT 63016 | $7,143.73 | not published | $3,280.57 – $11,798.15 | 8 |
| Remove stent via transureth CPT 50386 | $2,048.51 | $4,568.00 | $337.41 – $3,601.28 | 8 |
| Remove sympathetic nerves CPT 64804 | $1,952.77 | not published | $1,952.77 – $3,377.16 | 8 |
| Remove sympathetic nerves CPT 64821 | $3,244.61 | $8,529.00 | $1,522.86 – $3,406.84 | 7 |
| Remove sympathetic nerves CPT 64822 | $3,244.61 | not published | $1,522.86 – $5,430.31 | 8 |
| Remove tear gland lesion CPT 68540 | $2,332.96 | $4,679.00 | $2,120.03 – $2,449.61 | 7 |
| Remove tear gland lesion CPT 68550 | $3,771.00 | not published | $2,638.88 – $6,158.81 | 8 |
| Remove thyroid duct lesion CPT 60280 | $5,834.36 | $13,468.00 | $989.92 – $6,126.08 | 7 |
| Remove thyroid duct lesion CPT 60281 | $5,834.36 | $12,827.00 | $1,289.60 – $6,126.08 | 7 |
| Remove thyroid lesion 60200 CPT 60200 | $5,834.36 | $13,292.00 | $1,438.95 – $6,126.08 | 7 |
| Remove tonsils and adenoids CPT 42820 | $5,915.66 | $10,303.00 | $633.92 – $6,211.44 | 7 |
| Remove tonsils and adenoids CPT 42821 | $3,243.07 | $7,186.00 | $662.24 – $3,405.22 | 7 |
| Remove ureter calculus CPT 51065 | $3,448.97 | not published | $1,235.41 – $6,058.60 | 8 |
| Remove ureter stent percut CPT 50384 | $2,048.51 | $4,517.00 | $461.85 – $2,150.94 | 7 |
| Remove uro sphincter CPT 53446 | $5,083.62 | $10,546.00 | $1,366.60 – $5,337.80 | 7 |
| Remove vagina tissue part CPT 57107 | $3,179.53 | $7,409.00 | $3,114.76 – $3,338.51 | 7 |
| Remove vaginal foreign body 57415 CPT 57415 | $3,179.53 | $6,699.00 | $381.09 – $3,338.51 | 7 |
| Remove vagus n eltrd CPT 64570 | $6,404.07 | $10,650.00 | $1,610.44 – $6,724.27 | 7 |
| Remove vc lesion scope/graft CPT 31546 | $6,922.47 | $12,931.00 | $1,151.16 – $7,268.59 | 7 |
| Remove vc lesion w/scope 31545 CPT 31545 | $3,686.95 | $6,643.00 | $760.98 – $3,871.30 | 7 |
| Remove ventilating tube CPT 69424 | $3,243.07 | $6,631.00 | $130.72 – $4,618.73 | 8 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $2,298.53 – $2,298.53 | 1 |
| Remove vert bodycerv 63081 CPT 63081 | not published | $5,907.00 | $3,775.58 – $3,775.58 | 1 |
| Remove w insert drug implant HCPCS G0518 | $399.04 | not published | $319.51 – $720.69 | 8 |
| Remove windpipe lesion CPT 31785 | $5,915.66 | not published | $2,282.97 – $9,158.16 | 8 |
| Remove wrist joint cartilage CPT 25107 | $3,244.61 | $7,007.00 | $1,363.21 – $3,406.84 | 7 |
| Remove wrist joint implant CPT 25449 | $7,143.73 | $21,824.00 | $2,230.81 – $7,500.92 | 7 |
| Remove wrist joint lining CPT 25105 | $3,244.61 | $6,799.00 | $1,077.42 – $3,406.84 | 7 |
| Remove wrist joint lining CPT 26130 | $3,244.61 | $6,632.00 | $1,041.02 – $3,406.84 | 7 |
| Remove wrist tendon lesion CPT 25110 | $1,600.41 | $3,348.00 | $770.52 – $1,680.43 | 7 |
| Remove wrist tendon lesion CPT 25111 | $1,600.41 | $3,889.00 | $728.03 – $1,680.43 | 7 |
| Remove wrist/forearm lesion CPT 25115 | $1,600.41 | $4,795.00 | $1,600.41 – $1,680.43 | 7 |
| Remove wrist/forearm lesion CPT 25116 | $3,244.61 | $6,065.00 | $1,333.29 – $3,406.84 | 7 |
| Remove/graft bone lesion CPT 26205 | $7,143.73 | $11,161.00 | $1,327.40 – $7,500.92 | 7 |
| Remove/graft finger lesion CPT 26215 | $3,244.61 | $6,706.00 | $1,248.44 – $3,406.84 | 7 |
| Remove/graft foot lesion CPT 28102 | $7,143.73 | $12,716.00 | $1,339.56 – $7,500.92 | 7 |
| Remove/graft foot lesion CPT 28103 | $7,143.73 | $12,716.00 | $832.30 – $7,500.92 | 7 |
| Remove/graft foot lesion CPT 28107 | $7,143.73 | $12,716.00 | $746.52 – $7,500.92 | 7 |
| Remove/graft forearm lesion CPT 25125 | $1,600.41 | $8,547.00 | $1,310.01 – $1,680.43 | 7 |
| Remove/graft forearm lesion CPT 25126 | $3,244.61 | $8,529.00 | $1,319.17 – $3,406.84 | 7 |
| Remove/graft hip bone lesion CPT 27067 | $7,143.73 | not published | $2,238.58 – $11,798.15 | 8 |
| Remove/graft leg bone lesion CPT 27637 | $7,143.73 | $11,365.00 | $1,624.58 – $7,500.92 | 7 |
| Remove/graft leg bone lesion CPT 27638 | $7,143.73 | $11,365.00 | $1,605.94 – $7,500.92 | 7 |
| Remove/repair hearing aid CPT 69711 | $3,243.07 | $7,031.00 | $1,824.79 – $3,405.22 | 7 |
| Remove/replace penis prosth CPT 54410 | $20,128.56 | $30,788.00 | $1,828.11 – $21,134.99 | 7 |
| Remove/replace ur sphincter CPT 53447 | $20,128.56 | $31,144.00 | $1,704.72 – $21,134.99 | 7 |
| Remove/revise male sling CPT 53442 | $5,083.62 | $11,149.00 | $1,669.47 – $5,337.80 | 7 |
| Remove/transplant tendon CPT 23440 | $7,143.73 | $13,192.00 | $1,645.15 – $7,500.92 | 7 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $3,146.49 – $3,146.49 | 1 |
| Remv/repl penis contain pros CPT 54416 | $20,128.56 | $22,761.00 | $1,528.57 – $21,134.99 | 7 |
| Remv/replc penis pros compl CPT 54417 | $12,992.42 | $33,820.00 | $1,898.55 – $13,642.04 | 7 |
| Remvl peritoneal fb frm cavity CPT 49402 | $3,529.06 | $5,642.00 | $1,811.62 – $3,705.51 | 7 |
| Renal abscess open drng 50020 CPT 50020 | $2,048.51 | $5,603.00 | $2,048.51 – $2,150.94 | 7 |
| Renal cyst study s&i CPT 74470 | $548.30 | $1,118.00 | $230.09 – $575.72 | 7 |
| Renal endoscopy 50572 CPT 50572 | $667.47 | not published | $667.47 – $1,163.86 | 8 |
| Renal function panel CPT 80069 | $8.68 | $197.00 | $8.68 – $40.85 | 11 |
| Renal scope w/tumor resect CPT 50562 | $9,247.15 | $11,092.00 | $1,202.87 – $9,709.51 | 7 |
| Renal venogram bil s&i CPT 75833 | $3,147.50 | $7,621.00 | $281.12 – $3,304.88 | 8 |
| Reopen fallopian tube CPT 58350 | $4,936.45 | $8,463.00 | $208.64 – $8,540.47 | 8 |
| Reopening of recent laparotomy 49002 CPT 49002 | not published | $7,646.00 | $2,199.84 – $2,199.84 | 1 |
| Reoperation bypass graft 35700 CPT 35700 | not published | not published | $305.72 – $305.72 | 1 |
| Reoperation carotid add-on 35390 CPT 35390 | not published | $477.00 | $320.64 – $320.64 | 1 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | $4,034.00 | $2,653.06 – $2,653.06 | 1 |
| Repair achilles tendon CPT 27650 | $7,143.73 | $11,365.00 | $1,429.87 – $7,500.92 | 7 |
| Repair anal fistula CPT 46288 | $2,742.39 | $6,337.00 | $1,209.09 – $2,879.51 | 7 |
| Repair anorectal fist w/plug CPT 46707 | $2,742.39 | $8,392.00 | $1,093.93 – $2,879.51 | 7 |
| Repair aortic valve supraval stenosis 33417 CPT 33417 | not published | not published | $3,458.11 – $3,458.11 | 1 |
| Repair arm/leg nerve CPT 64857 | $6,404.07 | $11,977.00 | $2,254.51 – $6,724.27 | 7 |
| Repair art rupture aorta 35082 CPT 35082 | not published | $7,055.00 | $4,392.61 – $4,392.61 | 1 |
| Repair art rupture arm 35013 CPT 35013 | not published | not published | $2,600.77 – $2,600.77 | 1 |
| Repair art rupture chest 35022 CPT 35022 | not published | not published | $2,969.23 – $2,969.23 | 1 |
| Repair art rupture groin 35132 CPT 35132 | not published | not published | $3,316.12 – $3,316.12 | 1 |
| Repair artery rupture thigh 35142 CPT 35142 | not published | not published | $2,689.16 – $2,689.16 | 1 |
| Repair av fistula ext 35190 CPT 35190 | $5,405.70 | $9,897.00 | $1,561.00 – $5,675.99 | 7 |
| Repair biceps tendon CPT 23430 | $7,143.73 | $12,439.00 | $1,621.24 – $7,500.92 | 7 |
| Repair bladder & vagina CPT 57289 | $7,394.81 | $11,747.00 | $1,702.75 – $7,764.55 | 7 |
| Repair bladder defect CPT 57288 | $4,936.45 | $11,069.00 | $1,593.16 – $5,183.27 | 7 |
| Repair bladder neck CPT 51845 | $4,936.45 | $9,780.00 | $1,236.95 – $5,183.27 | 7 |
| Repair bladder-vagina lesion CPT 57320 | $4,936.45 | $9,957.00 | $1,216.06 – $5,183.27 | 7 |
| Repair bladder-vagina lesion CPT 57330 | $7,394.81 | $11,933.00 | $1,632.40 – $7,764.55 | 7 |
| Repair blood ves direct neck 35201 CPT 35201 | $5,405.70 | $9,771.00 | $1,925.75 – $5,675.99 | 7 |
| Repair blood vess/direct/intra/abd 35221 CPT 35221 | not published | $4,209.00 | $3,043.92 – $3,043.92 | 1 |
| Repair blood vessel dir lower extr CPT 35226 | $703.59 | $5,225.00 | $703.59 – $1,700.06 | 7 |
| Repair blood vessel dir upper extr CPT 35206 | $3,147.50 | $9,016.00 | $1,641.44 – $3,304.88 | 7 |
| Repair blood vessel direct hand finger CPT 35207 | $3,147.50 | $10,069.00 | $1,624.31 – $3,304.88 | 7 |
| Repair blood vessel direct intrathoracic without bypass 35216 CPT 35216 | not published | $5,332.00 | $4,363.80 – $4,363.80 | 1 |
| Repair blood vessel lesion CPT 35180 | $1,553.44 | not published | $1,283.42 – $1,631.11 | 8 |
| Repair blood vessel lesion CPT 35184 | $3,147.50 | $9,829.00 | $1,965.48 – $3,304.88 | 7 |
| Repair blood vessel lesion CPT 35188 | $5,405.70 | not published | $2,763.34 – $9,059.40 | 8 |
| Repair blood vessel lesion CPT 35261 | $3,147.50 | not published | $2,001.27 – $5,467.95 | 8 |
| Repair blood vessel lesion CPT 35266 | $5,405.70 | $12,638.00 | $1,779.17 – $5,675.99 | 7 |
| Repair blood vessel lesion 35211 CPT 35211 | not published | not published | $2,880.66 – $2,880.66 | 1 |
| Repair blood vessel w/graft intra-abd 35281 CPT 35246 | not published | not published | $3,210.97 – $3,210.97 | 1 |
| Repair blood vessel w/graft lower extremity 35286 CPT 35256 | $5,405.70 | not published | $2,069.40 – $9,059.40 | 8 |
| Repair blood vessel w/vein graft lower extremity 35256 CPT 35231 | $3,147.50 | not published | $2,616.82 – $5,467.95 | 8 |
| Repair bowel fistula 44650 CPT 44650 | not published | $4,420.00 | $3,021.04 – $3,021.04 | 1 |
| Repair bowel-bladder fistula 44660 CPT 44660 | not published | $3,449.00 | $2,815.84 – $2,815.84 | 1 |
| Repair bowel-bladder fistula 44661 CPT 44661 | not published | not published | $3,228.55 – $3,228.55 | 1 |
| Repair brow defect CPT 67900 | $2,332.96 | $5,481.00 | $1,082.01 – $3,752.25 | 8 |
| Repair cardiac wound without bypass CPT 33300 | not published | $8,753.00 | $5,014.81 – $5,014.81 | 1 |
| Repair carpal bone shorten CPT 25394 | $3,244.61 | $10,815.00 | $1,707.47 – $3,406.84 | 7 |
| Repair cleft hand CPT 26580 | $3,244.61 | not published | $3,244.61 – $5,430.31 | 8 |
| Repair cleft lip/nasal CPT 40700 | $5,915.66 | $10,403.00 | $2,166.76 – $6,211.44 | 7 |
| Repair cleft lip/nasal CPT 40701 | $5,915.66 | $12,825.00 | $2,549.91 – $6,211.44 | 7 |
| Repair cleft lip/nasal CPT 40702 | $5,915.66 | $12,825.00 | $2,145.48 – $6,211.44 | 7 |
| Repair cleft lip/nasal CPT 40720 | $3,243.07 | $7,095.00 | $2,200.66 – $3,405.22 | 7 |
| Repair cleft lip/nasal CPT 40761 | $5,915.66 | $12,825.00 | $2,306.68 – $6,211.44 | 7 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $612.13 | $2,200.00 | $548.30 – $642.74 | 7 |
| Repair corporeal tear CPT 54437 | $3,448.97 | $8,018.00 | $1,445.93 – $3,621.42 | 7 |
| Repair defect arm art 35045 CPT 35045 | $5,405.70 | $12,845.00 | $1,988.19 – $5,675.99 | 7 |
| Repair defect of artery CPT 35131 | not published | not published | $2,816.11 – $2,816.11 | 1 |
| Repair defect of artery 35011 CPT 35011 | $5,405.70 | $11,824.00 | $2,071.63 – $5,675.99 | 7 |
| Repair defect of artery 35081 CPT 35081 | not published | not published | $3,520.56 – $3,520.56 | 1 |
| Repair defect of artery 35102 CPT 35102 | not published | not published | $3,826.93 – $3,826.93 | 1 |
| Repair defect of artery 35121 CPT 35121 | not published | not published | $3,207.13 – $3,207.13 | 1 |
| Repair defect of artery aneurysm 35151 CPT 35151 | not published | $3,660.00 | $2,530.70 – $2,530.70 | 1 |
| Repair defect of artery carotid subclav 35001 CPT 35001 | not published | not published | $2,296.38 – $2,296.38 | 1 |
| Repair deformity of toe CPT 28313 | $3,244.61 | $6,529.00 | $787.60 – $3,406.84 | 7 |
| Repair degenerated kneecap CPT 27418 | $7,143.73 | $13,914.00 | $1,783.56 – $7,500.92 | 7 |
| Repair dental ellis ii fx CPT 41899 | $232.22 | $3,401.00 | $232.22 – $243.83 | 6 |
| Repair detached retina CPT 67107 | $4,022.86 | $7,734.00 | $2,389.33 – $4,224.00 | 7 |
| Repair detached retina CPT 67108 | $4,022.86 | $10,200.00 | $2,527.25 – $4,224.00 | 7 |
| Repair detached retina CPT 67110 | $2,280.73 | $5,268.00 | $1,747.99 – $2,394.77 | 7 |
| Repair detached retina crtx CPT 67101 | $2,280.73 | $5,772.00 | $613.29 – $2,394.77 | 7 |
| Repair detached retina pc CPT 67105 | $548.60 | $2,640.00 | $548.60 – $591.47 | 7 |
| Repair eardrum structures CPT 69631 | $5,915.66 | $11,221.00 | $1,948.71 – $9,158.16 | 8 |
| Repair elbow deb/attch open CPT 24359 | $3,244.61 | $7,295.00 | $1,451.25 – $3,406.84 | 7 |
| Repair elbow perc CPT 24357 | $3,244.61 | $7,295.00 | $917.08 – $3,406.84 | 7 |
| Repair elbow w/deb open CPT 24358 | $3,244.61 | $7,369.00 | $1,168.52 – $3,406.84 | 7 |
| Repair epigastric hern incar 49572 CPT 49572 | not published | not published | $6,100.95 – $6,100.95 | 1 |
| Repair epigastric hernia reduce 49570 CPT 49570 | not published | not published | $6,100.95 – $6,100.95 | 1 |
| Repair esophagus opening CPT 43420 | $3,243.07 | $5,118.00 | $2,175.15 – $3,405.22 | 7 |
| Repair esophagus wound 43410 CPT 43410 | not published | not published | $2,218.23 – $2,218.23 | 1 |
| Repair esophagus wound 43415 CPT 43415 | not published | not published | $5,371.85 – $5,371.85 | 1 |
| Repair extns tendon finger without grft ea CPT 26418 | $1,600.41 | $4,014.00 | $1,400.01 – $1,680.43 | 7 |
| Repair extra toe(s) CPT 28344 | $3,244.61 | $6,065.00 | $605.54 – $5,430.31 | 8 |
| Repair eyelid defect CPT 67901 | $2,332.96 | $5,248.00 | $1,265.49 – $2,449.61 | 7 |
| Repair eyelid defect CPT 67902 | $3,771.00 | $7,233.00 | $1,552.50 – $3,959.55 | 7 |
| Repair eyelid defect CPT 67903 | $2,332.96 | $5,451.00 | $1,027.64 – $3,752.25 | 8 |
| Repair eyelid defect CPT 67904 | $2,332.96 | $6,647.00 | $1,275.24 – $3,752.25 | 8 |
| Repair eyelid defect CPT 67906 | $3,771.00 | $4,454.00 | $1,078.94 – $6,158.81 | 8 |
| Repair eyelid defect CPT 67908 | $2,332.96 | $5,223.00 | $931.25 – $3,752.25 | 8 |
| Repair eyelid defect CPT 67914 | $2,332.96 | $5,616.00 | $713.69 – $2,449.61 | 7 |
| Repair eyelid defect CPT 67915 | $2,332.96 | $4,454.00 | $436.34 – $2,449.61 | 7 |
| Repair eyelid defect CPT 67916 | $2,332.96 | $5,287.00 | $923.59 – $2,449.61 | 7 |
| Repair eyelid defect CPT 67917 | $2,332.96 | $4,302.00 | $979.04 – $3,752.25 | 8 |
| Repair eyelid defect CPT 67921 | $2,332.96 | $5,035.00 | $678.49 – $3,752.25 | 8 |
| Repair eyelid defect CPT 67922 | $2,332.96 | $6,813.00 | $436.34 – $2,449.61 | 7 |
| Repair eyelid defect CPT 67923 | $2,332.96 | $4,679.00 | $924.44 – $2,449.61 | 7 |
| Repair eyelid defect CPT 67924 | $2,332.96 | $6,471.00 | $979.13 – $3,752.25 | 8 |
| Repair eyelid wound CPT 67930 | $2,332.96 | $5,143.00 | $499.95 – $2,449.61 | 7 |
| Repair eyelid wound CPT 67935 | $2,332.96 | $5,321.00 | $932.92 – $2,449.61 | 7 |
| Repair facial nerve CPT 69740 | $5,915.66 | not published | $2,505.90 – $9,158.16 | 8 |
| Repair facial nerve CPT 69745 | $5,915.66 | not published | $2,673.50 – $9,158.16 | 8 |
| Repair fibula nonunion CPT 27726 | $7,143.73 | $12,277.00 | $2,055.67 – $7,500.92 | 7 |
| Repair finger deformity CPT 26590 | $1,600.41 | not published | $1,600.41 – $3,104.50 | 8 |
| Repair finger tendon CPT 26433 | $3,244.61 | $6,706.00 | $1,274.95 – $3,406.84 | 7 |
| Repair finger/hand tendon CPT 26350 | $3,244.61 | $7,651.00 | $1,662.93 – $3,406.84 | 7 |
| Repair finger/hand tendon CPT 26356 | $3,244.61 | $6,314.00 | $1,749.90 – $3,406.84 | 7 |
| Repair finger/hand tendon CPT 26357 | $3,244.61 | $6,846.00 | $1,954.79 – $3,406.84 | 7 |
| Repair finger/hand tendon CPT 26370 | $3,244.61 | $7,811.00 | $1,734.81 – $3,406.84 | 7 |
| Repair finger/hand tendon CPT 26373 | $3,244.61 | $6,846.00 | $1,945.96 – $3,406.84 | 7 |
| Repair finger/hand tendon CPT 26426 | $3,244.61 | $6,846.00 | $1,112.66 – $3,406.84 | 7 |
| Repair foot dislocation CPT 28555 | $7,143.73 | $12,671.00 | $1,437.06 – $7,500.92 | 7 |
| Repair foot dislocation CPT 28585 | $7,143.73 | $11,161.00 | $1,528.22 – $7,500.92 | 7 |
| Repair foot dislocation CPT 28615 | $7,143.73 | $11,161.00 | $1,809.40 – $7,500.92 | 7 |
| Repair forearm tendon sheath CPT 25275 | $3,244.61 | $6,104.00 | $1,472.16 – $3,406.84 | 7 |
| Repair forearm tendon/muscle CPT 25265 | $3,244.61 | $7,896.00 | $1,645.94 – $3,406.84 | 7 |
| Repair forearm tendon/muscle CPT 25272 | $3,244.61 | $7,896.00 | $1,232.32 – $3,406.84 | 7 |
| Repair forearm tendon/muscle CPT 25274 | $3,244.61 | not published | $1,454.70 – $5,430.31 | 8 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | $7,143.73 | $12,716.00 | $1,395.13 – $7,500.92 | 7 |
| Repair hand joint CPT 26540 | $3,244.61 | $7,031.00 | $1,550.94 – $3,406.84 | 7 |
| Repair hand joint with graft CPT 26541 | $3,244.61 | $7,031.00 | $1,842.36 – $3,406.84 | 7 |
| Repair hand joint with graft CPT 26542 | $3,244.61 | $7,031.00 | $1,600.29 – $3,406.84 | 7 |
| Repair heart septum defect 33681 CPT 33681 | not published | not published | $3,821.36 – $3,821.36 | 1 |
| Repair heart septum defects dir/patch 33647 CPT 33647 | not published | not published | $3,738.15 – $3,738.15 | 1 |
| Repair heart wound w/bypass 33305 CPT 33305 | not published | not published | $8,379.12 – $8,379.12 | 1 |
| Repair heart-vein defect 33732 CPT 33732 | not published | not published | $3,418.52 – $3,418.52 | 1 |
| Repair humerus with graft CPT 24435 | $12,866.82 | $17,739.00 | $2,342.41 – $13,510.16 | 7 |
| Repair ing hernia sliding CPT 49525 | $3,529.06 | $9,067.00 | $1,228.02 – $3,705.51 | 7 |
| Repair iris & ciliary body CPT 66680 | $2,280.73 | $5,372.00 | $1,123.96 – $2,394.77 | 7 |
| Repair iris & ciliary body CPT 66682 | $2,280.73 | $5,372.00 | $1,548.97 – $2,394.77 | 7 |
| Repair lac palate<2 cm CPT 42180 | $509.25 | $1,363.00 | $407.40 – $534.71 | 7 |
| Repair leg fascia defect CPT 27656 | $3,244.61 | $6,635.00 | $745.96 – $3,406.84 | 7 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $509.25 | $3,190.00 | $509.25 – $790.47 | 7 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $1,481.28 | $3,694.00 | $930.47 – $1,555.34 | 7 |
| Repair liver wound 47350 CPT 47350 | not published | not published | $2,883.07 – $2,883.07 | 1 |
| Repair liver wound 47360 CPT 47360 | not published | $5,765.00 | $3,948.82 – $3,948.82 | 1 |
| Repair lower leg epiphyses CPT 27734 | $3,244.61 | $9,231.00 | $1,438.15 – $3,406.84 | 7 |
| Repair lower leg tendons CPT 27675 | $3,244.61 | $6,470.00 | $1,076.79 – $3,406.84 | 7 |
| Repair lower leg tendons CPT 27676 | $7,143.73 | $11,161.00 | $1,324.12 – $7,500.92 | 7 |
| Repair lumbar hernia CPT 49540 | $5,834.36 | $10,153.00 | $1,432.66 – $6,126.08 | 7 |
| Repair lung hernia 32800 CPT 32800 | not published | $2,914.00 | $1,969.33 – $1,969.33 | 1 |
| Repair major blood vessel(s) w/bypass 33322 CPT 33322 | not published | not published | $2,894.08 – $2,894.08 | 1 |
| Repair major blood vessel(s) without bypass 33320 CPT 33320 | not published | $3,177.00 | $2,219.99 – $2,219.99 | 1 |
| Repair meningocele <5cm diam 63700 CPT 63700 | not published | not published | $2,851.39 – $2,851.39 | 1 |
| Repair middle ear structures CPT 69666 | $3,243.07 | $6,557.00 | $1,763.52 – $3,405.22 | 7 |
| Repair middle ear structures CPT 69667 | $3,243.07 | $14,539.00 | $1,769.13 – $3,405.22 | 7 |
| Repair multi-comp penis pros CPT 54408 | $5,083.62 | $10,549.00 | $1,675.83 – $5,337.80 | 7 |
| Repair muscles of hand CPT 26591 | $3,244.61 | $7,165.00 | $1,097.65 – $3,406.84 | 7 |
| Repair nasal septum defect CPT 30630 | $3,243.07 | $6,631.00 | $1,468.98 – $3,405.22 | 7 |
| Repair nasal stenosis CPT 30465 | $5,915.66 | $12,879.00 | $2,240.25 – $6,211.44 | 7 |
| Repair nerve add-on CPT 64837 | not published | $9,407.00 | $758.75 – $758.75 | 1 |
| Repair nerve add-on 64832 CPT 64832 | not published | $7,526.00 | $696.81 – $696.81 | 1 |
| Repair nonunion carpal bone CPT 25431 | $7,143.73 | $11,961.00 | $1,714.66 – $7,500.92 | 7 |
| Repair nonunion hand CPT 26546 | $7,143.73 | $11,219.00 | $2,288.12 – $7,500.92 | 7 |
| Repair nose to lip fistula CPT 42260 | $5,915.66 | $11,997.00 | $1,446.39 – $6,211.44 | 7 |
| Repair of achilles tendon CPT 27654 | $7,143.73 | $12,439.00 | $1,551.67 – $7,500.92 | 7 |
| Repair of anal sphincter CPT 46760 | $2,742.39 | not published | $2,354.85 – $4,832.58 | 8 |
| Repair of anal sphincter CPT 46761 | $2,742.39 | not published | $1,939.10 – $4,832.58 | 8 |
| Repair of anal stricture CPT 46700 | $2,742.39 | $6,337.00 | $1,403.45 – $2,879.51 | 7 |
| Repair of aneurysm CPT 35141 | not published | $3,265.00 | $2,225.85 – $2,225.85 | 1 |
| Repair of ankle ligament CPT 27695 | $7,143.73 | $11,161.00 | $1,061.49 – $7,500.92 | 7 |
| Repair of ankle ligament CPT 27698 | $7,143.73 | $11,161.00 | $1,378.93 – $7,500.92 | 7 |
| Repair of ankle ligaments CPT 27696 | $7,143.73 | $11,161.00 | $1,185.49 – $7,500.92 | 7 |
| Repair of arm nerves CPT 64861 | $1,952.77 | $5,930.00 | $1,952.77 – $3,289.44 | 7 |
| Repair of bladder opening CPT 51880 | $3,448.97 | $11,087.00 | $993.55 – $3,621.42 | 7 |
| Repair of body cast CPT 29720 | $157.79 | $367.00 | $93.00 – $165.68 | 7 |
| Repair of bowel lesion CPT 44605 | not published | not published | $2,708.10 – $2,708.10 | 1 |
| Repair of circumcision CPT 54163 | $2,048.51 | $5,536.00 | $472.80 – $2,150.94 | 7 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $1,952.77 | $10,035.00 | $1,511.58 – $2,050.41 | 7 |
| Repair of enterocele abdominal approach 57270 CPT 57270 | not published | $2,437.00 | $1,737.80 – $1,737.80 | 1 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | $4,936.45 | $8,252.00 | $1,094.89 – $5,183.27 | 7 |
| Repair of eye socket wound CPT 65290 | $3,771.00 | $6,887.00 | $1,049.50 – $3,959.55 | 7 |
| Repair of eye wound CPT 65270 | $2,332.96 | $5,322.00 | $300.20 – $2,449.61 | 7 |
| Repair of eye wound CPT 65272 | $2,332.96 | $5,372.00 | $757.33 – $2,449.61 | 7 |
| Repair of eye wound CPT 65275 | $3,771.00 | $6,447.00 | $984.85 – $3,959.55 | 7 |
| Repair of eye wound CPT 65280 | $5,159.71 | $7,933.00 | $1,434.02 – $5,417.70 | 7 |
| Repair of eye wound CPT 65285 | $5,159.71 | $8,583.00 | $2,359.29 – $5,417.70 | 7 |
| Repair of eye wound CPT 65286 | $2,280.73 | $7,411.00 | $1,060.81 – $2,394.77 | 7 |
| Repair of facial nerve CPT 64864 | $6,404.07 | $9,407.00 | $1,835.86 – $6,724.27 | 7 |
| Repair of facial nerve CPT 64865 | $6,404.07 | $9,739.00 | $2,329.74 – $6,724.27 | 7 |
| Repair of fibula epiphysis CPT 27732 | $3,244.61 | $9,821.00 | $1,005.17 – $3,406.84 | 7 |
| Repair of foot bones CPT 28320 | $12,866.82 | $17,479.00 | $1,333.53 – $13,510.16 | 7 |
| Repair of foot tendon CPT 28200 | $3,244.61 | $6,813.00 | $711.04 – $3,406.84 | 7 |
| Repair of hand or foot nerve CPT 64834 | $6,404.07 | $10,035.00 | $1,609.16 – $6,724.27 | 7 |
| Repair of hand or foot nerve CPT 64835 | $6,404.07 | $9,407.00 | $1,762.44 – $6,724.27 | 7 |
| Repair of heart defects incplt/prtl without av valve 33660 CPT 33660 | not published | not published | $3,615.15 – $3,615.15 | 1 |
| Repair of humerus CPT 24430 | $12,866.82 | $16,361.00 | $2,277.70 – $13,510.16 | 7 |
| Repair of hydrocele 55060 CPT 55060 | $3,448.97 | $5,211.00 | $814.86 – $3,621.42 | 7 |
| Repair of knee cartilage CPT 27403 | $7,143.73 | $12,716.00 | $1,411.35 – $7,500.92 | 7 |
| Repair of knee ligament CPT 27405 | $7,143.73 | $11,156.00 | $1,477.89 – $7,500.92 | 7 |
| Repair of knee ligament CPT 27407 | $7,143.73 | $16,359.00 | $1,735.43 – $7,500.92 | 7 |
| Repair of knee ligaments CPT 27409 | $7,143.73 | $13,318.00 | $2,091.92 – $7,500.92 | 7 |
| Repair of kneecap tendon CPT 27380 | $7,143.73 | $11,161.00 | $1,369.61 – $7,500.92 | 7 |
| Repair of leg epiphyses CPT 27740 | $3,244.61 | not published | $1,545.21 – $5,430.31 | 8 |
| Repair of leg epiphyses CPT 27742 | $3,244.61 | $8,529.00 | $1,692.65 – $3,406.84 | 7 |
| Repair of leg nerve CPT 64840 | $6,404.07 | not published | $2,070.99 – $9,451.74 | 8 |
| Repair of leg tendon each CPT 27658 | $3,244.61 | $6,529.00 | $807.19 – $3,406.84 | 7 |
| Repair of leg tendon each CPT 27659 | $7,143.73 | $12,356.00 | $1,026.36 – $7,500.92 | 7 |
| Repair of leg tendon each CPT 27665 | $7,143.73 | $11,161.00 | $929.48 – $7,500.92 | 7 |
| Repair of low back nerves CPT 64862 | $6,404.07 | not published | $2,928.96 – $9,451.74 | 8 |
| Repair of mesentery 44850 CPT 44850 | not published | not published | $1,590.99 – $1,590.99 | 1 |
| Repair of metatarsals CPT 28322 | $7,143.73 | $12,367.00 | $1,253.56 – $7,500.92 | 7 |
| Repair of mitral valve w/bypass 33425 CPT 33425 | not published | not published | $5,607.03 – $5,607.03 | 1 |
| Repair of nasal septum CPT 30520 | $3,243.07 | $5,580.00 | $1,485.74 – $3,405.22 | 7 |
| Repair of penis CPT 54440 | $3,448.97 | $8,018.00 | $2,090.74 – $3,621.42 | 7 |
| Repair of rectocele 45560 CPT 45560 | $2,742.39 | $7,594.00 | $1,472.86 – $2,879.51 | 7 |
| Repair of rectum CPT 45500 | $2,742.39 | $8,272.00 | $1,229.47 – $2,879.51 | 7 |
| Repair of rectum CPT 45505 | $2,742.39 | $7,685.00 | $1,300.15 – $2,879.51 | 7 |
| Repair of ruptured spleen 38115 CPT 38115 | not published | not published | $2,720.62 – $2,720.62 | 1 |
| Repair of ruptured tendon CPT 24342 | $7,143.73 | $12,439.00 | $1,681.94 – $7,500.92 | 7 |
| Repair of shoulder CPT 23420 | $7,143.73 | $12,439.00 | $2,112.45 – $7,500.92 | 7 |
| Repair of skull defect 62140 CPT 62140 | not published | $3,757.00 | $2,207.08 – $2,207.08 | 1 |
| Repair of sperm duct CPT 55400 | $3,448.97 | $6,864.00 | $1,064.73 – $3,621.42 | 7 |
| Repair of thigh muscle CPT 27385 | $7,143.73 | $11,161.00 | $1,339.64 – $11,798.15 | 8 |
| Repair of tibia CPT 27720 | $7,143.73 | $12,671.00 | $1,888.89 – $7,500.92 | 7 |
| Repair of tibia epiphysis CPT 27730 | $3,244.61 | $7,830.00 | $1,290.82 – $3,406.84 | 7 |
| Repair of toe dislocation CPT 28675 | $3,244.61 | $6,900.00 | $905.55 – $3,406.84 | 7 |
| Repair of ulnar motor nerve 64836 CPT 64836 | $6,404.07 | $9,407.00 | $1,762.44 – $6,724.27 | 7 |
| Repair of urethra defect CPT 53275 | $3,448.97 | $5,312.00 | $557.42 – $3,621.42 | 7 |
| Repair of urethra defect CPT 53520 | $5,083.62 | $9,449.00 | $1,192.28 – $5,337.80 | 7 |
| Repair of urethra injury CPT 53505 | $5,083.62 | $13,638.00 | $1,036.63 – $5,337.80 | 7 |
| Repair of urethra injury CPT 53510 | $5,083.62 | $9,449.00 | $1,343.77 – $5,337.80 | 7 |
| Repair of urethra injury CPT 53515 | $5,083.62 | $15,513.00 | $1,679.54 – $5,337.80 | 7 |
| Repair of urethra injury 53502 CPT 53502 | $3,448.97 | $7,620.00 | $1,037.39 – $3,621.42 | 7 |
| Repair of urethral lesion CPT 57230 | $3,179.53 | $7,445.00 | $906.15 – $3,338.51 | 7 |
| Repair of web finger CPT 26560 | $1,600.41 | $3,842.00 | $1,415.68 – $1,680.43 | 7 |
| Repair of web finger CPT 26561 | $3,244.61 | $7,534.00 | $2,154.94 – $3,406.84 | 7 |
| Repair of web finger CPT 26562 | $3,244.61 | $7,534.00 | $3,003.32 – $3,406.84 | 7 |
| Repair of windpipe CPT 31750 | $5,915.66 | not published | $2,939.34 – $9,158.16 | 8 |
| Repair of windpipe CPT 31755 | $5,915.66 | $10,941.00 | $3,786.78 – $6,211.44 | 7 |
| Repair of windpipe defect CPT 31825 | $3,243.07 | $6,631.00 | $1,052.11 – $3,405.22 | 7 |
| Repair oronasal fistula 30600 CPT 30600 | $5,915.66 | $11,400.00 | $825.39 – $6,211.44 | 7 |
| Repair palate CPT 42182 | $5,915.66 | $10,480.00 | $557.46 – $6,211.44 | 7 |
| Repair palate CPT 42235 | $5,915.66 | $11,997.00 | $1,624.13 – $6,211.44 | 7 |
| Repair palate pharynx/uvula CPT 42145 | $5,915.66 | $10,303.00 | $1,490.05 – $6,211.44 | 7 |
| Repair paravag defect lap CPT 57423 | $10,411.22 | $18,162.00 | $1,975.38 – $10,931.78 | 7 |
| Repair paravag defect vag 57285 CPT 57285 | $7,394.81 | $11,334.00 | $1,479.99 – $7,764.55 | 7 |
| Repair penis CPT 54380 | $2,048.51 | $6,014.00 | $1,690.40 – $2,150.94 | 7 |
| Repair penis CPT 54385 | $2,048.51 | not published | $1,966.60 – $3,601.28 | 8 |
| Repair pm/icd lead dual CPT 33220 | $3,639.30 | $11,056.00 | $797.58 – $3,821.27 | 7 |
| Repair pm/icd lead sgl CPT 33218 | $3,639.30 | $11,143.00 | $818.15 – $3,821.27 | 7 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $3,423.23 – $3,423.23 | 1 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $3,030.61 – $3,030.61 | 1 |
| Repair radius & ulna CPT 25415 | $7,143.73 | $14,735.00 | $2,093.38 – $7,500.92 | 7 |
| Repair radius or ulna CPT 25400 | $7,143.73 | $14,735.00 | $1,741.96 – $7,500.92 | 7 |
| Repair rectum & vagina CPT 57250 | $4,936.45 | $7,016.00 | $1,319.98 – $5,183.27 | 7 |
| Repair rectum-vagina fistula CPT 57300 | $3,179.53 | $7,500.00 | $1,327.49 – $3,338.51 | 7 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $2,093.29 – $2,093.29 | 1 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | $4,508.00 | $3,058.90 – $3,058.90 | 1 |
| Repair recur fem hernia reduce 49555 CPT 49555 | $3,529.06 | $7,759.00 | $1,294.32 – $3,705.51 | 7 |
| Repair recur ventrl hern incar 49566 CPT 49566 | not published | not published | $9,513.41 – $9,513.41 | 1 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | not published | not published | $9,513.41 – $9,513.41 | 1 |
| Repair retinal detach cplx CPT 67113 | $5,159.71 | $9,132.00 | $2,826.41 – $5,417.70 | 7 |
| Repair rotator cuff acute CPT 23410 | $7,143.73 | $12,439.00 | $1,778.83 – $7,500.92 | 7 |
| Repair rotator cuff chronic CPT 23412 | $7,143.73 | $12,439.00 | $1,848.05 – $7,500.92 | 7 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $232.22 | $1,460.00 | $232.22 – $449.81 | 7 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $509.25 | $2,990.00 | $509.25 – $694.00 | 7 |
| Repair salivary duct CPT 42500 | $5,915.66 | $10,303.00 | $754.96 – $6,211.44 | 7 |
| Repair salivary duct CPT 42505 | $5,915.66 | $15,633.00 | $998.23 – $6,211.44 | 7 |
| Repair sciatic nerve CPT 64858 | $1,952.77 | $11,017.00 | $1,952.77 – $2,513.33 | 7 |
| Repair shoulder capsule CPT 23450 | $7,143.73 | $19,974.00 | $2,041.36 – $7,500.92 | 7 |
| Repair shoulder capsule CPT 23455 | $7,143.73 | $15,980.00 | $2,123.81 – $7,500.92 | 7 |
| Repair shoulder capsule CPT 23460 | $7,143.73 | $19,760.00 | $2,350.43 – $7,500.92 | 7 |
| Repair shoulder capsule CPT 23462 | $7,143.73 | $13,289.00 | $2,297.65 – $7,500.92 | 7 |
| Repair shoulder capsule CPT 23465 | $7,143.73 | $13,831.00 | $2,408.91 – $7,500.92 | 7 |
| Repair shoulder capsule CPT 23466 | $7,143.73 | $13,938.00 | $2,428.19 – $7,500.92 | 7 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $6,100.95 – $6,100.95 | 1 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | $2,816.00 | $2,033.71 – $2,033.71 | 1 |
| Repair stern/nuss without scope CPT 21742 | $3,244.61 | $9,403.00 | $3,244.61 – $3,406.84 | 7 |
| Repair sternum/nuss w/scope CPT 21743 | $3,244.61 | $9,543.00 | $3,244.61 – $4,824.79 | 7 |
| Repair stomach opening CPT 43870 | $3,804.53 | $5,990.00 | $1,508.41 – $3,994.76 | 7 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | $4,137.00 | $3,387.95 – $3,387.95 | 1 |
| Repair tear ducts CPT 68700 | $2,332.96 | $5,932.00 | $1,292.35 – $2,449.61 | 7 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $3,244.61 | $6,065.00 | $700.55 – $3,406.84 | 7 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $3,244.61 | $8,279.00 | $1,396.22 – $3,406.84 | 7 |
| Repair testis injury CPT 54670 | $3,448.97 | $6,219.00 | $877.43 – $3,621.42 | 7 |
| Repair throat esophagus 42953 CPT 42953 | not published | $3,348.00 | $2,091.55 – $2,091.55 | 1 |
| Repair throat wound CPT 42900 | $1,481.28 | not published | $711.94 – $2,647.74 | 8 |
| Repair toe dislocation CPT 28645 | $3,244.61 | $6,529.00 | $1,056.63 – $3,406.84 | 7 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $232.22 | $1,460.00 | $232.22 – $398.09 | 7 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $6,100.95 – $6,100.95 | 1 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $6,100.95 – $6,100.95 | 1 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $6,100.95 – $6,100.95 | 1 |
| Repair umbilical lesion CPT 49600 | $3,529.06 | $7,986.00 | $1,569.04 – $3,705.51 | 7 |
| Repair umbilical lesion CPT 49606 | not published | not published | $2,400.66 – $2,400.66 | 1 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $7,143.73 | $12,439.00 | $1,646.31 – $7,500.92 | 7 |
| Repair upper jaw fistula CPT 30580 | $5,915.66 | $12,879.00 | $991.42 – $6,211.44 | 7 |
| Repair urethrovaginal lesion 57310 CPT 57310 | $7,394.81 | $14,183.00 | $1,062.76 – $7,764.55 | 7 |
| Repair uro sphincter CPT 53449 | $9,247.15 | $12,082.00 | $1,302.42 – $9,709.51 | 7 |
| Repair vagina CPT 57335 | $4,936.45 | not published | $2,510.54 – $5,183.27 | 8 |
| Repair vagina/perineum CPT 57210 | $3,179.53 | $6,774.00 | $852.48 – $3,338.51 | 7 |
| Repair valve femoral vein CPT 34501 | $5,405.70 | not published | $1,834.66 – $9,059.40 | 8 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $6,100.95 – $6,100.95 | 1 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $6,100.95 – $6,100.95 | 1 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $2,267.55 – $2,267.55 | 1 |
| Repair webbed toe(s) CPT 28345 | $1,600.41 | $4,909.00 | $780.02 – $1,680.43 | 7 |
| Repair windpipe opening CPT 31614 | $5,915.66 | $10,696.00 | $1,551.28 – $6,211.44 | 7 |
| Repair/graft achilles tendon CPT 27652 | $7,143.73 | $15,267.00 | $1,448.02 – $7,500.92 | 7 |
| Repair/graft eye lesion CPT 66225 | $5,159.71 | $9,160.00 | $2,003.09 – $5,417.70 | 7 |
| Repair/graft finger tendon CPT 26420 | $3,244.61 | $7,093.00 | $1,646.18 – $3,406.84 | 7 |
| Repair/graft finger tendon CPT 26428 | $3,244.61 | not published | $1,765.02 – $5,430.31 | 8 |
| Repair/graft finger tendon CPT 26434 | $3,244.61 | $6,846.00 | $1,545.39 – $3,406.84 | 7 |
| Repair/graft hand tendon CPT 26352 | $7,143.73 | $11,161.00 | $1,840.71 – $7,500.92 | 7 |
| Repair/graft hand tendon CPT 26358 | $7,143.73 | $11,161.00 | $2,149.16 – $7,500.92 | 7 |
| Repair/graft hand tendon CPT 26372 | $7,143.73 | $11,161.00 | $2,019.21 – $7,500.92 | 7 |
| Repair/graft hand tendon CPT 26392 | $7,143.73 | $11,483.00 | $2,201.67 – $7,500.92 | 7 |
| Repair/graft hand tendon CPT 26412 | $3,244.61 | $6,846.00 | $1,588.14 – $3,406.84 | 7 |
| Repair/graft kneecap tendon CPT 27381 | $7,143.73 | $11,161.00 | $1,787.99 – $7,500.92 | 7 |
| Repair/graft of foot tendon CPT 28202 | $7,143.73 | $12,074.00 | $922.45 – $7,500.92 | 7 |
| Repair/graft of foot tendon CPT 28210 | $7,143.73 | $12,074.00 | $918.09 – $7,500.92 | 7 |
| Repair/graft of thigh CPT 27472 | not published | $3,335.00 | $2,716.46 – $2,716.46 | 1 |
| Repair/graft of thigh muscle CPT 27386 | $7,143.73 | $12,667.00 | $1,867.25 – $7,500.92 | 7 |
| Repair/graft of tibia CPT 27722 | $7,143.73 | $13,432.00 | $1,941.14 – $7,500.92 | 7 |
| Repair/graft of tibia CPT 27724 | not published | $7,381.00 | $2,682.07 – $2,682.07 | 1 |
| Repair/graft radius & ulna CPT 25420 | $7,143.73 | $16,451.00 | $2,511.22 – $7,500.92 | 7 |
| Repair/graft radius & ulna CPT 25426 | $3,244.61 | $10,349.00 | $2,417.42 – $3,406.84 | 7 |
| Repair/graft radius or ulna CPT 25405 | $7,143.73 | $16,451.00 | $2,237.83 – $7,500.92 | 7 |
| Repair/graft radius or ulna CPT 25425 | $7,143.73 | $10,349.00 | $2,084.21 – $7,500.92 | 7 |
| Repair/graft wrist bone CPT 25440 | $7,143.73 | $16,124.00 | $1,673.34 – $7,500.92 | 7 |
| Repair/revise wrist joint CPT 25320 | $7,143.73 | $11,161.00 | $2,166.37 – $7,500.92 | 7 |
| Repair/transpose mp nerve 64856 CPT 64856 | $6,404.07 | $9,282.00 | $2,156.74 – $6,724.27 | 7 |
| Repeat thyroid surgery CPT 60260 | $5,915.66 | $12,296.00 | $2,311.98 – $9,158.16 | 8 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | $6,819.00 | $4,667.92 – $4,667.92 | 1 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | $9,791.00 | $5,924.64 – $5,924.64 | 1 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $6,870.21 – $6,870.21 | 1 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | $17,879.00 | $2,795.99 – $2,795.99 | 1 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | $15,404.00 | $2,694.39 – $2,694.39 | 1 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $2,778.73 – $2,778.73 | 1 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | $4,656.00 | $104.00 – $2,912.77 | 3 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $1,978.85 – $1,978.85 | 1 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $1,499.07 – $1,499.07 | 1 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $1,236.97 – $1,236.97 | 1 |
| Replace duod/jej tube perc CPT 49451 | $937.56 | $2,318.00 | $180.36 – $984.44 | 7 |
| Replace elbow joint CPT 24363 | $18,390.05 | $30,109.00 | $3,103.24 – $19,309.55 | 7 |
| Replace eye fluid CPT 67025 | $2,280.73 | $5,559.00 | $1,354.07 – $2,394.77 | 7 |
| Replace g-j tube perc CPT 49452 | $937.56 | $2,019.00 | $277.40 – $984.44 | 7 |
| Replace g/c tube perc CPT 49450 | $937.56 | $2,420.00 | $133.52 – $984.44 | 7 |
| Replace picvad cath CPT 36585 | $3,147.50 | $5,756.00 | $585.28 – $3,304.88 | 7 |
| Replace skull plate/flap CPT 62143 | not published | $2,418.00 | $2,262.46 – $2,262.46 | 1 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | $7,143.73 | $11,165.00 | $1,216.25 – $11,798.15 | 8 |
| Replace tunneled cv cath CPT 36578 | $3,147.50 | $6,562.00 | $427.59 – $3,304.88 | 7 |
| Replace/irrigate catheter CPT 62194 | $1,952.77 | not published | $1,087.63 – $3,377.16 | 8 |
| Replace/irrigate catheter CPT 62225 | $6,404.07 | $17,755.00 | $1,181.00 – $6,724.27 | 7 |
| Replace/revise brain shunt CPT 62230 | $6,404.07 | $10,964.00 | $1,823.87 – $6,724.27 | 7 |
| Replacement of contact lens CPT 92326 | $59.40 | not published | $59.40 – $220.41 | 8 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $4,770.61 – $4,770.61 | 1 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $5,650.80 – $5,650.80 | 1 |
| Replacment pt electronic sys HCPCS G0555 | $1,017.39 | not published | $1,017.39 – $1,068.26 | 6 |
| Replantation digit complete CPT 20822 | $1,600.41 | $7,137.00 | $1,600.41 – $3,788.08 | 7 |
| Replantation thumb complete CPT 20827 | not published | $20,813.00 | $3,887.40 – $3,887.40 | 1 |
| Repos lv lead pm/icd CPT 33226 | $3,147.50 | $7,635.00 | $104.00 – $3,304.88 | 7 |
| Repos sq defib eltrd CPT 33273 | $3,639.30 | $8,307.00 | $839.66 – $3,821.27 | 7 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $3,439.01 | $10,832.00 | $783.84 – $3,610.96 | 7 |
| Reposition intraocular lens CPT 66825 | $2,280.73 | $5,372.00 | $1,806.56 – $2,394.77 | 7 |
| Reposition pm/icd lead CPT 33215 | $3,147.50 | $6,937.00 | $104.00 – $3,304.88 | 7 |
| Reposition vad w/image rt/lt sep session CPT 33993 | not published | $1,814.00 | $339.74 – $14,806.00 | 2 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | $3,244.61 | $6,065.00 | $1,568.29 – $3,406.84 | 7 |
| Repr elbw med ligmnt w/tissu CPT 24345 | $7,143.73 | $13,560.00 | $1,560.64 – $7,500.92 | 7 |
| Repr of anal fistula w/glue CPT 46706 | $2,742.39 | $5,865.00 | $389.28 – $2,879.51 | 7 |
| Reprogram cochlear implt 7/> CPT 92604 | $156.46 | $732.00 | $74.00 – $627.00 | 9 |
| Reprogram cochlear implt <7 CPT 92602 | $156.46 | $641.00 | $74.00 – $627.00 | 9 |
| Reptilase test CPT 85635 | $9.85 | $97.00 | $9.24 – $46.36 | 11 |
| Reremove wrist tendon lesion CPT 25112 | $1,600.41 | $6,035.00 | $869.25 – $1,680.43 | 7 |
| Rerepair fem hernia blocked CPT 49557 | $3,529.06 | $8,977.00 | $1,540.29 – $3,705.51 | 7 |
| Rerepair ing hernia blocked CPT 49521 | $6,239.75 | $9,922.00 | $1,527.93 – $6,551.74 | 7 |
| Rerepair ing hernia reduce CPT 49520 | $3,529.06 | $8,846.00 | $1,354.05 – $6,100.95 | 8 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $4,224.55 – $4,224.55 | 1 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $3,713.54 – $3,713.54 | 1 |
| Resect back tum 5 cm/> CPT 21936 | $2,862.05 | $5,973.00 | $2,862.05 – $3,009.61 | 7 |
| Resect back tum < 5 cm CPT 21935 | $2,862.05 | $6,156.00 | $2,183.07 – $3,005.15 | 7 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | $3,244.61 | $6,065.00 | $575.71 – $3,406.84 | 7 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $1,700.30 – $1,700.30 | 1 |
| Resect distal finger tumor CPT 26262 | $1,600.41 | $4,368.00 | $1,381.60 – $1,680.43 | 7 |
| Resect enlarged toe CPT 28341 | $3,244.61 | not published | $1,039.43 – $5,430.31 | 8 |
| Resect enlarged toe tissue CPT 28340 | $3,244.61 | $5,292.00 | $876.21 – $3,406.84 | 7 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $2,825.08 – $2,825.08 | 1 |
| Resect face/scalp tum 2 cm/> CPT 21016 | $2,862.05 | $5,726.00 | $2,157.49 – $3,005.15 | 7 |
| Resect face/scalp tum < 2 cm CPT 21015 | $2,862.05 | $5,458.00 | $1,506.28 – $3,005.15 | 7 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | $2,862.05 | $6,849.00 | $2,206.10 – $3,005.15 | 7 |
| Resect forarm/wrist tum 3cm> CPT 25078 | $2,862.05 | $5,726.00 | $2,498.10 – $3,005.15 | 7 |
| Resect forearm/wrist tum<3cm CPT 25077 | $2,862.05 | $3,521.00 | $1,841.76 – $3,005.15 | 7 |
| Resect heart sac lesion 33050 CPT 33050 | not published | $3,073.00 | $2,101.35 – $2,101.35 | 1 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | $2,862.05 | $6,391.00 | $2,862.05 – $3,846.32 | 7 |
| Resect hip/pelv tum < 5 cm CPT 27049 | $2,862.05 | $5,726.00 | $2,862.05 – $3,050.40 | 7 |
| Resect inferior turbinate CPT 30140 | $3,243.07 | $6,631.00 | $378.03 – $4,618.73 | 8 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | $2,862.05 | $7,482.00 | $2,688.11 – $3,005.15 | 7 |
| Resect leg/ankle tum < 5 cm CPT 27615 | $2,862.05 | $6,932.00 | $2,168.00 – $3,005.15 | 7 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $1,811.10 – $1,811.10 | 1 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | $3,885.00 | $2,371.05 – $2,371.05 | 1 |
| Resect metatarsal tumor CPT 28173 | $3,244.61 | $6,065.00 | $1,534.80 – $3,406.84 | 7 |
| Resect neck tumor 5 cm/> CPT 21558 | $2,862.05 | $6,878.00 | $2,849.63 – $3,005.15 | 7 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | $6,840.00 | $2,468.27 – $2,468.27 | 1 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $3,079.18 – $3,079.18 | 1 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | $3,244.61 | $6,065.00 | $546.06 – $3,406.84 | 7 |
| Resect phalanx of toe tumor CPT 28175 | $1,600.41 | $6,036.00 | $1,004.91 – $1,680.43 | 7 |
| Resect prox finger tumor CPT 26260 | $3,244.61 | $7,165.00 | $1,728.95 – $3,406.84 | 7 |
| Resect radius/ulnar tumor CPT 25170 | $7,143.73 | $13,318.00 | $3,139.76 – $7,500.92 | 7 |
| Resect talus/calcaneus tum CPT 27647 | $3,244.61 | $7,913.00 | $2,095.02 – $3,406.84 | 7 |
| Resect tarsal tumor CPT 28171 | $3,244.61 | $6,065.00 | $2,377.73 – $3,406.84 | 7 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | $2,862.05 | $5,726.00 | $2,862.05 – $3,330.08 | 7 |
| Resect thigh/knee tum < 5 cm CPT 27329 | $2,862.05 | $5,537.00 | $2,229.59 – $3,005.15 | 7 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | $10,203.00 | $5,916.99 – $5,916.99 | 1 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $4,166.38 – $4,166.38 | 1 |
| Resection of elbow joint CPT 24155 | $3,244.61 | $7,913.00 | $1,845.37 – $3,406.84 | 7 |
| Resection palate/lesion 42120 CPT 42120 | $5,915.66 | $10,303.00 | $2,174.35 – $6,211.44 | 7 |
| Resin three surfaces-anterio HCPCS D2332 | $1,662.63 | $1,155.00 | $331.12 – $1,745.76 | 7 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $10.58 | not published | $8.99 – $21.75 | 11 |
| Resp virus 6-11 targets CPT 87632 | $218.06 | $880.00 | $191.90 – $1,026.24 | 11 |
| Respirator motion mgmt simul CPT 77293 | not published | $2,237.00 | $293.00 – $792.09 | 3 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $6,036.12 – $6,036.12 | 1 |
| Resuscitation cardiopulmonary CPT 92950 | $311.40 | $1,485.00 | $303.41 – $326.97 | 7 |
| Resuscitation delivery/birthing room CPT 99465 | $654.38 | $1,261.00 | $237.94 – $687.10 | 7 |
| Reteplase injection HCPCS J2993 | $2,904.58 | not published | $1,045.31 – $3,976.80 | 11 |
| Reticulated platelet assay CPT 85055 | $35.74 | $98.00 | $32.92 – $168.20 | 11 |
| Reticulocyte automated CPT 85045 | $3.99 | $83.00 | $3.99 – $18.78 | 11 |
| Reticulocyte direct measurement automated CPT 85046 | $5.57 | $28.00 | $3.03 – $26.21 | 11 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $29.98 | not published | $25.48 – $31.48 | 6 |
| Retrieval of oocyte CPT 58970 | $870.74 | not published | $413.77 – $1,155.14 | 8 |
| Retrograde ejaculation anal CPT 89331 | $19.59 | not published | $17.24 – $92.20 | 12 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | $5,915.66 | $13,987.00 | $2,368.59 – $6,211.44 | 7 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $3,439.01 | $10,207.00 | $647.54 – $3,610.96 | 7 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $3,439.01 | $7,103.00 | $309.83 – $3,610.96 | 7 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $3,439.01 | $8,006.00 | $489.25 – $3,610.96 | 7 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | $21,444.39 | not published | $254.67 – $22,516.61 | 7 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | $12,470.31 | $38,072.00 | $12,470.31 – $13,093.83 | 6 |
| Revasc intra lithotrip-ather HCPCS C9766 | $17,956.72 | $27,248.00 | $14,806.00 – $18,854.56 | 7 |
| Revasc intra lithotrip-stent HCPCS C9765 | $17,956.72 | $27,248.00 | $14,806.00 – $18,854.56 | 7 |
| Revasc intravasc lithotripsy HCPCS C9764 | $11,340.57 | $13,624.00 | $11,340.57 – $14,806.00 | 7 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $17,956.72 | $54,381.00 | $14,806.00 – $18,854.56 | 7 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $17,956.72 | $54,381.00 | $14,806.00 – $18,854.56 | 7 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $17,956.72 | $54,381.00 | $14,806.00 – $18,854.56 | 7 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $11,340.57 | $34,012.00 | $11,340.57 – $14,806.00 | 7 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $17,956.72 | $43,835.00 | $14,806.00 – $18,854.56 | 7 |
| Revis reconst shoulder joint CPT 23473 | $12,866.82 | $17,477.00 | $3,430.89 – $13,510.16 | 7 |
| Revis reconst shoulder joint CPT 23474 | not published | $14,508.00 | $3,700.79 – $3,700.79 | 1 |
| Revise abdomen-venous shunt CPT 49426 | $3,529.06 | $5,642.00 | $1,432.15 – $3,705.51 | 7 |
| Revise additional leg tendon CPT 27692 | not published | $7,468.00 | $212.98 – $212.98 | 1 |
| Revise aqueous shunt eye CPT 66185 | $2,280.73 | $6,516.00 | $1,831.57 – $2,394.77 | 7 |
| Revise arm/leg nerve CPT 64708 | $1,952.77 | $6,711.00 | $1,115.52 – $2,050.41 | 7 |
| Revise breast reconst 19380 CPT 19380 | $6,521.46 | $13,075.00 | $1,740.61 – $10,174.48 | 8 |
| Revise circulation to head CPT 61708 | not published | not published | $5,447.13 – $5,447.13 | 1 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $2,870.50 – $2,870.50 | 1 |
| Revise eye CPT 65091 | $3,771.00 | $8,616.00 | $1,624.37 – $3,959.55 | 7 |
| Revise eye muscle CPT 67311 | $2,332.96 | $7,168.00 | $978.56 – $3,752.25 | 8 |
| Revise eye muscle CPT 67314 | $2,332.96 | $5,674.00 | $978.56 – $3,752.25 | 8 |
| Revise eye muscle(s) CPT 67318 | $2,332.96 | $5,981.00 | $1,469.60 – $2,449.61 | 7 |
| Revise eye socket implant CPT 67560 | $3,771.00 | $8,038.00 | $2,406.49 – $3,959.55 | 7 |
| Revise eye sockets CPT 21260 | $5,915.66 | not published | $2,943.18 – $9,158.16 | 8 |
| Revise eye sockets CPT 21261 | $5,915.66 | not published | $5,187.90 – $9,158.16 | 8 |
| Revise eye sockets CPT 21263 | $5,915.66 | not published | $4,804.75 – $9,158.16 | 8 |
| Revise eye sockets CPT 21267 | $5,915.66 | $9,367.00 | $3,443.63 – $6,211.44 | 7 |
| Revise eye with implant CPT 65093 | $3,771.00 | $7,549.00 | $1,612.29 – $3,959.55 | 7 |
| Revise eyelashes CPT 67825 | $298.93 | $784.00 | $264.13 – $313.88 | 7 |
| Revise eyelashes CPT 67835 | $2,332.96 | $4,454.00 | $947.85 – $2,449.61 | 7 |
| Revise eyelid defect CPT 67909 | $2,332.96 | $4,454.00 | $940.26 – $2,449.61 | 7 |
| Revise eyelid defect CPT 67911 | $2,332.96 | $4,953.00 | $1,198.19 – $3,752.25 | 8 |
| Revise eyelid lining CPT 68330 | $2,280.73 | $7,031.00 | $990.27 – $2,394.77 | 7 |
| Revise eyelid lining CPT 68360 | $3,771.00 | $7,464.00 | $883.13 – $3,959.55 | 7 |
| Revise eyelid lining CPT 68362 | $2,332.96 | $5,372.00 | $1,403.79 – $2,449.61 | 7 |
| Revise finger joint each CPT 26135 | $3,244.61 | $6,632.00 | $1,218.45 – $3,406.84 | 7 |
| Revise finger joint each CPT 26140 | $1,600.41 | $3,727.00 | $1,123.28 – $1,680.43 | 7 |
| Revise gastric port open 43886 CPT 43886 | $3,660.97 | $5,420.00 | $803.18 – $3,844.02 | 7 |
| Revise graft w/vein CPT 35879 | $5,405.70 | not published | $1,879.28 – $9,059.40 | 8 |
| Revise graft w/vein 35881 CPT 35881 | $5,405.70 | not published | $2,102.03 – $9,059.40 | 8 |
| Revise hand/finger tendon CPT 26390 | $7,143.73 | $11,483.00 | $1,929.98 – $7,500.92 | 7 |
| Revise head/neck of femur CPT 27179 | $7,143.73 | not published | $2,113.75 – $11,798.15 | 8 |
| Revise hernia & sperm veins CPT 55540 | $3,529.06 | $7,986.00 | $1,191.74 – $3,705.51 | 7 |
| Revise hip joint replacement CPT 27134 | not published | $14,508.00 | $4,043.46 – $4,043.46 | 1 |
| Revise hip joint replacement CPT 27138 | not published | $14,508.00 | $3,243.15 – $3,243.15 | 1 |
| Revise kneecap CPT 27437 | $7,143.73 | $12,591.00 | $1,444.93 – $7,500.92 | 7 |
| Revise kneecap with implant CPT 27438 | $12,866.82 | $17,206.00 | $1,822.54 – $13,510.16 | 7 |
| Revise knuckle joint CPT 26530 | $7,143.73 | $11,161.00 | $1,195.70 – $7,500.92 | 7 |
| Revise knuckle with implant CPT 26531 | $7,143.73 | $13,289.00 | $1,388.12 – $7,500.92 | 7 |
| Revise low back nerve(s) CPT 64714 | $1,952.77 | $5,057.00 | $1,659.03 – $2,050.41 | 7 |
| Revise lower leg tendon CPT 27690 | $7,143.73 | $12,439.00 | $1,385.80 – $7,500.92 | 7 |
| Revise lower leg tendon CPT 27691 | $7,143.73 | $12,439.00 | $1,613.04 – $11,798.15 | 8 |
| Revise lower leg tendons CPT 27686 | $3,244.61 | $7,953.00 | $1,156.45 – $3,406.84 | 7 |
| Revise middle ear & mastoid CPT 69641 | $5,915.66 | $12,430.00 | $2,268.60 – $6,211.44 | 7 |
| Revise middle ear & mastoid CPT 69642 | $5,915.66 | $12,000.00 | $2,907.41 – $6,211.44 | 7 |
| Revise middle ear & mastoid CPT 69643 | $5,915.66 | $11,400.00 | $2,656.64 – $6,211.44 | 7 |
| Revise middle ear & mastoid CPT 69644 | $5,915.66 | $11,400.00 | $3,280.88 – $6,211.44 | 7 |
| Revise middle ear & mastoid CPT 69646 | $5,915.66 | $11,400.00 | $3,420.98 – $6,211.44 | 7 |
| Revise middle ear & mastoid 69645 CPT 69645 | $5,915.66 | $11,568.00 | $3,220.81 – $6,211.44 | 7 |
| Revise middle ear bone CPT 69660 | $5,915.66 | $12,564.00 | $2,007.30 – $6,211.44 | 7 |
| Revise middle ear bone CPT 69661 | $5,915.66 | $11,523.00 | $2,612.32 – $6,211.44 | 7 |
| Revise middle ear bone CPT 69662 | $5,915.66 | $11,422.00 | $2,505.94 – $6,211.44 | 7 |
| Revise ocular implant CPT 65125 | $2,332.96 | not published | $639.25 – $3,752.25 | 8 |
| Revise ocular implant CPT 65150 | $3,771.00 | $8,142.00 | $1,536.98 – $3,959.55 | 7 |
| Revise palsy hand tendon(s) CPT 25315 | $7,143.73 | $12,716.00 | $1,674.83 – $7,500.92 | 7 |
| Revise palsy hand tendon(s) CPT 25316 | $7,143.73 | $12,716.00 | $1,986.22 – $7,500.92 | 7 |
| Revise penis/urethra CPT 54328 | $3,448.97 | $8,974.00 | $1,973.77 – $3,621.42 | 7 |
| Revise penis/urethra CPT 54332 | $3,448.97 | $8,487.00 | $2,125.92 – $3,621.42 | 7 |
| Revise penis/urethra CPT 54336 | $3,448.97 | $7,349.00 | $2,498.61 – $3,621.42 | 7 |
| Revise prosth vag graft lap CPT 57426 | $7,394.81 | $12,976.00 | $1,869.93 – $7,764.55 | 7 |
| Revise radius & ulna CPT 25365 | $12,866.82 | $17,941.00 | $1,987.67 – $13,510.16 | 7 |
| Revise radius & ulna CPT 25375 | $3,244.61 | not published | $2,063.74 – $5,430.31 | 8 |
| Revise radius or ulna CPT 25370 | $3,244.61 | not published | $2,193.53 – $5,430.31 | 8 |
| Revise reconst elbow joint CPT 24370 | $12,866.82 | $20,936.00 | $3,285.26 – $13,510.16 | 7 |
| Revise reconst elbow joint CPT 24371 | $18,390.05 | $29,897.00 | $3,770.02 – $19,309.55 | 7 |
| Revise spermatic cord veins CPT 55530 | $3,448.97 | $7,401.00 | $755.19 – $3,621.42 | 7 |
| Revise spermatic cord veins CPT 55535 | $6,239.75 | $9,922.00 | $920.65 – $6,551.74 | 7 |
| Revise spine eltrd perq aray CPT 63663 | $6,562.90 | $11,955.00 | $960.50 – $6,891.05 | 7 |
| Revise spine eltrd plate CPT 63664 | $12,470.31 | $21,207.00 | $1,926.73 – $13,093.83 | 7 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | $5,080.00 | $3,447.66 – $3,447.66 | 1 |
| Revise thigh muscles/tendons CPT 27400 | $7,143.73 | not published | $1,519.83 – $11,798.15 | 8 |
| Revise thumb tendon CPT 26490 | $3,244.61 | $7,582.00 | $1,850.57 – $3,406.84 | 7 |
| Revise thumb tendon CPT 26496 | $3,244.61 | $7,582.00 | $1,994.93 – $3,406.84 | 7 |
| Revise two eye muscles CPT 67312 | $3,771.00 | $8,110.00 | $1,416.70 – $6,158.81 | 8 |
| Revise two eye muscles CPT 67316 | $2,332.96 | $5,298.00 | $1,517.83 – $2,449.61 | 7 |
| Revise ulnar nerve at wrist CPT 64719 | $1,952.77 | $5,082.00 | $898.27 – $2,050.41 | 7 |
| Revise ureter CPT 50727 | $3,448.97 | $7,755.00 | $1,096.23 – $3,621.42 | 7 |
| Revise urethra stage 1 CPT 53400 | $5,083.62 | $9,604.00 | $1,692.08 – $5,337.80 | 7 |
| Revise urethra stage 2 CPT 53405 | $5,083.62 | $14,967.00 | $1,842.46 – $5,337.80 | 7 |
| Revise vag graft via vagina CPT 57295 | $3,179.53 | $6,783.00 | $1,080.21 – $3,338.51 | 7 |
| Revise windpipe scar CPT 31830 | $3,243.07 | $6,631.00 | $804.32 – $3,405.22 | 7 |
| Revise wrist joint CPT 25332 | $3,244.61 | $6,065.00 | $1,838.15 – $3,406.84 | 7 |
| Revise wrist/forearm tendon CPT 25280 | $3,244.61 | $7,261.00 | $1,244.82 – $3,406.84 | 7 |
| Revise/graft eyelid lining CPT 68320 | $2,332.96 | $5,084.00 | $1,163.43 – $3,752.25 | 8 |
| Revise/graft eyelid lining CPT 68325 | $3,771.00 | $4,454.00 | $1,405.92 – $3,959.55 | 7 |
| Revise/graft eyelid lining CPT 68326 | $3,771.00 | $7,645.00 | $1,381.59 – $3,959.55 | 7 |
| Revise/graft eyelid lining CPT 68328 | $2,332.96 | $6,768.00 | $1,506.22 – $2,449.61 | 7 |
| Revise/graft eyelid lining CPT 68335 | $3,771.00 | $5,955.00 | $1,385.18 – $3,959.55 | 7 |
| Revise/implant finger joint CPT 26536 | $7,143.73 | $12,716.00 | $1,665.51 – $7,500.92 | 7 |
| Revise/remove neuroelectrode CPT 61880 | $3,439.01 | $6,389.00 | $1,289.11 – $3,610.96 | 7 |
| Revise/remove neuroreceiver CPT 61888 | $12,470.31 | $17,865.00 | $864.52 – $13,093.83 | 7 |
| Revise/remove sling repair CPT 57287 | $3,179.53 | $6,774.00 | $1,600.77 – $3,338.51 | 7 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $2,769.51 – $2,769.51 | 1 |
| Revise/repl vagus n eltrd CPT 64569 | $12,470.31 | $17,865.00 | $1,663.54 – $13,093.83 | 7 |
| Revise/replace knee joint CPT 27486 | not published | $14,508.00 | $3,006.02 – $3,006.02 | 1 |
| Revise/replace knee joint CPT 27487 | not published | $14,508.00 | $3,736.71 – $3,736.71 | 1 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | $5,243.00 | $3,602.33 – $3,602.33 | 1 |
| Revision of amputation CPT 24935 | $7,143.73 | not published | $2,645.65 – $11,798.15 | 8 |
| Revision of ankle joint CPT 27700 | $7,143.73 | $11,161.00 | $1,550.82 – $7,500.92 | 7 |
| Revision of aqueous shunt CPT 66184 | $2,280.73 | $5,379.00 | $1,708.52 – $2,394.77 | 7 |
| Revision of arm nerve(s) CPT 64713 | $1,952.77 | $4,961.00 | $1,731.71 – $2,050.41 | 7 |
| Revision of big toe CPT 28310 | $7,143.73 | $11,161.00 | $789.09 – $7,500.92 | 7 |
| Revision of bladder neck CPT 52500 | $3,448.97 | $6,380.00 | $1,054.18 – $3,621.42 | 7 |
| Revision of calf tendon CPT 27687 | $3,244.61 | $6,065.00 | $990.44 – $5,430.31 | 8 |
| Revision of cervix CPT 57720 | $3,179.53 | $7,497.00 | $727.25 – $3,338.51 | 7 |
| Revision of cervix CPT 59320 | $3,179.53 | $5,907.00 | $320.57 – $3,338.51 | 7 |
| Revision of collar bone CPT 23480 | $7,143.73 | $13,011.00 | $1,779.24 – $7,500.92 | 7 |
| Revision of collar bone CPT 23485 | $12,866.82 | $17,477.00 | $2,058.03 – $13,510.16 | 7 |
| Revision of colostomy CPT 44340 | $3,660.97 | $8,909.00 | $1,352.39 – $3,844.02 | 7 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | $3,236.00 | $2,225.70 – $2,225.70 | 1 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | $6,778.00 | $2,499.84 – $2,499.84 | 1 |
| Revision of cornea CPT 65600 | $2,332.96 | not published | $735.68 – $3,752.25 | 8 |
| Revision of cranial nerve CPT 64716 | $1,952.77 | $4,675.00 | $1,111.29 – $2,050.41 | 7 |
| Revision of eyelid CPT 67880 | $2,332.96 | $5,441.00 | $792.81 – $2,449.61 | 7 |
| Revision of eyelid CPT 67882 | $2,332.96 | $4,454.00 | $1,011.76 – $2,449.61 | 7 |
| Revision of eyelid CPT 67950 | $2,332.96 | $5,294.00 | $991.96 – $3,752.25 | 8 |
| Revision of eyelid CPT 67961 | $2,332.96 | $5,147.00 | $975.09 – $2,449.61 | 7 |
| Revision of eyelid CPT 67966 | $2,332.96 | $6,304.00 | $1,396.87 – $2,449.61 | 7 |
| Revision of foot CPT 28116 | $3,244.61 | $6,529.00 | $1,256.05 – $3,406.84 | 7 |
| Revision of foot and ankle CPT 28262 | $7,143.73 | $11,161.00 | $2,376.44 – $7,500.92 | 7 |
| Revision of foot bones CPT 28737 | $12,866.82 | $16,561.00 | $1,488.27 – $13,510.16 | 7 |
| Revision of foot fascia 28250 CPT 28250 | $3,244.61 | $6,529.00 | $894.96 – $3,406.84 | 7 |
| Revision of foot tendon CPT 28238 | $7,143.73 | $11,161.00 | $1,054.07 – $7,500.92 | 7 |
| Revision of foot tendon CPT 28261 | $1,600.41 | $5,151.00 | $1,600.41 – $1,815.12 | 7 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $3,566.36 – $3,566.36 | 1 |
| Revision of hip tendon CPT 27097 | $3,244.61 | $8,202.00 | $1,490.20 – $3,406.84 | 7 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | $11,702.00 | $2,126.86 – $2,126.86 | 1 |
| Revision of ileostomy; simple 44312 CPT 44312 | $3,660.97 | $8,179.00 | $1,275.70 – $3,844.02 | 7 |
| Revision of infusion pump CPT 36261 | $3,639.30 | not published | $890.00 – $6,480.20 | 8 |
| Revision of iris CPT 66761 | $548.60 | $2,520.00 | $508.22 – $1,027.09 | 8 |
| Revision of iris CPT 66762 | $548.60 | $1,620.00 | $548.60 – $913.31 | 7 |
| Revision of jaw muscle/bone CPT 21295 | $1,481.28 | not published | $438.52 – $2,647.74 | 8 |
| Revision of jaw muscle/bone CPT 21296 | $3,243.07 | not published | $894.47 – $4,618.73 | 8 |
| Revision of knee joint CPT 27440 | $12,866.82 | $15,055.00 | $1,733.31 – $13,510.16 | 7 |
| Revision of knee joint CPT 27441 | $12,866.82 | $14,929.00 | $1,787.56 – $13,510.16 | 7 |
| Revision of knee joint CPT 27442 | $12,866.82 | $17,479.00 | $1,880.36 – $13,510.16 | 7 |
| Revision of knee joint CPT 27443 | $12,866.82 | $15,055.00 | $1,772.77 – $13,510.16 | 7 |
| Revision of knee joint CPT 27446 | $12,866.82 | $16,364.00 | $2,463.08 – $22,177.73 | 8 |
| Revision of larynx CPT 31400 | $5,915.66 | $10,783.00 | $2,208.17 – $6,211.44 | 7 |
| Revision of leg vein 37780 CPT 37780 | $3,147.50 | $6,571.00 | $493.55 – $3,304.88 | 7 |
| Revision of neck muscle CPT 21700 | $7,143.73 | $9,350.00 | $745.22 – $7,500.92 | 7 |
| Revision of neck muscle CPT 21720 | $3,244.61 | not published | $1,173.56 – $5,430.31 | 8 |
| Revision of neck muscle CPT 21725 | $703.59 | not published | $703.59 – $1,199.23 | 8 |
| Revision of neck muscle/rib CPT 21705 | not published | $1,288.00 | $1,106.54 – $1,106.54 | 1 |
| Revision of nose CPT 30120 | $3,243.07 | $5,580.00 | $913.59 – $3,405.22 | 7 |
| Revision of nose CPT 30430 | $5,915.66 | $10,679.00 | $2,377.45 – $6,211.44 | 7 |
| Revision of nose CPT 30435 | $5,915.66 | $11,779.00 | $2,938.82 – $6,211.44 | 7 |
| Revision of nose CPT 30450 | $5,915.66 | $12,879.00 | $3,806.95 – $6,211.44 | 7 |
| Revision of nose CPT 30460 | $5,915.66 | $12,631.00 | $1,796.52 – $6,211.44 | 7 |
| Revision of nose CPT 30462 | $5,915.66 | $12,879.00 | $3,445.60 – $6,211.44 | 7 |
| Revision of penis CPT 54300 | $3,448.97 | $8,067.00 | $1,369.70 – $3,621.42 | 7 |
| Revision of penis CPT 54304 | $3,448.97 | $9,023.00 | $1,581.19 – $3,621.42 | 7 |
| Revision of penis CPT 54420 | $3,448.97 | not published | $1,488.53 – $3,621.42 | 8 |
| Revision of penis CPT 54430 | not published | $2,057.00 | $1,357.25 – $1,357.25 | 1 |
| Revision of penis CPT 54435 | $3,448.97 | $5,603.00 | $887.56 – $3,621.42 | 7 |
| Revision of pharyngeal walls CPT 42892 | $5,915.66 | not published | $3,996.84 – $9,158.16 | 8 |
| Revision of radius CPT 25350 | $7,143.73 | $13,560.00 | $1,474.94 – $7,500.92 | 7 |
| Revision of radius CPT 25355 | $3,244.61 | not published | $1,666.41 – $5,430.31 | 8 |
| Revision of sciatic nerve CPT 64712 | $1,952.77 | $4,300.00 | $1,293.20 – $2,050.41 | 7 |
| Revision of scrotum CPT 55175 | $3,448.97 | $7,114.00 | $783.74 – $3,621.42 | 7 |
| Revision of scrotum CPT 55180 | $5,083.62 | $8,963.00 | $1,464.24 – $5,337.80 | 7 |
| Revision of spinal shunt CPT 63744 | $6,404.07 | not published | $1,491.54 – $9,451.74 | 8 |
| Revision of testis CPT 54660 | $5,083.62 | $10,837.00 | $770.65 – $5,337.80 | 7 |
| Revision of thigh muscles CPT 27430 | $7,143.73 | $11,161.00 | $1,617.65 – $7,500.92 | 7 |
| Revision of toe CPT 28312 | $3,244.61 | $6,529.00 | $753.74 – $3,406.84 | 7 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $4,898.02 – $4,898.02 | 1 |
| Revision of ulna CPT 25360 | $7,143.73 | $11,617.00 | $1,437.33 – $7,500.92 | 7 |
| Revision of unstable kneecap CPT 27420 | $7,143.73 | $12,716.00 | $1,633.98 – $7,500.92 | 7 |
| Revision of unstable kneecap CPT 27422 | $7,143.73 | $12,439.00 | $1,615.22 – $7,500.92 | 7 |
| Revision of urethra CPT 53450 | $3,448.97 | $7,224.00 | $874.99 – $3,621.42 | 7 |
| Revision of urethra CPT 53460 | $3,448.97 | $7,224.00 | $977.33 – $3,621.42 | 7 |
| Revision of urethra CPT 57220 | $4,936.45 | $11,620.00 | $751.94 – $5,183.27 | 7 |
| Revision open av fistula without thromb CPT 36832 | $5,405.70 | $11,550.00 | $1,555.81 – $5,675.99 | 7 |
| Revision orbitofacial bones CPT 21275 | $5,915.66 | $10,951.00 | $1,815.79 – $6,211.44 | 7 |
| Revision tips CPT 37183 | $5,701.52 | $17,052.00 | $758.84 – $5,986.60 | 7 |
| Revision/removal of kneecap CPT 27424 | $7,143.73 | $11,617.00 | $1,631.18 – $7,500.92 | 7 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $293.80 – $293.80 | 1 |
| Revj fem anast autog vn grf CPT 35884 | $5,405.70 | not published | $2,515.44 – $9,059.40 | 8 |
| Revj fem anast nonautog grf CPT 35883 | $5,405.70 | not published | $2,432.01 – $9,059.40 | 8 |
| Revj mstdc rsltg compl mstdc CPT 69601 | $5,915.66 | $12,190.00 | $2,208.72 – $6,211.44 | 7 |
| Revj mstdc rsltg tympanplsty CPT 69604 | $5,915.66 | $11,997.00 | $2,417.89 – $6,211.44 | 7 |
| Revj prior hypspad repair CPT 54352 | $5,083.62 | $11,550.00 | $2,964.04 – $5,337.80 | 7 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | $3,439.01 | not published | $3,439.01 – $3,610.96 | 6 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | $14,293.00 | $569.23 – $14,806.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $10.62 | not published | $9.03 – $11.15 | 6 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $1,952.77 | $5,542.00 | $414.85 – $2,050.41 | 7 |
| Rheumatoid factor qualitative CPT 86430 | $6.14 | $90.00 | $1.98 – $28.90 | 11 |
| Rheumatoid factor quantitative CPT 86431 | $5.67 | $273.00 | $4.95 – $26.68 | 11 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $5,915.66 | $12,879.00 | $2,705.44 – $6,211.44 | 7 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $23.68 – $53.34 | 5 |
| Rho d immune globulin inj HCPCS J2790 | not published | $559.00 | $70.06 – $107.94 | 2 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $139.50 – $198.91 | 2 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $4.22 – $10.14 | 5 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $30.77 | not published | $26.15 – $67.69 | 11 |
| Rib cartilage graft CPT 21230 | $5,915.66 | $9,362.00 | $1,605.50 – $6,211.44 | 7 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.14 – $0.14 | 1 |
| Right ventric recording CPT 93603 | $1,213.99 | $6,038.00 | $104.00 – $1,274.69 | 7 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $3.75 – $9.24 | 4 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | $2,046.00 | $658.36 – $1,216.60 | 3 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $2.04 – $9.24 | 4 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $14.84 | not published | $12.61 – $20.43 | 7 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $29.79 | not published | $29.79 – $31.28 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $10.94 | not published | $9.30 – $23.71 | 11 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $36.96 | not published | $31.42 – $96.54 | 10 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $75.93 | not published | $64.54 – $197.48 | 10 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $31.18 | not published | $26.50 – $123.16 | 9 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $29.92 | not published | $25.43 – $138.15 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $26.50 | not published | $22.53 – $121.05 | 9 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | $14,508.00 | $2,385.53 – $2,385.53 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $703.59 | $1,866.00 | $194.23 – $738.77 | 7 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | $3,244.61 | not published | $3,244.61 – $3,406.84 | 6 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | $3,244.61 | not published | $259.70 – $3,406.84 | 6 |
| Rmv ntr oi implt skl prq esp CPT 69726 | $3,244.61 | $9,543.00 | $3,244.61 – $3,406.84 | 6 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | $2,028.00 | $564.70 – $564.70 | 1 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | $3,244.61 | not published | $351.97 – $3,406.84 | 7 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $999.58 – $999.58 | 1 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $12,470.31 | $43,365.00 | $1,062.65 – $13,093.83 | 7 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $30,473.59 | $59,312.00 | $809.85 – $31,997.27 | 7 |
| Rmvl esophgl sphnctr dev CPT 43285 | $5,834.36 | $14,802.00 | $1,431.55 – $6,126.08 | 7 |
| Rmvl ext fixj sys under anes CPT 20694 | $1,600.41 | $5,425.00 | $750.62 – $1,680.43 | 7 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $2,862.05 | $5,726.00 | $885.79 – $3,005.15 | 7 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $1,179.08 | $4,762.00 | $493.06 – $1,238.03 | 7 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,620.24 | $2,815.00 | $309.38 – $1,701.25 | 7 |
| Rmvl hpglsl nstim ary pg CPT 64584 | $6,404.07 | $17,565.00 | $6,404.07 – $6,724.27 | 6 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | $375.00 | $260.01 – $260.01 | 1 |
| Rmvl icd by tv extr CPT 33244 | $3,639.30 | $6,664.00 | $104.00 – $3,821.27 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $22,446.19 | $51,396.00 | $104.00 – $23,568.50 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $32,061.58 | $51,396.00 | $104.00 – $33,664.66 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $22,446.19 | $48,525.00 | $104.00 – $23,568.50 | 7 |
| Rmvl icd pulse gen only CPT 33241 | $3,639.30 | $6,664.00 | $104.00 – $3,821.27 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $998.45 – $998.45 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $4,815.31 – $4,815.31 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $618.26 | $1,973.00 | $331.21 – $649.17 | 7 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | $591.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $8,275.98 | $12,100.00 | $104.00 – $8,689.78 | 7 |
| Rmvl perq right heart vad CPT 33997 | not published | $2,592.00 | $329.49 – $329.49 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $3,439.01 | $10,832.00 | $442.30 – $3,610.96 | 7 |
| Rmvl phrnc nrv stim sys CPT 33278 | $3,439.01 | $10,832.00 | $104.00 – $3,610.96 | 7 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $3,439.01 | $10,832.00 | $726.33 – $3,610.96 | 7 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $19,071.16 | $25,178.00 | $104.00 – $20,024.72 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $8,275.98 | $19,333.00 | $104.00 – $8,689.78 | 7 |
| Rmvl pq iabp CPT 33968 | not published | $3,781.00 | $69.10 – $14,806.00 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | $2,880.00 | $383.61 – $14,806.00 | 2 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | $3,244.61 | $7,913.00 | $2,698.29 – $3,406.84 | 7 |
| Rmvl sq defib electrode CPT 33272 | $3,639.30 | $7,339.00 | $726.44 – $3,821.27 | 7 |
| Rmvl subq card rhythm mntr CPT 33286 | $703.59 | $2,985.00 | $176.93 – $14,806.00 | 8 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $2,862.05 | $5,973.00 | $1,200.68 – $4,923.06 | 8 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $399.04 | $1,023.00 | $211.72 – $418.99 | 7 |
| Rmvl tv pm lead dual CPT 33235 | $3,639.30 | $5,656.00 | $104.00 – $3,821.27 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | $3,639.30 | $6,664.00 | $104.00 – $3,821.27 | 7 |
| Rolapitant, oral, 1mg HCPCS J8670 | $1.56 | not published | $1.33 – $5.26 | 11 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $31.08 | not published | $26.42 – $71.36 | 9 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $11.00 | not published | $9.35 – $11.55 | 6 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $12.00 | not published | $10.20 – $20.04 | 9 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | not published | not published | $0.05 – $0.15 | 5 |
| Rotavirus antibody CPT 86759 | $18.23 | not published | $13.20 – $85.79 | 12 |
| Routine footcare pt w lops HCPCS G0247 | $198.70 | not published | $37.74 – $365.25 | 8 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $23.16 | not published | $19.69 – $24.32 | 6 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $401.83 | $4,301.00 | $401.83 – $923.74 | 8 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,305.48 | $4,101.00 | $847.68 – $1,577.96 | 8 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,458.59 | $5,814.00 | $1,458.59 – $3,081.12 | 8 |
| Rp therapy unlisted px CPT 79999 | $224.13 | not published | $224.13 – $477.94 | 7 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,553.44 | $3,782.00 | $133.69 – $1,631.11 | 7 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,553.44 | $3,980.00 | $119.79 – $1,631.11 | 7 |
| Rpl tun cvc wo subq port CPT 36581 | $3,147.50 | $7,382.00 | $380.30 – $3,304.88 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | $3,147.50 | $7,337.00 | $598.34 – $3,304.88 | 7 |
| Rpl tun-cvad w subq pump CPT 36583 | $5,405.70 | $10,111.00 | $696.89 – $5,675.99 | 7 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | $12,866.82 | not published | $300.42 – $13,510.16 | 6 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | $12,866.82 | not published | $1,387.77 – $13,510.16 | 7 |
| Rplcmt oi implt skl prq esp CPT 69717 | $7,143.73 | $16,448.00 | $1,212.29 – $7,500.92 | 7 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $5,834.36 | $17,196.00 | $5,834.36 – $6,126.08 | 6 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $6,239.75 | $16,531.00 | $6,239.75 – $6,551.74 | 6 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $3,529.06 | $11,686.00 | $3,529.06 – $3,705.51 | 6 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $5,834.36 | $17,196.00 | $5,834.36 – $6,126.08 | 6 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | $17,196.00 | not published | 0 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $6,239.75 | $16,531.00 | $6,239.75 – $6,551.74 | 6 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | $17,196.00 | not published | 0 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $6,239.75 | $16,531.00 | $6,239.75 – $6,551.74 | 6 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $5,834.36 | $17,196.00 | $5,834.36 – $6,126.08 | 6 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $3,529.06 | $11,686.00 | $3,529.06 – $3,705.51 | 6 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | $17,196.00 | not published | 0 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | $11,686.00 | not published | 0 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | $5,405.70 | $12,638.00 | $2,061.00 – $5,675.99 | 7 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $5,405.70 | $12,693.00 | $1,897.50 – $5,675.99 | 7 |
| Rpr choanal atresia ntranasl CPT 30540 | $5,915.66 | $12,879.00 | $1,624.09 – $6,211.44 | 7 |
| Rpr choanal atresia trsnpltn CPT 30545 | $5,915.66 | not published | $2,191.40 – $9,158.16 | 8 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | $3,632.00 | $2,406.79 – $2,406.79 | 1 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,962.35 – $1,962.35 | 1 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | $2,650.00 | $1,803.28 – $1,803.28 | 1 |
| Rpr fem hernia init blocked CPT 49553 | $3,529.06 | $6,731.00 | $1,351.97 – $3,705.51 | 7 |
| Rpr hern preemie reduc CPT 49491 | $5,834.36 | $10,507.00 | $1,704.97 – $6,126.08 | 7 |
| Rpr hypspad comp dsj & urtp CPT 54348 | $5,083.62 | $11,550.00 | $2,127.02 – $5,337.80 | 7 |
| Rpr hypspad comp simple CPT 54340 | $3,448.97 | $8,018.00 | $1,213.08 – $3,621.42 | 7 |
| Rpr ing hern premie blocked CPT 49492 | $3,529.06 | $9,219.00 | $2,043.02 – $3,705.51 | 7 |
| Rpr ing hernia baby blocked CPT 49496 | $3,529.06 | $7,187.00 | $1,320.47 – $3,705.51 | 7 |
| Rpr ing hernia baby reduc CPT 49495 | $3,529.06 | $8,589.00 | $878.06 – $6,100.95 | 8 |
| Rpr ing hernia init blocked CPT 49501 | $3,529.06 | $9,634.00 | $1,299.91 – $3,705.51 | 7 |
| Rpr ing hernia init reduce CPT 49500 | $6,239.75 | $8,582.00 | $900.94 – $6,551.74 | 8 |
| Rpr intst excl anrect fist HCPCS C9796 | $2,742.39 | not published | $2,742.39 – $2,879.51 | 6 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $5,915.66 | $16,897.00 | $359.29 – $6,211.44 | 7 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | $5,915.66 | not published | $320.59 – $6,211.44 | 7 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | $2,671.00 | not published | 0 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | $3,293.00 | not published | 0 |
| Rpr rem hernia init reduce CPT 49550 | $3,529.06 | $6,464.00 | $1,237.25 – $3,705.51 | 7 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $7,143.73 | $11,161.00 | $794.70 – $7,500.92 | 7 |
| Rpr&refit spct prsth aphakia CPT 92371 | $59.40 | not published | $21.80 – $115.71 | 8 |
| Rrp hypspad comp moblj&urtp CPT 54344 | $9,247.15 | $9,691.00 | $1,990.54 – $9,709.51 | 7 |
| Rsv assay w/optic CPT 87807 | $13.10 | $87.00 | $11.53 – $61.65 | 11 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $128.87 | not published | $36.31 – $135.31 | 7 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $37.29 | not published | $37.29 – $86.21 | 7 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $37.29 | not published | $37.29 – $86.21 | 7 |
| Rubella antibody igg CPT 86762 | $14.39 | $143.00 | $13.20 – $67.72 | 11 |
| Rubeola antibody igg CPT 86765 | $12.88 | $187.00 | $11.00 – $60.62 | 11 |
| Russell viper venom diluted CPT 85613 | $9.58 | $140.00 | $9.58 – $45.09 | 11 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $917.08 | not published | $366.83 – $962.93 | 8 |
| S bowel endoscope w/stent CPT 44379 | $5,952.81 | $7,297.00 | $852.21 – $6,250.45 | 7 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $36.26 | not published | $30.82 – $67.13 | 9 |
| Salivary gland function exam CPT 78232 | $401.83 | $1,126.00 | $197.13 – $421.92 | 8 |
| Salivary gland imaging CPT 78230 | $401.83 | $1,359.00 | $319.49 – $572.44 | 8 |
| Salivary glnd img serial img CPT 78231 | $401.83 | $1,415.00 | $200.77 – $421.92 | 8 |
| Salmonella antibody CPT 86768 | $13.19 | $198.00 | $13.19 – $62.08 | 11 |
| Salpingostomy 58770 CPT 58770 | $3,179.53 | $7,535.00 | $1,838.04 – $3,338.51 | 7 |
| Same day nb discharge 99463 CPT 99463 | $128.87 | not published | $128.87 – $239.81 | 8 |
| Sargramostim injection HCPCS J2820 | $56.09 | not published | $47.68 – $115.02 | 11 |
| Sars-cov-2 antb quantitative CPT 86413 | $51.43 | not published | $46.34 – $149.62 | 10 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $70.29 | not published | $27.23 – $73.80 | 9 |
| Sarscov coronavirus ag ia CPT 87426 | $35.33 | $124.00 | $35.33 – $49.75 | 9 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $261.15 – $261.15 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $126.95 – $126.95 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $183.34 – $183.34 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $68.63 – $68.63 | 1 |
| Sc ther infusion reset pump CPT 96371 | $71.17 | $194.00 | $71.17 – $109.90 | 7 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $241.72 | $1,925.00 | $104.00 – $2,793.00 | 9 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $106.34 | $1,471.00 | $106.34 – $284.23 | 7 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $241.72 | $2,079.00 | $104.00 – $2,793.00 | 9 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $106.34 | $825.00 | $106.34 – $211.71 | 7 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $106.34 | $1,129.00 | $106.34 – $223.86 | 7 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $106.34 | $1,708.00 | $106.34 – $214.03 | 7 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $241.72 | $1,813.00 | $241.72 – $432.80 | 7 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $106.34 | $1,063.00 | $106.34 – $259.10 | 7 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $106.34 | $923.00 | $106.34 – $222.11 | 7 |
| Scan proc cranial extra CPT 61782 | not published | $536.00 | $361.30 – $361.30 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | $746.00 | $495.04 – $495.04 | 1 |
| Scan proc spinal CPT 61783 | not published | $612.00 | $485.42 – $485.42 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,620.24 | $2,793.00 | $244.95 – $1,701.25 | 7 |
| Scope plantar fasciotomy CPT 29893 | $3,244.61 | $7,582.00 | $955.47 – $5,430.31 | 8 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | $16,147.82 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $43.97 | not published | $43.97 – $206.93 | 11 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $26.49 | not published | $26.49 – $124.67 | 11 |
| Screen cerv/vag thin layer HCPCS G0123 | $20.26 | $144.00 | $20.26 – $95.35 | 11 |
| Screen pap by tech w md supv HCPCS P3000 | $18.19 | $301.00 | $6.60 – $71.30 | 11 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | $40.00 | $6.00 – $2,793.00 | 5 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $911.71 | $3,575.00 | $325.92 – $957.30 | 7 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $911.71 | $4,455.00 | $325.36 – $957.30 | 7 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $24.08 | $312.00 | $24.08 – $113.33 | 10 |
| Screening Mammogram CPT 77067 | $169.06 | $838.00 | $169.06 – $351.11 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $18.05 | $99.00 | $7.70 – $84.95 | 11 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $28.27 | $78.00 | $28.27 – $133.05 | 10 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $46.35 | $372.00 | $46.35 – $218.13 | 10 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $6.60 – $44.34 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $19.31 | $325.00 | $19.31 – $90.88 | 10 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | not published | $65,538.96 | not published | 0 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | $2,492.00 | $1,764.93 – $1,764.93 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | $7,082.00 | $493.18 – $14,806.00 | 2 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $10.03 – $10.03 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $2.70 | $81.00 | $1.65 – $12.71 | 11 |
| Segmentectomy 32484 CPT 32484 | not published | $4,346.00 | $2,967.21 – $2,967.21 | 1 |
| Select picture audiometry CPT 92583 | $59.40 | $251.00 | $59.40 – $627.00 | 9 |
| Self-meas bp pt educaj/train CPT 99473 | $24.49 | not published | $24.49 – $26.05 | 7 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | $245.00 | $26.66 – $792.00 | 3 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | $245.00 | $19.98 – $792.00 | 3 |
| Semen analysis presence/motility CPT 89321 | $12.05 | not published | $9.90 – $56.71 | 12 |
| Semen analysis w/count CPT 89310 | $8.61 | not published | $5.28 – $40.52 | 12 |
| Sensorimotor examination CPT 92060 | $59.40 | $239.00 | $59.40 – $112.04 | 7 |
| Sensorineural acuity lvl tst CPT 92575 | $39.25 | not published | $39.25 – $134.74 | 8 |
| Separate eyelid adhesions CPT 68340 | $2,332.96 | $4,454.00 | $856.02 – $2,449.61 | 7 |
| Sept9 promoter methylation analysis CPT 81327 | $192.00 | $651.00 | $168.96 – $903.60 | 11 |
| Sequestrectomy olecrn proces CPT 24138 | $7,143.73 | $13,938.00 | $1,513.63 – $7,500.92 | 7 |
| Sequestrectomy radial h/n CPT 24136 | $3,244.61 | not published | $1,385.28 – $5,430.31 | 8 |
| Sequestrectomy shft/dstl hum CPT 24134 | $7,143.73 | $13,938.00 | $1,629.06 – $7,500.92 | 7 |
| Serial casting application 97139app CPT 97139 | not published | $165.00 | $38.06 – $565.00 | 13 |
| Serpina1 gene CPT 81332 | $43.65 | $1,175.00 | $38.41 – $205.43 | 11 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $18.33 – $65.23 | 2 |
| Set radiation therapy field CPT 77280 | $132.77 | $2,136.00 | $132.77 – $1,798.54 | 8 |
| Set radiation therapy field CPT 77285 | $366.07 | $3,334.00 | $293.00 – $862.64 | 7 |
| Set radiation therapy field CPT 77290 | $366.07 | $4,824.00 | $293.00 – $3,727.17 | 8 |
| Set-up cardiovert-defibrill CPT 93745 | $299.91 | not published | $207.76 – $580.45 | 8 |
| Sever cranial nerve CPT 64771 | $1,952.77 | $4,205.00 | $1,252.53 – $2,050.41 | 7 |
| Sex transformation f to m CPT 55980 | $3,448.97 | not published | $3,448.97 – $6,058.60 | 7 |
| Sex transformation m to f CPT 55970 | $4,936.45 | $11,747.00 | $4,936.45 – $5,183.27 | 6 |
| Sgmdsc w/band ligation CPT 45350 | $1,179.08 | $3,097.00 | $212.94 – $1,238.03 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $198.70 | $481.00 | $95.64 – $208.64 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $198.70 | $512.00 | $131.82 – $208.64 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $399.53 | $560.00 | $155.94 – $419.51 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $399.53 | $751.00 | $201.97 – $419.51 | 7 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $198.70 | $481.00 | $77.68 – $208.64 | 7 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $198.70 | $512.00 | $102.08 – $208.64 | 7 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $198.70 | $560.00 | $130.37 – $208.64 | 7 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $399.53 | $751.00 | $145.09 – $419.51 | 7 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $399.53 | $481.00 | $71.52 – $419.51 | 7 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $198.70 | $512.00 | $107.70 – $208.64 | 7 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $198.70 | $560.00 | $125.46 – $208.64 | 7 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | not published | $8,122.00 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | not published | $14,391.30 | not published | 0 |
| Shigella antibody CPT 86771 | $24.48 | not published | $13.20 – $115.21 | 12 |
| Sho arthrs dx +- synovial bx CPT 29805 | $3,244.61 | $7,582.00 | $1,025.02 – $3,406.84 | 7 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $7,143.73 | $10,630.00 | $1,979.09 – $11,798.15 | 8 |
| Sho arthrs srg capsulorraphy CPT 29806 | $7,143.73 | $13,289.00 | $2,287.14 – $7,500.92 | 7 |
| Sho arthrs srg compl synvct CPT 29821 | $3,244.61 | $7,582.00 | $1,293.55 – $3,406.84 | 7 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $3,244.61 | $7,582.00 | $1,185.35 – $3,406.84 | 7 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $3,244.61 | $7,582.00 | $1,279.49 – $3,406.84 | 7 |
| Sho arthrs srg prtl synvct CPT 29820 | $7,143.73 | $12,716.00 | $1,163.78 – $7,500.92 | 7 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $3,244.61 | $7,668.00 | $1,282.33 – $3,406.84 | 7 |
| Sho arthrs srg rpr slap les CPT 29807 | $7,143.73 | $13,289.00 | $2,234.54 – $7,500.92 | 7 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $3,244.61 | $7,150.00 | $1,293.58 – $3,406.84 | 7 |
| Shoe post-op mens m HCPCS L3260 | not published | $206.00 | $45.72 – $88.00 | 3 |
| Shorten radius & ulna CPT 25392 | $7,143.73 | $21,824.00 | $2,188.53 – $7,500.92 | 7 |
| Shorten radius or ulna CPT 25390 | $7,143.73 | $12,716.00 | $1,672.54 – $7,500.92 | 7 |
| Shortening of hand tendon CPT 26479 | $3,244.61 | not published | $1,503.78 – $5,430.31 | 8 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $7,143.73 | $9,870.00 | $2,301.69 – $7,500.92 | 7 |
| Shoulder MRI (with and without contrast) CPT 73223 | $357.13 | $4,632.00 | $357.13 – $4,332.00 | 9 |
| Shoulder MRI (with contrast) CPT 73222 | $790.06 | $4,243.00 | $624.84 – $4,332.00 | 9 |
| Shoulder MRI (without contrast) CPT 73221 | $241.72 | $4,125.00 | $241.72 – $4,332.00 | 9 |
| Shoulder X-ray CPT 73030 | $88.05 | $864.00 | $67.76 – $92.45 | 8 |
| Shoulder prosthesis removal CPT 23334 | $2,862.05 | $6,377.00 | $2,281.21 – $3,005.15 | 7 |
| Shoulder prosthesis removal CPT 23335 | not published | $7,150.00 | $2,718.35 – $2,718.35 | 1 |
| Shrinker prosth above knee HCPCS L8460 | not published | $102.00 | $28.00 – $138.53 | 5 |
| Shrinker prosth below knee HCPCS L8440 | not published | $83.00 | $23.00 – $86.92 | 5 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | not published | $6,944.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $106.34 | $475.00 | $106.34 – $243.31 | 8 |
| Sialidase enzyme assay CPT 87905 | $12.22 | not published | $10.76 – $57.51 | 12 |
| Sialography s&i CPT 70390 | $241.72 | $921.00 | $225.51 – $376.46 | 8 |
| Sialolithotomy 42330 CPT 42330 | $3,243.07 | $5,304.00 | $359.99 – $3,405.22 | 7 |
| Sickling rbc CPT 85660 | $5.51 | $330.00 | $3.30 – $25.93 | 11 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,179.08 | $2,995.00 | $165.75 – $1,238.03 | 7 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $911.71 | $2,357.00 | $198.64 – $957.30 | 7 |
| Sigmoidoscopy and biopsy CPT 45331 | $911.71 | $2,750.00 | $153.19 – $957.30 | 7 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $911.71 | $2,662.00 | $238.37 – $957.30 | 7 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,179.08 | $3,011.00 | $246.90 – $1,238.03 | 7 |
| Sigmoidoscopy w/ablation CPT 45346 | $1,179.08 | $2,995.00 | $335.49 – $1,238.03 | 7 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,179.08 | $2,409.00 | $222.12 – $1,238.03 | 7 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $5,952.81 | $6,790.00 | $321.93 – $6,250.45 | 7 |
| Sigmoidoscopy w/resection CPT 45349 | $2,742.39 | $6,337.00 | $413.13 – $2,879.51 | 7 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,179.08 | $3,042.00 | $252.42 – $1,238.03 | 7 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $911.71 | $3,655.00 | $260.33 – $957.30 | 7 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $1,179.08 | $4,231.00 | $356.52 – $1,238.03 | 7 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $911.71 | $2,272.00 | $141.88 – $957.30 | 7 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $59.40 | not published | $56.18 – $115.71 | 8 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $69.97 – $91.71 | 2 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $11,340.57 | not published | $11,340.57 – $11,907.60 | 6 |
| Simple cystometrogram 51725 CPT 51725 | $243.21 | $989.00 | $243.21 – $504.02 | 7 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $115.57 – $255.72 | 5 |
| Single energy x-ray study HCPCS G0130 | $106.34 | not published | $68.74 – $232.90 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $178.02 | $3,376.00 | $178.02 – $404.42 | 8 |
| Sinus CT scan (with contrast) CPT 70487 | $178.02 | $2,906.00 | $178.02 – $317.79 | 8 |
| Sinus CT scan (without contrast) CPT 70486 | $106.34 | $2,303.00 | $106.34 – $278.41 | 8 |
| Sinus/juglr venogram s&i CPT 75860 | $3,147.50 | $4,765.00 | $239.34 – $3,304.88 | 8 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $3,243.07 | $6,631.00 | $754.61 – $3,405.22 | 7 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $5,915.66 | $12,712.00 | $1,302.48 – $6,211.44 | 7 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $5,915.66 | $10,951.00 | $1,137.52 – $6,211.44 | 7 |
| Sipuleucel-t - su HCPCS Q2043 | $55,945.97 | not published | $47,554.07 – $112,575.34 | 11 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $0.82 – $12.85 | 5 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $84.53 | not published | $71.85 – $145.35 | 7 |
| Skin Biopsy CPT 11102 | $198.70 | $990.00 | $79.41 – $208.64 | 7 |
| Skin and muscle repair face CPT 15845 | $3,660.97 | $7,404.00 | $2,290.14 – $3,844.02 | 7 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $1,829.23 | $5,092.00 | $1,451.73 – $1,920.69 | 7 |
| Skin full graft add-on 15241 CPT 15241 | not published | $4,068.00 | $224.57 – $224.57 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | $3,660.97 | $7,150.00 | $1,587.30 – $3,844.02 | 7 |
| Skin pedicle flap trunk CPT 15570 | $1,829.23 | $4,212.00 | $1,565.97 – $1,920.69 | 7 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | $3,546.00 | $233.98 – $233.98 | 1 |
| Skin test unlisted antigen ea CPT 86486 | $24.49 | not published | $5.61 – $35.54 | 9 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,202.38 – $1,202.38 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $1,017.39 | $8,318.00 | $104.00 – $1,121.68 | 7 |
| Sleep study attended CPT 95807 | $530.60 | $2,576.00 | $104.00 – $739.01 | 7 |
| Sleep study unattended CPT 95806 | $156.46 | $1,357.00 | $0.01 – $166.38 | 7 |
| Sleeve fing rolyan med HCPCS L3933 | not published | $290.00 | $126.98 – $361.92 | 5 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $5.29 – $5.29 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | $21.18 | $6.00 – $13.98 | 4 |
| Sling pelv split sam med HCPCS L0621 | not published | $145.00 | $29.13 – $275.19 | 6 |
| Sling suprapubic suburetheral HCPCS C1771 | not published | $20,634.10 | not published | 0 |
| Slitting of prepuce CPT 54000 | $3,448.97 | $4,952.00 | $240.38 – $3,621.42 | 7 |
| Slitting of prepuce CPT 54001 | $2,048.51 | $4,952.00 | $301.64 – $2,150.94 | 7 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | $206.00 | $53.18 – $620.00 | 12 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | $648.00 | $60.00 – $620.00 | 12 |
| Slp pure tone screening CPT 92551 | not published | $138.00 | $23.02 – $627.00 | 5 |
| Slp stdy unatnd w/anal CPT 95801 | $59.40 | $241.00 | $59.40 – $172.30 | 7 |
| Slp ther svc non-spch gen CPT 92606 | not published | $386.00 | $60.00 – $620.00 | 12 |
| Sm-153 lexidron ther HCPCS A9604 | $4,314.91 | $23,340.00 | $4,314.91 – $13,359.10 | 7 |
| Small bowel endoscopy CPT 44360 | $1,896.99 | $4,274.00 | $301.13 – $1,991.84 | 7 |
| Small bowel endoscopy CPT 44364 | $1,896.99 | $3,886.00 | $425.88 – $1,991.84 | 7 |
| Small bowel endoscopy CPT 44366 | $1,896.99 | $3,823.00 | $499.17 – $1,991.84 | 7 |
| Small bowel endoscopy CPT 44369 | $1,896.99 | $4,777.00 | $511.07 – $1,991.84 | 7 |
| Small bowel endoscopy CPT 44376 | $1,896.99 | $4,777.00 | $589.93 – $1,991.84 | 7 |
| Small bowel endoscopy CPT 44378 | $1,896.99 | $4,777.00 | $798.44 – $1,991.84 | 7 |
| Small bowel endoscopy CPT 44382 | $937.56 | $2,842.00 | $156.76 – $984.44 | 7 |
| Small bowel endoscopy CPT 44384 | $1,896.99 | $7,676.00 | $317.07 – $1,991.84 | 7 |
| Small bowel endoscopy 44365 CPT 44365 | $1,896.99 | $3,399.00 | $380.71 – $1,991.84 | 7 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $1,896.99 | $4,063.00 | $399.77 – $1,991.84 | 7 |
| Small bowel endoscopy br/wa CPT 44380 | $937.56 | $2,842.00 | $122.18 – $984.44 | 7 |
| Small bowel endoscopy br/wa CPT 44381 | $1,896.99 | $3,191.00 | $179.21 – $1,991.84 | 7 |
| Small bowel endoscopy/biopsy CPT 44361 | $1,896.99 | $4,012.00 | $331.41 – $1,991.84 | 7 |
| Small bowel endoscopy/biopsy CPT 44377 | $1,896.99 | $4,777.00 | $622.09 – $1,991.84 | 7 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $5,952.81 | $14,480.00 | $557.13 – $6,250.45 | 7 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $0.01 | not published | $0.01 – $0.01 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $5.39 | $94.00 | $4.62 – $25.37 | 11 |
| Smear gram stain CPT 87205 | $4.27 | $94.00 | $4.27 – $20.10 | 11 |
| Smear nasal eosinophil CPT 89190 | $5.79 | $64.00 | $2.42 – $27.25 | 11 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $5.99 | $101.00 | $3.30 – $28.19 | 11 |
| Smear wet mount CPT 87210 | $5.82 | $62.00 | $2.64 – $27.39 | 10 |
| Smn1 gene full gene sequence CPT 81336 | $301.35 | not published | $265.19 – $1,418.23 | 12 |
| Smpd1 gene common variants CPT 81330 | $47.00 | $2,783.00 | $41.36 – $221.19 | 11 |
| Snrpn/ube3a gene CPT 81331 | $51.07 | $495.00 | $44.95 – $240.35 | 11 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $1,345.31 | not published | $1,345.31 – $1,412.58 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | $1,195.83 | not published | $1,195.83 – $1,255.62 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | $3,288.51 | not published | $3,288.51 – $3,452.94 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $1,046.35 | not published | $1,046.35 – $1,098.67 | 8 |
| So neo gsap dna mcrstl ins CPT 81457 | $896.87 | not published | $896.87 – $941.71 | 8 |
| So neo gsap dna/dna&rna CPT 81459 | $2,989.55 | not published | $2,989.55 – $3,139.03 | 8 |
| Sock wool above knee HCPCS L8430 | not published | $42.00 | $18.40 – $46.02 | 5 |
| Sodium 24 hour urine CPT 84300 | $5.06 | $72.00 | $4.29 – $23.81 | 11 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.17 – $2.75 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.60 – $1.37 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $1.94 – $5.50 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.05 – $0.85 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $1.85 – $4.42 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $62.38 – $165.41 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $4.81 | $55.00 | $4.29 – $22.64 | 11 |
| Software meas of cardiac vol HCPCS G0183 | $88.05 | not published | $88.05 – $92.45 | 6 |
| Somatosensory testing CPT 95927 | $311.40 | $727.00 | $104.00 – $4,550.00 | 9 |
| Somatropin injection HCPCS J2941 | $48.92 | not published | $48.92 – $879.61 | 8 |
| Sotalol hydrochloride IV HCPCS C9482 | $25.05 | not published | $15.85 – $37.75 | 10 |
| Sp bone algrft morsel add-on CPT 20930 | not published | $2,640.00 | $423.35 – $423.35 | 1 |
| Special physics consult CPT 77370 | $132.77 | $1,705.00 | $132.77 – $293.00 | 7 |
| Special radiation dosimetry CPT 77331 | $132.77 | $1,146.00 | $122.49 – $293.00 | 7 |
| Special radiation treatment CPT 77470 | $578.47 | $5,830.00 | $266.81 – $607.39 | 7 |
| Special teletx port plan CPT 77321 | $366.07 | $2,954.00 | $179.84 – $384.37 | 7 |
| Specific gravity body fluid CPT 84315 | $3.28 | $50.00 | $3.28 – $15.44 | 11 |
| Specimen fat stain CPT 89125 | $5.88 | $1,079.00 | $0.66 – $27.67 | 11 |
| Speech audiometry complete CPT 92556 | $59.40 | $380.00 | $59.40 – $627.00 | 9 |
| Speech evaluation complex CPT 70371 | $241.72 | $1,092.00 | $210.08 – $254.71 | 8 |
| Speech recep thresh CPT 92555 | $59.40 | $251.00 | $52.79 – $627.00 | 9 |
| Sperm antibody test CPT 89325 | $10.67 | $107.00 | $10.67 – $50.22 | 11 |
| Sperm identification CPT 89257 | $53.43 | not published | $53.43 – $944.05 | 8 |
| Sperm isolation complex CPT 89261 | $53.43 | not published | $53.43 – $447.82 | 8 |
| Sperm isolation simple CPT 89260 | $53.43 | not published | $53.43 – $393.49 | 8 |
| Sperm washing 58323 CPT 58323 | $201.17 | not published | $25.24 – $343.48 | 8 |
| Sphenoid sinus surgery CPT 31051 | $5,915.66 | $10,951.00 | $1,525.37 – $6,211.44 | 7 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $2,742.39 | $7,685.00 | $1,596.96 – $2,879.51 | 7 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | $1,100.00 | $231.46 – $231.46 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | $3,575.00 | $497.43 – $497.43 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $692.52 | $3,414.00 | $176.86 – $727.15 | 7 |
| Spine device implant surgery HCPCS C9757 | $12,866.82 | $43,050.00 | $12,866.82 – $13,510.16 | 6 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $311.40 | not published | $231.71 – $522.28 | 8 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $311.40 | $1,540.00 | $69.71 – $326.97 | 7 |
| Spirometry up to 2 yrs old CPT 94011 | $156.46 | not published | $141.84 – $281.42 | 8 |
| Spleen imaging CPT 78185 | $401.83 | not published | $302.13 – $731.72 | 9 |
| Splenectomy total open 38100 CPT 38100 | not published | $3,576.00 | $2,424.90 – $2,424.90 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | $573.00 | $356.16 – $754.38 | 4 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | $72.00 | $15.58 – $94.24 | 5 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $3.42 – $3.42 | 1 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $3.60 – $77.55 | 3 |
| Splint finger fold over sm HCPCS L3924 | not published | $138.00 | $30.02 – $166.06 | 5 |
| Splint finger frog med HCPCS L3927 | not published | $49.00 | $20.79 – $59.33 | 5 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | $124.00 | $21.23 – $166.06 | 5 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $3,660.97 | $5,275.00 | $1,480.86 – $3,844.02 | 7 |
| Split blood or products CPT 86985 | $171.36 | $196.00 | $27.50 – $179.93 | 8 |
| Sprchoroidal spc njx rx agt CPT 67516 | $331.69 | not published | $51.36 – $348.27 | 7 |
| Sputum specimen collection CPT 89220 | $171.36 | $223.00 | $8.80 – $317.00 | 9 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $4,146.34 | $3,795.00 | $1,399.05 – $4,353.66 | 7 |
| Srs linear based CPT 77372 | $7,644.49 | $35,938.00 | $293.00 – $8,026.71 | 7 |
| Srs multisource CPT 77371 | $7,644.49 | $56,478.00 | $293.00 – $8,026.71 | 7 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $140.62 | $660.00 | $60.00 – $620.00 | 16 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $129.95 | $532.00 | $60.00 – $620.00 | 16 |
| St evaluate speech sound production CPT 92522 | $142.56 | $734.00 | $60.00 – $620.00 | 16 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $292.08 | $880.00 | $60.00 – $620.00 | 16 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $113.53 | $752.00 | $60.00 – $620.00 | 16 |
| St evaluation swallow function CPT 92610 | $91.47 | $869.00 | $60.00 – $620.00 | 16 |
| St treatment speech individual CPT 92507 | $98.27 | $444.00 | $60.00 – $620.00 | 16 |
| St treatment swallow dysfunction/oral CPT 92526 | $107.20 | $392.00 | $60.00 – $620.00 | 16 |
| Staggered spondaic word test CPT 92572 | $156.46 | $411.00 | $97.14 – $627.00 | 9 |
| Staph a dna amp probe CPT 87640 | $35.09 | $254.00 | $30.88 – $165.14 | 11 |
| Stem cells total count CPT 86367 | $77.78 | $1,870.00 | $68.44 – $366.05 | 11 |
| Stenger test pure tone CPT 92565 | $59.40 | $221.00 | $38.21 – $627.00 | 9 |
| Stenger test speech CPT 92577 | $530.60 | $1,320.00 | $40.03 – $627.00 | 9 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | not published | $59,520.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | not published | $16,740.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | not published | $42,145.12 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | not published | $10,547.44 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $11,340.57 | $21,725.00 | $995.86 – $20,014.91 | 9 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | $15,655.00 | $427.08 – $14,806.00 | 2 |
| Stent placemt retro carotid CPT 37217 | not published | $3,233.00 | $2,199.70 – $2,199.70 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $17,956.72 | $29,027.00 | $1,447.23 – $31,783.82 | 9 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $17,956.72 | $29,558.00 | $1,402.46 – $18,854.56 | 8 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | $660.00 | $141.67 – $141.67 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | $4,465.00 | $3,034.57 – $3,034.57 | 1 |
| Sternal debridement CPT 21627 | not published | $1,646.00 | $1,183.88 – $1,183.88 | 1 |
| Stimulation of spinal cord CPT 63610 | $1,952.77 | not published | $1,230.63 – $3,377.16 | 8 |
| Storage/year embryo(s) CPT 89342 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Storage/year oocyte(s) CPT 89346 | $171.36 | not published | $171.36 – $567.64 | 7 |
| Storage/year reprod tissue CPT 89344 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Storage/year sperm/semen CPT 89343 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $1,008.21 – $1,008.21 | 1 |
| Str markers spec anal addl CPT 81266 | $304.81 | $2,432.00 | $268.24 – $1,434.51 | 11 |
| Str markers specimen anal CPT 81265 | $233.07 | $2,100.00 | $205.11 – $1,096.88 | 11 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $8.09 – $54.33 | 5 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $3.64 – $5.99 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $157.79 | $611.00 | $35.56 – $624.69 | 8 |
| Strapping of chest CPT 29200 | $157.79 | $367.00 | $37.91 – $624.69 | 8 |
| Strapping of elbow or wrist 29260 CPT 29260 | $59.40 | $264.00 | $39.33 – $624.69 | 8 |
| Strapping of hand or finger CPT 29280 | $59.40 | $268.00 | $42.18 – $624.69 | 8 |
| Strapping of hip CPT 29520 | $128.90 | $325.00 | $37.91 – $624.69 | 8 |
| Strapping of knee CPT 29530 | $128.90 | $432.00 | $37.16 – $624.69 | 8 |
| Strapping of toes 29550 CPT 29550 | $59.40 | $292.00 | $23.02 – $624.69 | 8 |
| Strep a ag ia CPT 87430 | $16.81 | $114.00 | $13.20 – $79.11 | 11 |
| Strep a dna dir probe CPT 87650 | $20.05 | not published | $20.05 – $94.36 | 12 |
| Strep b assay w/optic CPT 87802 | $12.73 | $53.00 | $12.73 – $59.91 | 11 |
| Strep b dna amp probe CPT 87653 | $35.09 | $220.00 | $30.88 – $165.14 | 11 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $103.78 – $131.13 | 2 |
| Streptokinase antibody CPT 86590 | $12.66 | not published | $8.80 – $59.58 | 12 |
| Streptomycin injection HCPCS J3000 | not published | not published | $21.90 – $71.66 | 5 |
| Streptozocin injection HCPCS J9320 | not published | not published | $528.17 – $747.07 | 5 |
| Stress test pulmonary CPT 94618 | $128.90 | $1,018.00 | $59.07 – $135.35 | 7 |
| Stress tte complete CPT 93351 | $548.30 | $2,995.00 | $412.36 – $575.72 | 7 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $692.52 | $1,561.00 | $243.76 – $727.15 | 7 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $647.04 – $647.04 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $612.13 | $1,210.00 | $215.93 – $642.74 | 7 |
| Subq njx filling matrl 1cc/< CPT 11950 | $198.70 | $935.00 | $109.84 – $208.64 | 7 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $202.90 – $202.90 | 1 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $194.95 – $194.95 | 1 |
| Subtalar arthro w/deb CPT 29906 | $3,244.61 | $7,527.00 | $1,414.84 – $3,406.84 | 7 |
| Subtalar arthro w/exc CPT 29905 | $7,143.73 | $12,716.00 | $1,102.37 – $7,500.92 | 7 |
| Subtalar arthro w/fb rmvl CPT 29904 | $3,244.61 | $6,622.00 | $1,395.18 – $3,406.84 | 7 |
| Subtalar arthro w/fusion CPT 29907 | $12,866.82 | $16,361.00 | $1,903.51 – $13,510.16 | 7 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $0.25 – $1.61 | 2 |
| Suction lipectomy head&neck CPT 15876 | $3,660.97 | $7,150.00 | $3,660.97 – $3,844.02 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | $3,660.97 | $7,150.00 | $3,660.97 – $3,844.02 | 6 |
| Suction lipectomy trunk CPT 15877 | $3,660.97 | $7,150.00 | $3,660.97 – $3,844.02 | 6 |
| Suction lipectomy upr extrem CPT 15878 | $1,829.23 | $4,463.00 | $1,829.23 – $1,920.69 | 6 |
| Sugars multiple quant CPT 84379 | $11.53 | not published | $11.53 – $54.26 | 12 |
| Sugars single quant CPT 84378 | $11.53 | $267.00 | $11.53 – $54.26 | 11 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.04 – $0.04 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $23.06 – $58.24 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $85.59 – $91.96 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $46.14 | not published | $5.67 – $78.41 | 8 |
| Supply of digital device HCPCS G0552 | $128.87 | not published | $128.87 – $135.31 | 6 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | $121.67 | $26.75 – $113.22 | 5 |
| Supprelin la implant HCPCS J9226 | $45,560.39 | not published | $38,726.33 – $93,292.40 | 11 |
| Surg dx exam anorectal CPT 45990 | $2,742.39 | $6,193.00 | $223.39 – $2,879.51 | 7 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | $2,683.00 | $1,747.92 – $1,747.92 | 1 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | $2,263.00 | $1,748.01 – $1,748.01 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $2,742.39 | $6,337.00 | $923.00 – $2,879.51 | 7 |
| Surgery for urethra pouch CPT 53240 | $3,448.97 | $9,728.00 | $908.66 – $3,621.42 | 7 |
| Surgery to stop leg growth CPT 27475 | $7,143.73 | $11,161.00 | $1,449.37 – $11,798.15 | 8 |
| Surgery to stop leg growth CPT 27477 | $7,143.73 | $12,716.00 | $1,596.54 – $7,500.92 | 7 |
| Surgery to stop leg growth CPT 27479 | $7,143.73 | $12,716.00 | $1,985.56 – $7,500.92 | 7 |
| Surgery to stop leg growth CPT 27485 | $7,143.73 | $13,160.00 | $1,465.75 – $7,500.92 | 8 |
| Surgical exposure prostate 55860 CPT 55860 | $5,083.62 | $10,936.00 | $1,842.54 – $5,337.80 | 7 |
| Surgical opening of stomach CPT 43510 | $937.56 | not published | $937.56 – $2,022.34 | 8 |
| Surgical opening of stomach 43500 CPT 43500 | not published | $2,048.00 | $1,671.69 – $1,671.69 | 1 |
| Surgical opening of throat CPT 42955 | $1,481.28 | not published | $1,481.28 – $2,647.74 | 8 |
| Surgical pathology level 1 gross examination only CPT 88300 | $24.49 | $154.00 | $14.19 – $31.56 | 8 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $39.25 | $193.00 | $30.22 – $64.78 | 8 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $53.43 | $363.00 | $43.42 – $83.29 | 8 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $53.43 | $1,519.00 | $44.00 – $136.60 | 8 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $359.72 | $1,100.00 | $64.90 – $377.71 | 7 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $816.90 | $1,111.00 | $97.90 – $857.75 | 7 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,858.07 – $2,858.07 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $3,220.29 – $3,220.29 | 1 |
| Suscept studies macrobroth dilution ea CPT 87188 | $6.64 | $94.00 | $6.60 – $31.25 | 11 |
| Susceptibility agar dilution per agent CPT 87181 | $4.75 | $83.00 | $4.75 – $22.35 | 11 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $4.75 | $102.00 | $4.75 – $22.35 | 11 |
| Susceptibility mic per plate CPT 87186 | $8.65 | $367.00 | $8.65 – $40.71 | 11 |
| Suspension of testis CPT 54620 | $3,448.97 | $7,124.00 | $632.89 – $3,621.42 | 7 |
| Suspension of uterus 58400 CPT 58400 | not published | $2,822.00 | $1,000.45 – $1,000.45 | 1 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | $2,746.00 | $2,218.42 – $2,218.42 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,920.35 – $2,920.35 | 1 |
| Svc venogram s&i CPT 75827 | $1,553.44 | $4,958.00 | $225.96 – $1,631.11 | 8 |
| Sweat collection by iontophoresis CPT 89230 | $53.43 | $187.00 | $2.33 – $56.10 | 8 |
| Sympathectomy cervical CPT 64802 | $1,952.77 | not published | $1,853.01 – $3,377.16 | 8 |
| Sympathectomy digital artery CPT 64820 | $1,952.77 | $4,934.00 | $1,662.70 – $2,050.41 | 7 |
| Sympathectomy supfc palmar CPT 64823 | $3,244.61 | $5,223.00 | $1,718.76 – $3,406.84 | 7 |
| Synthetic sentence id test CPT 92576 | $39.25 | $107.00 | $39.25 – $627.00 | 9 |
| Synvisc or synvisc-one HCPCS J7325 | $9.09 | not published | $7.73 – $24.55 | 11 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $4.40 | $100.00 | $3.30 – $20.71 | 11 |
| System cardiomems hosp electronics HCPCS C2624 | not published | $60,638.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | not published | $32,720.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | not published | $39,630.40 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | not published | $868.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $26.78 | $503.00 | $26.78 – $126.03 | 11 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $46.98 | $1,604.00 | $46.98 – $221.10 | 11 |
| T cells total count CPT 86359 | $37.73 | $503.00 | $37.73 – $177.57 | 11 |
| T-cell depletion of harvest CPT 38210 | $437.18 | $46,393.00 | $164.46 – $459.04 | 7 |
| T3 (triiodothyronine) free CPT 84481 | $16.94 | $550.00 | $16.50 – $79.72 | 11 |
| T3 (triiodothyronine) total CPT 84480 | $14.18 | $228.00 | $14.18 – $66.73 | 11 |
| T4 (thyroxine) free CPT 84439 | $9.02 | $162.00 | $9.02 – $42.45 | 11 |
| T4 (thyroxine) total CPT 84436 | $6.87 | $128.00 | $6.60 – $32.33 | 11 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.50 – $1.07 | 5 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.56 – $3.26 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.13 – $1.06 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $262.23 | not published | $222.90 – $471.74 | 11 |
| Tacrolimus therapeutic drug level CPT 80197 | $13.73 | $339.00 | $13.73 – $64.62 | 11 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $14.08 | not published | $11.97 – $27.49 | 9 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | $7,902.00 | $4,613.61 – $4,613.61 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | $6,219.00 | $4,265.57 – $4,265.57 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | $3,808.00 | $2,628.69 – $2,628.69 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $73.55 | not published | $62.52 – $122.88 | 11 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $72.40 | not published | $61.54 – $90.07 | 7 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $2.66 – $3.86 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | $914.00 | $158.42 – $158.42 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | $177.00 | $129.93 – $129.93 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.29 – $0.64 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $759.53 | $6,807.00 | $668.38 – $3,574.53 | 10 |
| Target gsa panel organ neop CPT 81445 | $597.91 | $8,699.00 | $526.16 – $2,813.91 | 10 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,919.60 | $8,029.00 | $2,569.25 – $13,740.34 | 11 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $1,567.49 | not published | $1,332.37 – $1,645.86 | 6 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,535.19 – $1,535.19 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $612.13 | $1,387.00 | $278.89 – $642.74 | 7 |
| Tavr perq femoral CPT 33361 | not published | $14,714.00 | $2,473.00 – $2,473.00 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $100.00 | $304.00 | $88.00 – $470.62 | 11 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $61.98 | $385.00 | $54.54 – $291.69 | 11 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $0.30 | not published | $0.26 – $1.20 | 11 |
| Tbs techl calculation only CPT 77091 | $88.05 | $259.00 | $88.05 – $92.45 | 6 |
| Tbs techl prep&transmis data CPT 77090 | $88.05 | not published | $88.05 – $92.45 | 6 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $809.73 – $809.73 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | $809.51 | not published | $809.51 – $1,298.48 | 7 |
| Tc-99m bicisate HCPCS A9557 | $683.80 | not published | $663.64 – $717.99 | 7 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,273.64 – $1,273.64 | 1 |
| Tc-99m diag per dose HCPCS A4641 | not published | $10,210.00 | $0.01 – $0.01 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | $109.00 | $0.01 – $141.85 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,040.32 | $4,171.00 | $0.01 – $2,863.68 | 7 |
| Tc-99m exametazime diag HCPCS A9521 | $802.34 | $9,448.00 | $0.01 – $2,869.69 | 7 |
| Tc-99m gluceptate HCPCS A9550 | not published | $277.00 | $0.01 – $0.01 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | not published | $583.00 | $0.01 – $220.56 | 2 |
| Tc-99m maa HCPCS A9540 | not published | $167.00 | $0.01 – $38.02 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | not published | $712.00 | $0.01 – $111.84 | 2 |
| Tc-99m medronate HCPCS A9503 | not published | $277.00 | $0.01 – $28.16 | 2 |
| Tc-99m mertiatide HCPCS A9562 | not published | $943.00 | $0.01 – $1,313.73 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $10.00 | not published | $10.00 – $21.48 | 9 |
| Tc-99m oxidronate HCPCS A9561 | not published | $65.00 | $0.01 – $97.12 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | $213.00 | $0.01 – $39.71 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | $88.00 | $0.01 – $179.56 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | $1.00 | $0.01 – $27.37 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | $152.00 | $0.01 – $101.59 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | $666.00 | $0.01 – $240.81 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | $267.00 | $0.01 – $933.10 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | $294.00 | $0.01 – $251.67 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | $289.00 | $0.01 – $108.08 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $945.35 – $945.35 | 1 |
| Tca peel dermal 15789 CPT 15789 | $612.13 | $1,244.00 | $612.13 – $894.74 | 7 |
| Tcd emboli detect w/inj CPT 93893 | $106.34 | $1,180.00 | $104.00 – $2,793.00 | 9 |
| Tcd emboli detect without inj CPT 93892 | $106.34 | $816.00 | $104.00 – $2,793.00 | 9 |
| Tcran magn stim redetemine CPT 90869 | $311.40 | not published | $281.42 – $606.61 | 8 |
| Tcranial magn stim tx deli CPT 90868 | $311.40 | not published | $281.42 – $429.11 | 8 |
| Tcranial magn stim tx plan CPT 90867 | $311.40 | not published | $311.40 – $662.54 | 8 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | $6,130.00 | $2,092.86 – $2,092.86 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $217.09 | not published | $184.53 – $277.87 | 7 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $790.06 | not published | $790.06 – $1,431.92 | 7 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $790.06 | not published | $790.06 – $1,431.92 | 7 |
| Telavancin injection HCPCS J3095 | $7.47 | not published | $6.35 – $13.74 | 11 |
| Telehealth original site facility fee HCPCS Q3014 | not published | $110.00 | $50.81 – $50.81 | 1 |
| Telethx isodose plan cplx CPT 77307 | $366.07 | $5,893.00 | $293.00 – $5,320.12 | 8 |
| Telethx isodose plan simple CPT 77306 | $366.07 | $1,755.00 | $283.35 – $1,584.01 | 8 |
| Temozolomide HCPCS J8700 | not published | not published | $0.31 – $3.07 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $10.39 | not published | $8.83 – $22.36 | 11 |
| Temperature gradient studies CPT 93740 | $156.46 | not published | $13.01 – $281.42 | 8 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $32.29 | not published | $27.45 – $135.71 | 11 |
| Tendon lengthening CPT 26476 | $3,244.61 | $9,403.00 | $1,436.12 – $3,406.84 | 7 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $3,244.61 | $7,609.00 | $1,272.99 – $3,406.84 | 7 |
| Tendon shortening CPT 26477 | $3,244.61 | $6,225.00 | $1,402.56 – $3,406.84 | 7 |
| Tendon transfer with graft CPT 26492 | $3,244.61 | $7,582.00 | $2,042.78 – $3,406.84 | 7 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $171.94 | not published | $146.15 – $289.10 | 11 |
| Tenodesis biceps tdn at elbw CPT 24340 | $7,143.73 | $12,439.00 | $1,308.15 – $7,500.92 | 7 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $3,244.61 | $6,023.00 | $1,350.54 – $3,406.84 | 7 |
| Tenolysis triceps CPT 24332 | $3,244.61 | not published | $1,353.23 – $5,430.31 | 8 |
| Tenoplasty elbow to sho 1 CPT 24320 | $7,143.73 | $12,596.00 | $1,696.07 – $7,500.92 | 7 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,600.41 | $3,522.00 | $1,139.26 – $1,680.43 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $3,244.61 | $6,529.00 | $637.43 – $3,406.84 | 7 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $1,600.41 | $4,003.00 | $525.86 – $1,680.43 | 7 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $2.33 – $10.37 | 5 |
| Teriparatide injection HCPCS J3110 | not published | not published | $12.45 – $20.87 | 2 |
| Tert gene targeted seq alys CPT 81345 | $185.20 | $509.00 | $162.98 – $871.60 | 11 |
| Test for chlorohydrocarbons CPT 82441 | $6.01 | not published | $6.01 – $28.28 | 12 |
| Test for porphobilinogen CPT 84106 | $5.82 | $1,395.00 | $1.98 – $27.39 | 11 |
| Test for urine cystines CPT 82615 | $9.55 | not published | $9.55 – $44.94 | 12 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $59.40 | not published | $52.79 – $62.37 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $311.40 | $2,057.00 | $68.51 – $326.97 | 7 |
| Test urine for lactose CPT 83633 | $11.25 | not published | $6.93 – $52.95 | 12 |
| Test urine for porphyrins CPT 84119 | $13.36 | not published | $3.30 – $62.88 | 12 |
| Test urine urobilinogen CPT 84578 | $4.47 | not published | $0.50 – $21.04 | 12 |
| Testicular imaging w/vasc flow CPT 78761 | $401.83 | $1,352.00 | $383.48 – $661.23 | 8 |
| Testosterone undecanoate 1mg HCPCS J3145 | $1.99 | not published | $1.69 – $3.46 | 11 |
| Tetanus immune globulin inj HCPCS J1670 | $577.05 | not published | $490.49 – $1,035.27 | 11 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $18.30 | not published | $15.56 – $24.72 | 7 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $759.53 | not published | $303.81 – $797.51 | 8 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $597.91 | not published | $239.16 – $627.81 | 8 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,919.60 | not published | $1,167.84 – $3,065.58 | 8 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Thaw preserved stem cells CPT 38208 | $437.18 | $3,850.00 | $59.04 – $459.04 | 7 |
| Thawing cryopresrved embryo CPT 89352 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Thawing cryopresrved oocyte CPT 89356 | $171.36 | not published | $171.36 – $299.59 | 7 |
| Thawing cryopresrved sperm CPT 89353 | $53.43 | not published | $53.43 – $105.53 | 7 |
| Theophylline therapeutic drug level CPT 80198 | $14.14 | $164.00 | $14.14 – $66.55 | 11 |
| Ther fx nasal inf turbinate CPT 30930 | $3,243.07 | $6,631.00 | $260.47 – $3,405.22 | 7 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $178.02 | $656.00 | $178.02 – $606.01 | 8 |
| Ther/proph/diag inj ia CPT 96373 | $210.69 | $410.00 | $33.00 – $221.22 | 7 |
| Therapeutic procd strg endur HCPCS G0237 | $24.49 | $163.00 | $21.62 – $359.00 | 9 |
| Therapeutic pulpotomy HCPCS D3220 | $1,662.63 | $1,155.00 | $279.01 – $1,745.76 | 7 |
| Therapy activation ipnss CPT 93150 | $91.79 | $280.00 | $43.28 – $14,806.00 | 8 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | not published | $334.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $40.94 | $147.00 | $40.94 – $792.00 | 9 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $34.61 | $121.00 | $34.61 – $792.00 | 9 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $198.70 | not published | $198.70 – $365.25 | 8 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $1.52 – $5.45 | 5 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $618.26 | $2,805.00 | $224.04 – $1,283.42 | 8 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $5,622.82 – $5,622.82 | 1 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | $596.00 | $437.54 – $437.54 | 1 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | $10,954.00 | $7,350.26 – $7,350.26 | 1 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | $5,541.00 | $3,306.70 – $3,306.70 | 1 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $5,834.36 | $10,534.00 | $636.74 – $6,126.08 | 7 |
| Thoracoscopy lymph node exc CPT 32674 | not published | $2,830.00 | $438.87 – $438.87 | 1 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $2,203.63 – $2,203.63 | 1 |
| Thoracoscopy remove cortex CPT 32651 | not published | $3,331.00 | $2,278.78 – $2,278.78 | 1 |
| Thoracoscopy remove segment CPT 32669 | not published | $4,355.00 | $2,780.32 – $2,780.32 | 1 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | $3,242.00 | $1,995.73 – $1,995.73 | 1 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | $4,050.00 | $1,404.43 – $1,404.43 | 1 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $2,460.20 – $2,460.20 | 1 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | $2,830.00 | $319.31 – $319.31 | 1 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | $1,175.00 | $319.31 – $319.31 | 1 |
| Thoracoscopy w/bx med space CPT 32606 | $5,834.36 | $10,534.00 | $950.01 – $6,126.08 | 7 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | $6,529.00 | $2,894.18 – $2,894.18 | 1 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | $2,830.00 | $1,867.24 – $1,867.24 | 1 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | $6,529.00 | $1,669.96 – $1,669.96 | 1 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | $2,441.00 | $1,681.66 – $1,681.66 | 1 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $1,541.18 – $1,541.18 | 1 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | $4,161.00 | $2,522.08 – $2,522.08 | 1 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | $2,830.00 | $1,818.17 – $1,818.17 | 1 |
| Thoracoscopy wbx sac CPT 32604 | $10,411.22 | not published | $985.67 – $10,931.78 | 8 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | $2,236.00 | $1,770.85 – $1,770.85 | 1 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | $5,163.00 | $3,445.56 – $3,445.56 | 1 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $1,671.89 – $1,671.89 | 1 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $1,552.83 – $1,552.83 | 1 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $1,929.57 – $1,929.57 | 1 |
| Thoracotomy w/expl CPT 32100 | not published | $2,470.00 | $1,693.76 – $1,693.76 | 1 |
| Thoracotomy with cardiac massage CPT 32160 | not published | $5,745.00 | $1,674.67 – $1,674.67 | 1 |
| Thorax spine fusion CPT 22610 | not published | $4,950.00 | $2,775.00 – $2,775.00 | 1 |
| Thorcscpy w/biop pleura CPT 32609 | $5,834.36 | $10,534.00 | $529.74 – $6,126.08 | 7 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | $10,411.22 | $13,500.00 | $635.23 – $10,931.78 | 7 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | $10,411.22 | $13,500.00 | $779.83 – $10,931.78 | 7 |
| Throat x-ray & fluoroscopy CPT 70370 | $88.05 | $292.00 | $88.05 – $304.19 | 8 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | $4,085.00 | $2,305.80 – $2,305.80 | 1 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | $6,312.00 | $289.18 – $19,949.00 | 2 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $5,701.52 | $12,637.00 | $747.80 – $5,986.60 | 7 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $11,340.57 | $22,702.00 | $898.75 – $11,907.60 | 7 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $17,956.72 | $34,410.00 | $1,036.81 – $18,854.56 | 7 |
| Thrombin time CPT 85670 | $5.77 | $46.00 | $5.77 – $27.16 | 11 |
| Thrombin time titer CPT 85675 | $6.85 | not published | $6.85 – $32.24 | 12 |
| Thromboendarterectomy common femoral CPT 35371 | not published | $4,400.00 | $1,663.09 – $1,663.09 | 1 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $5,405.70 | $12,638.00 | $1,840.88 – $5,675.99 | 7 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | $7,613.00 | $2,617.92 – $2,617.92 | 1 |
| Thromboendarterectomy sfa CPT 35302 | not published | $3,891.00 | $2,277.14 – $2,277.14 | 1 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $6.47 | $112.00 | $3.30 – $30.45 | 11 |
| Thromboxane urine CPT 84431 | $35.11 | not published | $30.90 – $165.24 | 12 |
| Thumb fusion with graft CPT 26820 | $7,143.73 | not published | $1,832.23 – $11,798.15 | 8 |
| Thumb fusion with graft CPT 26842 | $7,143.73 | $11,398.00 | $1,837.15 – $7,500.92 | 7 |
| Thumb tendon transfer CPT 26510 | $3,244.61 | $7,582.00 | $1,425.67 – $3,406.84 | 7 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $2,842.34 – $2,842.34 | 1 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | $5,915.66 | $12,128.00 | $2,225.26 – $6,211.44 | 7 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $2,351.21 – $2,351.21 | 1 |
| Thyroglobulin antibody CPT 86800 | $15.91 | $150.00 | $14.30 – $74.88 | 11 |
| Thyroid (TSH) Test CPT 84443 | $16.80 | $286.00 | $16.80 – $79.06 | 11 |
| Thyroid Ultrasound CPT 76536 | $106.34 | $1,221.00 | $106.34 – $330.81 | 8 |
| Thyroid imaging CPT 78013 | $401.83 | $2,039.00 | $335.09 – $663.77 | 8 |
| Thyroid met imaging CPT 78015 | $401.83 | not published | $401.83 – $731.72 | 9 |
| Thyroid met imaging/studies CPT 78016 | $401.83 | not published | $401.83 – $932.44 | 9 |
| Thyroid met uptake CPT 78020 | not published | $911.00 | $149.84 – $205.05 | 2 |
| Thyroid mets imag whole body CPT 78018 | $538.27 | $4,024.00 | $538.27 – $1,021.22 | 8 |
| Thyroid uptake measurement CPT 78012 | $401.83 | $877.00 | $158.23 – $421.92 | 8 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | $7,026.00 | $2,885.59 – $2,885.59 | 1 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,113.24 | not published | $1,796.25 – $3,990.14 | 11 |
| Thyrotropin releasing hormone CPT 80438 | $50.41 | not published | $50.41 – $237.24 | 12 |
| Thyroxine binding globulin (tbg) CPT 84442 | $14.78 | $275.00 | $13.20 – $69.56 | 11 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $17,956.72 | $43,835.00 | $1,486.56 – $18,854.56 | 8 |
| Tib/per revasc stnt & ather CPT 37235 | not published | $14,293.00 | $743.62 – $14,806.00 | 2 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | $25,849.00 | $650.81 – $14,806.00 | 2 |
| Tibial arthroscopy/surgery CPT 29855 | $7,143.73 | $12,716.00 | $1,693.71 – $11,798.15 | 8 |
| Tibial arthroscopy/surgery CPT 29856 | $12,866.82 | $14,929.00 | $2,142.04 – $13,510.16 | 7 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.43 – $5.25 | 6 |
| Tilt table study CPT 93660 | $530.60 | $2,893.00 | $104.00 – $557.13 | 7 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $2.92 – $15.98 | 6 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $2,193.59 – $2,193.59 | 1 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $876.87 – $876.87 | 1 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | $578,324.58 | not published | $491,575.89 – $922,082.02 | 10 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $188.65 | not published | $160.35 – $223.85 | 7 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $16.56 – $40.69 | 2 |
| Tissue culture placenta CPT 88235 | $150.30 | $1,375.00 | $99.00 – $707.35 | 11 |
| Tissue culture skin/biopsy CPT 88233 | $140.73 | $648.00 | $99.00 – $662.31 | 11 |
| Tissue culture tumor CPT 88239 | $147.52 | $1,265.00 | $99.00 – $694.26 | 11 |
| Tissue exam koh skin/hair/nails CPT 87220 | $4.27 | $62.00 | $2.64 – $20.10 | 11 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | $11,662.55 | not published | 0 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | $16,188.52 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $11.53 | $158.00 | $10.14 – $15.33 | 10 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | $92.00 | $0.01 – $247.14 | 2 |
| Tlh uterus 250 g or less CPT 58570 | $10,411.22 | $17,617.00 | $1,727.69 – $10,931.78 | 7 |
| Tlh uterus over 250 g CPT 58572 | $10,411.22 | $17,617.00 | $2,159.26 – $10,931.78 | 7 |
| Tlh w/t/o 250 g or less CPT 58571 | $10,411.22 | $15,125.00 | $1,945.57 – $10,931.78 | 7 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $10,411.22 | $17,617.00 | $2,598.38 – $10,931.78 | 7 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $4,900.75 – $4,900.75 | 1 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $5,008.91 – $5,008.91 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | $3,244.61 | $7,609.00 | $1,044.71 – $3,406.84 | 7 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $2.09 – $4.70 | 5 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $12.29 – $78.41 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $16.13 | $168.00 | $13.86 – $75.91 | 11 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5.79 | not published | $4.92 – $12.31 | 11 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $53.92 | $248.00 | $53.92 – $97.29 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $65.52 | $264.00 | $65.52 – $98.65 | 8 |
| Tone decay hearing test CPT 92563 | $39.25 | not published | $39.25 – $66.49 | 8 |
| Tongue base vol reduction CPT 41530 | $3,243.07 | $6,261.00 | $828.29 – $3,405.22 | 7 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $3,243.07 | $5,304.00 | $239.70 – $3,405.22 | 7 |
| Tongue suspension CPT 41512 | $5,915.66 | not published | $1,455.98 – $9,158.16 | 8 |
| Tongue to lip surgery CPT 41510 | $3,243.07 | not published | $1,004.12 – $4,618.73 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | $3,243.07 | $7,186.00 | $559.42 – $3,405.22 | 7 |
| Tonsillectomy (child under 12) CPT 42825 | $5,915.66 | $10,303.00 | $588.47 – $6,211.44 | 7 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.04 – $2.41 | 5 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $39.50 | not published | $33.58 – $41.48 | 6 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | $4,193.00 | $2,872.26 – $2,872.26 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $18,390.05 | $30,109.00 | $3,476.76 – $19,309.55 | 7 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | $4,620.00 | $3,721.94 – $3,721.94 | 1 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | $5,290.00 | $1,060.47 – $1,060.47 | 1 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $6,184.58 – $6,184.58 | 1 |
| Total Hip Replacement CPT 27130 | $12,866.82 | $17,941.00 | $2,746.49 – $13,510.16 | 7 |
| Total Knee Replacement CPT 27447 | $12,866.82 | $14,508.00 | $2,742.14 – $22,177.73 | 8 |
| Total hip arthroplasty CPT 27132 | not published | $15,400.00 | $3,564.15 – $3,564.15 | 1 |
| Total hysterectomy CPT 58150 | not published | $8,559.00 | $2,167.22 – $2,167.22 | 1 |
| Total lung lavage CPT 32997 | not published | not published | $690.60 – $690.60 | 1 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $5,795.11 – $5,795.11 | 1 |
| Toxoplasma antibody igg CPT 86777 | $14.39 | $462.00 | $13.20 – $67.72 | 11 |
| Toxoplasma antibody igm CPT 86778 | $14.41 | $462.00 | $14.41 – $67.82 | 11 |
| Tp53 gene full gene sequence CPT 81351 | $641.85 | $3,353.00 | $564.83 – $3,020.70 | 11 |
| Tp53 gene trgt sequence alys CPT 81352 | $329.51 | $2,617.00 | $289.97 – $1,550.75 | 11 |
| Tpmt gene com vrnts CPT 81335 | $174.81 | $928.00 | $153.84 – $822.70 | 11 |
| Tprnl balo cntnc dev adjmt CPT 53454 | $243.21 | not published | $120.37 – $255.37 | 7 |
| Tprnl balo cntnc dev bi CPT 53451 | $12,992.42 | not published | $1,873.45 – $13,642.04 | 7 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | $3,448.97 | not published | $1,492.53 – $3,621.42 | 7 |
| Tprnl balo cntnc dev uni CPT 53452 | $9,247.15 | not published | $1,043.65 – $9,709.51 | 7 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $5,083.62 | $10,936.00 | $344.05 – $5,337.80 | 7 |
| Tr retinal les preterm inf CPT 67229 | $548.60 | $1,316.00 | $548.60 – $2,465.56 | 7 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $383.07 | not published | $325.61 – $698.00 | 11 |
| Trabeculoplasty laser surg CPT 65855 | $548.60 | $1,678.00 | $437.18 – $576.03 | 7 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $4,936.45 | $7,535.00 | $813.95 – $5,183.27 | 7 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $509.25 | $2,716.00 | $246.41 – $534.71 | 7 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $3,243.07 | $7,217.00 | $927.58 – $3,405.22 | 7 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $68.91 | $275.00 | $68.91 – $792.00 | 9 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | $4,916.00 | $3,204.69 – $3,204.69 | 1 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | $3,706.00 | $2,416.92 – $2,416.92 | 1 |
| Transabdom amnioinfus w/us CPT 59070 | $304.19 | $800.00 | $304.19 – $648.87 | 7 |
| Transcath biopsy CPT 37200 | $5,405.70 | $11,276.00 | $434.89 – $14,806.00 | 8 |
| Transcath closure of asd CPT 93580 | $17,956.72 | $34,076.00 | $1,602.93 – $18,854.56 | 8 |
| Transcath closure of vsd CPT 93581 | $17,956.72 | $32,701.00 | $2,173.90 – $18,854.56 | 8 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | $2,888.00 | $864.02 – $14,806.00 | 2 |
| Transcath mv repair init prosthesis CPT 33418 | not published | $10,450.00 | $3,701.68 – $14,806.00 | 2 |
| Transcath occlusion cns CPT 61624 | not published | $18,926.00 | $2,430.76 – $2,430.76 | 1 |
| Transcath occlusion non-cns CPT 61626 | $11,340.57 | $18,110.00 | $1,884.43 – $11,907.60 | 7 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $3,147.50 | $7,635.00 | $1,046.73 – $14,806.00 | 8 |
| Transcatheter bx s&i CPT 75970 | not published | $3,412.00 | $1,374.20 – $1,374.20 | 1 |
| Transcrv abltj utrn fibrd rf CPT 58580 | $7,394.81 | $24,056.00 | $846.93 – $7,764.55 | 7 |
| Transcutaneous hgb 88738 CPT 88738 | $5.02 | not published | $4.42 – $23.63 | 12 |
| Transfer of abdominal muscle CPT 27100 | $7,143.73 | $18,369.00 | $1,805.87 – $7,500.92 | 7 |
| Transfer of embryo CPT 58976 | $304.19 | not published | $304.19 – $565.11 | 8 |
| Transfer of iliopsoas muscle CPT 27110 | $7,143.73 | not published | $2,099.64 – $11,798.15 | 8 |
| Transfer of iliopsoas muscle CPT 27111 | $3,244.61 | not published | $1,958.72 – $5,430.31 | 8 |
| Transfer of spinal muscle CPT 27105 | $3,244.61 | not published | $1,890.39 – $5,430.31 | 8 |
| Transfer skin pedicle flap CPT 15650 | $1,829.23 | $4,450.00 | $880.73 – $1,920.69 | 7 |
| Transfer tendon to pelvis CPT 27098 | $3,244.61 | not published | $1,518.48 – $5,430.31 | 8 |
| Transferrin CPT 84466 | $12.76 | $199.00 | $12.76 – $60.05 | 11 |
| Transfusion blood/blood component(s) CPT 36430 | $437.18 | $2,420.00 | $14.30 – $459.04 | 8 |
| Transorl lwr esophgl myotomy CPT 43497 | $5,952.81 | $10,397.00 | $5,952.81 – $6,250.45 | 6 |
| Transperi needle place pros CPT 55875 | $5,083.62 | $10,936.00 | $1,654.86 – $5,337.80 | 7 |
| Transplant forearm tendon CPT 25310 | $3,244.61 | $8,329.00 | $1,365.13 – $3,406.84 | 7 |
| Transplant forearm tendon CPT 25312 | $3,244.61 | $8,329.00 | $1,565.24 – $3,406.84 | 7 |
| Transplant hand tendon CPT 26480 | $3,244.61 | $7,582.00 | $1,744.22 – $3,406.84 | 7 |
| Transplant of thigh tendon CPT 27396 | $7,143.73 | $11,156.00 | $1,354.89 – $7,500.92 | 7 |
| Transplant palm tendon CPT 26485 | $3,244.61 | $7,582.00 | $1,851.06 – $3,406.84 | 7 |
| Transplant/graft hand tendon CPT 26483 | $3,244.61 | $7,582.00 | $1,926.06 – $3,406.84 | 7 |
| Transplant/graft palm tendon CPT 26489 | $3,244.61 | $7,582.00 | $2,123.42 – $3,406.84 | 7 |
| Transplants of thigh tendons CPT 27397 | $7,143.73 | not published | $1,987.59 – $11,798.15 | 8 |
| Transplj hematopoietic boost CPT 38243 | $1,639.28 | $3,518.00 | $261.25 – $1,721.24 | 7 |
| Transplt allo hct/donor CPT 38240 | $59,142.33 | $71,666.00 | $510.90 – $62,099.45 | 7 |
| Transplt allo lymphocytes CPT 38242 | $1,639.28 | $7,339.00 | $104.00 – $4,567.00 | 9 |
| Transplt autol hct/donor CPT 38241 | $1,639.28 | $18,454.00 | $377.08 – $1,721.24 | 7 |
| Transposition of vein valve CPT 34510 | $5,405.70 | not published | $2,081.57 – $9,059.40 | 8 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | $3,378.00 | $2,572.32 – $2,572.32 | 1 |
| Transurethral rf treatment CPT 53860 | $2,048.51 | $4,358.00 | $471.33 – $2,150.94 | 7 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $76.18 | not published | $64.75 – $221.49 | 11 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $43.28 | not published | $17.89 – $101.81 | 9 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $28.62 | not published | $21.77 – $119.81 | 9 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $1,323.17 | $13,299.00 | $1,323.17 – $1,389.33 | 6 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | not published | $1,018.86 | not published | 0 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $3.53 – $16.20 | 4 |
| Trb@ gene rearrange dirprobe CPT 81341 | $49.59 | not published | $43.64 – $233.38 | 12 |
| Treat ankle dislocation CPT 27842 | $1,600.41 | $3,741.00 | $1,085.72 – $1,680.43 | 7 |
| Treat ankle dislocation CPT 27846 | $7,143.73 | $11,161.00 | $1,579.09 – $7,500.92 | 7 |
| Treat ankle dislocation CPT 27848 | $7,143.73 | $11,805.00 | $1,706.07 – $7,500.92 | 7 |
| Treat ankle fracture CPT 28445 | $7,143.73 | $11,161.00 | $2,261.43 – $7,500.92 | 7 |
| Treat big toe fracture CPT 28505 | $3,244.61 | $6,893.00 | $1,077.25 – $3,406.84 | 7 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | $5,915.66 | $10,130.00 | $1,144.23 – $6,211.44 | 7 |
| Treat clavicle dislocation 23545 CPT 23545 | $239.88 | $939.00 | $239.88 – $734.98 | 7 |
| Treat ectopic pregnancy CPT 59150 | $5,834.36 | $12,296.00 | $1,695.72 – $6,126.08 | 7 |
| Treat ectopic pregnancy CPT 59151 | $5,834.36 | $13,184.00 | $1,658.13 – $6,126.08 | 7 |
| Treat elbow dislocation CPT 24605 | $1,600.41 | $3,741.00 | $1,064.19 – $1,680.43 | 7 |
| Treat elbow dislocation CPT 24615 | $7,143.73 | $13,289.00 | $1,554.53 – $7,500.92 | 7 |
| Treat elbow fracture CPT 24586 | $12,866.82 | $17,479.00 | $2,342.63 – $13,510.16 | 7 |
| Treat elbow fracture CPT 24620 | $1,600.41 | $3,211.00 | $1,303.29 – $1,680.43 | 7 |
| Treat elbow fracture CPT 24635 | $7,143.73 | $16,539.00 | $1,480.56 – $7,500.92 | 7 |
| Treat eyelid by injection CPT 68200 | $399.04 | $623.00 | $72.55 – $418.99 | 7 |
| Treat eyelid lesion 67850 CPT 67850 | $968.54 | $2,862.00 | $281.93 – $1,016.97 | 7 |
| Treat finger fracture each CPT 26727 | $3,244.61 | $6,997.00 | $1,058.40 – $3,406.84 | 7 |
| Treat finger fracture each CPT 26742 | $1,600.41 | $3,211.00 | $754.15 – $1,680.43 | 7 |
| Treat foot bone lesion CPT 28005 | $3,244.61 | $6,545.00 | $1,228.16 – $3,406.84 | 7 |
| Treat foot dislocation CPT 28540 | $239.88 | $646.00 | $239.88 – $393.57 | 7 |
| Treat foot dislocation CPT 28545 | $3,244.61 | $6,823.00 | $614.94 – $3,406.84 | 7 |
| Treat foot dislocation CPT 28546 | $1,600.41 | $4,353.00 | $792.14 – $1,680.43 | 7 |
| Treat foot dislocation CPT 28570 | $239.88 | $688.00 | $239.88 – $450.69 | 7 |
| Treat foot dislocation CPT 28576 | $7,143.73 | $11,161.00 | $863.24 – $7,500.92 | 7 |
| Treat foot dislocation CPT 28600 | $239.88 | $593.00 | $239.88 – $358.57 | 7 |
| Treat foot dislocation CPT 28605 | $239.88 | $593.00 | $239.88 – $692.49 | 7 |
| Treat foot dislocation CPT 28606 | $3,244.61 | $6,181.00 | $863.39 – $3,406.84 | 7 |
| Treat fracture of radius CPT 25505 | $1,600.41 | $3,211.00 | $1,034.80 – $1,680.43 | 7 |
| Treat fracture of radius CPT 25520 | $1,600.41 | $3,938.00 | $1,215.28 – $1,680.43 | 7 |
| Treat fracture of ulna CPT 25535 | $239.88 | $1,246.00 | $239.88 – $1,026.14 | 7 |
| Treat hand bone lesion CPT 26034 | $1,600.41 | $3,938.00 | $1,218.12 – $1,680.43 | 7 |
| Treat hand dislocation CPT 26675 | $1,600.41 | $3,716.00 | $949.51 – $1,680.43 | 7 |
| Treat hand dislocation CPT 26685 | $3,244.61 | $7,484.00 | $1,273.61 – $3,406.84 | 7 |
| Treat hand dislocation CPT 26686 | $3,244.61 | $7,527.00 | $1,365.33 – $3,406.84 | 7 |
| Treat heel fracture CPT 28415 | $7,143.73 | $12,716.00 | $2,422.70 – $7,500.92 | 7 |
| Treat hip dislocation CPT 27252 | $1,600.41 | $3,520.00 | $1,600.41 – $1,680.43 | 7 |
| Treat hip dislocation CPT 27257 | $1,600.41 | $4,714.00 | $777.59 – $1,680.43 | 7 |
| Treat hip dislocation CPT 27258 | not published | not published | $2,394.05 – $2,394.05 | 1 |
| Treat hip socket fracture CPT 27222 | not published | $2,792.00 | $2,115.80 – $2,115.80 | 1 |
| Treat humerus fracture CPT 24515 | $12,866.82 | $17,322.00 | $1,912.87 – $13,510.16 | 7 |
| Treat humerus fracture CPT 24516 | $12,866.82 | $17,322.00 | $1,859.97 – $13,510.16 | 7 |
| Treat humerus fracture CPT 24535 | $1,600.41 | $3,522.00 | $1,273.43 – $1,680.43 | 7 |
| Treat humerus fracture CPT 24545 | $12,866.82 | $14,929.00 | $2,011.11 – $13,510.16 | 7 |
| Treat humerus fracture CPT 24546 | $12,866.82 | $18,695.00 | $2,239.98 – $13,510.16 | 7 |
| Treat humerus fracture CPT 24565 | $1,600.41 | $3,522.00 | $1,108.11 – $1,680.43 | 7 |
| Treat humerus fracture CPT 24575 | $12,866.82 | $14,929.00 | $1,603.25 – $13,510.16 | 7 |
| Treat humerus fracture CPT 24579 | $12,866.82 | $15,055.00 | $1,817.12 – $13,510.16 | 7 |
| Treat humerus fracture CPT 24582 | $7,143.73 | $8,250.00 | $1,794.54 – $7,500.92 | 7 |
| Treat knee dislocation CPT 27552 | $1,600.41 | $3,715.00 | $1,394.82 – $1,680.43 | 7 |
| Treat knee fracture CPT 27535 | not published | $7,381.00 | $1,925.36 – $1,925.36 | 1 |
| Treat knee fracture CPT 27536 | not published | $7,381.00 | $2,555.19 – $2,555.19 | 1 |
| Treat knee fracture CPT 27540 | not published | $7,381.00 | $1,766.43 – $1,766.43 | 1 |
| Treat knee fracture 27530 CPT 27530 | $239.88 | $586.00 | $239.88 – $661.54 | 7 |
| Treat knee fracture(s) CPT 27538 | $239.88 | $844.00 | $239.88 – $1,007.89 | 7 |
| Treat kneecap dislocation CPT 27562 | $239.88 | $2,410.00 | $239.88 – $1,088.40 | 7 |
| Treat kneecap dislocation CPT 27566 | $7,143.73 | $13,981.00 | $1,932.74 – $7,500.92 | 7 |
| Treat kneecap fracture CPT 27524 | $7,143.73 | $11,161.00 | $1,638.59 – $7,500.92 | 7 |
| Treat knuckle dislocation CPT 26705 | $1,600.41 | $3,727.00 | $894.60 – $1,680.43 | 7 |
| Treat knuckle dislocation CPT 26715 | $3,244.61 | $7,150.00 | $1,266.67 – $3,406.84 | 7 |
| Treat lower jaw fracture 21462 CPT 21462 | $5,915.66 | $12,775.00 | $2,540.25 – $6,211.44 | 7 |
| Treat lower leg bone lesion CPT 27607 | $3,244.61 | $6,562.00 | $1,298.47 – $3,406.84 | 7 |
| Treat lower leg dislocation CPT 27830 | $239.88 | $651.00 | $239.88 – $812.28 | 7 |
| Treat lower leg dislocation CPT 27831 | $3,244.61 | not published | $914.21 – $5,430.31 | 8 |
| Treat lower leg dislocation CPT 27832 | $7,143.73 | $18,357.00 | $1,654.43 – $7,500.92 | 7 |
| Treat lower leg fracture CPT 27826 | $7,143.73 | $13,625.00 | $1,860.46 – $7,500.92 | 7 |
| Treat lower leg fracture CPT 27827 | $12,866.82 | $18,662.00 | $2,431.98 – $13,510.16 | 7 |
| Treat lower leg fracture CPT 27828 | $12,866.82 | $20,862.00 | $2,865.66 – $13,510.16 | 7 |
| Treat lower leg joint CPT 27829 | $7,143.73 | $11,161.00 | $1,547.21 – $7,500.92 | 7 |
| Treat metacarpal fracture CPT 26608 | $3,244.61 | $8,709.00 | $1,073.01 – $3,406.84 | 7 |
| Treat metacarpal fracture CPT 26615 | $3,244.61 | $7,743.00 | $1,270.92 – $3,406.84 | 7 |
| Treat metatarsal fracture CPT 28476 | $3,244.61 | $6,529.00 | $865.50 – $3,406.84 | 7 |
| Treat metatarsal fracture CPT 28485 | $7,143.73 | $11,161.00 | $1,234.66 – $7,500.92 | 7 |
| Treat midfoot fracture each CPT 28455 | $1,600.41 | $3,904.00 | $505.70 – $1,680.43 | 7 |
| Treat midfoot fracture each CPT 28465 | $7,143.73 | $11,161.00 | $1,399.14 – $7,500.92 | 7 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $1,904.29 – $1,904.29 | 1 |
| Treat pelvic ring fracture CPT 27217 | not published | $2,844.00 | $1,791.80 – $1,791.80 | 1 |
| Treat penis lesion graft CPT 54111 | $5,083.62 | not published | $1,686.19 – $8,322.52 | 8 |
| Treat penis lesion graft CPT 54112 | $9,247.15 | not published | $1,975.32 – $15,836.64 | 8 |
| Treat radius fracture CPT 24665 | $7,143.73 | $11,161.00 | $1,444.47 – $7,500.92 | 7 |
| Treat radius fracture CPT 24666 | $12,866.82 | $15,486.00 | $1,598.15 – $13,510.16 | 7 |
| Treat sesamoid bone fracture CPT 28531 | $7,143.73 | $13,169.00 | $397.46 – $7,500.92 | 7 |
| Treat skull fracture CPT 62000 | $3,243.07 | $7,300.00 | $2,245.71 – $3,405.22 | 7 |
| Treat skull fracture CPT 62005 | not published | not published | $2,752.16 – $2,752.16 | 1 |
| Treat slipped epiphysis CPT 27176 | not published | $14,508.00 | $1,997.42 – $1,997.42 | 1 |
| Treat spinal cord lesion CPT 62280 | $890.29 | not published | $340.48 – $1,583.22 | 8 |
| Treat spinal cord lesion CPT 62281 | $890.29 | $3,202.00 | $330.06 – $934.80 | 7 |
| Treat sternum fracture CPT 21820 | $239.88 | $362.00 | $239.88 – $336.30 | 7 |
| Treat tail bone fracture CPT 27202 | $3,244.61 | $9,760.00 | $1,149.82 – $3,406.84 | 7 |
| Treat thigh fracture CPT 27230 | $239.88 | $593.00 | $239.88 – $1,061.80 | 7 |
| Treat thigh fracture CPT 27235 | $7,143.73 | $12,054.00 | $1,958.59 – $7,500.92 | 7 |
| Treat thigh fracture CPT 27236 | not published | $7,381.00 | $2,564.72 – $2,564.72 | 1 |
| Treat thigh fracture CPT 27238 | $1,600.41 | $3,124.00 | $1,036.70 – $1,680.43 | 7 |
| Treat thigh fracture CPT 27245 | not published | $3,814.00 | $2,632.40 – $2,632.40 | 1 |
| Treat thigh fracture CPT 27246 | $239.88 | $939.00 | $239.88 – $858.25 | 7 |
| Treat thigh fracture CPT 27248 | not published | $20,813.00 | $1,608.38 – $1,608.38 | 1 |
| Treat thigh fx growth plate CPT 27516 | $239.88 | $647.00 | $239.88 – $1,084.85 | 7 |
| Treat thigh fx growth plate CPT 27517 | $1,600.41 | $3,014.00 | $1,511.17 – $1,680.43 | 7 |
| Treat thumb fracture CPT 26650 | $3,244.61 | $7,260.00 | $1,074.10 – $3,406.84 | 7 |
| Treat thumb fracture CPT 26665 | $3,244.61 | $10,137.00 | $1,380.40 – $3,406.84 | 7 |
| Treat toe dislocation CPT 28636 | $3,244.61 | $6,181.00 | $489.55 – $3,406.84 | 7 |
| Treat toe dislocation CPT 28665 | $265.58 | $1,487.00 | $265.58 – $278.86 | 7 |
| Treat toe dislocation CPT 28666 | $3,244.61 | $7,404.00 | $380.11 – $3,406.84 | 7 |
| Treat toe fracture CPT 28525 | $3,244.61 | $6,521.00 | $890.98 – $3,406.84 | 7 |
| Treat trigeminal nerve CPT 61790 | $1,952.77 | not published | $1,918.00 – $3,377.16 | 8 |
| Treat trigeminal tract CPT 61791 | $1,952.77 | not published | $1,952.77 – $3,377.16 | 8 |
| Treat ulnar fracture CPT 24675 | $1,600.41 | $3,211.00 | $937.05 – $1,680.43 | 7 |
| Treat ulnar fracture CPT 24685 | $7,143.73 | $10,630.00 | $1,435.82 – $7,500.92 | 7 |
| Treat vaginal bleeding CPT 57180 | $201.17 | $528.00 | $201.17 – $262.90 | 7 |
| Treat wrist bone fracture CPT 25635 | $1,600.41 | $2,710.00 | $955.28 – $1,680.43 | 7 |
| Treat wrist dislocation CPT 25675 | $239.88 | $672.00 | $239.88 – $927.76 | 7 |
| Treat/graft heel fracture CPT 28420 | $12,866.82 | $14,929.00 | $2,807.85 – $13,510.16 | 7 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $7,143.73 | $13,978.00 | $1,809.93 – $7,500.92 | 7 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $7,143.73 | $14,351.00 | $2,288.55 – $11,798.15 | 8 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $7,143.73 | $12,716.00 | $1,624.48 – $11,798.15 | 8 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $3,179.53 | $6,236.00 | $663.50 – $3,338.51 | 7 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $128.90 | $479.00 | $108.61 – $359.00 | 9 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | not published | $358.00 | $29.70 – $359.00 | 3 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $203.39 | $545.00 | $14.51 – $359.00 | 9 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $3,179.53 | $7,167.00 | $842.51 – $3,338.51 | 7 |
| Treatment mouth roof lesion CPT 42160 | $3,243.07 | $5,617.00 | $306.13 – $3,405.22 | 7 |
| Treatment of anal fissure CPT 46942 | $911.71 | $2,159.00 | $279.12 – $957.30 | 7 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | $2,742.39 | $4,363.00 | $310.06 – $2,879.51 | 7 |
| Treatment of ankle fracture CPT 27792 | $7,143.73 | $11,161.00 | $1,407.18 – $7,500.92 | 7 |
| Treatment of ankle fracture CPT 27814 | $7,143.73 | $11,161.00 | $1,660.16 – $7,500.92 | 7 |
| Treatment of ankle fracture CPT 27822 | $7,143.73 | $11,163.00 | $1,903.78 – $7,500.92 | 7 |
| Treatment of ankle fracture CPT 27823 | $7,143.73 | $11,660.00 | $2,138.24 – $7,500.92 | 7 |
| Treatment of ankle fracture 27786 CPT 27786 | $239.88 | $1,004.00 | $239.88 – $651.98 | 7 |
| Treatment of choroid lesion CPT 67220 | $548.60 | $1,304.00 | $548.60 – $1,070.52 | 7 |
| Treatment of corneal lesion CPT 65450 | $298.93 | not published | $298.93 – $703.52 | 8 |
| Treatment of eyelid lesions CPT 68040 | $298.93 | not published | $100.28 – $586.89 | 8 |
| Treatment of fibula fracture CPT 27784 | $7,143.73 | $11,161.00 | $1,560.06 – $7,500.92 | 7 |
| Treatment of fibula fracture 27780 CPT 27780 | $239.88 | $593.00 | $239.88 – $649.52 | 7 |
| Treatment of foot infection CPT 28002 | $1,600.41 | $6,545.00 | $294.96 – $1,680.43 | 7 |
| Treatment of foot infection CPT 28003 | $3,244.61 | $5,830.00 | $540.75 – $3,406.84 | 7 |
| Treatment of gum lesion CPT 41850 | $1,481.28 | not published | $380.08 – $2,647.74 | 8 |
| Treatment of head injury 62010 CPT 62010 | not published | not published | $3,319.88 – $3,319.88 | 1 |
| Treatment of heel fracture 28400 CPT 28400 | $239.88 | $690.00 | $239.88 – $521.01 | 7 |
| Treatment of miscarriage CPT 59821 | $3,179.53 | $6,934.00 | $819.56 – $3,338.51 | 7 |
| Treatment of mouth lesion physical 40820 CPT 40820 | $3,243.07 | $7,186.00 | $368.02 – $3,405.22 | 7 |
| Treatment of penis lesion CPT 54110 | $3,448.97 | $7,548.00 | $1,325.15 – $3,621.42 | 7 |
| Treatment of penis lesion CPT 54115 | $2,862.05 | $4,759.00 | $915.03 – $3,005.15 | 7 |
| Treatment of rectal prolapse CPT 45520 | $911.71 | $2,101.00 | $87.74 – $957.30 | 7 |
| Treatment of retinal lesion CPT 67208 | $298.93 | $825.00 | $298.93 – $1,235.96 | 7 |
| Treatment of retinal lesion CPT 67210 | $548.60 | $1,614.00 | $548.60 – $1,070.43 | 7 |
| Treatment of retinal lesion CPT 67218 | $3,771.00 | $7,464.00 | $2,952.83 – $3,959.55 | 7 |
| Treatment of thigh fracture CPT 27501 | $239.88 | $622.00 | $239.88 – $1,095.74 | 7 |
| Treatment of thigh fracture CPT 27503 | $1,600.41 | $3,768.00 | $1,600.41 – $1,734.99 | 7 |
| Treatment of thigh fracture CPT 27506 | not published | $7,381.00 | $2,875.47 – $2,875.47 | 1 |
| Treatment of thigh fracture CPT 27508 | $239.88 | $1,021.00 | $239.88 – $1,104.07 | 7 |
| Treatment of thigh fracture CPT 27509 | $7,143.73 | $11,161.00 | $1,483.04 – $11,798.15 | 8 |
| Treatment of thigh fracture CPT 27510 | $1,600.41 | $3,716.00 | $1,482.40 – $1,680.43 | 7 |
| Treatment of thigh fracture CPT 27511 | not published | $7,381.00 | $2,133.21 – $2,133.21 | 1 |
| Treatment of tibia fracture CPT 27756 | $7,143.73 | $11,161.00 | $1,268.98 – $7,500.92 | 7 |
| Treatment of tibia fracture CPT 27758 | $12,866.82 | $14,929.00 | $1,942.87 – $13,510.16 | 7 |
| Treatment of tibia fracture CPT 27759 | $12,866.82 | $17,875.00 | $2,149.83 – $13,510.16 | 7 |
| Treatment of toe fracture 28510 CPT 28510 | $239.88 | $1,019.00 | $239.88 – $273.99 | 7 |
| Treatment of urethra lesion CPT 53220 | $3,448.97 | $9,142.00 | $964.65 – $3,621.42 | 7 |
| Treatment of urethra lesion CPT 53260 | $3,448.97 | $4,448.00 | $387.07 – $3,621.42 | 7 |
| Treatment of urethra lesion CPT 53265 | $2,048.51 | $4,450.00 | $402.36 – $2,150.94 | 7 |
| Treatment radiation delivery level 2 CPT 77407 | $262.98 | $1,261.00 | $262.98 – $582.47 | 7 |
| Treatment x10sv retinopathy CPT 67228 | $548.60 | $1,346.00 | $548.60 – $644.91 | 7 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $141.17 | not published | $119.99 – $148.23 | 6 |
| Treponema pallidum antibody CPT 86780 | $13.24 | $169.00 | $11.65 – $62.31 | 11 |
| Treprostinil injection HCPCS J3285 | $55.48 | not published | $47.16 – $136.89 | 11 |
| Trg gene rearrangement anal CPT 81342 | $201.50 | $1,038.00 | $177.32 – $948.31 | 11 |
| Triamcinolone a inj prs-free HCPCS J3300 | $24.51 | not published | $6.17 – $25.74 | 11 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | not published | not published | $0.73 – $2.94 | 5 |
| Trichinella antibody CPT 86784 | $12.56 | $191.00 | $8.80 – $59.11 | 11 |
| Trichomonas assay w/optic CPT 87808 | $15.29 | not published | $13.45 – $71.96 | 12 |
| Triglycerides CPT 84478 | $5.74 | $392.00 | $5.74 – $27.01 | 11 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $5.39 | not published | $4.58 – $10.63 | 9 |
| Trim nail(s) HCPCS G0127 | $59.40 | $180.00 | $12.96 – $62.37 | 7 |
| Trim nondyst nails CPT 11719 | $59.40 | $209.00 | $15.35 – $62.37 | 7 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $45.24 – $92.54 | 5 |
| Triptorelin pamoate HCPCS J3315 | $491.90 | not published | $418.12 – $723.73 | 11 |
| Trluml dil aq o/f can w/st CPT 66175 | $5,159.71 | $9,330.00 | $1,557.62 – $5,417.70 | 7 |
| Trluml dil aq o/f can without st CPT 66174 | $4,022.86 | $9,330.00 | $1,344.99 – $4,224.00 | 7 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $12,866.82 | $41,855.00 | $12,866.82 – $13,510.16 | 6 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | $637.00 | not published | 0 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $239.88 | $920.00 | $239.88 – $1,058.42 | 7 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | $18,016.00 | $2,029.67 – $2,029.67 | 1 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | $12,940.00 | $2,063.48 – $2,063.48 | 1 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | $3,896.00 | $1,701.65 – $1,701.65 | 1 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | $10,963.00 | $426.51 – $426.51 | 1 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | $8,459.00 | $305.00 – $305.00 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $11,340.57 | $20,898.00 | $622.72 – $20,014.91 | 8 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,147.50 | $7,605.00 | $610.84 – $14,806.00 | 8 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,147.50 | $6,458.00 | $467.46 – $14,806.00 | 8 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $5,405.70 | $11,276.00 | $785.22 – $14,806.00 | 9 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $3,147.50 | $4,521.00 | $246.88 – $14,806.00 | 8 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,147.50 | $5,755.00 | $684.80 – $14,806.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $3,660.97 | $7,020.00 | $1,862.07 – $3,844.02 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | $3,496.00 | $451.55 – $451.55 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,829.23 | $6,160.00 | $1,433.10 – $1,920.69 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $1,829.23 | $5,737.00 | $1,760.85 – $1,920.69 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $1,829.23 | $5,081.00 | $1,527.46 – $1,920.69 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $1,829.23 | $4,992.00 | $1,409.72 – $1,920.69 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $1,829.23 | $4,550.00 | $1,094.05 – $1,920.69 | 7 |
| Troponin quantitative CPT 84484 | $12.47 | $173.00 | $10.46 – $58.69 | 11 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $3,448.97 | not published | $819.69 – $3,621.42 | 8 |
| Tte w or without contr, cont ecg HCPCS C8930 | $790.06 | $4,045.00 | $790.06 – $829.56 | 6 |
| Tte w or without fol w/con,stres HCPCS C8928 | $790.06 | not published | $790.06 – $1,431.92 | 7 |
| Tte w or without fol w/cont, com HCPCS C8921 | $790.06 | not published | $790.06 – $1,431.92 | 7 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $790.06 | not published | $790.06 – $1,431.92 | 7 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $5,834.36 | $12,615.00 | $799.92 – $6,126.08 | 7 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | $21.70 | $4.74 – $20.52 | 4 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | $922.86 | $32.78 – $85.37 | 4 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $3.60 – $11.90 | 4 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | $590.24 | $32.78 – $86.16 | 4 |
| Tumor cell deplete of harvst CPT 38211 | $437.18 | $46,393.00 | $148.97 – $459.04 | 7 |
| Tvh >250 gms 58290 CPT 58290 | $7,394.81 | $13,468.00 | $2,445.62 – $7,764.55 | 7 |
| Tvh w/mmk 58267 CPT 58267 | not published | $5,506.00 | $2,279.77 – $2,279.77 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | $24,532.30 | $42,264.00 | $104.00 – $25,758.92 | 7 |
| Tx closed distal humerus fx CPT 24999 | $239.88 | $718.00 | $239.88 – $251.87 | 6 |
| Tx closed hip disl traumatic without anes CPT 27250 | $239.88 | $1,562.00 | $239.88 – $372.09 | 7 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,244.61 | $6,065.00 | $1,277.11 – $3,406.84 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | $239.88 | $1,172.00 | $239.88 – $733.77 | 7 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $612.13 | $1,113.00 | $153.72 – $642.74 | 7 |
| Tx contour defects >10.0 cc CPT 11954 | $612.13 | $1,359.00 | $235.70 – $642.74 | 7 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $2,024.57 – $2,024.57 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | $2,753.00 | $1,921.42 – $1,921.42 | 1 |
| Tx l/r atrial fib addl CPT 93657 | not published | $8,470.00 | $104.00 – $504.54 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $3,244.61 | $6,706.00 | $1,622.33 – $3,406.84 | 7 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $3,244.61 | $8,862.00 | $1,118.85 – $3,406.84 | 7 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $3,244.61 | $7,277.00 | $1,211.53 – $3,406.84 | 7 |
| Tx open nsl fx uncomp CPT 21325 | $3,243.07 | $5,580.00 | $981.93 – $3,405.22 | 7 |
| Tx open nsl sptl fx CPT 21336 | $3,244.61 | $7,708.00 | $1,397.18 – $3,406.84 | 7 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $3,244.61 | $7,165.00 | $1,312.35 – $3,406.84 | 7 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | $2,595.00 | $1,002.20 – $1,002.20 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $239.88 | $695.00 | $239.88 – $432.33 | 7 |
| Tympanic membrane repair CPT 69610 | $1,481.28 | $7,066.00 | $618.13 – $4,618.73 | 8 |
| Tympanolysis transcanal 69450 CPT 69450 | $3,243.07 | $7,084.00 | $1,206.45 – $3,405.22 | 7 |
| Tympanometry & reflex thresh CPT 92550 | $156.46 | $287.00 | $37.46 – $627.00 | 9 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $509.25 | $1,990.00 | $290.79 – $1,008.36 | 8 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $5,915.66 | $12,000.00 | $2,798.63 – $6,211.44 | 7 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $5,915.66 | $10,853.00 | $3,063.10 – $6,211.44 | 7 |
| U/s trtmt, not leiomyomata HCPCS C9734 | $12,866.82 | not published | $12,866.82 – $22,177.73 | 7 |
| Ua w/micro/comp poc CPT 81000 | $4.02 | not published | $1.32 – $18.92 | 12 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $71.90 | not published | $61.12 – $75.50 | 6 |
| Ugt1a1 gene analy common variants CPT 81350 | $234.00 | $1,792.00 | $205.92 – $1,101.26 | 11 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $106.34 | $935.00 | $106.34 – $307.98 | 8 |
| Ultrasound bone density measure CPT 76977 | $106.34 | not published | $14.00 – $295.04 | 11 |
| Ultrasound breast complete CPT 76641 | $106.34 | $825.00 | $106.34 – $295.04 | 11 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $88.05 | $845.00 | $88.05 – $219.04 | 11 |
| Ultrasound chest CPT 76604 | $106.34 | $880.00 | $106.34 – $144.36 | 8 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $106.34 | $715.00 | $82.22 – $111.66 | 8 |
| Ultrasound dx ophth b-scan CPT 76512 | $106.34 | $440.00 | $68.30 – $111.66 | 8 |
| Ultrasound elastography ea l target les CPT 76983 | not published | $177.00 | $118.24 – $140.76 | 2 |
| Ultrasound elastography parenchyma CPT 76981 | $106.34 | $770.00 | $106.34 – $291.50 | 8 |
| Ultrasound encephalogram CPT 76506 | $106.34 | $671.00 | $106.34 – $320.66 | 8 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $106.34 | $798.00 | $106.34 – $442.22 | 8 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $106.34 | $1,560.00 | $106.34 – $181.17 | 8 |
| Ultrasound guidance for vascular access CPT 76937 | not published | $703.00 | $73.45 – $91.32 | 2 |
| Ultrasound guide intraoperative CPT 76998 | not published | $970.00 | $341.21 – $341.21 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | $386.00 | $470.47 – $470.47 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | $1,327.00 | $100.00 – $109.98 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $88.05 | $685.00 | $88.05 – $399.31 | 8 |
| Ultrasound infant hips ltd without stress CPT 76886 | $88.05 | $613.00 | $88.05 – $277.55 | 8 |
| Ultrasound joint complete left CPT 76881 | $106.34 | $715.00 | $99.97 – $132.96 | 8 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $106.34 | $635.00 | $106.34 – $122.83 | 8 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $106.34 | not published | $31.26 – $289.38 | 9 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | $516.00 | $162.14 – $166.02 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | $255.00 | $82.44 – $113.03 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $241.72 | $1,219.00 | $241.72 – $337.57 | 8 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $106.34 | $922.00 | $106.34 – $268.67 | 8 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $106.34 | $990.00 | $106.34 – $195.11 | 8 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $106.34 | $977.00 | $106.34 – $221.75 | 8 |
| Ultrasound prostate/transrectal CPT 76872 | $106.34 | $825.00 | $106.34 – $578.11 | 8 |
| Ultrasound retroperitoneal limited CPT 76775 | $106.34 | $908.00 | $106.34 – $113.81 | 8 |
| Ultrasound scrotum and contents CPT 76870 | $106.34 | $971.00 | $106.34 – $275.01 | 8 |
| Ultrasound spinal canal and contents CPT 76800 | $106.34 | $684.00 | $106.34 – $332.67 | 8 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | $800.00 | $366.64 – $419.37 | 2 |
| Ultrasound transvaginal non obstetric CPT 76830 | $106.34 | $1,228.00 | $106.34 – $337.16 | 8 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $178.02 | not published | $178.02 – $886.31 | 11 |
| Ultraviolet therapy CPT 97028 | $10.45 | $144.00 | $10.45 – $558.00 | 17 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | $337.00 | $141.25 – $141.25 | 1 |
| Umbilical cord occlud w/us CPT 59072 | $304.19 | $660.00 | $304.19 – $1,092.26 | 7 |
| Umbilicoplasty 15847 CPT 15847 | not published | $4,081.00 | $1,562.12 – $1,562.12 | 1 |
| Unit mobile power mpu HCPCS Q0479 | not published | $21,427.20 | $22,387.07 – $22,387.07 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | $24.49 | $252.00 | $24.49 – $25.71 | 6 |
| Unlisted CT procedure CPT 76497 | $88.05 | $318.00 | $88.05 – $92.45 | 6 |
| Unlisted all/immlg svc/px CPT 95199 | $24.49 | not published | $24.49 – $35.54 | 7 |
| Unlisted chemotherapy px CPT 96549 | $46.14 | $146.00 | $0.71 – $1,966.00 | 8 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | $232.22 | $1,168.00 | $232.22 – $243.83 | 6 |
| Unlisted cv px dx nuc med CPT 78499 | $401.83 | not published | $401.83 – $731.72 | 7 |
| Unlisted cytogenetic study CPT 88299 | $53.43 | $2,308.00 | $53.43 – $56.10 | 6 |
| Unlisted cytopathology px CPT 88199 | $53.43 | not published | $53.43 – $105.53 | 7 |
| Unlisted dx gi procedure CPT 91299 | $156.46 | $493.00 | $156.46 – $164.28 | 6 |
| Unlisted endocrine px dx nuc CPT 78099 | $401.83 | not published | $401.83 – $731.72 | 7 |
| Unlisted fetal invas px w/us CPT 59897 | $201.17 | $475.00 | $201.17 – $211.23 | 6 |
| Unlisted fluoroscopic px CPT 76496 | $88.05 | $371.00 | $88.05 – $92.45 | 6 |
| Unlisted gi px dx nuc med CPT 78299 | $401.83 | not published | $401.83 – $731.72 | 7 |
| Unlisted gu px dx nuc med CPT 78799 | $401.83 | not published | $401.83 – $731.72 | 7 |
| Unlisted hystsc px uterus CPT 58579 | $201.17 | $3,629.00 | $201.17 – $211.23 | 6 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $5,834.36 | $11,660.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $5,834.36 | $11,578.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $5,834.36 | $14,802.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $5,834.36 | $12,615.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px appendix CPT 44979 | $5,834.36 | $9,730.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px bladder CPT 51999 | $5,834.36 | $10,586.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px endoc sys CPT 60659 | $5,834.36 | not published | $5,834.36 – $9,513.41 | 7 |
| Unlisted laps px esoph CPT 43289 | $5,834.36 | $11,111.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px lymphtc sys CPT 38589 | $5,834.36 | $10,791.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px ovidct ovry CPT 58679 | $5,834.36 | $9,676.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px renal CPT 50549 | $5,834.36 | $10,504.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px spleen CPT 38129 | $5,834.36 | $10,626.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px testis CPT 54699 | $5,834.36 | $12,615.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px ureter CPT 50949 | $5,834.36 | $9,393.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted laps px uterus CPT 58578 | $5,834.36 | $12,816.00 | $5,834.36 – $6,126.08 | 6 |
| Unlisted maxlfcl prosth px CPT 21089 | $232.22 | $318.00 | $232.22 – $243.83 | 6 |
| Unlisted misc path test CPT 89240 | $53.43 | not published | $53.43 – $105.53 | 7 |
| Unlisted mr procedure CPT 76498 | $88.05 | $268.00 | $88.05 – $4,332.00 | 7 |
| Unlisted muscskel px dx nuc CPT 78399 | $401.83 | not published | $401.83 – $731.72 | 7 |
| Unlisted muscskel px head CPT 21499 | $232.22 | $560.00 | $232.22 – $243.83 | 6 |
| Unlisted neurological dx px CPT 95999 | $156.46 | $534.00 | $104.00 – $4,550.00 | 8 |
| Unlisted nrvs sys px dx nuc CPT 78699 | $401.83 | not published | $401.83 – $731.72 | 7 |
| Unlisted oph svc/procedure CPT 92499 | $24.49 | $176.00 | $24.49 – $25.71 | 6 |
| Unlisted orl service/px CPT 92700 | $24.49 | $101.00 | $24.49 – $25.71 | 6 |
| Unlisted procedure colon CPT 45399 | $911.71 | $2,955.00 | $911.71 – $957.30 | 6 |
| Unlisted procedure esophagus CPT 43499 | $937.56 | $4,510.00 | $937.56 – $984.44 | 6 |
| Unlisted procedure eyelids CPT 67999 | $298.93 | $1,794.00 | $298.93 – $313.88 | 6 |
| Unlisted procedure larynx CPT 31599 | $232.22 | $517.00 | $232.22 – $243.83 | 6 |
| Unlisted procedure liver CPT 47399 | $703.59 | $1,568.00 | $703.59 – $738.77 | 6 |
| Unlisted procedure microbiology CPT 87999 | not published | $5,445.00 | not published | 0 |
| Unlisted procedure orbit CPT 67599 | $298.93 | $784.00 | $298.93 – $313.88 | 6 |
| Unlisted procedure pancreas CPT 48999 | $703.59 | $1,866.00 | $703.59 – $738.77 | 6 |
| Unlisted procedure rectum CPT 45999 | $911.71 | $1,727.00 | $911.71 – $957.30 | 6 |
| Unlisted procedure spine CPT 22899 | $239.88 | $5,888.00 | $239.88 – $251.87 | 6 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | $2,811.00 | $1,939.36 – $1,939.36 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | $29.79 | not published | $29.79 – $69.10 | 7 |
| Unlisted px abdomen muscskel CPT 22999 | $239.88 | $4,407.00 | $239.88 – $251.87 | 6 |
| Unlisted px accessory sinus CPT 31299 | $232.22 | $1,100.00 | $232.22 – $243.83 | 6 |
| Unlisted px ant segment eye CPT 66999 | $2,280.73 | $4,830.00 | $2,280.73 – $2,394.77 | 6 |
| Unlisted px arthroscopy CPT 29999 | $239.88 | $5,893.00 | $239.88 – $251.87 | 6 |
| Unlisted px biliary tract CPT 47999 | $937.56 | $6,208.00 | $937.56 – $984.44 | 6 |
| Unlisted px casting/strpg CPT 29799 | $157.79 | $469.00 | $157.79 – $165.68 | 6 |
| Unlisted px conjunctiva CPT 68399 | $298.93 | $784.00 | $298.93 – $313.88 | 6 |
| Unlisted px diaphragm CPT 39599 | not published | $6,038.00 | not published | 0 |
| Unlisted px exc pressure ulc CPT 15999 | $703.59 | $2,294.00 | $703.59 – $738.77 | 6 |
| Unlisted px external ear CPT 69399 | $232.22 | $1,260.00 | $232.22 – $243.83 | 6 |
| Unlisted px extraocular musc CPT 67399 | $298.93 | $4,950.00 | $298.93 – $313.88 | 6 |
| Unlisted px foot/toes CPT 28899 | $239.88 | $586.00 | $239.88 – $251.87 | 6 |
| Unlisted px forearm/wrist CPT 25999 | $239.88 | $516.00 | $239.88 – $251.87 | 6 |
| Unlisted px hands/fingers CPT 26989 | $239.88 | $3,374.00 | $239.88 – $251.87 | 6 |
| Unlisted px inner ear CPT 69949 | $232.22 | $1,172.00 | $232.22 – $243.83 | 6 |
| Unlisted px lacrimal system CPT 68899 | $298.93 | $669.00 | $298.93 – $313.88 | 6 |
| Unlisted px leg/ankle CPT 27899 | $239.88 | $756.00 | $239.88 – $251.87 | 6 |
| Unlisted px male genital sys CPT 55899 | $243.21 | $779.00 | $243.21 – $255.37 | 6 |
| Unlisted px med radj physics CPT 77399 | $132.77 | not published | $132.77 – $256.20 | 7 |
| Unlisted px mediastinum CPT 39499 | not published | $3,405.00 | not published | 0 |
| Unlisted px middle ear CPT 69799 | $232.22 | $802.00 | $232.22 – $243.83 | 6 |
| Unlisted px neck/thorax CPT 21899 | $232.22 | $789.00 | $232.22 – $243.83 | 6 |
| Unlisted px palate uvula CPT 42299 | $232.22 | $560.00 | $232.22 – $243.83 | 6 |
| Unlisted px pelvis/hip joint CPT 27299 | $239.88 | $3,260.00 | $239.88 – $251.87 | 6 |
| Unlisted px posterior segmnt CPT 67299 | $2,280.73 | $4,347.00 | $2,280.73 – $2,394.77 | 6 |
| Unlisted px salivry glnd/dux CPT 42699 | $232.22 | $560.00 | $232.22 – $243.83 | 6 |
| Unlisted px small intestine CPT 44799 | $937.56 | $6,813.00 | $937.56 – $984.44 | 6 |
| Unlisted px temporal bone CPT 69979 | $232.22 | $575.00 | $232.22 – $243.83 | 6 |
| Unlisted px ther rad tx plng CPT 77299 | $132.77 | $408.00 | $132.77 – $293.00 | 6 |
| Unlisted px tongue flr mouth CPT 41599 | $232.22 | $517.00 | $232.22 – $243.83 | 6 |
| Unlisted px vestibule mouth CPT 40899 | $232.22 | $554.00 | $232.22 – $243.83 | 6 |
| Unlisted reprod med lab proc CPT 89398 | $53.43 | not published | $53.43 – $105.53 | 7 |
| Unlisted resp px dx nuc med CPT 78599 | $401.83 | not published | $401.83 – $731.72 | 7 |
| Unlisted spec derm svc/px CPT 96999 | $198.70 | $328.00 | $198.70 – $208.64 | 6 |
| Unlisted surgical path px CPT 88399 | $53.43 | not published | $53.43 – $105.53 | 7 |
| Unlisted transfusion med px CPT 86999 | $24.49 | $1,239.00 | $24.49 – $25.71 | 6 |
| Unlisted ultrasound procedure CPT 76999 | $88.05 | $483.00 | $88.05 – $219.04 | 8 |
| Unlisted vasc endoscopy px CPT 37501 | $618.26 | not published | $618.26 – $1,283.42 | 7 |
| Unlstd hematop ret/endo lymp CPT 78199 | $401.83 | not published | $401.83 – $731.72 | 7 |
| Unlstd laps px mat care&dlvr CPT 59898 | $5,834.36 | $9,004.00 | $5,834.36 – $6,126.08 | 6 |
| Unlstd laps px sprmatic cord CPT 55559 | $5,834.36 | $9,668.00 | $5,834.36 – $6,126.08 | 6 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $699.72 | $2,310.00 | $699.72 – $734.71 | 6 |
| Upgrade pm system CPT 33214 | $10,465.33 | $26,799.00 | $104.00 – $10,988.60 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $357.13 | $5,491.00 | $357.13 – $4,332.00 | 9 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $357.13 | $4,149.00 | $357.13 – $4,332.00 | 9 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $241.72 | $4,016.00 | $241.72 – $4,332.00 | 9 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $937.56 | $4,476.00 | $257.43 – $984.44 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $937.56 | $4,106.00 | $290.50 – $984.44 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $378.35 – $378.35 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | $937.56 | $4,061.00 | $290.50 – $984.44 | 7 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $5,834.36 | $10,247.00 | $1,353.63 – $6,126.08 | 7 |
| Urea nitrogen CPT 84520 | $3.95 | $100.00 | $3.30 – $18.59 | 11 |
| Urea nitrogen 24 hour urine CPT 84540 | $5.56 | $73.00 | $3.30 – $26.17 | 11 |
| Urea nitrogen clearance CPT 84545 | $7.20 | not published | $6.60 – $33.88 | 12 |
| Ureter endoscopy CPT 50970 | $3,448.97 | not published | $766.99 – $3,621.42 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | $5,083.62 | $8,250.00 | $730.10 – $5,337.80 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | $5,083.62 | $13,638.00 | $977.98 – $5,337.80 | 7 |
| Ureter endoscopy & catheter CPT 50972 | $3,448.97 | $5,674.00 | $740.37 – $3,621.42 | 7 |
| Ureter endoscopy & treatment CPT 50957 | $5,083.62 | $8,250.00 | $733.60 – $5,337.80 | 7 |
| Ureter endoscopy & treatment CPT 50961 | $5,083.62 | $8,250.00 | $657.86 – $5,337.80 | 7 |
| Ureter endoscopy & treatment CPT 50976 | $5,083.62 | $8,250.00 | $964.62 – $5,337.80 | 7 |
| Ureter endoscopy & treatment CPT 50980 | $5,083.62 | $8,250.00 | $736.87 – $5,337.80 | 7 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $358.22 – $358.22 | 1 |
| Ureteral reflux study CPT 78740 | $401.83 | $1,352.00 | $401.83 – $723.37 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | $4,569.00 | $2,342.03 – $2,342.03 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | $3,498.00 | $2,379.65 – $2,379.65 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $241.72 | $1,133.00 | $241.72 – $253.81 | 7 |
| Urethrlys transvag with scope CPT 53500 | $3,448.97 | $7,565.00 | $1,586.74 – $3,621.42 | 7 |
| Urethrocystography void s&i CPT 74455 | $241.72 | $1,133.00 | $202.89 – $334.61 | 8 |
| Uric acid blood CPT 84550 | $4.52 | $220.00 | $3.30 – $21.27 | 11 |
| Uric acid urine CPT 84560 | $5.08 | $95.00 | $3.30 – $23.91 | 11 |
| Urinalysis (with microscopy) CPT 81001 | $3.17 | $107.00 | $1.32 – $14.92 | 11 |
| Urinalysis (without microscopy) CPT 81003 | $2.25 | $80.00 | $1.65 – $10.59 | 11 |
| Urinalysis microscopic only CPT 81015 | $3.05 | not published | $0.44 – $14.35 | 12 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $2.17 | not published | $1.10 – $10.21 | 12 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $133.74 – $258.54 | 2 |
| Urinary reflex study CPT 51792 | $59.40 | not published | $59.40 – $612.01 | 8 |
| Urine Culture Test CPT 87086 | $8.07 | $165.00 | $6.60 – $37.98 | 11 |
| Urine flow measurement 51736 CPT 51736 | $128.90 | not published | $29.62 – $220.41 | 8 |
| Urine pregnancy test CPT 81025 | $8.61 | $138.00 | $3.30 – $40.52 | 11 |
| Urography inf drip &/or bolus CPT 74410 | $178.02 | $1,334.00 | $178.02 – $434.82 | 8 |
| Urography, antegrade CPT 74425 | $357.13 | $1,367.00 | $264.16 – $425.94 | 8 |
| Use 1st target lesion CPT 76982 | $106.34 | $353.00 | $106.34 – $262.33 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $13.29 | not published | $11.30 – $25.23 | 10 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $157.68 | not published | $157.68 – $380.98 | 11 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | $3,243.07 | $5,825.00 | $776.33 – $3,405.22 | 7 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $125.00 – $194.07 | 2 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $137.40 – $194.07 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $74.61 – $116.75 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $55.72 – $87.12 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $132.52 – $174.36 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $40.44 – $42.51 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $121.13 – $134.36 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $91.16 – $91.94 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $150.55 – $150.55 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $123.72 – $166.26 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $46.64 – $47.87 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | $240.00 | $41.92 – $41.92 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $61.78 – $141.09 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $160.86 – $175.92 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $55.68 – $55.68 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $38.61 – $58.93 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $63.88 – $163.55 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | $186.00 | $59.82 – $93.60 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $150.93 – $309.69 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $26.92 – $61.76 | 5 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $295.88 – $295.88 | 1 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $260.96 – $357.70 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $69.46 – $140.15 | 5 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $60.81 – $96.82 | 3 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | $33.00 | $18.58 – $25.39 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $19.00 – $30.87 | 5 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $27.77 – $42.76 | 4 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $102.89 – $142.66 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | $46.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | $61.00 | $29.73 – $29.73 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $13.88 – $21.37 | 4 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $97.63 – $140.15 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $36.96 – $57.72 | 4 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $31.32 – $36.35 | 3 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $9.29 – $26.76 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $243.50 – $296.95 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $226.58 – $226.58 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $254.12 – $254.12 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $203.62 – $208.61 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | $315.00 | $97.05 – $97.05 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $353.05 – $517.02 | 2 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | $187.00 | $113.45 – $177.52 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $219.29 – $518.36 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $221.98 – $528.71 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $265.97 – $568.53 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $47.00 – $57.38 | 2 |
| Vaccine rabies im CPT 90675 | $312.03 | not published | $265.23 – $734.34 | 11 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $136.75 – $202.74 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $123.53 – $150.14 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $30.91 – $60.00 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $33.75 – $76.54 | 5 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $118.24 – $137.09 | 2 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $136.29 – $212.74 | 2 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $168.32 – $259.84 | 2 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | $0.01 | not published | $0.01 – $0.01 | 6 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | $2,946.24 | $874.51 – $874.51 | 1 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $65.02 – $343.29 | 2 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | $19,284.48 | $7,803.07 – $7,803.07 | 1 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $4,936.45 | $9,384.00 | $2,118.35 – $5,183.27 | 7 |
| Vag hyst incl t/o complex CPT 58291 | $4,936.45 | $11,073.00 | $2,639.87 – $5,183.27 | 7 |
| Vag hyst including t/o CPT 58262 | $4,936.45 | $9,378.00 | $1,978.08 – $5,183.27 | 7 |
| Vag hyst t/o & repair compl CPT 58292 | $7,394.81 | not published | $2,780.80 – $13,132.93 | 8 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $4,936.45 | $10,964.00 | $2,583.78 – $5,183.27 | 7 |
| Vag hyst w/enterocele repair CPT 58270 | $4,936.45 | $9,457.00 | $1,907.11 – $5,183.27 | 7 |
| Vaginal Delivery (full care) CPT 59400 | not published | $5,834.00 | $5,167.05 – $5,167.05 | 1 |
| Vaginal bx CPT 58999 | $201.17 | $457.00 | $201.17 – $211.23 | 6 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $3,179.53 | $6,870.00 | $1,899.86 – $3,338.51 | 7 |
| Vaginal hysterectomy CPT 58260 | $4,936.45 | $10,161.00 | $1,792.81 – $5,183.27 | 7 |
| Vaginectomy partial w/nodes CPT 57109 | $3,179.53 | $7,748.00 | $3,179.53 – $3,707.56 | 7 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $2,524.54 – $2,524.54 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $233.37 – $233.37 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $13.54 | $212.00 | $11.00 – $63.72 | 11 |
| Valrubicin injection HCPCS J9357 | $1,376.79 | not published | $1,170.27 – $3,083.08 | 11 |
| Valvuloplasty aortic CPT 92986 | $5,701.52 | $13,624.00 | $2,204.42 – $17,039.00 | 8 |
| Valvuloplasty mitral CPT 92987 | $11,340.57 | $14,293.00 | $2,271.34 – $17,039.00 | 8 |
| Valvuloplasty pulmonary CPT 92990 | $11,340.57 | $16,513.00 | $1,821.71 – $17,039.00 | 8 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $5,008.47 – $5,008.47 | 1 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $6,307.23 – $6,307.23 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.03 – $0.03 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.10 – $0.10 | 1 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $3.07 – $5.88 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $13.54 | $227.00 | $13.20 – $63.72 | 11 |
| Vanomycin dna amp probe CPT 87500 | $35.09 | not published | $30.88 – $165.14 | 12 |
| Varicella zoster antibody igg CPT 86787 | $12.88 | $186.00 | $12.88 – $60.62 | 11 |
| Varicella-zoster immue globin im CPT 90396 | $2,359.90 | not published | $206.80 – $4,208.73 | 11 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $17,956.72 | $45,626.00 | $17,956.72 – $18,854.56 | 6 |
| Vasc graft into carpal bone CPT 25430 | $3,244.61 | $11,384.00 | $1,601.11 – $3,406.84 | 7 |
| Vasectomy CPT 55250 | $2,048.51 | $5,202.00 | $496.64 – $2,150.94 | 7 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $1.07 – $1.07 | 1 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $5,406.57 – $5,406.57 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $2,457.15 – $2,457.15 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $22.06 | not published | $18.75 – $45.72 | 11 |
| Veeg cont 2-12 hrs CPT 95713 | $530.60 | $3,300.00 | $104.00 – $1,174.42 | 7 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,017.39 | $4,400.00 | $104.00 – $3,632.33 | 7 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $311.40 | $3,300.00 | $104.00 – $1,105.49 | 7 |
| Veeg unmon 12-26 hrs CPT 95714 | $530.60 | $4,510.00 | $104.00 – $675.50 | 7 |
| Veeg unmon 2-12 hrs CPT 95711 | $311.40 | $3,080.00 | $104.00 – $652.96 | 7 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $3,392.92 – $3,392.92 | 1 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $2,932.02 – $2,932.02 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | $4,942.00 | $3,374.96 – $3,374.96 | 1 |
| Vein x-ray adrenal gland CPT 75840 | $3,147.50 | $7,635.00 | $245.49 – $3,304.88 | 8 |
| Vein x-ray adrenal glands CPT 75842 | $5,405.70 | $12,639.00 | $303.02 – $5,675.99 | 8 |
| Vein x-ray eye socket CPT 75880 | $618.26 | $2,462.00 | $207.57 – $649.17 | 8 |
| Vein x-ray kidney CPT 75831 | $3,147.50 | $8,507.00 | $227.51 – $3,304.88 | 8 |
| Vein x-ray liver CPT 75891 | $3,147.50 | $6,794.00 | $236.87 – $3,304.88 | 8 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,147.50 | $5,458.00 | $259.13 – $3,304.88 | 8 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,147.50 | $7,621.00 | $235.47 – $3,304.88 | 7 |
| Vein x-ray liver without hemodyn CPT 75887 | $3,147.50 | $3,874.00 | $261.10 – $3,304.88 | 8 |
| Vein x-ray skull CPT 75870 | $3,147.50 | $3,823.00 | $297.86 – $3,304.88 | 8 |
| Vein x-ray skull epidural CPT 75872 | $618.26 | $2,462.00 | $245.49 – $649.17 | 8 |
| Vein x-ray spleen/liver CPT 75810 | $3,147.50 | $5,102.00 | $1,394.62 – $3,304.88 | 7 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $380.18 | not published | $323.15 – $772.67 | 11 |
| Vemp test i&r cervical CPT 92517 | $156.46 | $1,811.00 | $71.25 – $627.00 | 9 |
| Vemp test i&r ocular CPT 92518 | $156.46 | $1,811.00 | $72.32 – $627.00 | 9 |
| Vemp tst i&r cervical&ocular CPT 92519 | $311.40 | $1,811.00 | $107.22 – $627.00 | 9 |
| Ven thrombosis images bilat CPT 78458 | $401.83 | not published | $373.70 – $731.72 | 9 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | $55.00 | $18.31 – $18.31 | 1 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | $44.00 | $18.97 – $18.97 | 1 |
| Venogram ext bil s&i CPT 75822 | $1,553.44 | $3,905.00 | $252.82 – $1,631.11 | 8 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,553.44 | $3,630.00 | $205.21 – $1,631.11 | 8 |
| Venous m-thrombectomy add-on CPT 37188 | $3,147.50 | $10,573.00 | $572.16 – $14,806.00 | 8 |
| Venous mech thrombectomy CPT 37187 | $11,340.57 | $13,015.00 | $799.66 – $14,806.00 | 9 |
| Venous sampling s&i CPT 75893 | $5,405.70 | $12,639.00 | $203.20 – $5,675.99 | 8 |
| Venous thrombosis imaging CPT 78457 | $538.27 | not published | $298.86 – $2,544.82 | 9 |
| Ventilator each subsequent day CPT 94003 | $661.10 | $2,008.00 | $106.97 – $694.16 | 9 |
| Ventilator initial day CPT 94002 | $661.10 | $2,349.00 | $151.75 – $694.16 | 9 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $890.29 | $3,518.00 | $229.28 – $934.80 | 7 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $4,166.75 – $4,166.75 | 1 |
| Verify external neurostimulato HCPCS A4290 | not published | not published | $329.57 – $329.57 | 1 |
| Version cephalic external CPT 59412 | $3,179.53 | $6,611.00 | $216.92 – $3,338.51 | 7 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | $2,345.00 | $558.20 – $558.20 | 1 |
| Verteporfin injection HCPCS J3396 | $11.55 | not published | $9.82 – $24.14 | 11 |
| Very long chain fatty acids CPT 82726 | $19.75 | $738.00 | $19.75 – $92.95 | 11 |
| Vest large holster HCPCS Q0498 | not published | $1,057.97 | $959.54 – $959.54 | 1 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | not published | not published | $78.94 – $464.12 | 3 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | not published | not published | $4.50 – $8.63 | 5 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | not published | not published | $6.68 – $10.72 | 5 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | not published | not published | $1.67 – $23.62 | 5 |
| Viper venom prothrombin time CPT 85612 | $17.49 | $86.00 | $14.30 – $82.31 | 11 |
| Virus isolation addl studies ea CPT 87253 | $20.20 | $433.00 | $6.60 – $95.07 | 11 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | $2,750.00 | $4,178.46 – $4,178.46 | 1 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | $2,750.00 | $5,324.73 – $5,324.73 | 1 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $128.87 | not published | $40.00 – $239.81 | 8 |
| Visual audiometry (vra) CPT 92579 | $156.46 | $436.00 | $62.16 – $627.00 | 9 |
| Vit for macular hole CPT 67042 | $4,022.86 | $7,734.00 | $2,429.83 – $4,224.00 | 7 |
| Vit for macular pucker CPT 67041 | $4,022.86 | $8,669.00 | $2,429.83 – $4,224.00 | 7 |
| Vit for membrane dissect CPT 67043 | $4,022.86 | $7,734.00 | $2,560.71 – $4,224.00 | 7 |
| Vital capacity test CPT 94150 | $156.46 | $250.00 | $45.64 – $164.28 | 7 |
| Vitamin D Test CPT 82306 | $29.60 | $481.00 | $29.60 – $139.30 | 11 |
| Vitamin b-12 CPT 82607 | $15.08 | $160.00 | $15.08 – $70.97 | 11 |
| Vkorc1 gene CPT 81355 | $88.20 | $337.00 | $77.62 – $415.09 | 11 |
| Vngrph chd anom/persist svc CPT 93584 | not published | $4,909.00 | $24.40 – $14,806.00 | 3 |
| Vngrph chd azygs/hemiazygs CPT 93585 | not published | $4,909.00 | $22.99 – $14,806.00 | 3 |
| Vngrph chd coronary sinus CPT 93586 | not published | $4,909.00 | $29.06 – $14,806.00 | 3 |
| Vngrph chd vnvn cltrl at/abv CPT 93587 | not published | $4,909.00 | $42.88 – $14,806.00 | 3 |
| Vngrph chd vnvn cltrl below CPT 93588 | not published | $4,909.00 | $43.31 – $14,806.00 | 3 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | not published | $396.00 | $422.20 – $422.20 | 1 |
| Vol reduction of blood/prod CPT 86960 | $171.36 | $224.00 | $27.50 – $179.93 | 8 |
| Volume deplete of harvest CPT 38214 | $437.18 | $1,540.00 | $84.32 – $459.04 | 7 |
| Volume measurement urine timed CPT 81050 | $3.64 | $76.00 | $3.64 – $17.13 | 11 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | $1.85 | not published | $1.57 – $4.06 | 11 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | not published | not published | $0.66 – $6.02 | 5 |
| Vulvectomy radical 56640 CPT 56640 | not published | not published | $3,274.26 – $3,274.26 | 1 |
| Vulvectomy simple partial CPT 56620 | $3,179.53 | $7,844.00 | $1,282.04 – $3,338.51 | 7 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $4,983.86 | not published | $4,236.28 – $6,580.02 | 7 |
| Vyjuvek 5x10^9pfu/ml, 0.1 ml HCPCS J3401 | $1,037.12 | not published | $881.55 – $1,088.98 | 6 |
| Warde 1003990 aldosterone CPT 82088 | $40.75 | $362.00 | $40.75 – $191.78 | 11 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $27.80 | $81.00 | $27.80 – $130.83 | 11 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $12.90 | $161.00 | $6.60 – $60.71 | 11 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $25.25 | $162.00 | $19.80 – $118.83 | 11 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $15.50 | $158.00 | $13.20 – $72.95 | 11 |
| Warde 1015200 kappa light chain free CPT 83521 | $17.27 | $550.00 | $15.20 – $22.97 | 10 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $8.02 | $237.00 | $8.02 – $37.74 | 11 |
| Warde 3008005 oligoclonal bands CPT 83916 | $27.39 | $281.00 | $22.00 – $128.90 | 11 |
| Warde 3016000 west nile virus antibody CPT 86788 | $16.85 | $133.00 | $14.83 – $79.30 | 11 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $14.39 | $133.00 | $12.66 – $67.72 | 11 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $12.25 | $252.00 | $12.25 – $57.65 | 11 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $8.90 | $235.00 | $5.61 – $41.89 | 11 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $17.98 | $127.00 | $15.82 – $84.62 | 10 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $142.63 | $393.00 | $125.51 – $671.25 | 11 |
| Warde 3400852 arsenic CPT 82175 | $18.97 | $322.00 | $7.92 – $89.28 | 11 |
| Warde 3708165 mercury urine CPT 83825 | $16.26 | $275.00 | $9.24 – $76.52 | 11 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $18.40 | not published | $7.36 – $24.47 | 9 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $12.05 | $158.00 | $10.14 – $16.03 | 10 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $8.10 | $2,478.00 | $8.10 – $38.12 | 11 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $38.62 | $220.00 | $33.00 – $181.75 | 11 |
| Warde aldolase CPT 82085 | $9.71 | $83.00 | $9.71 – $45.70 | 11 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $16.87 | $1,624.00 | $16.87 – $79.39 | 11 |
| Warde amiodarone therapeutic drug level CPT 80151 | $18.64 | not published | $16.40 – $87.72 | 11 |
| Warde analysis gene hfe common variants CPT 81256 | $65.36 | $1,934.00 | $57.52 – $307.60 | 11 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $163.96 | $987.00 | $144.29 – $771.64 | 11 |
| Warde anti-mullerian hormone CPT 82166 | $38.62 | not published | $15.45 – $51.36 | 9 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | not published | $347.00 | $18.33 – $55.76 | 2 |
| Warde apolipoprotein b CPT 82172 | $21.09 | $1,239.00 | $21.09 – $99.25 | 11 |
| Warde bile acids CPT 82239 | $17.12 | $178.00 | $17.12 – $80.57 | 11 |
| Warde cadmium blood CPT 82300 | $23.64 | $223.00 | $23.64 – $111.26 | 11 |
| Warde calcitonin CPT 82308 | $26.79 | $105.00 | $26.79 – $126.08 | 11 |
| Warde calculus (stone) infrared CPT 82365 | $12.90 | $83.00 | $9.90 – $60.71 | 11 |
| Warde clozapine therapeutic drug level CPT 80159 | $20.15 | $56.00 | $17.73 – $94.83 | 11 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $21.96 | $624.00 | $21.96 – $103.35 | 11 |
| Warde collagen cross links c-telopeptide CPT 82523 | $18.68 | $298.00 | $13.05 – $87.91 | 11 |
| Warde complement total hemolytic CPT 86162 | $20.32 | $116.00 | $17.16 – $95.63 | 11 |
| Warde copper CPT 82525 | $12.41 | $287.00 | $9.90 – $58.40 | 11 |
| Warde cryoglobulin CPT 82595 | $6.47 | $97.00 | $1.65 – $30.45 | 11 |
| Warde erythropoietin CPT 82668 | $18.79 | $235.00 | $18.79 – $88.43 | 11 |
| Warde estrogen fractionated CPT 82671 | $32.30 | $105.00 | $32.30 – $152.01 | 11 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $12.09 | $264.00 | $10.64 – $16.08 | 10 |
| Warde folic acid rbc CPT 82747 | $17.65 | $146.00 | $17.65 – $83.07 | 11 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $9.70 | $81.00 | $6.60 – $45.65 | 11 |
| Warde gastrin CPT 82941 | $17.63 | $66.00 | $17.60 – $82.97 | 11 |
| Warde growth hormone (hgh) CPT 83003 | $16.67 | $83.00 | $16.67 – $78.45 | 11 |
| Warde haloperidol therapeutic drug level CPT 80173 | $15.78 | $160.00 | $15.78 – $74.26 | 11 |
| Warde helminth antibody strongyloides igg CPT 86682 | $13.01 | $271.00 | $13.01 – $61.23 | 11 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $12.87 | $432.00 | $6.60 – $60.57 | 11 |
| Warde hepatitis a antibody CPT 86708 | $12.39 | $161.00 | $12.39 – $58.31 | 11 |
| Warde hepatitis be antibody CPT 86707 | $11.57 | $221.00 | $11.57 – $54.45 | 11 |
| Warde hepatitis delta agent antibody CPT 86692 | $17.16 | $338.00 | $17.16 – $80.76 | 11 |
| Warde immunofixation electrophoresis urine CPT 86335 | $29.35 | $415.00 | $25.83 – $138.13 | 11 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $11.53 | $83.00 | $11.53 – $54.26 | 11 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $257.45 | $1,604.00 | $257.45 – $1,211.62 | 11 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $23.57 | $1,057.00 | $23.57 – $110.93 | 11 |
| Warde lipoprotein (a) CPT 83695 | $14.32 | $141.00 | $12.61 – $67.39 | 11 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $46.31 | $330.00 | $40.76 – $217.95 | 11 |
| Warde mitochondrial antibody each CPT 86381 | $25.45 | $67.00 | $22.40 – $33.85 | 10 |
| Warde neutralization rabies CPT 86382 | $16.91 | $274.00 | $16.91 – $79.58 | 11 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $13.25 | $161.00 | $11.66 – $62.36 | 11 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $22.97 | $224.00 | $20.22 – $30.55 | 10 |
| Warde protein c antigen CPT 85302 | $12.01 | $163.00 | $12.01 – $56.52 | 11 |
| Warde sex hormone binding globulin CPT 84270 | $21.73 | $138.00 | $21.73 – $102.27 | 11 |
| Warde somatomedin CPT 84305 | $21.26 | $167.00 | $17.60 – $100.05 | 11 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $5.50 | $323.00 | $5.50 – $25.88 | 11 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $15.76 | $83.00 | $15.76 – $74.17 | 11 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $50.86 | $248.00 | $30.58 – $239.36 | 11 |
| Warde topiramate therapeutic drug level CPT 80201 | $11.92 | $83.00 | $11.92 – $56.10 | 11 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $26.07 | $1,262.00 | $26.07 – $122.69 | 11 |
| Warde viscosity CPT 85810 | $11.67 | $128.00 | $11.67 – $54.92 | 11 |
| Warde vitamin a CPT 84590 | $11.61 | $134.00 | $6.60 – $54.64 | 11 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $21.23 | $244.00 | $21.23 – $99.91 | 11 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $28.10 | $186.00 | $28.10 – $132.25 | 11 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $9.89 | $80.00 | $3.96 – $46.54 | 11 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $38.50 | $339.00 | $38.50 – $181.19 | 11 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $14.18 | $92.00 | $14.18 – $66.73 | 11 |
| Warde zinc CPT 84630 | $11.39 | $180.00 | $11.39 – $53.60 | 11 |
| Wash harvest stem cells CPT 38209 | $437.18 | $2,673.00 | $24.60 – $459.04 | 7 |
| Wbc automated CPT 85048 | $2.54 | $28.00 | $1.32 – $11.95 | 11 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | $640.00 | $1,815.11 – $1,815.11 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | $7,394.81 | $22,849.00 | $1,527.89 – $7,764.55 | 7 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $318.64 – $318.64 | 1 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | $464.00 | $317.88 – $317.88 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | $2,825.00 | $1,942.30 – $1,942.30 | 1 |
| Wedging of cast CPT 29740 | $265.58 | $631.00 | $145.80 – $278.86 | 7 |
| Wedging of clubfoot cast CPT 29750 | $265.58 | $631.00 | $162.79 – $278.86 | 7 |
| Western blot test CPT 84181 | $17.03 | $342.00 | $17.03 – $80.15 | 11 |
| Wet mounts/ w preparations HCPCS Q0111 | $18.19 | not published | $2.64 – $71.30 | 12 |
| Whole blood for transfusion HCPCS P9010 | $225.12 | $1,375.00 | $225.12 – $279.71 | 7 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $242.44 | $1,441.00 | $242.44 – $254.56 | 6 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $172.20 | $1,357.00 | $172.20 – $180.81 | 6 |
| Whole mitochondrial genome CPT 81460 | $1,287.00 | $5,555.00 | $1,132.56 – $6,056.93 | 11 |
| Wilate injection HCPCS J7183 | $1.27 | not published | $1.08 – $2.45 | 11 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.19 – $0.44 | 4 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | $1,400.00 | $186.90 – $186.90 | 1 |
| Wound closure by adhesive HCPCS G0168 | not published | $321.00 | $25.79 – $25.79 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $399.53 | $873.00 | $35.26 – $419.51 | 8 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $198.70 | $596.00 | $40.59 – $240.27 | 8 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $399.53 | $831.00 | $41.40 – $419.51 | 8 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $399.53 | $649.00 | $44.57 – $419.51 | 8 |
| Wrist X-ray CPT 73110 | $88.05 | $523.00 | $80.31 – $117.74 | 8 |
| Wrist arthroscopy CPT 29840 | $3,244.61 | $7,055.00 | $991.60 – $3,406.84 | 7 |
| Wrist arthroscopy/surgery CPT 29843 | $3,244.61 | not published | $1,070.98 – $5,430.31 | 8 |
| Wrist arthroscopy/surgery CPT 29844 | $3,244.61 | $6,716.00 | $1,094.44 – $3,406.84 | 7 |
| Wrist arthroscopy/surgery CPT 29845 | $3,244.61 | $7,654.00 | $1,284.14 – $3,406.84 | 7 |
| Wrist arthroscopy/surgery CPT 29846 | $3,244.61 | $6,372.00 | $1,144.91 – $3,406.84 | 7 |
| Wrist arthroscopy/surgery CPT 29847 | $7,143.73 | $14,169.00 | $1,191.44 – $7,500.92 | 7 |
| Wrist endoscopy/surgery CPT 29848 | $1,600.41 | $6,542.00 | $1,129.37 – $1,680.43 | 7 |
| X-ray abdomen 1 view CPT 74018 | $88.05 | $437.00 | $58.56 – $92.45 | 8 |
| X-ray abdomen 2 views CPT 74019 | $106.34 | $641.00 | $70.74 – $111.66 | 8 |
| X-ray abdomen >=3 views CPT 74021 | $106.34 | $509.00 | $82.99 – $111.66 | 8 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $106.34 | $785.00 | $96.41 – $126.62 | 8 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $88.05 | $682.00 | $55.93 – $92.45 | 8 |
| X-ray ankle 2 views (both sides) CPT 73600 | $88.05 | $480.00 | $62.62 – $92.45 | 8 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $357.13 | $1,659.00 | $256.01 – $385.36 | 8 |
| X-ray bone age studies CPT 77072 | $106.34 | $389.00 | $49.95 – $111.66 | 8 |
| X-ray bone length studies CPT 77073 | $106.34 | $523.00 | $87.57 – $117.74 | 8 |
| X-ray bone survey complete CPT 77075 | $106.34 | $770.00 | $106.34 – $266.11 | 8 |
| X-ray bone survey infant CPT 77076 | $106.34 | $597.00 | $106.34 – $268.67 | 8 |
| X-ray cervical spine 2-3 views CPT 72040 | $88.05 | $768.00 | $76.72 – $105.06 | 8 |
| X-ray cervical spine 4-5 views CPT 72050 | $106.34 | $850.00 | $104.02 – $145.65 | 8 |
| X-ray cervical spine >= 6 views CPT 72052 | $106.34 | $759.00 | $106.34 – $176.10 | 8 |
| X-ray clavicle complete (both sides) CPT 73000 | $88.05 | $578.00 | $63.28 – $92.45 | 8 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $178.02 | $1,100.00 | $178.02 – $405.64 | 8 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $178.02 | $1,861.00 | $178.02 – $630.13 | 8 |
| X-ray elbow 2 views (both sides) CPT 73070 | $88.05 | $582.00 | $56.71 – $92.45 | 8 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $88.05 | $546.00 | $63.88 – $92.45 | 8 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $178.02 | $1,144.00 | $178.02 – $266.11 | 8 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $106.34 | $523.00 | $106.34 – $228.09 | 8 |
| X-ray exam entire spi 6/> vw CPT 72084 | $106.34 | $550.00 | $106.34 – $4,332.00 | 9 |
| X-ray exam of arm infant CPT 73092 | $106.34 | $398.00 | $61.31 – $111.66 | 8 |
| X-ray exam of eye sockets CPT 70200 | $106.34 | $715.00 | $92.78 – $127.90 | 8 |
| X-ray exam of femur 1 CPT 73551 | $88.05 | $337.00 | $56.71 – $92.45 | 8 |
| X-ray exam of jaw joint CPT 70328 | $88.05 | $440.00 | $67.10 – $94.92 | 8 |
| X-ray exam of jaw joint CPT 70332 | $241.72 | $865.00 | $159.40 – $253.81 | 8 |
| X-ray exam of mastoids CPT 70120 | $106.34 | $336.00 | $74.33 – $111.66 | 8 |
| X-ray exam of middle ear CPT 70134 | $548.30 | $1,320.00 | $120.02 – $575.72 | 8 |
| X-ray exam of penis CPT 74445 | $106.34 | not published | $106.34 – $280.30 | 8 |
| X-ray exam of perineum CPT 74775 | $241.72 | not published | $241.72 – $477.26 | 8 |
| X-ray exam of salivary gland CPT 70380 | $88.05 | $146.00 | $73.08 – $108.88 | 8 |
| X-ray exam of sinuses CPT 70210 | $88.05 | $385.00 | $62.56 – $92.45 | 8 |
| X-ray exam of tear duct CPT 70170 | $241.72 | $560.00 | $160.53 – $253.81 | 7 |
| X-ray exam of teeth CPT 70300 | $88.05 | $153.00 | $24.87 – $92.45 | 8 |
| X-ray exam of teeth CPT 70310 | $241.72 | $275.00 | $79.05 – $253.81 | 8 |
| X-ray exam si joints CPT 72200 | $106.34 | $385.00 | $64.53 – $111.66 | 8 |
| X-ray exam thorac spine4/>vw CPT 72074 | $106.34 | $715.00 | $86.39 – $120.29 | 8 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $88.05 | $436.00 | $63.16 – $92.45 | 8 |
| X-ray facial bones complete > 3 views CPT 70150 | $106.34 | $545.00 | $91.59 – $127.90 | 8 |
| X-ray fallopian tube CPT 74742 | not published | $607.00 | $285.06 – $285.06 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $88.05 | $466.00 | $69.07 – $97.44 | 8 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $88.05 | $429.00 | $74.63 – $112.67 | 8 |
| X-ray foot 2 views (both sides) CPT 73620 | $88.05 | $502.00 | $55.39 – $92.45 | 8 |
| X-ray forearm 2 views (both sides) CPT 73090 | $88.05 | $491.00 | $56.71 – $92.45 | 8 |
| X-ray hand 2 views (both sides) CPT 73120 | $106.34 | $550.00 | $61.31 – $111.66 | 8 |
| X-ray head for orthodontia CPT 70350 | $88.05 | $177.00 | $28.96 – $92.45 | 8 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $88.05 | $440.00 | $55.39 – $92.45 | 8 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $106.34 | $525.00 | $106.34 – $167.21 | 8 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $106.34 | $484.00 | $80.00 – $111.66 | 8 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $106.34 | $825.00 | $104.55 – $144.36 | 8 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $106.34 | $990.00 | $106.34 – $171.00 | 8 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $88.05 | $397.00 | $63.82 – $92.45 | 8 |
| X-ray humerus >= 2 views left CPT 73060 | $88.05 | $523.00 | $61.97 – $92.45 | 8 |
| X-ray joint survey 1 view CPT 77077 | $106.34 | $308.00 | $90.43 – $111.66 | 8 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $88.05 | $535.00 | $66.57 – $96.17 | 8 |
| X-ray knee 3 views (both sides) CPT 73562 | $88.05 | $689.00 | $79.59 – $115.22 | 8 |
| X-ray knee ap standing bilateral CPT 73565 | $88.05 | $593.00 | $77.74 – $119.01 | 8 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $106.34 | $529.00 | $78.69 – $111.66 | 8 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $88.05 | $358.00 | $61.31 – $92.45 | 8 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $106.34 | $935.00 | $100.79 – $140.58 | 8 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $106.34 | $790.00 | $106.34 – $174.83 | 8 |
| X-ray male genital tract CPT 74440 | $241.72 | $389.00 | $189.44 – $300.36 | 8 |
| X-ray mandible complete > 4 views CPT 70110 | $106.34 | $495.00 | $84.42 – $116.47 | 8 |
| X-ray mandible ltd <4 views CPT 70100 | $88.05 | $242.00 | $75.65 – $108.88 | 8 |
| X-ray nasal bones complete > 3 views CPT 70160 | $88.05 | $563.00 | $73.08 – $108.88 | 8 |
| X-ray neck soft tissue CPT 70360 | $88.05 | $435.00 | $60.53 – $92.45 | 8 |
| X-ray nose to rectum for foreign body child CPT 76010 | $88.05 | $310.00 | $56.59 – $92.45 | 8 |
| X-ray of mammary ducts CPT 77054 | $241.72 | $751.00 | $133.74 – $253.81 | 8 |
| X-ray optic foramina CPT 70190 | $88.05 | $162.00 | $72.83 – $102.54 | 8 |
| X-ray pelvis 1-2 views CPT 72170 | $106.34 | $499.00 | $54.02 – $111.66 | 8 |
| X-ray pelvis complete > 3 views CPT 72190 | $106.34 | $633.00 | $81.79 – $111.66 | 8 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $357.13 | $1,540.00 | $150.40 – $374.99 | 8 |
| X-ray ribs 2 views left CPT 71100 | $88.05 | $482.00 | $70.80 – $94.92 | 8 |
| X-ray ribs 3 views bilateral CPT 71110 | $106.34 | $693.00 | $84.84 – $111.66 | 8 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $106.34 | $547.00 | $81.67 – $111.66 | 8 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $106.34 | $855.00 | $101.66 – $136.75 | 8 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $106.34 | $466.00 | $76.00 – $111.66 | 8 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $88.05 | $584.00 | $63.22 – $92.45 | 8 |
| X-ray scapula complete (both sides) CPT 73010 | $106.34 | $490.00 | $46.13 – $111.66 | 8 |
| X-ray sella turcica CPT 70240 | $88.05 | $154.00 | $63.76 – $92.45 | 8 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $88.05 | $303.00 | $41.65 – $92.45 | 8 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $548.30 | $1,210.00 | $113.98 – $575.72 | 8 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $88.05 | $484.00 | $72.77 – $100.00 | 8 |
| X-ray skull < 4 views CPT 70250 | $106.34 | $583.00 | $69.73 – $111.66 | 8 |
| X-ray skull > 4 views complete CPT 70260 | $106.34 | $688.00 | $86.21 – $115.22 | 8 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $106.34 | $578.00 | $106.34 – $240.76 | 8 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $178.02 | $1,845.00 | $178.02 – $321.93 | 8 |
| X-ray small intestine follow-through study CPT 74248 | not published | $1,320.00 | $157.70 – $190.24 | 2 |
| X-ray spine single view CPT 72020 | $88.05 | $331.00 | $46.85 – $92.45 | 8 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $88.05 | $528.00 | $80.00 – $113.95 | 8 |
| X-ray sternum > 2 views CPT 71120 | $88.05 | $394.00 | $65.01 – $92.45 | 8 |
| X-ray surgical specimen CPT 76098 | $548.30 | $1,375.00 | $82.01 – $575.72 | 8 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $178.02 | $791.00 | $178.02 – $399.31 | 8 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $88.05 | $545.00 | $88.05 – $154.53 | 8 |
| X-ray thoracic spine 2 views CPT 72070 | $106.34 | $647.00 | $63.69 – $111.66 | 8 |
| X-ray thoracic spine 3 views CPT 72072 | $106.34 | $715.00 | $76.66 – $111.66 | 8 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $88.05 | $508.00 | $66.92 – $92.45 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $88.05 | $286.00 | $82.39 – $108.88 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $106.34 | $468.00 | $106.34 – $202.73 | 8 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $88.05 | $526.00 | $61.31 – $92.45 | 8 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $88.05 | $466.00 | $56.89 – $92.45 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $178.02 | $1,540.00 | $178.02 – $373.92 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $178.02 | $1,265.00 | $178.02 – $321.93 | 8 |
| X-ray wrist 2 views (both sides) CPT 73100 | $88.05 | $481.00 | $65.91 – $94.92 | 8 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $178.02 | $463.00 | $178.02 – $262.33 | 8 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | $4,022.86 | $13,015.00 | $4,022.86 – $4,224.00 | 6 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $2,280.73 | $6,325.00 | $1,592.40 – $2,394.77 | 7 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | $5,159.71 | $14,092.00 | $1,462.02 – $5,417.70 | 7 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | $4,022.86 | $12,296.00 | $4,022.86 – $4,224.00 | 6 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | $5,159.71 | $14,092.00 | $5,159.71 – $5,417.70 | 6 |
| Xe133 xenon 10mci HCPCS A9558 | not published | $158.00 | $0.01 – $435.00 | 2 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,829.23 | $4,926.00 | $1,345.47 – $1,920.69 | 7 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,829.23 | $4,926.00 | $1,229.51 – $1,920.69 | 7 |
| Xm archive tissue molec anal CPT 88363 | $24.49 | $440.00 | $21.08 – $34.41 | 8 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $755.88 – $755.88 | 1 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | $1,163.00 | $416.13 – $416.13 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | $12.91 | not published | $12.91 – $60.76 | 12 |
| Xyntha inj HCPCS J7185 | $1.54 | not published | $1.31 – $2.73 | 11 |
| Yersinia antibody CPT 86793 | $13.19 | $85.00 | $8.80 – $62.08 | 11 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $56,824.55 | $129,984.00 | $56,824.55 – $60,579.46 | 7 |
| Ziconotide injection HCPCS J2278 | $10.13 | not published | $8.61 – $19.43 | 11 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.28 – $3.24 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $2.13 – $2.84 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | $51.31 | $251.00 | $45.16 – $241.48 | 11 |
| Zika virus igm antibody CPT 86794 | $16.85 | $501.00 | $14.83 – $79.30 | 10 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $2.67 – $32.74 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $7.98 | not published | $6.78 – $16.73 | 11 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $33.56 | not published | $28.53 – $35.24 | 6 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $4.42 – $22.12 | 5 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $263.64 – $392.87 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | $20.05 | $141.00 | $20.05 – $94.36 | 11 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $115.36 | $595.00 | $101.52 – $542.91 | 11 |
| _fragile x methylation-sendout CPT 81244 | $44.89 | $1,047.00 | $39.50 – $211.26 | 11 |
| _propoxygc/msur CPT 80367 | not published | not published | $22.51 – $53.23 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.